Inā ua loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kahi hoʻoili puʻupaʻa, he manaʻolana hou ia no ke ola. Me he mea lā ua hoʻomaka kahi ola hou. Akā, he mea nui loa ia no kākou a pau e makaʻala i kahi kūlana e hiki ke hana ʻia ma hope o kēia ʻoki kino nui. ʻO ia hoʻi, "hōʻole" ke kino i ka puʻupaʻa i hoʻoili hou ʻia. Hiki ke hopohopo iki kēia huaʻōlelo ke lohe, akā inā maopopo iā ʻoe a hoʻolohe pono , hiki ke hoʻokele pono ʻia kēia kūlana i kahi nui. No laila, e hoʻoponopono kākou i nā nīnau a pau e pili ana i kēia i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka hōʻole ʻana o ka puʻupaʻa?
E noʻonoʻo e like ko kākou kino me kahi ʻāina me kahi ʻōnaehana pale maikaʻi. He pūʻali koa mākaukau loa ko kēia ʻāina. Kāhea mākou i kēlā pūʻali koa ʻo ka ʻōnaehana pale . ʻO ke kuleana nui o kēia pūʻali koa, ʻo ia ka pale ʻana i ke kino ma ka ʻike ʻana i nā mea haole, e like me nā germs (bacteria, viruses), e hoʻouka ana a luku iā lākou.
I kēia manawa, ke loaʻa iā ʻoe kahi hoʻoili puʻupaʻa, ke loaʻa nei iā ʻoe kahi ʻōkana hou, haole i loko o kou kino. ʻAʻohe mea pehea ka maikaʻi o ka hoʻohālikelike ʻana o ka mea hāʻawi iā ʻoe, ʻike ka "pūʻali koa" o kou kino, ʻo ia hoʻi ka ʻōnaehana pale, i ka puʻupaʻa hou "ʻaʻole kekahi o mākou, he mea hoʻouka kaua kēia." No laila, no ka pale ʻana i kou kino, hoʻomaka kēia pūʻali koa e hoʻouka i ka puʻupaʻa hou. ʻO kēia ka mea a mākou e kapa nei he "hōʻole ʻia," i ka wā e hoʻāʻo ai ka ʻōnaehana pale e hōʻino i ka puʻupaʻa i hoʻoili ʻia.
I mea e pale aku ai i kēia, hāʻawi nā kauka iā ʻoe i nā immunosuppressants , a i ʻole e like me kā mākou e kapa nei iā lākou, "nā lāʻau anti-rejection." Hoʻemi iki kēia mau lāʻau i ka mana o kēlā pūʻali koa, e hoʻomālielie iā lākou. A laila, ʻaʻole lākou e hoʻouka i ka puʻupaʻa hou.
ʻO ka mea nui, ʻo ka hōʻole ʻia ʻana o nā puʻupaʻa ʻaʻole ia ka hopena o ka honua. I ka hapanui o nā hihia, inā ʻike mua ʻia, hiki i kāu kauka ke mālama i ke kūlana ma ka hoʻololi ʻana i ka nui o kāu mau lāʻau lapaʻau a i ʻole ka hāʻawi ʻana iā ʻoe i nā lāʻau lapaʻau hou.
ʻElua ʻano nui o ka hōʻole ʻana.
Hiki ke hoʻokaʻawale ʻia ka hōʻole ʻana o ka puʻupaʻa i ʻelua ʻano nui ma muli o ka manawa e hana ʻia ai.
1. Hōʻole Koʻikoʻi
E like me ka inoa e hōʻike nei, he mea kēia e hana koke ʻia . Hana pinepine ia i loko o ka makahiki mua ma hope o ke ʻoki ʻana, ʻoi aku hoʻi i nā pule mua. ʻO kēia ke ʻano a ka hapa nui o ka poʻe e makaʻu nei. Akā ʻo ka mea maikaʻi loa, hiki ke hoʻokele nui ʻia kēia ʻano hōʻole ʻana me nā lāʻau lapaʻau holomua i loaʻa i kēia lā.ʻO ia ke kumu e noi ʻia ai ʻoe e hele pinepine i ke keʻena lapaʻau i ka makahiki mua a hana i nā hoʻāʻo koko. Ke nānā pono nei nā kauka iā ʻoe i kēia manawa.
2. Hōʻole Mau Loa
He ʻano ʻokoʻa iki kēia. Hana mālie loa ia, i nā makahiki he nui . I nā huaʻōlelo ʻē aʻe, ua like ia me ka ʻōnaehana pale o ke kino e hoʻouka nei i kahi "kaua o ka ʻeha" ma luna o ka puʻupaʻa hou. I ka hala ʻana o ka manawa, hoʻomaka ka hōʻino ʻia o ka puʻupaʻa. ʻAʻole paha e ʻike maopopo ʻia nā hōʻailona i ka wā mua. ʻO ia ke kumu ʻaʻole ia he manaʻo maikaʻi e hoʻōki i ka hele ʻana i ke keʻena lapaʻau a i ʻole ka lawe ʻana i kāu lāʻau lapaʻau, ʻoiai inā he mau makahiki i hala mai kou ʻoki ʻana. ʻO nā hoʻāʻo koko maʻamau wale nō ke ala e hiki ai i kāu kauka ke ʻike i kēia pōʻino lohi.
He aha nā hōʻailona e pono ai ʻoe e makaʻala?
Ma ke ʻano he mea hoʻoili puʻupaʻa, he mea nui iā ʻoe ke makaʻala i kēia mau hōʻailona. Inā ʻike ʻoe i kekahi o kēia mau mea, e hoʻomaopopo koke i kāu kauka a i ʻole ke keʻena hoʻoili . Hiki ke loaʻa kēia mau hōʻailona ma muli o nā kumu ʻē aʻe, akā na kāu kauka ia e hoʻoholo.
| Hōʻailona | Wehewehena |
|---|---|
| kuni | Loaʻa ke kuni ma luna o 38 kekelē Celsius (101 Fahrenheit). |
| Nā hōʻailona e like me ke anu | Ke anu a me ka haʻalulu, ka ʻeha o ke kino, ka ʻeha poʻo, a me ka luaʻi. |
| ʻEha ma kahi o ka puʻupaʻa | ʻEha hou a palupalu paha i ke kaomi ʻia ma kahi i hana ʻia ai ke ʻoki ʻana, ʻo ia hoʻi, ka ʻāpana o ka ʻōpū kahi i loaʻa ai ka puʻupaʻa hou. |
| Ka piʻi koke ʻana o ke kaumaha o ke kino | Piʻi koke ke kaumaha ma mua o 1-2 kg i loko o kahi manawa pōkole, e like me 24 mau hola (hiki paha kēia ma muli o ka paʻa ʻana o ka wai). |
| Ka emi ʻana o ka mimi ʻana | Ka mimi pinepine ʻole a i ʻole ka nui emi ma mua o ka maʻamau. |
| Pehu kuʻekuʻe wāwae | Ka pehu ʻana ma nā wāwae, ʻoi aku hoʻi ma ka ʻāpana kuʻekuʻe wāwae. |
| Luhi nui | Manaʻo luhi loa a me ka mana ʻole i hiki ʻole iā ʻoe ke hana i kekahi mea. |
E hoʻomanaʻo, ʻaʻole paha i loaʻa i kekahi poʻe nā hōʻailona ma ka ʻili . Hiki ke hōʻole ʻia i loko. ʻO ia ke kumu he mea nui e hele i kou keʻena lapaʻau i ka manawa kūpono a hana i kāu mau hoʻāʻo koko.
He aha ke kumu nui o ka hōʻole ʻia ʻana o ka puʻupaʻa?
ʻO ka pane pōkole loa a maopopo loa i kēia, "ʻAʻole e lawe pololei i nā immunosuppressants i kuhikuhi ʻia e ke kauka."
ʻO kēia ke kumu mua loa. ʻO kēia mau lāʻau lapaʻau ka mea e mālama ai i ka pūʻali koa i loko o kou kino ma lalo o ke kaohi. Inā ʻoe e hōʻalo i kahi lāʻau, mai lawe i ka manawa kūpono, a i ʻole e hoʻōki i ka lawe ʻana me ka ʻole o ka haʻi ʻana aku i kāu kauka, ʻo ka mea e hana ʻia, ʻo ia ke ala hou ʻana o ka pūʻali koa i kāohi mua ʻia a hoʻomaka e hoʻouka i ka "mea hoʻouka kaua." Ua like ia me ka hoʻomoe ʻana i nā kiaʻi a laila hoʻāla hou iā lākou.
Ma waho aʻe o kēlā, hiki ke hōʻole ʻia ma muli o kekahi mau maʻi lele a i ʻole nā pilikia olakino ʻē aʻe e hoʻoulu ai i ka ʻōnaehana pale o ke kino. Akā ʻo ke kumu nui a hiki ke pale ʻia, ʻo ia ka lawe pono ʻole ʻana i ka lāʻau lapaʻau.
Pehea e ʻike ai nā kauka i kēia?
Ke hele ʻoe i ke keʻena lapaʻau, e hoʻohana ke kauka i kekahi mau ʻano hana e noiʻi ai i kēia.
- Nā Hoʻāʻo Koko: ʻO kēia ka mea maʻamau e hana ʻia. Ana ia i ka creatinine a me ka BUN (Blood Urea Nitrogen) i loko o kou koko.Nānā ʻia nā pae. He mau huahana ʻōpala kēia i loko o ko kākou kino. Inā hana maikaʻi nā puʻupaʻa, kānana lākou i kēia mau mea mai ke koko a hoʻokuʻu iā lākou i loko o ka mimi. Inā emi iki ka hana o nā puʻupaʻa, piʻi aʻe nā pae o kēia mau mea i loko o ke koko. Hiki i kēia ke lilo i hōʻailona mua o ka hōʻole ʻia. Eia kekahi, aia kahi helu koko piha (CBC) a me nā hoʻokolohua kūikawā e nānā i nā antibodies e kūʻē i ka puʻupaʻa.
- ʻO ka Biopsy Kidney: ʻO kēia ka hoʻāʻo maikaʻi loa e hōʻoia i ka hōʻole ʻia inā kānalua ʻoe. Pili kēia i ka hana ʻana i kahi ʻoki liʻiliʻi i kou ʻili a me ka hoʻohana ʻana i kahi mea hana e like me ke nila lahilahi loa e wehe i kahi ʻāpana liʻiliʻi o ka ʻiʻo e like me ka nui o kahi hua laiki mai kou puʻupaʻa hou. A laila e nānā ʻia ma lalo o kahi microscope e ʻike inā e hoʻouka ana nā cell immune i ka puʻupaʻa. ʻAʻole kēia he mea e hopohopo ai.
Nā mea hiki iā ʻoe ke hana e pale aku i ka hōʻole ʻia
Ua like kēia me kahi pāʻani hui ma waena ou a me kāu kauka. ʻOiai ke hana nei ka hui lapaʻau i kā lākou mea maikaʻi loa, he kuleana nui nō hoʻi kāu.
- Lāʻau lapaʻau, lāʻau lapaʻau, lāʻau lapaʻau: ʻO ka mea nui loa! E lawe i ka lāʻau anti-rejection a kāu kauka i kuhikuhi ai, i ka manawa kūpono a me ka nui kūpono, a mai poina i hoʻokahi mahele lāʻau . Inā he mau nīnau kāu e pili ana i ka lāʻau lapaʻau a i ʻole e loaʻa i kekahi hopena ʻaoʻao, e kamaʻilio me kāu kauka. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau iā ʻoe iho.
- Mai poina i ke keʻena lapaʻau: E hōʻoia e hele i nā manawa a pau o ke keʻena lapaʻau a me nā hoʻāʻo koko i hāʻawi ʻia iā ʻoe. He mea nui e hele i kēia mau manawa ʻoiai inā ʻaʻohe ou pilikia.
- E hōʻike i nā loli: Inā ʻike ʻoe i kekahi o nā hōʻailona i ʻōlelo ʻia ma luna, e haʻi koke aku i kāu kauka me ka hoʻokaʻulua ʻole.
- Nohona olakino: E ʻai i ka meaʻai kaulike. Inā loaʻa iā ʻoe nā maʻi ʻē aʻe e like me ka maʻi diabetes a me ke koko kiʻekiʻe, e mālama pono iā lākou.
- E pale iā ʻoe iho mai nā maʻi: E holoi pinepine a holoi pono i kou mau lima. E noho mamao aku mai ka poʻe maʻi. Ma muli o ka nāwaliwali o kou ʻōnaehana pale ma muli o ka lāʻau lapaʻau, ʻoi aku ka nui o kou maʻi ʻana.
Leka Lawe-Home
- Mai makaʻu ke lohe ʻoe i ka huaʻōlelo "hōʻole ʻia" ma hope o kahi hoʻoili puʻupaʻa. He kūlana ia e hiki ke mālama pono ʻia a hoʻokele ʻia.
- ʻO ka mea nui loa a ʻo ka mea mua āu e pono ai e hana, ʻo ia ka lawe ʻana i nā immunosuppressants i kuhikuhi ʻia e kāu kauka e like me ka mea i kauoha ʻia, me ka ʻole o ka nalo ʻana o kahi pāʻina hoʻokahi.
- Mai poina i kāu mau manawa i ke keʻena lapaʻau a me nā hoʻāʻo koko. He mea nui kēia mau mea ʻoiai inā ʻaʻohe ou hōʻailona.
- Inā ʻike ʻoe i kekahi mau hōʻailona e like me ke kuni, ka ʻeha kino, ka ʻeha ma kahi o ke ʻoki ʻana, ka piʻi ʻana o ke kaumaha, a i ʻole ka emi ʻana o ka mimi, e hoʻomaopopo koke i kāu kauka.
- ʻO ka ʻike mua ʻia ʻana, ʻo ka maʻalahi ka mālama ʻana. Inā hana pū ʻoe a me kāu hui lapaʻau, hiki iā ʻoe ke pale i kou puʻupaʻa hou a ola i kahi ola olakino.
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