He aha ka autoimmunity? No ke aha e kūʻē mai ai ko kākou kino iā kākou?

Ua lohe paha ʻoe i kekahi manawa ʻo ka ʻōnaehana pale o ko kākou kino ponoʻī, ʻo nā koa i manaʻo ʻia e pale iā kākou mai nā maʻi, hana hewa a hoʻouka mai iā kākou? He mea kupanaha ia, ʻeā? Akā, he ʻoiaʻiʻo nō ia. Ua like ia me ka ʻīlio kiaʻi i loko o ko kākou hale e ʻike ʻole ana iā kākou a hele mai ana e nahu iā kākou. ʻO kēia ka mea i kapa ʻia ʻo autoimmunity i ka lāʻau lapaʻau. E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi a maʻalahi hoʻi e hoʻomaopopo i kēia lā.

He aha ka ʻōnaehana pale maʻi - ka mea pale nui o ko mākou kino?

I ka ʻōlelo maʻalahi, ua like ko kākou ʻōnaehana pale maʻi me kahi pūʻali koa i loko o ko kākou kino. He nui nā koa like ʻole o kēia pūʻali koa. ʻO ia hoʻi, ua hana ʻia ia me nā ʻōpū kūikawā, nā ʻano ʻano like ʻole o nā cell (ʻoi aku hoʻi nā cell koko keʻokeʻo), a me nā protein e like me nā antibodies .

ʻO kā lākou hana nui ka ʻike ʻana i nā ʻenemi e komo ana i ke kino mai waho mai. ʻO ia hoʻi:

• Bacteria
• Nā maʻi ʻino
• Nā fungi
• Nā germs ʻē aʻe a me nā mea haole

Ke ʻike ʻia kēia mau ʻenemi, hoʻouka a luku kā mākou ʻōnaehana pale iā lākou. A i ʻole hoʻonāwaliwali ia i ko lākou mana. ʻO ia ke kumu ʻaʻole mākou e maʻi pinepine. Inā paha e maʻi mākou, ʻo kēia ʻōnaehana pale e kōkua iā mākou e hoʻōla koke. ʻAʻole anei he mea kupaianaha kēia ʻano hana i loko o ko mākou kino?

No laila, he aha kēia huikau e pili ana i ka autoimmunity?

I kēia manawa, e noʻonoʻo, hoʻomaka ko kākou ikaika pale, ka ʻōnaehana pale kino, e hoʻouka i kona mau koa ponoʻī, nā ʻāpana olakino a me nā ʻiʻo o ko kākou kino, ma muli o kahi hewa liʻiliʻi. ʻO ia ka mea a kākou e kapa nei he autoimmunity . ʻO "Auto" ke ʻano o "ʻoe iho." ʻO "Immunity" ke ʻano o ka pale ʻana. No laila, maopopo iā ʻoe, ʻo kēia kahi kahi e hoʻouka ai kou pale ʻana iā ia iho.

Ua like kēia me ka pūʻali koa, ka mea i manaʻo ʻia e pale i ka ʻāina, e pana hewa ana i nā kānaka hala ʻole ma kona ʻāina ponoʻī. ʻO ka mea e hana ʻia ana, ua luku mālie ʻia nā ʻāpana o ko kākou kino ponoʻī.

ʻO ka mea e hana ʻia ma kēia, ʻaʻole ia he nāwaliwali o ka ʻōnaehana pale, akā, ua hele hewa ia. ʻO ia hoʻi, ʻaʻole hiki iā ia ke hoʻokaʻawale ma waena o "ʻo ia iho" a me "haole." ʻO ka hopena, hoʻomaka ia e hana i nā antibodies , a i ʻole, e ʻōlelo kākou, "nā mea kaua i kuhihewa ʻia," e kūʻē i kona mau ʻāpana kino ponoʻī, me ka manaʻo he "ʻenemi" lākou. Kāhea pū mākou i kēia mau autoantibodies .

No ke aha e hiki mai ai kēia i ko kākou kino? He aha nā kumu?

ʻAʻole maopopo ke kumu maoli o kēia mau kūlana autoimmune, akā manaʻoʻiʻo nā kānaka ʻepekema e hiki i ka hui pū ʻana o nā kumu ke pāʻani i kahi kuleana.

• ʻO ke kūlana hoʻoilina: Inā loaʻa i kekahi poʻe nā kūlana e like me kēia i loko o ko lākou mau ʻohana, loaʻa paha iā lākou kahi kūlana e ulu ai iā lākou. ʻO ke ʻano kēia, hiki i kā mākou mau genes ke hāʻawi iā mākou i kahi hoʻoikaika iki. Akā, ʻaʻole hiki ke ʻōlelo ʻia ua ulu wale ia ma muli o nā genes.
• Nā mea hoʻonāukiuki o ke kaiapuni: I kekahi manawa, hiki i nā mea i loko o ko kākou kaiapuni, e like me ka maʻi, kekahi mau lāʻau lapaʻau, ka puhi paka, a i ʻole ke kiʻekiʻe o ke kaumaha, ke hoʻoulu i ka "pana mua" o kahi hopena autoimmune. ʻO ke ʻano kēia, ʻoi aku ka nui o ka loaʻa ʻana o ke kūlana i kekahi kanaka me kahi predisposition genetic ke hōʻike ʻia lākou i kahi mea kaiapuni e like me kēia.
• Nā Hormones: ʻOi aku ka maʻamau o kekahi mau maʻi autoimmune i nā wahine, no laila ua manaʻo ʻia he kuleana ko nā hormones wahine.
• Kekahi mau maʻi: Aia kekahi manaʻo ma hope o kekahi mau maʻi bacteria a viral paha, lilo ka ʻōnaehana pale i mea hana ʻole, a hiki ke hoʻomaka kēia ʻano.

ʻO ka mea nui loa, ʻaʻole kēia he maʻi lele. ʻO ia hoʻi, ʻaʻole hiki ke laha mai ke kanaka a i ke kanaka, ma o ka hoʻopā ʻana a i ʻole ka kaʻana like ʻana i ka meaʻai a me nā mea inu. Eia kekahi, ʻaʻole kēia kou hewa.

He aha nā ʻano maʻi autoimmune? E nānā kākou i kekahi mau laʻana.

Ua ʻōlelo ʻia aia ma mua o 80 mau ʻano maʻi autoimmune. Ua ʻike nui ʻia kekahi, ʻaʻole i ʻike nui ʻia kekahi. Hiki i kēia mau maʻi ke hoʻopilikia i ka aneane o nā ʻāpana o ke kino. E nānā kākou i kekahi o nā hiʻohiʻona maʻamau.

• ʻO ka maʻi diabetes ʻAno 1: Ma kēia ʻano, hoʻopau kā mākou ʻōnaehana pale i nā pūnaewele i loko o ka pancreas e hana ana i ka hormone insulin . He mea nui ka insulin no ka kaohi ʻana i nā pae kō o ko mākou kino. No laila, ke hoʻopau ʻia kēia mau pūnaewele, ʻaʻole hana hou ʻia ka insulin.
• ʻO ka Rheumatoid Arthritis: I kēia kūlana, hoʻouka kā mākou ʻōnaehana pale i nā hono. Pehu nā hono, ʻoʻoleʻa, a ʻeha. I ka hala ʻana o ka manawa, hiki ke loli ke ʻano o nā hono.
• Lupus (SLE - Systemic Lupus Erythematosus): He maʻi autoimmune paʻakikī ʻo Lupus e hiki ke hoʻopilikia ʻaʻole i hoʻokahi wale nō wahi o ke kino, akā, i nā ʻōnaehana kino he nui, e like me ka ʻili, nā hono, nā puʻupaʻa, ka lolo, a me ka puʻuwai.
• ʻO ka Multiple Sclerosis (MS): I kēia maʻi, hoʻouka ka ʻōnaehana pale i ka uhi pale (myelin sheath) a puni nā olonā nerve i loko o ka lolo a me ke kaula spinal. Hoʻopilikia kēia i ka hoʻoili ʻana o nā leka ma o nā aʻalolo.
• ʻO ka Thyroiditis o Hashimoto: Ma kēia kūlana, hoʻouka ka ʻōnaehana pale i ka ʻōpū thyroid, kahi ʻōpū ʻano pepeke i loko o ko kākou ʻāʻī. Hoʻemi kēia i ka hana ʻana o nā hormones thyroid, e hopena ana i ka hypothyroidism.
• ʻO ka maʻi Graves: He maʻi autoimmune nō hoʻi kēia e hoʻopilikia ai i ka ʻōpū thyroid. Eia nō naʻe, i kēia hihia, lilo ka ʻōpū thyroid i mea hana nui a hana i ka nui o ka hormone thyroid (hyperthyroidism).
• Maʻi ʻōpū mumū (IBD):ʻO kēia nā kūlana e like me ka maʻi a Crohn a me ka Ulcerative Colitis, ka mea e hoʻoulu ai i ka mumū mau loa o ka ʻōnaehana hoʻoheheʻe, ʻoiai nā ʻōpū.

He mau laʻana wale nō kēia. He ʻokoʻa nā hōʻailona a me nā hopena o kēlā me kēia maʻi.

He aha nā hōʻailona maʻamau o kēia maʻi?

ʻOkoʻa loa nā hōʻailona o kahi maʻi autoimmune ma muli o ke ʻano o ka maʻi a me ka ʻāpana o ke kino e hoʻopilikia ai. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia i nā maʻi autoimmune he nui.

• Luhi pinepine a me ka māluhiluhi: Manaʻo luhi ʻoiai ua hiamoe maikaʻi.
• ʻEha nā hono, pehu, ʻoʻoleʻa.
• Nā pilikia ʻili: Nā ʻano ʻūlū like ʻole, ka ʻulaʻula o ka ʻili, i kekahi manawa he mau kiko ʻano pepeke ma ka maka (e like me ka lupus).
• ʻEha ʻōpū a i ʻole nā ​​pilikia hoʻoheheʻe.
• Kuni haʻahaʻa e hoʻi hou ana.
• Nā ʻōpū lymph pehu.
• Ka mae ʻana o nā lālā a i ʻole ka manaʻo e like me ke kahe ʻia ʻana e nā ʻanuʻu.
• Ka nalowale o ka lauoho.

ʻOiai inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he maʻi autoimmune kou. Hiki ke hana ʻia kēia mau mea e nā kumu maʻalahi ʻē aʻe. Akā inā hoʻomau a ʻoi aku paha ka ʻino o kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo.

ʻO kekahi mea ʻē aʻe, hiki ke ʻike koke ʻia nā hōʻailona o kēia mau maʻi autoimmune (flare-ups) a laila e emi iki no kekahi manawa (remission). No laila, ʻoiai e loaʻa ana ka lāʻau lapaʻau, hiki ke ʻoi koke ka maʻi.

Pehea e ʻike ai ke kauka i kahi maʻi autoimmune? (Diagnosis)

Hiki i kekahi manawa ke paʻakikī iki ka ʻike ʻana i kahi maʻi autoimmune no ka mea he maopopo ʻole nā ​​​​hōʻailona a like me nā maʻi ʻē aʻe.

ʻO ka maʻamau, e hana ke kauka i nā mea penei:

1. E nīnau ʻia aku ʻoe i nā kikoʻī: he aha nā hōʻailona āu i loaʻa ai, pehea ka lōʻihi o kou loaʻa ʻana iā lākou, a inā paha ua loaʻa i kekahi o kou ʻohana nā maʻi like.

2. Hana i kahi hoʻokolokolo kino: Nānā i ke kino.

3. Nā hoʻāʻo koko: He mea nui loa kēia.

• ʻO nā hoʻokolohua e like me ESR (Erythrocyte Sedimentation Rate) a me CRP (C-Reactive Protein) e nānā ai no ka mumū i loko o ke kino.
• Nā hoʻokolohua e nānā ana i nā autoantibodies kikoʻī, ʻo ia hoʻi, nā antibodies i hana ʻia e kūʻē i ko mākou kino ponoʻī. No ka laʻana, ka hoʻāʻo ANA (Antinuclear Antibody) . Inā maikaʻi kēia, ua manaʻo ʻia he maʻi autoimmune.
• Aia kekahi mau hoʻokolohua antibody kikoʻī no kekahi mau maʻi autoimmune.

4. Nā hoʻokolohua ʻē aʻe: I kekahi manawa nā kukuna X, nā scan, a pēlā aku, ma muli o ke kino i hoʻopilikia ʻia.Hiki ke hana ʻia nā hoʻokolohua kiʻi a i ʻole kahi biopsy (e pili ana i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo a nānā iā ia ma lalo o kahi microscope).

Ma hope o ka hana ʻana i kēia mau mea a pau, hiki mai ke kauka i kahi hopena.

Aia kekahi lāʻau lapaʻau no kēia? Pehea e mālama ai? (Lāʻau Lapaʻau & Hoʻokele)

ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia nā maʻi autoimmune he nui, aia nā lāʻau lapaʻau kūpono e hiki ke kōkua i ka kaohi ʻana i ka maʻi, hōʻemi i nā hōʻailona, ​​a hoʻomaʻalahi i ke ola. ʻO nā pahuhopu nui o ka lāʻau lapaʻau:

• Hoʻēmi i nā hōʻailona: Ke kaohi ʻana i nā mea e like me ka ʻeha, ka pehu, a me ka luhi.
• Ke kāohi nei i nā kaʻina hana autoimmune: Ke hoʻōki a hōʻemi paha i ka hoʻouka kaua ʻana o ka ʻōnaehana pale ma kona kino ponoʻī.
• Ke pale ʻana i ka hiki o ke kino ke hakakā i nā maʻi maoli: Ke kāohi ʻana i ka ʻōnaehana pale i ka nui e pono ai, me ka ʻole o ka hoʻopaʻa nui ʻana.
• Hoʻemi a pale paha i ka hōʻino ʻana i nā ʻōpū.

Hoʻohana nui ʻia kēia mau mea ma ke ʻano he lāʻau lapaʻau:

• Nā lāʻau anti-inflammatory: ʻO nā lāʻau ʻeha e like me NSAID (Nonsteroidal Anti-inflammatory Drugs) e hōʻemi i ka ʻeha a me ka pehu.
• ʻO Corticosteroids: No ka laʻana, ʻo Prednisolone. Hiki i kēia mau mea ke kāohi koke i ka ʻōnaehana pale a me ka mumū. Eia nō naʻe, hiki iā lākou ke hana i nā hopena ʻaoʻao ke hoʻohana ʻia no ka manawa lōʻihi, no laila e lawe wale ʻia e like me ke kuhikuhi a ke kauka.
• Nā Immunosuppressants: Hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka hana o ka ʻōnaehana pale, e pale ana iā ia mai ka hōʻino ʻana i kou kino ponoʻī. Pono hoʻi e hoʻohana ʻia kēia mau mea ma lalo o ka nānā ʻana o ke kauka.
• Nā lāʻau lapaʻau biologic: He mau lāʻau lapaʻau hou kēia, i kuhikuhi ʻia e kōkua i ka kaohi ʻana i ka maʻi ma o ka hoʻopilikia ʻana i nā ʻāpana kikoʻī o ka ʻōnaehana pale. Hiki ke ʻoi aku ke kumukūʻai o kēia mau mea.
• Nā lāʻau lapaʻau kikoʻī no nā hōʻailona: No ka laʻana, pono ka insulin i ka maʻi diabetes. Hiki ke mālama ʻia ka ʻeha o nā hono me ka physiotherapy.

Ma waho aʻe o ka lāʻau lapaʻau, he mea nui loa nā loli o ke ʻano o ka nohona :

• He ʻai kaulike: ka meaʻai a me ka mea inu momona.
• Hoʻoikaika kino mau: E like me ke kūpono i ke kino.
• Ka hoʻokele koʻikoʻi: Nā mea e like me ka noʻonoʻo ʻana a me ka yoga.
• Ka lawa ʻana o ka hiamoe.
• E pale i ka puhipaka.

E pili ana i ka noho ʻana me kahi maʻi autoimmune

He mea maʻamau ke kaumaha a me ka makaʻu ke ʻike ʻoe he maʻi autoimmune kou, no ka mea, he nui o kēia mau maʻi he mau maʻi mau loa, ʻo ia hoʻi he lōʻihi ko lākou mau.

Akā, e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. He miliona miliona o ka poʻe a puni ka honua e ola nei me ka holomua me kēia mau kūlana.

ʻO ka mea nui loa:

• E mālama i ka pilina maikaʻi me kāu kauka. E hele i nā keʻena lapaʻau e like me ka hoʻonohonoho ʻana, e lawe i kāu mau lāʻau lapaʻau e like me ke kauoha, a e haʻi i kāu kauka inā he mau nīnau kāu.
• E hoʻonaʻauao iā ʻoe iho e pili ana i kou maʻi. A laila e maopopo iā ʻoe pehea e ola ai me ia.
• E kiʻi i ke kākoʻo mai ka ʻohana a me nā hoaaloha. E haʻi iā lākou e pili ana i kou kūlana.
• He kōkua nui nō hoʻi inā hiki iā ʻoe ke hui pū me nā poʻe i nā kūlana like.
• E hoʻomaopopo he hiki ke loaʻa nā wā o ka hoʻonui ʻia ʻana o nā hōʻailona (flare-ups) a me nā wā o ka emi ʻana o nā hōʻailona (remissions). E hoʻomākaukau no kēia ma mua.
• E mālama pū i kou olakino noʻonoʻo. E ʻimi i ke aʻo ʻana inā pono.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, no laila e nānā kākou i nā mea nui e pili ana i ka autoimmunity a mākou i kamaʻilio ai i kēia lā.

• ʻO ke ʻano autoimmunity ka wā e hoʻouka hewa ai ka ʻōnaehana pale o ko mākou kino i kā mākou mau hunaola a me nā ʻiʻo olakino ponoʻī.
• ʻAʻole kēia kou hewa, ʻaʻole hoʻi he mea āu i hana ai. A ʻaʻole kēia he maʻi lele.
• Nui nā ʻano maʻi autoimmune, hiki ke hoʻopilikia i nā ʻāpana like ʻole o ke kino.
• Hiki ke ʻokoʻa a maopopo ʻole nā ​​hōʻailona. Inā kānalua a inā hoʻomau nā hōʻailona, ​​​​he mea naʻauao ke ʻimi i ke aʻo lapaʻau.
• ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia nā maʻi autoimmune he nui, aia nā lāʻau lapaʻau kūpono e hiki ai ke kaohi i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.
• He mea nui loa ka ʻike mua ʻana i ka maʻi a loaʻa i ka lāʻau lapaʻau pololei a hoʻomau.
• ʻAʻole ʻoe hoʻokahi i kēia huakaʻi. Me ke aʻo lapaʻau kūpono a me ke kākoʻo, hiki iā ʻoe ke ola maikaʻi me kēia maʻi.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka ʻohana a i ʻole kekahi loea.

ʻōnaehana pale kino, ʻōnaehana pale kino, nā maʻi autoimmune, nā maʻi autoimmune, ʻōnaehana pale kino, Ola Kino o Sri Lanka, ʻatikala lapaʻau Sinhala