E aʻo hou kākou e pili ana i nā maʻi akepaʻa! E kamaʻilio kākou e pili ana i kēia!

He ʻōkana koʻikoʻi loa ke akepaʻa i loko o kou kino. Hana ia e like me ke kānana i loko o ko kākou kino. Kānana a wehe ia i nā mea ʻawahia mai ke koko. Akā, aia kahi palena i ka mea hiki i kēia kānana ke lawelawe, ʻeā? I kekahi manawa, hiki i kēia hana ke hōʻino i ke akepaʻa . No laila i kēia lā, e kamaʻilio kākou e pili ana i nā maʻi akepaʻa .

He aha ka maʻi akepaʻa?

Ke ʻōlelo mākou he 'maʻi akepaʻa', ʻōlelo pinepine nā kauka e pili ana i nā kūlana e hōʻino mālie i ke akepaʻa, i ka hala ʻana o ka manawa, a i ʻole he mau maʻi mau . Hiki ke hana ʻia kēia mau mea e nā maʻi viral , nā mea ʻawahia like ʻole, a i ʻole kekahi mau kūlana metabolic. ʻO ka mea kupaianaha, he hiki kupaianaha ko ke akepaʻa e hoʻoponopono iā ia iho. Akā i ka wā e hoʻohana mau ʻia ai, e emi mālie ana kēlā hiki.

He aha nā pae o ka maʻi akepaʻa mau loa?

ʻEhā mau pae nui o ka maʻi akepaʻa i hala no ka manawa lōʻihi. E nānā kākou i ke ʻano o lākou.

Pae 1: Hepatitis

ʻO ke kahua mua, ʻo ia ka maʻi hepatitis. I ka ʻōlelo maʻalahi, ʻo ia ka pehu ʻana o nā ʻiʻo o ke akepaʻa. E like me ka wā e ʻeha ai mākou i kekahi wahi, pehu ia, i ka wā e hōʻino ʻia ai ke akepaʻa a make paha, kū mai kēia pehu ma muli o ia mea. Hana ʻia kēia e hoʻopau i ka maʻi a hoʻomaka i ke kaʻina hana ho'ōla. Hiki ke hoʻoponopono ʻia kēia me ka pehu koke, manawa pōkole (hepatitis koʻikoʻi). Akā inā he pōʻino a make paha e hoʻomau nei, hoʻomau ka pehu. Ma muli o kēia kūlana lōʻihi o ka hepatitis (hepatitis maʻi mau) , i ka wā e hoʻāʻo ai ke akepaʻa e hoʻōla iā ia iho i ka hala ʻana o ka manawa, hoʻomaka ka ʻōpala (fibrosis) e hana.

Pae 2: Fibrosis

ʻO ka lua o ka pae, ʻo ia ka fibrosis. ʻO kēia ka wā e hōʻiliʻili mālie ai nā ʻiʻo palapū i loko o ke akepaʻa, e hoʻopaʻakikī a ʻoʻoleʻa ai. Ua like ia me kahi lole kahiko. Hoʻemi kēia ʻiʻo palapū i ke kahe koko i ke akepaʻa, ʻo ia hoʻi, emi ka oxygen a me nā meaʻai i hāʻawi ʻia i ke akepaʻa. Penei ka hoʻomaka ʻana o ke akepaʻa e nalowale mālie i ka hana. ʻO ka mea kupanaha, hiki ke hoʻohuli ʻia kekahi o kēia fibrosis. ʻO ia hoʻi, inā e hoʻemi ʻia ka pōʻino, hiki i nā hunaola akepaʻa ke hana hou a hiki ke hoʻemi ʻia nā ʻiʻo palapū.

Pae 3: Cirrhosis

ʻO ke kolu o ka pae ka cirrhosis, he ʻeha koʻikoʻi, hiki ʻole ke hoʻihoʻi ʻia, he ʻeha mau loa o ke akepaʻa.ʻO kēia kahi e lilo ai ka fibrosis i mea hiki ʻole ke hoʻihoʻi ʻia. Ke nalowale ke akepaʻa i nā hunaola olakino e hana ai, ʻaʻole hiki i nā ʻiʻo ke hana hou. Eia nō naʻe, i kēia manawa, aia nā ala e hoʻōki ai a hoʻolohi paha i ka hōʻino. I ka hoʻomaka ʻana o ka cirrhosis e hoʻopilikia i ka hana o ke akepaʻa, ʻaʻole paha ʻoe e ʻike i ka ʻokoʻa nui i ka wā mua, ʻoiai ke hoʻāʻo nei kou kino e uku no ka nalowale.

Pae 4: Ka hāʻule ʻana o ke akepaʻa

ʻO ke kahua hope loa, a i ʻole ka hā, ʻo ia ka hāʻule ʻana o ke akepaʻa. ʻO kēia ka wā hiki ʻole i ke akepaʻa ke hana hou e hoʻokō i nā pono o ke kino. Ua kapa ʻia hoʻi kēia he decompensated cirrhosis - ʻo ia hoʻi, ʻaʻole hiki i ke kino ke hoʻopiha hou i ka nalowale o ke akepaʻa. I ka wā e haki mālie ai nā hana o ke akepaʻa, hoʻomaka ʻoe e ʻike i nā hopena ma kou kino holoʻokoʻa. He hana mālie ka hāʻule ʻana o ke akepaʻa mau loa, akā me ka ʻole o ka hoʻoili ʻana o ke akepaʻa, hiki iā ia ke alakaʻi i ka make. E hoʻomanaʻo, pono mākou i ke akepaʻa e ola ai.

Pehea ka maʻamau o nā maʻi akepaʻa?

Inā mākou e kamaʻilio e pili ana i ke ʻano maʻamau o kēia maʻi akepaʻa, hiki ke make ma kahi o 2 miliona mau make i kēlā me kēia makahiki ma ka honua holoʻokoʻa. ʻO ia hoʻi ma kahi o 4% o nā make āpau. ʻO ka hapa nui o nā make ma muli o nā pilikia o ka cirrhosis. ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine.

He aha nā hōʻailona mua o ka maʻi akepaʻa?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike kēia mau maʻi akepaʻa mau i kekahi mau hōʻailona nui i nā pae mua. Akā i kekahi manawa, hiki ke hoʻomaka ma ke ʻano he hepatitis koke a koʻikoʻi. No ka laʻana, inā loaʻa iā ʻoe kahi maʻi hepatitis viral, aia kahi pae koʻikoʻi ma mua o ka lilo ʻana i mea maʻi. I loko o ia manawa, loaʻa paha iā ʻoe ke kuni, ʻeha ʻōpū, a me ka nausea no kekahi mau lā. Inā ʻaʻole hiki i ka ʻōnaehana pale ke pale aku i ka maʻi, lilo ia i maʻi maʻi mau.

Hiki i kekahi mau kumu ʻē aʻe o ka maʻi akepaʻa ke hana i nā hōʻailona koke e like me kēia i ka wā mua. ʻAʻole maopopo loa nā hōʻailona mua o ka maʻi akepaʻa. Hiki iā lākou ke komo pū me:

• ʻEha ʻōpū luna.
• Ka luaʻi a i ʻoleʻAʻohe ʻono o ka meaʻai .
• Luhi a me ka malaise (manaʻo luhi a maikaʻi ʻole).

He aha nā hōʻailona ma hope o ka maʻi akepaʻa?

I ka hoʻomaka ʻana o kou akepaʻa e hana iki, e hoʻomaka paha ʻoe e ʻike i nā hōʻailona hou aʻe. ʻO kēia ka manawa e loaʻa ai ka maʻi akepaʻa i kona pae kiʻekiʻe loa. ʻO kekahi o nā hopena mua o ka hāʻule ʻana o ke akepaʻa, ʻo ia ka ālai ʻia ʻana o ke kahe ʻana o ka bile. ʻAʻole hiki i ke akepaʻa ke hana pono i ka bile a i ʻole e pamu iā ia i loko o ka ʻōpū liʻiliʻi. Akā, hoʻomaka ka bile e kahe i loko o ke koko. Hiki i kēia ke hana i kekahi mau hōʻailona kikoʻī:

• Jaundice (melemele o nā keʻokeʻo o nā maka a me ka ʻili).
• Mimi ʻeleʻele .
• Ke hele ʻana i kahi noho waihoʻoluʻu māmā .
• Ka paʻakikī i ka hoʻoheheʻe ʻana i ka meaʻai, ʻoiai nā meaʻai momona.
• Ka pohō kaumaha a me ka hoʻopau ʻana o nā ʻiʻo.
• Hanu ʻala pilau.
• Ka hōʻino iki o ka hana o ka lolo (encephalopathy hepatic).
• ʻŌhūhū (ʻāneʻane wale me ka ʻole o ka ʻulaʻula ma ka ʻili).

I ka wā e ʻoi aku ka ʻino o ka maʻi akepaʻa, hiki iā ia ke hoʻopilikia i kou kahe koko, nā hormones, a me ke kūlana meaʻai. Hiki i kēia ke ʻike ʻia ma nā ʻano like ʻole. E ʻike paha ʻoe i nā hōʻailona e like me kēia ma kou ʻili a me kou mau kui:

• Nā kui puna.
• Nā kui o Terry (he keʻokeʻo nā kui, me nā wēlau wale nō he poni).
• ʻO ke kuʻi ʻana i ke kui ka pehu ʻana a me ka wili ʻana o ke kumu kui.
• Nā angiomas punawelewele .
• Nā kiko ʻulaʻula liʻiliʻi ma ka ʻili "(petechiae)".
• Nā waihona ʻaila melemele ma ka ʻili a i ʻole nā ​​​​​​liʻili maka, e ʻike ʻia ana he mau puʻupuʻu liʻiliʻi.
• ʻO ka maʻalahi o ka ʻeha a me ke kahe koko .
• ʻUlaʻula o nā pāma.

Hiki paha iā ʻoe ke ʻike i nā hōʻailona o ke kahe ʻana o ke koko mai nā kīʻaha koko a hōʻiliʻili i nā ʻāpana like ʻole o ke kino:

• ʻO ka pehu ʻana o ka ʻōpū (ascites).
• Ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, nā lima, a me ka maka (edema).

Nā ʻano kikoʻī o ke kāne a me ka wahine

Hiki i nā wāhine ke loaʻa nā hōʻailona e like me kēia ma muli o ka maʻi ate:

• Nā pōʻaiapuni menstrual kūpono ʻole.
• Ka paʻakikī i ka hānau keiki ʻana (ka hānau ʻole ʻana o ka wahine).

Hiki i nā kāne ke loaʻa nā hōʻailona e like me:

• Nā ʻōpū i hoʻemi ʻia.
• ʻOkoʻa umauma kāne i hoʻonui ʻia.

Nā pilikia o ka maʻi ate hope loa

ʻO ka maʻi akepaʻa hope loa kahi kūlana i hiki ʻole ai i ke akepaʻa ke hoʻoponopono iā ia iho a lilo mālie i hana pono ʻole, i kapa ʻia ʻo decompensated cirrhosis a me ka hemahema o ke akepaʻa. ʻO ʻelua o nā hopena koʻikoʻi loa i kēia pae, ʻo ia ka portal hypertension a me ka hepatocellular carcinoma . ʻO nā pilikia o kēia mau kūlana ʻelua ke kumu nui o ka hoʻokipa ʻia ʻana a me ka make ʻana i ka poʻe me ka cirrhosis a me ka hemahema o ke akepaʻa.

Ke koko kiʻekiʻe o ka puka

Hoʻokumu ʻia ke koko kiʻekiʻe portal e ka ʻeha ma ke akepaʻa, ka mea e hoʻoulu ai i ke kaomi ma luna o ke aʻa portal. Ke piʻi aʻe ke kaomi ma ke aʻa portal, hoʻohuli ke kino i ke koko i nā aʻa ʻē aʻe e pili ana iā ia. A laila e hoʻonui ʻia nā aʻa, kīkoʻo ʻia, a lahilahi. Hiki i kēia mau aʻa ke kahe, pahū, a kahe paha ke koko. Hiki i kēia kahe koko kūloko ke koke, koʻikoʻi, a hoʻoweliweli i ke ola.

ʻOiai he mea kakaikahi, hiki ke loaʻa nā pilikia ʻē aʻe:

• Ka hoʻonui ʻana a me ka hana nui o ka spleen (hypersplenism).
• Ka hana pono ʻole o ka ʻōnaehana hanu `(hepatopulmonary syndrome)`.
• Ka hāʻule ʻana o nā puʻupaʻa (hepatorenal syndrome).

Ka maʻi ʻaʻai ate

ʻOiai ʻaʻole e loaʻa i nā kānaka a pau me ka maʻi akepaʻa lōʻihi ka maʻi hepatocellular carcinoma, he nui ka poʻe i loaʻa i ka maʻi akepaʻa he maʻi akepaʻa lōʻihi. ʻO ke kaʻina hana o ka mumū, ka ho'ōla ʻana, a me ka ʻeha e hoʻonui ai i ka loli ʻana o nā hunaola akepaʻa a lilo i maʻi ʻaʻai. Manaʻo nā kauka he hiki i nā maʻi hepatitis mau loa ke hoʻopilikia i ka DNA o nā hunaola akepaʻa.

He aha nā kumu o ka maʻi akepaʻa?

Aia ma mua o 100 mau ʻano maʻi akepaʻa, akā hāʻule lākou i loko o kekahi mau hui nui. ʻO nā kumu:

• Nā maʻi viral: ʻO nā maʻi viral lōʻihi e like me ka hepatitis B a me ka hepatitis C hiki ke hoʻoulu i ka hepatitis mau loa.
• Hepatitis i hoʻoulu ʻia e ka waiʻona: ʻO ka inu nui ʻana i ka waiʻona hiki ke hoʻoulu i ka hepatitis ʻoi a mau paha. Inā hoʻomau kēia, hiki iā ia ke alakaʻi i ka cirrhosis a me ka hāʻule ʻana o ke ake. He kumu maʻamau kēia ma ko mākou ʻāina.
• Hepatitis ʻawahia: Hiki ke hana ʻia ka hepatitis ʻoi a mau paha ma muli o ka hoʻohana lōʻihi ʻana i nā mea ʻawahia, e like me nā kemika ʻoihana a i ʻole nā ​​​​lāʻau lapaʻau.
• ʻO ka maʻi momona o ke akepaʻa ʻaʻole e pili ana i ka waiʻona (NAFLD): ʻO nā kūlana metabolic e pili ana i ka momona, ke kiʻekiʻe o ke kō koko, a me nā pae lipid (momona) koko kiʻekiʻe hiki ke hoʻoulu i ka momona keu e hōʻiliʻili i loko o ke ake. Hiki i kēia ke alakaʻi i ka mumū (steatohepatitis pili ʻole i ka waiʻona - NASH). ʻIke ʻia kēia ʻano i nā poʻe he nui i kēia mau lā, ʻoiai ma muli o nā ʻano ʻai maikaʻi ʻole.
• ʻO ka paʻa ʻana o ka biliary: ʻO kekahi mau maʻi hānau, e like me ka biliary atresia a me ka cystic fibrosis, hiki ke hoʻoulu i ka ʻohi ʻana o ka bile a hōʻino i ke akepaʻa ma ke ālai ʻana a i ʻole ke ālai ʻana i ke kahe o ka bile ma o nā ʻauwai bile. ʻO nā kumu e kū mai ana ma hope o ka hānau ʻana, ʻo ia ka biliary stricture a me nā gallstones.
• Nā maʻi Autoimmune: ʻO nā kūlana Autoimmune e like me ka hepatitis autoimmune, ka cholangitis biliary mua, a me ka cholangitis sclerosing mua hiki ke hana i ka pehu lōʻihi a me ka ʻeha o ke ake a me nā ʻāpana bile.
• Nā maʻi metabolic i hoʻoilina ʻia: ʻO nā maʻi e hōʻiliʻili ai i nā mea ʻawahia i loko o ke koko, e like me ka maʻi mālama glycogen (GSD), ka maʻi Wilson, hemochromatosis, a me ka maʻi Gaucher, hiki ke hōʻeha i ke akepaʻa i ka wā lōʻihi.
• Nā maʻi cardiovascular: ʻO nā kūlana e hoʻopilikia ai i ke akepaʻa a me ke kahe koko ma o ia mea, e like me ka Budd-Chiari syndrome, ischemia, ka maʻi coronary artery, a me ka hāʻule ʻana o ka puʻuwai ʻākau, hiki ke hōʻeha i ke akepaʻa i ka wā lōʻihi.

He aha nā kumu pilikia no ka maʻi akepaʻa?

Hiki paha iā ʻoe ke loaʻa i nā maʻi akepaʻa inā ʻoe:

• Inā ʻoe e inu nui i ka waiʻona.
• Inā ʻoe e lawe i nā lāʻau lapaʻau ma o kahi aa koko, ua kapa ʻia ia he "nā lāʻau lapaʻau intravenous".
• Inā ʻoe e hoʻohana pinepine i nā lāʻau ʻeha e like me ka aspirin a i ʻole paracetamol (ʻoi aku hoʻi i nā dosis kiʻekiʻe me ka ʻole o ke aʻo ʻana a ke kauka).
• Inā loaʻa iā ʻoe ka metabolic syndrome (kahi hui pū ʻana o ka momona, ke koko kiʻekiʻe, ke kō koko kiʻekiʻe, a me nā pae cholesterol maikaʻi ʻole).
• Inā ʻoe e hoʻopili pinepine ʻia me nā kemika ʻawahia.
• Inā pili pinepine ʻoe i ke koko a i ʻole nā ​​​​​​wai kino o haʻi (e like me nā limahana olakino, nā mea pena peʻa).

Pehea e ʻike ai i ka maʻi akepaʻa?

E nānā mua ke kauka e nānā ana i ka maʻi akepaʻa iā ʻoe ma ke kino. E ʻimi lākou i nā hōʻailona a me nā ʻōuli a nīnau e pili ana i kāu mau ʻōuli. Hiki iā lākou ke nīnau e pili ana i kāu ʻai, kou nohona, a me kou mōʻaukala olakino. A laila, e hoʻohana lākou i nā hoʻokolohua lab a me nā scan kiʻi e hoʻoholo ai inā he maʻi akepaʻa kou. Hiki i kēia mau mea ke komo pū me:

• Nā hoʻāʻo koko: Hiki i kahi moʻo o nā hoʻāʻo hana ate ke hōʻike i nā hōʻailona o ka maʻi ate, ke koʻikoʻi o ka maʻi, a me nā hōʻailona o ka hāʻule ʻana o ke ake. Ana kēia i nā mea e like me nā enzymes ate, protein, a me nā pae bilirubin. Hiki i nā hoʻāʻo koko ke hōʻike i nā hopena ʻaoʻao e like me ka pehu ʻana, nā maʻi kikoʻī, a i ʻole ka emi ʻana o ke kāpili ʻana o ke koko.
• Nā hoʻāʻo kiʻi: Hiki i kahi ultrasound ʻōpū, CT scan (computed tomography scan), a i ʻole MRI (magnetic resonance imaging) scan ke hōʻike i ka nui, ke ʻano, a me ke kūlana o ke akepaʻa. Hiki i kēia ke kōkua i ka ʻike ʻana i ka pehu ʻana, nā nodules, a me ka fibrosis.
• Elastography: He hoʻāʻo kiʻi kūikawā kēia e hoʻohana ana i ka ʻenehana ultrasound a i ʻole MRI e ana i ka paʻakikī, a i ʻole ke kiʻekiʻe o ka fibrosis, o ke akepaʻa.
• Endoscopy:Inā makemake kāu kauka e nānā i loko o kāu ʻōnaehana ʻauwai bile, pono lākou e hoʻohana i kahi kaʻina hana kiʻi i kapa ʻia he endoscopy. Pili kēia i ke komo ʻana i kahi kāmela liʻiliʻi (endoscope) ma kou waha a hoʻouna i lalo i kāu ʻōnaehana ʻai. A laila hiki ke nānā ʻia nā ʻauwai bile me ka hoʻohana ʻana i ka EUS (endoscopic ultrasound) a i ʻole ERCP (endoscopic retrograde cholangiopancreatography).
• Kiʻi lāʻau lapaʻau nukelea: Pili kēia i ka hoʻokomo ʻana i kahi mea radioactive ʻino ʻole i loko o ke kino a me ka hoʻohana ʻana i kahi kāmela gamma e ʻike ai. Ma muli o ke ʻano o ka omo ʻana o kou akepaʻa i ka mea, hiki iā ia ke hōʻike i kahi e hana pono ʻole ai.
• ʻO ka biopsy akepaʻa: He hana liʻiliʻi kēia. Lawe ʻia kahi laʻana liʻiliʻi o nā ʻiʻo mai ke akepaʻa a hoʻāʻo ʻia ma kahi keʻena hoʻokolohua. Lawe pinepine ʻia kēia laʻana me ka hoʻohana ʻana i kahi nila hakahaka. Hiki ke hana ʻia kahi biopsy akepaʻa e nānā i ka maʻi ʻaʻai, hōʻoia i ka cirrhosis, a loaʻa ke kumu.

Pehea e mālama ʻia ai nā maʻi akepaʻa?

Loaʻa i kekahi mau ʻano maʻi akepaʻa nā lāʻau lapaʻau kūikawā. No ka laʻana, hāʻawi ʻia nā antivirals no ka hepatitis viral, a hāʻawi ʻia nā corticosteroids a me nā immunosuppressants no nā maʻi autoimmune. Akā i ka hapanui o nā hihia, ʻo nā hoʻololi ʻana i ke ʻano o ka nohona ke ʻano nui o ka lāʻau no ka maʻi akepaʻa. He mea nui ka hōʻemi ʻana i ka nui o nā mea ʻawahia e komo ana i loko o ke akepaʻa no kekahi maʻi akepaʻa. He mea nui loa kēia no ka maʻi akepaʻa i hoʻokumu ʻia e ka momona nui, ka waiʻona, a i ʻole nā ​​mea ʻawahia ʻē aʻe.

Eia nō naʻe, he mea nui ka ʻike mua ʻana no ka mālama pono ʻana i nā maʻi akepaʻa ma mua o ka hiki ʻana mai o ka hōʻino mau loa. ʻO ka mea pōʻino, ʻaʻole i ʻike ʻia nā kānaka a pau i ka manawa e hiki ai ke hoʻihoʻi ʻia ka maʻi. Inā loaʻa iā ʻoe ka cirrhosis a i ʻole ka hāʻule ʻana o ke akepaʻa, pono paha ʻoe i kahi lāʻau hou no nā pilikia e like me ke koko kiʻekiʻe portal a i ʻole ke kanesa akepaʻa. ʻAʻole hiki i kou akepaʻa ke ho'ōla, a ma hope paha e pono ai ʻoe i kahi hoʻoili akepaʻa.

Pehea e hōʻemi ai i ka pilikia o ka maʻi akepaʻa?

Hiki iā ʻoe ke hana i kēia mau mea e pale aku ai iā ʻoe iho mai nā maʻi ate:

• Ke loaʻa ʻana o ka lāʻau pale: Aia nā lāʻau pale e pale aku ai i ka maʻi hepatitis A a me B.
• Hoʻomaʻemaʻe maikaʻi: ʻO nā mea e like me ka holoi ʻana i nā lima ma hope o ka hoʻohana ʻana i ka lua, ka hoʻomākaukau ʻana i ka meaʻai me ka palekana, a me ka hoʻohana ʻana i nā nila me ka palekana e hiki ke kōkua i ka pale ʻana i ka laha ʻana o nā maʻi.
• E hōʻemi i ka hoʻohana ʻana i ka waiʻona a lawe i nā lāʻau lapaʻau e like me ke kauoha: Inā loaʻa iā ʻoe kahi maʻi hoʻohana lāʻau (e.g., 'Substance Use Disorder - SUD'), hiki i ka loaʻa ʻana o ka lāʻau lapaʻau ke kōkua i ka pale ʻana i ka maʻi hepatitis i hoʻokumu ʻia e nā mea ʻawaʻawa.
• Ke kaohi ʻana i nā kumu metabolic e like me nā lipids koko (nā momona) a me ke kō koko: Hiki iā ʻoe ke loaʻa ke kōkua mai ke kauka no kēia.

Hiki ke hoʻihoʻi ʻia ka maʻi akepaʻa?

Hiki ke hoʻohuli ʻia ka maʻi akepaʻa mua inā ʻike ʻia ke kumu a hana pū ʻoe a me kāu hui lapaʻau e hoʻopau a kāohi paha iā ia. Aia kēia i ke kumu a me ke ʻano o ka mālama ʻia ʻana. Inā loaʻa iā ʻoe ka cirrhosis, ʻaʻole hiki iā ʻoe ke hoʻohuli i ka pōʻino i hana mua ʻia. Akā hiki iā ʻoe ke pale aku i ka pōʻino hou aʻe a hoʻolohi paha iā ia. ʻAʻole hiki ke hoʻohuli ʻia ka hāʻule ʻana o ke akepaʻa mau loa, akā hiki ke hala nā makahiki e ʻoi aku ka ʻino.

Hiki ke ho'ōla ʻia ka maʻi akepaʻa?

Hiki ke ho'ōla ʻia nā ʻano maʻi akepaʻa he nui. Hoʻomaikaʻi pinepine ʻia nā maʻi akepaʻa i hoʻokumu ʻia e nā mea ʻawaʻawa a me ka waiʻona ke pau kou hoʻopili ʻia ʻana i kēlā mau mea ʻawaʻawa. Hiki ke ho'ōla ʻia nā maʻi akepaʻa momona e pili ana i ka waiʻona me nā hoʻololi ʻana i ka meaʻai a me ke ʻano o ka nohona. ʻAʻole hiki ke ho'ōla ʻia kekahi mau ʻano maʻi akepaʻa ʻē aʻe, akā hiki ke mālama ʻia me ka lāʻau lapaʻau. Pono paha kekahi mau maʻi hoʻoilina, nā maʻi autoimmune, a me nā maʻi viral i ka mālama ʻana no ke ola holoʻokoʻa.

He aha kaʻu e hana ai i koʻu wā e noho ana me ka maʻi akepaʻa?

Inā loaʻa iā ʻoe ka maʻi akepaʻa, e hana i kēia mau mea e mālama ai i kou akepaʻa:

• E mālama i ka ʻai olakino: E hoʻonui i ka ʻai ʻana i nā meaʻai holoʻokoʻa, nā huaʻai a me nā mea kanu, a me nā protein lean.
• Ka mālama ʻana i kahi BMI (Body Mass Index) olakino: E kūkākūkā me kāu kauka e pili ana i kēia.
• Ke pale ʻana i ka waiʻona, ka paka, a me nā lāʻau lapaʻau ma luna o ke kūʻai aku: E noi i kāu kauka no ke kōkua e haʻalele.
• E lawe i nā lāʻau lapaʻau e like me ke kauoha: E kamaʻilio me kāu kauka e pili ana i kekahi lāʻau lapaʻau hou āu e lawe ai.
• Ke pale ʻana i nā maʻi: E pale i ke kaumaha hou aʻe ma ke akepaʻa me ka hoʻomaʻemaʻe maikaʻi a me nā hana moekolohe palekana.
• E hoʻomau i nā manawa i koho ʻia e kāu kauka: E hana i nā hoʻokolohua maʻamau a ʻike i nā pilikia i ka wā mua.