I kekahi manawa ke loaʻa iā ʻoe ke anu a i ʻole ke kuni, manaʻo paha ʻoe he mau puʻupuʻu liʻiliʻi ma nā ʻaoʻao ʻelua o kou ʻāʻī a i ʻole ma kou ʻāʻī? He ʻeha iki nō hoʻi ia, ʻeā? ʻOiai he nui o mākou e kapa nei i kēia mau 'pehu', ma ke ʻano lapaʻau ua kapa ʻia lākou he mau lymph node. He aha maoli kēia mau mea? No ke aha lākou e pehu ai? He mea anei kēia e makaʻu ai? I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia mau mea a pau, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia mau lymph nodes?
E noʻonoʻo ʻoe he ʻōnaehana pale holomua loa kou i loko o kou kino. Ua like kēia mau lymph nodes me nā wahi nānā palekana liʻiliʻi i loko o kēlā ʻōnaehana pale. He ʻāpana lākou o ka ʻōnaehana lymphatic i loko o ko mākou kino. He ʻāpana koʻikoʻi loa kēia ʻōnaehana lymphatic o kā mākou ʻōnaehana pale.
ʻO ka hana nui o kēia mau wahi nānā, ʻo ia ke kānana a hoʻomaʻemaʻe i ke kahe i kapa ʻia ʻo lymph e hele ana ma loko o ko kākou kino. Hiki i kēia wai lymph ke loaʻa nā mea e hōʻino ai i ko kākou kino. Eia kekahi laʻana:
- Nā maʻi ʻino
- Bacteria
- Nā pūnaewele kanesa
- ʻO nā maʻi ʻē aʻe i komo i ke kino
E like me kahi wahi nānā e nānā ana i nā kaʻa e komo ana i ke kūlanakauhale, nānā nā pūnaewele pale i loko o nā lymph nodes i kēia wai lymph, e ʻike ana a luku i nā "ʻenemi" i loko. A laila, hoʻihoʻi ʻia ka wai lymph i hoʻomaʻemaʻe ʻia i ke koko. I nā huaʻōlelo ʻē aʻe, hana maikaʻi kēia mau nodes liʻiliʻi i ka pale ʻana iā ʻoe mai ka maʻi ʻana.
ʻAuhea nā lymph nodes i loko o ko kākou kino?
He nui aku ko kākou mau lymph node i loko o ko kākou kino ma mua o kou manaʻo. Ma ka awelika, aia ma waena o 400 a me 800 mau lymph node i loko o ke kino o ke kanaka. Aia lākou ma nā puʻu liʻiliʻi ma nā wahi like ʻole. Ua ʻike paha ʻoe i kēia mau mea ma kou mau lima i kekahi manawa.
E nānā i ka papa ma lalo no nā wahi nui.
| ʻĀpana kino | Nā wahi a mākou e manaʻo pinepine ai |
|---|---|
| ʻĀpana poʻo a me ka ʻāʻī | Ma hope o ka pepeiao, ma ke auwae, ma nā ʻaoʻao ʻelua o ka ʻāʻī, a puni nā poʻohiwi |
| ʻĀpana Axillary | Ma lalo o ka ʻāʻī |
| ʻĀpana Inguinal | Ma ka ʻaoʻao o loko o nā ʻūhā, kahi e hui ai lākou me ke kino |
| I loko o ka umauma a me ka ʻōpū | ʻOiai aia kēia mau mea i loko o ke kino, ʻaʻole hiki iā mākou ke hoʻopā aku iā lākou mai waho mai. |
ʻO ka mea nui loa, ʻaʻole i loaʻa nā lymph nodes i loko o ko kākou lolo a me ke kaula kuamoʻo.
No ke aha e pehu ai nā ʻāpana lymph? He aha nā kumu maʻamau?
ʻO ke ʻano o ka pehu ʻana o ka lymph node, ʻo ia hoʻi ke komo nei nā hunaola pale i loko o ia mea i ke kaua. E like me ka hoʻouna ʻana i nā koa hou aku i kahi kahua kaua, i ka wā e loaʻa ai kahi maʻi, hōʻuluʻulu ka nui o nā hunaola pale i loko o ka lymph node e hakakā iā ia. ʻO ia ka manawa e pehu ai.
ʻO ka maʻi ka maʻi nui a me ke kumu maʻamau o nā kīpē lymph pehu.
- Eia kekahi laʻana: Ke loaʻa iā ʻoe kahi maʻi ʻāʻī strep, e hana nā lymph node ma kou ʻāʻī e hakakā i nā germs. ʻO ia ke kumu e pehu ai nā glands ma kou ʻāʻī a ʻeha ke pā.
ʻO nā kumu nui o ia mau maʻi:
- Nā maʻi viral maʻamau e like me ka maʻi flu a me ke anu
- Nā maʻi bacteria o ka puʻu, nā pepeiao, a i ʻole nā niho
- ʻO ka maʻi ʻeha ʻili
- ʻO kekahi mau maʻi viral, e like me ka mononucleosis
Ma waho aʻe o nā maʻi, hiki i nā lymph nodes ke pehu no nā kumu ʻē aʻe. He mea maʻamau kekahi o lākou, aʻo kekahi hiki ke ʻoi aku ka koʻikoʻi.
| Ke kumu o ka pehu ʻana | He wehewehe maʻalahi |
|---|---|
| Nā maʻi | ʻO ke kumu maʻamau ka maʻi viral a bacteria paha. |
| Nā maʻi Autoimmune | Nā maʻi i hoʻouka ai ka ʻōnaehana pale o ke kino i kona mau hunaola ponoʻī (e like me ka rheumatoid arthritis). |
| Nā maʻi kanesa | Nā maʻi ʻaʻai koko e like me ka lymphoma a i ʻole ka leukemia. I kekahi manawa hiki i ke kanesa mai kahi ʻē aʻe ke laha i nā lymph nodes. |
| Nā kūlana kakaikahi ʻē aʻe | Nā maʻi i emi pinepine ʻole e like me ka 'maʻi Castleman' a me ka 'maʻi Kikuchi-Fujimoto'. |
I ka manawa hea e hopohopo ai ʻoe e pili ana i kahi kīpē lymph i hoʻopili ʻia?
ʻO kēia ka pilikia nui loa no nā kānaka he nui. E hoʻomanaʻo, ʻo ka hapa nui o ka manawa, ʻo nā lymph node pehu ke kumu o kahi maʻi maʻalahi , a i ka wā e ho'ōla ʻia ai ka maʻi, e emi iho ka pehu ma kāna iho.
Eia nō naʻe, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, ʻoi aku ka maikaʻi o ka hopohopo iki a ʻike pono i ke kauka .
- Ka pehu mau ʻana: Inā hoʻomau ka pehu no nā pule ʻelua a ʻekolu a ʻaʻole e nalowale.
- Pehu ʻana me ke kumu ʻole: Inā loaʻa koke iā ʻoe nā lymph nodes pehu me ka ʻole o kekahi maʻi e like me ke kuni a i ʻole ke anu.
- Paʻakikī loa a paʻa ʻole: Inā paʻakikī ka puʻupuʻu pehu e like me ka pōhaku, ʻaʻole e like me ka pōpō laholio, a ʻaʻole e neʻe a puni ma lalo o ka ʻili.
- Ke piʻi wikiwiki nei: Inā e piʻi mālie ana ka pehu.
- Ke ʻike ʻia ʻana o nā hōʻailona ʻē aʻe: ke kuni mau me ka pehu ʻana, ka hou nui o ka pō, ka pohō kaumaha i wehewehe ʻole ʻia (ka hoʻohaʻahaʻa ʻana) , a i ʻole ka luhi nui.
- Ka pehu ʻana ma nā wahi kikoʻī: Inā he pehu kou ma luna o ka iwi ʻāʻī (supraclavicular) a puni ke kuʻekuʻe, pono ʻoe e hopohopo nui.
ʻO ka loaʻa ʻana o kēia mau hōʻailona, ʻaʻole ia he manaʻo he maʻi koʻikoʻi kou, akā he mea nui e nānā ʻia e ke kauka e hōʻoia.
Pehea e nānā ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe i kekahi mau nīnau. I ka manawa hea i hoʻomaka ai ka pehu ʻana, ʻeha anei, a he mau hōʻailona ʻē aʻe paha? A laila, e nānā pono lākou i ka puʻupuʻu pehu a me ka ʻāpana e pili ana.
I ka hapa nui o ka manawa, hiki i kēia hoʻokolohua ke hāʻawi iā ʻoe i kahi manaʻo no ke kumu. Eia nō naʻe, inā he kānalua, hiki i kāu kauka ke kuhikuhi iā ʻoe no ka hoʻāʻo hou aku.
- Nā hoʻāʻo koko: Hiki i nā hoʻokolohua e like me ka helu koko piha (CBC) ke ʻike i nā maʻi a i ʻole nā pilikia ʻē aʻe.
- Nā scan kiʻi: Hiki i nā scan Ultrasound, CT, a i ʻole MRI ke hāʻawi i kahi ʻike maikaʻi aʻe i ke ʻano o ka lymph node a me kona wahi a puni.
- Biopsy o ke kiko lymph: ʻO kēia ka hoʻāʻo pololei loa. Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ke kiko lymph pehu ma lalo o ka anesthesia a nānā ʻia ma lalo o kahi microscope. Hiki i kēia ʻano hana ke hoʻoholo pono inā he mau hunaola kanesa a ʻaʻole paha.
Ma muli o ke kumu o ka lāʻau lapaʻau.
ʻAʻole ka pehu ponoʻī ka lāʻau no nā kīpē lymph pehu, akā, ʻo ka maʻi kumu i hoʻokumu ai i ka pehu .
- Inā he maʻi bacteria ke kumu, e kuhikuhi ke kauka i nā antibiotics.
- Inā he maʻi viral ke kumu, ʻaʻohe lāʻau kūikawā e pono ai. Ke hoʻomaha ʻia ke kino, e ho'ōla ka ʻōnaehana pale iā ia iho.
- Inā he maʻi koʻikoʻi ke kumu e like me ke kanesa , pono paha ʻoe e hana i nā lāʻau lapaʻau e like me ka chemotherapy, radiation therapy, a i ʻole ke ʻoki ʻana ma lalo o ke aʻo a kahi oncologist.
Inā he ʻeha ma muli o ka pehu ʻana, hiki iā ʻoe ke hoʻomaha ma ka hoʻopili ʻana i ka wela a me ka lawe ʻana i nā mea ʻeha e like me ke kauoha a kāu kauka.
Leka Lawe-Home
- He ʻāpana koʻikoʻi nā lymph nodes o ka ʻōnaehana pale o ko kākou kino. Ua like lākou me nā wahi nānā palekana o ko kākou kino.
- ʻO nā ʻōpuʻu lymph pehu (e like me kā mākou e kapa nei iā lākou) he hōʻailona pinepine ia e hakakā nei ke kino i kahi maʻi. He mea maʻamau kēia.
- E nalo wale ka hapa nui o ka pehu ʻana i loko o hoʻokahi a ʻelua paha pule, ke ho'ōla ʻia ka maʻi kumu.
- Eia nō naʻe, inā hoʻomau ka pehu ʻana no ka manawa lōʻihi, paʻakikī e like me ka pōhaku, ulu wikiwiki, a hele pū ʻia me nā hōʻailona e like me ke kuni, ka hou ʻana i ka pō, a me ka pohō kaumaha, he mea nui loa ia e ʻike i ke kauka me ka hoʻonele ʻole i ka manawa .
- Mai hopohopo nui ke ʻike ʻoe i kahi puʻupuʻu liʻiliʻi. A mai hoʻowahāwahā i nā hōʻailona kānalua. ʻO ka ʻike ka pale maikaʻi loa.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo