Ke nānā nei ʻoe i ke aniani i kekahi manawa a noʻonoʻo, "Auē, ua nui a poepoe koʻu helehelena?" Manaʻo ʻoe ua piha kou mau papālina a ua loli ke ʻano o kou helehelena, e like me ka mahina piha? ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo 'Moon Face' a i ʻole 'Moon Facies'. ʻAʻole ia he mea weliweli, akā he mea nui loa iā ʻoe ke ʻike i ke kumu a me ka mea hiki iā ʻoe ke hana e pili ana.
I ka ʻōlelo maʻalahi, he aha kēia 'Moon Face'?
ʻO ke ʻano o ka "Moon Face" kahi e hōʻiliʻili ai nā waihona momona ma nā ʻaoʻao o kou maka, e hoʻopū ai a poepoe ai kou maka. Hiki i kēia ke koʻikoʻi loa a ʻike ʻole ʻia kou mau pepeiao ke nānā pololei ʻoe i mua. Ua kapa pū kekahi poʻe iā ia ʻo "Cortisol Face", no ka mea, ua hoʻokumu nui ʻia e kahi hormone i kapa ʻia ʻo cortisol . ʻOiai ʻaʻole ʻeha kēia ʻano, hiki iā ia ke hoʻopilikia iki i kou hilinaʻi iā ʻoe iho ma muli o ka loli o ke ʻano.
He aha nā kumu nui no ka puka ʻana mai o ke mele "Moon Face"?
Aia kekahi mau kumu nui e kōkua ai i ke ʻano o ka 'Moon Face'. E nānā kākou iā lākou pākahi.
1. Ka hoʻohana lōʻihi ʻana i nā lāʻau steroid
ʻO kēia ke kumu maʻamau a me ke kumu nui o ka 'Moon Face'. Hiki ke loaʻa kēia ʻano maʻi inā ʻoe e hoʻohana i nā lāʻau steroid e like me `(Prednisone)` no ka manawa lōʻihi. Kuhikuhi nā kauka i kēia mau lāʻau steroid no nā ʻano maʻi like ʻole. Eia kekahi laʻana:
- ʻO kekahi mau maʻi kanesa (e like me ke kanesa koko, nā kanesa lymph node)
- No nā maʻi mumū e like me ka arthritis a me ka hānō
- No nā maʻi autoimmune e like me ka lupus
- No nā maʻi ʻili
Ke lawe ʻoe i nā steroids e like me kēia no ka manawa lōʻihi, hoʻopilikia ia i kāu mau kelepa adrenal, e hoʻoulu ai iā lākou e hana i ka nui o ka hormone i kapa ʻia ʻo cortisol . I ka hala ʻana o ka manawa, hiki i kēia kaulike ʻole hormonal ke alakaʻi i ka piʻi ʻana o ke kaumaha, ka paʻa ʻana o ka wai, a me nā waihona momona a puni ka maka. ʻO ka hopena, ʻo ia ke ʻano 'Moon Face'.
2. ʻO ka maʻi Cushing
He kūlana pili i ka hormone nō hoʻi kēia. Hana ʻia ia ke hana maoli kou kino i ka nui o ka hormone cortisol . Hiki ke hana ʻia e ka lawe ʻana i nā lāʻau steroid. Hiki ke hana ʻia e ke kaumaha, nā puʻupuʻu i loko o ka pituitary gland a i ʻole ka adrenal gland.
3. Hypothyroidism
Hiki mai ka hypothyroidism ke hana ʻole kou kelepa thyroid i nā hormones thyroid lawa. Kōkua kēia hormone i ko mākou kino e wāwahi i nā molekala kō. No laila, ke lawa ʻole ka hormone, hiki ke waiho ʻia kēia mau molekala kō ma lalo o ka ʻili. Ma muli o ka huki ʻana o kēia mau molekala kō i ka wai, paʻa ka wai i loko o ke kino a pehu ka maka.
Pehea e ʻike ʻia ai a mālama ʻia ai kēia maʻi?
Inā ʻoe e lawe ana i kahi lāʻau steroid e like me `(Prednisone)`, hiki i kāu kauka ke ʻike maʻalahi ʻo ia ke kumu o kou `Moon Face`. Eia nō naʻe, inā ʻaʻole ʻoe e lawe ana i ia lāʻau lapaʻau, pono ʻoe e hana i kekahi mau hoʻokolohua e ʻike ai i ke kumu.
| ʻAno hoʻāʻo | Wehewehena |
|---|---|
| ʻIkepili | Nā hoʻāʻo koko, nā hoʻāʻo mimi, a me nā pae cortisol. Loaʻa paha iā ʻoe kahi CT scan a i ʻole MRI scan . |
| Lapaʻau | Hoʻopili wale ʻia ka lāʻau lapaʻau ma ke kumu.
|
Mea nui loa!
Inā ʻoe e lawe ana i nā steroids, mai hoʻōki koke i ka lawe ʻana iā lākou a hoʻololi paha i ka nui me ka ʻole o ka nīnau mua ʻana i kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hāʻule koke nā pae cortisol o kou kino, e hana ana i nā hopena koʻikoʻi e like me ka luhi nui, nā ʻeha waha, a me ka nāwaliwali.
He aha kaʻu e hana ai e kāohi i ka 'Moon Face'?
ʻOiai he paʻakikī ke pale loa i ke ʻano o ka "moon face", aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e hōʻemi i ke ʻano o ka pupuhi.
- E hōʻemi i ka ʻai ʻana i ka paʻakai: E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu meaʻai. Loaʻa i nā meaʻai i loko o ka pahu a me nā meaʻai i hoʻopaʻa ʻia (nā meaʻai i hana ʻia) ka paʻakai, no laila e hōʻemi iā lākou i ka hiki. Hoʻopaʻa ka paʻakai i ka wai i loko o ke kino, kahi e hoʻonui ai i ka pehu.
- E inu i ka wai nui: Manaʻo paha ʻoe e hoʻonui ka pehu ʻana o ka wai i kou wā e pehu ana. Akā, ʻo ka ʻaoʻao ʻē aʻe ka ʻoiaʻiʻo. Ke maloʻo ʻoe, hoʻāʻo kou kino e paʻa i ka wai i loaʻa iā ia. No laila, e inu i ka wai nui i ka lā a pau.
- E mālama i ke kaumaha olakino: E kamaʻilio me kāu kauka a hoʻomohala i kahi papaʻai a me ka hoʻolālā hoʻoikaika kino e kūpono iā ʻoe. Ke hōʻemi ʻoe i ke kaumaha ma kou kino holoʻokoʻa, e hōʻemi pū ʻoe i ka momona mai kou alo.
- E hiamoe pono: ʻOiai ka nele o ka hiamoe hiki ke hoʻonui i ka pehu o ka maka. No laila, he mea nui e hiamoe maikaʻi i ka pō.
Pono anei au e kamaʻilio me ke kauka e pili ana i kēia?
ʻAe, ʻoiaʻiʻo nō. Inā hilahila ʻoe, a kaumaha paha no kou 'Moon Face', mai hūnā iā ʻoe iho. ʻO ko mākou helehelena, ʻoiai ko mākou helehelena, he hopena nui ia i ko mākou hilinaʻi iā ʻoe iho. No laila, e kamaʻilio ākea me kāu kauka e pili ana i ia mea. A laila hiki iā ia ke:
- E nānā inā hiki iā ʻoe ke loaʻa kahi koho ʻē aʻe i ka lāʻau steroid āu e lawe nei.
- E haʻi aku wau iā ʻoe e pili ana i nā ala ʻē aʻe e hōʻemi ai i ka pehu.
- E ʻoluʻolu e hāʻawi mai iaʻu i ka ʻōlelo aʻoaʻo e pono ai iaʻu e hoʻomaha i kou manaʻo.
Leka Lawe-Home
- ʻO ka 'Moon Face' he hopena ʻaoʻao pinepine ia o nā lāʻau lapaʻau e like me nā steroids a i ʻole he hōʻailona o kahi maʻi e like me 'Cushing's Syndrome' a i ʻole 'Hypothyroidism'.
- ʻOiai ʻaʻole kēia he mea weliweli, hiki iā ia ke loaʻa nā hopena noʻonoʻo no ka mea e hoʻololi ia i kou helehelena.
- Ma muli o ke kumu o ka maʻi ka lāʻau lapaʻau, no laila he mea nui e ʻike i ke kauka no ka loaʻa ʻana o kahi hōʻoia pololei.
- ʻO ka mea nui loa: Mai ho'ōki i ka lawe ʻana i nā lāʻau steroid a hoʻololi paha i ka dosage me ka ʻole o ke aʻo a kāu kauka.
- ʻO nā hoʻololi maʻalahi o ke ʻano o ka nohona, e like me ka hōʻemi ʻana i ka ʻai ʻana i ka paʻakai a me ka inu ʻana i ka wai he nui, hiki ke kōkua i ka kaohi ʻana i ka pehu ʻana o ka maka.
- Inā ʻoluʻolu ʻole ʻoe i kou helehelena, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha nā Palpitations o ka Puʻuwai? He mea weliweli anei kēia?
He mea maʻamau ka makaʻu i ka wā e lele ai kahi ʻīlio/i ka wā e lawe ai ʻoe i kahi hoʻokolohua! Akā ʻo 'Heart Palpitations' kahi kūlana hoʻopilikia loa kahi e hoʻomaka koke ai kou puʻuwai e kuʻi i ka wikiwiki pupule (ʻoi aku ma mua o 100 mau kuʻi i kēlā me kēia minuke) me ke kumu ʻole/ʻoiai ʻoe e hiamoe ana ma kahi moe, a lohe ʻoe i ke kani o kou puʻuwai e hele ana 'dug dug dug' (Racing/pooning heart). ʻO kēia ka hōʻailona nui loa o kahi pilikia uila i loko o ka puʻuwai (Arrhythmia)!
💬 He aha nā kumu nui o ka palpitations puʻuwai koke me ke kumu ʻole?
ʻO nā kumu nui no kēia: 1) 'Hopohopo / Panic Attacks' - ka makaʻu noʻonoʻo i ka make. 2) 'Kofe a me nā lāʻau lapaʻau (Caffeine/Nicotine/Cocaine)' inu nui. 3) Hana wikiwiki ka ʻōpū thyroid (Hyperthyroidism). 4) ʻO ke kumu weliweli loa: 'Atrial Fibrillation (AFib)', kahi maʻi koʻikoʻi o ka ʻōnaehana uila o ka puʻuwai (hiki i kēia ke kumu i nā ʻūpā koko a me ka hahau!).
💬 Ke loaʻa iā ʻoe ka ʻeha o ka umauma, pono ʻoe e kāhea koke i kahi kaʻa kaʻa, me ka ʻole o ka hopohopo a me ka pulu ʻana i ka wai. He aha nā 'pilikia make/ulia pōpilikia'?
He mea maikaʻi inā e nalowale ana ka hōʻeha puʻuwai maʻamau iā ia iho i loko o kekahi mau minuke. Akā ʻo ka pōʻino nui loa! Inā hele pū ka hōʻeha puʻuwai me 1) ka ʻeha hiki ʻole ke hoʻomanawanui ma waenakonu o ka umauma (ʻeha umauma / Heart Attack), 2) ka paʻakikī o ka hanu ʻana (pōkole o ka hanu), 3) ka poniuniu, nā maka polū, ka nalowale o ka ʻike (Fainting / Syncope), a me ka hou ʻana a me ke anuanu, pono ʻoe e hele koke i ka ʻoihana pilikia o ka haukapila (e kiʻi i kahi ECG)!
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