Ke nānā nei ʻoe i ke aniani i kekahi manawa a noʻonoʻo, "Auē, ua nui iki a poepoe koʻu helehelena"? A i ʻole ua haʻi aku paha kekahi hoaaloha a hoaaloha paha iā ʻoe i kēlā? Aia kekahi huaʻōlelo lapaʻau no kēia hoʻopōʻai mālie ʻana o ka helehelena. Ua kapa ʻia ʻo 'Moon Facies'. ʻOiai ke kani ʻē paha ka inoa, ʻo ka hapa nui o ka manawa ʻaʻohe mea e hopohopo ai. Akā, he mea nui loa ka ʻike pono i ke kumu o kēia. No laila, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo i kēia lā.
He aha kēia mau Moon Facies? He aha ka mea e hana nei?
I ka ʻōlelo maʻalahi, ʻo Moon Facies ka wā e hōʻiliʻili ai nā waihona
momona ma nā ʻaoʻao ʻelua o kou helehelena, e hāʻawi ana i kou helehelena i kahi ʻano poepoe, piha, a pehu iki. Ua like ia me ka mahina piha. ʻO ia ke kumu i kapa ʻia ai ʻo 'Moon Face'. I kekahi manawa, ua piha loa nā ʻaoʻao o kou helehelena a ʻaʻole hiki iā ʻoe ke ʻike i kou mau pepeiao ke nānā pololei ʻoe i mua. Manaʻo ka poʻe he nui he ʻāpana maʻamau kēia o ka loaʻa ʻana o ke kaumaha a i ʻole ka ʻelemakule ʻana. ʻO ka ʻoiaʻiʻo, hiki ke ʻike ʻia kēia ʻano me ka momona. Akā, ʻaʻole ia ka hihia mau. ʻO ke kumu nui o kēia hiki ke lilo i ka loli i kekahi o kā mākou mau hormones.
ʻAʻole he maʻi ka Moon Facies, he hōʻailona ia. ʻO ia hoʻi, he hōʻailona ia e hōʻike mai ana iā mākou e pili ana i kekahi loli e hana nei i loko o ke kino.
ʻO ke kumu nui o kēia: ʻO ka hormone 'Cortisol'.
Loaʻa iā kākou āpau kahi hormone kūikawā i kapa ʻia ʻo
cortisol i loko o ko kākou kino. Hana ʻia kēia e nā ʻelua mau kelepa triangular liʻiliʻi (nā kelepa adrenal) aia ma luna o ko kākou mau puʻupaʻa. He mea nui loa kēia hormone cortisol. Kōkua kēia hormone i nā mea he nui e like me ke kūpaʻa ʻana i ke kaumaha, ka kaohi ʻana i nā pae kō koko, a me ke kaua ʻana i nā maʻi. Eia nō naʻe, inā no kekahi kumu e noho kiʻekiʻe loa kēia pae cortisol i loko o ke kino no ka manawa lōʻihi, hiki mai kēia Moon Facies ma ke ʻano he hopena ʻaoʻao. ʻO kēia kūlana kahi e hoʻomau ai ke kiʻekiʻe o nā pae cortisol ua kapa ʻia
ʻo 'Cushing's syndrome' . No laila, i kekahi manawa ʻike ʻia ʻo Moon Facies he hōʻailona nui o ka Cushing's syndrome.
He aha nā kumu o ka Moon Facies?
Aia kekahi mau kumu koʻikoʻi e kōkua ai i ke kiʻekiʻe o nā pae cortisol a me ke kūkulu ʻia ʻana o Moon Facies. E nānā kākou iā lākou ma ke ʻano maʻalahi e hoʻomaopopo.
| Kumu | He wehewehe maʻalahi |
|---|
| Nā lāʻau lapaʻau steroid | ʻO kēia ke kumu maʻamau. Hiki ke hana ʻia ma muli o ka lawe ʻana i nā lāʻau steroid e like me ka prednisone no ka manawa lōʻihi no nā maʻi e like me ka rheumatoid arthritis a me ka hānō. |
| Nā pilikia o ka Pituitary Gland | Hoʻopuka ka pituitary gland i loko o ka lolo i ka nui o ka hormone i kapa ʻia ʻo ACTH. ʻO kēia hormone ACTH ka mea e haʻi aku i nā adrenal glands e 'hana i ka cortisol'. |
| Nā ʻōpū o ke kele adrenal | ʻO ka ulu ʻana o nā puʻupuʻu kanesa a i ʻole nā pūʻupuʻu ʻaʻole kanesa i loko o nā kelepa adrenal, aia ma luna o nā puʻupaʻa. Hiki i kēia mau puʻupuʻu ke hana pololei i ka cortisol. |
| Nā ʻōpū ma kahi ʻē aʻe | I ka hapanui pinepine, hiki i kekahi ʻano o nā puʻupuʻu e kū mai ana i loko o nā ʻōpū e like me nā māmā a me ka pancreas ke hana i ka ACTH. |
ʻO ka pilina ma waena o ka lāʻau steroid a me Moon Facies
He mea kēia e pili ana i nā poʻe he nui, a he mea nui loa ia. He mea hoʻohana lōʻihi ʻoe i nā lāʻau steroid, e like me ka prednisone, no ka arthritis, ka hānō, nā maʻi ʻili, a i ʻole nā kūlana autoimmune ʻē aʻe? A laila ʻoi aku ka nui o kou loaʻa ʻana o Moon Facies. ʻO ka ʻoiaʻiʻo,
ʻo kekahi o nā hopena ʻaoʻao maʻamau o kēia mau lāʻau steroid ka hoʻopuni ʻana o ka maka a me ka piʻi ʻana o ke kaumaha. ʻO ke ʻano o kēia mau hōʻailona e pili ana i ka nui āu e lawe ai a me ka lōʻihi o kou lawe ʻana.
He mea nui loa!
ʻAʻole loa ʻoe e hoʻōki i ka lawe ʻana i nā steroids a i ʻole e hōʻemi i ka nui no ka mea ua poepoe kou helehelena a ua piʻi kou kaumaha. Inā ʻoe e hoʻōki koke i ka lawe ʻana i kēia mau lāʻau lapaʻau, ʻaʻole hiki i kou kino ke lawelawe iā lākou a hiki mai nā pilikia olakino koʻikoʻi. No laila, inā ʻike ʻoe i kekahi mau loli e like me kēia, he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea a hahai i kāna ʻōlelo aʻo.
Pehea e ʻike pono ai au i koʻu kūlana?
Inā he kānalua kou e pili ana i kēia loli i kou helehelena, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka. E nīnau ʻo ia iā ʻoe e pili ana i kou mau hōʻailona.
- He aha nā lāʻau lapaʻau āu e lawe ai?
- ʻEhia ka lōʻihi o kēia hoʻololi ʻana?
- Aia kekahi mau loli ʻē aʻe ma waho aʻe o ka helehelena e poepoe ana?
I loko o ka maʻi Cushing, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe me Moon Facies. No ka laʻana, nā waihona momona ma nā wahi e like me ke kua o ka ʻāʻī ("buffalo hump"), ka ʻōpū, a me nā lālā lahilahi. E nānā ke kauka no nā hōʻailona ʻē aʻe e like me kēia. Inā pono, hiki i ke kauka ke kauoha i
nā hoʻokolohua koko a me
nā hoʻokolohua mimi e nānā i kāu mau pae cortisol. Eia kekahi, inā he kānalua he mea like ke kumu me kahi puʻupuʻu, hiki ke kauoha ʻia
kahi MRI a i ʻole CT scan .
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mālama ʻana no kēia e hilinaʻi wale ʻia ana i ke kumu o kāu Moon Facies.
- Inā he lāʻau steroid ke kumu: E hoʻāʻo kāu kauka e hāʻawi iā ʻoe i ka mahele haʻahaʻa loa. I kekahi manawa, e hoʻāʻo paha lākou e hōʻemi i kēia mau hōʻailona ma ka haʻi ʻana iā ʻoe e lawe i ka lāʻau i kēlā me kēia lā ʻē aʻe. A i ʻole e kuhikuhi paha lākou i kahi lāʻau ʻokoʻa.
- Inā he puʻupuʻu ke kumu: Inā he puʻupuʻu ke kumu i loko o ka lolo, ke kelepa adrenal, a i ʻole ma kahi ʻē aʻe, hiki i ke ʻoki ʻana e wehe i ka puʻupuʻu ke ho'ōla i ke ʻano.
- ʻO nā kumu ʻē aʻe: I kekahi mau hihia, hiki ke hoʻohana ʻia nā lāʻau lapaʻau a me ka radiation therapy .
ʻO ka mea nui loa, ʻo ia ka ʻimi ʻana i ka lāʻau lapaʻau e like me ka ʻōlelo aʻoaʻo a ke kauka, me ka nānā ʻole i ke kumu.
Leka Lawe-Home
- ʻO Moon Facies kahi helehelena poepoe i hoʻokumu ʻia e nā waihona momona . ʻOiai ʻaʻole kēia he mea koʻikoʻi, he mea nui e ʻike i ke kumu.
- ʻO ke kumu nui o kēia, ʻo ia ka hoʻonui lōʻihi ʻana o ka hormone cortisol i loko o ke kino. Ua kapa ʻia kēia maʻi ʻo Cushing's syndrome.
- ʻO ka hoʻohana lōʻihi ʻana i nā lāʻau steroid kekahi kumu maʻamau o nā moon facies.
- Inā ʻike ʻoe i kekahi o kēia mau loli i kou helehelena, e kamaʻilio me kāu kauka e pili ana i ia mea. ʻAʻole loa ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui o ka lāʻau ma kāu iho.
- Hoʻopili ʻia ka lāʻau lapaʻau i ke kumu nui o Moon Facies, no laila he mea nui ka ʻike pololei.
Nā Maka o ka Mahina, ka maʻi Cushing, cortisol, steroids, pehu maka, prednisone, Ola Kino o Sri Lanka
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