Ke manaʻo nei ʻoe i kekahi manawa ua nāwaliwali a ʻeha kou mau ʻiʻo ke piʻi ʻoe i nā alapiʻi, hāpai i nā mea kaumaha, a i ʻole e hāpai i kou lima e palaki i kou lauoho? Inā ʻaʻole kēia he hihia luhi wale nō, ʻo ke kumu paha he maʻi i kapa ʻia ʻo myositis . ʻOiai he inoa maʻa ʻole kēia, he mea nui loa ia e ʻike e pili ana i ia mea. No laila e kamaʻilio kākou e pili ana i nā mea āpau ma ke ʻano maʻalahi a aloha i kēia lā.
He aha maoli ka Myositis?
I ka ʻōlelo maʻalahi, ʻo ka myositis kahi mumū o ko mākou mau ʻiʻo. E like me ka wā e loaʻa ai iā mākou kahi ʻeha, lilo ia i pehu, ʻulaʻula, a ʻeha, i kēia hihia, lilo ko mākou mau ʻiʻo i pehu mai loko mai. ʻO ka hopena, i ka hala ʻana o ka manawa, hoʻomaka nā ʻiʻo e nāwaliwali, pehu, a lilo i ʻeha . Hiki ke lilo i mea paʻakikī ke hana i nā hana o kēlā me kēia lā , e like me ke piʻi ʻana i nā alapiʻi a i ʻole ka hāpai ʻana i kou lima.
ʻAʻole maopopo loa i nā loea ke kumu o ia mea. Akā manaʻo lākou he hiki ke hana ʻia e nā maʻi, nā ʻeha , nā kūlana autoimmune , a i ʻole nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau. ʻOiai ʻaʻohe lāʻau lapaʻau, aia nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona a kōkua iā ʻoe e ola i kahi ola maʻamau.
ʻO ka mea nui, hiki i ka myositis ke lōʻihi ka manawa e ʻike ai, no ka mea, he nui nā kūlana ʻē aʻe e hiki ai ke hōʻeha i nā ʻiʻo a me ka nāwaliwali. No laila he mea nui e hoʻomanawanui a hoʻokokoke i ka lāʻau lapaʻau.
He aha nā ʻano nui o ka myositis?
Aia kekahi mau ʻano nui o ka myositis. Hoʻopilikia kēlā me kēia ʻano i nā ʻiʻo ma ke ʻano ʻokoʻa iki. ʻO ka ʻike ʻana i ke ʻano āu e loaʻa ai hiki ke kōkua i kāu kauka e kuhikuhi i ka lāʻau kūpono loa.
| ʻAno Myositis | He wehewehe maʻalahi |
|---|---|
| ʻO ka polymyositis | He maʻi autoimmune kēia. ʻO ke ʻano kēia, ua kuhihewa kāu ʻōnaehana pale ponoʻī i kou mau ʻiʻo ponoʻī. ʻO nā ʻiʻo kokoke loa i ke kikowaena o ke kino, e like me nā poʻohiwi, nā pūhaka, nā ʻūhā, a me ka ʻāʻī, ka poʻe i hoʻopilikia pinepine ʻia. Hiki iā ia ke paʻakikī i ka ale ʻana, ka ʻōlelo ʻana, a me ka hanu ʻana. |
| ʻO ka maʻi ʻili | Hoʻopilikia kēia i nā ʻiʻo a me ka ʻili. Ma waho aʻe o ka nāwaliwali o nā ʻiʻo, hiki iā ʻoe ke ʻike i nā ʻulaʻula, nā pehu, a me ke kala ʻili. I kekahi manawa hiki ke koʻikoʻi nā hōʻailona. |
| ʻO ka Myositis Kino Hoʻokomo Sporadic (IBM) | He maʻi kēia e hoʻonāwaliwali mālie ai i nā ʻiʻo. Hoʻomaka pinepine ia ma nā lālā (nā wāwae, nā lima, nā manamana lima). He ʻoluʻolu ka ʻeha, akā hiki ke paʻakikī ke paʻa i nā mea, a hiki iā ʻoe ke hāʻule pinepine. Hoʻopilikia nui ia i ka poʻe ma luna o 50 mau makahiki. |
| ʻO ka Myopathy Necrotizing | ʻO ka mea e hana ʻia ana ma kēia, ʻo ia ka hoʻomaka ʻana o nā hunaola i loko o nā ʻiʻo e make. ʻO kēia ke kumu o ka nāwaliwali o nā ʻiʻo. ʻAʻole e like me nā ʻano ʻē aʻe, ʻaʻole nui ka mumū ma kēia, akā ua hōʻino pololei ʻia nā ʻiʻo. |
| ʻO ka Myositis ʻōpio | He maʻi myositis kēia e hoʻopilikia ai i nā keiki ma lalo o 18 makahiki. ʻO ke ʻano maʻamau ka juvenile dermatomyositis. Hele pū ka nāwaliwali o nā ʻiʻo me ka ʻulaʻula o ka ʻili. Eia nō naʻe, nui nā keiki e hoʻomaha. |
He aha nā kumu o ka myositis?
ʻOiai ʻo ka myositis kahi inoa maʻamau no ka mumū o nā ʻiʻo, hiki ke loaʻa i nā kumu he nui.
Nā kūlana mumū a me nā kūlana Autoimmune
Hoʻoulu kekahi mau maʻi i ka mumū ma ke kino holoʻokoʻa. Hiki i kēia ke hoʻopilikia i nā ʻiʻo. ʻO ka pinepine, he mau maʻi autoimmune kēia. ʻO ke ʻano kēia, hoʻouka ka ʻōnaehana pale o ke kino i kona mau ʻiʻo olakino ponoʻī.
- ʻO ka maʻi ʻili
- ʻO ka polymyositis
- Lupus
- ʻO nā maʻi e like me ka rheumatoid arthritis he mau hiʻohiʻona o kēia.
Nā maʻi
ʻO nā maʻi viral ka ʻano maʻamau o ka maʻi e hiki ai ke hoʻoulu i ka myositis. Hiki ke hana ʻia e ke anu maʻamau, ka maʻi palū, a i ʻole nā huakino e like me ka HIV. Hoʻouka pololei kēia mau huakino i nā ʻiʻo a hoʻokuʻu paha i nā mea e hōʻino ai i nā olonā ʻiʻo.
Kekahi mau lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau a me nā lāʻau lapaʻau ke hōʻino i nā ʻiʻo no kekahi manawa. Eia kekahi mau laʻana o kēia:
- ʻAila
- Kokaini
- ʻO kekahi mau lāʻau statin e hoʻohaʻahaʻa i ka cholesterol
Hiki ke kū mai kēia mau pilikia ma hope koke iho o ka hoʻomaka ʻana i ka lāʻau lapaʻau, a i ʻole ma hope o nā mahina a i ʻole nā makahiki o ka lawe ʻana.
ʻEha a me ka hoʻoikaika kino ikaika
E noʻonoʻo ʻoe ʻaʻole ʻoe i hoʻoikaika kino no ka manawa lōʻihi a laila hoʻoikaika kino koke ʻoe. Ma hope o kēlā, ʻeha kou mau ʻiʻo no kekahi mau lā, ʻeā? Hiki ke manaʻo ʻia kēia he ʻano myositis iki. Akā e ho'ōla loa ia me ka hoʻomaha.
ʻO ka Rhabdomyolysis
He pilikia olakino kēia. ʻO kēia ka wā e haki koke ai nā ʻiʻo ma muli o kahi ʻeha koʻikoʻi a i ʻole ka hoʻoikaika kino nui. Me ka ʻeha a me ka nāwaliwali o nā ʻiʻo, hiki i ka mimi ke lilo i ʻeleʻele ʻeleʻele a ʻulaʻula paha. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, he mea nui e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
He aha nā hōʻailona o ka myositis?
ʻO ka hōʻailona nui ka nāwaliwali o nā ʻiʻo . Hiki iā ʻoe ke ʻike maikaʻi loa, a i ʻole e ʻike wale ʻia ma o nā hoʻokolohua. Loaʻa paha i kekahi poʻe ka ʻeha ʻiʻo, a ʻo kekahi poʻe ʻaʻole paha.
ʻO ka nāwaliwali i hoʻokumu ʻia e ka myositis hiki ke paʻakikī i ka hele wāwae a i ʻole ke ala aʻe mai kahi noho. ʻO nā hōʻailona ʻē aʻe:
- He ʻulaʻula e like me ka ʻōpala ma ka ʻili, ʻoi aku hoʻi ma nā lihilihi maka, ka maka, ka ʻāʻī, a i ʻole ke kua o nā lima.
- Luhi.
- Ka mānoanoa o ka ʻili ma nā lima.
- Ka paʻakikī i ka ale ʻana i ka meaʻai.
- Paʻakikī ka hanu ʻana.
- Ka emi ʻana o ke kaumaha.
- Ka hou o ka pō.
ʻO ke kanaka i loaʻa i ka myositis i hoʻokumu ʻia e kahi maʻi e hōʻike mua i nā hōʻailona e like me ke anu, ke kuni, ka ʻū, a me ka ʻeha o ka puʻu.
"Ua ʻike mākou a pau i ka wā e manaʻo ai kekahi mea ʻē i loko o ko mākou kino. ʻOiai inā hoʻāʻo mākou e kāpae iā ia me he 'mea ʻokoʻa wale nō,' he manaʻo maikaʻi mau ia e haʻi aku i kāu kauka e pili ana i kekahi mea ma waho o ka maʻamau," wahi a kekahi loea. No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kamaʻilio me ke kauka e pili ana iā lākou.
Pehea e hana ʻia ai ka hōʻailona?
Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona, inā kānalua kāu kauka i ka myositis, hiki iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.
- Nā hoʻāʻo koko: Ke nānā nei kēia mau hoʻāʻo i nā pae kiʻekiʻe o nā enzymes (e like me ka creatine kinase) i hoʻokuʻu ʻia i loko o ke koko ke hōʻino ʻia nā ʻiʻo. Ke nānā pū nei lākou i nā antibodies kikoʻī e ʻike i kahi maʻi autoimmune.
- MRI scan: Hiki i kēia ke kiʻi i nā kiʻi maopopo o nā ʻiʻo. Hiki iā ia ke nānā i nā wahi o ka mumū a me nā loli i loko o nā ʻiʻo.
- Hoʻāʻo EMG (Electromyography): Pili kēia i ke kau ʻana i nā electrodes lahilahi e like me ke nila i loko o nā ʻiʻo a me ke ana ʻana i ke ʻano o ka pane ʻana o nā ʻiʻo i nā hōʻailona aʻalolo. Kōkua kēia i ka ʻike ʻana i nā ʻiʻo nāwaliwali a i ʻole i hōʻino ʻia.
- Biopsy ʻiʻo: ʻO kēia ke ala pololei loa e ʻike ai i ka maʻi. Hana ʻia kahi ʻoki liʻiliʻi i loko o ka ʻiʻo nāwaliwali a lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo no ka hoʻokolokolo ʻana.
Pehea e mālama ʻia ai?
ʻO ka lāʻau maikaʻi loa e pili ana i ke kumu o ka myositis.
- Inā ma muli o kahi maʻi mumū: Hiki ke hāʻawi ʻia nā immunosuppressants, e like me prednisone a me azathioprine.
- Inā hoʻokumu ʻia e kahi maʻi: Inā hoʻokumu ʻia e kahi maʻi virus, ʻaʻohe pono o kahi lāʻau lapaʻau kūikawā. Inā hoʻokumu ʻia e kahi maʻi bacteria, hāʻawi ʻia nā antibiotics e pale i ka laha ʻana o ka maʻi.
- Inā i hoʻokumu ʻia e ka lāʻau lapaʻau: ʻO ka lāʻau lapaʻau, ʻo ia ke hoʻōki i ka lāʻau lapaʻau. No ka laʻana, inā i hoʻokumu ʻia ka myositis e ka lāʻau statin, e emi iho ka mumū o nā ʻiʻo i loko o kekahi mau pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
ʻOiai ʻaʻohe lāʻau lapaʻau, hiki ke mālama ʻia nā hōʻailona. He mea nui e lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono a hele i kāu mau manawa i hoʻonohonoho ʻia. Eia kekahi, ʻo ka ʻike ʻana i kahi mea hoʻoponopono kino a me ke aʻo ʻana i nā hoʻomaʻamaʻa e mālama i kou mau ʻiʻo i palupalu a ikaika hiki ke kōkua nui.
Leka Lawe-Home
- ʻO ka Myositis kahi mumū o nā ʻiʻo. ʻO nā hōʻailona nui ka nāwaliwali o nā ʻiʻo, ka ʻeha, a me ka pehu.
- Hiki i kekahi mau kumu no kēia, a e pili ana ke ʻano o ka mālama ʻana i ke kumu.
- Inā he nāwaliwali a ʻeha paha kou mau ʻiʻo i wehewehe ʻole ʻia, mai hoʻowahāwahā. E ʻike pono i ke kauka.
- Hiki ke kaohi maikaʻi ʻia nā hōʻailona a hiki ke alakaʻi ʻia ke ola maʻamau ma o ka lāʻau lapaʻau, physiotherapy, a me nā hoʻololi ʻana i ke ʻano o ka nohona.
- ʻAʻole pono ʻoe e hele wale ma kēia huakaʻi. ʻO ka ʻimi ʻana i ke kākoʻo o ka ʻohana, nā hoaaloha, a, inā pono, nā hui kākoʻo e hāʻawi iā ʻoe i ka ikaika noʻonoʻo nui.
Myositis, ʻeha ʻiʻo, nāwaliwali o nā ʻiʻo, autoimmune, dermatomyositis, polymyositis, myositis
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