Ua noʻonoʻo paha ʻoe pehea e hana pū ai nā ʻōnaehana kupaianaha ʻelua i loko o ko kākou kino, ʻo ka ʻōnaehana nerve (ʻae, kēlā pūʻulu o nā lolo, nā kaula iwi kuamoʻo, a me nā aʻalolo!) A me ka ʻōnaehana pale (ka pūʻulu e hana like me ka pūʻali koa pale o ko kākou kino!)? Manaʻo ka poʻe he nui ua kaʻawale kēia mau mea ʻelua a ke hana kūʻē nei kekahi i kekahi. Akā i kēia lā, ma kēia kumuhana i kapa ʻia ʻo 'Neuroimmunology', ʻike mākou aia kahi pilina nui ma waena o kēia mau mea ʻelua ma mua o ko mākou manaʻo. Hana lākou e like me ʻelua mau hoaaloha maikaʻi loa!
He aha maoli ka neuroimmunology?
I ka ʻōlelo maʻalahi, he lālā kūikawā ʻo 'Neuroimmunology' o ka lāʻau lapaʻau. Ma kēia, ke aʻo nei mākou e pili ana i ka 'Neuroscience', ka mea e aʻo nei i ka ' Nervous System' , a me ka 'Immune System', ka mea e aʻo nei i ka 'Immune System', a pehea e hana pū ai kēia mau ʻōnaehana ʻelua e kākoʻo i ka ulu ʻana o ko mākou kino, ke olakino (ʻo ia ke ʻano o 'Homeostasis'), a me nā maʻi like ʻole a me nā ʻeha.
Ua manaʻo nā kānaka ʻepekema ua kaʻawale loa kēia mau ʻōnaehana ʻelua a kūʻokoʻa kekahi i kekahi. Akā ua hōʻike ʻia e nā noiʻi hou ʻaʻole kēia he ʻoiaʻiʻo. ʻO ka ʻoiaʻiʻo, ke kamaʻilio mau nei kēia mau ʻōnaehana ʻelua me kekahi ma nā ʻano paʻakikī loa.
E noʻonoʻo i kēia ʻano. Ke kamaʻilio mau nei kāu ʻōnaehana nerve, ʻoiai kou lolo, me kāu mau cell immune. Hoʻouna ka lolo i nā hōʻailona i nā cell immune, me ka ʻōlelo ʻana, "ʻAe, i kēia manawa e hana kākou i ka mumū ma laila." ʻO ka mumū ke kaʻina hana e hoʻāla ʻia ai ka ʻōnaehana immune a pale iā mākou mai nā mea ʻino e like me nā pathogens e komo i loko o ko mākou kino. E noʻonoʻo, me ka ʻole o kēia kaʻina hana neuroimmunological, ʻaʻohe palekana o ko mākou kino, ʻeā? Ua like ia me nā pūʻali koa palekana o ko mākou ʻāina e loaʻa ana nā ʻōlelo aʻoaʻo mai ke keʻena nui.
"ʻOiai ua manaʻo mua ʻia e hana kaʻawale, ua like ka ʻōnaehana nerve a me ka ʻōnaehana pale ma nā hoaaloha ʻelua e kamaʻilio mau ana kekahi i kekahi a hana pū!"
No laila, he aha nā maʻi Neuroimmune?
I kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o ka ʻōnaehana nerve a me ka ʻōnaehana pale, a pehea lākou e hana pū ai. Eia nō naʻe, i kekahi manawa hiki i kēia pilina ke lilo i mea haunaele iki. ʻO ia ka manawa e ulu ai nā maʻi neuroimmune .
Eia ke ʻano o ka hana ʻana: ʻO ka hana nui a ko kākou ʻōnaehana pale kino, ʻo ia ke pale iā kākou mai nā mea ʻino e like me nā germs, bacteria, a me nā virus e komo i loko o ko kākou kino. Akā i kekahi manawa, loaʻa i kēia ʻōnaehana pale kino nā kuhikuhi hewa . A i ʻole, huikau iki ia.ʻO ka mea e hana ʻia a laila, ʻo ia ka ʻike hewa ʻana o ko kākou ʻōnaehana pale ponoʻī i kekahi mau ʻāpana olakino o ko kākou ʻōnaehana nerve ponoʻī (ʻo ia hoʻi, ka lolo, ke kaula iwi kuamoʻo, a i ʻole nā aʻalolo) ma ke ʻano he "ʻenemi" a hoʻomaka e hoʻouka iā lākou. Ua like ia me ke kiaʻi palekana i loko o ko kākou hale ponoʻī e manaʻo nei he ʻaihue kākou a hoʻouka mai iā kākou.
Ke hoʻouka ka ʻōnaehana pale kino i ko mākou ʻōnaehana nerve ponoʻī ma kēia ʻano, hoʻomaka nā hōʻailona like ʻole e ʻike ʻia e hoʻopilikia i ka hana o ka ʻōnaehana nerve.
He aha nā ʻano maʻi i loaʻa?
Aia kekahi mau ʻano maʻi neuroimmune. Ua lohe paha ʻoe i kekahi o lākou. He papa inoa wale nō kēia o kekahi mau mea, no ka mea, ua lōʻihi loa kēia ʻatikala e wehewehe iā lākou āpau. No laila, e noʻonoʻo i kēia mau mea ma ke ʻano he mau laʻana:
- ʻO ka Encephalomyelitis Demyelinating ʻĀkiu (ADEM)
- ʻO ka Polyneuropathy Demyelinating Inflammatory Mau (CIDP)
- ʻO ka Polyneuropathy Demyelinating Inflammatory Acute (AIDP)
- ʻO ka Encephalitis Autoimmune/Paraneoplastic
- ʻO ka maʻi pili i ka antibody Myelin Oligodendrocyte Glycoprotein (MOGAD)
- ʻO ka `Multiple Sclerosis (MS)` - He mea kaulana iki kēia, ʻeā?
- ʻO Neurosarcoidosis a me nā maʻi autoimmune ʻē aʻe i hoʻopili ʻia e CNS
- ʻO ka maʻi Neuromyelitis Optica Spectrum Disorder (NMOSD)
- ʻO ka neuritis maka
- ʻO ka Myelitis Transverse
He ʻokoʻa kēlā me kēia maʻi, ʻaʻole like nā hōʻailona o kēlā me kēia maʻi.
He aha nā hōʻailona o kēia mau maʻi?
ʻOkoʻa loa nā hōʻailona o nā maʻi neuroimmune. ʻO kēia no ka mea ʻokoʻa nā hōʻailona ma muli o ka ʻāpana o ka ʻōnaehana nerve e hoʻouka ʻia e ka ʻōnaehana pale. Eia nō naʻe, ʻo kekahi o nā hōʻailona maʻamau:
- Nā pilikia mimi a me ka ʻōpū: Loaʻa paha iā ʻoe ka paʻakikī i ka kaohi ʻana i kāu mimi, a i ʻole e loaʻa paha iā ʻoe nā mea e like me ka constipation.
- Ka hemahema o ka noʻonoʻo: ʻO ia hoʻi ka paʻakikī i ka noʻonoʻo ʻana, ka hoʻomanaʻo ʻana i ka ʻike, a me ke aʻo ʻana i nā mea hou. I kekahi manawa, hiki ke poina nā mea maʻa.
- Luhi mau loa: Manaʻo i ka luhi loa a me ka luhi ʻole me ka nānā ʻole i ka nui o kāu hiamoe ʻana.
- Nā loli o ke ʻano: Nā mea e like me ke kaumaha koke, ka huhū, a i ʻole ka hopohopo.
- Nāwaliwali o nā ʻiʻo: Manaʻo paha ʻoe ua mae kou mau lālā a he mea paʻakikī paha ke hāpai i nā mea kaumaha.
- Nā loli ʻike: Hiki i kekahi mau ʻāpana o ke kino ke manaʻo i ka maneʻo, ke ʻūlū, a i ʻole ka emi ʻana o ka ʻike ma kekahi mau wahi.
- Paʻakikī i ka ʻōlelo: ʻŌlelo ʻino, paʻakikī i ka ʻōlelo ʻana.
- Pilikia me ke kaulike a me ka hele wāwae: Hiki iā ʻoe ke manaʻo kūpaʻa ʻole i ka wā e hele ana a manaʻo paha e hāʻule ana ʻoe.
- Nā loli o ka ʻike: Hiki iā ʻoe ke ʻike koke i ka ʻike pohihihi, ka ʻike pālua, a i ʻole ka ʻeha o ka maka.
ʻO ka mea nui, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻaʻole ia he manaʻo he maʻi neuroimmune kou. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.
Pehea ka maʻamau a kakaʻikahi paha o kēia mau kūlana?
He mea paʻakikī ke ʻōlelo koke i kēia. No ka mea, he nui nā ʻano maʻi neuroimmune, ʻaʻole like nā mea a pau. He mea maʻamau kekahi mau maʻi (e like me ka `Multiple Sclerosis`). Akā, he mea kakaikahi loa kekahi mau maʻi. No laila, ʻaʻole hiki ke ʻōlelo ʻia ma kekahi ʻano a i ʻole "he mea maʻamau kēia mau maʻi" a "kākaikahi".
ʻO wai kēia neuroimmunologist? He aha kāna hana?
He kauka ʻo ka 'Neuroimmunologist' i aʻo hohonu a loaʻa i ke aʻo kūikawā ma kēia kahua kūikawā i kapa ʻia ʻo neuroimmunology.
Kōkua kēia mau kauka iā mākou e 'ʻike' , 'mālama', a 'hoʻokele' i nā maʻi e hoʻopilikia ana i ka ʻōnaehana nerve a me ka ʻōnaehana pale. Hana pū lākou me kāu kauka ʻohana o kēia manawa a i ʻole nā loea ʻē aʻe e kōkua iā ʻoe e ʻike i nā koho lapaʻau maikaʻi loa nāu. Hana pū lākou i nā noiʻi hou e pili ana i kēia mau maʻi a hana i nā hoʻokolohua lapaʻau e ʻike i nā lāʻau lapaʻau hou.
He aha nā lāʻau lapaʻau no kēia mau maʻi?
ʻOkoʻa nā lāʻau lapaʻau no nā maʻi neuroimmune mai kēlā mea kēia mea maʻi a mai kēlā maʻi a i kēia maʻi. E hoʻoholo kāu kauka i ka lāʻau lapaʻau ma muli o ke ʻano o ka maʻi āu e loaʻa ai a me kou mau hōʻailona. Eia kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia:
- Nā lāʻau lapaʻau: Aia nā ʻano lāʻau lapaʻau like ʻole e hiki ke hoʻohana ʻia e kāohi i ka hana hewa ʻana o ka ʻōnaehana pale a hōʻemi i nā hōʻailona.
- Nā ʻano lapaʻau like ʻole:
- Hoʻōla ʻōlelo: No ka poʻe pilikia i ka ʻōlelo ʻana.
- Hoʻōla kino: Hoʻoikaika i nā ʻiʻo a hōʻoluʻolu i nā pilikia hele wāwae.
- ʻO ka hana lapaʻau: Hāʻawi i ka ʻōlelo aʻoaʻo a me ke aʻo ʻana e kōkua iā ʻoe e hana maʻalahi i nā hana o kēlā me kēia lā.
- Nā mea kōkua: Pono paha kekahi poʻe e hoʻohana i nā mea e like me ka noho huila a i ʻole ka mea hele wāwae inā pilikia lākou i ka hele ʻana.
- Nā loli o ke ʻano o ka nohona:
- Hoʻoikaika kino mau.
- Ka ʻai ʻana i ka meaʻai momona.
- Hiamoe maikaʻi.
- Ke kāohi nei i ke kaumaha.
- Ke kāohi ʻana i nā maʻi ʻē aʻe:I kekahi manawa, hiki i nā kūlana olakino ʻē aʻe e like me ke ʻano o ke koko kiʻekiʻe, ke ʻano o ka cholesterol kiʻekiʻe, a me ke ʻano o ka maʻi diabetes ke hoʻonui i kēia mau maʻi neuroimmune. No laila, he mea nui loa ka kaohi pono ʻana i ia mau maʻi inā loaʻa iā ʻoe.
E aʻo aku kāu kauka iā ʻoe e pili ana i nā lāʻau lapaʻau kūpono iā ʻoe, ko lākou mau pono a me nā pōʻino, a me nā hopena ʻaoʻao o nā lāʻau lapaʻau. Mai hana i kekahi mea āu e makemake ai e hana me ka ʻole o ka nīnau mua ʻana i ke kauka.
ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo
ʻAe, ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i ke kumuhana a mākou i kūkākūkā ai i kēia lā, ʻo 'Neuroimmunology.' ʻOiai he kumuhana paʻakikī kēia, ua hoʻāʻo wau e wehewehe maʻalahi iā ʻoe.
E hoʻomanaʻo, ʻaʻole ʻelua ʻōnaehana kaʻawale ko kākou ʻōnaehana nerve a me ka ʻōnaehana pale. Ua like lākou me nā hoaaloha e hana pū mau ana a kōkua kekahi i kekahi.
Ke noiʻi hou aku nei ka ʻepekema o "Neuroimmunology" i kēia pilina hoihoi. Hiki i kēia noiʻi ke kōkua i ka hāʻawi ʻana i nā lāʻau lapaʻau maikaʻi aʻe no ka poʻe me kēia mau maʻi, a malia paha e pale aku iā lākou mai ka ulu ʻana i ka wā e hiki mai ana.
Inā loaʻa iā ʻoe kekahi ʻano ʻeha e like me nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, mai makaʻu a mai hoʻokaʻulua i ka ʻike ʻana i ke kauka. ʻO ka wikiwiki o ka ʻike ʻia ʻana o ka maʻi, ʻo ka wikiwiki hoʻi ka hoʻomaka ʻana o ka lāʻau. E hāʻawi kēia iā ʻoe i ka nui o ka hōʻoluʻolu.
ʻO ka neuroimmunology, ka ʻōnaehana nerve, ka ʻōnaehana pale, nā maʻi autoimmune, nā maʻi lolo, nā maʻi neurological











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo