Ua ʻike anei ʻoe i ka wā e komo ai kahi huakino i loko o ko kākou kino, aia i ko kākou kino kahi pūʻali koa e hakakā aku ai? ʻO kekahi o nā ʻano koa kūikawā loa i loko o kēia pūʻali koa ʻo Neutrophil. Akā i kekahi manawa, ma muli o nā kumu like ʻole, emi ka nui o kēia mau koa i loko o ko kākou kino. ʻO ia ka manawa e lilo ai kahi maʻi liʻiliʻi i mea koʻikoʻi a hoʻomaka pinepine nā maʻi. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia kūlana i kapa ʻia ʻo 'Neutropenia', kahi e emi ai nā koa pale o ke kino.
I ka ʻōlelo maʻalahi, he aha ka Neutropenia?
ʻO Neutropenia (puana ʻia: neutro-pe-nia) he kūlana kahi i emi ai ka helu o nā neutrophils, kahi ʻano o ke koko keʻokeʻo, i loko o kou koko ma mua o ka maʻamau. Hoʻopuka nui ʻia kēia mau neutrophils i loko o ko kākou iwi iwi. ʻO kā lākou hana nui ka ʻimi a luku i nā germs, e like me nā bacteria a me nā virus, e komo i loko o ko kākou kino.
No laila e noʻonoʻo i ka mea e hana ʻia ke emi kēia mau neutrophils. Ua like ia me ka hoʻonāwaliwali ʻia o ka pūʻali koa e pale ana i kahi ʻāina. Ua emi nui ka hiki o ko mākou kino ke hakakā i nā germs. I nā hihia koʻikoʻi, ʻoiai nā bacteria maʻamau i loko o ko mākou waha a me nā ʻōpū, ʻaʻole ia e hōʻeha i kahi kanaka olakino, hiki ke hana i nā maʻi koʻikoʻi.
Pehea e hoʻokaʻawale ʻia ai nā pae neutrophil?
E hoʻoholo ke kauka i kēia ma ka nānā ʻana i kāu mau hopena hoʻāʻo koko. ʻO ka maʻamau, pono i kahi pākeke olakino ke loaʻa ma mua o 1,500 neutrophils i kēlā me kēia microliter o ke koko. Ua māhele ʻia ʻo Neutropenia i ʻekolu mau pae ma muli o ka haʻahaʻa o kēia helu.
| Pae Neutropenia | ʻO ka nui o nā neutrophils i loko o kahi microliter o ke koko |
|---|---|
| Neutropenia ʻoluʻolu | Ma waena o 1,000 - 1,500 |
| Neutropenia Kaulike | Ma waena o 500 - 1,000 |
| Neutropenia koʻikoʻi | Ma lalo o 500 |
Hiki i kēia maʻi ke pōkole (ʻoi) a i ʻole ka lōʻihi (mau). Hiki nō hoʻi ke hānau ʻia a i loaʻa paha.
He aha nā kumu nui o ka neutropenia?
Aia kekahi mau kumu no ka emi ʻana o nā neutrophils. ʻAʻole lawa ka neutrophils i hana ʻia e ka iwi iwi, a i ʻole ua luku koke ʻia nā neutrophils i hana ʻia.
Eia kekahi o nā kumu nui:
- ʻO ke kanesa a me kāna mau lāʻau lapaʻau: He kumu maʻamau kēia. ʻO ka chemotherapy a me ka radiation therapy, ʻoi aku hoʻi no ke kanesa, hiki ke hōʻino i nā cell olakino i kapa ʻia ʻo neutrophils, kahi e māhele wikiwiki nei i nā cell, ke luku ʻia lākou. Hiki ke hana ʻia e nā maʻi kanesa koko e like me ka leukemia.
- Nā maʻi: Hiki i kekahi mau maʻi viral, bacteria, a me nā parasitic ke hoʻohaʻahaʻa i nā pae neutrophil no kekahi manawa. ʻO nā hiʻohiʻona e komo pū me ka HIV, Hepatitis, Tuberculosis, a me ka sepsis, kahi maʻi koʻikoʻi.
- ʻO kekahi mau lāʻau lapaʻau: Ma waho aʻe o nā lāʻau lapaʻau maʻi kanesa, hiki i kekahi mau lāʻau lapaʻau i lawe ʻia no nā maʻi ʻē aʻe ke hoʻemi i ka neutrophils ma ke ʻano he hopena ʻaoʻao.
- Nā kūlana autoimmune: ʻO kēia ka manawa e hoʻouka hewa ai ka ʻōnaehana pale ponoʻī o ko mākou kino i kā mākou mau cell neutrophil olakino, me ka manaʻo he ʻenemi lākou. ʻO nā hiʻohiʻona e pili ana i nā kūlana e like me ka lupus a me ka rheumatoid arthritis.
- Nā hemahema meaʻai: Hiki ke loaʻa kēia ʻano inā nele ke kino i nā meaʻai e like me ka huaora B12, folate, a i ʻole ke keleawe.
- Nā kumu hoʻoilina: Loaʻa i kekahi poʻe kēia maʻi mai ka hānau ʻana mai.
I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu. Kāhea nā kauka i kēlā mau hihia ʻo 'Chronic idiopathic neutropenia'. ʻO ia hoʻi "ka emi ʻana o nā neutrophils no ka manawa lōʻihi me ke kumu ʻole."
He aha nā hōʻailona o ka neutropenia?
ʻO ka mea nui ma ʻaneʻi, ʻaʻohe hōʻailona o Neutropenia ponoʻī. Eia nō naʻe, ma muli o ka haʻahaʻa o nā neutrophils, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole ma muli o nā maʻi e loaʻa koke iā ʻoe. Inā maʻi pinepine ʻoe, he hōʻailona paha ia o Neutropenia.
Ke loaʻa kahi maʻi, ʻike paha ʻoe i nā hōʻailona e like me:
- Kuni (ma luna o 38 Celsius a i ʻole 100.4 Fahrenheit)
- Manaʻo luhi loa a me ke ola ʻole
- ʻeha ka ʻāʻī
- Ka pehu ʻana o nā hono o ke kino
- Nā ʻeha ʻeha ma ka waha a i ʻole ka anus
- Ka maʻi pākī
- ʻO ke kuni a me ka ʻeha i ka wā e mimi ai
- nā maʻi ʻili (ʻulaʻula, pehu, ʻeha)
Inā ʻaʻohe ou pae neutropenia, loaʻa paha iā ʻoe nā neutrophils lawa i loko o kou kino e hakakā i nā maʻi. ʻAʻohe paha ou hōʻailona i kēia manawa.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke kumu o kou haʻahaʻa o nā pae neutrophil a me kona koʻikoʻi. ʻAʻole pono paha kekahi lāʻau lapaʻau i kekahi mau hihia akahai.
Eia kekahi o nā ʻano lapaʻau nui:
- Nā lāʻau antibiotic: Inā loaʻa iā ʻoe ka neutropenia me ke kuni (i kapa ʻia ʻo 'febrile neutropenia'), he hōʻailona paha ia o kahi maʻi koʻikoʻi. I kēlā hihia, hiki i kāu kauka ke ʻae iā ʻoe i ka haukapila a hāʻawi iā ʻoe i nā lāʻau antibiotic ikaika ma o kahi aʻa (ma o kahi laina).
- Corticosteroids: Inā loaʻa kāu neutropenia e kahi maʻi autoimmune, hāʻawi ʻia kēia mau lāʻau lapaʻau e kāohi i ka hana o ka ʻōnaehana pale o ke kino.
- G-CSF (Granulocyte colony-stimulating factor): He ʻano inikini kūikawā kēia e hoʻoulu ai i ka iwi iwi a hoʻonui i ka hana ʻana o nā hunaola koko keʻokeʻo (ʻoi aku hoʻi nā neutrophils). Hāʻawi pinepine ʻia kēia mau mea i ka poʻe e hana ʻia ana i ka chemotherapy.
- Ke hoʻololi nei i nā lāʻau lapaʻau: Inā loaʻa kou maʻi i kahi lāʻau lapaʻau, hiki i kāu kauka ke hoʻōki i ka lāʻau lapaʻau a hoʻololi paha i ka dosage.
He aha kaʻu e hana ai e pale aku iaʻu iho mai nā maʻi?
Inā ʻike ʻoe he neutropenia kou, ʻo ka mea nui loa hiki iā ʻoe ke hana, ʻo ia ke pale iā ʻoe iho mai nā maʻi. Ma muli o ka nāwaliwali o kāu ʻōnaehana pale, pono ʻoe e makaʻala loa.
- E holoi pono i kou mau lima me ke kopa a me ka wai i nā manawa a pau. E hoʻohana i ka mea hoʻomaʻemaʻe lima i loaʻa ka waiʻona ke loaʻa ʻole ka wai.
- E noho mamao aku mai ka poʻe maʻi a me nā wahi piha kanaka i ka hiki.
- E kiʻi i kāu mau lāʻau pale āpau e pono ai , e like me ka lāʻau pale maʻi palū, i ka manawa kūpono. E noi i kāu kauka no ka ʻōlelo aʻo no kēia.
- E pale i nā ʻoki a me nā ʻōpala. E hoʻomaʻemaʻe a mālama koke i nā ʻeha liʻiliʻi.
- E makaʻala loa i ka hoʻomaʻemaʻe ʻana o ka meaʻai. E holoi pono i nā mea kanu a me nā huaʻai ma mua o ka ʻai ʻana. E hoʻomoʻa pono i ka ʻiʻo, ka iʻa, a me nā hua manu ma mua o ka ʻai ʻana.
- Mai hoʻohana i nā kīʻaha, nā kīʻaha, nā puna, nā ʻumiʻumi, nā kāwele, a me nā pulupulu niho a haʻi.
- Inā ʻoe e hana ana i loko o ka māla, e ʻaʻahu i nā mīkina lima.
- I ka wehe ʻana i nā ʻōpala holoholona a i ʻole ke hoʻololi ʻana i nā diaper no nā keiki ʻōpio, e hōʻoia e komo i nā mīkina lima a holoi pono i kou mau lima ma hope o ka pau ʻana.
- Mai ʻauʻau i loko o nā kino wai maʻemaʻe ʻole, e like me nā loko, nā muliwai, a me nā loko wai.
Āhea wau e ʻike ai i ke kauka i ka wā hikiwawe loa?
Inā ʻoe e hana ana i ka chemotherapy a i ʻole he maʻi ʻē aʻe e hiki ai ke hoʻoulu i ka neutropenia, mai hoʻokaʻulua inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona. E kelepona koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
| Hōʻailona hoʻomaopopo | Wehewehena |
|---|---|
| kuni | ʻO ka mahana o ke kino he 38 kekelē Celsius (100.4 Fahrenheit) a ʻoi aku paha. |
| Ke anu nei a me ka haʻalulu | Ke anu loa nei, ka haʻalulu, a i ʻole ka hou ʻana. |
| Nā pilikia hanu | ʻŪhū hou a ʻoi aku paha ka ʻino, pōkole o ka hanu, ʻeha o ka umauma. |
| ʻeha ka ʻāʻī | ʻEha nui ka ʻāʻī a i ʻole ka ʻoʻoleʻa o ka ʻāʻī. |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻEha nui o ka ʻōpū, ka maʻi pākī, a i ʻole ka luaʻi ʻana. |
| Nā hiʻohiʻona ʻē aʻe | ʻO ka maʻi mimi, ʻulaʻula/pehu ʻana ma nā wahi a pau o ke kino, poniuniu, a i ʻole ka manaʻo ʻoluʻolu ʻole ma mua o ka mea maʻamau. |
ʻAʻohe mea e makaʻu ai ʻo Neutropenia, akā he mea nui e makaʻala a e makaʻala. Inā ʻoe e hahai pono i nā ʻōlelo a kāu kauka a hana i nā hana e pono ai e pale iā ʻoe iho mai nā maʻi, hiki iā ʻoe ke hoʻokele maikaʻi i kēia kūlana.
Leka Lawe-Home
- ʻO ka Neutropenia ka emi ʻana o ka helu o nā neutrophils, kahi ʻano o nā hunaola koko keʻokeʻo i loko o ke koko. ʻO kēia nā hunaola nui e pale i ko kākou kino mai ka maʻi.
- Hiki ke hana pinepine ʻia kēia ʻano e ka mālama ʻana i ka maʻi kanesa (chemotherapy), kekahi mau maʻi, a me kekahi mau lāʻau lapaʻau.
- ʻAʻohe hōʻailona kikoʻī o Neutropenia, akā ʻo nā maʻi i hoʻokumu ʻia e ia mea hiki ke hoʻoulu i ke kuni, ka ʻeha ʻāʻī, a me ka luhi nui.
- Inā loaʻa iā ʻoe ka neutropenia, he mea nui loa ia e pale iā ʻoe iho mai nā maʻi. E hōʻoia e hoʻomaʻamaʻa i ka hoʻomaʻemaʻe maikaʻi, e like me ka holoi pinepine ʻana i kou mau lima, ka noho mamao ʻana mai ka poʻe maʻi, a me ka hoʻomaʻamaʻa ʻana i ka palekana o ka meaʻai.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ke kuni, ke anu, a i ʻole ka paʻakikī o ka hanu ʻana, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka haukapila.
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