Ua haʻahaʻa anei nā pale o kou kino? E kamaʻilio kākou e pili ana i ka neutropenia!

Ke maʻi pinepine nei ʻoe? A i ʻole ua nānā paha kekahi kauka i kāu hoʻāʻo koko a ʻōlelo mai, "Ua haʻahaʻa iki kou mau keʻokeʻo koko?" Malia paha he kuni kou, manaʻo iki ua nāwaliwali, akā ʻaʻole hiki iā ʻoe ke ʻike i ke kumu. I nā manawa e like me kēia, he mea nui loa iā ʻoe ke makaʻala i kēia ʻano i kapa ʻia ʻo neutropenia, a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, e wehewehe maʻalahi kākou.

He aha ka neutropenia? He mea maʻalahi loa ia!

I ka ʻōlelo maʻalahi, ʻo ka neutropenia kahi kūlana kahi i emi ai ka helu o ke ʻano koko keʻokeʻo i kapa ʻia ʻo neutrophils ma ke koko. E noʻonoʻo i kēia mau neutrophils e like me nā mākaʻi i hoʻomaʻamaʻa kūikawā ʻia i loko o ko mākou kino. ʻO lākou ka poʻe e hakakā nei i nā germs, e like me nā bacteria a me nā virus, e komo i loko o ko mākou kino a pale iā mākou mai nā maʻi.

ʻO kēia mau koa i kapa ʻia he neutrophils, hana ʻia lākou ma kahi hale hana i loko o ko kākou iwi iwi. No laila, ke emi ka nui o kēia mau neutrophils, emi pū ka hiki o ko kākou kino ke hakakā i nā germs. ʻO ia hoʻi , piʻi nui ka manawa e loaʻa ai nā maʻi. I kekahi mau hihia koʻikoʻi, ʻoiai nā bacteria i maʻamau ʻaʻole e hoʻopilikia nui i kahi kanaka olakino, e like me nā mea i loko o ko kākou waha a i ʻole nā ​​​​ʻōpū, hiki ke hoʻoulu i nā maʻi koʻikoʻi. Maopopo iā ʻoe?

He aha ka pae maʻamau o nā neutrophils?

Ua hoʻokaʻawale ʻia ʻo Neutropenia e like me ka helu o nā neutrophils i loko o kahi hāpana koko. Ua ʻae ʻia ma ke ʻano laulā he pono i kahi pākeke ke loaʻa ma ka liʻiliʻi he 1,500 neutrophils no kēlā me kēia microliter o ke koko. (Manaʻo kekahi he 1,800 kēia palena). Eia ke ʻano o ka wehewehe ʻana:

• Neutropenia ʻoluʻolu: Ma waena o 1,000 - 1,500 neutrophils.
• Neutropenia waena: Ma waena o 500 - 1,000 neutrophils.
• Neutropenia koʻikoʻi: Ma lalo o 500 neutrophils.

Hiki i kēia kūlana ke lilo i mea manawa pōkole (ʻoi) a i ʻole ka lōʻihi (mau). Hiki nō hoʻi ke hānau ʻia a i loaʻa paha.

ʻO wai ka mea i ʻoi aku ka nui o ka hoʻomohala ʻana i ka neutropenia?

Hiki i nā maʻi ke hoʻoulu ʻia e ka neutropenia i kekahi manawa. Eia nō naʻe, ʻike pinepine ʻia ʻo ia he hopena ʻaoʻao o nā lāʻau lapaʻau maʻi kanesa, ʻoiai ka chemotherapy. Wahi a nā kānaka noiʻi a hiki i ka 50% o ka poʻe e loaʻa ana i ka chemotherapy e loaʻa paha ka neutropenia.

Aia kekahi ʻano ʻē aʻe i kapa ʻia ʻo 'Benign Ethnic Neutropenia (BEN).' He maʻi hānau lōʻihi kēia. ʻO ka mea maʻamau ia i nā poʻe o ʻApelika, Hikina Waena, a me West India. ʻOi aku ka nui o ka neutrophil o kēia poʻe ma mua o 1,500, akā ʻaʻole lākou i ka pilikia kiʻekiʻe o ka loaʻa ʻana o nā maʻi.

Pehea ka hopena o ka neutropenia i koʻu kino?

ʻOkoʻa nā hopena o ka neutropenia ma muli o kāu helu neutrophil. ʻAʻole paha he mau hōʻailona o ke kanaka me ka neutropenia ʻoluʻolu. ʻIke pinepine ʻia ia i ka wā o ka hoʻāʻo koko no kekahi maʻi ʻē aʻe. Eia nō naʻe, inā loaʻa iā ʻoe ka neutropenia waena a koʻikoʻi paha, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā maʻi. Hiki i ka neutropenia koʻikoʻi ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia. ʻO ia ke kumu he mea nui e makaʻala i kēia maʻi.

No ke aha e kū mai ai ka neutropenia? He aha nā kumu?

Hiki ke hana ʻia ʻo Neutropenia e nā kumu nui ʻekolu:

1. ʻAʻole lawa ka neutrophils o kou iwi iwi.

2. Ka wikiwiki o ka haki ʻana (luku ʻana) o nā neutrophils i hana ʻia.

3. A i ʻole, e luku i nā neutrophils i hoʻokumu ʻia.

Eia kekahi o nā kumu:

• Nā kūlana hoʻoilina: I kekahi manawa hiki ke hoʻoili ʻia kēia kūlana mai nā mākua a i nā keiki ma o nā genes. ʻO Benign Ethnic Neutropenia (BEN), Cyclic neutropenia, a me Severe congenital neutropenia kekahi o nā ʻano i hoʻokumu ʻia e ia mau kumu hoʻoilina.
• Nā maʻi: Hiki ke hana ʻia ʻo Neutropenia e nā maʻi viral, bacteria, a me nā parasitic. ʻO nā laʻana e pili ana i ka HIV, hepatitis, tuberculosis, sepsis (kahi maʻi koʻikoʻi o ke koko), a me ka maʻi Lyme.
• Kanesa: ʻO nā maʻi kanesa e like me ka leukemia, lymphoma, a me nā maʻi ʻē aʻe e pili ana i ke koko a i ʻole ka iwi iwi hiki ke hana i ke kino i hiki ʻole ke hana i nā hunaola koko keʻokeʻo olakino e pono ai, e hopena ai i ka neutropenia.
• Nā lāʻau lapaʻau: ʻO nā lāʻau lapaʻau no ke kanesa, e like me ka chemotherapy a me ka radiation therapy, hiki ke hōʻino i nā neutrophils a me ka iwi iwi e hana ai iā lākou. Eia kekahi, hiki i kekahi mau lāʻau lapaʻau no nā kūlana ʻē aʻe ʻaʻole kanesa ke hoʻohaʻahaʻa i nā pae neutrophil ma ke ʻano he hopena ʻaoʻao.
• Nā hemahema o ka meaʻai: Hiki ke hana ʻo Neutropenia inā ʻaʻole lawa ka nui o nā huaora a me nā minelala i ke kino, e like me ka huaora B12, folate, a i ʻole ke keleawe.
• Nā hemahema autoimmune: ʻO kēia ka manawa e kuhihewa ai ko mākou ʻōnaehana pale ponoʻī i kā mākou ʻōnaehana pale ponoʻī a hana i nā antibodies e luku ai i nā neutrophils olakino. Ua like ia me ko mākou pūʻali koa ponoʻī e hoʻouka ana iā ia iho. ʻO ka maʻi Crohn, lupus, a me ka rheumatoid arthritis kekahi o kēia mau maʻi.

I kekahi manawa aia kekahi kūlana i kapa ʻia ʻo 'Chronic idiopathic neutropenia'. ʻO ia hoʻi, aia ka neutropenia, akā ʻaʻole hiki ke loaʻa ke kumu pololei .

No ke aha e hoʻoulu ai ka mālama ʻana i ka maʻi kanesa i ka neutropenia?

He mau lāʻau ikaika loa nā lāʻau lapaʻau maʻi kanesa e like me ka chemotherapy. Pepehi lākou i nā hunaola kanesa. Eia nō naʻe, hiki iā lākou ke hōʻino i nā hunaola olakino e māhele wikiwiki ana. ʻO kā mākou neutrophils a me nā hunaola iwi e hana ana iā lākou he mau hunaola māhele wikiwiki hoʻi. ʻO ia ke kumu he mea maʻamau ka neutropenia i ka wā chemotherapy. ʻO ka nui o nā pae Neutrophil e hāʻule pinepine i loko o nā pule ʻelua mua o ka lāʻau. Ma hope o kēlā, piʻi mālie hou lākou.

He mea nui loa ia e hana i nā hana hou aʻe e pale aku iā ʻoe iho mai nā maʻi i kēia manawa, ʻoiai ʻo kēia ka manawa e nāwaliwali loa ai nā pale o ke kino.

He aha nā hōʻailona o ka neutropenia?

ʻAʻohe hōʻailona kikoʻī o Neutropenia. Eia nō naʻe, inā loaʻa iā ʻoe nā maʻi ma muli o ka neutropenia, hiki iā ʻoe ke ʻike i nā hōʻailona o kēlā mau maʻi. Hiki i nā maʻi pinepine ke lilo i hōʻailona o ka neutropenia. Eia kekahi o nā hōʻailona:

• ʻO ke kuni (ʻoi aku hoʻi kahi kūlana i kapa ʻia ʻo febrile neutropenia)
• Luhi
• ʻEha ka ʻāʻī (Pharyngitis)
• Nā ʻōpū lymph pehu
• Nā ʻeha ma ka waha a puni paha ka anus
• ʻEha, pehu, a me ka ʻulaʻula ma kahi o ka maʻi
• ʻAʻai ʻole, diarrhea
• Nā hōʻailona mimi, e like me ke kuni ʻana i ka wā e mimi ai a me ka mimi pinepine

Inā loaʻa iā ʻoe ka neutropenia ʻoluʻolu, loaʻa paha iā ʻoe ka nui o nā neutrophils i loko o kou kino e hakakā ai i nā maʻi. I kēlā hihia, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona.

Pehea e ʻike ʻia ai ka neutropenia?

ʻO ka hoʻāʻo nui a maʻalahi hoʻi e ʻike ai i kēia he helu koko piha (CBC) me ka ʻokoʻa . Inā ʻoe e hana nei i ka lāʻau lapaʻau e like me ka chemotherapy, e hana mau kāu kauka i kēia hoʻāʻo e nānā i kāu mau pae neutrophil.

Inā ʻaʻole maopopo i kāu kauka ke kumu o kou neutropenia, hiki iā ia ke kauoha i nā hoʻokolohua hou aʻe. No ka laʻana, hiki ke lawe ʻia kahi laʻana o kou iwi iwi a nānā ʻia ma lalo o kahi microscope. Hiki i kēia hoʻokolohua ke hoʻoholo inā hana pono ʻia nā neutrophils i loko o kou iwi iwi, a i ʻole inā e luku ʻia ana lākou ma hope o ka hana ʻia ʻana. Hiki i kēia ʻike ke kōkua i kāu kauka e hōʻoia i ka hōʻailona.

He aha nā lāʻau lapaʻau no ka neutropenia?

ʻAʻole pono paha kekahi mau ʻano neutropenia i ka lāʻau lapaʻau. Aia nā koho lapaʻau ʻē aʻe i ke kumu o kāu mau pae neutrophil haʻahaʻa.

Hiki ke hana i kēia mau mea ma ke ʻano he lāʻau lapaʻau:

• Nā lāʻau lapaʻau: Inā loaʻa iā ʻoe ka febrile neutropenia me ke kuni, hiki i nā lāʻau lapaʻau ke hoʻōla i ke ola. E hoʻokomo pinepine ʻia ʻoe i ka haukapila a hāʻawi ʻia i nā lāʻau lapaʻau, e like me ka saline, ma ke ʻano intravenous. I loko o kēia manawa, e hana ʻia nā hoʻokolohua e ʻike ai i ke kumu o ka maʻi.
• Corticosteroids: Inā loaʻa iā ʻoe ka neutropenia i hoʻokumu ʻia e kahi maʻi autoimmune, hiki i kāu kauka ke kuhikuhi i kahi lāʻau i kapa ʻia ʻo corticosteroids. Hoʻemi kēia mau lāʻau i ka hana o kāu ʻōnaehana pale, kahi e luku ai i kāu neutrophils.
• ʻO ka mea hoʻoulu kolone Granulocyte (G-CSF): Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hoʻoulu ai i kou iwi iwi e hana i nā hunaola koko keʻokeʻo. Inā ʻoe e loaʻa ana i ka chemotherapy, hiki ke hāʻawi ʻia iā ʻoe kēia inikini G-CSF.

Inā hoʻoholo ʻia ua hoʻokumu ʻia ka neutropenia e kahi lāʻau lapaʻau āu e lawe nei, e haʻi aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kēlā lāʻau lapaʻau a hoʻololi paha i ka dosage.

Hiki ke pale ʻia ka neutropenia?

ʻAʻole hiki iā mākou ke pale aku i nā ʻano congenital o ka neutropenia. Eia nō naʻe, inā ʻoe e hana ana i ka chemotherapy, inā manaʻo kāu kauka ua haʻahaʻa kou mau pae neutrophil, hiki iā ia ke hoʻopaneʻe i ka pōʻai aʻe o ka chemotherapy a i ʻole e hōʻemi i ka nui. Hiki iā lākou ke paipai i kahi injection G-CSF e hoʻonui i ka hana ʻana o nā cell koko keʻokeʻo.

Pehea e hiki ai iaʻu ke pale iaʻu iho mai nā maʻi inā loaʻa iaʻu ka neutropenia?

Inā ʻike ʻoe ua haʻahaʻa kāu mau neutrophils, nui nā hana hiki iā ʻoe ke hana e pale aku iā ʻoe iho mai nā maʻi. He mau mea nui loa kēia e hoʻomanaʻo.

• E holoi pinepine i kou mau lima me ke kopa a hoʻohana paha i kahi mea hoʻomaʻemaʻe lima i loaʻa ka waiʻona.
• Me ke ahulau a me ka maʻi Covid-19 `(COVID-19)`E kiʻi i kāu mau lāʻau pale āpau i ka manawa kūpono.
• E noho mamao aku mai ka poʻe maʻi a mai nā wahi piha kanaka kahi e hālāwai ai ʻoe me kekahi mea maʻi.
• E makaʻala i nā ʻōpala, nā ʻoki, a me nā ʻeha (me nā peʻa a me nā ʻoki kino). E mālama koke i kekahi pōʻino ʻili.
• E holoi pono i nā huaʻai a me nā mea kanu, e hoʻokaʻawale i ka ʻiʻo a me ka iʻa mai nā meaʻai ʻē aʻe, a e hoʻomākaukau i ka meaʻai ma kahi lumi kuke maʻemaʻe, e kuke pono ana. Ma kēia ʻano, hiki iā ʻoe ke pale i ka laha ʻana o nā germs.
• Mai kaʻana like i nā kīʻaha, nā ipu ʻai, a i ʻole ka meaʻai a me ka mea inu me nā poʻe ʻē aʻe.
• Mai kaʻana like i nā mea e like me nā kāwele, nā ʻumiʻumi, a me nā pulupulu niho me nā poʻe ʻē aʻe.
• Inā ʻoe e hana ana i loko o ka māla, e ʻaʻahu i nā mīkina lima.
• E pale i ka wehe ʻana i nā ʻōpala holoholona a me ka hoʻololi ʻana i nā diapers hānau hou i ka hiki (inā pono, e komo i nā mīkina lima a holoi pono i kou mau lima ma hope o kou pau ʻana).
• E hōʻalo i ka hoʻohana ʻana i nā loko, nā loko wai, nā muliwai, a me nā ʻauʻau wela.
• E hoʻohana i nā lāʻau lapaʻau e like me ke kauoha a kāu kauka e pale aku ai i nā maʻi.

He nui o kēia mau ʻōlelo aʻoaʻo nā mea a mākou e hana mau ai e noho olakino. Eia nō naʻe, inā loaʻa iā ʻoe ka neutropenia, pono ʻoe e makaʻala loa. E nīnau i kāu kauka i nā mea ʻē aʻe āu e hiki ai ke hana e pale aku iā ʻoe iho mai nā maʻi, ma muli o kou nohona a me kou kūlana olakino.

He aha ka wānana no ka poʻe me ka neutropenia? (Prognosis)

Hiki ke mālama ʻia ʻo Neutropenia, no laila maikaʻi ka nānā ʻana no ka hapa nui o nā kānaka. ʻO ka mea nui loa, ʻo ia ke pale ʻana i nā maʻi a ʻimi koke i ka lāʻau lapaʻau (inā maʻi ʻoe).

Āhea wau e ʻike ai i ke kauka?

Inā ʻoe e loaʻa ana i ka chemotherapy a i ʻole he maʻi ʻē aʻe e hiki ai ke hoʻoulu i ka neutropenia, e ʻike koke i ke kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​a kāhea koke i kāu kauka no ka ʻōlelo aʻoaʻo no ka mea e hana ai:

• He kuni o 100.4 degere Fahrenheit (38 degere Celsius) a ʻoi aku paha.
• Ka hou ʻana a i ʻole ka haʻalulu ʻana i ke anu.
• Paʻakikī ka hanu ʻana.
• Paʻa ka ihu.
• ʻEha ka ʻāʻī a ʻoʻoleʻa paha ka ʻāʻī.
• He ʻū hou a i ʻole ka ʻoi ʻana o ka ʻū e kū nei.
• Ka maʻi pākī a me/a i ʻole ka luaʻi ʻana.
• Ka hoʻokuʻu ʻana o ka ʻōpū a i ʻole ka maneʻo.
• ʻEha, ʻulaʻula, a pehu paha ma kekahi wahi o ke kino.
• Ka loli ʻana o ka mimi (ʻeha, wela, makemake pinepine e mimi).
• Ke hoʻomaka hou ʻana o ka ʻeha, ʻoiai ma ka ʻōpū a i ʻole ka rectum.
• Manaʻo huikau a ʻokoʻa paha ka noʻonoʻo ma mua o ka mea maʻamau.
• Manaʻo luhi loa a maʻi ʻole paha.

ʻO ke ʻano o kou ʻike ʻana i ka neutropenia e pili ana i ke kumu i hāʻule ai kou mau pae neutrophil. Inā haʻahaʻa kou mau pae ma muli o kahi maʻi i hala koke aku nei, e hoʻi hou paha lākou i ka maʻamau i ka wā e ho'ōla ai kou kino. Inā loaʻa kou neutropenia i kahi maʻi lōʻihi a i ʻole chemotherapy, e nānā mau kāu kauka i kāu mau pae neutrophil e pale aku i nā pilikia mai nā maʻi. E nīnau i kāu kauka inā pono kāu neutropenia i nā hoʻokolohua lapaʻau a me nā lāʻau lapaʻau maʻamau e pale aku i nā maʻi.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO Neutropenia kahi kūlana i emi ai nā hunaola koko keʻokeʻo o ke kino, i kapa ʻia ʻo neutrophils. Hoʻonui kēia i ka pilikia o ka maʻi. He mea maʻamau kēia kūlana i nā poʻe e hana nei i nā lāʻau lapaʻau maʻi kanesa e like me ka chemotherapy.

ʻAʻohe mea e hopohopo ai, aia nā lāʻau lapaʻau no kēia. ʻO ka mea nui loa:

• E hahai pono i nā ʻōlelo a kāu kauka.
• Ke hana nei i nā hana āpau e hiki ai ke pale aku iā ʻoe iho mai ka maʻi.
• Inā ʻike ʻoe i kekahi mau hōʻailona o ka maʻi, e like me ke kuni , e ʻimi koke i ke kōkua lapaʻau.

Inā ʻike ʻoe i kēia a e mālama i nā hana palekana, hiki iā ʻoe ke noho olakino me ka neutropenia. Mai kānalua e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.

ʻO Neutropenia, neutrophils, nā hunaola koko keʻokeʻo, ka pale ʻana, nā maʻi, ka maʻi ʻaʻai, ka chemotherapy