He haʻahaʻa anei nā hunaola koko keʻokeʻo o kāu keiki? E aʻo kākou e pili ana i kēia maʻi weliweli (Neutropenia)!

E nā Māmā a me nā Pāpā, ua makaʻu iki paha ʻoukou i kou ʻike ʻana i ka hōʻike koko o kāu keiki a ʻōlelo mai ke kauka, 'Low neutrophils' a i ʻole 'Low white blood cells', ʻeā? A i ʻole inā e maʻi pinepine ana kāu keiki, ua noʻonoʻo paha ʻoe inā ʻo kēia ke kumu. No laila i kēia lā e kamaʻilio mākou e pili ana i ke kūlana i kapa ʻia ʻo `(Neutropenia)` (puana ʻia: neutro-pe-nia). Inā maopopo pololei iā ʻoe kēia, he kōkua nui ia no ʻoe e hoʻokele pono me ka makaʻu ʻole.

He aha ka manaʻo maʻalahi o ke ʻano o ka huaʻōlelo `(Neutropenia)`?

I ka ʻōlelo maʻalahi, ʻo `(Neutropenia)` ʻo ia hoʻi ʻaʻole lawa kahi ʻano kūikawā o ke koko keʻokeʻo i loko o ko mākou koko. Kāhea mākou i kēia mau koko keʻokeʻo ʻo `(Neutrophils)`. E noʻonoʻo i kēia mau `(Neutrophils)` he mau koa liʻiliʻi i loko o ko mākou kino. ʻO kā lākou hana nui ke kaua aku i nā germs e like me `(Bacteria)` e komo i loko o ko mākou kino a pale iā mākou mai nā maʻi. ʻO `(Bacteria)` kahi ʻano germ, a ʻo lākou nā mea e hoʻoulu ai iā mākou i nā maʻi like ʻole.

No laila, he aha ka mea e hana ai ke nalowale mākou i ka nui o kēia mau koa i kapa ʻia ʻo `(Neutrophils)` i loko o ko mākou koko? Hoʻonāwaliwali ʻia ka ʻōnaehana pale o ko mākou kino. A laila hiki i nā germs ke komo maʻalahi i ke kino a hoʻoulu i nā maʻi koʻikoʻi. ʻO ia ke kumu inā loaʻa i kahi keiki me `(Neutropenia)` ke kuni, nā hōʻailona o ka ʻulaʻula a puni kahi ʻoki, a i ʻole ke anu a me ka haʻalulu, he mea nui e ʻimi koke i ke kōkua lapaʻau . Akā, mai hopohopo, inā loaʻa koke iā ʻoe ka lāʻau lapaʻau, hiki ke ho'ōla ʻia ka hapa nui o nā maʻi i nā keiki me `(Neutropenia)`.

He aha nā hōʻailona o kahi keiki me ka "(Neutropenia)"?

ʻOi aku ka nui o ka loaʻa ʻana o nā maʻi i kahi keiki me ka ``(Neutropenia)`` ma mua o nā keiki olakino ʻē aʻe. Eia kekahi, ʻo kēia mau maʻi:

• Hiki ke hana pinepine.
• Hiki ke ʻoi aku ka ʻino.
• Hiki ke lilo i mea ʻino koke.

Aia nā hōʻailona i ke ʻano o ka maʻi i loaʻa i kāu keiki. No ka laʻana, hiki i kahi keiki me ka maʻi pepeiao ke loaʻa ka ʻeha pepeiao. I kekahi manawa hiki iā lākou ke hōʻike i nā hōʻailona maʻamau e like me ke kuni, ka ʻeha o ke kino, a me ka nalowale o ka makemake.

No ke aha e hana ʻia ai kēia `(Neutropenia)`? He aha nā kumu?

Ua ʻike mākou i kēia manawa ua hoʻokumu ʻia ka "Neutropenia" e ka emi ʻana o ka helu o nā "Neutrophils" i loko o ke koko. Aia kekahi mau kumu e kōkua ai i kēia:

• Nā maʻi like ʻole: Hiki i kekahi mau maʻi viral a bacteria paha ke hōʻemi i ka "(Neutrophils)" no kekahi manawa.
• Nā lāʻau lapaʻau: ʻO ka chemotherapy, ʻoiai nā lāʻau lapaʻau i hoʻohana ʻia e pepehi i nā hunaola kanesa, hiki ke hoʻopilikia i ka iwi iwi a hōʻemi i ka hana ʻana o nā neutrophils. Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke hana i kēia.
• Lapaʻau Radiation: ʻO ka lāʻau lapaʻau radiation i hoʻohana ʻia e luku i nā hunaola kanesa hiki ke hōʻino i ka iwi iwi a hoʻopilikia i ka hana ʻana o nā neutrophils.
• Nā pilikia hoʻoilina:Hiki i kekahi mau keiki ke loaʻa i ka "Neutropenia" ma muli o kahi kūlana genetic i loaʻa i ka wā hānau. Ua kapa ʻia kēia ʻo "Congenital neutropenia".
• Ka hana pono ʻole o ka iwi iwi: He ʻāpana e like me ka huʻa i loko o ko kākou mau iwi ka iwi iwi. Maanei e hana ʻia ai ko kākou mau hunaola koko. No laila, ʻo kekahi pilikia i loko o kēia iwi iwi hiki ke alakaʻi i ka emi ʻana o ka hana ʻana o nā `(Neutrophils)`.
• Hoʻouka ka ʻōnaehana pale i kāna mau "Neutrophils" ponoʻī: Ua kapa ʻia kēia ʻo "Autoimmune neutropenia". ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ka ʻōnaehana pale, ka mea e hakakā nei i nā germs i loko o ko mākou kino ponoʻī, e luku hewa ana i kāna mau "Neutrophils" ponoʻī.

I kekahi manawa, hiki i ka neutropenia ke hele mai a hele aku (cyclic neutropenia) . ʻO ke ʻano kēia e hāʻule ana ka pae o nā neutrophils i kēlā me kēia mau lā a laila hoʻi i ka maʻamau. I nā hihia ʻē aʻe, ʻaʻole hiki i nā kauka ke loaʻa ke kumu no ka neutropenia (idiopathic neutropenia) .

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka `(Neutropenia)`?

Hoʻoholo nā kauka i ka neutropenia me kahi hoʻāʻo koko i kapa ʻia ʻo Complete Blood Count (CBC). Ana kēia i ka helu o nā ʻano ʻano hunaola like ʻole i loko o ke koko.

No ka ʻike pono ʻana i ke kumu o ka neutropenia o ke keiki, hiki i kahi hematologist, he kauka loea i nā maʻi koko, ke hana i kekahi mau hoʻokolohua ʻē aʻe. ʻO kēia mau mea:

• Ka nānā ʻana o ke koko o ke keiki ma ka microscopic.
• Ke lawe nei i kahi hāpana liʻiliʻi loa o ka iwi iwi ("(Bone marrow biopsy)`) a ke nānā ʻana ma lalo o kahi microscope.
• Ke hoʻāʻo ʻana no nā maʻi like ʻole.
• Nā hoʻāʻo hoʻoilina.

ʻO kēia mau hoʻokolohua ka mea e hoʻoholo ai i ke kumu kūpono o ka neutropenia.

Pehea e mālama ʻia ai ka Neutropenia?

ʻO ka lāʻau no ka `(Neutropenia)` e pili ana i ke kumu a me ke koʻikoʻi o ke kūlana. ʻAʻole pono ka lāʻau i nā hihia āpau o `(Neutropenia)`.

Hoʻohana nā kauka i kahi waiwai i kapa ʻia ʻo 'ANC (Absolute Neutrophil Count)' e hoʻoholo i nā hoʻoholo lapaʻau. ʻO 'ANC' kahi ana pololei o ka helu o nā '(Neutrophils)' cell i loko o ke koko. ʻO ka haʻahaʻa o kēia waiwai, ʻo ka kiʻekiʻe o ka pilikia o ka loaʻa ʻana o kahi maʻi koʻikoʻi i kahi keiki.

Inā pono ka lāʻau lapaʻau, aia kekahi mau ʻano hana i loaʻa:

1. Hoʻoponopono ʻana i ke kūlana `(Neutropenia)`:

• Nā inikini Granulocyte Colony-Stimulating Growth Factor (G-CSF): Hoʻoulu kēia i ka iwi iwi e hana i nā neutrophils hou aʻe.
• Nā lāʻau lapaʻau steroid: Hoʻohana ʻia kēia mau lāʻau lapaʻau e hoʻōki i ka ʻōnaehana pale o ke kino mai ka luku ʻana i nā neutrophils (ʻoi aku hoʻi i ka neutropenia autoimmune).
• Nā hoʻoili koko keʻokeʻo: Ke hāʻawi ʻana i ke keiki i nā hunaola keu e hakakā ai i nā maʻi.
• Hoʻoili ʻana o nā pūnaewele kumu:ʻO kēia ke komo ʻana i ka hoʻololi ʻana i nā hunaola kumu koko maʻi me nā hunaola kumu olakino mai kahi mea hāʻawi. Hana pinepine ʻia kēia i nā hihia koʻikoʻi.
• Splenectomy: I kekahi manawa hoʻopau ka spleen i nā neutrophils, no laila ʻo ka wehe ʻana i ka spleen hiki ke hoʻonui i nā pae neutrophil.

2. Ke pale ʻana a me ka mālama ʻana i nā maʻi:

• Nā lāʻau lapaʻau: Hāʻawi ʻia nā lāʻau lapaʻau e mālama i nā maʻi inā loaʻa a i kekahi manawa e pale aku i nā maʻi.

3. Nā kuhikuhi kūikawā no nā keiki me ka helu neutrophil haʻahaʻa loa a me ka pilikia kiʻekiʻe o ka maʻi:

Pono e mālama pono ʻia e pale i kēia mau keiki mai nā maʻi.

Mea nui: ʻO ka hahai ʻana i kēia mau ʻōlelo kuhikuhi hiki ke pale i kāu keiki mai nā maʻi he nui.

• E hōʻalo i nā wahi piha kanaka, e like me nā kula, i ka hiki.
• Ke noho kaʻawale ʻana mai ka poʻe maʻi.
• E ʻaʻahu i ka pale maka inā ʻoe e hele ana no nā kumu koʻikoʻi.
• E holoi pono i kou mau lima (me ke kopa a me ka wai no ka liʻiliʻi he 20 kekona) pinepine.
• ʻO ka palaki ʻana a me ka floss ʻana i kou mau niho i kēlā me kēia lā.
• Mai hoʻohana i kahi ana wela rectal e nānā ai i ke kuni (hiki i kēia ke hōʻeha a hoʻolauna i nā germs).
• Inā loaʻa iā ʻoe kahi ʻeha liʻiliʻi, e hoʻomaʻemaʻe koke a kau i kahi palaki.
• E hōʻalo i ka hoʻohana ʻana i nā mea ʻoi e like me ka pahi ʻumiʻumi (no ka mea hiki iā lākou ke hoʻoulu i nā maʻi inā ʻoki ʻia).
• Ke pale ʻana i kekahi mau meaʻai:
• Waiū i hoʻomaʻemaʻe ʻole ʻia a me nā meaʻai waiū.
• ʻO nā huaʻai maka, nā mea kanu, a me nā nati - inā e holoi maikaʻi ʻia a moʻa ʻia, ʻaʻohe pilikia.
• Meli maka.
• Hōʻalo ʻia kēia mau meaʻai no ka mea aia paha nā germs i loko.

Pehea lā e hiki ai iā ʻoukou ma ke ʻano he mau mākua ke kōkua?

Inā loaʻa i kāu keiki ka neutropenia, he mea nui e hahai pololei i nā ʻōlelo a ke kauka.

• E hana i nā hoʻāʻo koko i nā lā i hoʻonohonoho ʻia.
• E hāʻawi i ka lāʻau lapaʻau i kuhikuhi ʻia me ka pololei a me ka manawa kūpono.
• E hahai pono i nā kuhikuhi i hāʻawi ʻia e pale aku i ka maʻi.

Inā ʻoe e hana pololei i kēia mau mea, hiki iā ʻoe ke mālama pono i ke kūlana o kāu keiki.

Āhea ʻoe e ʻike ai i ke kauka? (Nā pilikia!)

He mea nui loa e ʻimi koke i ke kōkua lapaʻau inā hōʻike kekahi keiki me ka neutropenia i kekahi mau hōʻailona o ka maʻi. Me ka mālama koke ʻana, hoʻōla koke ke keiki.

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei , e hoʻomaopopo koke i kāu kauka:

• Inā ʻoi aku ke kuni ma mua o 38 degere Celsius (100.4 Fahrenheit).
• Inā ʻoe e anu, haʻalulu a/a i ʻole e hou ana.
• ʻŪhū, paʻakikī ka hanu ʻana.
• ʻEha waha, ʻeha puʻu.
• ʻEha i ka wā e mimi ai.
• Inā he ʻulaʻula a me ka laha ʻana a puni kahi ʻeha ʻili.
• Ka luaʻi ʻana a i ʻole ka maʻi pākī.
• Kekahi ʻeha hou.

Inā ʻike ʻoe i kahi hōʻailona e like me kēia, e hele koke aku i ke kauka.

Nā mea hou aku e ʻike ai...

Hiki i ka loaʻa ʻana o kahi keiki me kahi maʻi koʻikoʻi ke paʻakikī no kekahi ʻohana. Akā e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. E kamaʻilio me kekahi ma ka hui lapaʻau o kāu keiki a nīnau e pili ana i nā ala e loaʻa ai ke kākoʻo āu e pono ai. Hiki iā ʻoe ke loaʻa hou aku ka ʻike a me ke kākoʻo ma nā pūnaewele lapaʻau hilinaʻi ma ka pūnaewele (e.g., ka pūnaewele o ka World Health Organization, nā pūnaewele o nā haukapila kaulana). Eia naʻe, ʻaʻole pololei nā ʻike āpau i loaʻa ma ka Pūnaewele, no laila he mea nui e kamaʻilio me ke kauka e hōʻoia i ka pololei o ka ʻike.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, no laila, mai kā mākou i kūkākūkā ai i kēia lā, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe o `(Neutropenia)`.

ʻO ka Neutropenia ka emi ʻana o ka helu o nā hunaola koko keʻokeʻo i kapa ʻia he neutrophils i loko o ke koko. Hiki i kēia ke hoʻolilo iā ʻoe i mea maʻalahi i nā maʻi.

He nui nā kumu, a i kekahi manawa ʻaʻole hiki iā ʻoe ke ʻike i ke kumu.

Hana ʻia ka ʻike ma o ka hoʻāʻo koko.

Aia ka lāʻau lapaʻau i ke kumu a me ke koʻikoʻi. ʻAʻole pono ka lāʻau lapaʻau i nā kānaka a pau.

ʻO ka mea nui loa, ʻo ia ke makaʻala i nā hōʻailona o ka maʻi a e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi.

Hiki iā ʻoe ke pale i kāu keiki ma ka hahai pono ʻana i nā ʻōlelo aʻoaʻo lapaʻau a me ka hoʻomaʻamaʻa ʻana i nā ʻano pale ʻana i ka maʻi.

Ke makemake nei au i ka wikiwiki o ka ho'ōla ʻana o kāu keiki! Ke lana nei koʻu manaʻo e kōkua kēia ʻike iā ʻoe.

ʻO Neutropenia, neutropenia, helu haʻahaʻa o nā keʻena koko keʻokeʻo, nā maʻi kamaliʻi, nā maʻi ʻaʻai, ANC, nā maʻi koko, immunodeficiency