Ke luhi mau nei ʻoe? Ke nāwaliwali nei ʻoe ma hope o ka hele wāwae ʻana no kekahi manawa pōkole? Ke manaʻo nei ʻoe ʻaʻohe ou makemake e ʻai, a ke nānā aku nei ʻoe he keʻokeʻo? ʻO ka hapa nui o ka manawa, ʻaʻole mākou e nānā nui i kēia mau mea, me ka manaʻo he mea maʻamau lākou. Eia nō naʻe, aia paha he kumu koʻikoʻi ma hope o kēia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi maʻi koʻikoʻi akā hiki ke mālama ʻia i hoʻokumu ʻia e ka nele o ka wikamina B12. Kāhea mākou i kēia he Pernicious Anemia .
I ka ʻōlelo maʻalahi, he aha ka Pernicious Anemia?
ʻO ka Anemia Pernicious kekahi o nā kumu nui o ka nele o ka huaora B12. I ka pololei, he maʻi autoimmune kēia. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kahi maʻi autoimmune. I ka ʻōlelo maʻalahi, ʻo ka hana nui o kā mākou ʻōnaehana pale ʻana, ʻo ia ke kaua aku i nā mea komo hewa mai nā ʻāina ʻē a pale iā mākou mai ka maʻi. Eia nō naʻe, i kēia kūlana, hoʻomaka hewa kā mākou ʻōnaehana pale ponoʻī e hoʻouka i kā mākou mau hunaola olakino ponoʻī.
Hana ʻia kekahi mea like ma ka Pernicious Anemia. Hoʻouka kā mākou ʻōnaehana pale i kekahi mau cell i loko o nā ʻōpū (ʻōpū). Hoʻopuka kēia mau cell i kahi protein kūikawā i kapa ʻia ʻo Intrinsic Factor e kōkua i ke kino e omo i ka huaora B12. Ke nele kēia protein, ʻaʻohe mea i ka nui o ka huaora B12 a mākou e ʻai ai, ʻaʻole ia e omo ʻia e ke kino a hoʻonele ʻia.
He mea nui loa ka wikamina B12 no ko kākou kino. ʻOi aku ka nui, he mea nui ia no ka hana ʻana o nā hunaola koko ʻulaʻula, ka mea e lawe ana i ka oxygen i loko o ke koko. No laila, ke nele ka wikamina B12, emi iho ka hana ʻana o nā hunaola koko ʻulaʻula olakino. ʻO kēia ka mea a kākou e kapa nei he anemia .
ʻO ke ʻano o ka inoa Pernicious Anemia he "mea ʻino." Loaʻa kona inoa no ka mea, inā ʻaʻole mālama ʻia, hiki i kēia maʻi ke hōʻeha nui i kā mākou ʻōnaehana nerve.
Pehea ka hopena o kēia maʻi i koʻu kino?
Hiki i ka anemia pernicious ke hoʻopilikia i kekahi mau ʻōnaehana kino.
- ʻŌnaehana hoʻoheheʻe: Hiki ke loaʻa ka luaʻi, ka pehu ʻana, a me ka pohō kaumaha.
- ʻŌnaehana aʻalolo: ʻO kēia ka mea weliweli loa. Hiki iā ia ke alakaʻi i ka nāwaliwali o nā ʻiʻo, ka mae ʻana o nā lālā, ka nalowale o ka hoʻomanaʻo, a me ka dementia.
- Puʻuwai: Hiki iā ʻoe ke loaʻa nā palpitations a i ʻole nā puʻuwai puʻuwai kūpono ʻole.
- Ola kino laulā: ʻO ka luhi mau a me ka nāwaliwali nā hōʻailona nui.
ʻIke pinepine ʻia kēia maʻi ma waena o nā makahiki 60 a me 80, ʻoi aku hoʻi i waena o ka poʻe o ka hanauna ʻEulopa ʻĀkau.
He aha nā hōʻailona o ka Anemia Pernicious?
ʻO kekahi o nā mea kūikawā e pili ana i kēia, hiki ke hala nā makahiki no ka ʻike ʻia ʻana o nā hōʻailona. ʻO kēia no ka mea mālama ko mākou kino i ka huaora B12 i loko o ke akepaʻa a hoʻohana iki iā ia. Hiki i kēia mālama ke hala ma kahi o 3-5 mau makahiki e pau ai. ʻOiai i kēlā manawa, he manawa iki ka manawa no ka ʻike ʻia ʻana o nā hōʻailona.
I ka emi ʻana o nā pae o ka wikamina B12, e ʻoi aku ka koʻikoʻi o nā hōʻailona. Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi o kēia mai ka papa ma lalo nei.
| ʻAno o ka hōʻailona | Nā mea e ʻike ai |
|---|---|
| Nā hōʻailona mua (pinepine ʻia e kuhihewa ʻia no kekahi maʻi ʻē aʻe) | |
| ʻŌnaehana hoʻoheheʻe | Ka maʻi pākīkī a i ʻole ka paʻa ʻana o ka ʻōpū, ka nalowale o ka makemake, ka ʻōpū puʻuwai. |
| ʻAno kino | ʻIli keʻokeʻo, jaundice iki (melemele o nā maka a i ʻole ka ʻili). |
| Nā pilikia maʻamau | Pōniuniu, paʻakikī ka hanu ʻana (dyspnea) i ke kū ʻana a i ʻole ka hoʻoikaika kino ʻana, pehu ke alelo, ʻulaʻula, a i ʻole ke kahe ʻana o ke koko o nā ʻāʻī. |
| Nā hōʻailona o ka ʻōnaehana nerve i hoʻokumu ʻia e nā pae haʻahaʻa B12 i ka hala ʻana o ka manawa | |
| Noʻonoʻo a me ke ʻano | Huikau, nalowale ka hoʻomanaʻo no ka manawa pōkole, kaumaha, paʻakikī i ka noʻonoʻo ʻana, huhū, nā hallucinations. |
| Nā maʻi neurological kino | Ka nalowale o ke kaulike, ka mae ʻana a i ʻole ka nalowale o ka ʻike ma nā lima a me nā wāwae. |
| ʻIke | Hoʻopilikia ʻia ka ʻike maka ma muli o ka hōʻino ʻia ʻana o ke aʻalolo optic. |
Aia kekahi mau kumu ʻē aʻe o ka Pernicious Anemia?
ʻAe. Ma waho aʻe o ke kūlana autoimmune i kapa ʻia ʻo Pernicious Anemia, ʻaʻole hiki paha i ke kino ke omo i ka huaora B12 no nā kumu ʻē aʻe.
- ʻO ke ʻoki ʻōpū: Ke hana ʻia ke ʻoki ʻana e wehe i kahi ʻāpana a i ʻole ka ʻōpū holoʻokoʻa (e like me ke ʻoki bypass gastric no ka momona), nalowale nā pūnaewele e kōkua ana i ka omo ʻana i ka huaora B12.
- ʻO ke ʻoki ʻana i ka ʻōpū liʻiliʻi: ʻO ka wehe ʻana i kahi ʻāpana o ka ʻōpū liʻiliʻi e hōʻemi i ka hiki ke omo i ka huaora B12.
- Nā Bacteria ʻōpū liʻiliʻi: Ma ke ʻano i kapa ʻia ʻo Small Intestinal Bacterial Overgrowth (SIBO) , ulu nā bacteria ʻino i loko o ka ʻōpū liʻiliʻi a ʻai i ka huaora B12 ma mua o ka hiki ke omo ʻia e ke kino.
- ʻO kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau no ka maʻi diabetes, epilepsy, a me kekahi mau antibiotics ke hoʻopilikia i nā pae vitamin B12.
- Nā Maʻi Ilo Tape: ʻO ka ʻai ʻana i ka iʻa i moʻa ʻole ʻia a loaʻa i ka maʻi hiki ke hana i nā maʻi ilo tape. ʻAi kēia mau parasites i ka huaora B12.
- ʻAi: ʻO ka poʻe vegan loa a i ʻole e hahai ana i ka ʻai mea kanu e nele paha i ka wikamina B12 i kā lākou ʻai.
- Nā maʻi ʻē aʻe: ʻO nā maʻi o ka ʻōnaehana hoʻoheheʻe e like me ka maʻi Celiac a i ʻole ka maʻi Crohn e paʻakikī ai ke komo ʻana i ka huaora B12.
- Nā maʻi Hormonal: ʻO ka poʻe me nā kūlana autoimmune e like me ka hypoparathyroidism a me ka maʻi Graves e piʻi nui ana ka pilikia o ka hoʻomohala ʻana i ka anemia pernicious.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui e ʻike i kāu kauka. E nānā ʻo ia iā ʻoe, e lawe i kāu mōʻaukala olakino, a kauoha i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
- Hoʻāʻo pae wikamina B12: Ke ana kēia i ka nui o ka wikamina B12 i loko o ke koko.
- Helu Koko Piha (CBC): Hiki i kēia ke hoʻoholo i ke ʻano a me ke koʻikoʻi o ka anemia.
- ʻO nā hoʻokolohua koko kūikawā ʻē aʻe: ʻO nā hoʻokolohua e like me ka helu Reticulocyte, LDH, Serum bilirubin, MMA, Homocysteine pae, a me nā mea ʻē aʻe, hāʻawi i ka ʻike hohonu e pili ana i ka hemahema o ka vitamin B12 a me ka hana o ka iwi ʻiʻo.
- Hoʻāʻo antibody: Hoʻāʻo kēia i ke koko no nā antibodies e hoʻouka i nā hunaola ʻōpū a me ka intrinsic factor.
- Endoscopy Luna:Hoʻokomo ʻia kahi kāmela e like me ka paipu (endoscope) ma o ka waha a nānā ʻia ka uhi o ka ʻōpū.
Pehea e mālama ʻia ai? E hoʻomaikaʻi anei?
Aia kekahi lāʻau lapaʻau no kēia, a ʻo ia ka nūhou maikaʻi loa! ʻOiai ʻaʻole hiki i kou kino ke omo i ka huaora B12, e kuhikuhi mua kāu kauka iā ʻoe i nā inikini huaora B12 . Hāʻawi pololei ʻia kēia mau mea i loko o kahi ʻiʻo, no laila e hele pololei lākou i loko o kou kahe koko me ka ʻole o ka hele ʻana ma ka ʻōpū.
Ke hoʻi hou kāu pae wikamina B12 i ka maʻamau, e aʻo ʻia paha ʻoe e hoʻomau i ka lawe ʻana i nā papa wikamina B12 nui (pani waha B12). E hoʻomau kāu kauka i ka nānā ʻana i kou kūlana a hoʻololi i kāu lāʻau lapaʻau.
E hoʻomaka ʻoe e ʻike i ka hōʻoluʻolu nui i loko o kekahi mau lā o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Eia nō naʻe, hiki ke hala i kekahi mau pule no ka nalowale loa ʻana o kāu mau hōʻailona a e ʻoi aku kou maikaʻi.
ʻAʻole hiki ke ho'ōla loa ʻia ka anemia pernicious. Eia nō naʻe, ma ka lawe ʻana i ka huaora B12 i kou ola a pau, hiki iā ʻoe ke kāohi i nā hōʻailona a ola i kahi ola olakino piha.
Akā e hoʻomanaʻo, ʻaʻole paha e hoʻihoʻi piha ʻia ka pōʻino i ka ʻōnaehana nerve me ka wikamina B12. No laila, he mea nui loa ka ʻike ʻana i ka maʻi a hoʻomaka i ka lāʻau lapaʻau i ka wā mua.
Pehea wau e mālama ai iaʻu iho?
Inā loaʻa iā ʻoe ka Pernicious Anemia, pono ʻoe e lawe i ka huaora B12 no ke koena o kou ola, e like me ke kauoha a kāu kauka. He mea pono ia.
Inā loaʻa iā ʻoe ka hemahema o ka B12 ma muli o nā kumu ʻē aʻe, hiki i ka hoʻololi ʻana i kāu meaʻai ke kōkua. ʻO nā meaʻai i waiwai i ka wikamina B12:
- Nā ʻiʻo e like me ka pipi, ke akepaʻa, ka moa, a me ka iʻa
- Nā hua manu a me nā huahana waiū (waiū, yogurt, tīhi)
- Nā meaʻai kakahiaka me ka huaora B12 i hoʻohui ʻia
- Nā huahana soy me ka huaora B12 i hoʻohui ʻia
He manaʻo maikaʻi e kamaʻilio me kāu kauka a loaʻa ka ʻōlelo aʻoaʻo no ka papaʻai kūpono iā ʻoe.
Leka Lawe-Home
- ʻO ka anemia pernicious kahi ʻano anemia i hoʻokumu ʻia e ko mākou ʻōnaehana pale ponoʻī a i hoʻokumu ʻia e ka nele o ka huaora B12.
- ʻO nā hōʻailona e like me ka luhi mau, ka maeʻele, a me ka pōkole o ka hanu e palupalu paha i ka wā mua, akā hiki ke lilo i mea koʻikoʻi i ka hala ʻana o ka manawa.
- Inā waiho ʻole ʻia kēia kūlana i ka mālama ʻole ʻia, hiki iā ia ke hōʻeha nui i ka ʻōnaehana nerve.
- Inā hoʻomau ʻoe i kēia mau hōʻailona, e ʻike pono i kāu kauka me ka ʻole o ka manaʻo i kekahi kumu ʻē aʻe.
- ʻO ka lāʻau lapaʻau e pili ana i nā inikini a i ʻole nā pila vitamin B12 no ke ola holoʻokoʻa. Hiki iā ʻoe ke ola i kahi ola olakino a maʻamau.
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