He paʻakikī hoʻi iā ʻoe ke ale i ka meaʻai? E aʻo kākou e pili ana i ka maʻi Plummer-Vinson?

He mea paʻakikī iā ʻoe ke ale i ka meaʻai? A i ʻole ke luhi mau nei ʻoe, me ka manaʻo palaualelo? I kekahi manawa, he mea maʻamau kēia mau mea, akā aia paha kekahi kumu ʻē aʻe ma hope o lākou. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi lapaʻau kakaʻikahi akā koʻikoʻi. ʻO ia ka maʻi Plummer-Vinson.

He aha ka maʻi Plummer-Vinson?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Plummer-Vinson (PVS) kahi kūlana e kū pū ai nā hōʻailona pili ʻekolu. I kekahi manawa kapa nā kauka i kēia ʻo "triad," ʻo ia hoʻi "ka hui pū ʻana o ʻekolu." E nānā kākou i kēia mau kūlana ʻekolu:

1. Anemia nele i ka hao: ʻO kēia ka wā ʻaʻole lawa ka hao o kou kino e hana i ka protein i kapa ʻia ʻo hemoglobin i loko o kou mau ʻulaʻula koko. ʻIke ʻoe, ʻo ka hemoglobin ka mea e lawe i ka oxygen i kēlā me kēia cell i loko o kou kino. No laila, ke ʻole lawa ka hao, ʻaʻole i hana pono ʻia ka hemoglobin, a ʻaʻole loaʻa i kou kino ka oxygen e pono ai. ʻO kēia ke kumu o nā hōʻailona e like me ka luhi a me ka mae.

2. Nā ʻupena Esophageal: ʻO kēia ka wā e hana ʻia ai nā ʻiʻo lahilahi a maʻamau ʻole i loko o kou esophagus, a i ʻole ka paipu meaʻai. E noʻonoʻo iā ia e like me ka ʻupena nananana e hana ʻia ma waena o kou esophagus. ʻO kēia ke kumu e ololi ai ka esophagus a paʻa. ʻO kēia ka mea e paʻakikī ai ka hele ʻana o ka meaʻai i lalo.

3. Paʻakikī i ka moni ʻana (Dysphagia): ʻO kēia ka inoa a nā kauka e hāʻawi ai i ka paʻakikī i ka moni ʻana i ka meaʻai a me nā mea inu ma muli o nā pūnaewele esophageal i ʻōlelo ʻia ma luna. Hiki i kekahi poʻe ke paʻakikī i ka moni ʻana ʻaʻole wale i nā meaʻai paʻa akā i nā wai hoʻi.

Ua kapa ʻia kēia ma nā inoa ʻē aʻe. ʻO kekahi ʻo sideropenic dysphagia. A ma United Kingdom, ʻo ia hoʻi, ma ʻEnelani, ua kapa ʻia ʻo Paterson-Brown Kelly syndrome.

Eia kekahi mea āu e makaʻu ʻole ai. ʻO ka poʻe me ka maʻi Plummer-Vinson (PVS) ua ʻōlelo ʻia he kiʻekiʻe iki ka pilikia o ka loaʻa ʻana o ke kanesa esophageal a i ʻole ke kanesa hypopharyngeal ma hope o ke ola. Eia nō naʻe, he pilikia wale nō kēia . E nānā mau kāu kauka iā ʻoe a nānā iā ʻoe e like me ka mea e pono ai e ʻike i kekahi mau kūlana i ka wā mua.

He aha nā hōʻailona o kēia?

ʻAe, e nānā kākou i nā hōʻailona a ke kanaka me ka maʻi Plummer-Vinson (PVS) e hōʻike nei. ʻAʻole like kēia mau hōʻailona i nā kānaka a pau, a loaʻa paha i kekahi poʻe kekahi o nā hōʻailona.

• Manaʻo luhi a luhi mau i nā manawa a pau: He hōʻailona nui kēia o ka nele i ka hao. Manaʻo ʻoe ua luhi ʻoe ma hope o ka hana ʻana i nā hana liʻiliʻi a hiamoe i ka lā a pau.
• Paʻakikī ka hanu ʻana (dyspnea): E manaʻo paha ʻoe i ka hanu pōkole, ʻaʻole wale i ka wā e hele iki ana, e piʻi ana i nā alapiʻi, akā i kekahi manawa ʻoiai ke kū mālie wale nō.
• Ka paʻakikī o ka ale ʻana i ka meaʻai:ʻO kēia ka hōʻailona ʻano nui o kēia maʻi. ʻOiai i ka wā e ale ai i nā meaʻai paʻa, e like me ka laiki, ka berena, ka ʻiʻo a me ka iʻa, aia kahi manaʻo o ka paʻa i ka puʻu a me ka umauma. Pono kekahi poʻe e inu i kahi wai liʻiliʻi e ale ai i ka meaʻai. ʻOiai he paʻakikī nā meaʻai paʻa i ka wā mua, ma hope aku he paʻakikī paha ke ale i nā wai.
• Lilo ke alelo i ka pehu, ka pehu, a me ka ʻulaʻula (glossitis): Lilo ke alelo i laumania, ʻulaʻula, a i kekahi manawa e like me ke kuni ʻana.
• Waha maloʻo (xerostomia): Manaʻo mau ka maloʻo o loko o ka waha, a aia ka manaʻo o ka nele i ka lawai.
• ʻO ka cheilitis angular: Lilo nā kihi o ka waha i māwae, ʻulaʻula, a ʻeha hoʻi.
• Lilo nā kui i mea palupalu a palahalaha e like me nā puna: Ua nāwaliwali loa nā kui a haki maʻalahi. I kekahi manawa piholo nā kui i waenakonu, e like me ka puna (koilonychia).
• ʻO ka pehu ʻana o ke kelepa thyroid a me nā puʻupuʻu (nodules thyroid): ʻO ka kelepa thyroid, aia ma ke alo o ka ʻāʻī, hiki ke hoʻonui ʻia a manaʻo e like me kahi puʻupuʻu.
• Splenomegaly: ʻO ka spleen kahi ʻōkana i loaʻa ma ka ʻaoʻao hema o luna o ko kākou ʻōpū. Hiki iā ia ke pehu i kēia ʻano, akā ʻaʻole ia e hōʻike pinepine i nā hōʻailona nui.

He aha ke kumu o kēia?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā kānaka noiʻi ke kumu o ka maʻi Plummer-Vinson (PVS). Akā, aia kekahi mau mea a lākou e manaʻo nei a kānalua nei:

• ʻO ka hemahema o ka hao kahi mea kānalua nui: Manaʻo ka poʻe he nui ʻo ka hemahema o ka hao no ka manawa lōʻihi e hoʻonāwaliwali ai nā ʻiʻo o ka esophagus a hana i nā ʻupena. Pono ka hao no nā enzyme he nui i loko o ko mākou kino.
• Nā hemahema meaʻai: Aia kahi manaʻoʻiʻo ʻaʻole wale ka hao, akā hiki i nā huaora a me nā minelala ʻē aʻe ke hoʻopilikia i kēia.
• Nā maʻi Autoimmune: Ua lohe paha ʻoe i nā maʻi e like me ka rheumatoid arthritis a me ka maʻi celiac. He mau maʻi autoimmune kēia e kū mai ana i ka wā e hoʻouka ai kā mākou ʻōnaehana pale ponoʻī i kā mākou mau cell ponoʻī. No laila, ʻoiai kekahi poʻe me PVS i loaʻa i kēia mau maʻi, manaʻo nā kauka he pili paha ia i ka ʻōnaehana pale.
• Ka mana hoʻoilina: Manaʻo kekahi poʻe he kūlana hoʻoilina kēia, ʻo ia hoʻi, inā loaʻa i kekahi o ka ʻohana, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe ʻē aʻe.

Akā he mau kumumanaʻo wale nō kēia. Pono ka noiʻi hou aku e ʻike ai i ke kumu pololei.

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

He maʻi laha ʻole ka maʻi Plummer-Vinson (PVS). ʻAʻole ia e pili i nā kānaka a pau. Eia nō naʻe, e like me nā helu helu, ʻoi aku ka maʻamau i nā wāhine keʻokeʻo. Hoʻopilikia pinepine ia i nā wāhine waena, ma waena o 40 a me 70 mau makahiki.ʻO kēia ke kumu maʻamau. Eia naʻe, he mea kākaʻikahi loa ia, ʻo ia hoʻi, he mea kākaʻikahi loa, ua hōʻike ʻia e hana ʻia i loko o ka poʻe ʻōpio a me nā keiki liʻiliʻi.

I ka wā ma mua, ʻo ia hoʻi, i ka hoʻomaka ʻana o nā makahiki 1900, ua maʻamau iki kēia maʻi ma nā ʻāina Scandinavian (e.g., Suedena, Norewai). Eia naʻe, i ka hopena o nā makahiki 1900, ʻo ia hoʻi, i nā makahiki he ʻumi i hala iho nei, ua emi iki kona maʻamau ma ia mau ʻāina. ʻO ke kumu nui o kēia, ua manaʻo ʻia ʻo ia ka hoʻomaikaʻi ʻana i ke kūlana meaʻai o ka poʻe ma ia mau ʻāina i kēlā manawa, ʻoiai ka maʻalahi o ka loaʻa ʻana o nā meaʻai waiwai i ka hao.

He aha nā pilikia e hiki mai ana o ka PVS?

E like me kā mākou i kamaʻilio ai ma mua iki, ua ʻike ʻia he kiʻekiʻe iki ka pilikia o ka poʻe me ka maʻi Plummer-Vinson (PVS) i ka hoʻomohala ʻana i ke kanesa esophageal a me ke kanesa hypopharyngeal, kahi maʻi kanesa ma ka ʻaoʻao haʻahaʻa o ka puʻu, i kapa ʻia ʻo hypopharynx, ma mua o ka poʻe me ka ʻole o PVS.

Akā, mai hopohopo i kēia. ʻAʻole e loaʻa i nā kānaka a pau me PVS ka maʻi kanesa. He mea pilikia wale nō kēia.

Ma muli o ka laha ʻole o kēia maʻi, ʻaʻole lawa ka ʻikepili noiʻi e ʻōlelo pololei i ka nui o ka poʻe me PVS e loaʻa maoli ana i ka maʻi kanesa.

Akā inā loaʻa iā ʻoe kēia maʻi, e hoʻāʻo kāu kauka e ʻike i kekahi mea e like me ke kanesa i ka wā mua , no ka mea, aia ka manawa kūpono e mālama ʻia a ho'ōla ʻia. No laila he mea nui e hele i nā nānā maʻamau, e like me ka ʻōlelo a kāu kauka.

Pehea e ʻike ʻia ai ka maʻi Plummer-Vinson (PVS)?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe a nānā iā ʻoe. A laila, e kauoha lākou i nā hoʻāʻo koko a me kekahi mau kaʻina hana kiʻi kūikawā e hōʻoia inā he PVS kāu.

• Nā hoʻāʻo koko: Nānā nui kēia i ka anemia nele i ka hao.
• Helu Koko Piha (CBC): Hiki i kēia ke nānā i nā mea he nui e like me kou koko koko ʻulaʻula, koko koko keʻokeʻo, a me nā pae hemoglobin.
• ʻO ka Peripheral Blood Smear (PBS): Pili kēia i ka nānā ʻana i kahi hāpana koko ma lalo o kahi microscope e nānā i ke ʻano a me ka nui o nā hunaola koko ʻulaʻula. I ka nele o ka hao, hiki i nā hunaola koko ʻulaʻula ke liʻiliʻi a maeʻele (microcytic, hypochromic).
• Nā hoʻāʻo pae hao: ʻO nā hoʻāʻo e like me ka serum ferritin, serum iron, a me TIBC (Total Iron Binding Capacity) hiki ke hāʻawi i kahi manaʻo o ka nui o ka hao i loko o ke kino.

• Nā hoʻāʻo kiʻi: Ke nānā nei kēia mau mea i nā ʻupena esophageal a me ke kumu o ka dysphagia.
• ʻO ka endoscopy luna (OGD - Oesophago-Gastro-Duodenoscopy):Ma kēia, ua hoʻokomo ʻia kahi ʻōmole me kahi kāmela liʻiliʻi i hoʻopili ʻia ma o ka waha a ua nānā ʻia ka esophagus, ka ʻōpū, a me ka hapa mua o ka ʻōpū liʻiliʻi. Hiki iā ʻoe ke ʻike pololei inā loaʻa nā pūnaewele. Inā pono, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) no ka nānā ʻana.
• Barium ale / Esophagram: Ma kēia hoʻāʻo, inu ʻoe i kahi mea i kapa ʻia ʻo barium a lawe ʻia nā kiʻi X-ray. Hōʻike ka barium i ka esophagus ma ka X-ray, e ʻae ana iā ʻoe e ʻike i nā wahi o ka mānoanoa a i ʻole ka paʻa.
• Videofluoroscopy: He hoʻāʻo X-ray nō hoʻi kēia. Hoʻopaʻa ia i kahi wikiō o ʻoe e moni ana i nā ʻano meaʻai like ʻole. Hiki i kēia ke kōkua iā ʻoe e ʻike pono i ke ʻano o kāu moni ʻana a me kahi o ka pilikia.

I kekahi manawa pono paha ke kauka e hana i nā hoʻokolohua hou aʻe e ʻike ai i ke kumu maoli o ka hemahema hao. Eia kekahi laʻana, e ʻimi paha lākou i nā ʻōpū ʻōpū a i ʻole ke kahe koko i loko o nā ʻōpū.

Pehea e mālama ʻia ai kēia?

ʻElua mau pahuhopu nui i ka mālama ʻana i ka maʻi Plummer-Vinson (PVS). ʻO kekahi e hoʻoponopono i ka hemahema hao , a ʻo kekahi e hoʻoponopono i ka pilikia o ke ale ʻana i ka meaʻai .

• Lapaʻau no ka nele i ka hao:
• ʻO ka mea nui, ʻo ia ka hāʻawi ʻana i kou kino i ka hao e pono ai. Hiki iā ʻoe ke lawe i nā mea hoʻohui hao no kēia. Pono ʻoe e lawe i kēia mau mea e like me ka ʻōlelo a kāu kauka iā ʻoe, no ka lōʻihi o ka manawa āu e pono ai.
• No kekahi poʻe, inā ʻaʻole i komo pono nā pila hao waha, a inā he koʻikoʻi loa ka hemahema o ka hao, hiki ke hāʻawi ʻia ka hao ma ke ʻano intravenous (IV - Intravenous iron).
• Inā loaʻa iā ʻoe kekahi maʻi olakino ʻē aʻe e hoʻoulu ai i ka nele i ka hao (e like me ke kahe koko nui o ka menstrual, hemorrhoids, ʻōpū ʻōpū), pono ʻoe e mālama i kēlā.

• Lapaʻau no ka pilikia o ka moni ʻana (Dysphagia):
• I ka hapanui o nā hihia, ke mālama ʻia kēia hemahema hao, a loaʻa i ke kino ka hao, nalowale koke nā ʻupena esophageal, a ua emi nui ka paʻakikī i ke ale ʻana i ka meaʻai.
• Ke manaʻo nei ʻaʻole hiki i ka lāʻau hao wale nō ke ho'ōla piha i kou pilikia i ka ale ʻana. Inā pēlā, aia kekahi kaʻina hana e hoʻonui ai, a i ʻole e hoʻolōʻihi ai, i kou esophagus. Ua kapa ʻia ʻo ia he esophageal dilation . Hana ʻia kēia i ka wā o kahi endoscopy. Hoʻokomo ʻia kahi mea liʻiliʻi e like me ka pōpō i loko o ka ʻāpana haiki o ka esophagus a hoʻopiha ʻia a hoʻonui ʻia paha e hoʻonui i ka esophagus. ʻAʻole kēia he ʻoki kino nui, akā he kaʻina hana maʻalahi, ʻaʻohe ʻeha e pili ana i ka hana ʻole ʻana i nā ʻoki ma ka esophagus. Pono paha kekahi poʻe e hana i kēia ma mua o hoʻokahi manawa.

He aha ka manaʻo no kēia kūlana?

ʻO kaʻoiaʻiʻo, hiki i kekahi me ka maʻi Plummer-Vinson (PVS) ke manaʻo i nā hopena maikaʻi a me ka ho'ōla hou ʻana .

No nā kānaka he nui, ke hoʻoponopono ʻia ka hemahema o ka hao, ua emi nui nā hōʻailona o ka anemia (e like me ka luhi a me ka pōkole o ka hanu). Eia kekahi, ua hoʻomaikaʻi nui ʻia ka paʻakikī o ka ale ʻana i ka meaʻai.

Inā ʻaʻole i hoʻopau ʻia ka paʻakikī o ke ale ʻana e ka lāʻau hao wale nō, hoʻomaikaʻi pinepine ka lāʻau hoʻonui esophageal i ka paʻakikī o ke ale ʻana. Pono paha kekahi poʻe e hana i kēia lāʻau hoʻonui ma mua o hoʻokahi manawa. Akā he hana maʻalahi loa ia a haʻahaʻa ka pilikia.

Makemake paha kāu kauka e hana i ka endoscopy kiaʻi e nānā i nā kūlana e like me ke kanesa i loko o kou esophagus a i ʻole ka puʻu. Akā e hoʻomanaʻo, ʻo ka loaʻa ʻana o ka PVS he mea pilikia wale nō ia no ka maʻi kanesa. ʻO ka loaʻa ʻana o ka PVS ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka maʻi kanesa.

E kamaʻilio me kāu kauka e pili ana i ka hopena o ka loaʻa ʻana o ka PVS i kou pilikia o ka maʻi kanesa, pehea e mālama ai iā ia i ka wā e hiki mai ana, a me ka pinepine o kou hoʻāʻo ʻia.

Hiki ke pale ʻia ka Plummer-Vinson Syndrome (PVS)?

ʻAʻole maopopo loa i nā kauka ke kumu o ka maʻi Plummer-Vinson (PVS), no laila ʻaʻole hiki ke ʻōlelo maopopo inā he ala kikoʻī e pale aku ai.

Eia nō naʻe, ʻo ka pale ʻana i ka hemahema hao a me ka mālama ʻana iā ia i ka wā hikiwawe inā loaʻa iā ʻoe kahi kūlana e hoʻoulu ai i ka hemahema hao e hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka PVS.

No laila, he manaʻo maikaʻi e hōʻoia i ka loaʻa ʻana o ka hao lawa mai kāu meaʻai a inu. E hoʻokomo i nā meaʻai waiwai i ka hao (e like me ka ʻiʻo ʻulaʻula, pi, spinach, lentils, soy) i kāu papaʻai.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka anemia (no ka laʻana, ka luhi hiki ʻole ke hoʻomanawanui, ka pōkole o ka hanu mau, ka ʻili keʻokeʻo), a inā ʻaʻole e hoʻomaikaʻi kēlā mau hōʻailona ma hope o ʻelua pule, e ʻike pono i ke kauka.

Eia kekahi, inā manaʻo ʻoe e pilikia ana ʻoe i ka ale ʻana i ka meaʻai, ʻoiai inā manaʻo ʻoe e paʻa ana ʻoe i ka meaʻai paʻa , a ʻaʻole i hoʻomaikaʻi ke ʻano, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo ma mua o ka hoʻowahāwahā ʻana.

He aha kaʻu e nīnau aku ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, e nīnau iā ia e pili ana i kou mau hopohopo a me kou mau makaʻu. Eia kekahi laʻana, hiki iā ʻoe ke nīnau i nā nīnau e like me:

• He aha ka mea e hiki ai ke hoʻoulu i koʻu anemia?
• He aha nā hoʻokolohua e pono ai iaʻu e hana e ʻike pono ai inā loaʻa iaʻu ka maʻi Plummer-Vinson (PVS)?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
• Pono anei au e hana i ke ʻoki hoʻonui esophageal e hoʻoponopono ai i koʻu dysphagia? ʻEhia mau manawa e pono ai iaʻu e hana?
• Pono anei au e hopohopo e pili ana i koʻu pilikia o ka maʻi kanesa i ka wā e hiki mai ana? He aha kaʻu e hana ai e pili ana i ia mea?

Inā manaʻo ʻoe he mau hōʻailona kou o ka maʻi Plummer-Vinson (PVS), e ʻike koke i ke kauka. ʻAʻole pono ʻoe e noho me ka luhi ʻole e hele mai me ka anemia. ʻAʻole hoʻi ʻoe e noho me ka ʻeha o ka moni ʻana (dysphagia) e hoʻolilo ai i ka ʻai ʻana i mea luhi. I kekahi manawa ua maʻalahi ka hopena e like me kekahi mau papa hao. Inā ʻaʻole, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka hoʻonui ʻana i kou esophagus. Eia nō naʻe, aia nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e ʻoluʻolu .

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo

He maʻi laha ʻole ka maʻi Plummer-Vinson (PVS). Eia nō naʻe, ʻo kona mau hiʻohiʻona nui ka anemia nele i ka hao, ka paʻakikī i ka moni ʻana (dysphagia), a me nā ʻupena esophageal . Inā ʻoe e ʻike nei i ka luhi mau, ka paʻakikī i ka moni ʻana, a i ʻole ka ʻeha o ke alelo, he mea nui e ʻike i ke kauka ma mua o ka hoʻokuʻu ʻana iā ia he mea maʻamau.

Aia nā lāʻau lapaʻau maikaʻi no PVS. I ka hapanui o nā hihia, hoʻomaikaʻi ka nui o nā hōʻailona ke hoʻoponopono ʻia ka hemahema hao a hoʻonui ʻia ka esophagus inā pono.

ʻOiai ke kamaʻilio nei mākou e pili ana i ka pilikia o ka maʻi kanesa, e hoʻomanaʻo he mea pilikia wale nō ia. Inā ʻoe e kamaʻilio me kāu kauka, e kiʻi i nā hoʻokolohua e pono ai, a loaʻa ka lāʻau kūpono, hiki iā ʻoe ke noho olakino. No laila, mai makaʻu i kekahi mea, a inā he pilikia kāu, e ʻimi koke i ke kōkua lapaʻau. He waiwai nui kou olakino iā ʻoe!

ʻO ka maʻi Plummer-Vinson, PVS, nele i ka hao, dysphagia, paʻakikī i ka moni ʻana, nā varices esophageal, anemia