Inā loaʻa iā ʻoe ka rheumatoid arthritis (RA), ua ʻike mua paha ʻoe i ke ʻano o ka paʻakikī o ke ola ʻana me ka ʻeha. Akā ua ʻike anei ʻoe aia kekahi maʻi kakaikahi ʻē aʻe, akā i kekahi manawa koʻikoʻi hiki ke hana ʻia e kēia arthritis? ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā. Ua kapa ʻia ʻo Rheumatoid Vasculitis . Mai hopohopo, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka Rheumatoid Vasculitis?
I ka ʻōlelo maʻalahi, ʻo ka Rheumatoid Vasculitis kahi mumū, a i ʻole ka pehu ʻana, o kou mau kīʻaha koko. Hoʻokumu ʻia kēia e kou maʻi rheumatoid arthritis.
E wehewehe iki kākou i kēia:
- Vasculitis: Pili kēia i ka mumū o kou mau kīʻaha koko. E noʻonoʻo i nā kīʻaha koko ma loko o ko kākou kino e like me kahi pūnaewele o nā paipu wai. Ke kahe nei ke koko ma o kēia mau paipu. I ka vasculitis, lilo nā paia o kēia mau paipu i pehu, kahi e ālai ai i ke kahe o ke koko.
- ʻO ka Rheumatoid Arthritis: Ua ʻike ʻoe i kēia. ʻO ka mea e hana ʻia ana, ʻo ia ka hoʻouka hewa ʻana o ka ʻōnaehana pale ponoʻī o ko mākou kino i ko mākou mau hono ponoʻī.
- Maʻi Autoimmune: Hāʻule nā maʻi ʻelua i luna i kēia māhele. I ka ʻōlelo maʻalahi, ua like ia me ka pūʻali koa i manaʻo ʻia e pale i ko mākou ʻāina e hoʻouka hewa ana i ko mākou poʻe ponoʻī. ʻO ka ʻōnaehana pale, ka mea i manaʻo ʻia e pale i ko mākou kino, hoʻomaka e hoʻouka i kā mākou mau hunaola olakino ponoʻī.
No laila, i loko o ka Rheumatoid Vasculitis, ʻo ka mea e hana ʻia ana, ʻo ka ʻōnaehana pale, ka mea i hoʻopilikia ʻia e ka rheumatoid arthritis, hoʻomaka e hoʻouka ʻaʻole wale i nā hono, akā i nā kīʻaha koko hoʻi.
Pehea ka maʻamau o kēia ʻano?
He maʻi laha ʻole kēia. No laila, mai hopohopo i ka heluhelu ʻana i kēia. ʻAʻole wale ma Sri Lanka, akā ma ka honua holoʻokoʻa, he kakaikahi ka poʻe i loaʻa i kēia maʻi.
I ka wā ma mua, ua maʻamau loa kēia ʻano maʻi i waena o nā poʻe maʻi rheumatoid arthritis. Akā i kēia manawa, no ka mea, aia nā lāʻau lapaʻau holomua a maikaʻi hoʻi no ka rheumatoid arthritis, ua emi nui ka nui o ka rheumatoid vasculitis. He nūhou maikaʻi maoli kēlā.
ʻIke pinepine ʻia kēia maʻi i nā poʻe ma luna o 50 mau makahiki i loaʻa i ka rheumatoid arthritis no ka manawa lōʻihi.
He aha nā hōʻailona? Pehea mākou e ʻike ai i kēia?
Hiki ke ʻokoʻa nā hōʻailona o kēia maʻi mai kēlā kanaka a kēia kanaka. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau a me kekahi mau hōʻailona koʻikoʻi. E nānā kākou i kēia mau mea ma ke ʻano maʻalahi e hoʻomaopopo.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Nā hōʻailona i ʻike pinepine ʻia | |
| Nā ʻeha ʻili | Nā ʻeha liʻiliʻi e ho'ōla ʻole ai, ʻoiai ma nā manamana lima a puni paha o nā kui. |
| Nā kiko/puʻupuʻu ʻili | Nā kiko ʻulaʻula, poni a i ʻole nā puʻupuʻu liʻiliʻi ma ka ʻili. |
| ʻOle ke kala ʻili | E ʻike paha ʻoe i kahi loli i ke kala o ka ʻili, e like me ka palapū. |
| ʻEha ma nā lālā | ʻEha ma nā lima, nā manamana lima, nā wāwae, a me nā manamana wāwae. |
| Ka mae ʻana o nā lālā | ʻO ka manaʻo mae a ʻūlū paha, ʻoiai ma nā lima a me nā wāwae. |
| Nāwaliwali o nā ʻiʻo | Manaʻo o ke ola ʻole a me ka nāwaliwali o nā ʻiʻo. |
| Nā hōʻailona e hiki ke kū mai inā koʻikoʻi ke kūlana | |
| ʻeha ka ʻōpū | ʻEha ʻōpū. |
| ʻUmi a me ka ʻeha o ka umauma | Hiki ke hana i kēia mau mea inā pilikia nā kīʻaha koko i loko o nā māmā. |
| Ka nalowale o ka makemake a me ka pohō kaumaha | ʻO ka nalowale o ka makemake a me ka pohō kaumaha no ke kumu ʻole. |
| Kuni a me ka luhi nui | Ke kuni a me ka luhi mau ma muli o ka mumū o ke kino. |
ʻO ka mea nui loa, ʻo ia ke haʻi koke aku i kāu kauka inā loaʻa iā ʻoe ka rheumatoid arthritis a ʻike ʻoe i kekahi mau hōʻailona hou e like me kēia, ʻoiai nā loli o ka ʻili.
ʻO wai ka mea i ʻoi aku ka pilikia no kēia maʻi?
ʻOiai hiki i kekahi me ka rheumatoid arthritis ke loaʻa i kēia, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki. E nānā kākou iā wai lākou.
| Kumu pilikia | ʻO ia hoʻi... |
|---|---|
| Loaʻa iā RA koʻikoʻi | No ka poʻe i kāohi maikaʻi ʻole ʻia ko lākou maʻi rumatika a aia i kahi pae koʻikoʻi. |
| Loaʻa iā RA no ka manawa lōʻihi | ʻO ka maʻamau no nā poʻe i loaʻa i ka rumatika no nā makahiki he 10 a ʻoi. |
| ʻO ka loaʻa ʻana o ka RA i nā hono he nui (Polyarthritis) | Inā ua hoʻopilikia ka maʻi ʻaʻai i nā hono he nui i ke kino. |
| Ke alo o nā nodules Rheumatoid | Nā puʻu liʻiliʻi, ʻeha ʻole e hana ana ma lalo o ka ʻili kokoke i nā hono. |
| Loaʻa iā Felty Syndrome | ʻO kēia kekahi pilikia kakaikahi o RA, e pili ana i ka spleen i hoʻonui ʻia a me ka emi ʻana o ka helu o nā cell koko keʻokeʻo. |
| Puhipaka | He mea pilikia nui kēia. Loaʻa i ka poʻe puhipaka kahi pilikia kiʻekiʻe loa o ka loaʻa ʻana o kēia maʻi. |
Nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia
He mea kākaʻikahi loa kēia a hiki wale mai inā ʻaʻole hana pono ʻia ka lāʻau lapaʻau.
- Necrosis: Make ʻana o nā ʻiʻo ma ka ʻili i hoʻopilikia ʻia ma muli o ka nalowale o ke koko.
- Nā hōʻeha puʻuwai: Inā pilikia nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai.
- Nā hahau: Hoʻopilikia i nā kīʻaha koko e hoʻolako koko i ka lolo.
Ma mua o ka makaʻu i kēia mau mea, ʻoi aku ka nui o ka ʻimi ʻana i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona. Hiki i kēia ke kōkua i ka pale ʻana i ia mau maʻi koʻikoʻi.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
E nānā pono kāu kauka iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. He mea nui iā ia e ʻike i ka lōʻihi o kou loaʻa ʻana i ka rheumatoid arthritis a me nā lāʻau lapaʻau āu e lawe nei.
A laila, hiki ke hana i kekahi mau hoʻokolohua e hōʻoia i ka maʻi:
- Nā hoʻāʻo koko: E ʻike e pili ana i ke kiʻekiʻe o ka mumū o ke kino a me ka hana a ka ʻōnaehana pale.
- Biopsy: ʻO kēia ke ala maikaʻi loa e hōʻoia ai i ka maʻi. Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻili a i ʻole nā ʻiʻo ʻē aʻe i hoʻopilikia ʻia a nānā ʻia ma lalo o kahi microscope e ʻike inā he mumū i loko o nā kīʻaha koko.
- Angiogram: He ʻano X-ray kēia. Hoʻokomo ʻia kahi waihoʻoluʻu kūikawā i loko o nā kīʻaha koko e nānā i nā mea i ālai ʻia a i ʻole nā hōʻino ʻia i nā kīʻaha koko.
- Nā scan ʻē aʻe: Hiki ke hana ʻia nā scan CT, nā scan MRI, a pēlā aku e like me ka mea e pono ai.
Pono paha ʻoe e ʻike i kahi rheumatologist.
He aha nā lāʻau lapaʻau?
ʻElua mau pahuhopu nui o ka mālama ʻana. ʻO kekahi ka kaohi ʻana i nā hōʻailona, a ʻo kekahi ka pale ʻana i ka hōʻino ʻana i nā kīʻaha koko a me nā ʻōpū o loko.
1. Ka hoʻomalu maikaʻi ʻana i ke kūlana rheumatoid arthritis:I ka hapanui o nā hihia, ke hoʻoikaika ʻia kāu lāʻau lapaʻau RA a ua kāohi maikaʻi ʻia ka maʻi, e kāohi ʻia hoʻi ke ʻano o ka Rheumatoid Vasculitis. No laila, pono paha ʻoe e kamaʻilio me kāu kauka e pili ana i kāu lāʻau lapaʻau o kēia manawa a hana i nā hoʻololi e pono ai.
2. Nā lāʻau lapaʻau kikoʻī: Ma waho aʻe o nā lāʻau lapaʻau i hāʻawi ʻia no RA, pono paha ʻoe e hāʻawi ʻia i nā lāʻau lapaʻau e pili ana i kēia kūlana.
- Corticosteroids: He mau lāʻau anti-inflammatory ikaika kēia. Hoʻemi koke nā lāʻau lapaʻau e like me Prednisolone i ka pehu ʻana i loko o nā kīʻaha koko.
- Nā Immunosuppressants a i ʻole Biologics: Hana kēia ma ka kaohi ʻana i kahi ʻōnaehana pale kino overactive.
Ke haʻalele ʻana i ka puhipaka: Inā he mea puhipaka ʻoe, he mea nui ka haʻalele loa ʻana i ka puhipaka no ka holomua o kāu lāʻau lapaʻau. Hiki i ka haʻalele ʻana i ka puhipaka ke kōkua nui i ka kaohi ʻana i kou kūlana. E kamaʻilio me kāu kauka e pili ana i nā ala e kōkua ai iā ʻoe e hana i kēia.
Pehea e ola ai me kēia kūlana?
He maʻi lōʻihi kēia. ʻO ke ʻano kēia, ʻoiai inā ʻaʻohe ou hōʻailona, pono ʻoe e noho ma lalo o ka mālama a ke kauka.
- E hele i nā hoʻokolohua lapaʻau maʻamau: E hele i nā keʻena lapaʻau i ka manawa kūpono e like me ke kauoha a kāu kauka. E hana i nā mea e like me nā hoʻokolohua koko.
- E makaʻala i nā hōʻailona: E makaʻala i nā loli hou i kou kino, a i ʻole inā manaʻo ʻoe e ʻoi aku ka ʻino o kāu mau hōʻailona.
- E hahai pono i ka hoʻolālā lapaʻau e like me ke kuhikuhi a kāu kauka. Inā manaʻo ʻoe ʻaʻole e hana ana kahi lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea.
Ma hope o nā makahiki o ke kaua ʻana me ka rheumatoid arthritis, hiki ke hopohopo ke ʻike he maʻi ʻē aʻe kou. Akā e hoʻomanaʻo, aia kāu kauka ma laila e kōkua iā ʻoe. Ma ke kamaʻilio ākea me ia, hiki iā ʻoe ke hana i nā hoʻololi e pono ai i kāu hoʻolālā lapaʻau RA.
E hoʻolohe i kou kino. Mai makaʻu e haʻi i kāu kauka e pili ana i kekahi mau hōʻailona hou a loli paha āu e ʻike ai. ʻO ke ala maikaʻi loa e pale aku ai i nā pilikia, ʻo ia ke noho ma lalo o ka nānā pono ʻana o ke kauka.
Leka Lawe-Home
- ʻO ka Rheumatoid vasculitis kahi pilikia kakaikahi o ka rheumatoid arthritis (RA), ka mea e hoʻoulu ai i ka mumū o nā kīʻaha koko.
- ʻIke pinepine ʻia nā hōʻailona ʻili. Eia kekahi laʻana, nā ʻeha ʻaʻole e ho'ōla ʻia ma nā manamana lima, nā kiko ʻili, a me ka mae ʻana o ka ʻili.
- ʻO ke ala maikaʻi loa e pale aku ai a mālama i kēia maʻi, ʻo ia ka mālama ʻana i kou maʻi rheumatoid arthritis ma lalo o ka kaohi maikaʻi loa.
- Inā ʻoe e puhipaka, he mea nui loa ia e hoʻōki koke. E kōkua nui ia i ke kāohi ʻana i ka maʻi.
- Inā loaʻa iā ʻoe ka RA a loaʻa kekahi o nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, e ʻoluʻolu e ʻike koke i kāu kauka.
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