E aʻo hou kākou e pili ana i kēia maʻi ʻē i kapa ʻia ʻo Sarcoidosis.

Ua luhi paha ʻoe no kekahi manawa, me ka ʻū a me ka ihu wai? Ua ʻike paha ʻoe i nā puʻupuʻu liʻiliʻi ma kou ʻili. ʻO ka hapa nui o kēia mau hōʻailona pili ʻole e hiki ke hana ʻia e kahi maʻi āu e noʻonoʻo ʻole ai, i kapa ʻia ʻo 'Sarcoidosis.' ʻOiai ke kani iki nei ka inoa, e kamaʻilio maʻalahi a maopopo e pili ana i ke ʻano maoli, ke kumu e hana ʻia ai, a me nā mea hiki iā ʻoe ke hana e pili ana.

He aha ka Sarcoidosis maʻalahi?

ʻAe, e hoʻomaopopo kākou i kēia ma kēia ʻano. He ʻōnaehana pale ko ko kākou kino. Ua like ia me kahi pūʻali koa pale i loko o ko kākou kino. ʻO ka hana a kēia pūʻali koa, ʻo ia ke pale iā kākou mai nā ʻenemi e like me nā germs , bacteria , a me nā virus e hele mai ana mai waho.

ʻO ka mea e hana ʻia ana ma ka sarcoidosis, ʻo ia ka lilo ʻana o kā mākou ʻōnaehana pale i ʻoi aku ka ikaika ma mua o ka mea e pono ai. ʻO ia hoʻi, ʻoiai ʻaʻohe ʻenemi maoli, hōʻuluʻulu nā pūnaewele o ka ʻōnaehana pale (ʻoi aku hoʻi nā keʻena koko keʻokeʻo ) a hana i nā kahua liʻiliʻi ma nā wahi like ʻole o ke kino. ʻO kēia mau kahua liʻiliʻi ka mea a mākou e kapa nei he mau puʻupuʻu a i ʻole granulomas .

Hiki i kēia mau puʻupuʻu (granulomas) ke hana ʻia ma nā wahi āpau o ke kino. Eia nō naʻe, ʻike pinepine ʻia lākou ma nā māmā a me nā lymph node . Hiki iā lākou ke hana ʻia ma ka ʻili, nā maka, ka puʻuwai , a me ka lolo.

I kekahi manawa, ʻaʻole hōʻike kēia mau nodules i kekahi mau hōʻailona. Akā i kekahi manawa, ma muli o kahi a lākou e hana ai a me ko lākou nui, hiki iā lākou ke hana i nā hōʻailona like ʻole. I ka hihia ʻino loa, hiki ke hana ʻia nā ʻōpala mau loa i ka hala ʻana o ka manawa ma nā wahi i loaʻa ai kēia mau nodules. Kāhea mākou i kēia he fibrosis . E like me ke koena o kahi ʻōpala ma hope o ka ho'ōla ʻana o kahi ʻeha. Inā hana kēia i loko o nā māmā, hiki iā ia ke loaʻa nā hopena lōʻihi i ke kaʻina hana hanu.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

He maʻi ʻo Sarcoidosis e hiki ke hoʻopilikia i kekahi. Eia nō naʻe, aia kekahi mau kumu e hoʻopilikia ai iā ʻoe:

• Makahiki:ʻIke pinepine ʻia kēia maʻi i nā kānaka ma waena o 25 a me 40 mau makahiki.
• Kāne: ʻOi aku ka nui o ka pilikia o nā wahine ma mua o nā kāne.
• Moʻolelo ʻohana: ʻAʻole kēia he maʻi i hoʻoilina pololei ʻia. Eia nō naʻe, inā loaʻa kēia maʻi i kekahi o kou ʻohana pili (makuahine, makuakāne, kaikunāne a kaikuahine paha), ʻoi aku ka kiʻekiʻe o kou pilikia o ka loaʻa ʻana ma mua o ke kanaka maʻamau.

Ua manaʻo ʻia kēia he maʻi laha ʻole. No laila, ʻaʻohe pono e hopohopo nui e pili ana i ia mea, akā he mea nui e makaʻala.

He aha nā hōʻailona o ka Sarcoidosis?

ʻO kēia kahi e huikau ai ka poʻe he nui. No ka mea, he ʻokoʻa loa nā hōʻailona o ka sarcoidosis. ʻOkoʻa loa nā hōʻailona ma muli o kahi e hana ʻia ai nā puʻupuʻu (granulomas). ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona, ​​a hiki ke ʻike ʻia ma kahi hanana i ka wā o kahi X-ray i hana ʻia no kekahi kumu ʻē aʻe.

E nānā kākou i nā hōʻailona nui.

Ua māhele ʻia ka Sarcoidosis o nā māmā i nā pae?

ʻAe, ʻo Sarcoidosis (Pulmonary Sarcoidosis), kahi maʻi e hoʻopilikia ai i nā māmā, ua māhele ʻia i nā pae e pili ana i ke ʻano o nā māmā ma kahi X-ray umauma. Akā, ʻaʻole ia he pae e holomua ana mai kekahi pae a i kekahi e like me ke kanesa. Pili wale ia i kahi o nā granulomas. Hiki i ke kanaka ke neʻe mai kekahi pae a i kekahi, hoʻi i ke kahua kahiko, a i ʻole e nalowale loa nā granulomas.

• Pae 0: ʻAʻohe loli i ʻike ʻia ma ke kiʻi X. He maʻamau nā māmā a me nā lymph node.
• Pae 1: Aia nā ʻōpū i loko o nā lymph nodes o ka umauma wale nō.
• Pae 2: Hiki ke ʻike ʻia nā nodules ma nā lymph nodes o ka umauma a me nā māmā.
• Pae 3: Aia nā puʻupuʻu i loko o nā māmā wale nō. ʻAʻole lākou i loko o nā lymph nodes.
• Pae 4: Ua loaʻa ka ʻeha mau loa o nā māmā (pulmonary fibrosis). He paʻakikī ke hoʻohuli i kēia pae.

No ke aha e ulu ai ʻo Sarcoidosis? He aha ke kumu?

ʻAʻole maopopo i nā kauka ke kumu maoli o kēia, akā ʻo ke kumumanaʻo i ʻae ʻia i kēia manawa, ʻo ia ka wā e hōʻike ʻia ai ka poʻe me kahi predisposition genetic i kahi mea kikoʻī i ke kaiapuni (e like me ka bacteria, virus, a i ʻole ka lepo), pane nui kā lākou ʻōnaehana pale .

I ka ʻōlelo maʻalahi, ua manaʻo ʻia ua hoʻokumu ʻia e ka hui pū ʻana o nā kumu genetic a me ke kaiapuni. ʻOiai he maʻi ia e pili ana i ka ʻōnaehana pale, ʻaʻole ia i hoʻokaʻawale ʻia he maʻi 'autoimmune'.

Pehea e ʻike ʻia ai ka Sarcoidosis?

Hiki ke paʻakikī iki ka ʻike ʻana i ka sarcoidosis, ʻoiai hiki ke ʻike ʻia nā hōʻailona a mākou i kūkākūkā ai ma luna i nā maʻi ʻē aʻe he nui. No laila, e kāpae kāu kauka i nā kūlana ʻē aʻe ma mua o ka hoʻoholo ʻana he hiki ke loaʻa ka sarcoidosis.

Hoʻohana ʻia kekahi mau hoʻokolohua no kēia:

• Hoʻokolokolo kino: E hoʻolohe pono ke kauka i kāu mau hōʻailona a nānā i nā mea e like me kou ʻili, maka, a me nā lymph node.
• Nā hoʻāʻo kiʻi: ʻO ka X-ray umauma ka mea mua āu e hana ai. Hiki iā ia ke nānā i ke kūlana o kou mau māmā a me nā lymph node. Eia kekahi, pono paha kahi CT scan a i ʻole MRI scan .
• Biopsy: ʻO kēia ke ala maikaʻi loa e hōʻoia i ka maʻi 100%. Lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kahi wahi i manaʻo ʻia (e.g. ʻili, lymph node) a nānā ʻia ma lalo o kahi microscope.
• Nā hoʻāʻo hana pulmonary: Ke ana kēia i ka maikaʻi o ka hana ʻana o nā māmā.
• Nā hoʻāʻo koko a me ka mimi:Nānā ʻia nā mea e like me ka hana o nā ʻōkana e like me ke akepaʻa a me nā puʻupaʻa a me ka nui o ka calcium i loko o ke koko.
• EKG (Electrocardiogram): Hana ʻia kēia hoʻāʻo e ʻike inā he hopena ma ka puʻuwai.
• Hoʻāʻo TB: ʻOiai ua like nā hōʻailona o ka maʻi puʻupuʻu me kēia, hana ʻia kahi hoʻāʻo ʻili maʻalahi e hōʻoia ʻaʻole ia ka hihia.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, ʻaʻole pono ka lāʻau lapaʻau i nā kānaka a pau me ka sarcoidosis. No kahi o ʻelua hapakolu o ka poʻe, e hoʻomaikaʻi ke ʻano iā ia iho i loko o ʻelua a ʻekolu mau makahiki, me ka ʻole o kekahi lāʻau lapaʻau.

ʻO ka hoʻomaka ʻana a i ʻole ka hoʻomaka ʻana i ka lāʻau lapaʻau e pili ana i ke koʻikoʻi o kāu mau hōʻailona a me kahi o nā puʻupuʻu. No ka laʻana, inā pilikia nā maka, ka puʻuwai, a i ʻole ka ʻōnaehana nerve, e hoʻomaka koke ka lāʻau lapaʻau e hoʻōki i ka hōʻino ʻana o nā kino.

ʻO nā pahuhopu nui o ka mālama ʻana:

1. Ke kāohi ʻana i nā hōʻailona.

2. Hoʻemi i ka mumū i loko o ke kino.

3. Ke pale ʻana i ka hōʻino mau loa (fibrosis) i nā ʻōpū.

ʻO nā ʻano lāʻau lapaʻau nui i hāʻawi ʻia no kēia:

• ʻO Corticosteroids: ʻO kēia ke ʻano lāʻau lapaʻau i hoʻohana nui ʻia (e.g., Prednisone). Hana kēia mau mea ma ke kāohi ʻana i ka ʻōnaehana pale a me ka hōʻemi koke ʻana i ka mumū i loko o ke kino. Loaʻa lākou ma ke ʻano o nā pila, nā mea hoʻoheheʻe, a i ʻole nā ​​​​​​kirimi i hoʻopili ʻia i ka ʻili.
• Nā Immunosuppressants: Ma waho aʻe o nā corticosteroids a i ʻole e hōʻemi i kā lākou dosage, hāʻawi ʻia nā lāʻau ʻē aʻe e kaohi ana i ka ʻōnaehana pale (e laʻa, Methotrexate).
• Nā antibodies Anti-TNF-alpha: He ʻano lāʻau lapaʻau intravenous (infusion) kēia e pili ana i kahi kemika kikoʻī i loko o ka ʻōnaehana pale.
• Nā NSAID (nā lāʻau hoʻopau ʻeha): Hiki ke hāʻawi ʻia kēia mau mea e kāohi i nā hōʻailona pōkole e like me ka ʻeha o nā hono.

Nā mea e pono ai ʻoe e ʻike i ka wā e noho ai me ka sarcoidosis

Hiki i ke kanaka e noho ana me ka sarcoidosis ke hana i nā mea he nui e mālama ai i ko lākou kūlana.

• E hahai i nā ʻōlelo a kāu kauka: e lawe i kāu lāʻau lapaʻau e like me ke kauoha, e hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia, a e hoʻomaopopo i kāu kauka inā he mau loli i kāu mau hōʻailona.
• Ka nohona olakino:He mea nui e ʻai i ka meaʻai kaulike, e pale loa i ka puhipaka (ʻoi aku hoʻi inā ua hoʻopilikia i nā māmā), a e hoʻoikaika kino mālie e like me ke kuhikuhi a kāu kauka.
• ʻAi: Manaʻo kekahi mau noiʻi e hiki i ka hōʻemi ʻana i nā meaʻai kō a me nā mea ʻai starchy a me ka ʻai ʻana i nā mea kanu, nā huaʻai, a me nā meaʻai waiwai i ka omega-3s (e.g., iʻa liʻiliʻi) ke kōkua i ka hōʻemi ʻana i ka mumū. Eia nō naʻe, e kamaʻilio me kāu kauka ma mua o ka hana ʻana i nā hoʻololi nui i ka ʻai.

Hiki i ka hapa nui o nā kānaka ke ola i kahi ola maʻamau a hauʻoli me ka sarcoidosis. Kākaʻikahi ia e hoʻopōkole i ka manaʻolana ola (1%-5%). ʻO ka mea nui loa, ʻaʻole e makaʻu i ka maʻi, akā e hoʻomaopopo pono iā ia a hana pū me kāu kauka e hoʻomohala i ka hoʻolālā hoʻokele maikaʻi loa e pono ai nāu.