He mea weliweli iki ke nānā ʻoe i ke aniani a i ʻole ke haʻi aku kekahi iā ʻoe he melemele nā keʻokeʻo o kou mau maka, ʻeā? ʻOiaʻiʻo, ʻo kēia ka hōʻailona mua e hōʻike ana he hewa kekahi mea i ko mākou kino, ʻoiai ke akepaʻa. No laila, e kamaʻilio kākou e pili ana i kēia melemele o nā maka, i kapa ʻia ma ke ʻano lapaʻau ʻo (Scleral Icterus), ma nā huaʻōlelo maʻalahi.
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He aha maoli ka Scleral Icterus?
I ka ʻōlelo maʻalahi, ʻo ka 'Scleral Icterus' ke ʻano melemele ka ʻāpana keʻokeʻo o ko kākou mau maka, ʻo ia hoʻi, ka ʻāpana a kākou e kapa nei he '(Sclera)'. Akā, aia kekahi mea ʻē aʻe ma ʻaneʻi. ʻAʻole ʻo ka sclera ponoʻī ka mea melemele maoli. ʻO ka ʻāpana ma luna ona, he membrane lahilahi loa a moakaka i kapa ʻia ʻo '(Conjunctiva).' Ke melemele kēia membrane, ʻike maopopo ʻia ke kala melemele ma muli o ka ʻāpana keʻokeʻo o ka sclera ma lalo.
Ua kapa ʻia hoʻi e ka poʻe he (Jaundice). ʻAʻohe hewa o ia mea, akā ua laulā iki ka huaʻōlelo Jaundice. Pili ia i ka melemele o nā maka a me ka melemele o ka ʻili. Eia nō naʻe, ʻo Scleral Icterus kahi maʻi e hoʻopilikia kūikawā ana i nā maka .
No ke aha e melemele ai ko kākou mau maka? Ka moʻolelo o bilirubin
ʻO ke kumu nui o kēia kala melemele, ʻo ia ka hoʻonui ʻia ʻana o ka hui kemika melemele i kapa ʻia ʻo bilirubin i loko o ko kākou koko. Kāhea mākou i kēia kūlana he "Hyperbilirubinemia".
E noʻonoʻo e pili ana i ia mea, he ola ko nā hunaola koko ʻulaʻula i loko o ko kākou kino. Hana ʻia ka bilirubin i ka wā e haki ai kēia mau hunaola koko ʻulaʻula kahiko. ʻO ka mea maʻamau, ʻo ia ka hana ʻana o ko kākou akepaʻa e like me ke kānana, e kānana ana i kēia bilirubin pono ʻole mai ke koko, e hoʻohui pū ana me ka bile a kuhikuhi iā ia i ke kaʻina hana ʻai. ʻO ka hope loa, hoʻokuʻu ʻia kēlā bilirubin mai ke kino me nā feces.
Eia nō naʻe, inā ʻaʻole hiki ke hoʻoneʻe pono ʻia kēia bilirubin mai ke koko, ma muli paha o kahi pilikia me ke akepaʻa a i ʻole no kekahi kumu ʻē aʻe, hoʻomaka ia e hōʻiliʻili i loko o ke koko. ʻO kēia hōʻiliʻili ʻana o ka bilirubin ka mea e hoʻolilo ai i nā maka a me ka ʻili i melemele.
ʻO ke kumu i ʻike mua ʻia ai kēia hoʻololi kala i nā maka, ʻo ia ka maʻalahi o ka omo ʻana o ka bilirubin a waiho ʻia i loko o ka ʻiʻo o ka maka i kapa ʻia ʻo "Conjunctiva." Ma muli o ke kua keʻokeʻo ma lalo, ʻike maʻalahi ʻia kahi pae liʻiliʻi o ka bilirubin iā mākou.
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Check Availability →He aha nā kumu nui o ka hoʻonui ʻia ʻana o ka bilirubin?
Aia kekahi mau kumu e piʻi ai nā pae bilirubin a e melemele paha nā maka. He maʻalahi kekahi, akā hiki i kekahi ke ʻoi aku ka koʻikoʻi. No laila he mea nui e makaʻala i kēia.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā maʻi e pili ana i ke akepaʻa | Nā kūlana e like me ka hōʻino ʻia o ke akepaʻa ma muli o ka waiʻona ( cirrhosis ), nā maʻi viral (Hepatitis A, B, C), a me ka hepatitis autoimmune . |
| Nā maʻi o ka ʻōpū gall a me ka pancreas | Nā kūlana e like me nā pōhaku gallstone , nā ʻūlū ʻana o ke aʻa bile, a i ʻole ka pancreatitis . |
| Nā maʻi | ʻO Leptospirosis , nā fiva viral e like me ka dengue, nā maʻi koʻikoʻi e laha ana ma ke kino ( sepsis ), a me nā maʻi parasitic (e.g. Schistosomiasis ). |
| Nā lāʻau lapaʻau a me nā mea ʻawahia | ʻO ka hoʻohana nui ʻana i kekahi mau lāʻau lapaʻau (e like me nā steroids, kekahi mau antibiotics) a me nā lāʻau ʻeha e like me Acetaminophen (Panadol). Hiki i kekahi mau mea kanu kuʻuna a me nā mea ʻawahia e like me nā agrochemicals ke kumu. |
| Nā maʻi hoʻoilina | ʻO nā maʻi hoʻoilina e like me ka Sickle Cell Disease a me Gilbert's Syndrome e hoʻopilikia ai i ka metabolism bilirubin. |
| Nā puʻupuʻu a me nā ʻōpū | Ke ālai ʻia ʻana o ke kahe ʻana o ka bile ma muli o nā puʻupuʻu maikaʻi a maʻi ʻaʻai paha i loko o ke akepaʻa, ka gallbladder, a i ʻole nā wahi pili. |
| ʻO ka Jaundice hānau hou | No ka mea, ʻaʻole i ulu piha ke akepaʻa o kahi keiki hānau hou, he mea maʻamau ka melemele ʻana o nā maka i nā pule ʻelua mua. Eia nō naʻe, i kekahi mau hihia, hiki ke lilo i mea koʻikoʻi kēia. |
Pehea e mālama ʻia ai?
ʻO ka mea nui e hoʻomaopopo ma ʻaneʻi, ʻaʻole he maʻi ka 'Scleral Icterus', akā he hōʻailona . No laila, ʻaʻole no ka melemele o nā maka ka lāʻau; no ke kūlana kumu i hoʻokumu ai.
Eia kekahi laʻana, inā melemele kou mau maka ma muli o nā pōhaku gall, e mālama ʻia ʻoe e wehe i nā pōhaku. Inā he maʻi ate, e mālama ʻia ʻoe no ia mea. No ka ʻike ʻana i ke kumu, hiki i kāu kauka ke hana i nā hoʻokolohua koko, nā scan, a pēlā aku. No laila , ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau ma mua o ka mālama ponoʻī ʻana.
He aha ka mea e hana ai inā ʻoe e hoʻowahāwahā i nā maka melemele?
ʻAʻole ia he mea weliweli ka melemele o nā maka iā ia iho. Akā, he hōʻailona ia e hoʻomaopopo ai . Inā ʻaʻole mālama ʻia, hiki i ka nui o ka bilirubin i loko o ke koko ke piʻi hou aʻe a hoʻopilikia i ka lolo. He kūlana weliweli loa kēia.
- Ua kapa ʻia kēia ʻano maʻi i nā pēpē hānau hou ʻo "Kernicterus" a hiki ke hōʻeha mau loa i ka lolo.
- Ua kapa ʻia kēia ʻano i nā pākeke he "Hepatic Encephalopathy" a hiki ke hoʻoulu i ka nalowale o ka hoʻomanaʻo, ka huikau, a me ka coma.
Pono kēia mau kūlana ʻelua i ka mālama olakino ulia pōpilikia .
I ka manawa hea e ʻike koke ai i ke kauka a i ʻole e hele i ka ETU
Inā ʻike ʻoe e melemele ana kou mau maka, e hoʻonohonoho i kahi manawa e ʻike ai i ke kauka i ka hikiwawe loa. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona me kou mau maka melemele, e hele koke i ka Emergency Department (ETU) o ka haukapila.
| Nā hōʻailona e pono ai ka nānā koke ʻana | |
|---|---|
| ⚫ ʻEha ʻōpū koʻikoʻi a mau paha | ⚫ Kuni |
| ⚫ Ka luaʻi mau ʻana | ⚫ Ka poniuniu a nalowale paha ka ʻike |
| ⚫ Pehu ʻōpū a paʻa wai paha | ⚫ Huikau, hiamoe, a nalowale paha ka hoʻomanaʻo |
He ʻōlelo aʻoaʻo iki
I kekahi manawa, hiki i ke kala o nā kukui i ko kākou wahi (e like me nā kukui melemele) ke hoʻolilo i ko kākou mau maka i melemele. No laila, inā he kānalua kou, e hele i kahi wahi i hoʻomālamalama maikaʻi ʻia a hoʻomālamalama maoli ʻia a nānā i ke aniani. Ma kēlā ala, hiki iā ʻoe ke maopopo i ka ʻokoʻa pololei o ke kala.
Hiki ke pale ʻia kēia kūlana?
ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.
- Kāohi i ka waiʻona: ʻO ka hōʻemi ʻana i ka inu ʻana i ka waiʻona hiki ke hōʻemi nui i ka hōʻino ʻia o ke ake.
- E kiʻi i ka lāʻau pale: E pale iā ʻoe iho ma ka loaʻa ʻana o ka lāʻau pale mai nā maʻi e hoʻopilikia ana i ke akepaʻa, e like me ka Hepatitis A a me B.
- E makaʻala me nā lāʻau lapaʻau: Mai lawe i nā lāʻau lapaʻau pono ʻole, nā mea kanu, a i ʻole nā mea hoʻohui me ka ʻole o ke kūkākūkā ʻana me ke kauka. ʻO ka lawe ʻana i nā lāʻau lapaʻau ma mua o ka nui i ʻōlelo ʻia, ʻoiai ʻo Acetaminophen (Panadol), hiki ke hōʻino i ke akepaʻa.
- E kiʻi i kahi hoʻokolohua olakino makahiki: ʻOiai kahi hoʻāʻo koko maʻamau e hiki ke ʻike i nā loli i ka hana o ke akepaʻa ma mua o ka puka ʻana o nā hōʻailona.
Leka Lawe-Home
- ʻAʻole maʻi ka scleral icterus (melemele o nā keʻokeʻo o nā maka), akā he hōʻailona ia o kahi maʻi kumu.
- ʻO ke kumu nui o kēia, ʻo ia ka piʻi ʻana o nā pae bilirubin i loko o ke koko. Hiki ke hana pinepine ʻia kēia e ka pilikia o ke akepaʻa.
- Inā ʻike ʻoe i ka melemele o nā maka, mai hopohopo, akā , mai hoʻowahāwahā pū kekahi. E ʻike koke i ke kauka.
- Inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe e like me ka ʻeha nui o ka ʻōpū, ke kuni, a i ʻole ka huikau, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- Aia ka lāʻau lapaʻau i ke kūlana kumu e kumu ai nā maka melemele. No laila, he mea nui e ʻimi i ke aʻo lapaʻau no ka ʻike kūpono a me ka mālama ʻana.
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