Ua ʻike anei ʻoe he puʻupuʻu liʻiliʻi ko kekahi poʻe ma kekahi ʻaoʻao o ko lākou ʻāʻī? I kekahi manawa hiki ke nui, e like me ka puʻu o nā puʻupuʻu i hoʻopaʻa ʻia. ʻO ka hapa nui o ka manawa ʻaʻohe ʻeha, a he ʻeha iki wale nō. I kekahi manawa hiki ke poni a i ʻole ke kala like me ka ʻili. ʻO ia ke ʻano a mākou e kamaʻilio ai i kēia lā, a ʻo ia ka scrofula.
He aha ka Scrofula? I ka ʻōlelo maʻalahi...
I ka ʻōlelo maʻalahi, ʻo ka scrofula ka wā e pehu ai nā lymph nodes ma kou ʻāʻī, a mākou e kapa nei he nodes , ma muli o kahi maʻi bacteria. ʻO ka mea e hana ʻia, ʻo ia ka hui pū ʻana o hoʻokahi a ʻoi aku paha nā nodes a hana i kahi puʻu nui a pālahalaha ma kou ʻāʻī.
I ka wā ma mua, ua kapa ʻia ʻo ia ka "hewa o ke aliʻi" no ka mea ua manaʻo ka poʻe hiki i ke aliʻi ke ho'ōla iā ia. Akā i kēia manawa ua kapa ʻia e nā kauka he mycobacterial cervical lymphadenitis . He inoa lōʻihi iki, ʻeā? Akā, ʻo ia ke ʻano o kēia maʻi.
ʻO ka ʻoiaʻiʻo, ʻo Scrofula kahi ʻano o ka maʻi Tuberculosis . Eia naʻe, ʻaʻole ia i kaupalena ʻia i nā māmā, akā hoʻopilikia pū i nā kelepaʻi ma ka ʻāʻī.
Pehea ka maʻamau o ka scrofula?
ʻO kaʻoiaʻiʻo, he maʻi laha ʻole ka scrofula. Ma kahi o 5% wale nō o ka poʻe e hōʻike ana i nā hōʻailona o ka maʻi puʻupuʻu i ʻike ʻia me ka scrofula. No laila, ʻaʻole ʻoe e lohe pinepine e pili ana i ia mea.
He aha nā hōʻailona o ka Scrofula?
No nā kānaka he nui, ʻo ka hōʻailona nui o ka scrofula he puʻupuʻu ma ka ʻāʻī, hiki ke like me kahi puʻupuʻu ma kekahi a i ʻole nā ʻaoʻao ʻelua o ka ʻāʻī. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona maʻamau o kahi maʻi bacteria, e like me:
- Kuni.
- E hou ana i ka pō.
- Ka pohō kaumaha i manaʻo ʻole ʻia.
- Manaʻo luhi mau. (Luhi)
E noʻonoʻo, i kekahi lā, ua loaʻa iā Nilanthi Akka kahi puʻupuʻu liʻiliʻi ma kona ʻāʻī. I ka wā mua, ua manaʻo ʻo ia he mea maʻamau ia. Akā ma hope o kekahi manawa, ua nui aʻe ia, a hoʻomaka ʻo ia e loaʻa i ke kuni i ka pō. ʻO ia ka manawa i hele ai ʻo ia e ʻike i ke kauka.
He aha ke kumu o ka scrofula?
ʻO ke kumu nui o ka scrofula i nā pākeke he bacteria i kapa ʻia ʻo Mycobacterium tuberculosis . ʻO kēia ka bacteria e hoʻoulu ai i ka maʻi tuberculosis (TB). Ke hanu ʻoe i kēia bacteria, komo ia i loko o kou mau māmā a hele i nā glands ma kou ʻāʻī, e hana ana i ke kūlana.
Eia nō naʻe, hiki i nā ʻano maʻi Mycobacterium ʻē aʻe ke hoʻoulu i ka scrofula i nā keiki ʻōpio, no laila ʻokoʻa iki paha ke kumu i nā keiki.
ʻO wai ka mea i pilikia nui no kēia?
ʻO ke kumu nui o ka pilikia no ka hoʻomohala ʻana i ka scrofula ʻo ia ka noho ʻana me ka maʻi HIV, no ka mea, hoʻonāwaliwali ka maʻi HIV i ka ʻōnaehana pale o ke kino.
Kahi mea hou aʻe:
- Ka ʻai ʻole ʻana
- ʻO nā kūlana ʻē aʻe e hoʻonāwaliwali i kāu ʻōnaehana pale (no ka laʻana, ka hoʻohana ʻana i nā lāʻau lapaʻau immunosuppressive, ka loaʻa ʻana o kekahi mau kūlana autoimmune, a i ʻole ka loaʻa ʻana o kekahi mau maʻi kanesa) hiki ke hoʻonui i kēia pilikia.
I ka ʻōlelo maʻalahi, inā ua emi ka hiki o kou kino ke kaua aku i nā maʻi, ʻoi aku ka maʻalahi o kou loaʻa ʻana i kēia ʻano maʻi.
He aha nā pilikia e hiki ke loaʻa mai ka scrofula?
I kekahi manawa, hiki i ka pehu i hoʻokumu ʻia e ka scrofula ke pahū a hoʻokahe i ka pus. Hiki i kēia ke hana i kahi sinus , a i ʻole tunnel, e hana i loko o kou ʻili. Hiki i kēia ʻeha ke hana i ka scarring . Hiki ke mau loa ka scarring.
Pehea e hōʻike ai i ka scrofula?
No ka mea he nui nā kumu ʻē aʻe o nā ʻōpū ʻāʻī pehu, hiki i kāu kauka ke hana a ʻōlelo paha i kekahi mau hoʻokolohua e hoʻoholo ai inā he scrofula kou. Eia nā mea i hana pinepine ʻia:
- Biopsy: Ma kēia hoʻāʻo , wehe ke kauka i kahi puʻupuʻu a i ʻole kahi hāpana ʻiʻo me ka hoʻohana ʻana i kahi nila. A laila hoʻoulu ʻia ka hāpana e ʻike inā loaʻa ka mycobacteria, a hoʻohana ʻia kahi ʻili kūikawā e ʻimi ai i ka bacteria.
- Nā hoʻāʻo koko: Hiki ke lawe ʻia kahi hāpana o kou koko e nānā i ka mycobacteria a me nā maʻi ʻē aʻe.
- Nā hoʻāʻo kiʻi: Hiki i kāu kauka ke hana i kahi X-ray umauma , CT scan , a i ʻole ultrasound scan e kiʻi i nā kiʻi maopopo o kou mau māmā a i ʻole kou ʻāʻī.
- Nā hoʻāʻo ʻana i ka maʻi puʻupuʻu: Hiki i kahi hoʻāʻo ʻili PPD a i ʻole ka hoʻāʻo koko ke haʻi inā he maʻi puʻupuʻu kou.
- Hoʻāʻo bacilli wikiwiki-ʻakika: Pili kēia i ka lawe ʻana i kahi laʻana o ka ʻiʻo a i ʻole kahi laʻana o ka mucus mai kou mau māmā a me ka ʻimi ʻana i ka mycobacteria.
Hana ʻia kēia mau hoʻokolohua a pau e hōʻoia i ke ʻano maoli o ka maʻi.
Pehea e mālama ʻia ai ka scrofula?
Hoʻomaʻamaʻa nā kauka i ka scrofula me nā lāʻau antibiotic i kūpono no nā maʻi mycobacterial.(No ka laʻana, he macrolide). Pono ʻoe e lawe i kēia mau lāʻau lapaʻau no kekahi mau mahina a i hoʻokahi makahiki . Eia kekahi mau ʻano antibiotic i hāʻawi ʻia no nā maʻi mycobacterial:
- ʻEtambutol
- ʻIsoniazid (INH)
- Pyrazinamide
- ʻO Rifampin
- ʻO Clarithromycin
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, no ka manawa piha o ka lāʻau lapaʻau. Inā ʻoe e hoʻōki i ka lawe ʻana i ka hapalua, e hoʻi hou mai paha ka maʻi.
I kekahi manawa, e ʻōlelo paha kāu kauka e wehe i ka pus i loaʻa i ka maʻi ma ke ʻoki kino . Hiki iā lākou ke ʻōlelo pū i kahi ʻano hana i kapa ʻia ʻo DOT (Directly Observed Therapy) . Pili kēia i kahi mea ʻē aʻe ma mua o kou ʻohana e hāʻawi iā ʻoe i ka lāʻau lapaʻau a noho pū me ʻoe a hiki i kou lawe ʻana. Ma kēia ʻano, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana o kāu lāʻau lapaʻau.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka scrofula?
Inā ʻoe e lawe i ka lāʻau kūpono , hiki iā ʻoe ke hoʻōla piha mai ka scrofula. Akā e like me ka ʻōlelo a ke kauka, he mea nui e lawe pololei i ka lāʻau lapaʻau no ka manawa mālama holoʻokoʻa. E hoʻomanaʻo, hiki i kēia ke hala i kekahi mau mahina a i hoʻokahi makahiki. Hiki ke mau loa nā ʻeha i hana ʻia e nā ʻeha.
He mea make anei ka Scrofula?
ʻAʻole make pinepine ka scrofula inā mālama ʻia. Eia nō naʻe, he paʻakikī ke hāʻawi i ka helu make pololei no ka mea ʻo ka maʻamau o nā haʻawina make e pili ana i nā maʻi mycobacterial i loko o nā māmā. Hiki ke ʻokoʻa loa nā hopena.
Hiki ke pale ʻia ka scrofula?
ʻAe, i kekahi ʻano. Hiki iā ʻoe ke hōʻemi i kou pilikia o ka scrofula ma ka hoʻāʻo ʻia ʻana no ka maʻi TB latent . ʻO ka Latent TB kahi kūlana kahi ʻaʻole ʻoe e hōʻike i kekahi mau hōʻailona, akā hiki iā ia ke laha i nā ʻāpana ʻē aʻe o kou kino a hoʻoulu i kahi maʻi e like me ka scrofula. Inā ʻike ʻoe he maʻi TB kou, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau ma mua o ka laha ʻana.
Hiki nō hoʻi iā ʻoe ke loaʻa ka lāʻau pale Bacillus Calmette-Guérin (BCG) no ka maʻi puʻupuʻu, akā hāʻawi wale ʻia ka lāʻau pale BCG ma nā wahi i loaʻa pinepine ai ka maʻi puʻupuʻu.
Pehea wau e mālama ai iaʻu iho?
ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke noho pili loa me kāu kauka a lawe i kāu mau lāʻau lapaʻau e like me ke kauoha.ʻOiai ʻoe e loaʻa ana i ka maʻi tuberculous (TB) a i ʻole ka maʻi mycobacteria nontuberculous, hiki iā ʻoe ke kōkua i ka pale ʻana i ka laha ʻana o ka bacteria ma ka hōʻemi ʻana i kou pilina me nā poʻe ʻē aʻe.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
He mea kōkua paha ka nīnau ʻana i kāu kauka i nā nīnau e like me kēia:
- Pehea lā wau e lawe ai i ka lāʻau lapaʻau?
- He aha kaʻu e hana ai inā e poina iaʻu kahi mahele o ka lāʻau lapaʻau?
- ʻEhia ka lōʻihi e pono ai iaʻu e mālama ʻia?
- Pehea ka lōʻihi o koʻu ola ʻana?
- He aha nā hōʻailona hou a i ʻole e ʻoi aʻe ana ka ʻino e pono iaʻu e makaʻala?
- Āhea wau e hele hou mai ai e ʻike iā ʻoe?
ʻO ka mea hope loa, e hoʻomanaʻo (Leka Lawe-Home)
He maʻi laha ʻole ka scrofula akā hiki ke hoʻōla pinepine ʻia. Hiki ke lōʻihi ka mālama ʻana - pono paha ʻoe e hoʻomanawanui no kekahi manawa a hiki i kou hoʻōla ʻana. E ʻike pinepine i kāu kauka, ʻoiai inā he maʻi ma lalo ou e like me ka maʻi HIV. Hiki i kāu kauka ke nānā i kāu holomua, hoʻoponopono i kāu lāʻau lapaʻau inā pono, a hoʻoponopono i nā pilikia e kū mai ana i ka wā o ka mālama ʻana. No laila, mai hopohopo, e kiʻi i ka lāʻau āu e pono ai, a e hoʻāʻo e noho olakino!
ʻO ka scrofula, nā puʻupuʻu ʻāʻī, erysipelas, maʻi puʻupuʻu, mycobacteria, maʻi bacteria, nā puʻu lymph











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