Loaʻa pinepine iā ʻoe ke anu a me ke kuni? A i ʻole ke manaʻo nei ʻoe e maʻi koke ana ʻoe ma mua o nā poʻe ʻē aʻe? Malia paha ua nānā kāu kauka i kāu hoʻāʻo koko a ua ʻōlelo ʻo ia he haʻahaʻa kou pae o IgA i loko o kou kino. Ke lohe ʻoe i kēia inoa, makaʻu paha ʻoe a nīnau, "He aha kēia maʻi?" Akā, mai hopohopo. I kēia lā, e kamaʻilio wale mākou e pili ana i ke ʻano o ka hemahema o IgA a inā paha he kumu maoli ia no nā pilikia iā mākou.
ʻO ka mea mua, e nānā kākou he aha kēia IgA?
I ka ʻōlelo maʻalahi, loaʻa i ko kākou kino kahi ʻōnaehana pale e pale aku ai i nā maʻi. Kāhea mākou i kēia ʻōnaehana pale kino . Ua like kēia ʻōnaehana me kahi pūʻali koa ma ko kākou ʻāina. ʻO ka hana a kēia pūʻali koa, ʻo ia ke pale aku iā kākou ma ka ʻike ʻana a me ke kaua ʻana i nā ʻenemi haole e like me nā germs, viruses, a me bacteria.
No laila, ʻo kekahi o nā koa kūikawā o kēia pūʻali koa ua kapa ʻia ʻo antibodies . ʻO kekahi inoa no kēia mau antibodies he immunoglobulins. Nui nā ʻano o kēia. ʻO kekahi o lākou ua kapa ʻia ʻo immunoglobulin A. Kapa mākou iā ia ʻo IgA no ka pōkole.
ʻO ka hana nui a nā koa IgA ka pale ʻana i nā membrane mucous i loko o ko kākou ala hanu (ihu, puʻu, māmā), ala ʻai (mai ka waha a i nā ʻōpū), maka, pepeiao, a pēlā aku. ʻO kēia nā puka e hiki ai i nā germs ke komo maʻalahi i ke kino. No laila, kū kiaʻi ʻo IgA ma kēia mau puka, e pale ana i nā ʻenemi e hiki mai ana ma mua o ko lākou komo ʻana.
No laila he aha ka hemahema o IgA?
ʻO ke ʻano o ka hemahema o IgA, ʻaʻole hiki i ka ʻōnaehana pale o kou kino ke hana i ka lawa o kēia mau koa kūikawā i kapa ʻia ʻo IgA. Hana iki kekahi poʻe iā lākou. ʻAʻole paha e hana iki kekahi.
ʻO ke kumu o kēia, ʻo ia ka hana pono ʻole o kekahi ʻano o ke koko keʻokeʻo i loko o ko kākou kino i kapa ʻia ʻo nā pūnaewele B. Ua like kēia mau pūnaewele B me nā hale hana e hana ana i nā antibodies e like me IgA. No laila, inā he hemahema i loko o kēia mau hale hana, e emi ana ka hana ʻana.
E noʻonoʻo ʻoe e hoʻohui ana i kahi puzzle nui, akā ua nele kekahi mau ʻāpana. ʻOiai hiki iā ʻoe ke hoʻohui i ke kiʻi holoʻokoʻa, aia nō nā hakahaka ma ʻaneʻi a ma laila. ʻO ia ka mea e hana ʻia i kā mākou ʻōnaehana pale ke nalowale ʻo IgA. Aia kahi hakahaka liʻiliʻi i loko o ka ʻōnaehana pale.
Akā eia kekahi mea āu e ʻike pono ai. ʻO ka hapa nui o ka poʻe me ka hemahema IgA, ʻaʻole loa lākou e ʻike i kekahi mau hōʻailona a i ʻole nā pilikia i ko lākou ola. Aia kahi manawa kūpono e hiki ai iā ʻoe ke ola i kahi ola olakino piha me ka ʻike ʻole he maʻi kou.
No laila he aha nā hōʻailona o kēia?
E like me kā mākou i ʻōlelo ai ma mua, ʻaʻohe hōʻailona o ka hapa nui o ka poʻe. Akā, hiki i kekahi poʻe, ʻoiai ka poʻe me nā pae IgA haʻahaʻa loa, ke loaʻa i kekahi mau pilikia. ʻO ka mea nui, ʻoi aku ka pinepine o ka loaʻa ʻana o nā maʻi ma mua o nā poʻe ʻē aʻe. No ka mea, ua nāwaliwali ke kiaʻi ma ka puka, hiki i nā germs ke komo maʻalahi.
| Nā maʻi maʻamau | Wehewehena |
|---|---|
| Nā maʻi ʻōnaehana hanu | Nā kūlana e like me ke anu pinepine, nā maʻi sinus, nā maʻi ʻāʻī, ka bronchitis, a me ka pneumonia. |
| Nā maʻi pepeiao a me nā maka | Nā maʻi pepeiao pinepine a me nā maʻi maka (ʻoi aku ka maka ʻulaʻula). |
| Nā maʻi ʻōpū hoʻoheheʻe | Hiki ke loaʻa nā kūlana e like me ka ʻeha pinepine o ka ʻōpū a me ka maʻi diarrhea mau loa. |
Eia kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe me ka hemahema IgA i ka hoʻomohala ʻana i nā kūlana olakino ʻē aʻe.
- Asthma
- Nā ʻano maʻi like ʻole (Allergies)
- Nā maʻi o ka ʻōnaehana hoʻoheheʻe, no ka laʻana, ka maʻi a Crohn a i ʻole ka ulcerative colitis .
No ke aha i loaʻa ai i kekahi ka hemahema o ka IgA?
He maʻi hoʻoilina pinepine kēia. ʻO ia hoʻi, ua hoʻoili ʻia mai nā mākua a i nā keiki ma o nā genes. Inā loaʻa i kekahi o kou ʻohana kēia maʻi, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana iā ia.
ʻAʻole pinepine loa, hiki i nā pae IgA haʻahaʻa ke lilo i hopena ʻaoʻao o ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau. Eia kekahi laʻana :
- ʻO kekahi mau immunosuppressants
- ʻO Phenytoin
- ʻO Sulfasalazine
Hiki i ka hemahema o IgA ke hoʻoulu i nā pilikia ʻē aʻe?
ʻAʻole pilikia ka hapa nui o ka poʻe. ʻO ka pilikia nui no kekahi poʻe, ʻo ia ka maʻi pinepine ʻana.
Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka poʻe me ka hemahema IgA i ka loaʻa ʻana o kekahi mau maʻi autoimmune ma mua o nā mea ʻē aʻe. ʻO kahi maʻi autoimmune ka wā e hana hewa ai ka ʻōnaehana pale o ko mākou kino a hoʻomaka e hoʻouka i kā mākou mau hunaola olakino ponoʻī ma kahi o ka hoʻouka ʻana i nā mea komo hewa haole.
| Nā maʻi autoimmune hiki ke loaʻa |
|---|
| ʻO ka ʻāʻī Rheumatoid: ʻO kahi kūlana e hoʻoulu ai i ka pehu a me ka ʻeha i nā hono. |
| Lupus: He maʻi e hiki ke hoʻopilikia i nā ʻāpana like ʻole o ke kino. |
| ʻO ka maʻi Celiac: ʻO ka ʻike o ke kino i ka gluten, kahi protein i loaʻa i ka palaoa huita. |
Ke luhi nei ʻoe ma muli o ka IgA haʻahaʻa?
ʻAʻole ka hemahema o IgA ke kumu o ka luhi. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi autoimmune e like me ka rheumatoid arthritis, hiki iā ʻoe ke ʻike i ka luhi ma ke ʻano he hōʻailona o kēlā maʻi. Inā ʻoe e luhi mau ana a palaualelo, he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e ʻike ai ke kauka i kēia maʻi?
ʻIke pinepine ʻia kēia ma ka hanana. Ke loaʻa iā ʻoe kahi hoʻāʻo koko no kekahi maʻi ʻē aʻe, hōʻike paha ka hōʻike ua haʻahaʻa kāu mau pae IgA.
A i ʻole, inā maʻi pinepine ʻoe, a ʻike paha ʻoe i kekahi o kou ʻohana i loaʻa i kēia maʻi, kānalua paha kāu kauka a kauoha i kahi hoʻāʻo koko kūikawā e nānā i kāu mau pae IgA.
He aha nā lāʻau lapaʻau no kēia?
ʻAʻohe lāʻau lapaʻau kūikawā a lāʻau lapaʻau paha no ka hemahema o IgA. ʻAʻohe pilikia o ka hapa nui o ka poʻe me ia a ʻaʻole pono ka lāʻau lapaʻau. Ua kaupalena ʻia ka lāʻau lapaʻau i nā hōʻailona a i ʻole nā maʻi e kū mai ana ma muli o ia mea.
- Lapaʻau no nā maʻi: Inā loaʻa iā ʻoe kahi maʻi bacteria, e kuhikuhi kāu kauka i nā antibiotics kūpono.
- Ke hoʻoikaika ʻana i ka ʻōnaehana pale: He mea kākaʻikahi loa, hiki i nā kauka ke hoʻoholo e hāʻawi i kahi mea i loaʻa pinepine i nā maʻi koʻikoʻi i kahi pana i kapa ʻia ʻo IVIG (intravenous immunoglobulin) e hoʻoikaika i ka ʻōnaehana pale.
- Lapaʻau no nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe kahi maʻi autoimmune e pili ana, e hāʻawi ʻia ka lāʻau kūpono.
ʻAʻole hiki ke ho'ōla loa ʻia kēia maʻi, akā hiki i kekahi mau keiki ke hoʻihoʻi i kekahi o kā lākou hana IgA i ko lākou wā ʻelemakule.
Āhea wau e ʻike ai i ke kauka?
Inā manaʻo ʻoe ua maʻi mau ʻoe, a inā paha e lōʻihi ana kou manawa e hoʻōla ai mai kahi maʻi liʻiliʻi, e ʻike pono i ke kauka no ka ʻōlelo aʻo. ʻAʻole maʻamau ka maʻi mau. He mea nui e ʻike i ke kumu.
Inā loaʻa i kekahi o kou ʻohana ka hemahema o ka IgA, e haʻi aku i kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻO ka IgA Deficiency kahi maʻi maʻamau e kū mai ana i loko o kā mākou ʻōnaehana pale.
- Hiki i ka hapa nui o ka poʻe me kēia maʻi ke ola maʻamau a olakino me ka ʻole o nā hōʻailona .
- Hiki i kekahi poʻe ke pilikia i nā maʻi pinepine (ʻoi aku hoʻi o ka ʻōnaehana hanu).
- ʻOiai ʻaʻohe lāʻau lapaʻau no kēia, hiki ke mālama pono ʻia nā maʻi e kū mai ana.
- Inā he kānalua a makaʻu paha kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana. ʻAʻohe kumu e makaʻu ai.
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