Ke manaʻo nei ʻoe i kekahi manawa i kahi puʻupuʻu liʻiliʻi ke hoʻopā ʻoe i kou ʻāʻī, armpit, a i ʻole groin ? Ua kapa kekahi poʻe i kēia he 'pimple'. Makaʻu ka poʻe he nui ke ʻike lākou i kahi mea e like me kēia, me ka noʻonoʻo ʻana, "He ʻano maʻi anei kēia?" ʻO ka ʻoiaʻiʻo, ʻo kēia mau pehu ʻana ke ʻano nei ke kaua nei kou kino i kekahi germ. No laila ma mua o kou makaʻu ʻana, e hoʻomaopopo pono kākou i kēia.
He aha maoli kēia mau lymph nodes?
I ka ʻōlelo maʻalahi, ua like kēia mau kelepa me nā wahi nānā liʻiliʻi i loko o ka ʻōnaehana pale o ko mākou kino. Kāhea mākou i kēia mau lymph nodes i ke kauka. Aia ma kahi o 600 o kēia mau lymph nodes ma loko o ko mākou kino, e like me kahi pūnaewele o nā wahi nānā mākaʻi.
E noʻonoʻo ʻoe he kūlanakauhale nui ko kākou kino. Ke kahe nei kahi wai i kapa ʻia ʻo 'lymph fluid' ma nā alanui o kēia kūlanakauhale. Hiki i kēia wai, me nā meaʻai e pono ai ko kākou mau cell, ke loaʻa pū nā germs e like me nā bacteria a me nā virus i mea ʻino iā kākou. I kēlā manawa, kānana kēia mau wahi nānā i kapa ʻia ʻo lymph nodes i kēlā wai lymph, hopu i nā germs ʻino i loko, a luku iā lākou. E like me nā pūʻali palekana o ko kākou ʻāina, pale kēia mau mea i ko kākou kino mai nā maʻi.
Ma hea kēia mau mea ma ke kino?
ʻOi aku paha kou kamaʻāina i nā puʻupuʻu ma nā ʻaoʻao ʻelua o kou ʻāʻī. Kāhea mākou iā lākou he 'cervical lymph nodes.' Eia kekahi, aia lākou ma:
- Ma nā ʻauwae ʻelua
- Ma ka ʻāpana groin (kahi e hui ai nā ʻūhā a me ka ʻōpū)
- Ma lalo o ke poʻo
- Ma hope o nā pepeiao
ʻOiai hiki iā mākou ke ʻike i nā puʻupuʻu ma kēia mau wahi, aia kēia mau lymph node ma nā wahi hohonu ma mua o ka mea hiki iā mākou ke noʻonoʻo, e like me loko o ka umauma a me ka ʻōpū.
A laila no ke aha lā e pehu ai kēia mau puʻupuʻu?
E noʻonoʻo, he aha ka mea e hana ʻia inā e hoʻouka ʻia ko kākou ʻāina e ka ʻenemi? E hōʻea hou aku nā koa i nā kahua hoʻomoana o nā pūʻali koa palekana, a e lilo nā kahua hoʻomoana i mea hana. Pēlā nō ia.
Ke komo kahi germ, e like me ka virus a bacteria paha, i loko o kou kino, hana kāu ʻōnaehana pale i nā cell hakakā hou aʻe (lymphocytes) e hakakā i kēlā germ. Hōʻuluʻulu ka nui o kēia mau cell i loko o kēia mau checkpoints i kapa ʻia ʻo lymph nodes. A laila pehu kēlā mau nodes no kekahi manawa a nui iki aʻe.
ʻO ia hoʻi, i ka hapa nui o ka manawa, ʻo ka pehu ʻana o ka lymph node ke ʻano o ka hana maikaʻi ʻana o ka ʻōnaehana pale o kou kino a ke kaua aku nei i kahi maʻi. He mea maikaʻi kēlā.
ʻO ka hapa nui o ka manawa, hoʻokumu ʻia kēia pehu e nā kūlana maʻalahi a maʻalahi hoʻi e mālama ʻia. Eia nō naʻe, i nā hihia kakaikahi, hiki ke loaʻa nā kumu koʻikoʻi.
| Nā kumu maʻamau | Nā kumu koʻikoʻi i ʻike pinepine ʻole ʻia |
|---|---|
| Nā maʻi viral e like me ke anu maʻamau | ʻO ka maʻi puʻupuʻu |
| Nā maʻi ʻāʻī (Strep throat) | Nā maʻi o ka ʻōnaehana pale (e.g. Lupus, Rheumatoid Arthritis) |
| He maʻi pepeiao, he maʻi niho | Ka maʻi HIV/AIDS |
| Ho'ōla ʻana i nā ʻeha ʻili | ʻO kekahi mau ʻano maʻi kanesa (e.g., lymphoma, leukemia) |
He aha nā kūlana e pono ai ʻoe e ʻike i ke kauka?
ʻO ka maʻamau, ʻo ka pehu ʻana o ke kuʻekuʻe wāwae, kahi e kū mai ana ma hope o kahi maʻi e like me ke anu , e hoʻi hou i ka maʻamau i loko o kekahi mau lā a i ʻole ʻelua a ʻekolu mau pule ma hope o ka hala ʻana o ka maʻi. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e ʻike koke i ke kauka. He mau hōʻailona paha kēia o kahi maʻi koʻikoʻi.
- Pehu koke a nui loa ka puʻupuʻu.
- Inā paʻakikī ia e like me ka pōhaku ma kou lima, a inā ʻaʻole neʻe ka puʻupuʻu ke paʻi ʻoe.
- ʻO ka pehu ʻana ʻaʻole e emi iho no nā lā ʻoi aku ma mua o 5 i nā keiki ʻōpio a i ʻole 2-4 mau pule i nā pākeke.
- Inā ʻulaʻula a poni paha ka ʻili a puni ka puʻu, a wela paha, a i ʻole he ʻano pus e kahe ana .
- Inā e emi koke kou kaumaha me ke kumu ʻole.
- Inā ʻoe e hou i ka pō (Night sweats).
- Inā loaʻa iā ʻoe ke kuni e mau ana no kekahi mau lā.
- Inā pehu nā puʻupuʻu ma nā wahi he nui i ka manawa hoʻokahi, e like me ka ʻāʻī a me nā ʻūpā lima.
E makaʻala loa i kēia mau hōʻailona. Mai hoʻowahāwahā iā lākou.
He aha ke ʻano o nā hoʻokolohua a ke kauka e hana ai?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. Hiki i kahi o ka pehu ke hāʻawi iā ʻoe i kahi manaʻo no ke kumu.
A laila, ma muli o ka pono, hiki ke ʻōlelo ʻia hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe e kuhikuhi i ke kumu:
- Nā hoʻāʻo koko : No ka nānā ʻana i nā maʻi a i ʻole nā maʻi ʻē aʻe.
- Nā scan:
- Nānā ultrasound: E nānā i ke ʻano o ka puʻupuʻu (ua piha i ka wai a paʻa paha).
- CT scan a i ʻole MRI scan: E nānā pono i nā puʻupuʻu i loko o ke kino a me nā ʻōpū a puni.
- Biopsy: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu pehu a nānā iā ia ma lalo o kahi microscope. He mea nui kēia hoʻāʻo e hōʻoia inā he kānalua no ka maʻi kanesa.
Aia kekahi mau lāʻau lapaʻau e hiki ke hana ma ka home?
Inā ma muli o kahi kumu maʻalahi kou kuʻekuʻe wāwae pehu, e like me ke anu, a ua hōʻoia kāu kauka iā ia, hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka ʻoluʻolu ʻole a hiki i ka ho'ōla ʻana o ke ʻano:
- Nā ʻūmiʻi mehana: E hoʻomohu i kahi lole maʻemaʻe i loko o ka wai mehana a kau ma luna o ka wahi pehu a ʻeha. Hiki paha i kēia ke kōkua i ka hōʻemi iki ʻana i ka ʻeha.
- Hoʻomaha: ʻO ka lawa ʻana o ka hoʻomaha e hāʻawi i kou kino i ka ikaika e hakakā ai i ka maʻi a ho'ōla koke.
- Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke lawe i kahi lāʻau hoʻopau ʻeha e like me ka paracetamol. Eia nō naʻe, inā ʻoe e hāʻawi ana i ka aspirin i nā keiki a i ʻole nā ʻōpio, e nīnau mua i ke kauka.
ʻO ka mea nui loa, ʻo ia ka hana ʻia ʻana o kēia lāʻau lapaʻau ma ka home ma hope o ka hōʻoia ʻana o ke kauka ʻaʻohe kumu koʻikoʻi. Inā kānalua, e ʻike mua i ke kauka.
Leka Lawe-Home
- ʻO ka hapa nui o ka manawa, he pane maʻamau nā ʻōpū pehu i kahi maʻi maʻalahi e like me ke anu. ʻO ia hoʻi ke hana maikaʻi nei kāu ʻōnaehana pale.
- Ke ho'ōla ʻia ka maʻi, e emi pinepine ka pehu i loko o kekahi mau pule.
- Inā paʻakikī ka puʻu e like me ka pōhaku, ʻaʻole neʻe, mau no ka manawa lōʻihi, a i ʻole hele pū ʻia me nā hōʻailona e like me ke kuni, ka hou ʻana i ka pō, a me ka pohō kaumaha, mai hoʻowahāwahā iā ia.
- Inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia, pono ʻoe e ʻike i ke kauka no ka ʻōlelo aʻo. Ma mua o ka hopohopo, ʻoi aku ka naʻauao o ka ʻike ʻana i ke kumu pololei.
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