ʻEha nui ka ʻōpū i ka wā o ka mālama ʻana i ka maʻi kanesa? Hiki paha he Typhlitis?

Ke mālama ʻia nei paha ʻoe i ka maʻi kanesa. A i ʻole he nāwaliwali paha kou ʻōnaehana pale. I nā manawa e like me kēia, hiki ke kū mai nā ʻano pilikia olakino āpau. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e like me kēia, ʻoi aku hoʻi e pili ana i nā ʻōpū, he mea koʻikoʻi iki ia, akā hiki ke hoʻomalu maikaʻi ʻia inā ʻike mua ʻia . ʻO kēia ka mea a mākou e kapa nei he Typhlitis.

He aha ka Typhlitis? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo Typhlitis kahi mumū koʻikoʻi o kā mākou ʻōnaehana hoʻoheheʻe, ʻo ia hoʻi, nā ʻōpū. Hiki i kēia mumū ke alakaʻi i nā maʻi bacteria a me nā fungal. ʻOiai he maʻi kakaikahi kēia, ʻoi aku ka nui o ka hiki ke loaʻa i nā poʻe e loaʻa ana i ka chemotherapy ikaika, ʻoi aku hoʻi no kekahi mau ʻano maʻi koko (no ka laʻana, leukemia, lymphoma, multiple myeloma).

E noʻonoʻo i ko kākou ʻōpū e like me kahi paipu lōʻihi. Hiki i ka typhlitis ke hoʻopilikia i nā ʻāpana like ʻole o kēia ʻōpū:

• ʻIke pinepine ʻia kēia ʻano ma ka cecum, kahi ʻāpana o ka ʻōpū nui.
• Eia kekahi, ʻo ka colon piʻi
• A hiki ke hoʻopilikia ʻia ka ileum, ʻo ia kekahi ʻāpana o ka ʻōpū liʻiliʻi.

I kekahi manawa, hoʻohana nā kauka i nā inoa ʻē aʻe no kēia kūlana, e like me ka neutropenic enterocolitis , typhlenteritis, a i ʻole ileocecal syndrome. Akā, pili lākou a pau i ke kūlana hoʻokahi.

ʻO wai ka poʻe e pilikia ana i ka typhlitis?

ʻAʻole wale kēia pilikia no ka poʻe e mālama ʻia ana i ka maʻi kanesa, akā no kekahi poʻe ʻē aʻe.

• Hiki i nā kānaka me ka maʻi HIV/AIDS ke loaʻa i ka maʻi typhoid.
• Eia kekahi, ʻo ka poʻe e lawe ana i nā immunosuppressants , no ka laʻana, ʻo ka poʻe i loaʻa i kahi hoʻoili cell stem/iwi iwi, a i ʻole ka poʻe i loaʻa i kahi hoʻoili kino ʻē aʻe, e pilikia ana lākou i ka hoʻomohala ʻana i kēia maʻi.

ʻOiai hiki i kēia maʻi ke hoʻoweliweli i ke ola , he mea nui e hoʻomanaʻo e hiki ke ho'ōla ʻia inā ʻike mua ʻia nā hōʻailona a hoʻomaka koke ka mālama ʻana.

He aha nā hōʻailona o ka typhlitis?

Hiki i nā hōʻailona typhlitis ke like me ka ʻeha ʻōpū nui a i ʻole ka ʻōpū ʻōpū. Akā, ʻoi aku lākou ma mua o ka ʻeha ʻōpū maʻamau. ʻO nā hōʻailona maʻamau:

• ʻEha nui o ka ʻōpū a me nā ʻūpā
• ʻŌpū pehu/ ʻōpū ʻōpū
• Ka maʻi pākī
• kuni
• Ka luaʻi a me ka luaʻi

E noʻonoʻo i kekahi kanaka i kapa ʻia ʻo Nimali, e hana ʻia ana i ka chemotherapy no ka leukemia. I ka manawa koke, loaʻa iā ia ka ʻeha nui o ka ʻōpū, ke kuni, a me ka luaʻi. Manaʻo ʻo ia ua ʻai paha ʻo ia i ka lāʻau make. Akā inā ʻaʻole e emi kēia mau hōʻailona ma hope o ʻelua a ʻekolu paha lā, he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau . No ka mea, he Typhlitis paha ia.

No ke aha e kū mai ai ka Typhlitis? He aha nā kumu?

Manaʻo nā kānaka noiʻi ua hoʻokumu ʻia ka maʻi typhoid e ka hui pū ʻana o nā kumu. ʻO nā kumu nui ʻekolu:

1. Mucositis: ʻO kēia ka mumū o nā membrane mucus e uhi ana i loko o ko kākou ʻōpū nui a me ka ʻōpū liʻiliʻi. E like me ka hiki ke hana ʻia nā ʻeha i loko o ko kākou waha, hiki nō hoʻi i nā ʻeha a me ka mumū ke hana ʻia i loko o ka ʻōpū. Hiki ke hana ʻia kēia ma ke ʻano he hopena ʻaoʻao o nā lāʻau lapaʻau e like me ka chemotherapy.

2. Neutropenia: ʻO Neutropenia ka emi ʻana o kahi ʻano o nā hunaola koko keʻokeʻo i kapa ʻia ʻo neutrophils. Ua like kēia mau neutrophils me nā koa koʻikoʻi i loko o kā mākou ʻōnaehana pale . ʻO lākou ka poʻe e hakakā nei i nā maʻi. Hiki i ka chemotherapy ke hoʻemi i kēia mau neutrophils.

3. ʻŌnaehana pale maʻi nāwaliwali: Hiki i nā lāʻau lapaʻau maʻi kanesa (e like me ka chemotherapy) a me nā maʻi e like me ka HIV/AIDS ke hoʻonāwaliwali i ko mākou ʻōnaehana pale maʻi holoʻokoʻa.

I kēia manawa, e nānā kākou pehea e hana ai kēia. ʻO ka mea mua, hōʻino ka mucositis i ka uhi o nā ʻōpū. ʻAe kēia i nā bacteria maikaʻi ʻole a me nā fungi e komo maʻalahi i loko o nā ʻōpū . I kēlā manawa, inā he haʻahaʻa nā neutrophils (neutropenia) o ko mākou kino a nāwaliwali ka ʻōnaehana pale, ʻaʻole hiki i ke kino ke hakakā i kēia mau mea komo hewa. ʻO ka hopena, he mau maʻi koʻikoʻi a me nā pilikia e hiki ke hoʻoweliweli i ke ola. Nā laʻana:

• Ke kahe koko ʻana o ka ʻōpū
• Ka puka ʻana o ka ʻōpū
• Sepsis a me ka septic shock - He maʻi koʻikoʻi kēia e laha ana ma ke kino holoʻokoʻa.

He aha nā maʻi nui e hoʻoulu ai i ka typhlitis?

Ua ʻike ʻia e ka noiʻi he nui nā ʻano bacteria a me nā fungi (a mākou e kapa nei he pathogens) hiki ke hana i ka typhlitis. ʻO kekahi o nā ʻano bacteria maʻamau:

• *Clostridium septicum*
• *ʻEnterococci*
• *Enterobacteria Gram-negative*
• ʻO Pseudomonas aeruginosa
• *Staphylococcus aureus*
• *Streptococcus*

Eia kekahi, ʻo nā ʻano fungi maʻamau i kēia mau mea:

• ʻAspergillus
• *Kāndida*

Me he mea lā he mea paʻakikī iki kēia, akā ua ʻike nā kauka e pili ana i ia mea no laila ʻaʻole pono ʻoe e hopohopo nui e pili ana i ia mea. ʻO ka mea nui, ʻo ia ka hoʻomaopopo ʻana ʻo kēia mau ʻano germs ka mea e hoʻonui ai i ka pilikia.

Pehea e ʻike ai nā kauka i ka typhlitis?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona i helu ʻia ma luna, e hana mua kāu kauka i kahi hoʻokolokolo kino. A laila e nīnau lākou iā ʻoe e pili ana i kou mōʻaukala olakino. No ka laʻana, e nīnau lākou inā ua mālama ʻia ʻoe no ka maʻi kanesa, ua loaʻa iā ʻoe kahi hoʻoili cell stem a i ʻole ka hoʻoili ʻana o ke kino, a inā he HIV / AIDS kou. Eia kekahi, hiki ke hana ʻia nā hoʻāʻo koko a me nā hoʻāʻo kiʻi kūikawā.

Nā hoʻāʻo koko

Hiki i ke kauka ke kauoha i nā hoʻokolohua koko e like me kēia:

• Helu Koko Piha (CBC): Hiki i kēia ke nānā i nā mea e like me nā pae neutrophil.
• Nā hoʻokolohua hana puʻupaʻa
• Nā hoʻāʻo hana ate
• Hoʻāʻo manawa Prothrombin: E nānā i ke kāpili ʻana o ke koko.

Nā hoʻokolohua kiʻi

ʻO ka hoʻāʻo maʻamau i hoʻohana ʻia no kēia he CT scan (Computed Tomography - CT scan) . Hiki i kēia scan ke ʻike inā ʻoi aku ka mānoanoa o nā paia o kou kolona ma mua o ka maʻamau. Hoʻokumu ʻia kēia mānoanoa o nā paia o ke kolona e ka mumū.

Pehea e mālama ʻia ai ka typhlitis?

ʻAʻohe lāʻau lapaʻau hoʻokahi e kūpono i nā mea āpau no ka maʻi typhoid. He ʻokoʻa ke kūlana o kēlā me kēia kanaka. Akā ma ke ʻano laulā, ʻo ka pahuhopu nui o ka lāʻau lapaʻau ka kaohi ʻana i ka maʻi a kākoʻo i kāu ʻōnaehana pale . Pono paha ʻoe i ka hui pū ʻana o nā lāʻau lapaʻau like ʻole. Eia kekahi o nā lāʻau lapaʻau maʻamau:

• Nā lāʻau antibiotic: Kāohi i nā maʻi bacteria. Hiki ke hāʻawi ʻia nā lāʻau antifungal.
• Hoʻoili koko: Inā he haʻahaʻa kou koko.
• Laparotomy Decompressive: He hana ʻoki e hana ʻia e hōʻemi i ke kaomi i loko o ka ʻōpū inā kiʻekiʻe loa.
• Granulocyte Colony-Stimulating Factor (G-CSF): He lāʻau pale kēia i hāʻawi ʻia e hoʻonui i nā pae neutrophil.
• Nā wai intravenous (nā wai IV): Kāohi i ka maloʻo ʻana o ka wai a hāʻawi i ke kino i nā wai e pono ai.
• ʻO ka ʻai Parenteral holoʻokoʻa (TPN): Pili kēia i ka hāʻawi ʻana i ka ʻōnaehana hoʻoheheʻe i kahi hoʻomaha, e ʻae ai iā ia e ho'ōla, a laila hāʻawi pololei i nā meaola e pono ai ma o kahi aʻa.

Inā ʻoe e mālama ʻia no ka maʻi kanesa, hiki i kāu kauka maʻi kanesa ke hana i nā hoʻololi i kāu lāʻau lapaʻau no ka maʻi kanesa a hiki i kou hoʻōla ʻana mai ka typhlitis. Inā hoʻoulu ka typhlitis i ka perforation o ka ʻōpū, pono paha ke ʻoki ʻana.

He aha ka nui o ka make? Pono anei kākou e makaʻu?

He maʻi koʻikoʻi ka maʻi typhoid a hiki ke make . I kekahi manawa, ua make ka poʻe a pau i loaʻa i ka maʻi typhoid mai nā pilikia e like me ka sepsis. Akā, ʻaʻole ia ka hihia hou . Me ka ʻike mua ʻana a me ka mālama koke ʻana, ua nui ka poʻe e hoʻōla nei mai ka maʻi typhoid. Ua hōʻike ʻia kahi noiʻi hou aku nei ua ʻoi aku ma mua o 60% o ka poʻe me nā maʻi fungal i hoʻokumu ʻia e ka maʻi typhoid i hoʻōla ma hope o ka mālama ʻana. No laila, he mea nui e noho lana ka manaʻolana .

Āhea wau e ʻike ai i kaʻu kauka?

ʻIke ʻia paha nā hōʻailona o Typhlitis e like me nā pilikia ʻē aʻe i ʻoi aku ka maʻamau me kou ʻōpū. Akā e like me ka mea i ʻōlelo ʻia ma mua, ʻoi aku ka nui o nā hōʻailona o Typhlitis ma mua o ka ʻōpū huhū. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike i kāu kauka me ka kānalua ʻole :

• kuni
• Ka luaʻi a me ka luaʻi
• ʻO ka ʻōpū nui a me ka ʻōʻō ʻana

ʻO ka loaʻa ʻana o kēia mau hōʻailona ʻaʻole ia he manaʻo e loaʻa hou ana iā ʻoe ka maʻi typhoid, akā he manaʻo maikaʻi mau ke kamaʻilio me kāu kauka inā ʻike ʻoe i kekahi mau loli i kou kino.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Loaʻa paha iā ʻoe ʻo Typhlitis ma muli o kahi maʻi e hoʻopilikia ana i kāu ʻōnaehana pale, a i ʻole no ka mea ke mālama ʻia nei ʻoe e ka maʻi kanesa. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• Hiki iā ʻoe ke haʻi pololei mai iaʻu i ke kumu i loaʻa ai iaʻu ka Typhlitis?
• Hiki paha ke hana hou ʻia kēia?
• Pono anei au e ho'ōki i ka mālama ʻana i ka maʻi kanesa?

ʻO ka mālama ʻana i kahi maʻi koʻikoʻi e like me ke kanesa a i ʻole ka HIV/AIDS hiki ke like me ka piʻi ʻana i kahi mauna. I kou hoʻokele ʻana i nā pilikia e like me nā hopena ʻaoʻao mai ka mālama ʻana, ʻo ka pahuhopu o ka hoʻōla ʻana ka mea e hoʻomau iā ʻoe. Ke kū mai kahi pilikia olakino koʻikoʻi hou e like me ka typhlitis, hiki ke like me kahi mauna ʻē aʻe e piʻi ai. Akā e hoʻomanaʻo, aia nā lāʻau lapaʻau e hiki ke hoʻōla i ka typhlitis.

ʻOiai pēlā, e manaʻo paha ʻoe ua hoʻonāwaliwali ʻia. E noʻonoʻo paha ʻoe pehea ʻoe e lanakila ai i kēia pilikia hou a hoʻi hou i ke ala me kou hoʻōla ʻana. Hoʻomaopopo kāu hui lapaʻau i ka nui o ke kūlana hoʻihoʻi e like me ka hōʻailona hou. E pane lākou i kāu mau nīnau e pili ana i ka mālama ʻana i ka typhlitis a pehea e pili ai i kou hoʻōla ʻana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi weliweli ka typhlitis, akā hiki ke ho'ōla ʻia inā ʻike mua ʻia a mālama pono ʻia.

• He mea nui loa ia no ka poʻe e hana ʻia ana i ka chemotherapy, ka poʻe me ka maʻi HIV/AIDS, a me ka poʻe e lawe ana i nā lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale e makaʻala i kēia.
• Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ke kuni, a me ka luaʻi ʻana, mai manaʻo he ʻeha ʻōpū wale nō ia a e ʻike koke aku i ke kauka.
• E hahai pono i nā kuhikuhi a ke kauka. Mai hoʻōki i ka mālama ʻana i ka hapalua.
• E ikaika. E kōkua mai kāu hui lapaʻau iā ʻoe.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO ka typhlitis, ka mumū o ka ʻōpū, nā hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa, neutropenia, chemotherapy, ʻeha o ka ʻōpū, kuni