Ke manaʻo nei hoʻi ʻoe i ka luhi loa, ka luhi wale nō, ʻaʻole hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā? Ke poniuniu nei ʻoe ʻoiai ke hele iki ʻoe? Ke nānā ʻoe i ke aniani, ke ʻano keʻokeʻo nei kou helehelena, nā lehelehe, a me nā lima? ʻAʻole kēia he mau mea wale nō. ʻO ke kumu ma hope o kēia paha ka mea a ka poʻe he nui e kapa nei he " hemahema koko " a i ʻole ka mea a mākou e kapa nei ma ke ʻano lapaʻau he "anemia " . He kūlana maʻamau loa kēia. No laila, ʻaʻohe mea e hopohopo ai. E kamaʻilio kākou e pili ana i kēia i kēia lā, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
Pehea ʻoe e ʻike pono ai inā he anemia kou?
Inā loaʻa iā ʻoe nā hōʻailona o ka anemia, ʻo ka mea mua e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana. E nīnau ʻo ia iā ʻoe i nā nīnau, e nānā iā ʻoe, a, inā pono, e kauoha i kekahi mau hoʻokolohua koko .
No ke kōkua ʻana i ke kauka, hiki iā ʻoe ke hāʻawi i kēia ʻike:
- E ʻoluʻolu e wehewehe pono i nā hōʻailona āu e ʻike nei a me ka lōʻihi o ko lākou loaʻa ʻana iā ʻoe.
- E haʻi mai iā mākou inā loaʻa i kekahi o kou ʻohana kēia ʻano maʻi (e.g. thalassemia ).
- Pehea kou ʻano ʻai? (ʻoi aku hoʻi inā he mea ʻai ʻole ʻoe).
- E haʻi mai iā mākou e pili ana i nā lāʻau lapaʻau āu e lawe nei a inā ʻoe e inu waiʻona .
I ka ʻōlelo maʻalahi, ʻekolu mau kumu nui o ka anemia.
1. Ma muli o ke kahe ʻana o ke koko: ma muli o ke kahe ʻana o ke koko i waho a i loko paha o ke kino.
2. Ka emi ʻana o ka hana ʻana o nā hunaola koko ʻulaʻula : ʻAʻole hiki i ke kino ke hana i nā hunaola koko ʻulaʻula lawa.
3. Ka luku mua ʻana o nā hunaola koko ʻulaʻula: ʻO ka haki ʻana o nā hunaola koko ʻulaʻula ma mua o ka manawa maʻamau.
Hiki i nā hoʻokolohua koko ke kōkua i ka hoʻoholo ʻana i ke kumu pololei o kēia. Hiki iā lākou ke hōʻoia inā he anemia kou.
| ʻO kekahi mau hoʻāʻo koko maʻamau | He aha kāu e ʻike ai i loko o ia mea? |
|---|---|
| Helu Koko Piha (CBC) | Nānā ʻia ka nui a me ka helu o nā hunaola koko ʻulaʻula i loko o ke koko, a me ko lākou pae hemoglobin. |
| ʻO ka Ferritin Serum a me ka Pae Hao Koko | ʻO kēia ke ala maikaʻi loa e loaʻa ai kahi manaʻo o ka nui o ka hao i mālama ʻia i loko o ke kino. |
| Nā Pae Vitamin B12 a me Folate | Ke nānā nei mākou e ʻike inā ua lawa kēia mau wikamina, he mea nui no ka hana ʻana i nā hunaola koko ʻulaʻula. |
| Nā hoʻokolohua kūikawā ʻē aʻe | Nā hoʻāʻo kūikawā e ʻike i nā maʻi laha ʻole e like me ka anemia hemolytic (nā ʻulaʻula koko e haki koke ana). |
He mea kākaʻikahi loa, inā ʻaʻole hiki i kēia mau hoʻokolohua ke loaʻa ke kumu, hiki i ke kauka ke hoʻoholo e lawe i kahi hāpana iwi a hoʻāʻo iā ia.
He aha nā lāʻau lapaʻau no ka anemia?
ʻO ka mea nui ma ʻaneʻi, ʻaʻole e hoʻomaka ka lāʻau a hiki i ka loaʻa ʻana o ke kumu pololei o ka anemia. No ka mea, ʻo ka lāʻau i hāʻawi ʻia no kekahi ʻano anemia hiki ke lilo i mea ʻino a weliweli hoʻi no kekahi ʻano ʻē aʻe. No laila, ua kau ʻia ka lāʻau ma ke kumu.
1. Ka mālama ʻana i ka anemia i hoʻokumu ʻia e ke kahe koko
Inā loaʻa iā ʻoe kahi kahe koko nui koke (e.g., mai kahi ulia), hiki ke hāʻawi ʻia iā ʻoe ka saline, nā hoʻoili koko, ka oxygen, a me ka hao i loko o ka haukapila. Eia nō naʻe, inā loaʻa iā ʻoe ke kahe koko e hoʻomau nei (e.g., kahi ʻōpū ʻōpū, ke kahe koko nui o ka menstrual), ʻo ka mea mua āu e pono ai e hana, ʻo ia ke ʻimi i ke kumu o ke kahe koko a hoʻōki iā ia. A laila, inā pono, e mālama i ka hemahema o ka hao. Pono paha ʻoe e loaʻa i kahi colonoscopy e ʻimi ai i kēia mau mea.
2. Anemia nele i ka hao
ʻO kēia ke ʻano maʻamau o ka anemia i ʻike ʻia ma ko mākou ʻāina. Ke nele ke kino i ka hao lawa, ʻaʻole hiki iā ia ke hana i nā hunaola koko ʻulaʻula maʻamau.
Inā ʻoe e hoʻohana ana i nā mea hoʻohui hao, pono ʻoe e makaʻala loa e pili ana i kēia mau mea.
ʻO ka mea nui loa, mai lawe i nā lāʻau hao e like me kou makemake me ka ʻole o ke kūkākūkā ʻana me ke kauka. ʻO ka lawe ʻana i ka hao ma mua o kou pono he mea weliweli ia.
- E mālama ʻia mai nā keiki: He mea weliweli loa nā pila hao no nā keiki liʻiliʻi inā ale lākou iā lākou. Hiki iā lākou ke make i loko o kekahi mau hola. No laila , e like me nā lāʻau lapaʻau a pau, pono e hoʻopaʻa ʻia nā pila hao mai ka hiki ʻana aku o nā keiki liʻiliʻi.Inā inu hewa kekahi keiki a hōʻike i nā hōʻailona e like me ka luaʻi ʻana, ka maʻi pākī, a i ʻole ka poniuniu, e lawe koke iā ia i ka haukapila kokoke loa ʻo Emergency Department (ETU). Inā pono, e kelepona i ke National Poisons Information Center ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
- E makaʻala i nā hopena ʻaoʻao: Hiki i nā mea hoʻohui hao ke hoʻoulu i ka nausea, ka ʻeha o ka ʻōpū, ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi diarrhea, a me nā ʻōpala ʻeleʻele. Hiki iā ʻoe ke hōʻemi i kēia mau mea ma ka lawe ʻana i nā pila me ka meaʻai. Inā hoʻomau kēia mau pilikia, e haʻi i kāu kauka.
- E nānā i nā pilina me nā lāʻau lapaʻau ʻē aʻe: Inā ʻoe e lawe ana i nā pila calcium, hiki iā ia ke hoʻopilikia i ka omo ʻana o ka hao. No laila e aʻo aku paha kāu kauka iā ʻoe e lawe iā lākou i ʻelua mau manawa like ʻole, ma mua o ka lawe ʻana iā lākou i ka manawa hoʻokahi.
- Kōkua i ka omo maikaʻi ʻana: ʻOi aku ka maikaʻi o ka omo ʻana o ka hao e ke kino ke lawe ʻia me ka wikamina C. ʻO ia ke kumu e ʻōlelo ai kāu kauka e lawe i kāu pila hao me ke aniani wai ʻalani.
Eia kekahi, ua ʻōlelo ʻia hoʻi e hoʻokomo i nā meaʻai waiwai i ka hao i kāu papaʻai. ʻO ka ʻiʻo ʻulaʻula, ka ipu ʻawaʻawa, nā pīni, ka sipinaki, nā drumsticks, nā yolks hua manu, a me nā meaʻai kai he mau kumu maikaʻi ia o ka hao.
3. Ka mālama ʻana i ka nele o ka huaora B12 a me ka Folate
ʻO ka lāʻau no kēia ʻano ma muli o ke kumu. Loaʻa i kekahi poʻe kahi pilikia me ko lākou kino i ka omo ʻana i ka wikamina B12. Pono paha lākou e lawe i nā inikini wikamina B12 no ke koena o ko lākou ola a i ʻole e lawe i nā pila nui i kēlā me kēia lā.
Ua kuhikuhi ʻia nā papa waikawa folic no ka nele o ka folate. Paipai pū lākou i ka hoʻohui ʻana i nā meaʻai waiwai i ka huaora B12 a me ka folate (ʻiʻo, iʻa, waiū, hua manu, nā mea kanu ʻōmaʻomaʻo, a me nā huaʻai) i ka papaʻai.
4. Ka mālama ʻana i ka anemia ma muli o nā kumu kikoʻī ʻē aʻe
- Nā pilikia iwi ʻiʻo: ʻOkoʻa ka mālama ʻana no nā maʻi hoʻoilina e like me ka thalassemia a me ka maʻi sickle cell ma muli o ke ʻano a me ke koʻikoʻi o ka maʻi. Pono paha nā lāʻau lapaʻau e like me ke kahe koko pinepine ʻana a i ʻole ka hoʻoili iwi ʻiʻo.
- Nā maʻi mau ʻē aʻe: No ka anemia i hoʻokumu ʻia e ka maʻi puʻupaʻa a i ʻole ka chemotherapy maʻi kanesa, hāʻawi ʻia kahi hormone i kapa ʻia ʻo erythropoietin, ka mea e hoʻoulu ai i ka hana ʻana o nā hunaola koko ʻulaʻula, ma ke ʻano he injection.
- ʻAnemia Hemolytic: Hoʻōla ʻia kēia ma muli o ke kumu. Pono paha ka lāʻau steroid, nā lāʻau lapaʻau kūikawā e like me ka plasmapheresis, a, ma ke ʻano he koho hope loa, splenectomy.
Pehea e hiki ai iā ʻoe ke pale aku i ka anemia?
Hiki ke pale ʻia nā ʻano anemia he nui, ʻoiai nā mea i hoʻokumu ʻia e ka hao, ka wikamina B12, a me ka hemahema o ka folate, ma ka ʻai ʻana i ka meaʻai kaulike.
- E hoʻohui i nā meaʻai waiwai i ka hao, ka huaora B12, a me ka folate i kāu papaʻai.
- Inā he mea ʻai mea kanu/vegan ʻoe, e kamaʻilio me kāu kauka a meaʻai meaʻai paha e pili ana i kāu ʻai a lawe i nā mea hoʻohui wikamina inā pono.
- E hōʻemi i kāu ʻai ʻana i ke kī a me ke kofe. E pale i ka inu ʻana i ke kī me ka ʻai ʻana, no ka mea, e hōʻemi ana kēia i ka omo ʻana o ke kino i ka hao.
- E koho i nā berena a me nā meaʻai liʻiliʻi i hoʻonui ʻia i ka hao.
- E hahai i nā kaʻina hana palekana i ka wā e hana ai me nā mea i hoʻokumu ʻia i ke kēpau (e like me nā pila, ka pena).
Leka Lawe-Home
- Mai hoʻowahāwahā i nā mea e like me ka luhi loa me ke kumu ʻole, ke nānā aku ke keʻokeʻo, a i ʻole ka nāwaliwali. He mau hōʻailona paha kēia o ka anemia. E ʻike koke i ke kauka.
- Mai hoʻohana i nā papa hao a i ʻole nā huaora ʻē aʻe ma kāu iho me ka ʻole o ke aʻoaʻo lapaʻau.
- Hoʻōla ʻia ka anemia ma ka ʻimi ʻana i ke kumu pololei. No laila, e kiʻi pololei i nā hoʻokolohua a kāu kauka e kauoha ai.
- E mālama i nā lāʻau lapaʻau a pau, me nā papa hao, ma kahi palekana mai ka hiki ʻana aku o nā keiki liʻiliʻi. He mea weliweli loa ka ʻai ʻia ʻana.
- Hiki i ka ʻai kaulike ke pale i nā ʻano anemia he nui.
Anemia, nele i ka hao, Wikamina B12, Nā hunaola koko ʻulaʻula, Luhi
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