Ua ʻike anei ʻoe i ka vasculitis?

Ua manaʻo paha ʻoe e like me ʻoe e pupule ana, ʻeha kou mau hono, a i ʻole e loaʻa ana i kou ʻili nā ʻano ʻulaʻula a i ʻole nā ​​kiko? Hoʻopoina pinepine mākou i kēia mau mea, me ka manaʻo he mea maʻamau lākou. Akā i kekahi manawa, ma hope o kēia mau hōʻailona liʻiliʻi, aia paha kahi maʻi koʻikoʻi a mākou i lohe ʻole ai. I kēia lā, e kamaʻilio mākou e pili ana i kekahi maʻi like ʻole, ʻo ia hoʻi ʻo Vasculitis . He mea hou paha kēia inoa iā ʻoe. Akā he mea nui loa ia e makaʻala i kēia.

He aha ka Vasculitis? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo Vasculitis kahi mumū a pehu paha o kou mau kīʻaha koko, ʻo ia hoʻi, nā kīʻaha koko . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau kīʻaha koko. E wehewehe iki kākou i kēlā.

E noʻonoʻo i ka ʻōnaehana aʻa koko i loko o ko kākou kino e like me kahi pūnaewele o nā alanui ma Sri Lanka. Lawe kēia mau alanui i ka oxygen a me nā meaʻai i kēlā me kēia cell i loko o ko kākou kino. ʻEkolu mau ʻano nui o kēia pūnaewele o nā alanui:

• Nā aʻa koko: Ua like kēia me nā alaloa nui. Lawe kēia mau aʻa koko nui i ke koko maʻemaʻe mai ka puʻuwai a puni ke kino.
• Nā aʻa koko: ʻO kēia nā ala e hoʻihoʻi mai i ke koko i hoʻohana ʻia, ʻo ia hoʻi, ke koko lepo, i ka puʻuwai.
• Nā Capillaries: ʻO kēia nā ala liʻiliʻi e hoʻohui i nā alaloa a me nā alanui ʻē aʻe. Loaʻa i kēlā me kēia cell i loko o ke kino nā meaʻai mai ke koko ma o kēia mau kīʻaha koko liʻiliʻi.

I kēia manawa, ua maopopo iā ʻoe? Hoʻopilikia ka Vasculitis i ka pūnaewele o nā kīʻaha koko. Ke hiki mai kēia maʻi, pehu a mānoanoa nā paia o nā kīʻaha koko. E like me ke alanui e lilo ai i haiki a paʻakikī no nā kaʻa e hele ai, lilo ia i mea paʻakikī no ke kahe ʻana o ke koko ma o kēia mau kīʻaha koko i haiki.

Hiki i nā kānaka he nui ke kāohi i kēia mau hōʻailona me ka lāʻau lapaʻau. Eia nō naʻe, inā ʻoki ʻia ke kahe koko i nā ʻōpū koʻikoʻi, hiki i kēia ke lilo i mea hoʻoweliweli i ke ola .

Ma hea kahi e hoʻopilikia ai ka vasculitis i ke kino?

ʻO kaʻoiaʻiʻo, hiki iā ia ke hoʻopilikia i kekahi ʻāpana o ke kino me nā kīʻaha koko. ʻO ia hoʻi, hiki iā ia ke hoʻopilikia i kekahi ʻōkana mai ke poʻo a i nā wāwae.

Eia kekahi o nā wahi nui kahi e hiki ai ke loaʻa nā hopena:

• ʻIli
• Nā māmā
• Puʻuwai
• Nā aʻalolo
• Nā maka
• nā puʻupaʻa
• lolo
• Nā Sinus
• ʻŌpū a me nā ʻōpū (ʻŌpū)
• Nā lima a me nā wāwae

He aha nā hōʻailona maʻamau o ka vasculitis?

Hiki ke ʻokoʻa loa nā hōʻailona o kēia maʻi mai kēlā kanaka a kēia kanaka. Aia ia i ke ʻano o ka ʻōpū i hoʻopilikia ʻia ai nā kīʻaha koko a me ke koʻikoʻi o ka mumū. No ka laʻana, inā loaʻa i kekahi nā kīʻaha koko i loko o ko lākou ʻili, hiki iā lākou ke loaʻa kahi ʻulaʻula a me nā kiko ʻulaʻula ma ko lākou ʻili. Inā loaʻa i kekahi maʻi puʻupaʻa, hiki iā lākou ke loaʻa ke koko i loko o ko lākou mimi.

Eia nō naʻe, aia kekahi mau hōʻailona maʻamau ʻaʻole i pili pono i kēia maʻi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka manawa like, pono ʻoe e ʻike i ke kauka.

No ke aha e hana ai kēia vasculitis?

He nīnau paʻakikī kēia. He maʻi autoimmune ka Vasculitis. He aha ke ʻano o kēia?

He ʻōnaehana pale akamai loa ko ko kākou kino. Kapa mākou iā ia he ʻōnaehana pale. ʻO kāna hana ke pale iā kākou mai nā maʻi ma ke kaua ʻana i nā germs (viruses, bacteria) e komo i loko o ke kino. Eia nō naʻe, i loko o kahi maʻi autoimmune, lilo kēia ʻōnaehana pale i hewa a hoʻomaka e hoʻouka i kā kākou mau cell olakino ponoʻī ma kahi o kahi mea hoʻouka kaua haole.

I ka vasculitis, hoʻouka kāu ʻōnaehana pale i kou mau kīʻaha koko ponoʻī . ʻAʻole maopopo i nā kānaka ʻepekema ke kumu o kēia.

Eia nō naʻe, ua ʻike ʻia hiki i kekahi mau mea ke hoʻoulu i kēia ʻano.

• Nā maʻi: Hiki ke hana ʻia kēia ʻano ma hope o kekahi mau maʻi viral a bacteria paha.
• Nā maʻi autoimmune ʻē aʻe: Inā loaʻa iā ʻoe kekahi maʻi autoimmune ʻē aʻe, e like me ka rheumatoid arthritis, ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka vasculitis.
• Kekahi mau lāʻau lapaʻau: I kekahi manawa pinepine, hiki ke hana ʻia kēia ma ke ʻano he hopena i kekahi mau lāʻau lapaʻau.
• Kekahi ʻano maʻi ʻaʻai: Hiki ke hana ʻia kēia ʻano e nā mea e like me nā maʻi ʻaʻai koko.

Aia kekahi mau ʻano o kēia maʻi?

ʻAe, aia ma mua o 30 mau ʻano o kēia. Hoʻokaʻawale nui ʻia lākou e like me ka nui o nā kīʻaha koko i hoʻopilikia ʻia (nui, waena, liʻiliʻi) a me ko lākou wahi. Inā mākou e kamaʻilio e pili ana i kēia mau ʻano āpau, e nalowale kāua. No laila e ʻike kākou i nā inoa o kekahi o nā ʻano nui i kūkākūkā ʻia.

• ʻO ka vasculitis e pili ana iā ANCA: He nui nā ʻano like ʻole o kēia.
• ʻO ka arteritis cell nui: He ʻano kēia e hoʻopilikia pinepine ai i ka poʻe ma luna o 50 mau makahiki a hoʻopilikia i nā aʻa nui ma ke poʻo a me ka ʻāʻī.
• ʻO Takayasu arteritis: He ʻano kēia e hoʻopilikia ai i nā aʻa nui.
• ʻO ka polyarteritis nodosa
• Maʻi Kawasaki: He ʻano kēia e kū pinepine ai i nā keiki ʻōpio.
• ʻO ka vasculitis IgA (Henoch-Schönlein purpura): He mea maʻamau kēia i waena o nā keiki.

ʻAʻole pono ʻoe e hoʻomanaʻo i kēia mau inoa. ʻO ka mea nui loa, ʻo ia ke ʻike pono o ke kauka i ke ʻano āu i loaʻa ai, no ka mea, e pili ana ka lāʻau lapaʻau i kēlā ʻano.

Pehea e ʻike ai ke kauka i kēia maʻi?

Hiki ke paʻakikī iki ka ʻike ʻana i ka vasculitis no ka mea ua like kona mau hōʻailona me nā maʻi ʻē aʻe he nui. No laila, ʻaʻole e kapa koke ke kauka iā ia he vasculitis.

Ke hele ʻoe e ʻike i ke kauka, e hoʻolohe mua ʻo ia i kāu mau hōʻailona a aʻo e pili ana iā lākou. A laila e nānā ʻo ia i kou kino. Eia kekahi, e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.

• Nā hoʻāʻo koko: Kōkua kēia i ka nānā ʻana i ka mumū i loko o ke kino (nā hoʻāʻo e like me ESR, CRP), a no nā antibodies kikoʻī e like me ANCA.
• Nā hoʻāʻo mimi: Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua hoʻopilikia ʻia nā puʻupaʻa.
• Biopsy: ʻO kēia ke ala maikaʻi loa e hōʻoia ai i ka maʻi. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kahi ʻāpana i hoʻopilikia ʻia (e like me ka ʻili, ka puʻupaʻa) a nānā iā ia ma lalo o kahi microscope.
• Angiogram: He hoʻāʻo kūikawā kēia e like me ke kiʻi X-ray e nānā ana i loko o kou mau kīʻaha koko. Hiki iā ia ke nānā inā ua haiki a pehu paha kou mau kīʻaha koko.

Ma hope o kēia mau hoʻokolohua, e hoʻouna ʻia paha ʻoe i kahi kauka i loea i nā maʻi mumū e like me kēia, he rheumatologist .

He aha nā lāʻau lapaʻau no ka vasculitis?

ʻElua mau pahuhopu nui i ka mālama ʻana i ka vasculitis.

1. Ke kāohi nei i ka mumū.

2. Ke hoʻōki nei i ka hana hewa ʻana o ka ʻōnaehana pale.

Hoʻohana nui ʻia nā lāʻau lapaʻau no kēia.

• Corticosteroids: He mau lāʻau lapaʻau ikaika kēia e kāohi koke i ka mumū. ʻO Prednisolone ka lāʻau lapaʻau i hoʻohana nui ʻia ma kēia papa.
• Nā Immunosuppressants: Hoʻomalu kēia mau lāʻau i ka hana o ka ʻōnaehana pale, ka mea e hoʻouka hewa i ke kino.

E hoʻoholo ʻia kēia ʻano lapaʻau e kāu kauka ma muli o ke ʻano a me ke koʻikoʻi o kou kūlana. I kekahi manawa, inā he pōʻino nui i nā kīʻaha koko, pono paha ke ʻoki ʻana e hoʻoponopono iā ia.

Āhea wau e ʻimi ai i ke aʻo lapaʻau?

ʻO kēia ka ʻāpana koʻikoʻi loa o kēia ʻatikala. E hoʻolohe pono i kou kino. Inā ʻike ʻoe i kekahi mau loli a i ʻole nā ​​​​​​mea ʻē aʻe, mai hoʻowahāwahā iā lākou.