Ua ʻike koke ʻia kahi ʻulaʻula ma kou ʻili, he maneʻo anei? He pehu paha? He Wells' Syndrome paha ia!

Ua ʻike anei ʻoe i kahi kiko ma kou ʻili, a i ʻole ko kekahi āu i ʻike ai, e lilo koke i ʻulaʻula, pehu, a malia paha e like me ka ʻulaʻula, akā ʻaʻole ia i hana ʻia e kahi ʻeha? A i ʻole ke manaʻo nei ua ʻulaʻula ka ʻili a wela me ka maneʻo hiki ʻole ke hoʻomanawanui? Hiki i kēia mau mea ke hana ma nā wahi āpau o ke kino. Inā ua loaʻa iā ʻoe kēia ʻike, hiki ke lilo i maʻi laha ʻole i kapa ʻia ʻo Wells' Syndrome, a mākou e kamaʻilio ai i kēia lā. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī .

He aha ka Wells' Syndrome? I ka pōkole...

He maʻi ʻili laha ʻole ka Wells' Syndrome. Ua kapa ʻia hoʻi ʻo "Eosinophilic Cellulitis" . I kēia manawa ke noʻonoʻo nei paha ʻoe, "Ke ʻōlelo ʻoe he cellulitis, ʻo ia hoʻi he maʻi, ʻeā?" ʻAe, ʻo ka cellulitis ka ʻulaʻula a me ka pehu ʻana o ka ʻili i hoʻokumu ʻia e kahi maʻi bacteria. Eia naʻe, ma Wells' Syndrome, ʻoiai ke ʻano o ka ʻili he ʻulaʻula, pehu, a palupalu, ʻaʻohe maʻi maoli . ʻO ia ka mea kūikawā. No laila no ke aha e hana ai kēia? Nui nā ʻano o nā cell i loko o ko mākou kino e hana ana e like me nā koa liʻiliʻi. ʻO kekahi hui kūikawā o nā koa i kapa ʻia ʻo eosinophils . Ua like lākou me nā kiaʻi palekana o ko mākou kino. Ke komo kahi ʻenemi, e like me ka germ a parasite paha, i loko o ke kino, hele kēia mau eosinophils e kaua iā lākou a hoʻopakele iā mākou. Pili pū lākou i ka wā e loaʻa ai nā maʻi allergies. Akā i kekahi manawa, hauʻoli nui kēia mau koa eosinophil. A i ʻole, ʻoi aku ka nui o nā eosinophils i hana ʻia i loko o ke kino ma mua o ka mea e pono ai. A laila ʻo ka mea e hana ʻia, hoʻomaka lākou e hoʻouka i nā ʻāpana olakino o ko lākou kino ponoʻī, ʻoi aku ka ʻili. Ua like ia me ka hoʻolei ʻana i nā pōhaku i ko lākou hale ponoʻī. ʻO ia ka manawa e hoʻomaka ai kēia pilikia i kapa ʻia ʻo Wells' Syndrome. ʻO ia ke kumu e pehu ai ka ʻili, ʻulaʻula, a pehu.

Pehea ka laha ʻole o kēia maʻi? ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana?

ʻOiaʻiʻo, he maʻi laha loa kēia. ʻAʻole hiki iā ʻoe ke noʻonoʻo. A hiki i kēia manawa, ʻaʻole i hiki i ka 100 mau hihia i hōʻike ʻia ma ka honua holoʻokoʻa. ʻO ia hoʻi, he mea kānalua inā paha e loaʻa i hoʻokahi o ka miliona mau kānaka. ʻO ka hapa nui, ʻike ʻia kēia maʻi i nā pākeke. Eia naʻe, he mea kākaʻikahi loa, ua hōʻike ʻia ua ulu pū kekahi i nā keiki ʻōpio. ʻAʻohe ʻokoʻa ma waena o nā kāne a me nā wahine, hiki i nā mea ʻelua ke ulu like. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​mai hopohopo koke ʻoe he Wells' Syndrome kēia, no ka mea, he mea laha loa kēia. Eia naʻe, he mea nui e ʻimi i ke kōkua lapaʻau.

No ke aha i loaʻa ai ka Wells' Syndrome? He aha ke kumu?

He mea kēia e noʻonoʻo ai. ʻAʻole i ʻike pono nā kauka i ke kumu o ka Wells' Syndrome.He mea pohihihi nō ia. Eia nō naʻe, manaʻo nā kauka he maʻi paha kēia i hoʻokumu ʻia e kahi hana hewa i loko o kā mākou ʻōnaehana pale. ʻO ia hoʻi, he maʻi autoimmune paha ia. I ka ʻōlelo maʻalahi, ʻo ka ʻōnaehana pale, ka mea i manaʻo ʻia e pale i ko mākou kino, manaʻo hewa ʻo kāna mau ʻāpana olakino a me nā ʻiʻo ke ʻenemi a hoʻomaka e hoʻouka iā lākou. ʻO ka hapa nui o ka manawa, hiki mai kēia maʻi me ka ʻole o ke kumu kikoʻī. Eia naʻe, ua ʻike ʻia ua holo kēia maʻi i loko o nā ʻohana i nā hihia kakaikahi loa . Eia kekahi, ua manaʻo ʻia he hiki i kekahi mau mea ʻē aʻe ke hana ma ke ʻano he mea hoʻoulu no ka hoʻomaka ʻana o ka Wells' Syndrome. ʻO ia hoʻi, hiki i kēia mau mea ke hāʻawi i kahi paʻi i ka hoʻomaka ʻana o ka maʻi. ʻO lākou:

• Nā nahu a me nā ʻaki o nā pepeke (nā nahu a me nā ʻaki o nā arthropod): ʻOi aku ka nahu ʻana mai nā holoholona e like me nā makika a me nā ʻuku .
• Nā maʻi viral : Ke komo kekahi ʻano virus i ke kino.
• Dermatitis : Nā maʻi ʻili ʻē aʻe i loaʻa mua.
• Giardiasis: He maʻi parasitic kēia e kū mai ana i loko o nā ʻōpū.
• Leukemia: He ʻano maʻi koko kēia.
• Nā maʻi fungal : Nā maʻi fungal e kū mai ana ma ka ʻili a i ʻole ma nā wahi ʻē aʻe o ke kino.
• Nā hopena maikaʻi ʻole i kekahi mau lāʻau a me nā metala paha.

Akā e hoʻomanaʻo, ʻaʻole i hōʻoia ʻia kēia mau kumu he 100%. ʻO nā kānalua wale nō kēia o kēia manawa.

He aha nā hōʻailona o ka Wells' Syndrome?

ʻAe, e nānā kākou i nā hōʻailona o kēia maʻi ke ulu aʻe. Hoʻomaka pinepine ia me kahi manaʻo ʻā a i ʻole ka wela ʻana i hoʻokahi a ʻoi aku paha mau wahi o ka ʻili. A laila, i loko o kekahi mau lā, hoʻomaka ka wahi e lilo i ʻulaʻula a pehu . Hiki i kēia mau wahi pehu ke ʻeha ke hoʻopā. No kekahi poʻe, ua like ia me kahi palapū, me he mea lā ua kuʻi kekahi iā lākou. I kekahi manawa, ʻo nā hōʻailona mua he mau pehu hou, piha i ka wai a i ʻole nā ​​​​nodules e ʻike ʻia ma lalo o ka ʻili. No kekahi poʻe, hiki ke ʻike ʻia lākou he mau ʻāpana apo.Hiki ke hana. A i ʻole, hiki ke ʻike ʻia nā ʻōpala maneʻo ma ke kino holoʻokoʻa, e like me ka eczema.

E noʻonoʻo, i kekahi lā, ua loaʻa koke i ko mākou ʻanakala ʻo Sunil kahi ʻūlū hiki ʻole ke hoʻomanawanui ma kona wāwae. Ua manaʻo ʻo ia ua nahu kekahi mea iā ia. Ma hope o ʻelua a ʻekolu paha lā, ua pehu loa ka ʻāpana a ʻeha. Me he mea lā ua hoʻomehana kekahi i kahi mea. Ua wela ia i kona hōʻike ʻana i ke kauka, nāna i haʻi iā ia he ʻano ʻokoʻa kēia, ʻo ia paha ʻo Wells' Syndrome.

ʻO nā hōʻailona kūloko ʻē aʻe, e like me ka pilikia hanu e like me ka hānō , ka ʻeha hui , a i ʻole ke kuni, he mea kākaʻikahi loa ia me kēia maʻi. Eia naʻe, ʻaʻole hiki ʻole, a ua hōʻike pinepine ʻia kēlā mau hōʻailona. I ka hala ʻana o ka manawa, hoʻomaka pū ka ʻili me kēia maʻi e hoʻololi i ke kala. Hoʻololi mālie ke kala ʻulaʻula mua i kahi kala ʻulaʻula-ʻeleʻele . A laila hiki ke hoʻololi i kahi kala polū-hina , a ma hope i kahi kala ʻōmaʻomaʻo-hina . E like me ka hoʻololi ʻana o ke kala o ka palapū i ka wā e ho'ōla ai. ʻO ka nūhou maikaʻi, ʻo kēia mau kiko a me nā pehu e ho'ōla pinepine me ka ʻole o ka hopena mau loa i loko o kekahi mau pule a i kekahi mau mahina. Eia naʻe, i kekahi manawa e hoʻi hou mai paha.

Pehea e ʻike pono ʻia ai kēia maʻi?

Ke loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui e ʻike pono i ke ʻano o ia mea. ʻO ke ala nui e ʻike ai i ka Wells' Syndrome ʻo ia ka hana ʻana i kahi biopsy ʻili . ʻO ia hoʻi ke lawe ʻana i kahi ʻāpana ʻili liʻiliʻi loa mai ka wahi i hoʻopilikia ʻia ma lalo o ka anesthesia a nānā iā ia ma lalo o kahi microscope. Eia kekahi, hiki i ka helu koko piha ke hōʻike i kekahi manawa he nui aku ka nui o ke ʻano o ke koko keʻokeʻo i kapa ʻia ʻo eosinophils i loko o ke koko a mākou i kamaʻilio ai ma mua. I ka nānā ʻana i kahi biopsy ʻili, hiki i nā kauka ke ʻike inā he nui nā eosinophils i loko o ka ʻili a me nā ʻiʻo ma lalo o ka ʻili. Ke nānā pū nei lākou i kekahi mau ʻano o ka mumū i kū hoʻokahi i ka Wells' Syndrome. Hiki i kēia mau hoʻāʻo ke kōkua i ka hōʻoia ʻana ʻaʻole i hoʻokumu ʻia nā hōʻailona e kekahi mea ʻē aʻe - kahi maʻi allergy maʻamau, kahi infestation parasite, kekahi maʻi ʻili (dermatitis), nā nahu pepeke, a i ʻole kahi maʻi kakaikahi e like me Churg-Strauss syndrome.

Pehea e hiki ai ke mālama ʻia kēia? Hiki ke ho'ōla ʻia?

ʻAe, aia nā lāʻau lapaʻau no kēia. ʻO kahi lāʻau lapaʻau e hiki ke hoʻomalu pono ʻia he lāʻau i kapa ʻia ʻo Prednisone . He steroid systemic kēia.ʻAno. ʻO ke ʻano o "Systemic" ʻo ia hoʻi, hāʻawi ʻia ia ma ke ʻano he pila a i ʻole he inikini, a hoʻopilikia i ka ʻōnaehana kino holoʻokoʻa. Hana kēia mau lāʻau steroid ma ka hōʻemi ʻana i ka hana nui o kā mākou ʻōnaehana pale (hopena immunosuppressant). ʻO ia hoʻi, kāohi lākou i ka ʻōnaehana pale mai ka hoʻouka ʻana i kona kino ponoʻī. I ka ʻōlelo maʻalahi, loaʻa i ko mākou kino kahi hormone steroid i kapa ʻia ʻo cortisol, kahi i hana maoli ʻia e nā kelepa adrenal ma luna o nā puʻupaʻa, a ʻo ka prednisone kahi mana synthetic o ia mea. Ke hoʻomaka ʻoe e lawe i kēia ma ke ʻano he pila, e emi ana kāu mau hōʻailona i loko o kekahi mau lā a e hoʻomaka ʻoe e ʻoluʻolu. Ma hope o kēlā, e hōʻemi mālie kāu kauka i ka nui o ka lāʻau lapaʻau ma luna o kahi mahina. ʻO nā lāʻau lapaʻau ʻē aʻe i kekahi manawa:

• Nā lāʻau antifungal: No ka laʻana, griseofulvin.
• Nā lāʻau antibiotic : No ka laʻana, dapsone.

Hiki i ke kauka ke kuhikuhi i kēia mau mea. I kekahi manawa, inā ʻaʻole koʻikoʻi loa nā hōʻailona, ​​ʻo ia hoʻi, i nā hihia akahai , hiki ke ho'ōla ʻia ma ke kau wale ʻana i kahi kirīmi steroid (e.g. hydrocortisone) i nā wahi ʻili i hoʻopilikia ʻia.

Aia kekahi ala e pale aku ai i ka ulu ʻana o kēia maʻi?

He mea kaumaha iki kēia. No ka mea, ʻaʻole i ʻike ʻia ke kumu kikoʻī o ka Wells' Syndrome, ʻaʻole hiki ke ʻōlelo ʻia e pili ana i kahi ala kikoʻī e pale aku ai i kona hanana ʻana. Inā ʻike ʻia nā kumu i ka wā e hiki mai ana, malia paha e ʻike pū kākou i nā ala e pale aku ai.

He aha ka wānana no kekahi me ka Wells' Syndrome? (Prognosis)

He nūhou maikaʻi kēia! Maikaʻi loa ka wānana no ka poʻe me Wells' Syndrome. ʻO ke ʻano kēia, ʻo nā ʻeha ʻili a me ka pehu i hoʻokumu ʻia e kēia ʻano maʻamau e hoʻopau loa i loko o kekahi mau pule a i kekahi mau mahina. I ka hapa nui o nā hihia, ʻaʻohe mau ʻeha mau loa. I kekahi manawa, ma hope o ka hoʻopau ʻana o ke ʻano, aia paha kahi loli iki o ke kala o ka ʻili. ʻO ke ʻano kēia, hiki i ka ʻili ke lilo i mea keʻokeʻo iki a ʻeleʻele paha ma mua o ka maʻamau. Eia naʻe, e mae mālie kēia hoʻololi ʻana i ka hala ʻana o ka manawa. Eia naʻe, hoʻokahi mea e hoʻomanaʻo ai, hiki i kēia ʻano ke hoʻi hou mai . I kēlā mau hihia e hoʻi hou mai ana, hiki i ka lāʻau ke hala i nā makahiki e kāohi piha ai. Eia naʻe, hiki ke mālama maikaʻi ʻia me ka mālama lapaʻau kūpono.

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

ʻAe, i kēia manawa ua maopopo iā ʻoe ka Wells' Syndrome, e like me kā mākou i kūkākūkā ai. Eia kekahi mau mea koʻikoʻi e hoʻomanaʻo ai:

• He maʻi ʻili laha ʻole ka Wells' Syndrome.
• ʻAʻole kēia he maʻi ʻili, akā ua like paha nā hōʻailona me kahi maʻi.
• ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, ua manaʻo ʻia he pilikia ia me ka ʻōnaehana pale .
• ʻO nā hōʻailona nui ka maneʻo , ka wela, ka ʻulaʻula , a me ka pehu ʻana o ka ʻili .
• Ua hōʻoia ʻia ka maʻi e kahi biopsy ʻili .
• Hiki ke mālama pono ʻia me nā lāʻau lapaʻau e like me nā steroids .
• He maikaʻi loa ka wānana o ka maʻi, a ho'ōla ia me ka ʻole o ka ʻeha.
• Eia nō naʻe, hiki i ka maʻi ke hoʻi hou mai .

Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kekahi o kēia mau hōʻailona, ​​e ʻoluʻolu e ʻike koke i ke kauka kūpono . Mai hoʻōla ponoʻī iā ʻoe iho. Hiki i ke kauka ke hana i kahi hōʻailona pololei a hāʻawi iā ʻoe i ka lāʻau kūpono loa.

ʻAʻohe mea e makaʻu ai. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau kūlana. E noho olakino!