Ua lohe paha ʻoe i ka huaʻōlelo G6PD? Malia paha ua haʻi aku kekahi kauka iā ʻoe e pili ana i ia mea, a i ʻole ua haʻi aku kekahi o kou ʻohana. A i ʻole he mea hou loa ia iā ʻoe. Eia naʻe, mai makaʻu i kou lohe ʻana i ka inoa. ʻO ka hemahema o G6PD kahi maʻi genetic maʻamau e hoʻopilikia ana i kahi 400 miliona mau kānaka ma ka honua holoʻokoʻa. Ua like ia me kahi loli liʻiliʻi i ko mākou kino ma mua o kahi maʻi. No laila e kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi a me ke ʻano aloha i kēia lā.
He aha maoli ka hemahema o ka G6PD?
ʻAe, e wehewehe maʻalahi kākou i kēia. Aia i loko o ko kākou koko kahi ʻano o nā cell i kapa ʻia he mau cell koko ʻulaʻula . Lawe kēia mau cell i ka oxygen ma o ko kākou kino. Ua like ia me ke kaʻa e lawe ana i nā waiwai i kahi hale.
I kēia manawa, aia kahi enzyme kūikawā e kōkua ana i kēia mau hunaola koko ʻulaʻula e noho olakino a ikaika. Kāhea mākou iā ia ʻo 'Glucose-6-Phosphate Dehydrogenase', a i ʻole G6PD no ka pōkole. E noʻonoʻo i kēia enzyme ma ke ʻano he mea pale o nā hunaola koko ʻulaʻula, a i ʻole he 'lako mana' e hāʻawi iā lākou i ka ikehu. Mālama kēia enzyme G6PD i nā hunaola koko ʻulaʻula mai kekahi o nā mea ʻino i loko o ke koko.
ʻO ka mea e hana ʻia ana i loko o ke kino o ke kanaka me ka hemahema o ka G6PD, ʻaʻole i hana ʻia ka enzyme G6PD i nā nui lawa. A i ʻole ʻaʻole hana pono ka enzyme i hana ʻia. He mea hoʻoilina kēia. ʻO ia hoʻi, ua hoʻoilina ʻoe i kēia mai kou makuahine a makua paha, a ʻaʻole ia he maʻi lele.
ʻO ka maʻamau, ʻaʻole ia he pilikia nui ka nele o ka G6PD. Eia nō naʻe, inā ʻoe e lawe i kekahi mau lāʻau lapaʻau, nā kemika, a i ʻole kekahi mau meaʻai (ʻoi aku hoʻi kekahi mau ʻano pīni), hoʻomaka nā hunaola koko ʻulaʻula e hōʻino ʻia no ka mea ua nalowale kēlā mea pale. ʻO kēia ka mea a mākou e kapa nei he 'anemia hemolytic.' E nānā hou aku kākou.
He aha nā hōʻailona? Pehea mākou e ʻike ai i kēia?
ʻO ka mea kupaianaha ma ʻaneʻi, ʻo ka nui o ka poʻe me ka hemahema o ka G6PD ʻaʻole lākou e hōʻike i kekahi mau hōʻailona . Noho lākou i ke ola maʻamau. Kū mai ka pilikia ke hōʻike ʻia lākou i kekahi o nā 'mea hoʻoulu' a mākou i ʻōlelo ai ma mua, ʻo ia hoʻi, kahi lāʻau lapaʻau a meaʻai paha.
Eia nō naʻe, i kekahi manawa hiki i kahi pēpē ke loaʻa i ka jaundice (melemele o ka ʻili) ma hope o ka hānau ʻana, kahi mea maʻalahi ke mālama ʻia.
Inā pili kahi kanaka me ka hemahema o ka G6PD i kahi mea ʻino, hiki iā lākou ke loaʻa i kahi maʻi i kapa ʻia ʻo 'hemolytic anemia.' I ka ʻōlelo maʻalahi, ʻo ia ka wā e haki ai nā hunaola koko ʻulaʻula a luku ʻia ma mua o ka hiki ke hana ʻia. ʻO nā hunaola koko ʻulaʻula ka mea e lawe ai i ka oxygen a puni ke kino. No laila, i ka wā e luku ʻia ai lākou, ʻaʻole loaʻa i nā ʻōpū o ke kino ka oxygen e pono ai lākou.
Inā loaʻa kēia ʻano o ka `anemia hemolytic`, hiki ke lilo i mea koʻikoʻi loa. No laila, he mea nui loa ka makaʻala i kēia mau hōʻailona.
Aia ma ka papa ma lalo nei nā hōʻailona maʻamau o ka anemia hemolytic.
| Hōʻailona | Wehewehena |
|---|---|
| ʻIli keʻokeʻo | Lilo ka ʻili i mea keʻokeʻo a maeʻele hoʻi, me he mea lā ua nele ke kino i ke koko. |
| Melemele o ka ʻili a me nā maka (Jaundice) | ʻO Bilirubin, kahi mea i hana ʻia i ka wā e haki ai nā hunaola koko ʻulaʻula, ke kumu o ka melemele o ka ʻili a me nā keʻokeʻo o nā maka. |
| Mimi ʻeleʻele | Lilo ka mimi i ʻeleʻele ʻeleʻele a i ʻole e like me ka cola. |
| kuni | Hiki paha iā ʻoe ke kuni me ke kumu ʻole. |
| Luhi a me ka nāwaliwali | Manaʻo ua make ke ola, ua pōkole ka hanu, a ua luhi loa. |
| Ka haunaele | Ke loaʻa ʻole ka oxygen i ka lolo, hiki iā ʻoe ke huikau a pioloke. |
| Nā palpitations o ka puʻuwai | Piʻi ka helu o ka puʻuwai. |
Inā koʻikoʻi a mau kēia mau hōʻailona, pono ʻoe e ʻike koke i ke kauka . I kekahi manawa pono paha ʻoe e hele i ka Emergency Department (ETU) o ka haukapila.Pono paha e wehe ʻia. Akā i ka hapanui o nā hihia, ke wehe ʻia ke kumu o kēia ʻano, e ho'ōla ia iā ia iho i loko o ʻelua pule.
He aha ke kumu o kēia? ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana?
E like me kā mākou i ʻōlelo ai ma mua, he maʻi hoʻoilina piha ka hemahema o ka G6PD. ʻO ia hoʻi, hoʻoilina ʻoe mai kou mau mākua mai. ʻAʻohe ala e pale aku ai.
Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi mau hui o ka poʻe.
- No nā kāne (ʻoi aku ma mua o nā wahine).
- No ka poʻe ma nā ʻāina ma ʻApelika, ʻĀsia, ka Hikina Waena, a me ka ʻāina Mediterranean.
Inā ʻike ʻoe he hemahema G6PD ko kekahi o kou ʻohana, aia kahi manawa e loaʻa pū iā ʻoe. No laila he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e ʻike ai inā loaʻa iā ʻoe ka hemahema o ka G6PD?
Aia kekahi ala maʻalahi loa e ʻike ai. ʻO ia ka hana ʻana i kahi hoʻāʻo koko . E paipai kāu kauka i kēia hoʻāʻo ma muli o kou mōʻaukala ʻohana a inā he mau hōʻailona kāu.
ʻO ka maʻamau, hana mua ʻia kahi hoʻāʻo nānā e ʻike inā loaʻa ka hemahema o ka G6PD. Inā hōʻike ia he hemahema, hana ʻia nā hoʻāʻo hou aʻe e ʻike i kona koʻikoʻi. ʻO ka hoʻāʻo ʻo Beutler kekahi o ia mau hoʻāʻo.
Ma o kēia mau hoʻokolohua, hiki iā ʻoe ke ʻike pono inā he hemahema G6PD kou a, inā pēlā, he aha ka pae.
Pehea e ola ai me ka hemahema o ka G6PD? He aha nā mea e pale aku ai?
ʻO kēia ka ʻāpana koʻikoʻi loa. Inā ua ʻike ʻia ʻoe me ka hemahema o G6PD, ʻaʻohe lāʻau lapaʻau kikoʻī e pono ai . ʻO kāu wale nō e hana ai, ʻo ia ke pale aku i nā 'mea hoʻonāukiuki' e hōʻino ai i kāu mau hunaola koko ʻulaʻula a hoʻoulu i ke kūlana i kapa ʻia ʻo ka anemia hemolytic.
ʻO ia hoʻi, pono ʻoe e pale loa i kekahi mau lāʻau lapaʻau, nā kemika, a me nā meaʻai. Ua kapa ʻia kēia mau mea e hoʻoulu ai i ke 'oxidative stress'.
E hoʻomanaʻo i ka papa ma lalo. He mea nui loa ia e mālama i kēia mau mea mai kou ola.
| Nā mea e pono ai i ka poʻe me ka hemahema o G6PD ke pale aku | |
|---|---|
| ʻAno | Nā Laʻana |
| Meaʻai | Pīni Fava - ʻO kēia ka meaʻai koʻikoʻi a weliweli hoʻi. Ma kekahi mau ʻāina, ua kapa ʻia kēia mau mea he pīni ākea. |
| Nā lāʻau lapaʻau | ʻO kekahi mau lāʻau ʻeha (e.g., aspirin kiʻekiʻe) |
| Nā lāʻau antibiotic e loaʻa ana ka "Sulf" (e.g. Sulfonamides) | |
| Nā lāʻau anti-malarial e loaʻa ana ka "quine" | |
| Nā Kemika | Naphthalene - Loaʻa kēia mau mea i loko o nā mothballs i waiho ʻia i loko o nā lumi lole. ʻO ka hanu ʻana i ko lākou ʻala he mea ʻino ia. |
He mea nui: Inā loaʻa iā ʻoe ka hemahema o G6PD, pono ʻoe e haʻi i kāu kauka i kēlā me kēia manawa āu e ʻike ai iā ia. A laila, ke kuhikuhi ʻo ia i ka lāʻau lapaʻau nāu, e koho ʻo ia i nā lāʻau lapaʻau palekana nāu. Mai lawe i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i ke kauka.
Leka Lawe-Home
- ʻAʻole ia he maʻi e makaʻu ai ka hemahema o ka G6PD. He maʻi hoʻoilina ia i loaʻa i nā kānaka he nui ma ka honua, a ua hoʻoili ʻia mai kēlā hanauna a i kēia hanauna.
- ʻAʻohe hōʻailona o ka nui o ka poʻe a maʻi wale nō inā pili lākou i kahi lāʻau ʻino, meaʻai (ʻoi aku hoʻi nā pī fava), a i ʻole kemika.
- I mea e pono ai ka mālama ʻana i kou ola, pono ʻoe e ʻike pono i nā mea maikaʻi ʻole iā ʻoe a e noho mamao aku mai ia mau mea.
- Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ka luhi nui, ka melemele o ka ʻili, a me ka mimi ʻeleʻele, e ʻike koke i ke kauka.
- E hoʻomanaʻo i kāu kauka i kēlā me kēia manawa āu e ʻike ai iā ia he hemahema kou G6PD. He mea nui loa ia no kou palekana.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo