He mea maʻamau ka ʻike ʻana i nā ʻehaʻeha liʻiliʻi i ko kākou mau hono i kēlā me kēia manawa. Hiki ke hana kēia i ka wā e hana nui ai kākou i ka lā a pau, i ka wā e noho hewa ai kākou, a i ʻole i ka wā e loaʻa ai iā kākou kahi ʻeha liʻiliʻi. Akā inā e mau ana kēia ʻeha no nā lā a i ʻole nā pule me ka ʻole o ka emi ʻana, inā pehu nā hono, ʻulaʻula, a ʻoʻoleʻa ke ala aʻe kākou mai kahi moe i ke kakahiaka, a laila ʻaʻole ia he mea maʻamau. ʻO kēia ka manawa e pono ai ke kōkua o kahi 'Rheumatologist' .
ʻO wai ka mea maʻamau he 'Rheumatologist'?
I ka ʻōlelo maʻalahi, he kauka lapaʻau ʻo 'Rheumatologist' i loea i ka ʻike ʻana a me ka mālama ʻana i nā maʻi e pili ana i ko mākou mau hono, nā ʻiʻo, nā iwi, a me nā ʻiʻo pili (ligaments, tendons). Nānā nui ʻo ia i nā maʻi autoimmune a me nā maʻi i hoʻokumu ʻia e ka mumū .
I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau maʻi autoimmune. E noʻonoʻo e hoʻomaka hewa ana ka ʻōnaehana pale o kou kino, kou ʻōnaehana pale , e hoʻouka i kāu mau hunaola olakino ponoʻī, e like me nā mea i loko o kou mau hono, ʻili, a me nā maka. ʻO ia ka mea e hana ʻia. Hoʻoulu kēia hoʻouka ʻana i nā hōʻailona e like me ka pehu ʻana, ka ʻeha, a me ka ʻulaʻula (ka mumū) ma nā wahi i hoʻopilikia ʻia.
Hiki i kāu kauka ʻohana (kauka mālama mua) ke kuhikuhi iā ʻoe i kahi kauka rheumatologist ma muli o kāu mau hōʻailona. E hana ʻo ia i nā hoʻokolohua e pono ai, e hoʻoholo i ke kumu pololei o kou kūlana, a hāʻawi i ka hoʻolālā lapaʻau maikaʻi loa.
He aha nā maʻi nui i mālama ʻia e kahi rheumatologist?
Hoʻōla kekahi kauka rheumatologist ma mua o 100 mau maʻi o nā hono, nā ʻiʻo, a me nā iwi. Hōʻike ka papa ma lalo nei i kekahi o nā kūlana maʻamau.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻO ka ʻāʻī rheumatoid | ʻEha a me ka pehu i hoʻokumu ʻia e ka ʻōnaehana pale e hoʻouka ana i nā hono. |
| ʻO ka ʻeha puʻuwai | ʻO ke kūlana i hoʻokumu ʻia e ka ʻaʻahu a me ka haehae ʻana o ke cartilage ma waena o nā hono me ka ʻelemakule a i ʻole ma muli o ka hoʻohana nui ʻana. |
| ʻO ka ʻōpū | ʻEha nui i hoʻokumu ʻia e ke kiʻekiʻe o ka nui o ka uric acid i loko o ke kino a me ka waiho ʻana o nā ʻāpana liʻiliʻi o ia mea i loko o nā hono. |
| Lupus | He maʻi e hoʻopilikia ai i nā ʻōkana like ʻole o ka ʻōnaehana pale kino, e like me nā hono, ka ʻili, nā puʻupaʻa, a me ka lolo. |
| ʻO ka Fibromyalgia | He kūlana e hoʻoulu ai i ka ʻeha ma ke kino holoʻokoʻa, ka luhi, a me nā pilikia hiamoe. |
| ʻOsteoporosis | Lilo nā iwi i nāwaliwali a haki maʻalahi. |
Ma muli o ka hiki i kēia mau maʻi ke hoʻopilikia pinepine ma mua o hoʻokahi wahi o ke kino, e hana pū kekahi rheumatologist me nā loea ʻē aʻe, e like me nā dermatologists, cardiologists, a me nā physical therapists, e mālama iā ʻoe inā pono.
No ke aha ʻoe e pono ai e ʻike i kahi Rheumatologist?
Inā ua loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei no ka manawa lōʻihi, he mea nui loa e ʻike mua i kāu kauka ʻohana a, ma kā lākou ʻōlelo aʻo, e ʻike i kahi rheumatologist.
- ʻEha mau, pehu, a ʻoʻoleʻa paha i hoʻokahi a ʻoi aku paha mau hono.
- ʻOʻoleʻa o nā hono e mau ana ma mua o 30 mau minuke ma ke ala ʻana i ke kakahiaka.
- Ke kuni mau, luhi, a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia.
- Inā loaʻa i kekahi o kou ʻohana kahi maʻi autoimmune (e like me Rheumatoid Arthritis, Lupus) a loaʻa pū iā ʻoe nā hōʻailona i luna.
He mea nui loa ka ʻike mua ʻana a me ka mālama ʻana i kēia mau maʻi, no ka mea, inā ʻaʻole, hiki ke hōʻino mau ʻia nā hono i ka hala ʻana o ka manawa.
He aha ka mea e hana ai ke hele ʻoe e ʻike i kahi rheumatologist?
ʻAʻohe mea e makaʻu ai ke ʻike ʻoe i kahi kauka rheumatologist. ʻO ka pahuhopu ka hana ʻana i nā hana e pono ai e ʻike pono i kou kūlana.
1. Ke kamaʻilio ʻana me ʻoe a me ka loaʻa ʻana o nā kikoʻī
ʻO ka mea mua, e kamaʻilio pono ke kauka iā ʻoe a nīnau iā ʻoe e pili ana i kāu mau hōʻailona. E nīnau ʻo ia iā ʻoe i nā nīnau he nui, e like me ka wā i hoʻomaka ai ka ʻeha, ka wā e ʻoi aku ai ka ʻeha, ke hana nei kekahi mea i ka ʻeha e ʻoi aku ka ʻino, a inā paha he maʻi kēia i loko o kou ʻohana. He mea nui loa ia e haʻi i nā mea āpau āu i ʻike ai me ka hūnā ʻole i kekahi mea.
2. Hoʻokolohua Kino
A laila, e nānā ke kauka i kou kino, ʻoiai nā hono ʻeha. E nānā lākou e ʻike inā pehu nā hono, ʻulaʻula, a mehana paha i ka pā ʻana. E noi pū lākou iā ʻoe e kūlou a hoʻolōʻihi i nā hono e like me kou mau lima, poʻohiwi, a me nā pūhaka. E kōkua kēia iā ʻoe e hoʻoholo i ka nui o ka neʻe ʻana i kaupalena ʻia i kou mau hono.
3. Nā hoʻokolohua keʻena hoʻokolohua a me nā radiological
Hiki ke noi ʻia ʻoe e hana i kekahi mau hoʻokolohua e hōʻoia i ka maʻi a hoʻoholo i kona koʻikoʻi.
| ʻAno hoʻāʻo | He aha kāu e nānā nei? |
|---|---|
| Nā hoʻāʻo koko | Hoʻāʻo ia no nā māka o ka mumū i loko o ke kino (ESR, CRP) a me nā antibodies e pili ana i nā maʻi e like me ka rheumatoid arthritis (Rheumatoid Factor - RF) . |
| Nā Hoʻāʻo Kiʻi | Hiki i nā kukuna X ke hōʻike i ka hōʻino ʻia o nā iwi. Hiki i nā scan MRI a i ʻole ultrasound ke hōʻike maopopo i ka hōʻino a me ka pehu ʻana i nā ʻiʻo palupalu e like me nā hono, nā ʻiʻo, a me ke cartilage. |
| Nā hoʻokolohua ʻē aʻe | I kekahi manawa lawe ʻia kahi hāpana o ka wai hono no ka hoʻāʻo ʻana (e ʻike i ka gout ). Inā pono, hiki ke lawe ʻia kahi hāpana liʻiliʻi o ka ʻili a i ʻole nā ʻiʻo (biopsy) no ka hoʻāʻo ʻana. |
4. Ke kuhikuhi ʻana i ka lāʻau lapaʻau
Ma hope o ka noʻonoʻo ʻana i kēia mau mea a pau, e hoʻomaka kāu kauka i ka lāʻau lapaʻau kūpono iā ʻoe. Hiki iā ia ke paipai i hoʻokahi a ʻoi aku paha o kēia mau mea:
- Nā lāʻau lapaʻau: Nā lāʻau lapaʻau e hōʻemi i ka ʻeha a me ka pehu (corticosteroids), nā lāʻau lapaʻau e kaohi i ka hana o ka ʻōnaehana pale, a pēlā aku.
- Nā inikini hono: Ke inikini ʻana i ka lāʻau lapaʻau pololei i loko o ke hono e hōʻemi koke i ka ʻeha a me ka pehu.
- Hoʻōla Kino: Ke aʻo ʻana i nā hoʻomaʻamaʻa a me nā ʻano hana e hōʻemi i ka ʻeha, hoʻonui i ka neʻe ʻana o ke hono, a hoʻonui i ka ikaika o nā ʻiʻo.
- Hoʻōla Hana: Ke aʻo ʻana pehea e hana ai i nā hana o kēlā me kēia lā me ka maʻalahi a me ka palekana a me ka ʻōlelo ʻana i nā mea kōkua e pono ai (e like me nā splints).
He mau maʻi mau ka nui o kēia mau maʻi, ʻo ia hoʻi he paʻakikī ke ho'ōla loa. Eia nō naʻe , me ka hoʻomau ʻana i ka mālama ʻana a me ka hahai ʻana i nā ʻōlelo a kāu kauka, hiki iā ʻoe ke hoʻomalu pono i ka maʻi a ola i kahi ola maʻamau me ka ʻole o ka ʻeha .
Leka Lawe-Home
- ʻO ke 'Rheumatologist' he kauka lapaʻau i loea i ka mālama ʻana i nā maʻi o nā hono, nā ʻiʻo, a me nā iwi, ʻoiai hoʻi nā maʻi autoimmune.
- Mai hoʻowahāwahā i ka ʻeha mau o nā hono, ka pehu ʻana, a me ka ʻoʻoleʻa o ke kakahiaka e like me ka mea maʻamau.
- Ma ka ʻike ʻana a me ka mālama ʻana i ka maʻi i ka wā mua, hiki ke pale ʻia ka hōʻino mau ʻana i nā hono.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai kānalua e ʻike i kāu kauka no ka ʻōlelo aʻo. E kuhikuhi ʻo ia iā ʻoe i kahi rheumatologist inā pono.
- ʻOiai he nui o kēia mau maʻi he mau maʻi mau loa, me ka mālama pono ʻana, hiki ke kaohi pono ʻia a alakaʻi i kahi ola ʻoluʻolu.
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