Hemochromatosis

ʻO Hemochromatosis kahi ʻano i nui ka hao ma ke kino. Kapa ʻia ia he hao hoʻouka hao.

ʻO Hemochromatosis kahi maʻi maʻi kūpuna i hoʻoili ʻia i waena o nā ʻohana.

• Hoʻokomo ka poʻe me kēia ʻano i ka hao nui ma o kā lākou digestive tract. Kūkulu ka hao i ke kino. ʻO ke akepaʻa, ka puʻuwai, a me ka pancreas nā mea maʻamau kahi e kūkulu ai ka hao.
• Aia ia ma ka wā hānau, akā ʻaʻole paha e ʻike ʻia i mau makahiki.

Hiki ke hana ʻia ʻo Hemochromatosis ma ke ʻano he hopena o:

• Nā maʻi koko ʻē aʻe, e like me thalassemia a i ʻole kekahi mau anemias. ʻO ka nui o ke kahe ʻana o ke koko ma luna o ka manawa ke alakaʻi i ka hoʻoulu hao.
• Hoʻohana waiona lōʻihi a me nā kūlana olakino ʻē aʻe.

Hoʻopili kēia maʻi i nā kāne hou aʻe ma mua o nā wahine. He mea maʻamau ia i ka poʻe keʻokeʻo o ka ʻohana ʻEulopa ʻākau.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Abdominal eha
• Ka luhi, nele i ka ikaika, nāwaliwali
• ʻO ka pouli ʻana o ka ʻili o ka ʻili (i kapa mau ʻia he bronzing)
• ʻEha hui
• Lilo ka lauoho o ke kino
• Lilo o ka makemake moekolohe
• Kaumaha emi

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hōʻike paha kēia i ke ake a me ka pehu ʻana, a me nā kala o ka ʻili.

Hiki ke kōkua i nā hōʻoia koko e hana i ka ʻike. E komo pū paha nā hoʻāʻo:

• Pae Ferritin
• Pae hao
• Ka pākēneka o ka transferrin saturation (kiʻekiʻe)
• Ke hoʻāʻo genetic

Hiki i nā hoʻokolohua ʻē aʻe ke:

• Ka pae kō kō (glucose)
• ʻO Fetoprotein Alpha
• ʻO Echocardiogram e nānā i ka hana o ka puʻuwai
• Electrocardiogram (ECG) e nānā i ka hana uila o ka puʻuwai
• Nā hōʻike kiʻi e like me CT scans, MRI, a me ultrasound
• Nā hoʻāʻo hana ate

E hōʻoia ʻia ke ʻano me kahi biopsy ate a i ʻole nā ​​hoʻāʻo ʻana. Inā hōʻoia ʻia kahi kīnā kūpuna, hiki ke hoʻohana i nā hoʻokolohua koko ʻē aʻe inā ʻike ʻia nā lālā ʻohana ʻē aʻe no ka nui o ka hao.

ʻO ka pahuhopu o ka mālama ʻana e wehe i ka hao nui mai ke kino a mālama i nā hōʻino ʻana o nā meaola.

ʻO ke kaʻina hana i kapa ʻia ʻo phlebotomy ke ʻano ʻoi loa no ka wehe ʻana i ka hao nui mai ke kino.

• Lawe ʻia kahi hapalua lita o ke koko mai ke kino i kēlā me kēia pule a pau nā hale hao o ke kino. He mau mahina paha kēia e hana ai.
• Ma hope o kēlā, hana pinepine ʻia nā kaʻina hana e mālama pinepine ai i ka mālama hao.

No ke aha e pono ai ke kaʻina hana e pili ana i kāu mau ʻōuli a me nā pae o hemoglobin a me serum ferritin a me ka nui o ka hao e lawe ai i kāu papaʻai.

ʻO nā pilikia olakino ʻē aʻe e like me ka maʻi diabetes, hoʻemi ʻia nā pae testosterone i nā kāne, ka maʻi kōpaʻa, ka ʻole o ke ake, a me ka puʻuwai puʻuwai e mālama ʻia.

Inā kuhi ʻia ʻoe me ka hemochromatosis, hiki i kāu mea hāʻawi ke paipai i kahi papaʻai e hoʻoliʻiliʻi i ka nui o ka hao i lawe ʻia ma o kāu digestive tract. Koi paha kāu mea hāʻawi i kēia mau mea:

• Mai inu i ka waiʻona, keu hoʻi inā he ʻino kou.
• Mai lawe i nā pila hao a i ʻole nā ​​huaora i loaʻa ka hao.
• Mai hoʻohana i nā mea kuke hao.
• Palena i nā meaʻai i hoʻopaʻa ʻia me ka hao, e like me 100% nā cereal ʻaina kakahiaka paʻa paʻa i ka hao.

ʻAʻole mālama ʻia, hiki i ka hoʻoulu hao ke alakaʻi i ka hōʻino o ke ake.

Kūkulu paha ka hao keu i nā wahi ʻē aʻe o ke kino, e like me ka gland thyroid, testicle, pancreas, pituitary gland, puʻuwai, a i ʻole nā ​​ami. Hiki i ka mālama mua ʻana ke kōkua i ka pale ʻana i nā pilikia e like me ka maʻi ate, ka maʻi puʻuwai, ka maʻi kōkō a i ʻole ka maʻi kō.

Maikaʻi kāu hilinaʻi ʻana i ka nui o nā poino o nā meaola. Hiki ke hoʻohuli ʻia kekahi mau pōʻino o ke kino ke ʻike ʻia ka hemochromatosis i ka wanaʻao a mālama ikaika ʻia me ka phlebotomy.

Komo pū nā pilikia:

• Kaʻu cirrhosis
• Hoka kōpaʻa
• Kanesa maʻi ʻaʻai

Hiki i ka maʻi ke alakaʻi i ka ulu ʻana o:

• Pākuʻi
• Diabetes
• Nā pilikia puʻuwai
• Hoʻonui i ka makaʻu no kekahi mau maʻi bacteria
• Hoʻoiho atricular
• Hoʻololi ke kala o ka ʻili

Kāhea i kāu mea hāʻawi inā e ulu nā hōʻailona o ka hemochromatosis.

Kāhea i kahi manawa me kāu mea hāʻawi (no ka kānana ʻana inā ʻike ʻia kahi lālā o ka ʻohana me ka hemochromatosis.

ʻO ka ʻimi ʻana i nā lālā o ka ʻohana o kahi kanaka i ʻike ʻia me ka hemochromatosis e ʻike koke ai i ka maʻi i hiki ke hoʻomaka ʻia ka mālama ʻana ma mua o ka hōʻino ʻia ʻana o nā lālā i nā ʻohana ʻē aʻe i hoʻopā ʻia.

ʻO ka hoʻouka hao nui; Hoʻopili ke koko - hemochromatosis

• Hepatomegaly

Bacon BR, Fleming RE. Hemochromatosis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 75.

ʻO Brittenham GM. Nā maʻi o ka homeostasis hao: ka nui o ka hao a me ka nui loa. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 36.