ʻO elliptocytosis hoʻoilina
ʻO ka herliptocytosis hereditary kahi maʻi i hoʻoili ʻia i waena o nā ʻohana ma kahi o nā ʻulaʻula ke ʻano maʻamau. Ua like ia me nā kūlana koko ʻē aʻe e like me ka herherary spherocytosis a me ka hervalary ovalositosis.
Hoʻopili ʻo Elliptocytosis ma kahi o 1 i kēlā me kēia 2,500 poʻe o ka hoʻoilina ʻĀkau o ka ʻĀkau. ʻOi aku ka maʻamau i nā poʻe o ko ʻApelika a me ko lākou kūpuna. E hoʻomohala paha ʻoe i kēia ʻano inā loaʻa kekahi i kou ʻohana.
Pākuʻi ʻia paha nā ʻōuli:
- Ka luhi
- Pokole o ka hanu
- ʻIli melemele a me nā maka (jaundice). Hiki ke hoʻomau i kahi manawa lōʻihi i kahi keiki hānau.
Hōʻike kahi hōʻike e kāu mea mālama ola i kahi āpau hoʻonui.
Hiki i nā hopena hōʻike aʻe ke kōkua i ka hōʻoia ʻana i ke ʻano.
- Kiʻekiʻena paha ka pae Bilirubin.
- Hiki i ke kahe o ke koko ke hōʻike i nā hunaola ʻulaʻula elliptical.
- Hiki i ka helu piha o ke koko (CBC) ke hōʻike i ka anemia a i ʻole nā hōʻailona o ka luku ʻia o ke koko ʻula.
- He kiʻekiʻe paha ka pae dehydrogenase lactate.
- Hōʻike paha ke kiʻi ʻana i ka gallbladder i nā gallstones.
ʻAʻohe mālama e pono ai no ka maʻi inā ʻaʻole loaʻa kahi anemia koʻikoʻi a anemia paha. Hiki i ke ʻoki ʻana e hemo i ka spleen ke hoʻemi i ka helu o ka hōʻino ʻia o ke koko ʻula.
ʻO ka hapa nui o ka poʻe me ka elliptocytosis hereditary ʻaʻohe pilikia. ʻAʻole maopopo pinepine iā lākou ka maʻi.
ʻAʻole makaʻu pinepine ʻo Elliptocytosis. I nā hihia maʻalahi, ʻoi aku ka liʻiliʻi ma mua o 15% o nā hunaola ʻulaʻula i ʻano elliptical. Eia nō naʻe, hiki i kekahi poʻe ke kūpilikiʻi i kahi e haki ai nā hunaola ʻulaʻula. Hiki ke hana ʻia kēia inā loaʻa ka maʻi maʻi iā lākou. Hiki i nā poʻe me kēia maʻi ke hoʻomohala i ka anemia, ka jaundice, a me nā gallstones.
Kāhea i kāu mea hāʻawi inā he jaundice kāu i hele ʻole a i ʻole nā ʻōuli o ka anemia a i ʻole nā gallstones.
Kūpono paha ke ʻōlelo aʻoaʻo genetic no ka poʻe me ka moʻolelo ʻohana o kēia maʻi e makemake ana e lilo i mau mākua.
Elliptocytosis - hoʻoilina
- Nā koko ʻulaʻula - elliptocytosis
- Nā pūnaewele koko
ʻO Gallagher PG. Hemolytic anemias: ʻulaʻula koko membrane a me nā kīnā metabolik. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 152.
ʻO Gallagher PG. Nā maʻi membrane ʻulaʻula koko. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 45.
ʻO Merguerian MD, Gallagher PG. ʻO elliptocytosis hoʻoilina, pyropoikilocytosis hoʻoilina, a me nā maʻi e pili pū ana. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 486.