Agammaglobulinemia
ʻO ka Agammaglobulinemia kahi maʻi hoʻoilina i loaʻa i kahi kanaka nā haʻahaʻa haʻahaʻa loa o nā pale pale pale pale i kapa ʻia immunoglobulins. ʻO Immunoglobulins kahi ʻano antibody. ʻO nā pae haʻahaʻa o kēia mau mea ʻino e loaʻa pinepine ai i nā maʻi.
He maʻi laha ʻole kēia e hoʻopili nui i nā kāne. Hoʻokumu ʻia ia e ka ʻāpana kīnā ʻole e ālai i ka ulu ʻana o nā ʻea pale pale makua i kapa ʻia ʻo lymphocytes B.
ʻO ka hopena, hana liʻiliʻi ke kino (inā kekahi) immunoglobulins. He kuleana nui nā Immunoglobulins i ka pane pale ʻana, ka mea e pale ai i nā maʻi a me nā maʻi.
Hoʻonui pinepine ka poʻe me kēia maʻi i nā maʻi. Loaʻa nā maʻi āpau i nā mea ma muli o nā bacteria e like me Haemophilus influenzae, pneumococci (ʻO Streptococcus pneumoniae), a staphylococci. ʻO nā pūnaewele maʻamau o ka maʻi pū kekahi:
- ʻAha Gastrointestinal
- Hui pū
- Lungs
- ʻIli
- ʻAha hanu luna
Hoʻoilina ʻo Agammaglobulinemia, ʻo ia ka manaʻo i loaʻa i nā poʻe ʻē aʻe i kou ʻohana.
ʻO nā hōʻailona me nā ʻāpana pinepine o:
- Bronchitis (maʻi lele)
- Pohā ʻōpū
- Conjunctivitis (maka maʻi)
- Otitis media (ma waena o ka pepeiao maʻiʻaʻai)
- Ponia (maʻi hū)
- Sinusitis (sinus maʻiʻaʻai)
- Nā maʻi ʻili
- ʻO nā maʻi maʻi hanu luna
ʻIke pinepine nā maʻi i nā makahiki 4 mua o ke ola.
ʻO nā ʻōuli ʻē aʻe e like me:
- ʻO Bronchiectasis (kahi maʻi kahi e ʻino ai a hoʻonui ʻia ai nā ʻeke ea liʻiliʻi i nā akemāmā)
- Asthma me ke kumu ʻole i ʻike ʻia
Hōʻoia ʻia ka maʻi e nā hōʻike koko e ana i nā pae o immunoglobulins.
Loaʻa i nā hoʻāʻo:
- ʻO ka cytometry kahe e ana i nā lymphocytes B e hoʻopolo nei
- Immunoelectrophoresis - serum
- Nā immunoglobulins nui - IgG, IgA, IgM (ana pinepine ʻia e nephelometry)
Hoʻopili ka mālama ʻana i nā hana e hōʻemi ai i ka helu a me ke koʻikoʻi o nā maʻi. Pono pinepine nā lāʻau antibiotic e mālama i nā maʻi bacteria.
Hāʻawi ʻia nā Immunoglobulins ma o ke aa a i ʻole ke kuʻi ʻana e hoʻonui i ka ʻōnaehana pale.
E noʻonoʻo ʻia kahi hoʻoneʻe iwi iwi.
Hiki i kēia mau kumuwaiwai ke hāʻawi i ka ʻike hou aku e pili ana i ka agammaglobulinemia:
- ʻO ka Immune Deficit Foundation - primaryimmune.org
- National Organization for Rare Disorder - rarediseases.org/rare-diseases/agammaglobulinemia
- NIH / NLM Genetics Home Reference - ghr.nlm.nih.gov/condition/x-linked-agammaglobulinemia
ʻO ka mālama ʻana me nā immunoglobulins i hoʻomaikaʻi maikaʻi i ke olakino o ka poʻe i loaʻa i kēia maʻi.
Me ka mālama ʻole ʻia, make nui nā maʻi ʻino loa.
ʻO nā pilikia olakino e hopena ʻia paha:
- Pākuʻi
- Sinus maʻi a maʻi pulmonary paha
- Eczema
- Nā syndrome malabsorption ʻōpū
Kāhea i kahi manawa me kāu kahu mālama ola inā:
- Ua ʻike ʻoe a ʻo kāu keiki paha i nā maʻi maʻi pinepine.
- Loaʻa iā ʻoe ka moʻolelo ʻohana o agammaglobulinemia a i ʻole kekahi maʻi ʻino e aʻe a ke hoʻolālā nei ʻoe i nā keiki. E nīnau i ka mea nāna e hāʻawi e pili ana i ka ʻōlelo aʻo kūpuna.
Pono e hāʻawi ʻia i nā ʻōlelo aʻo kūmole i nā mākua e hiki mai ana me ka moʻolelo ʻohana o agammaglobulinemia a i ʻole nā maʻi maʻi ʻino.
ʻO ka agammaglobulinemia a Bruton; Agammaglobulinemia pili X; Immunosuppression - agammaglobulinemia; Immunodepressed - agammaglobulinemia; Immunosuppressed - agammaglobulinemia
- Nā Antibodies
ʻO Cunningham-Rundles C. Nā maʻi pale maʻi ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 236.
Pai SY, Notarangelo LD. Nā maʻi kūlohelohe o ka hana lymphocyte. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 51.
Sullivan KE, ʻO Buckley RH. Nā kīnā mua o ka hana antibody. 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 150.