Maʻaleʻa
ʻO Paleness kahi nalo maʻamau o ke kala mai ka ʻili maʻamau a i nā membrane mucous.
Inā ʻaʻole hele pū ka ʻili pale me nā lehelehe pale, alelo, nā poho lima, ma loko o ka waha, a me ka uhi o nā maka, ʻaʻole paha ia he kūlana koʻikoʻi, a ʻaʻole pono ka lapaʻau.
Hoʻopili ke keʻokeʻo maʻamau i ke kino holoʻokoʻa. ʻIke maʻalahi ʻia i ka maka, ka uhi ʻana o nā maka, ka waha o loko, a me nā kui. Hoʻopili pinepine ke keʻokeʻo kūloko i hoʻokahi lālā.
Pehea e maʻalahi ai ka maʻalahi o ka paleness me ka waihoʻoluʻu o ka ʻili, a me ka mānoanoa a me ka nui o nā kīʻaha koko i ka mea ma lalo o ka ʻili. I kekahi manawa hoʻomālamalama wale ia i ke kala o ka ʻili. He paʻakikī paha ka paleness e ʻike i kahi kanaka ʻili ʻeleʻele, a ʻike wale ʻia i ka uhi maka a me ka waha.
ʻO ka paleness ka hopena o ka hōʻemi ʻana o ka lako o ke koko i ka ʻili. Hiki iā ia ma muli o ka hoʻemi ʻia o nā hunaola ʻulaʻula (anemia). ʻAʻole like ka maʻa o ka ʻili me ka nalo ʻana o ka pigment mai ka ʻili. Pili ka paleness i ke kahe o ke koko i ka ʻili ma mua o ka waiho ʻana o melanin i ka ʻili.
Hiki ke kumu ʻia ka paleness e:
- Anemia (kahe o ke koko, ʻai ʻole maikaʻi ʻole, a i ʻole nā maʻi maʻi)
- Nā pilikia me ka ʻōnaehana puni
- Pāhaʻi
- Mauleʻa
- ʻO Frostbite
- Koko kōpaʻa haʻahaʻa
- Nā maʻi maʻi (lōʻihi) me ka maʻi a me ka maʻi ʻaʻai
- Nā lāʻau lapaʻau kekahi
- Kekahi mau wikamina hemahema
Kāhea i kāu kahu mālama ola a i ʻole helu helu pilikia inā ulu koke kahi kanaka i kahi ʻulaʻula maʻamau. Pono paha ka hana kūpilikiʻi e mālama i ke kahe o ke koko.
Kāhea pū i kāu mea hāʻawi inā hele pū ka paleness me ka pōkole o ka hanu, ke koko i loko o ka pahu, a i ʻole nā hōʻailona ʻē aʻe ʻole i wehewehe ʻia.
E nānā kāu mea hāʻawi iā ʻoe a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli, e like me:
- Ua ulu wale paha ka palakala?
- Ua hana ʻia ia ma hope o nā hoʻomanaʻo o kahi hanana traumatic?
- Ua hele a mae wale ʻoe a i hoʻokahi wale nō ʻāpana o ke kino? Inā pēlā, ma hea?
- He aha nā hōʻailona ʻē aʻe āu? ʻO kahi laʻana, loaʻa iā ʻoe ka ʻeha, ka pōkole o ka hanu, ke koko i ka pahu, a ke luaʻi nei ʻoe i ke koko?
- He lima pale paha kou, ka lima, ka wāwae a me ka wāwae, a ʻaʻole hiki ke ʻike i kahi pulse ma ia wahi?
ʻO nā hoʻokolohua i kauoha ʻia e komo pū:
- ʻO ka arteriography koʻikoʻi
- CBC (helu piha koko)
- ʻOkoʻa ke koko
- Nā hoʻāʻo ʻana o ka hana thyroid
- ʻO Colonoscopy e nānā no ke kahe ʻana o ke kō i loko o ka ʻōpū nui
E pili ka mālama ʻana i ke kumu o ka maʻa.
ʻIli - pale a hina; Pallor
ʻO Schwarzenberger K, Callen JP. Nā hōʻike dermatologic i nā maʻi me ka maʻi ʻōnaehana. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 53.
Mea kūʻai aku RH, Symons AB. Nā pilikia ʻili. I: Kūʻai RH, Symons AB, eds. ʻIʻike ʻokoʻa o nā hoʻopiʻi maʻamau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 29.