Fanconi anemia: he aha ia, nā hōʻailona nui a me ka mālama ʻana
Anter
ʻO Fanconi anemia kahi maʻi a me nā hoʻoilina hoʻoilina, ʻano laha ʻole ia, a makana ʻia i loko o nā keiki, me ke ʻano o ka hanauna hānau ʻole, i ʻike ʻia ma ka wā hānau, ka maikaʻi ʻole o ka iwi iwi a me ka predisposition i ka maʻi ʻaʻai, nā loli i ʻike pinepine ʻia i nā makahiki mua o ke keiki. ke ola.
ʻOiai paha e hōʻike i kekahi mau hōʻailona a me nā ʻōuli, e like me nā loli i nā iwi, nā ʻili, nā kino o ka puʻuwai, ke kino pōkole a me nā manawa kūpono o ke kūkulu ʻana i nā tumors a me ka leukemia, ua kapa ʻia kēia maʻi he anemia, no ka mea ʻo ka hōʻike nui ka hoʻoliʻiliʻi o ka hana ʻana o nā hunaola. ma o ka iwi iwi.
No ka mālama ʻana i ka anemia o Fanconi, pono e ukali me kahi hematologist, nāna e ʻōlelo aʻoaʻo i ke koko a i ʻole nā transplant o ka iwi iwi. ʻO ka loiloi a me nā hana hoʻomalu e pale ai a ʻike ai i ka maʻi ʻaʻai ka mea nui loa.
Nā hōʻailona nui
ʻO kekahi o nā hōʻailona a me nā hōʻailona o ka anemia Fanconi e komo pū ana:
- Anemia, nā pāpaʻi haʻahaʻa a me nā liʻiliʻi o ke koko keʻokeʻo, kahi e hoʻonui ai i ka makaʻu o ka nāwaliwali, ʻūlū, pallor, nā kiko purplish, kahe ʻana o ke kahe a me nā maʻi hou.
- Deformities o ka iwi, e like me ka nele o ka manamana nui, ka manamana nui liʻiliʻi a i ʻole ka hoʻopōkole ʻana o ka lima, microcephaly, ke alo pono me ka waha liʻiliʻi, nā maka liʻiliʻi a me ka auwau liʻiliʻi;
- Pōkole, mai ka hānau ʻia ʻana o nā keiki me ke kaupaona haʻahaʻa a me ke kino ma lalo o ka mea i manaʻo ʻia no ko lākou makahiki;
- Nā kiko ma ka ʻili ke kala kope-me-ka waiū;
- Hoʻonui i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai, e like me leukemias, myelodysplasias, ʻili maʻi ʻaʻai, maʻi ʻaʻai o ke poʻo a me ka ʻāʻī a me nā ʻāpana genital a me urological;
- Hoʻololi i ka hihiʻo a me ka hoʻolohe ʻana.
Hoʻokumu ʻia kēia mau hoʻololi e nā kīnā kūpuna, i hoʻoili ʻia mai nā mākua a hiki i nā keiki, e pili ana i kēia mau ʻāpana o ke kino. ʻOi aku paha ka ikaika o kekahi o nā hōʻailona a me nā ʻōuli i kekahi poʻe ma mua o nā poʻe ʻē aʻe, ʻoiai ka ikaika a me ka wahi kikoʻī o ka loli kūloko hiki ke ʻokoʻa mai kēlā me kēia kanaka.
Pehea e hana ʻia ai ke kuhi
Kuhi ʻia ka hōʻailona o ka anemia Fanconi ma o ka nānā pono ʻana a me nā hōʻailona a me nā ʻōuli o ka maʻi. ʻO ka hana o nā hoʻokolohua koko e like me ka helu piha o ke koko, i ka hoʻohui ʻana i nā hoʻokolohua kiʻi e like me MRI, ultrasound a me x-ray o nā iwi hiki ke hoʻohana pono e ʻike i nā pilikia a me nā deformities e pili ana i ka maʻi.
Ua hoʻokūpaʻa nui ʻia ke kuhi e kahi hoʻokolohua kūlohelohe i kapa ʻia ʻo Chromosomal Fragility Test, ʻo ia ke kuleana no ka ʻike ʻana i nā haki a i ʻole nā hoʻololi ʻana o ka DNA i nā huna koko.
Pehea e hana ai i ka lāʻau
Hana ʻia ka lapaʻau ʻana no ka anemia o Fanconi me ke alakaʻi o ka hematologist, nāna e paipai nei i ke koko a me ka hoʻohana ʻana i nā corticosteroids e hoʻomaikaʻi i ka hana o ke koko.
Eia nō naʻe, i ka panakalupa ʻana o ka momona, hiki wale ke hoʻōla iā ia me ka hoʻoneʻe iwi iwi. Inā ʻaʻohe he mea kōkua kūpono a ke kanaka e hana ai i kēia transplant, hiki ke hoʻohana ʻia kahi lapaʻau me nā androgen hormones e hoʻoliʻiliʻi i ka nui o nā kahe o ke koko a hiki i ka loaʻa ʻana o ka mea hāʻawi.
ʻO ka mea me kēia maʻi maʻi a me kona ʻohana pono pū kekahi i ka ukali a me ka ʻōlelo aʻoaʻo mai ka genistist, nāna e ʻōlelo aʻoaʻo i nā hoʻokolohua a me nā ala ʻē aʻe i loaʻa i kēia maʻi i kā lākou keiki.
Eia hou, ma muli o ka instability genetical a hoʻonui i ka makaʻu o ka maʻi ʻaʻai, he mea nui ia i ka mea me kēia maʻi e hana i nā kānana maʻamau, a hana i kekahi mau hana e like me:
- Mai puhi;
- Pale i ka ʻai ʻana i nā mea inu ʻona;
- Hana i ka pale ʻana me HPV;
- Hōʻalo i ka hōʻike ʻana iā ʻoe iho i ka radiation e like me x-ray;
- Hōʻalo i ka hōʻike ākea a pale ʻole paha mai ka lā;
He mea nui nō hoʻi e hele i nā kūkākūkā a me nā ukali me nā loea ʻē aʻe i hiki ke ʻike i nā loli hiki, e like me ka niho niho, ENT, urologist, gynecologist a i ʻole therapist ʻōlelo.