ʻO Cachexia

Anter

• Hōʻike Overview
• Nā ʻāpana o cachexia
• Cachexia a me ka maʻi ʻaʻai
• Nā kumu a me nā kūlana e pili ana
• Nā ʻōuli
• Nā koho lapaʻau
• Nā pilikia
• Outlook

Hōʻike Overview

ʻO Cachexia (haʻi ʻia ʻo kuh-KEK-see-uh) kahi maʻi "ʻōlohelohe" e kumu i ka pohō kaumaha a me ka hoʻowahāwahā ʻana i nā mākala, a hiki ke komo pū me ka nalo ʻana o ka momona o ke kino. Hoʻopili kēia maʻi i ka poʻe i nā hopena hope loa o nā maʻi koʻikoʻi e like me ka maʻi ʻaʻai, HIV a i ʻole AIDS, COPD, nā maʻi puʻuwai, a me nā puʻuwai puʻuwai (CHF).

ʻO ka huaʻōlelo "cachexia" mai nā huaʻōlelo Helene "kakos" a me "hexis," ʻo ia hoʻi "ke kūlana maikaʻi ʻole."

ʻO ka ʻokoʻa ma waena o cachexia a me nā ʻano o ke kaupaona kaumaha he hana ʻole ia. ʻO ka poʻe e hoʻomohala iā ia ʻaʻole e lilo i ka kaumaha no ka mea ke hoʻāʻo nei e ʻokiʻoki me ka papaʻai a hoʻoikaika kino paha. Lilo lākou i ka paona no ka mea ʻai liʻiliʻi lākou ma muli o nā ʻano kumu like ʻole. I ka manawa like, loli ko lākou metabolism, i kumu e wāwahi ai ko lākou kino i ka nui o nā mākala. Hiki i nā lūlū a me nā mea i hana ʻia e nā tumors ke hoʻololi i ka makemake a hoʻonā i ke kino i ka wikiwiki o ke ahi ma mua o ka maʻamau.

Manaʻo nā kānaka noiʻi ʻo cachexia kahi ʻāpana o ka pane o ke kino i ka maʻi hakakā. No ka loaʻa ʻana o ka ikehu hou e hoʻoulu ai i ka lolo ke haʻahaʻa nā hale kūʻai meaola, haki ke kino i ka mākala a me ka momona.

ʻAʻole hiki i kahi kanaka me cachexia ke lilo i ka paona wale. Nawaliwali loa lākou a nāwaliwali hoʻi e lilo ai ko lākou kino i maʻalahi i nā maʻi, a make lākou i ko lākou kūlana. ʻAʻole lawa ka loaʻa ʻana o ka meaʻai a me nā calori hou aʻe i mea e huli ai ka cachexia.

Nā ʻāpana o cachexia

ʻEkolu mau papa nui o cachexia:

• Precachexia ua wehewehe ʻia ma ke ʻano he nalo a i 5 pākēneka o kou kino kaumaha ʻoiai ke loaʻa nei kahi maʻi i ʻike ʻia a i ʻole maʻi paha. Hele pū ʻia me ka nalo o ke kuko, ka lī, a me nā loli i ka metabolism.
• ʻO Cachexia ʻo ia ka nalo o ka 5 pakeneka o kou kaumaha o ke kino ma mua o 12 mau mahina a ʻoi iki paha, ke ʻaʻole ʻoe e hoʻāʻo e lilo i ka paona a loaʻa iā ʻoe kahi maʻi a maʻi paha. ʻO nā pae hoʻohālikelike ʻē aʻe e pili ana i ka nalo ʻana o ka ikaika o ka muscle, hoʻemi i ka makemake, luhi, a me ka mumū.
• Cachexia waihona pili i nā kānaka me ka maʻi ʻaʻai. ʻO ka pohō kaumaha, nalowale o nā mākala, nalowale o ka hana, a me ka hoʻokō ʻole i ka mālama ʻana i ka maʻi ʻaʻai.

Cachexia a me ka maʻi ʻaʻai

Aia i ka poʻe me ka maʻi ʻaʻai hope loa ka cachexia. Pili kokoke i ka poʻe me ka maʻi ʻaʻai mai kēia ʻano.

Hoʻokuʻu nā pūnaewele Tumor i nā mea e hōʻemi i ka makemake. Hiki i ka maʻi ʻaʻai a me kāna mau hoʻomaʻamaʻa ke hoʻonāukiuki i ka nausea koʻikoʻi a hōʻino paha i ke ala digestive, paʻakikī e ʻai a komo i nā meaʻai.

I ka loaʻa ʻana o ke kino i nā mea momona he nui, puhi ʻo ia i ka momona a me nā mākala. Hoʻohana nā hunaola maʻiʻaʻai i ka mea i koe o nā mea momona i koe e kōkua iā lākou e ola a hoʻonui.

Nā kumu a me nā kūlana e pili ana

Hana ʻo Cachexia i ka hopena o nā kūlana koʻikoʻi e like me:

• maʻi ʻaʻai
• kūleʻa puʻuwai congestive (CHF)
• maʻi pulmonary pulupulu paʻa (COPD)
• maʻi maʻi maʻi paʻa
• cystic fibrosis
• rumatika

Pehea ka ʻokoʻa o ka cachexia maʻamau ma muli o ka maʻi. Hoʻopili ia:

• o ka poʻe me ka puʻuwai puʻuwai congestive a i ʻole COPD
• Hiki i ka 80 pākēneka o ka poʻe me ka ʻōpū a me nā maʻi ʻino GI luna
• Hiki i nā poʻe me ka maʻi ʻaʻai pūpū

Nā ʻōuli

ʻO ka poʻe me cachexia e lilo i ka paona a me ka nui o nā mākala. ʻIke kino ʻole kekahi poʻe. Aia kekahi ma ke kaupaona maʻamau.

I ʻike ʻia me cachexia, pono paha ʻoe e nalo ma ka liʻiliʻi he 5 pakeneka o kou kino i loko o nā mahina he 12 i hala a i ʻole ka liʻiliʻi, a loaʻa kahi maʻi a maʻi paha. He ʻekolu paha mau ʻike i loaʻa iā ʻoe:

• hoʻemi i ka ikaika o ka mākala
• luhi
• lilo ka makemake (anorexia)
• haʻahaʻa papa kuhikuhi momona ʻole (kahi helu i kau ʻia ma luna o kou kaupaona, momona o ke kino, a me kou kiʻekiʻe)
• nā pae kiʻekiʻe o ka hoʻowahāwahā ʻia e nā hōʻike koko
• anemia (ʻulaʻula koko ʻulaʻula)
• nā haʻahaʻa haʻahaʻa o ka protein, albumin

Nā koho lapaʻau

ʻAʻohe mālama kūikawā a ala paha e hoʻohuli i ka cachexia. ʻO ka pahuhopu o ka mālama ʻana e hoʻomaikaʻi i nā hōʻailona a me ke ola o ke ola.

ʻO ka hoʻomaʻamaʻa o kēia manawa no cachexia nā:

• nā mea hoʻonāukiuki e like me ka megestrol acetate (Megace)
• nā lāʻau, e like me dronabinol (Marinol), e hoʻomaikaʻi ai i ka nausea, ka makemake, a me ke ʻano
• nā lāʻau e hoʻemi ai i ka pehu
• hoʻololi i nā papaʻai, nā mea kōkua pono pono
• hoʻoikaika kino hoʻāʻo

Nā pilikia

Hiki ke koʻikoʻi loa ʻo Cachexia. Hiki iā ia ke hoʻopili i ka lāʻau lapaʻau no ke kūlana i hoʻokumu iā ia a hoʻohaʻahaʻa i kāu pane i kēlā lapaʻau. ʻO ka poʻe me ka maʻi ʻaʻai i loaʻa ka cachexia hiki ʻole ke hoʻomanawanui i ka chemotherapy a me nā lāʻau ʻē aʻe e pono ai lākou e ola.

Ma muli o kēia mau pilikia, loaʻa i ka poʻe me cachexia kahi ʻano haʻahaʻa o ke ola. He ʻoi aku ka maikaʻi o ko lākou nānā.

Outlook

ʻAʻohe lapaʻau i kēia manawa no cachexia. Eia naʻe, ke aʻo hou nei nā mea noiʻi e pili ana i nā kaʻina hana i kumu ai ia. ʻO ka mea a lākou i ʻike ai ua hoʻoulu i ka noiʻi i loko o nā lāʻau hou e hakakā i ke kaʻina hana neoneo.

Ua noiʻi kekahi mau ʻano noiʻi i nā mea e pale ai a kūkulu hou paha i nā mākala a hoʻonui i ka hana kaupaona. kālele ana i ka pale ʻana i nā protein activin a me myostatin, ka mea e pale ai i nā mākala mai ka ulu ʻana.