ʻO ka maʻi Dercum
Anter
He aha ka maʻi o Dercum?
ʻO ka maʻi o Dercum kahi maʻi laha ʻole i hiki i nā ulu ʻeha o nā momona momona i kapa ʻia lipomas. Kapa ʻia ʻo ia ʻo adiposis dolorosa. Hoʻopili pinepine kēia maʻi i ka kino, nā lima kiʻekiʻe, a me nā wāwae kiʻekiʻe.
Wahi a kahi loiloi i ka, ʻO ka maʻi o Dercum ma kahi o 5 a 30 mau manawa i ʻike pinepine ʻia i nā wahine. ʻO kēia ākea ākea kahi hōʻailona e hoʻomaopopo ʻole ʻia ka maʻi o Dercum. ʻOiai kēia nele o ka ʻike, ʻaʻohe hōʻike e pili ana ka maʻi o Dercum i ka lana o ke ola.
He aha nā hōʻailona?
Hiki ke loli ke ʻano o nā maʻi o Dercum mai kēlā me kēia kanaka. Eia nō naʻe, kokoke i nā poʻe āpau me ka maʻi Dercum i loaʻa i nā lipomas ʻeha e ulu mālie.
Hiki ke loaʻa ka nui o ka lipoma i kēlā me kēia kinikini liʻiliʻi i kahi pūlima kanaka. No kekahi poʻe, like like ka nui o nā lipomas, ʻoiai he nui ka nui o kekahi.
ʻO ka Lipomas e pili ana i ka maʻi o Dercum he mea ʻeha pinepine ke kaomi ʻia, no ka mea ke hoʻokau nei kēlā mau lipomas i ke aʻalolo. No kekahi poʻe, mau ka ʻeha.
ʻO nā ʻōuli ʻē aʻe o ka maʻi o Dercum e komo pū paha:
- loaʻa kaupaona
- pehu e hele mai a hele i nā ʻāpana like ʻole o ke kino, pinepine ka lima
- luhi
- nāwaliwali
- kaumaha
- nā pilikia me ka noʻonoʻo, ka noʻonoʻo, a me ka hoʻomanaʻo paha
- paopao maʻalahi
- ʻoʻoleʻa ma hope o ke kau ʻana i lalo, ke kakahiaka nui hoʻi
- ʻeha poʻo
- ukiuki
- paʻakikī i ka hiamoe
- kōmi puʻuwai wikiwiki
- pokole o ka hanu
- kōpaʻa
He aha ke kumu?
ʻAʻole maopopo i nā kauka nā kumu o ka maʻi o Dercum. I ka hapanui o nā hihia, ʻaʻohe kumu kumu.
Manaʻo kekahi mau kānaka noiʻi e ka maʻi autoimmune paha ia, kahi ʻano e hoʻoili kuhi hewa i kāu ʻōnaehana pale. Manaʻo kekahi he pilikia metabolic pili i ka hiki ʻole ke wāwahi pono i ka momona.
Pehea ia ʻike?
ʻAʻohe pae hoʻohālikelike maʻamau no ka hōʻoia ʻana i ka maʻi o Dercum. Ma ka hakahaka, e nānā paha kāu kauka i ka hoʻopau ʻana i nā kūlana kūpono ʻē aʻe, e like me fibromyalgia a i ʻole lipedema.
E hana i kēia, hiki i kāu kauka ke biopsy i kekahi o kāu lipomas. Pili kēia i ka lawe ʻana i kahi laʻana liʻiliʻi a nānā iā ia ma lalo o kahi microscope. Hiki iā lākou ke hoʻohana i kahi scan CT a i ʻole MRI scan e kōkua iā lākou e hana i kahi kuhi.
Inā kuhi ʻia ʻoe me ka maʻi o Dercum, hiki i kāu kauka ke hoʻokaʻawale iā ia ma muli o ka nui a me kahi o kāu lipomas. Loaʻa kēia mau ʻano hoʻohālikelike:
- nodular: nā lipomas nui, a puni kou mau lima, kua, ʻōpū, a me nā ʻūhā
- diffuse: nā lipomas liʻiliʻi e hoʻolaha ākea
- hui: kahi hui o nā lipomas nui a liʻiliʻi
Pehea e mālama ʻia ai?
ʻAʻohe mea ola no ka maʻi o Dercum. Ma kahi o ka mālama ʻana, kau pinepine ʻia ka mālama ʻana i ka ʻeha me ka hoʻohana ʻana:
- nā mea lawe ʻeha ʻeha
- injections cortisone
- kalipuna modulator
- methotrexate
- infliximab
- alfa interferon
- hemo kaukoki o lipomas
- liposuction
- uila uila
- ʻākehu
- ʻO ka tutupocaine kuko
- lāʻau lapaʻau anti-inflammatory nonsteroidal
- noho olakino me nā papa anti-inflammatory a me ka hoʻoikaika kino haʻahaʻa e like me ka ʻauʻau ʻana a me ka hoʻolōʻihi ʻana
I nā kumu he nui, ʻo ka poʻe me ka maʻi ʻo Dercum ka pōmaikaʻi nui loa mai ka hoʻohui ʻana o kēia mau ʻano hana. E noʻonoʻo e hana me kahi loea hoʻomalu ʻeha e ʻike i ka hui palekana i ʻoi aku ka maikaʻi iā ʻoe.
Noho me ka maʻi o Dercum
Hiki i ka maʻi o Dercum ke paʻakikī e kuhikuhi a mālama. ʻO ka ʻehaʻeha, ʻehaʻeha loa hiki ke alakaʻi i nā pilikia e like me ke kaumaha a me ka hoʻōla.
Inā loaʻa ʻoe i ka maʻi o Dercum, e noʻonoʻo e hana pū me kahi loea hoʻomalu ʻeha a me kahi ʻoihana olakino noʻonoʻo no ke kākoʻo i hoʻohui ʻia. E ʻike paha ʻoe i kahi pūʻulu kākoʻo pūnaewele a i ʻole kanaka no ka poʻe me nā maʻi laha ʻole.
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