ʻO Syndrome Hyperviscosity
Anter
- He aha nā hōʻailona o ka hyperviscosity syndrome?
- He aha ke kumu o ka hyperviscosity syndrome?
- ʻO wai ka mea e makaʻu no ka maʻi hyperviscosity?
- Pehea e ʻike ʻia ai ka maʻi hyperviscosity?
- Pehea e mālama ʻia ai ka maʻi hyperviscosity?
- He aha ka manaʻo lōʻihi?
He aha ka maʻi hyperviscosity?
ʻO kahi maʻi ʻo Hyperviscosity kahi ʻano i hiki ʻole i ke koko ke kahe manuahi ma o kou mau aʻa.
I kēia maʻi, hiki i nā ālai arterial ke kū ma muli o ka nui o nā hunaola ʻulaʻula, nā hunaola keʻokeʻo, a i ʻole nā protein i kou kahe koko. Hiki iā ia ke hana me nā kino ʻulaʻula o ke ʻano o ke koko ʻulaʻula, e like me ka anemia maʻi maʻi.
Hana ʻia ʻo Hyperviscosity i nā keiki a me nā mākua. I nā keiki, hiki ke hoʻopili i ko lākou ulu ʻana ma ka hōʻemi ʻana i ke kahe o ke koko i nā mea ola nui, e like me ka puʻuwai, nā ʻōpū, nā puʻupaʻa a me ka lolo.
I nā mākua, hiki iā ia ke hana me nā maʻi autoimmune e like me rheumatoid arthritis a i ʻole lupus ʻōnaehana. Hiki ke hoʻomohala pū ʻia me nā maʻi maʻi koko e like me lymphoma a me leukemia.
He aha nā hōʻailona o ka hyperviscosity syndrome?
ʻO nā ʻōuli e pili ana i kēia ʻano me nā ʻeha poʻo, ka hopu ʻana, a me ka leo ʻulaʻula i ka ʻili.
Inā hiamoe maʻamau kāu pēpē a makemake ʻole paha e hānai maʻamau, he hōʻailona kēia e hewa ana kekahi mea.
ʻO ka mea maʻamau, ʻo nā ʻōuli e pili ana i kēia ʻano ka hopena o nā pilikia i loaʻa ke loaʻa ʻole nā mea ola nui i ka oxygen ma o ke koko.
ʻO nā ʻōuli ʻē aʻe o ka maʻi hyperviscosity pū me:
- kahe koko ʻole
- nā haunaele ʻike
- vertigo
- ʻeha ka umauma
- pokole o ka hanu
- ka hopu ʻana
- koma
- paʻakikī i ka hele wāwae
He aha ke kumu o ka hyperviscosity syndrome?
ʻIke ʻia kēia maʻi maʻi i nā pēpē ke kiʻekiʻe ka nui o nā hunaola ʻulaʻula ma luna o 65 pākēneka. Hiki i kēia ke kumu o nā kūlana he nui e hoʻomohala i ka wā o ka hāpai ʻana a i ʻole i ka manawa hānau. Hiki i kēia mau mea ke:
- lohi o ka hoʻopaʻa ʻana o ka umbilical cord
- nā maʻi i hoʻoilina ʻia mai nā mākua mai
- nā kūlana kūlohelohe, e like me Down syndrome
- mimikō hāpai
Hiki iā ia ke kumu ʻia e nā hanana i lawa ʻole ka oxygen e hāʻawi ʻia i nā kinikini i ke kino o kāu keiki. ʻO ka Twin-a-māhoe transfusion Syndrome, kahi kūlana i mahele like ʻole ʻia nā māhoe ma waena o lāua i ka kōpū, kahi kumu ʻē aʻe paha.
Hiki ke kumu ʻia ka maʻi hyperviscosity e nā kūlana e pili ana i ka hana ʻana o ke kōpō, e like me:
- maʻi leukemia, kahi maʻi 'aʻai o ke koko i hopena i nā keena koko keʻokeʻo he nui loa
- polycythemia vera, kahi maʻi ʻaʻai o ke koko e hopena ai i nā keena ʻulaʻula he nui
- thrombositosis pono, kahi kūlana koko i kū i ka wā e hana ai ka iwi o ka iwi i nā pā koko he nui loa
- nā maʻi myelodysplastic, kahi hui o nā maʻi koko e kumu i nā helu kūpono ʻole o kekahi mau huna koko, e ʻākoakoa ana i nā hunaola olakino i ka iwi iwi a alakaʻi pinepine ʻia i ka anemia koʻikoʻi.
I ka poʻe mākua, ʻo ka hyperviscosity Syndrome ka mea maʻamau ke loaʻa nā ʻōuli ke koko ma waena o 6 a me 7, ana ʻia e pili ana i ka saline, akā hiki ke haʻahaʻa. ʻO nā waiwai maʻamau ma waena o 1.6 a me 1.9.
I ka wā o ka mālama ʻana, ʻo ka pahuhopu e hoʻohaʻahaʻa i ka viscosity i ka pae e pono ai e hoʻonā i nā ʻōuli o ke kanaka.
ʻO wai ka mea e makaʻu no ka maʻi hyperviscosity?
Hoʻopili pinepine kēia ʻano i nā pēpē, akā hiki ke ulu i ka wā makua. Aia ka papa o kēia ʻano i ke kumu.
- ʻOi aku ka nui o ka makaʻu o kāu pēpē i ka hoʻomohala ʻana i kēia maʻi inā he moʻolelo ʻohana kāu.
- Eia kekahi, ʻo ka poʻe i loaʻa ka mōʻaukala o ke ʻano o ka momona o ka iwi i ka makaʻu nui i ka hoʻomōhala ʻana i ka maʻi hyperviscosity.
Pehea e ʻike ʻia ai ka maʻi hyperviscosity?
Inā kuhi kāu kauka aia kāu pēpē i kēia maʻi maʻi, e kauoha lākou i kahi hoʻokolohua koko e hoʻoholo ai i ka nui o nā hunaola ʻulaʻula i ke kahena koko o kāu keiki.
Pono paha nā hoʻokolohua ʻē aʻe e kiʻi i kahi hōʻailona. Pākuʻi ʻia kēia mau mea:
- helu piha ke koko (CBC) e nānā i nā ʻāpana o ke koko
- hōʻoia bilirubin e nānā i ka pae o ka bilirubin i ke kino
- ka mimi e ana i ka glucose, ke koko, a me ka protein i ka mimi
- hoʻāʻo ke kō kō e nānā i nā pae kō kō
- hoʻāʻo creatinine e ana i nā hana hakuʻala
- hoʻokolohua kinoea koko e nānā no nā pae oxygen i loko o ke koko
- ka hoʻāʻo o ka hana ate e nānā i ke kiʻekiʻe o nā protein proteins
- hoʻāʻo kemika koko e nānā i ke kaulike kemika o ke koko
Eia nō naʻe, ʻike paha i kāu kauka ke ʻike nei kāu pēpē i nā mea e like me ka jaundice, nā puʻuwai ʻole, a i ʻole nā pilikia hanu ma ke ʻano he hopena.
Pehea e mālama ʻia ai ka maʻi hyperviscosity?
Inā hoʻoholo ke kauka o kāu pēpē i ka loaʻa ʻana o kāu pēpē i ka maʻi hyperviscosity, e kiaʻi ʻia kāu pēpē no nā pilikia e hiki ai.
Inā koʻikoʻi ke ʻano, hiki i kāu kauka ke koi aku i kahi transfusion exchange part. I loko o kēia kaʻina hana, lawe mālie ʻia kahi koko. I ka manawa like, pani ʻia ka nui i lawe ʻia me kahi wai paʻakai. Hoʻoiho kēia i ka helu o nā ʻulaʻula o ke koko, e hōʻemi ana i ke koko, me ka ʻole o ka nui o ke koko.
Hiki i kāu kauka ke koi aku i nā hānai pinepine no kāu pēpē e hoʻomaikaʻi i ka hydration a hoʻemi i ka mānoanoa o ke koko. Inā ʻaʻole pane kāu pēpē i ka hānai ʻana, pono paha lākou e kiʻi i nā wai i loko o ke kino.
I nā mākua, hyperviscosity Syndrome pinepine ʻia e kahi ʻano paʻa e like me leukemia. Pono e mālama pono ʻia ke ʻano e ʻike inā hoʻomaikaʻi kēia i ka hyperviscosity. I nā kūlana koʻikoʻi, hiki ke hoʻohana ʻia ka plasmapheresis.
He aha ka manaʻo lōʻihi?
Inā loaʻa i kāu pēpē kahi hihia akahai o ka hyperviscosity syndrome a ʻaʻohe hōʻailona, ʻaʻole pono lākou e mālama koke. Aia kahi manawa kūpono no ka hoʻōla piha, keu hoʻi inā kū ke kumu i kahi manawa pōkole.
Inā pili ke kumu i kahi moʻokūʻauhau a hoʻoilina paha, pono paha ia i kahi lapaʻau lōʻihi.
ʻO kekahi mau keiki i ʻike ʻia me kēia maʻi i loaʻa i nā pilikia ulu a i ʻole neurological ma hope. ʻO kēia ka hopena o ka nele o ke kahe o ke koko a me ka oxygen i ka lolo a me nā mea ola ʻē aʻe.
Kāhea aku i kāu kauka pēpē inā ʻike ʻoe i nā loli i ka lawena o kāu pēpē, nā ʻano hānai, a i ʻole nā ʻano hiamoe.
Hiki paha i nā pilikia inā ʻoi aku ke koʻikoʻi a i ʻole inā ʻaʻole pane kāu pēpē i ka lāʻau. Hiki i kēia mau pilikia ke hoʻopili:
- hahau
- hakuʻala ʻole
- hoʻemi i ka mana kaʻa
- nalo o ka neʻe
- ka make ʻana o nāʻiʻo ʻōpū
- ka hopu hou ʻana
E hōʻike pono i nā hōʻailona a kāu pēpē e loaʻa nei i kā lākou kauka koke.
I nā mākua, pili pinepine ka maʻi hyperviscosity i kahi pilikia olakino kumu.
ʻO ka mālama kūpono ʻana i nā maʻi e hoʻomau nei, me ka hoʻokomo o kahi loea koko, ʻo ia nā ala maikaʻi loa e kaohi ai i nā pilikia mai kēia ʻano.