ʻO Sclerosis Pūnaewele (Scleroderma)

Anter
- Nā kiʻi o Systemic Sclerosis (Scleroderma)
- Nā ʻōuli o Systemic Sclerosis
- Nā kumu o ka Systemic Sclerosis
- Nā kumu kūpilikiʻi no ka Systemic Sclerosis
- ʻIke o ka Systemic Sclerosis
- Lapaʻau no Systemic Sclerosis
- Nā pilikia kūpono o ka Systemic Sclerosis
- He aha ka manaʻo no ka poʻe me ka Systemic Sclerosis?
ʻO Sclerosis Pūnaewele (SS)
ʻO systemic sclerosis (SS) kahi maʻi autoimmune. ʻO kēia ke ʻano o kahi ʻano e hoʻouka ai ka ʻōnaehana pale kino i ke kino. Hoʻopau ʻia ke kino olakino no ka mea kuhi hewa ka ʻōnaehana paleʻea he waiwai haole a maʻi paha. Nui nā ʻano o nā maʻi autoimmune i hiki ke hoʻopili i nā ʻōnaehana o ke kino.
Hoʻohālikelike ʻia ʻo SS e nā loli i ke ʻano a me ka helehelena o ka ʻili. Loaʻa kēia i ka hoʻonui ʻia o ka hana collagen. ʻO Collagen kahi mahele o nā pūnaewele hoʻopili.
Akā ʻaʻole paʻa ka maʻi i nā loli o ka ʻili. Hiki iā ia ke hoʻololi i kāu:
- ipu koko
- nā mākala
- Puʻuwai
- ʻōnaehana digestive
- māmā
- nā puʻupaʻa
Hiki ke ʻike ʻia nā hiʻohiʻona o ka sclerosis ʻōnaehana i nā maʻi autoimmune ʻē aʻe. Ke hiki mai kēia, ua kapa ʻia ia he ʻano pilina hoʻopili.
ʻIke pinepine ʻia ka maʻi i nā poʻe 30 a 50 mau makahiki, akā hiki ke ʻike ʻia i kēlā me kēia makahiki. ʻOi aku ka wahine ma mua o nā kāne e ʻike ʻia me kēia ʻano. ʻO nā ʻōuli a me ke koʻikoʻi o ke ʻano ʻokoʻa mai kekahi kanaka a i kekahi ʻē aʻe e pili ana i nā ʻōnaehana a me nā meaola i pili.
Kāhea ʻia ka sclerosis ʻōnaehana ʻo scleroderma, sclerosis ʻōnaehana holomua, a i ʻole CREST syndrome. Kū ʻo "CREST" i:
- kalopona
- Ka hanana o Raynaud
- hoʻoweliweli esophageal
- mikanele
- telangiectasia
ʻO CREST Syndrome kahi ʻano palena o ka maʻi.
Nā kiʻi o Systemic Sclerosis (Scleroderma)
Nā ʻōuli o Systemic Sclerosis
Hoʻopili wale paha ʻo SS i ka ʻili i nā wā mua o ka maʻi. ʻIke paha ʻoe i kou ʻili e mānoanoa ana a me nā wahi aniani e ulu ana a puni kou waha, ihu, manamana lima, a me nā wahi iwi ʻē aʻe.
Ke holo nei ke ʻano, hoʻomaka paha ʻoe e hoʻoneʻe i ka neʻe ʻana o nā wahi i hoʻopilikia ʻia. ʻO nā ʻōuli ʻē aʻe e like me:
- poho lauoho
- nā waihona calcium, a i ʻole nā puʻupuʻu keʻokeʻo ma lalo o ka ʻili
- liʻiliʻi, kīnā ʻia nā kīʻaha koko ma lalo o ka ʻili
- ʻeha pū
- pokole o ka hanu
- he puʻu maloo
- pāhoehoe
- kōpaʻa
- paʻakikī i ka ale ʻana
- reflux esophageal
- ʻōpū o ka ʻōpū ma hope o ka ʻai ʻana
E hoʻomaka paha ʻoe e ʻike i nā spasms o nā kīʻaha koko i kou manamana lima a me kou manamana wāwae. A laila, e keʻokeʻo a polū hoʻi kou mau wēlau ke hele ʻoe i ke anuanu a i ʻole ke kaumaha nei i ke kaumaha nui. Kapa ʻia kēia hanana ʻo Raynaud.
Nā kumu o ka Systemic Sclerosis
Kū ʻo SS i ka hoʻomaka ʻana o kou kino e hoʻonui i ka collagen a hōʻiliʻili ia i loko o kāu mau pūnaewele. ʻO Collagen ka protein protein nui e hana i kāu mau āpau.
ʻAʻole maopopo i nā kauka nā mea e kumu ai ke kino e hoʻohua i nā collagen he nui. ʻAʻole ʻike ʻia ke kumu kūpono o SS.
Nā kumu kūpilikiʻi no ka Systemic Sclerosis
Nā kumu pilikia e hiki ke hoʻonui i kou manawa o ka hoʻomohala ʻana i kēia ʻano me nā:
- he ʻōiwi ʻAmelika
- he ʻAmelika-ʻAmelika
- he wahine
- e hoʻohana nei i kekahi mau lāʻau chemotherapy e like me Bleomycin
- ke hōʻike ʻia i ka lepo silica a me nā mea hoʻoheheʻe maoli
ʻAʻohe ala i ʻike ʻia e pale aku ai iā SS ma mua o ka hōʻemi ʻana i nā kumu pilikia e hiki ai iā ʻoe ke kaohi.
ʻIke o ka Systemic Sclerosis
I ka wā o kahi hoʻokolohua kino, hiki i kāu kauka ke hoʻomaopopo i nā loli o ka ʻili i hōʻailona o SS.
Hiki ke kumu o ke kahe kiʻekiʻe ma o ka loli ʻana o ka hakuʻala mai sclerosis. Hiki i kāu kauka ke kauoha i nā hoʻokolohua koko e like me ka hoʻāʻo ʻana i ka antibody, factor rheumatoid, a me ka helu sedimentation.
Hiki i nā hoʻokolohua diagnostic ʻē aʻe ke:
- kahi pahu kukui X
- he urinalisis
- kahi CT scan o nā akemāmā
- ʻili biopsies
Lapaʻau no Systemic Sclerosis
ʻAʻole hiki i ka lapaʻau ke hōʻola i ke ʻano, akā hiki ke kōkua i ka hōʻemi ʻana i nā hōʻailona a me ka lohi o ka holo ʻana o ka maʻi. Hoʻokumu pinepine ʻia ka lapaʻau ʻana ma nā hōʻailona o ke kanaka a me ka pono e pale i nā pilikia.
ʻO ka mālama ʻana no nā ʻōuli laulā e hoʻopili paha:
- Corticosteroids
- nā immunosuppressants, e like me methotrexate a i ʻole Cytoxan
- lāʻau lapaʻau anti-inflammatory nonsteroidal
Kaukaʻi ʻia i kāu mau ʻōuli, hiki i ka lapaʻau ke hoʻopili pū:
- lāʻau lapaʻau koko
- lāʻau e kōkua ai i ka hanu ʻana
- hoʻōla kino
- light therapy, e like me ultraviolet A1 phototherapy
- ʻo ka hamo nitroglycerin e mālama i nā wahi i hoʻopaʻa ʻia o ka ʻili
Hiki iā ʻoe ke hoʻololi i ka nohona e noho olakino me ka scleroderma, e like me ka hōʻalo ʻana i ka puhipaka ʻana, ka hana ʻana i ke kino, a me ka hōʻalo ʻana i nā meaʻai e hoʻāla ai i ka ʻehaʻeha naʻau.
Nā pilikia kūpono o ka Systemic Sclerosis
ʻIke kekahi poʻe me SS i kahi holomua o kā lākou mau ʻōuli. Hiki i nā pilikia ke hoʻopili:
- puʻuwai puʻuwai
- maʻi ʻaʻai
- hakuʻala ʻole
- kahe koko kiʻekiʻe
He aha ka manaʻo no ka poʻe me ka Systemic Sclerosis?
Ua hoʻomaikaʻi maikaʻi ʻia nā mālama ʻana no SS i nā makahiki 30 i hala. ʻOiai ʻaʻohe lāʻau lapaʻau no SS, nui nā ʻano lapaʻau like ʻole e hiki ke kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli. E kamaʻilio me kāu kauka inā loaʻa kekahi o kāu mau hōʻailona i ke ʻano o kou ola i kēlā me kēia lā. Hiki iā lākou ke hana pū me ʻoe e hoʻoponopono i kāu papa hana hoʻomalu.
Pono ʻoe e noi i kāu kauka e kōkua iā ʻoe e ʻike i nā hui kōkua kūloko no SS. Ke kamaʻilio nei i nā poʻe ʻē aʻe i loaʻa nā ʻike like e like me ka mea e hiki ai iā ʻoe ke hana maʻalahi e kū i ke ʻano maʻi.