Pehea e hoʻokele ai i kahi Crisis Cell Sickle

Anter

• He aha ka maʻi pākī sickle?
• He aha ka mea e hoʻonāukiuki ai i ka pilikia o ka cell sickle?
• Pehea e mālama ʻia ai kahi pōpilikia o ka cell sickle?
• Lapaʻau home
• Lapaʻau ola
• Pehea wau e ʻike ai i ka wā e ʻike ai i ke kauka?
• Hiki ke pale ʻia nā pilikia ʻili maʻi maʻi?
• Ke laina lalo

He aha ka maʻi pākī sickle?

ʻO ka maʻi maʻi maʻi maʻi (SCD) kahi maʻi koko ʻulaʻula i hoʻoilina (RBC) maʻi. ʻO ia ka hopena o kahi hoʻololi genetic e kumu i nā misshapen RBC.

Loaʻa iā SCD kona inoa mai ke ʻano crescent o nā RBC, i like me kahi mea mahiʻai i kapa ʻia he pahi. ʻO ka maʻamau, hoʻohālikelike ʻia nā RBC e like me nā disc.

Hāpai nā RBC i ka oxygen i nā kino a me nā kino o kou kino. Hoʻonui ka paʻakikī o SCD i nā RBC e hāpai i ka nui o ka oxygen. Hiki ke hopu ʻia nā hunaola maʻi i kāu mau kīʻaha koko, e ālai ana i ke kahe o ke koko i kāu mau lālā. Hiki i kēia ke kumu i kahi ʻano ʻeha i ʻike ʻia ma ke ʻano he maʻi paʻakū maʻi maʻi.

ʻIke ʻia ka ʻeha mai kahi maʻi cell sickle i ka:

• umauma
• lima
• wāwae
• manamana lima
• manamana wāwae

Hiki ke hoʻomaka koke kahi pilikia o ka cell sickle a hala i mau lā. ʻO ka ʻeha mai kahi ulia pōpilikia ʻoi aku ka nui e mau no nā pule a i mau mahina.

Me ka ʻole o ka mālama pono ʻana, hiki i kahi pilikia o ka cell sickle ke alakaʻi i nā pilikia koʻikoʻi, e like me ka hōʻino ʻana o nā meaola a me ka nalo ʻana o ka ʻike.

He aha ka mea e hoʻonāukiuki ai i ka pilikia o ka cell sickle?

ʻAʻole maopopo piha ka poʻe loea i nā kumu ma hope o kahi pilikia o ka cell sickle. Akā ʻike lākou pili ia i nā pilina paʻakikī ma waena o nā RBC, endothelium (nā huna e uhi ana i nā kīʻaha koko), nā keʻokeʻo koko keʻokeʻo, a me nā platelet. Kū pinepine kēia mau pilikia.

Kū ka ʻeha ke paʻa nā hunaola maʻi i loko o kahi kīʻaha koko, e ālai ana i ke kahe o ke koko. Kapa ʻia kēia i kekahi manawa ʻo ka maʻi maʻi.

Hoʻokumu ʻia ka maʻi maʻi e nā ʻano e pili ana i nā pae oxygen haʻahaʻa, hoʻonui ʻia ka acidity o ke koko, a i ʻole ka haʻahaʻa o ke koko.

Hoʻopiʻi nā pilikia cell cellle i nā maʻi:

• ka hoʻololi koke o ka mahana, kahi e hiki ai i nā kīʻaha koko ke hāiki
• ikaika loa a i ʻole ka hoʻoikaika kino, ma muli o ka hemahema o ka oxygen
• make wai, ma muli o ke kahena o ke koko
• nā maʻi maʻi
• hoʻoluhi
• kiʻekiʻe, ma muli o ka hoʻohaʻahaʻa oxygen ma ka lewa
• ʻalekohola
• puhipaka
• hāpai keiki
• nā kūlana olakino ʻē aʻe, e like me ka maʻi kō

ʻAʻole hiki ke ʻike maoli i ke kumu o ka pilikia o ka cell cell. I nā manawa he nui, aia ma mua o hoʻokahi kumu.

Pehea e mālama ʻia ai kahi pōpilikia o ka cell sickle?

ʻAʻole pono nā pilikia cell cellle a pau i ka huakaʻi i ke kauka. Akā inā ʻaʻole e holo pono nā ʻano home, he mea nui e ukali pū me ke kauka e hōʻalo i nā pilikia ʻē aʻe.

Lapaʻau home

Hiki ke mālama ʻia i kekahi mau pilikia maʻi pūliʻiliʻi me nā mea ʻāʻī o over-the-counter, e like me:

• acetaminophen (Tylenol)
• aspirin
• ibuprofen (Advil, Motrin)
• naproxen sodium (Aleve)

Nā ala ʻē aʻe e mālama ai i ka ʻeha mehana ma ka home e:

• nā pale mahana
• inu wai nui
• ʻauʻau mehana
• hoʻomaha
• lomilomi

Lapaʻau ola

Inā loaʻa iā ʻoe ka ʻeha nui a hana ʻole paha nā mālama home, e ʻike koke i ke kauka. E hoʻomaka paha lākou ma ka nānā ʻana i nā hōʻailona o ka maʻi kūlohelohe a i ʻole ka make wai e hoʻonāukiuki paha i ka pilikia.

A laila, e nīnau lākou iā ʻoe i kekahi mau nīnau e loaʻa ka manaʻo ʻoi loa o kou pae ʻeha. Aia i kāu pae ʻeha, e kuhikuhi paha lākou i kekahi lāʻau no ke kōkua.

Nā koho no ka ʻeha haʻahaʻa a kaulike pū me:

• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ka ibuprofen
• codeine, hoʻokahi a i ʻole hui pū ʻia me ka acetaminophen (Tylenol)
• ʻoxycodone (ʻOxaydo, Roxicodone, 'OxyContin)

Nā koho no ka ʻehaʻeha ʻoi aku ka:

• morphine (Duramorph)
• hydromorphone (Dilaudid, Exalgo)
• meperidine (Demerol)

Kaukaʻi ʻia i kāu mau ʻōuli, hiki i kāu kauka ke hāʻawi iā ʻoe i nā wai aʻa i loko. I nā hihia koʻikoʻi loa, pono paha ʻoe i kahi kōpili koko.

Pehea wau e ʻike ai i ka wā e ʻike ai i ke kauka?

Pono e mālama koke ʻia kahi pilikia o ka cell sickle e hōʻalo ai i nā pilikia lōʻihi. He mea nui ia e ʻike pono i ka mea e hea aku ai a me kahi e hele ai no ka lāʻau lapaʻau no ka mea hiki ke hiki koke mai kahi pilikia maʻi maʻi maʻi.

Ma mua o kou loaʻa ʻana o kahi pilikia ʻeha, e kamaʻilio me kāu kauka maʻamau e hōʻoia i ka hoʻohou ʻana o ka ʻike i kāu palapala olakino uila (EMR). E mālama i kahi kope paʻi o kāu hoʻolālā hoʻomalu ʻeha a me kahi papa inoa o kāu mau lāʻau āpau e lawe pū me ʻoe i ka haukapila.

Pono ʻoe e ʻimi koke i ka lāʻau inā loaʻa iā SCD a me kekahi o kēia mau ʻōuli.

• wehewehe ʻole ʻia, ʻehaʻeha i kou kua, kuli, wāwae, lima, umauma, a ʻōpū paha
• wela ma luna o 101 ° F (38 ° C)
• wehewehe eha ʻole ʻia
• ʻūpā
• ʻāʻī ʻoʻoleʻa
• paʻakikī i ka hanu ʻana
• ʻeha poʻo poʻo
• ʻili hālea a i ʻole nā ​​lehelehe
• ke kūkulu ʻeha ʻoi aku ka lōʻihi ma mua o ʻehā mau hola
• nāwaliwali ma nā ʻaoʻao ʻelua a ʻelua paha o ke kino
• loli koke ka hihiʻo
• huikau a i ʻole haʻi ʻōlelo pōpō
• pehu koke i loko o ka ʻōpū, nā lima, a i ʻole nā ​​wāwae
• melemele i ka ʻili a i ʻole nā ​​keʻokeʻo o nā maka
• ka hopu ʻana

Ke kipa aku ʻoe i kahi keʻena pilikia, e hana pono i kēia mau mea:

• E hoʻomaopopo koke i nā limahana he SCD kāu.
• E hoʻolako i kāu mōʻaukala olakino a me kahi papa inoa o nā lāʻau āpau āu e lawe nei.
• E noi i ke kahu a i ʻole ke kauka e nānā i kāu EMR.
• E hāʻawi i nā limahana i ka ʻike pili o kāu kauka.

Hiki ke pale ʻia nā pilikia ʻili maʻi maʻi?

ʻAʻole hiki iā ʻoe ke pale mau i kahi pilikia o ka cell sickle, akā hiki i kekahi mau loli nohona ke kōkua i ka hōʻemi ʻana i kou makaʻi.

Eia kekahi mau ala e kōkua ai e hoʻohaʻahaʻa i kāu makaʻu ʻana i ka loaʻa ʻana o kahi pilikia o ka cell sickle:

• E lawe i nā lāʻau āpau i koi ʻia e kāu kauka.
• E hoʻāʻo e inu ma kahi o 10 mau aniani o ka wai i ka lā, e hoʻonui i nā mea i ka wā wela a i ʻole i ka hoʻoikaika kino.
• Hoʻopili i ka hoʻoikaika māmā a kaulike paha, e hōʻalo nei i kekahi mea koʻikoʻi a koʻikoʻi paha.
• Hōʻaʻahu mehana i ke anuanu, a lawe i kahi papa keu inā pono.
• Ka palena manawa i hala ma nā wahi kiʻekiʻe.
• Hōʻalo i ka piʻi mauna ʻana a i ʻole ke lele ʻana i loko o kahi keʻena ʻaʻole i koʻikoʻi (nā mokulele ʻaʻole ʻoihana) ma luna o 10,000 kapuaʻi.
• E holoi pinepine i kou mau lima e pale i ka maʻi.
• E kiʻi i nā lāʻau āpau i paipai ʻia, e laʻa me kahi lāʻau āpau o ka maʻi flu.
• E lawe i kahi waihona waikawa folic, kahi a kou iwi iwi e pono ai e hana i RBC hou.
• E nānā a mālama i ke koʻikoʻi.
• Pale i ka puhipaka.

Ke laina lalo

Hiki ke hōʻeha loa i kahi pilikia maʻi maʻi maʻi. ʻOiai hiki ke mālama ʻia i ka ʻeha mehana ma ka home, ʻo ka ʻeha ʻoi loa ka hōʻailona e ʻike ʻoe i ke kauka. Inā mālama ʻole ʻia, hiki i kahi pilikia o ka cell sickle ke hoʻonele i nā meaola, e like me nā puʻupaʻa, ke ake, ka māmā, a me ka palu, o ke koko a me ka oxygen.