ʻO ka maʻi ʻo Whipple

Anter

• Nā Hōʻailona i Hoʻohui ʻia me ka maʻi ʻo Whipple
• Nā kumu o ka maʻi ʻo Whipple
• Ke hōʻike nei i ka maʻi ʻo Whipple
• Hoʻopau
• ʻO Biopsy
• Ka Hoʻohuli Chain Polymerase
• Nā ho'āʻo koko
• Lapaʻau no ka maʻi ʻo Whipple
• Manaʻo Manaʻo Lōʻihi

He aha ka maʻi ʻo Whipple?

Kāhea ʻia nā koʻohune ʻO Tropheryma whipplei kumu maʻi ʻo Whipple. Hoʻopili kēia bacteria i ka ʻōnaehana digestive a hiki ke laha i ka:

• Puʻuwai
• māmā
• lolo
• nā ami
• ʻili
• maka

He maʻi laha ʻole ia, akā hiki ke hoʻoweliweli i ke ola.

Manaʻo nui ʻia aia kekahi predisposition genetical e hoʻomohala i ka maʻi. ʻO nā kāne keʻokeʻo ma waena o 40 a 60 paha e ʻaelike i ke ʻano ma mua o nā hui ʻē aʻe. ʻO ke kumu kūʻai no ka maʻi ʻo Whipple e ʻoi aku ka kiʻekiʻe ma nā wahi i nele i ka wai maoli a me ka hoʻomaʻemaʻe kūpono ʻole. I kēia manawa, ʻaʻohe ala i ʻike ʻia e pale aku ai i ka maʻi o Whipple.

Nā Hōʻailona i Hoʻohui ʻia me ka maʻi ʻo Whipple

Pale ka maʻi ʻo Whipple i kou kino mai ka lawe pono ʻana i nā meaola. Ma muli o kēia, hoʻopili ia i nā ʻāpana like ʻole o ke kino a pili pū ʻia me nā ʻōuli like ʻole. I nā pae kiʻekiʻe o ka maʻi, hoʻolaha paha ka maʻi mai nā ʻōpū i nā mea ʻē aʻe e like me ka:

• Puʻuwai
• māmā
• lolo
• nā ami
• maka

ʻO nā hōʻailona a me nā hōʻailona o ka maʻi ʻo Whipple e like me:

• ʻeha hui pū
• diarrhea mau e hiki ke lilo i koko
• lilo kaumaha nui
• ʻeha ka ʻōpū a ʻōhū
• hoʻemi i ka hihiʻo a me ka ʻeha o ka maka
• fiva
• luhi
• anemia, a i ʻole helu helu ʻulaʻula koko haʻahaʻa

ʻAʻole kū pinepine nā ʻōuli a me nā ʻōuli ma hope pinepine akā hiki ke hōʻike ke hele a maikaʻi ʻole ke ʻano.

• ʻiliʻiliʻili
• nā pūnana lymph i hoʻāla ʻia
• he puʻu hoʻomau
• ʻeha ma ka umauma
• pericarditis, a i ʻole ka pehu ʻana o ka ʻeke e hoʻopuni ana i ka puʻuwai
• puʻuwai puʻuwai
• ʻōhumu ka puʻuwai
• ʻike maka hune ʻole
• lualua
• ʻōlohelohe
• ʻōlohelohe
• nāwaliwali o nā mākala
• kelika
• pilikia hele wāwae
• hoʻomanaʻo maikaʻi ʻole

Nā kumu o ka maʻi ʻo Whipple

Maʻi maʻi me ka T. whipplei ʻo ka bacteria ka mea hoʻokahi a ʻike wale ʻia ke kumu o Whipple. E alakaʻi ka bacteria i ka ulu ʻana o nā ʻeha o loko a hoʻonui i nā kino o ke kino i ka mānoanoa.

ʻO ka villi he mau ʻano like me ka manamana e hoʻopili i nā meaʻai i loko o ka ʻōpū liʻiliʻi. Ke hoʻomaka ka mānoanoa o ka villi, hoʻomaka ka loli o ko lākou ʻano kūlohelohe. Hoʻopōʻino kēia i ka villi a pale iā lākou mai ke komo pono ʻana i nā mea momona. Ke alakaʻi nei kēia i nā ʻōuli he nui o ka maʻi o Whipple.

Ke hōʻike nei i ka maʻi ʻo Whipple

He paʻakikī kahi hōʻailona o ka maʻi o Whipple, ʻoiai no ka mea like nā hōʻailona me nā kūlana maʻamau ʻē aʻe mai ka maʻi celiac a i nā maʻi neurological. E hoʻāʻo kāu kauka e hōʻoki i kēia mau ʻano ʻē aʻe ma mua o ka hōʻoia ʻana iā ʻoe me ka maʻi o Whipple.

Hoʻopau

ʻO ka hōʻailona mua e nānā ai kāu kauka e hoʻoholo inā loaʻa iā ʻoe ka maʻi o Whipple he mau leona. ʻO kahi endoscopy ka hoʻokomo o kahi paipu hikiwawe i lalo i kou puʻu i ka ʻōpū liʻiliʻi. Aia ka paipu me kahi kāmele liʻiliʻi i hoʻopili ʻia. E nānā kāu kauka i ke ʻano o kou paia o ka ʻōpū. ʻO nā paia mānoanoa me nā momona momona, nā uhi maka i hōʻailona ʻia o Whipple.

ʻO Biopsy

I ka manawa o ka endoscopy, hiki i kāu kauka ke wehe i nā kikoʻī mai kou mau paia o ka ʻōpū e hoʻāʻo no ke alo o ka T. whipplei koʻohune. Kapa ʻia kēia hana he biopsy a hiki ke hōʻoia i kahi maʻi.

Ka Hoʻohuli Chain Polymerase

ʻO ka hopena Polymerase kaulahao kahi hōʻike maʻalahi e hoʻonui i ka DNA o ka T. whipplei mai kāu mau kiko kiko. Inā ua loaʻa ka bacteria i loko o kāu kiko, aia kahi hōʻike DNA no ia. Hiki i kēia hoʻāʻo ke hōʻoia i ka ola o ka T. whipplei koʻohune i loko o kouʻaʻaʻa.

Nā ho'āʻo koko

Kauoha paha kāu kauka i kahi helu piha o ke koko. E kōkua kēia i ka hoʻoholo inā he helu haʻahaʻa kāu o nā hunaola ʻulaʻula a me nā helu haʻahaʻa o ka albumin, nā hōʻailona ʻelua o ka anemia. ʻO ka Anemia kahi hōʻailona e loaʻa iā ʻoe i ka maʻi o Whipple.

Lapaʻau no ka maʻi ʻo Whipple

ʻO kahi papa hakakā o nā antibiotic ka mea maʻa mua i ka mālama ʻana, e like me ʻelua pule o nā antibiotic ma o ka intravenous (IV). Hoʻohui ʻia, aia paha ʻoe ma nā lāʻau antibiotic o kēlā me kēia lā no hoʻokahi a ʻelua mau makahiki paha.

ʻO nā koho lapaʻau ʻē aʻe e pili pū me:

• ke komo nei i nā wai kūpono
• lawe i nā lāʻau antimalarial no 12 a 18 mau mahina
• e hoʻohana ana i nā mea hoʻohui hao e kōkua ai me ka anemia
• lawe i ka wikamina D, wikamina K, calcium, a me nā kolamu magnesium
• ka mālama ʻana i ka papaʻai calorie kiʻekiʻe e kōkua me ka lawe ʻana i ka momona
• lawe i nā corticosteroids e kōkua i ka hōʻoluʻolu ʻana i ka pehu
• lawe i nā lāʻau ʻeha nonsteroidal, e like me ka ibuprofen

ʻO ka maʻi ʻo Whipple kahi maʻi bacteria i hiki ke alakaʻi i ka make inā ʻaʻole mālama maikaʻi ʻia.

Manaʻo Manaʻo Lōʻihi

Ma hope o ka hoʻomaka ʻana o ka lapaʻau ʻana, e hele aku ka nui o nā ʻōuli ma loko o hoʻokahi mahina. ʻO ka mea ʻoi aku ka maikaʻi āu e hiki ai ke hana ʻo ka hoʻomau ʻana i ka lawe ʻana i kāu antibiotic. Kū pinepine nā lūlū. Ke hiki mai lākou, hiki ke hōʻike ʻia nā hōʻailona hou aʻe, e like me nā pilikia neurological.