Nā Hōʻailona O Poems

ʻO ka POEMS syndrome kahi maʻi koko maʻamau ʻole e hōʻino ai i kou mau aʻalolo a hoʻopilikia i nā ʻāpana ʻē aʻe o kou kino. ʻO POEMS ka pōkole no kēia mau hōʻailona a me nā ʻōuli:

• Polyneuropathy. Ke ʻano ʻole, ke kīkī a me ka nāwaliwali i kou mau wāwae—a ma hope o kekahi manawa, malia paha i kou mau lima—a me ka pilikia o ka hanu. He mea nui kēia i ka ʻike ʻana i ka POEMS syndrome.
• Organomegaly. ʻO ka nui ʻana o ka spleen, ate a i ʻole nā lymph nodes.
• Endocrinopathy/edema. ʻO nā pae hormone kūpono ʻole e hiki ai ke hopena i ka thyroid hana ʻole (hypothyroidism), ka maʻi suka, nā pilikia moekolohe, ka luhi, ka pehu ʻana o kou mau lālā, a me nā pilikia me ka metabolism a me nā hana nui ʻē aʻe.
• Monoclonal-protein. ʻO nā sela iwi ʻōiwi kūpono ʻole (plasma cells) e hana ana i kahi protein (monoclonal protein) e hiki ke loaʻa i loko o ke koko. He mea nui kēia i ka ʻike ʻana i ka POEMS syndrome. Hoʻopili pinepine ʻia ka monoclonal-protein me ka paʻakikī a i ʻole ka mānoanoa ʻana o ka iwi kūpono ʻole.
• Skin changes. ʻOi aku ka nui o ke kala ma mua o ka maʻamau ma kou ʻili, nā kiko ʻulaʻula, malia paha ka mānoanoa o ka ʻili, a me ka nui ʻana o ka lauoho maka a i ʻole ka wāwae.

ʻAʻole maopopo ke kumu o ka POEMS syndrome. Akā, ʻoi aku ka nui o nā sela plasma i nā kānaka me ka POEMS syndrome. Hana kēia mau sela i ka nui kūpono ʻole o kekahi ʻano protein, kahi e hiki ai ke hōʻino i nā ʻāpana ʻē aʻe o ke kino.

Hiki ke kuhi hewa ʻia ka POEMS syndrome no ka mea, ua like nā hōʻailona a me nā ʻōuli me nā maʻi ʻē aʻe. Ke holomua koke nei ka POEMS syndrome me ka ʻole o ka lāʻau lapaʻau a hiki ke lilo i mea weliweli i ke ola, no laila he mea nui ka ʻike mua.

Hiki i ka lāʻau lapaʻau no ka POEMS syndrome ke hoʻomaikaʻi i kou mau ʻōuli akā ʻaʻole ia e hoʻōla i ke kūlana. ʻO nā koho lāʻau lapaʻau e komo pū ana me ka radiation therapy, chemotherapy a me ka stem cell transplant. Ua holomua nui ka manaʻo no nā kānaka me ka POEMS syndrome i nā makahiki he ʻumi i hala iho nei.