He aha ka Maiʻi Whipple? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka maiʻi Whipple he maʻi bacteria maʻamau loa ia e pili nui ana i kou ʻōpū liʻiliʻi a hiki ke pālahalaha i nā ʻāpana ʻē aʻe o kou kino. Hana ʻia kēia maʻi ke komo kahi bacteria kūikawā i kapa ʻia ʻo Tropheryma whipplei i loko o kou papa ʻōpū a hoʻopilikia i ka hiki o kou kino ke komo pono i nā meaʻai.

ʻOiai paha he mea hopohopo kēia, ʻo ka ʻoiaʻiʻo maikaʻi, pane maikaʻi loa ka maiʻi Whipple i ka lapaʻau antibiotic ke hopu ʻia i ka wā mua. Hiki i ka hoʻomaopopo ʻana i nā hōʻailona a me ka loaʻa ʻana o ka mālama lapaʻau kūpono ke alakaʻi i ka hoʻōla piha no ka hapanui o nā kānaka.

He aha nā hōʻailona o ka maiʻi Whipple?

Hoʻomohala pinepine ʻia nā hōʻailona o ka maiʻi Whipple me ka mālie a hiki ke ʻano like ʻole, kahi i paʻakikī ai ke ʻike i kekahi manawa. Hōʻike pinepine kou kino i nā hōʻailona e pili ana i ka komo ʻole pono o nā meaʻai ma mua, a laila nā hopena ʻē aʻe o ke kino ke pālahalaha ka maʻi.

ʻO nā hōʻailona mua maʻamau āu e ʻike ai:

• Kūpī mau loa paha he wai a he momona paha
• Pau ke kaumaha nui ʻoiai he makemake maʻamau i ka ʻai
• ʻEha a me ka ʻeha ʻōpū
• ʻEha a me ka pehu o nā hono, ʻoi aku hoʻi i kou mau lima, kuli, a me nā kuʻekuʻe wāwae
• Luhi a nāwaliwali
• Pū a me ka ea

Ke holomua nei ka maʻi, e ʻike paha ʻoe i nā hōʻailona hou aku e hoʻopilikia ana i nā ʻōnaehana kino ʻē aʻe. Hiki i kēia ke komo pū me ka mahana, nā lymph node pehu, ka ʻili ʻeleʻele, a hiki i nā hōʻailona neurological e like me ka huikau a i ʻole nā ​​pilikia hoʻomanaʻo i nā hihia holomua.

He mea kūpono ke hoʻomaopopo ʻia ʻo ka ʻeha o nā hono e ʻike pinepine ʻia ma mua o nā makahiki ma mua o nā hōʻailona digestive, kahi e hiki ai ke hoʻohaʻahaʻa i ka pilina i ka maiʻi Whipple i ka wā mua. ʻO ia ke kumu i hoʻokaʻulua ai ka nui o nā kānaka i ka ʻike ʻana.

He aha ke kumu o ka maiʻi Whipple?

ʻO ke kumu o ka maiʻi Whipple ka maʻi bacteria i kapa ʻia ʻo Tropheryma whipplei. He mea maʻamau loa kēia bacteria no ka mea ulu mālie loa ia a paʻakikī ke ʻike me nā hoʻokolohua lapaʻau maʻamau.

Komu nui ka bacteria i ka papa o kou ʻōpū liʻiliʻi, kahi e hoʻopilikia ai i ka komo maʻamau o nā meaʻai. I ka manawa lōʻihi, inā waiho ʻole ʻia, hiki ke pālahalaha ka maʻi ma o kou ʻōnaehana lymphatic i nā ʻāpana ʻē aʻe o kou kino, me kou naʻau, nā māmā, ka lolo, a me nā hono.

ʻO ka mea e hana ai i kēia maʻi he mea hoihoi loa ia, ʻike ʻia ka bacteria i loko o ke kaiapuni, akā ʻaʻole i loaʻa ka maʻi i ka hapanui o nā kānaka e hālāwai me ia. Ke hōʻike nei kēia e hiki paha i kekahi poʻe ke loaʻa kahi predisposition genetic a i ʻole kahi ʻano ʻōnaehana pale e hoʻolilo iā lākou i mea maʻalahi i ka maʻi.

Manaʻo nā mea noiʻi e hiki i nā kānaka e loaʻa ka maiʻi Whipple ke loaʻa kahi kīnā kūikawā o ka ʻōnaehana pale e pale aku ai iā lākou mai ka hakakā pono ʻana i kēia bacteria kūikawā, ʻoiai ke hana maʻamau nei ko lākou ʻōnaehana pale e kūʻē i nā maʻi ʻē aʻe.

I ka wā hea e ʻike ai i ke kauka no ka maiʻi Whipple?

Pono ʻoe e ʻimi i ka mālama lapaʻau inā loaʻa iā ʻoe nā hōʻailona digestive mau loa me ka nalowale kaumaha i wehe ʻole ʻia, ʻoi aku hoʻi inā lōʻihi kēia mau hōʻailona no kekahi mau pule. Hiki i ka ʻike mua ʻana a me ka lapaʻau ke pale aku i ka pālahalaha ʻana o ka maʻi i nā ʻōnaehana ʻē aʻe.

E hoʻokaʻaʻike koke i kāu mea mālama ola inā ʻike ʻoe:

• Kūpī mau loa e lōʻihi ana ma mua o kekahi mau pule
• Nalowale kaumaha i manaʻo ʻole ʻia o 10 paona a ʻoi aku paha
• ʻEha ʻōpū mau loa me nā loli digestive
• ʻEha hono ʻaʻole i hoʻomaikaʻi me ka hoʻomaha a i ʻole nā ​​lāʻau lapaʻau ma luna o ka counter
• Luhi mau loa e hoʻopilikia ana i nā hana o kēlā me kēia lā

E ʻimi koke i ka mālama lapaʻau inā loaʻa iā ʻoe nā hōʻailona neurological e like me ka huikau, nā pilikia hoʻomanaʻo, ka pilikia o ka hele ʻana, a i ʻole nā ​​loli i ka ʻike. Hiki i kēia ke hōʻike e pālahalaha ana ka maʻi i kou ʻōnaehana nerve a pono i ka lapaʻau wikiwiki.

E hoʻomanaʻo he mea maʻamau loa ka maiʻi Whipple, no laila ʻoi aku ka nui o ka loaʻa ʻana o kāu mau hōʻailona i nā kūlana maʻamau ʻē aʻe. Eia naʻe, inā ʻaʻole kōkua nā lapaʻau maʻamau no nā pilikia digestive, he mea kūpono ke kūkākūkā i ka hiki o nā kumu maʻamau ʻole me kāu kauka.

He aha nā pilikia o ka maiʻi Whipple?

Ke waiho ʻole ʻia ka maiʻi Whipple, hiki i ka maʻi bacteria ke pālahalaha ma mua o kou ʻōpū a hana i nā pilikia koʻikoʻi ma kou kino. ʻO ka ʻoiaʻiʻo maikaʻi, hiki i ka lapaʻau antibiotic koke ke pale aku i ka nui o kēia mau pilikia mai ka hoʻomohala ʻana.

ʻO nā pilikia koʻikoʻi loa āu e alo ai:

• Ka nele meaʻai nui mai ka komo ʻole mau loa o nā meaʻai
• Nā pilikia naʻau, me ka maʻi o nā valve naʻau (endocarditis)
• Nā pilikia neurological e like me ka nalowale hoʻomanaʻo, ka huikau, a i ʻole nā ​​seizures
• Nā pilikia ʻike a i ʻole nā ​​maʻi neʻe maka
• Nā pilikia māmā me ka maʻi ʻōhū a i ʻole ka hōʻiliʻili wai
• Ka hōʻino hono nui mai ka mumū mau loa

I nā hihia maʻamau ʻole, inā hiki ka maʻi i kou lolo, hiki iā ia ke hana i ka hoʻoemi neurological holomua e paʻakikī ke hoʻihoʻi piha, ʻoiai me ka lapaʻau. ʻO ia ke kumu he mea nui loa ka ʻike mua ʻana a me ka lapaʻau.

ʻO ka lono hoʻoikaika, me ka lapaʻau antibiotic kūpono, hoʻōla piha ka hapanui o nā kānaka mai ka maiʻi Whipple. ʻOiai inā ua hoʻomohala ʻia nā pilikia, hiki ke hoʻihoʻi ʻia a hoʻomaikaʻi nui ʻia me ka lapaʻau kūpono.

Pehea e ʻike ʻia ai ka maiʻi Whipple?

Hiki ke paʻakikī ke ʻike i ka maiʻi Whipple no ka mea hoʻohālikelike pinepine kona mau hōʻailona i nā maʻi digestive maʻamau ʻē aʻe. E hoʻohana pinepine kāu kauka i ka hui ʻana o nā hoʻokolohua e hōʻoia i ka ʻike ʻana a kāpae i nā kūlana ʻē aʻe.

Hoʻomaka pinepine ka hana ʻike ʻana me ka moʻolelo lapaʻau kikoʻī a me ka nānā kino. E nīnau kāu kauka e pili ana i kāu mau hōʻailona, ​​ko lākou lōʻihi, a me nā hōʻike hiki ke hoʻonui i kou pilikia.

ʻO ka hoʻokolohua hōʻoia loa no ka maiʻi Whipple kahi biopsy ʻōpū liʻiliʻi, i loaʻa pinepine ʻia i ka wā o ka endoscopy luna. I kēia kaʻina hana, e lawe kāu kauka i kahi laʻana ʻiʻo liʻiliʻi mai kou ʻōpū liʻiliʻi a e nānā iā ia ma lalo o ka microscope no nā hōʻailona kūikawā o ka maʻi Tropheryma whipplei.

ʻO nā hoʻokolohua hou aku āu kauka e kauoha ai e komo pū me nā hoʻokolohua koko e nānā i nā hōʻailona o ka nele meaʻai a i ʻole ka mumū, nā laʻana poop e kāpae i nā kumu ʻē aʻe o ka kūpī, a me nā haʻawina kiʻi e like me nā CT scan inā pilikia ka pālahalaha ʻana o ka maʻi i nā ʻōnaehana ʻē aʻe.

Hiki i kahi mea hana ʻike hou i kapa ʻia ʻo PCR (polymerase chain reaction) ke ʻike i ka mea genetic o ka bacteria i nā laʻana ʻiʻo, e hāʻawi ana i kahi ala ʻoi aku ka maikaʻi a me ka kūikawā e hōʻoia i ka ʻike ʻana.

He aha ka lapaʻau no ka maiʻi Whipple?

ʻO ka lapaʻau no ka maiʻi Whipple kahi papahana lapaʻau antibiotic i hoʻolālā pono ʻia e hiki ke kāpae pono i ka bacteria Tropheryma whipplei mai kou kino. Me ka lapaʻau kūpono, hoʻōla piha ka hapanui o nā kānaka.

Hoʻomaka pinepine kāu lapaʻau i kahi ala ʻelua-papa. ʻO ka papa mua e komo pinepine ana i 2 mau wiki o nā antibiotics intravenous, pinepine ʻo ceftriaxone a i ʻole penicillin, kahi e kōkua ai e hoʻemi koke i ka nui o ka bacteria i loko o kou ʻōnaehana.

ʻO ka papa ʻelua ka lōʻihi o nā antibiotics waha, maʻamau ʻo trimethoprim-sulfamethoxazole, i lawe ʻia no 1 a 2 mau makahiki. He mea pono kēia lapaʻau lōʻihi no ka mea paʻakikī ke kāpae piha i ka bacteria a hiki ke hūnā i nā wahi o kou kino kahi ʻaʻole komo maikaʻi nā antibiotics.

I ka wā lapaʻau, e nānā kāu kauka i kou holomua me nā hālāwai hoʻomau mau a hiki ke hana hou i nā biopsies e hōʻoia i ka kāpae ʻia ʻana o ka bacteria. Hoʻomaka ka hapanui o nā kānaka e ʻike i ka maikaʻi i loko o kekahi mau pule o ka hoʻomaka ʻana o ka lapaʻau, ʻoiai paha e pono kekahi mau mahina no ka hoʻōla piha.

Inā loaʻa iā ʻoe nā pilikia neurological, hiki i kāu kauka ke hoʻoponopono i kāu regimen antibiotic e komo pū me nā lāʻau lapaʻau e komo maikaʻi i ka pale koko-lolo, e like me doxycycline a i ʻole chloramphenicol.

Pehea e hoʻokele ai i nā hōʻailona ma ka home i ka wā lapaʻau?

ʻOiai ʻo nā antibiotics ka lapaʻau nui no ka maiʻi Whipple, aia kekahi mau hana kōkua āu e hiki ai ke hana ma ka home e kōkua i ka hoʻokele ʻana i kāu mau hōʻailona a kākoʻo i kou hoʻōla. Hana kēia mau ala me kāu lapaʻau lapaʻau, ʻaʻole e pani iā ia.

He mea nui loa ke kākoʻo meaʻai no ka mea hiki i kou kino ke pilikia i ka komo pono ʻana i nā meaʻai. E noʻonoʻo e hana pū me kahi dietitian i hoʻopaʻa inoa ʻia e hoʻomohala i kahi papa ʻaina e hoʻoponopono i nā nele meaʻai āu i loaʻa ai.

Hiki iā ʻoe ke ʻike i kēia mau hoʻolālā he mea kōkua:

• ʻAi pinepine, nā ʻai liʻiliʻi ma mua o ʻekolu mau ʻai nui e hoʻomaha i ka digestion
• E nānā i nā meaʻai momona meaʻai e hakakā i ka nele meaʻai
• E lawe i nā mea hoʻohui huaora a me nā minelala e like me ka ʻōlelo a kāu kauka
• E noho wai maikaʻi, ʻoi aku hoʻi inā loaʻa iā ʻoe ka kūpī
• E loaʻa ka hoʻomaha kūpono e kākoʻo i ka hoʻōla ʻana o kou ʻōnaehana pale
• E pale i nā meaʻai e ʻike ʻia e hoʻopilikia i kāu mau hōʻailona digestive

Hiki i ka hoʻokele ʻeha no nā hōʻailona hono ke komo pū me ka hoʻonui mālie, nā compresses mahana, a me nā mea hoʻoemi ʻeha ma luna o ka counter e like me ka ʻae ʻana o kāu mea mālama ola. Eia naʻe, e nīnau mau i kāu kauka ma mua o ka lawe ʻana i nā lāʻau lapaʻau hou i ka wā e mālama ʻia ana ʻoe no ka maiʻi Whipple.

E mālama i kahi diary hōʻailona e hahai i kou holomua a e hoʻomaopopo i nā loli a i ʻole nā ​​hopohopo āu e makemake ai e kūkākūkā me kāu hui mālama ola i nā kipa hoʻomau.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau pono ʻana no ka hālāwai kauka o kāu ke kōkua e hōʻoia i ka loaʻa ʻana o ka ʻike pololei loa a me ka mālama kūpono. No ka mea he mea maʻamau ʻole ka maiʻi Whipple, he mea nui loa ka hāʻawi ʻana i ka ʻike kikoʻī e pili ana i kāu mau hōʻailona a me ka moʻolelo lapaʻau.

Ma mua o kāu hālāwai, e hoʻolilo i ka manawa e kākau pono i kāu mau hōʻailona. E kākau i ka wā i hoʻomaka ai kēlā me kēia hōʻailona, ​​pehea ka nui o ia, a me ka mea e hoʻomaikaʻi ai a i ʻole e hoʻopilikia ai. E kōkua kēia ʻike i kāu kauka e hoʻomaopopo i ke ʻano a me ka holomua o kou kūlana.

E lawe mai i ka ʻike aʻe i kāu hālāwai:

• Ka papa piha o kāu mau hōʻailona a pau a me ka wā i hoʻomaka ai lākou
• Kāu moʻolelo lapaʻau, me nā pilikia digestive ma mua
• Ka papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei
• ʻIke e pili ana i ka huakaʻi hou a i ʻole nā ​​hōʻike kaiapuni hiki
• Ka moʻolelo lapaʻau ʻohana, ʻoi aku hoʻi nā kūlana maʻamau ʻole a maʻamau ʻole paha
• Nā nīnau āu e makemake ai e nīnau i kāu kauka

Mai kānalua e noi i kāu kauka e wehewehe i nā mea āu ʻaʻole i hoʻomaopopo. ʻO nā nīnau āu e noʻonoʻo ai e nīnau e komo pū me nā hoʻokolohua e pono ai, ka mea a nā hopena e manaʻo ai, nā koho lapaʻau e loaʻa ana, a me ka mea e manaʻo ai i ka wā hoʻōla.

Inā hiki, e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi me ʻoe e kōkua i ka hoʻomanaʻo ʻana i ka ʻike nui a hāʻawi i ke kākoʻo i ka wā e hiki ai ke hālāwai pilikia.

He aha ka mea nui e pili ana i ka maiʻi Whipple?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i ka maiʻi Whipple, ʻoiai he kūlana koʻikoʻi ia, he mea maikaʻi loa ke mālama ʻia ke ʻike koke ʻia. Me ka lapaʻau antibiotic kūpono, hoʻōla piha ka hapanui o nā kānaka a hiki ke hoʻi i ko lākou mau hana maʻamau.

He mea nui ka ʻike mua ʻana i nā hōʻailona no ka mea hiki i ka lapaʻau hoʻokaʻulua ke alakaʻi i nā pilikia e paʻakikī ke hoʻihoʻi. Inā loaʻa iā ʻoe nā hōʻailona digestive mau loa me ka nalowale kaumaha i wehe ʻole ʻia a me ka ʻeha hono, mai kānalua e ʻimi i ka loiloi lapaʻau.

E hoʻomanaʻo he mea maʻamau loa ka maiʻi Whipple, no laila ʻoi aku ka nui o ka loaʻa ʻana o kēia mau hōʻailona i nā kūlana maʻamau ʻē aʻe. Eia naʻe, inā ʻaʻole kōkua nā lapaʻau maʻamau, he mea kūpono ke kūkākūkā i nā hiki maʻamau ʻole me kāu mea mālama ola.

ʻO ka prognosis no ka maiʻi Whipple he mea maikaʻi loa me ka lapaʻau kūpono. ʻIke ka hapanui o nā kānaka i ka hoʻomaikaʻi nui ʻana i ko lākou mau hōʻailona i loko o nā pule o ka hoʻomaka ʻana o nā antibiotics, a he mea maikaʻi loa nā hopena lōʻihi no ka poʻe e hoʻopau i ko lākou papa lapaʻau piha.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka maiʻi Whipple

Ua hoʻolaha ʻia anei ka maiʻi Whipple?

ʻAʻole, ʻaʻole hoʻolaha ʻia ka maiʻi Whipple a ʻaʻole hiki ke pālahalaha mai ke kanaka a i ke kanaka. ʻOiai paha ke loaʻa ka bacteria e hana ai i loko o ke kaiapuni, ʻike ʻia ka maʻi wale nō i nā kānaka i loaʻa kahi susceptibility kūikawā i kēia maʻi kūikawā. ʻAʻole pono ʻoe e hopohopo e hopu mai kekahi i loaʻa ka maʻi a i ʻole ka pālahalaha ʻana i nā poʻe ʻē aʻe.

Hiki i ka maiʻi Whipple ke hoʻi mai ma hope o ka lapaʻau?

Hiki ke hana nā relapses inā ʻaʻole hoʻopau piha ʻia ka lapaʻau a i ʻole inā ʻaʻole kāpae piha ʻia ka bacteria mai kou kino. ʻO ia ke kumu i kauoha ai nā kauka i nā papa lōʻihi o nā antibiotics a e nānā pono i nā mea maʻi i ka wā a ma hope o ka lapaʻau. ʻO ka hahai pono ʻana i nā ʻōlelo a kāu kauka a me ka hoʻopau piha ʻana i ka papa antibiotic e hoʻemi nui i ka pilikia o ka hoʻi ʻana.

Pehea ka lōʻihi e hoʻōla ai mai ka maiʻi Whipple?

Hoʻomaka ka hapanui o nā kānaka e ʻike i ka maikaʻi i loko o 2 a 4 mau pule o ka hoʻomaka ʻana o ka lapaʻau antibiotic, me nā hōʻailona digestive e hoʻomaikaʻi pinepine mua. Eia naʻe, hiki ke pono kekahi mau mahina no ka hoʻōla piha, a pono ʻoe e hoʻomau i ka lawe ʻana i nā antibiotics no 1 a 2 mau makahiki e hōʻoia i ka holoi piha ʻia o ka maʻi. Hiki i ka ʻeha hono a me nā hōʻailona neurological, inā loaʻa, ke lōʻihi e hoʻonā piha.

Hiki i nā keiki ke loaʻa ka maiʻi Whipple?

ʻOiai he mea maʻamau loa ka maiʻi Whipple i nā keiki, hiki ke hana i kekahi manawa. Ke hoʻopilikia nei i nā keiki, hiki ke ʻano ʻokoʻa nā hōʻailona mai nā mea i ʻike ʻia i nā mākua, a hiki ke ʻoi aku ka paʻakikī o ka ʻike ʻana i ke kūlana. Inā loaʻa i kahi keiki nā hōʻailona digestive i wehe ʻole ʻia me ka nalowale kaumaha, he mea nui ka loiloi lapaʻau ʻoiai paha ka maʻamau ʻole o nā kumu hiki.

Aia kekahi mau palena ʻai i ka wā lapaʻau no ka maiʻi Whipple?

ʻAʻohe palena ʻai kūikawā e pono ai no ka mālama ʻana i ka maiʻi Whipple iho, akā hiki i kāu kauka ke ʻōlelo aku i kekahi mau ala meaʻai e kōkua i ka hoʻoponopono ʻana i ka nele meaʻai a kākoʻo i kou hoʻōla. E nānā i ka ʻai ʻana i kahi meaʻai kaulike, momona meaʻai a pale i nā meaʻai e ʻike ʻia e hoʻopilikia i kāu mau hōʻailona digestive. Hiki i kāu mea mālama ola a i ʻole kahi dietitian i hoʻopaʻa inoa ʻia ke hāʻawi i ka alakaʻi pilikino ma muli o kāu mau pono a me nā hōʻailona kūikawā.