He aha ka Maʻi ʻĀneʻane Wilms? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka maʻi ʻāneʻane Wilms kahi ʻano o ka maʻi kanesa o ka puʻupaʻa e pili nui ana i nā keiki, maʻamau e ulu ana ma mua o 5 mau makahiki. Ke ulu nei kēia ʻāneʻane mai nā sela e hana i nā puʻupaʻa i ka wā e ulu ana ke pēpē i loko o ka ʻōpū, ʻo ia ke kumu e ʻike pinepine ʻia ai i nā keiki liʻiliʻi loa.

ʻOiai ʻo ka lohe ʻana i ka “maʻi kanesa o ka puʻupaʻa” hiki ke manaʻo nui, aia ke kumu no ka manaʻolana. Loaʻa i ka maʻi ʻāneʻane Wilms kekahi o nā kiʻekiʻe kiʻekiʻe loa o ka hoʻōla ma waena o nā maʻi kanesa o nā keiki, me kahi o 90% o nā keiki e ola ana i nā ola olakino maʻamau ma hope o ka lapaʻau. ʻO ka hoʻomaopopo ʻana i kāu mea e hana nei hiki ke kōkua iā ʻoe e ʻike ʻoi aku ka mākaukau a me ka hilinaʻi i kou hele ʻana i kēia huakaʻi.

He aha ka Maʻi ʻĀneʻane Wilms?

ʻO ka maʻi ʻāneʻane Wilms kahi maʻi kanesa puʻupaʻa e hoʻomaka ana i ka pūnaewele puʻupaʻa e ulu ana o nā keiki. Ua kapa ʻia ia ma hope o ka Dr. Max Wilms, nāna i wehewehe mua iā ia ma ka kikoʻī ma mua o hoʻokahi kenekulia i hala aku.

Ke hana nei kēia ʻāneʻane i ka wā e hoʻomau ana kekahi mau sela puʻupaʻa e pono e nalowale i ka wā e ulu maʻamau ana i ka ulu ʻana. E noʻonoʻo iā ia e like me nā mea kūkulu i manaʻo ʻia e hoʻomaʻemaʻe ʻia ma hope o ke kūkulu ʻana i hale, akā ma kahi o ka hoʻomau ʻana i ka hōʻiliʻili ʻana i kahi kūpono ʻole. ʻO ka hapa nui o nā hihia e pili ana i hoʻokahi puʻupaʻa wale nō, ʻoiai ma kahi o 5-10% o nā keiki e ulu ana i nā ʻāneʻane i nā puʻupaʻa ʻelua.

ʻO ka maʻi ʻāneʻane Wilms ka ʻano maʻamau o ka maʻi kanesa puʻupaʻa i nā keiki, e pili ana i ka 1 i kēlā me kēia 10,000 keiki. He mea maʻamau loa ia, me kahi o 500-600 mau hihia hou i ʻike ʻia i kēlā me kēia makahiki ma ʻAmelika Hui Pū ʻIa.

He aha nā Hōʻailona o ka Maʻi ʻĀneʻane Wilms?

ʻO ka hōʻailona maʻamau ka pehu ʻeha ʻole a i ʻole ka ʻāneʻane i loko o ka ʻōpū o kāu keiki āu e ʻike ai i ka wā ʻauʻau a i ʻole ke moe ana kāu keiki. He nui nā mākua e wehewehe iā ia e like me ka ʻāneʻane paʻa ma kekahi ʻaoʻao o ka ʻōpū.

Eia nā hōʻailona e nānā ai, e hoʻomanaʻo ana he nui nā keiki e loaʻa paha i hoʻokahi a ʻelua wale nō o kēia mau hōʻailona:

• Pūʻulu ʻeha ʻole a i ʻole ka pehu ma ka ʻōpū e hiki ke ʻike
• Ke koko i loko o ka mimi, ʻo ia paha he ʻulaʻula, ʻulaʻula, a i ʻole ke kala kola
• ʻEha ʻōpū a i ʻole ka ʻoluʻolu ʻole
• Fever me ke kumu maopopo ʻole
• Nalowale o ka makemake ai a i ʻole ka manaʻo piha koke
• Nausea a i ʻole ka luaʻi
• Constipation mai ka tumor e kaomi ana i nā kino kokoke
• Ke koko kiʻekiʻe (ʻoiai, pono pinepine kēia i nā lako lapaʻau e ʻike)

ʻOi aku ka liʻiliʻi, hiki i kekahi mau keiki ke ʻike i ka pōkole o ka hanu inā ua pālahalaha ka maʻi kanesa i nā māmā, a i ʻole ke ʻano maʻamau ʻole a luhi hoʻi. E hoʻomanaʻo he nui nā kumu ʻē aʻe, ʻoi aku ka maʻamau, no kēia mau hōʻailona, ​​no laila ʻaʻole ʻo ka loaʻa ʻana o kekahi he manaʻo ia he kanesa.

He aha ka mea e hoʻoulu ai i ka Wilms Tumor?

Hoʻomohala ʻia ka Wilms tumor i ka wā e hoʻomau ai nā cell kidney e ulu ʻole i ka wā ulu maʻamau e hoʻonui abnormal. ʻAʻole maopopo loa ka mea hoʻoulu i kēia kaʻina hana, akā ua ʻike nā mea noiʻi i kekahi mau kumu kōkua.

ʻO ka hapa nui o nā hihia e kū mai ana me ka ʻole o ke kumu maopopo. Eia naʻe, ua hānau ʻia kekahi mau keiki me nā loli genetic e hoʻolilo iā lākou i mea nui e hoʻomohala i kēia tumor. ʻO kēia mau kumu genetic ke kumu o kahi 10-15% o nā hihia.

Eia nā kumu kōkua i ʻike ʻia:

• Nā mutations genetic e kū mai ana i ka wā e ulu ai ka kidney i loko o ka ʻōpū
• Nā syndromes genetic i hoʻoilina ʻia e like me ka WAGR syndrome a i ʻole ka Beckwith-Wiedemann syndrome
• Nā hemahema hānau e pili ana i nā genital a i ʻole ka ʻōnaehana mimi
• Mōʻaukala ʻohana o ka Wilms tumor (ʻoiai he mea maʻamau loa kēia)
• Kekahi mau kūlana genetic e hoʻopilikia ana i ka ulu ʻana o nā cell maʻamau

He mea nui e hoʻomaopopo ʻaʻole ʻoe i hana a ʻaʻole i hana i ka wā hāpai i kēia tumor. ʻAʻole i hoʻoulu ʻia ka Wilms tumor e nā kumu kūlohelohe, ka ʻai, a i ʻole nā ​​koho nohona. He hopena maikaʻi ʻole wale nō ia o ke ʻano o ka ulu ʻana o nā puʻupaʻa o kekahi mau keiki.

I ka wā e ʻike ai i ke kauka no ka Wilms Tumor?

E pono ʻoe ke hoʻokaʻaʻike koke aku i ke kauka o kāu keiki inā ʻike ʻoe i kahi ʻāʻī a i ʻole ka pehu ma ka ʻōpū o kāu keiki e mau ana ma mua o kekahi mau lā. ʻOiai ʻaʻole ka nui o nā ʻāʻī ʻōpū i nā keiki he kanesa, he mea pono mau ia e nānā.

E ʻimi i ka mālama lapaʻau i loko o hoʻokahi lā a ʻelua paha inā loaʻa i kāu keiki ke koko i loko o kā lākou mimi, ʻoiai inā pili pū ia me nā hōʻailona ʻē aʻe e like me ka ʻeha ʻōpū a i ʻole ka maʻi wela. ʻOiai he nui nā kumu o ke koko i loko o ka mimi i nā keiki, he mea ia e pono mau ke loiloi ʻia e ka mea lawelawe ola.

Kāhea koke i kāu kauka inā loaʻa i kāu keiki ka ʻeha ʻōpū nui, ka luaʻi mau, a i ʻole ke ʻano maʻamau ʻole. E hilinaʻi i kou mau manaʻo ma ke ʻano he mākua - inā manaʻo ʻoe he mea hewa a ʻokoʻa paha e pili ana i ke olakino o kāu keiki, ua kūpono mau ia ke ʻimi i ka ʻōlelo aʻo lapaʻau.

He aha nā kumu pilikia no ka maʻi Wilms?

Hiki i kekahi mau mea ke hoʻonui i ka manawa o kahi keiki e loaʻa ai ka maʻi Wilms, ʻoiai ʻo ka loaʻa ʻana o kēia mau kumu pilikia ʻaʻole ia he manaʻo e loaʻa maoli i kāu keiki ka kanesa. ʻAʻole loaʻa i ka hapanui o nā keiki me kēia mau mea nā maʻi ʻaʻai.

ʻO nā kumu pilikia ikaika loa nā kūlana genetic a me nā hemahema hānau e hoʻopilikia ana i ka hoʻomohala maʻamau:

• WAGR syndrome (hoʻopilikia i nā maka, nā ʻano wahine, a me ka hoʻomohala ʻana o ka naʻauao)
• Beckwith-Wiedemann syndrome (hoʻokumu i ka ulu nui ʻana o nā ʻāpana kino)
• Denys-Drash syndrome (hoʻopilikia i ka hana o ka puʻupaʻa a me ka hoʻomohala ʻana o nā ʻano wahine)
• Nā hemahema hānau o nā ʻano wahine a i ʻole ka ʻōnaehana mimi
• Loaʻa kahi testicle i hānau ʻole ʻia
• Mōʻaukala ʻohana o ka maʻi Wilms (ʻoiai ʻo kēia ka liʻiliʻi ma mua o 2% o nā hihia)

ʻO kekahi mau kumu pilikia liʻiliʻi ʻē aʻe e komo pū ana i kekahi mau mutations genetic a me ka hānau ʻia ʻana me ka ʻiʻo puʻupaʻa i hoʻomohala ʻole ʻia ma ke ʻano maʻamau. Loaʻa i nā keiki ʻAmelika ʻApelika kahi pilikia kiʻekiʻe iki ma mua o nā hui lāhui ʻē aʻe, ʻoiai ʻaʻole i maopopo loa nā kumu o kēia.

He mea kumu hoʻi ka makahiki, me ka hapanui o nā hihia e kū ana ma waena o nā makahiki 2 a me 5. He mea maʻamau loa ia i nā keiki i ʻoi aku ma mua o 10 mau makahiki.

He aha nā pilikia e hiki mai ana o ka maʻi Wilms Tumor?

Ke hopu ʻia i ka wā mua a mālama ʻia me ke kūpono, nui nā keiki me ka maʻi Wilms tumor e ola piha me ka ʻole o nā pilikia lōʻihi. Eia naʻe, e like me kekahi maʻi koʻikoʻi, hiki ke loaʻa nā pilikia e pili ana i ka maʻi ponoʻī a me kona mālama ʻana.

ʻO nā pilikia mai ka maʻi hiki ke komo pū me:

• Ke ulu nui ka maʻi e kaomi i nā ʻōnaehana kokoke
• Ke kiʻekiʻe o ke koko mai ka pilikia o ka puʻupaʻa
• Nā pilikia o ka hana o ka puʻupaʻa inā pili nā puʻupaʻa ʻelua
• Ke pālahalaha ʻana i nā ʻāpana ʻē aʻe o ke kino, ʻo ka pinepine loa i nā māmā a i ʻole ke akepaʻa
• Ke haki ʻana o ka maʻi, hiki ke hana i ka wā o ka nānā ʻana a i ʻole ka ʻoki ʻana

ʻO nā pilikia e pili ana i ka mālama ʻana, ʻoiai hiki ke mālama ʻia, hiki ke komo pū me nā hopena mai ka chemotherapy e like me ka nalowale o ka lauoho manawa, ka hoʻonui ʻana i ka pilikia o ka maʻi, a i ʻole ka nausea. Hiki i ka radiation therapy ke hoʻonāukiuki i ka ʻili a i ʻole, ma ka liʻiliʻi, e hoʻopilikia i ka ulu ʻana o nā wahi i mālama ʻia. ʻO nā pilikia o ka ʻoki ʻana e komo pū me nā pilikia ʻoki maʻamau e like me ke kahe koko a i ʻole ka maʻi.

ʻAʻole pinepine nā hopena lōʻihi akā hiki ke komo pū me nā pilikia lohe mai kekahi mau lāʻau chemotherapy a i ʻole, ma ka liʻiliʻi loa, ka hoʻomohala ʻana i nā maʻi ʻē aʻe ma hope i ke ola. E nānā kāu hui lapaʻau no kēia mau mea hiki a e lawe i nā hana e hoʻemi ai i nā pilikia.

Pehea ka hōʻoia ʻana o ka maʻi Wilms Tumor?

Hoʻomaka maʻamau ka hōʻoia ʻana me kāu kauka keiki e nānā ana i kāu keiki a me ka ʻimi ʻana i nā ʻāpana a i ʻole ka pehu ʻana i ka ʻōpū. Inā loaʻa kekahi mea e hopohopo ai, e hoʻouna ʻia ʻoe i kahi loea keiki no ka hoʻokolokolo hou aku.

ʻO ka hana hōʻoia maʻamau e komo pū me kekahi mau hoʻokolohua kiʻi e kiʻi i kahi kiʻi maopopo o ka mea e hana nei. ʻO ka ultrasound pinepine ka hoʻokolokolo mua no ka mea ʻaʻohe ʻeha a ʻaʻole hoʻohana i ka radiation. Hiki i kēia ke hōʻike inā aia kahi nui i ka puʻupaʻa a kōkua i ka hoʻoholo ʻana i kona nui a me kona ʻano.

ʻO nā hoʻokolokolo hou aku e komo pinepine pū me:

1. CT scan a i MRI e kiʻi kikoʻī o ka maʻi a me ka nānā inā ua pālahalaha
2. X-ray umauma a i ʻole CT scan e ʻimi i kekahi pālahalaha i nā māmā
3. Nā hoʻokolohua koko e nānā i ka hana o nā puʻupaʻa a me ke olakino holoʻokoʻa
4. Nā hoʻokolohua mimi e ʻimi i ke koko a i ʻole nā ​​mea ʻē aʻe
5. I kekahi manawa, kahi ʻāpana liʻiliʻi o ka pūnaewele (biopsy) e hōʻoia i ka maʻi

ʻO ka hana hoʻoholo holoʻokoʻa maʻamau he mau lā a hiki i hoʻokahi pule. ʻOiai ke kali nei no nā hopena hiki ke manaʻo kaumaha, e hoʻomanaʻo ʻo ka loaʻa ʻana o kahi hoʻoholo pololei ʻo ia ka hana mua i ka hoʻolālā mālama maikaʻi loa no kāu keiki.

He aha ka mālama ʻana no ka maʻi Wilms?

Ua holomua loa ka mālama ʻana i ka maʻi Wilms, me nā helu ho'ōla ma mua o 90% ke hopu ʻia ka maʻi i ka wā mua. ʻO ka hoʻolālā mālama e hilinaʻi ana i ka nui o ka maʻi, kahi, a inā ua pālahalaha, akā maʻamau e pili ana i ka hui pū ʻana o ka ʻoki a me ke chemotherapy.

ʻO ka hapa nui o nā keiki e loaʻa i ka ʻoki e wehe i ka puʻupaʻa i pilikia (i kapa ʻia ʻo nephrectomy) me ka maʻi. Mai hopohopo - hiki i nā kānaka ke ola maʻamau loa me hoʻokahi puʻupaʻa olakino. Ma mua o ka ʻoki, hiki i kāu keiki ke loaʻa i ka chemotherapy e ho'emi i ka maʻi a e maʻalahi ke wehe pono.

ʻO ke ʻano mālama maʻamau e komo pū ana:

1. Chemotherapy ma mua o ka ʻoki (maʻamau he 4-6 mau pule) e ho'emi i ka maʻi
2. ʻOki e wehe i ka puʻupaʻa a me ka maʻi
3. Chemotherapy hou ma hope o ka ʻoki (maʻamau he 6-24 mau pule)
4. Radiation therapy i kekahi mau hihia, ʻoiai inā ua pālahalaha ka maʻi
5. Nā kipa hahai maʻamau e nānā i ka ho'ōla a me ka nānā ʻana i kekahi hoʻi hou

No nā keiki me nā maʻi ma nā puʻupaʻa ʻelua, ʻoi aku ka paʻakikī o ke ʻano a e kau nui ana i ka mālama ʻana i ka hana puʻupaʻa e like me ka hiki. Hiki paha kēia ke komo pū me ka wehe ʻana i kahi ʻāpana o ka pūnaewele puʻupaʻa ma mua o ka wehe ʻana i ka puʻupaʻa holoʻokoʻa.

Hoʻopau pinepine ʻia ka lāʻau lapaʻau i loko o nā mahina 6-9, a hoʻi koke ka hapa nui o nā keiki i kā lākou mau hana maʻamau ma hope o ka pau ʻana o ka lāʻau lapaʻau.

Pehea e Hāʻawi Ai i ka Mālama Home i ka wā o ka Lāʻau Lapaʻau?

ʻO ka mālama ʻana i kāu keiki ma ka home i ka wā o ka lāʻau lapaʻau, ʻo ia ka mea nui, ʻo ia ka mālama ʻana iā lākou i ka ʻoluʻolu, pale aku i nā maʻi, a mālama i ka maʻamau e like me ka hiki. E hāʻawi mai kāu hui lapaʻau iā ʻoe i nā kuhikuhi kikoʻī, akā aia nā kumu nui e kōkua ai.

ʻO ka mālama ʻana i nā hopena ʻaoʻao mai ka lāʻau lapaʻau, ʻo ia ka pilikia nui loa. No ka ʻōpū ʻeha, hāʻawi i nā ʻai liʻiliʻi, pinepine me nā meaʻai palupalu e makemake ai kāu keiki. He mea nui ka wai inu, no laila e paipai i nā ʻāpana wai, nā ʻāpana hau, a i ʻole nā popsicles i ka lā holoʻokoʻa.

Eia nā hana mālama home nui:

• E mālama i kāu keiki mai nā kānaka maʻi, no ka mea hiki i ka chemotherapy ke hoʻonāwaliwali i ka ʻōnaehana pale
• E holoi pinepine i nā lima a paipai i kāu keiki e hana pēlā
• E nānā i ka wela a kāhea koke i kāu hui lapaʻau inā loaʻa
• E hāʻawi i ka manawa hoʻomaha hou a mai hopohopo inā hiamoe nui kāu keiki ma mua o ka maʻamau
• E hāʻawi i nā meaʻai momona ke makemake kāu keiki e ʻai, akā mai koi i nā meaʻai
• E mālama i ka wahi ʻokiʻoki maʻemaʻe a maloʻo e like me nā kuhikuhi a kāu kauka ʻoki
• E hāʻawi i nā lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia, ʻoiai inā ʻoi aku ka maikaʻi o kāu keiki

Ma ka manaʻo, e mālama i nā hana maʻamau i ka hiki a hoʻomau i nā hana e makemake ai kāu keiki, e hoʻololi ʻia e like me ka pono no ko lākou pae ikehu. Loaʻa i nā ʻohana he nui ka pili ʻana me nā hoaaloha kula a me ka mālama ʻana i nā leʻaleʻa punahele e kōkua i nā keiki e ʻike ʻia he maʻamau i ka wā o ka lāʻau lapaʻau.

Pehea ʻoe e Hoʻomākaukau ai no nā Hālāwai Kauka?

ʻO ka mākaukau ʻana no nā kūkā lāʻau lapaʻau e kōkua iā ʻoe e kiʻi i ka pono loa mai kou manawa me ka hui olakino a e hōʻoia i ka pane ʻia ʻana o kāu mau hopohopo a pau. E hoʻomaka ma ka kākau ʻana i kāu mau nīnau ma mua o kēlā me kēia kipa - he maʻalahi ke poina i nā mea nui ke manaʻo ʻoe i ke kaumaha a i ʻole ka luhi.

E lawe mai i ka papa inoa piha o nā lāʻau a pau a kāu keiki e lawe nei, me nā lāʻau lapaʻau ma luna o ka papa kūʻai a me nā mea hoʻohui. Eia kekahi, e mālama i kahi moʻolelo maʻalahi o nā hōʻailona, nā hopena ʻaoʻao, a i ʻole nā ​​hoʻololi āu i ʻike ai mai ka kipa hope loa.

E noʻonoʻo e hoʻomākaukau i kēia mau mea:

• He papa inoa o nā hōʻailona o kēia manawa a me ka manawa i hoʻomaka ai lākou
• Nā nīnau e pili ana i ka holomua o ka mālama ʻana a me ka mea e manaʻo ai ma hope
• Kekahi mau hopohopo e pili ana i nā hopena ʻaoʻao a i ʻole nā ​​hana o kēlā me kēia lā o kāu keiki
• Nā kāleka ʻinikua a me nā pepa hana e pono ai
• ʻO kahi hoa ʻohana a hoaaloha paha i hilinaʻi ʻia no ke kākoʻo a e kōkua i ka hoʻomanaʻo ʻana i ka ʻike
• Kekahi mea e mālama ai i kāu keiki i ka wā e kali ana
• Nā meaʻai māmā a me nā mea inu inā lōʻihi ka manawa o ke kūkā

Mai kānalua e noi i ka wehewehe inā paʻakikī nā huaʻōlelo lapaʻau, a e noi i nā ʻōlelo kuhikuhi i kākau ʻia no nā ʻōlelo aʻo mālama paʻakikī. He nui nā mākua e ʻike i ka mea kōkua ke kākau i nā memo a i ʻole e noi inā hiki iā lākou ke hoʻopaʻa leo i nā ʻāpana nui o ke kamaʻilio ʻana e nānā hou ma hope.

He aha ka lawe ʻana nui e pili ana i ka maʻi Wilms?

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻoiai he maʻi koʻikoʻi ka maʻi Wilms, he prognosis maikaʻi loa ia ke mālama pono ʻia. ʻOi aku ma mua o 90% o nā keiki i ʻike ʻia me kēia maʻi kanesa e ola ana i nā ola maʻamau a olakino ma hope o ka mālama ʻana.

ʻO ka ʻike mua ʻana e hana i kahi ʻokoʻa nui i ka holomua o ka mālama ʻana, no laila e hilinaʻi i kou mau manaʻo inā ʻike ʻoe i kekahi mau hoʻololi e hopohopo ai i ke olakino o kāu keiki. He mea maikaʻi loa ka hui ʻana o ka ʻoki kino a me ka chemotherapy, a ʻo ka hapa nui o nā keiki e hoʻopau i ka mālama ʻana i loko o kahi makahiki ma mua o hoʻokahi.

ʻOiai paha e manaʻo ʻia e kaumaha loa ka huakaʻi i mua i kēia manawa, ʻaʻole ʻoe wale nō. Ua hoʻomaʻamaʻa kūikawā ʻia nā kime kanaka maʻi ʻōpiopio e mālama i nā keiki a me nā ʻohana ma kēia kaʻina hana. He nui nā ʻohana i ʻike ua hāʻawi mai ka hoʻopili ʻana me nā mākua ʻē aʻe i hele ma nā ʻike like i ke kākoʻo waiwai a me ka manaʻo.

E hoʻomanaʻo e mālama pono iā ʻoe iho pū kekahi - pono kāu keiki iā ʻoe e ola maikaʻi a ikaika loa. E ʻae i ke kōkua mai nā hoaaloha a me nā ʻohana, a mai kānalua e hoʻohana i nā lawelawe kākoʻo i loaʻa ma kāu kahua lapaʻau.

Nā Nīnau Pinepine e pili ana i ka Maʻi ʻAʻai Wilms

Hiki i kaʻu keiki ke ola i kahi ola maʻamau me hoʻokahi puʻupaʻa wale nō?

ʻAe, ʻoiaʻiʻo. Hiki i nā kānaka ke ola i nā ola maʻamau loa me hoʻokahi puʻupaʻa olakino. E hoʻonui mālie ka puʻupaʻa i koe i kāna hana e uku ai no ka mea i wehe ʻia. E hiki i kāu keiki ke komo i ka hapa nui o nā hana, me nā haʻuki, ʻoiai paha e ʻōlelo aku kāu kauka e pale aku i nā haʻuki pili e hiki ke hōʻeha i ka puʻupaʻa i koe.

E loaʻa anei i kaʻu mau keiki ʻē aʻe ka maʻi ʻaʻai Wilms?

He haʻahaʻa loa nā manawa. Ma kahi o 1-2% wale nō o nā hihia maʻi ʻaʻai Wilms i hoʻoilina ʻia, ʻo ia hoʻi, e holo ana lākou i nā ʻohana. Eia naʻe, inā loaʻa i kāu keiki kekahi mau ʻano genetic e pili ana i ka maʻi ʻaʻai Wilms, hiki i kāu kauka ke ʻōlelo aku i ka ʻōlelo aʻo genetic e loiloi i ka pilikia no nā kaikuaʻana a me nā keiki e hiki mai ana.

Pehea ka lōʻihi e pono ai e nānā ʻia kaʻu keiki ma hope o ka mālama ʻana?

E loaʻa i ka hapa nui o nā keiki nā hālāwai kūkākūkā ma hope o ka pau ʻana o ka mālama ʻana no ka liʻiliʻi o ʻelima mau makahiki. Hoʻomaka maʻamau kēia mau kipa i kēlā me kēia mau mahina a liʻiliʻi mālie i ka pinepine. ʻO ka nānā ʻana e komo pū ana i nā hoʻokolohua kino, nā hoʻokolohua koko, a me nā haʻawina kiʻi manawa e hōʻoia ai ʻaʻole i hoʻi hou mai ka maʻi ʻaʻai a ke ulu maʻamau nei kāu keiki.

Hiki i ka maʻi ʻaʻai Wilms ke hoʻi mai ma hope o ka mālama ʻana?

ʻAʻole pinepine ka hoʻi hou ʻana, akā hiki ke loaʻa, ma kahi o 10-15% o nā hihia. ʻO ka hapa nui o nā hoʻi hou ʻana e hana ʻia i loko o nā makahiki ʻelua mua ma hope o ka mālama ʻana, ʻo ia ke kumu nui o ka mālama hope. Inā hoʻi hou mai ka maʻi kanesa, hiki ke mālama ʻia me ka holomua, ʻoiai paha he ʻokoʻa ke ʻano o ka mālama ʻana mai ka mālama mua.

He aha kāu e haʻi aku ai i kāu keiki e pili ana i kā lākou ʻike maʻi?

E kūpaʻa i kahi ʻano kūpono i ka makahiki. Pono nā keiki ʻōpio i nā wehewehe maʻalahi a maopopo e like me