Hale Paʻi Paatiatrics o Athena

ʻO ka maʻi maʻamauʻO ka Epilepsy, e hoʻopili ʻia ana ma mua o 50 miliona mau kānaka i ka honua holoʻokoʻa, e hōʻike ana i ka mahele nui o ka luhi o ka maʻi o ka honua. Kuhi ʻia ka hapa kūpono o ka heluna holoʻokoʻa me ke ʻano ikaika o ka epilepsy (ʻo ia hoʻi, me kahi neʻe lawena a i ʻole e makemake ʻia ka mālama ʻana) i ka manawa hāʻawi mai 4 a 10 i kēlā me kēia 1000 poʻe. Akā, ʻo nā hopena o kekahi mau noiʻi i nā ʻāina haʻahaʻa a me ka waena waena e hōʻike nei he nui loa kēia kāpana - mai 7 a hiki i 15 i kēlā me kēia 1000 poʻe.Ua manaʻo ʻia aia, e nānā pinepine ʻia ka epilepsy i kēlā me kēia makahiki2.4 miliona mau kānaka. I nā'āina kālā āpau, ʻo ka nui o nā hihia hou o ka maʻi i ka maʻi ma waena o ka lehulehu heluna ma waena o 30 a 50 ma 100 000. Aia ma nā'āina haʻahaʻa a me nā waena waena, ʻelua paha ʻoi aku ka nui o ke kiʻekiʻe.ʻO ke kumukūʻai kiʻekiʻe i nā ʻāina haʻahaʻa a me ka waena waena e pili ana i ka piʻi nui ʻana o nā maʻi o ka maʻa maʻi e like me ka malaria a me ka neurocysticercosis; mahuahua o nā hōʻeha alanui; nā pōʻino o ke keiki, a me nā ʻokoʻa i loko o ka hoʻonaʻauao olakino, ka loaʻa ʻana o nā papahana pale a me nā mālama olakino kūpono.nullnullnullnulllāʻau lapaʻau, hiki i ka lāʻau lapaʻau ke kōkua.KāohiIʻaopathic epilepsy ʻaʻole hiki ke pale ʻia. Eia nō naʻe, no nā kumu ʻike i waena o ka epilepsy kūkaʻi, hiki ke lawe ʻia nā hana pale.    ʻO ka pale ʻana i nā pōʻino o ke poʻo ke ala maikaʻi loa e pale ai i ka epilepsy post-traumatic.     Ma ke kūpono o ka mālama perinatal pono e hōʻemi i ka hōʻeha ʻana i ka epilepsy hou ma muli o nā hōʻeha kino.     ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau a me nā ʻano hana ʻē aʻe e hoʻohaʻahaʻa i ka wela o ke kino i nā keiki me ke kuni ʻana e hiki ke hōʻemi i ka hoʻohemo ʻana o nā mea puhi febrile.     ʻO nā maʻi ʻōnaehana o ka kikowaena maʻamau he kumu maʻamau o ka epilepsy ma nā wahi ākeaNui nā ʻāina e kūkulu ana. ʻO ka hoopau ʻana i nā lolo ma lalo o kēia mau kūlana a me ka hana hoʻonaʻauao e pili ana i ka pale ʻana o nā maʻi he ala kūpono e hōʻemi ai i ka lawe ʻana i ka maʻi o ka epilepsy i ka honua holoʻokoʻa, no ka laʻana, epilepsy ma muli o ka neurocysticercosis.ʻAe makemake ʻo Allhospital i ke kauā ʻana iā Kaukaʻi Antonio Russi (Klinikōneke Kiron, Barcelona), kekahi o nā ʻĀpepa kiʻekiʻe o ʻEulopa. Wahi a Kauka Russi, 95 mai ka 100 o nā mea maʻi e hōʻoki loa i ka maʻi epilepsy ma hope o ka mālama kūpono.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

Hoʻomaʻi pinepine ʻia kahi hoʻokolohua lapaʻau pale kāki i ka hōʻoia a nānā paha, mai ka ʻōlelo Pelekānia nēnā hou, kahi ʻike maʻamau o ka olakino maʻi. Hiki i kahi hoʻokolohua lapaʻau ke kōkua i ke ʻike i nā pilikia olakino ma ke kakahiaka mua, ʻoiai ma mua o ka hoʻomaka ʻana o nā hōʻailona, a e hōʻoluʻolu hou i nā mea maʻi e hopohopo nei i ko lākou olakino a loaʻa paha kahi mau manaʻo kānalua.Hoʻololi ʻia kahi hōʻike loiloi maʻamau (check-up) e hana i kēlā me kēia mau makahiki. Penei no kēlā mau maʻi i loaʻa i ka nuika kaumaha, nā hana ʻino, a i ʻole ka moʻolelo ʻohana i nā maʻi e like me ka maʻi ʻeha, ke kanesa, a i ʻole ka maʻi maʻi. Hiki i kahi loiloi keʻae ke kōkua i nā pilikia e like me ke koko kiʻekiʻe a i ʻole ka maʻi ʻolua. Hiki i nā maʻi ke hana i nā loli e pono ai i ke ola a me nā hana, a inā pono, e hoʻomaka i ka lawe ʻana i nā lāʻau lapaʻau, e pale ana i ka hoʻomohala hou aʻe o nā maʻi.Nui nā ʻano hoʻokolohua ʻē aʻe a me nā hoʻokolohua i hiki ke hoʻohui ʻia i kahi hoʻopaʻa kauka, ʻo ia hoʻihōʻike koko, diagnostic imaging, hōʻike cardiac a me nā mea ʻē aʻe he nui. Hiki i nā loiloi ke komo pū i nā hoʻāʻo koko no nā mākau maʻi i ʻike i nā hōʻailona o nā ʻōpū o ke kanesa i loko o ke kino.Hōʻike ʻia ka nānā aku no nā mea nāna e kanalua i ko lākou kūlana olakino a i ʻole kekahi mau hōʻailona e pono ai ka mālama mau.Noi aku noHoʻolako ʻia kahi hōʻike olakino maʻamau no nā maʻi āpau, ʻoi aku ka nui o ka mea he nui ke kiʻekiʻe o ka hoʻomohala ʻana i kekahi mau maʻi.

ʻO ka mea mua e ʻike ʻia e ka poʻe maʻi a me nā wahine āpau e pili ana i ka umauma umauma (ʻoiai, me kahi ʻano o ka maʻi kanesa): i kēia lā ʻaʻole kēia i ka puʻupaʻa, ma mua o ka pae o ka maʻi, ʻoi aku ka kiʻekiʻe o ka lanakila ʻana o ka maʻi kanesa. A i loko o nā ʻehā hope aʻe, hiki i nā manawa ke hiki ke hakakā pono i ka maʻi maʻi e hoʻomaikaʻi ʻia i ka hiki ʻana mai o nā ʻano hana hoʻohālike o kēia mau lā o ka maʻi (e ʻike i lalo).ʻO wai ka pilikia? ʻO ke kanesa o ka pēpē he neoplasm malignant e ulu ana ma kahi o hoʻokahi mau wahine. Hiki ke hoʻomau ʻia ka maʻi ʻōpū o nā pēpē i kekahi makahiki, akā ma hope o 65 mau makahiki o ka ʻehaʻoi ka ulu ʻana o 6 mau manawa ma mua o kēia makahiki. Ke hōʻike nei nā kānaka noiʻi i nā kumu e hiki mai ana o ka hoʻomohala ʻia o ka maʻi:1) hoʻoili kaumaha ʻoi: inā nā ʻohana, ʻoi loa ma ka ʻaoʻao o ka mākele, ua loaʻa ke maʻi o ka umauma, nā ʻōpū o ke ʻano wahine, a me nā maʻi ʻē aʻe āpau, a laila hoʻi ka hopena o ka hoʻoulu ʻana i ka maʻi umauma umauma;2) ka hoʻomaka mua o nā menstruation (a hiki i 12 mau makahiki) a me ka hoʻomaka ʻana o ka menopause (ma hope o 55 mau makahiki);3) infertility pae mua, ka hānau mua o ka hānau mua (ma hope o 30 mau makahiki), ka hemahema o ka lactation a i ʻole he manawa pōkole o ka umauma, postpartum mastitis;4) ke ola wahine;5) nā hōʻeha o ka kelepa mammary;6) ka hoʻomau ʻana o ka "platormonalpapa momona glm mamate ";7) pili momona;8) kani iho i ka thyroid;9) Hāʻawi hoʻokolohua hormone.Hoʻomaʻi o nā ʻōmaʻomaʻo Breast Cancer Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, ʻoi kahi ʻōpala i loko o nā kumulāʻau mumm i nā hapanui he nui i ʻike ʻia e ka wahine a me ka kāne paha, ʻo ia ka mea. Hiki ke ʻike ʻia ka lolo i ka hoʻokolohua ʻana e ka mea mammologist, gynecologist, hōʻeha loea, a i ʻole hōʻino ʻia ʻo ia ma ka hōʻike o kahi screening.ʻO nā mea hōʻailona e makaʻala:    i ka ʻokoʻa no ka hoʻonaʻauao ʻana i ka umauma, hiki i ka wahine ke nānā i nā loli i ka nipple: ulceration, retraction, spotting from the nipple. He wā kēia e ʻike koke ai i ke kauka!     ma nā hope hope i kahi hōʻailonaulu nāwaliwali, nāwaliwali o ke olakino, ka pipi, ka puʻuwai koʻikoʻi o ka hanu, nā ʻeha o ka iwi e loaʻa.ʻO ka hoʻomaʻamaʻa helu umauma maʻi kila Hoʻolaha ʻia ka mālama ʻana i ka maʻi maʻi pēpē i kekahi mau manawa me ka hoʻohana ʻana i nā ʻano like ʻole. Ua hoʻohana ʻia ʻekolu mau ʻano nui i kēia lā:ʻO ka lāʻau lapaʻau antitumor.Aia kekahi mau ʻano o ia ʻano ʻano, ʻo ia:* chemotherapy: ma kēia hihia, ua hana nā lāʻau lapaʻau e pili ana i ka luku ʻana i nā hua pā i loko;* ka hana hormone, ʻo ia hoʻi, ka hoʻohana ʻana i nā lāʻau lapaʻau e kāohi ana i ka hana hormonal o ke aʻa a me ke kino;* ka huli ʻana i ke ala ʻoi aku kahi ala hou, kahi ala e "hoʻopili ʻia ai" nā lāʻau ma ka hopena i kau ʻia ma nā ʻōpū a me nā hana maikaʻi loa i ke olakino.kanaka kikoʻī;* ʻO ka immunotherapy ke ala hou loa, kahi i kēia manawa i nā kolekoli nui o nā oncologists i kapa ʻia kekahi o nā ala e ʻoi loa a hoʻoikaika i ka hoʻopiʻi ʻana i nā ʻano maʻi like ʻole. ʻO ka manaʻo nui o ka immunotherapy i ka hoʻonohonoho pilikino o nā nui o ka maʻi o ka maʻi o ka mea maʻi. Mahalo i kā lākou ʻenehana kūʻokoʻa, huli lākou i loko o kahi mea kaua ikaika e hiki ke hoʻomaopopo a hoʻopau pono i nā ʻāpana maʻi kanesa.Me kahi hōʻike maʻi o ke kano umauma, hoʻohana ʻia nā hana lapaʻau a me ka maʻi radiation.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.