ʻO ka maʻi pulmonary i hoʻokomo ʻia i lāʻau lāʻau

ʻO ka maʻi pulmonary i hoʻokomo ʻia i ka lāʻau lapaʻau ka maʻi maʻi i lawe ʻia mai e kahi hopena maikaʻi ʻole i kahi lāʻau. ʻO ke ʻano o ka pulmonary e pili ana i nā māmā.

Hiki i nā ʻano ʻeha he nui ke hopena mai nā lāʻau. ʻAʻole hiki ke wānana i ka mea e hoʻomōhala i ka maʻi lolo mai kahi lāʻau.

Nā ʻano o nā pilikia o ka ʻūhū a i ʻole nā ​​maʻi e hoʻokumu ʻia e nā lāʻau lapaʻau:

• Nā hopena āpau - hānō, pneumonitis hypersensitivity, a i ʻole pneumonia eosinophilic
• Kahe ʻana i loko o nā ʻeke ea māmā, i kapa ʻia ʻo alveoli (alveolar hemorrhage)
• ʻO ka pehu ʻana a me nā mea hoʻāhu i nā ala nui e lawe i ka ea i nā akemāmā (bronchitis)
• Poino i kaʻaʻaʻa (interstitial fibrosis)
• Nā lāʻau i kumu e hoʻouka kuhi hewa ka ʻōnaehana pale a hoʻopau i ke kino o ke kino, e like me ka lupus erythematosus
• ʻO ka maʻi maʻi Granulomatous - kahi ʻano o ka mumū ma nā akemāmā
• Hoʻonāukiuki i nā ʻeke ea māmā (pneumonitis a i ʻole infiltration)
• Lung vasculitis (hoʻāhu o nā kīʻaha koko koko)
• ʻO ka pehu lymph
• ʻO ka pehu ʻana a me ka ukiuki (kahe) o ka umauma ma waena o nā māmā (mediastinitis)
• Kūkulu kūpono ʻole o ka wai i loko o nā akemā (edema pulmonary)
• Kūkulu kahe o ka wai ma waena o nā papa o nā kiko i kau i nā māmā a me ka lua o ka umauma (pleural effusion)

Nui nā lāʻau a me nā mea i ʻike ʻia e lilo i maʻi i ka maʻi māmā i kekahi poʻe. Pākuʻi ʻia kēia mau mea:

• Nā Antibiotics, e like me nitrofurantoin a me nā lāʻau sulfa
• Nā lāʻau puʻuwai, e like me amiodarone
• ʻO nā lāʻau Chemotherapy e like me bleomycin, cyclophosphamide, a me methotrexate
• Nā lāʻau o ke alanui

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Kaha koko
• ʻEha ʻeha
• Cough
• Fiva
• Pokole o ka hanu
• ʻUhihi

E hana ka mea mālama ola i kahi hoʻokolohua kino a hoʻolohe i kou umauma a me kou mau māmā me kahi stethoscope. Lohe paha nā hanu maʻamau.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā ʻenekini koko arterial
• Hōʻoia ke koko e nānā no kahi maʻi autoimmune
• Ke kemika koko
• ʻO Bronchoscopy
• Helu piha ke koko me ka hoʻokaʻawale o ke koko
• Scanner CT pahu
• Pākuʻi x-ray
• ʻO ka biopsy lung (i nā hihia kakaikahi)
• Nā hoʻāʻo hana lung
• Thoracentesis (inā aia kahi pleural effusion)

ʻO ka hana mua e kāpae i ka lāʻau e hoʻopuka nei i ka pilikia. Pili nā mālama ʻē aʻe i kāu mau hōʻailona kikoʻī. ʻO kahi laʻana, pono paha ʻoe i ka oxygen a hiki i ka hoʻomaikaʻi ʻia ʻana o ka maʻi ʻaʻa-i hoʻokomo ʻia e ka lāʻau. Hoʻohana pinepine ʻia nā lāʻau anti-inflammatory i kapa ʻia ʻo corticosteroids e hoʻohuli koke i ka mumū o ka māmā.

Hele pinepine nā paukū koʻikoʻi ma waena o 48 a 72 mau hola ma hope o ka pau ʻana o ka lāʻau. ʻOi aku ka lōʻihi o ka hoʻomaikaʻi ʻana i nā ʻōuli maʻi.

ʻO kekahi o nā maʻi pūpū i hoʻokomo ʻia e ka lāʻau lapaʻau, e like me ka pulmonary fibrosis, ʻaʻole e hele a hele a mānoanoa, ʻoiai ma hope o ka pau ʻana o ka lāʻau a lāʻau paha a hiki ke alakaʻi i ka maʻi maʻi ākea a me ka make.

Nā pilikia e ulu paha i loko:

• ʻO fibrosis pulmonary interstitial
• Hypoxemia (haʻahaʻa ke oxygen oxygen)
• Hoʻoikaika hanu ʻole

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o kēia maʻi.

E hoʻomaopopo i nā hopena i hala i loaʻa iā ʻoe i ka lāʻau, i hiki ai iā ʻoe ke pale i ka lāʻau i ka wā e hiki mai ana. E komo i kahi kūpeʻe lima lāʻau lapaʻau inā ʻike ʻoe i nā hopena lāʻau. E noho mamao aku i nā lāʻau o ke alanui.

Maʻi maʻi Interstitial - hoʻokomo ʻia ka lāʻau

• Maʻi maʻi Interstitial lung - makua - hoʻokuʻu

• ʻŌnaehana hanu

ʻO Dulohery MM, ʻo Maldonado F, ʻo Limper AH. ʻO ka maʻi pulmonary i hoʻokomo ʻia i lāʻau lāʻau. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 71.

Kurian ST, Walker CM, Chung JH. ʻO ka maʻi pūpū i hoʻokomo ʻia i ka lāʻau lāʻau. I: Walker CM, Chung JH, hua. ʻO Muller's Imaging o ka umauma. ʻElua ed. Piladelapia, PA: Elsevier Saunders; 2019: chap 65.

ʻO Taylor AC, Verma N, Slater R, Mohammed TL. Maikaʻi ʻole no ka hanu ʻana: kahi kiʻi o ka maʻi pulmonary i hoʻokomo ʻia i lāʻau lāʻau. ʻO Curr Probl Digan Radiol. 2016; 45 (6): 429-432. PMID: 26717864 www.ncbi.nlm.nih.gov/pubmed/26717864.