Hypersensitivity pneumonitis

ʻO ka hyponensitivity pneumonitis ka mumū o nā akemā ma muli o ka hanu ʻana i kahi mea haole, ʻo kekahi ʻano o ka lepo, fungus, a me nā moʻo.

Hana pinepine ʻia ka pneumonitis hypersensitivity i ka poʻe e hana ana ma nā wahi kahi kiʻekiʻe o nā huna lepo, fungus, a me nā hopena.

Hiki i ke kū lōʻihi ke alakaʻi i ka mumū a me ka maʻi ākea ākea. I ka hala ʻana o ka manawa, lilo ke ʻano koʻikoʻi i loko o ka maʻi maʻi mau loa (maʻi mau).

Hoʻokumu pū ʻia paha ka hyponensitivity pneumonitis e ka fungi a i ʻole ka bacteria i nā mea hoʻohaʻahaʻa, nā ʻōnaehana hoʻomehana, a me nā ea i loaʻa i nā hale a me nā keʻena. Hōʻike i kekahi mau kemika, e like me isocyanates a i ʻole acid anhydrides, hiki ke alakaʻi i ka hyponensitivity pneumonitis.

Eia kekahi laʻana o ka hyponensitivity pneumonitis:

ʻO ka māmā ʻo manu fancier: ʻO kēia ka ʻano maʻamau o ka hyponensitivity pneumonitis. Hoʻokumu ʻia ia e ka hōʻike pinepine a ikaika paha i nā protein i loaʻa i ka hulu a i ʻole nā ​​kulu o nā ʻano manu.

Māmā o ka mahiʻai: Hoʻokumu ʻia kēia ʻano hyponensitivity pneumonitis e ka hōʻike ʻana i ka lepo mai ka mauʻu mauʻu, mauʻu, a me ka palaoa.

Hōʻike pinepine nā ʻōuli o ka nui hypersensitivity pneumonitis i ka 4 a i ka 6 mau hola ma hope o kou haʻalele ʻana i kahi i loaʻa ai ka mea lawehala. He mea paʻakikī kēia e loaʻa ai ka pilina ma waena o kāu hana a me ka maʻi. E hoʻonā paha nā ʻōuli ma mua o kou hoʻi ʻana i kahi āu i hālāwai ai me kēia lāʻau. I ka wā mau o ke kūlana, ʻoi aku ka mau o nā ʻōuli a emi iki ka hopena i ka hōʻike ʻana i ka lāʻau.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO Chills
• Cough
• Fiva
• Malaise (manaʻo maʻi)
• Pokole o ka hanu

Nā hōʻailona o ka pneumonitis hypersensitivity mau loa e komo pū:

• ʻO ka hanu hanu, keu hoʻi me ka hana
• Cough, maloʻo pinepine
• Loaʻa ka ʻai ʻole
• Ka hoʻohaʻahaʻa kaumaha ʻole

E hana ka mea mālama ola i kahi hoʻokolokolo kino a nīnau e pili ana i kāu mau hōʻailona.

Lohe paha kāu mea hāʻawi i nā kani māmā i kapa ʻia ʻo crackles (rales) ke hoʻolohe nei i kou umauma me kahi stethoscope.

Hoʻololi ka lepa ma muli o ka maʻi hypersensitivity mau loa e ʻike ʻia ma kahi umauma x-ray. Hiki i nā hoʻokolohua ʻē aʻe ke:

• ʻO ka ho'āʻo koko Aspergillosis precipitin e nānā inā ua ʻike ʻia ʻoe i ka fungus aspergillus
• ʻO Bronchoscopy me ka holoi ʻana, ka biopsy, a me ka lavage bronchoalveolar
• Helu piha koko (CBC)
• CT scan o ka umauma
• ʻO ka hoʻāʻo ʻana o ka hyponensensivity pneumonitis antibody
• Krebs von den Lungen-6 assay (KL-6) hoʻokolohua koko
• Nā hoʻāʻo hana pulmonary
• ʻO ka biopsy lung ʻoki kino

ʻO ka mea mua, pono e ʻike ʻia nā mea hana hewa. Hoʻopilikia ka mālama ʻana i ka hōʻalo ʻana i kēia mea i ka wā e hiki mai ana. Pono paha kekahi poʻe e hoʻololi i nā hana inā ʻaʻole hiki iā lākou ke pale i ka lāʻau i ka hana.

Inā loaʻa iā ʻoe kahi ʻano maʻi o kēia maʻi, hiki i kāu kauka ke koi aku iā ʻoe e lawe i nā glucocorticoids (nā lāʻau anti-inflammatory). I kekahi manawa, hiki i nā hana i hoʻohana ʻia no ka hānō ke kōkua i ka poʻe me ka hyponensitivity pneumonitis.

Hele ka hapa nui o nā ʻōuli ke pale aku ʻoe a palena paha i kāu ʻike i nā mea i hoʻokumu i ka pilikia. Inā mālama ʻia ka pale ma ke kahua ʻoi loa, maikaʻi ka nānā. Ke hiki i ka pae lōʻihi, hoʻomau paha ka holomua o ka maʻi, ʻoiai inā pale ʻia ka mea hōʻeha.

ʻO ke ʻano mau o kēia maʻi e alakaʻi i ka fibrosis pulmonary. ʻO kēia kahi scarring o kaʻiʻo māmā i hiki ʻole ke hoʻohuli pinepine ʻia. ʻO ka hopena, hiki i nā maʻi maʻi a me nā hanu hanu hope ke hopena.

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o hypersensitivity pneumonitis.

Hiki ke pale ʻia ke ʻano mau e ka hōʻalo ʻana i nā mea e hana ai i ka mumū.

ʻO ka alveolitis maʻi ʻaʻai extrinsic; Puʻu māmā; Maʻi o ka mea hōʻiliʻili Mushroom; Humidifier a i ʻole ea leʻaleʻa lewa; Manu māmā manu a manu manu paha

• Maʻi maʻi Interstitial lung - makua - hoʻokuʻu

• ʻO Bronchoscopy
• ʻŌnaehana hanu

ʻO Patterson KC, ʻo Rose CS. Hypersensitivity pneumonitis. 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 64.

ʻO Tarlo SM. Maʻi maʻi ʻohana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 87.