Maʻi maʻi Rheumatoid

ʻO ka maʻi ʻo Rheumatoid lung kahi hui o nā pilikia māmā e pili ana i ka rheumatoid arthritis. Hiki i ke ʻano ke komo pū:

• Ka poloka o nā alaloa liʻiliʻi (bronchiolitis obliterans)
• Fluid i ka umauma (pleural effusions)
• ʻO ke koko kiʻekiʻe i loko o nā māmā (hypertension pulmonary)
• Nā puʻupuʻu i nā akemāmā (nodule)
• Scarring (pulmonary fibrosis)

ʻO nā pilikia o ka maʻi lepa i maʻa mau i ka rheumatoid arthritis. ʻAʻohe kumu pinepine lākou.

ʻAʻole ʻike ʻia ke kumu o ka maʻi pūpū e pili ana i ka rheumatoid arthritis. I kekahi manawa, ʻo nā lāʻau i hoʻohana ʻia e mālama i ka rheumatoid arthritis, keu hoʻi i ka methotrexate, e hopena paha i ka maʻi lolo.

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

• ʻEha ʻeha
• Cough
• Fiva
• Pokole o ka hanu
• ʻEha puʻupuʻu, ʻoʻoleʻa, ʻōhū
• Nā nodule ʻili

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

Hilinaʻi nā ʻōuli i ke ʻano o ka maʻi o ka akemāmā e hoʻomaka nei i nā akemāmā.

Lohe paha ka mea hāʻawi i nā māwae (rales) ke hoʻolohe nei i nā akemāmā me kahi stethoscope. A i ʻole, hōʻemi ʻia paha nā kani o ka hanu, ke kani ʻana, ke kani ʻānai ʻana, a me nā kani hanu maʻamau. Ke hoʻolohe nei i ka puʻuwai, loaʻa paha nā kani naʻau ʻole.

Hiki i nā hōʻike aʻe ke hōʻike i nā hōʻailona o ka maʻi lungs rheumatoid:

• Pākuʻi x-ray
• CT scan o ka umauma
• Echocardiogram (hōʻike i ke kiʻekiʻe o ka pulmonary hypertension)
• ʻO Biopsy lung (bronchoscopic, kōkua wikiō, a wehe paha)
• Nā hoʻāʻo hana lung
• Hoʻokomo ʻia ka nila i loko o ka wai a puni ka hakahaka (thoracentesis)
• Nā ho'āʻo koko no ka rheumatoid arthritis
  

Nui nā poʻe me kēia ʻano ʻaʻohe o lākou hōʻailona. Hoʻopaʻa ʻia ka mālama ʻana i nā pilikia olakino e hiki ai i ka pilikia māmā a me nā pilikia i hoʻokumu ʻia e ka maʻi. ʻO Corticosteroids a i ʻole nā ​​lāʻau ʻē aʻe e kāohi i ka ʻōnaehana pale ʻole he mea pono i kekahi manawa.

Pili ka hopena i ka maʻi maʻi a me ke ʻano a me ke koʻikoʻi o ka maʻi māmā. I nā hihia koʻikoʻi, hiki ke noʻonoʻo ʻia i ka lawe ʻana i ka māmā. ʻOi aku ka maʻamau o kēia i nā hihia o ka bronchiolitis obliterans, pulmonary fibrosis, a i ʻole pulmonary hypertension.

Hiki ke alakaʻi i ka maʻi ʻo Rheumatoid i:

• ʻO ka hāhā naha (pneumothorax)
• Hypertension pulmonary

Kāhea koke aku i kāu mea hāʻawi inā loaʻa iā ʻoe ka rheumatoid arthritis a hoʻomōhala ʻoe i nā pilikia hanu i wehewehe ʻole ʻia.

Maʻi maʻi - rheumatoid arthritis; Nā nodule Rheumatoid; Rheumatoid lung

• Maʻi maʻi Interstitial lung - makua - hoʻokuʻu

• ʻO Bronchoscopy
• ʻŌnaehana hanu

ʻO Corte TJ, Du Bois RM, Wells AU. Nā maʻi palahalaha hoʻohui. 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 65.

ʻO Yunt ZX, ʻo Solomon JJ. Maʻi puʻu ma ka rheumatoid arthritis. ʻO Rheum Dis Clin North Am. 2015; 41 (2): 225-236. PMID: PMC4415514 www.ncbi.nlm.nih.gov/pmc/articles/PMC4415514.