ʻO Bronchiectasis

ʻO Bronchiectasis kahi maʻi kahi i hōʻino ʻia nā ala ākea i nā akemāmā. ʻO kēia ke kumu e lilo i ākea ākea ākea.

Hiki ke loaʻa ʻo Bronchiectasis i ka hānau ʻana a i ʻole ka wā pēpē a hoʻomōhala paha ma hope o ke ola.

Hoʻokumu pinepine ʻia ʻo Bronchiectasis e ka mumū a i ʻole ka maʻi o nā alaloa e hoʻi mau nei.

I kekahi manawa hoʻomaka ia i ka wā kamaliʻi ma hope o ka loaʻa ʻana o ka maʻi ʻaʻa nui a i ʻole ka hānai ʻana i kahi mea haole. Hiki i ka hanu ʻana i nā mea ʻai ke alakaʻi i kēia ʻano.

Hiki i nā kumu ʻē aʻe o bronchiectasis ke hoʻopili pū i:

• ʻO Cystic fibrosis, kahi maʻi e hoʻoulu ai i ka mūmū mānoanoa a paʻa i nā māmā
• Nā maʻi Autoimmune, e like me ka rheumatoid arthritis a i ʻole Sjögren syndrome
• Nā maʻi pūpū āpau
• Leukemia a me nā maʻi ʻino e pili ana
• Nā syndrome hemahema palekana
• ʻO ka dyskinesia ciliary mua (kekahi maʻi hānau hou)
• ʻO ka maʻi me mycobacteria non-tubercious

Hoʻolālā nā ʻōuli ma ka manawa. Kū paha lākou i mau mahina a mau makahiki paha ma hope o ka hanana i kumu i ka bronchiectasis.

Lohi wā lōʻihi (mau) me ka nui o ka spulum ʻaʻala maikaʻi ʻole ka hōʻailona nui o ka bronchiectasis. Hiki i nā ʻōuli ʻē aʻe ke:

• ʻAʻala hanu
• ʻApu ʻana i ke koko (liʻiliʻi i nā keiki)
• Ka luhi
• Maʻaleʻa
• Ka hanu ʻana o ka hanu e ʻoi aku ka maikaʻi me ka hoʻoikaika kino
• Kaumaha emi
• ʻUhihi
• ʻO ke kuni papa haʻahaʻa a me ka hou ka pō
• Clubbing o nā manamana lima (kakaikahi, kaukaʻi ʻia i ke kumu)

E hana ka mea mālama ola i kahi hoʻokolohua kino. Ke hoʻolohe nei i ka umauma me kahi stethoscope, lohe paha ka mea hāʻawi i ke kaomi liʻiliʻi ʻana, ka ʻū ʻana, ke kani ʻana, ka uʻi ʻana, a i ʻole nā ​​kani ʻē aʻe, ma nā māmā haʻahaʻa o lalo.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO ka ho'āʻo ʻo Aspergillosis precipitin (e nānā i nā hōʻailona o ka hopena maʻi ʻino i ka fungus)
• Hōʻike koko Alpha-1 antitrypsin
• Pākuʻi x-ray
• ʻO Chest CT
• Moʻomeheu Sputum
• Helu piha koko (CBC)
• ʻO ka hoʻāʻo genetic, me ka hoʻowalewale hoʻokolohua no ka cystic fibrosis a me nā hoʻokolohua no nā maʻi ʻē aʻe (e like me ka dyskinesia cili mua)
• ʻO ka hoʻāʻo ʻili PPD e nānā ai no ka maʻi maʻi tuberculosis i hala
• Serum immunoglobulin electrophoresis e ana i nā proteins i kapa ʻia immunoglobulins i loko o ke koko
• Nā hoʻāʻo ʻana o ka hana lung e ana i ka hanu ʻana a me ka maikaʻi o ka hana ʻana o nā māmā
• ʻO ka hana hemahema palekana

Kūpono ka mālama ʻana ma:

• Ka mālama ʻana i nā maʻi a me ka sputum
• Hōʻoluʻolu i ke ala ākea
• Kāohi i ka pilikia mai ka ʻino ʻana

ʻO ka hoʻowahāwahā i kēlā me kēia lā e wehe i ka sputum kahi mahele o ka mālama. Hiki i kahi therapist respiratory ke hōʻike i ke kanaka me ka hoʻoheheʻe i nā hana e kōkua.

Kau pinepine ʻia nā lāʻau. Pākuʻi ʻia kēia mau mea:

• Nā Antibiotics e mālama i nā maʻi
• ʻO Bronchodilators e wehe i nā alaloa
• ʻO nā expectorants e kōkua e hoʻokuʻu a huki i ka sputum mānoanoa

ʻO ke ʻoki kino e hemo ai (resect) pono paha ka lung inā ʻaʻole holo pono ka lāʻau a aia ka maʻi i kahi wahi liʻiliʻi, a inā he nui ke kahe o ke kanaka i nā akemāmā. Manaʻo pinepine ʻia inā ʻaʻohe aʻa a i ʻole loaʻa i ka predisposition i ka bronchiectasis (ʻo kahi laʻana, e noʻonoʻo paha inā aia he bronchiectasis i hoʻokahi ʻāpana o ka māmā ma muli wale nō o ka ālai mua.

Aia ka nānā i ke kumu kikoʻī o ka maʻi. Me ka lapaʻau ʻana, noho ka hapa nui o ka poʻe me ke kīnā ʻole nui a holo lohi ka maʻi.

Komo pū kekahi nā pilikia o ka bronchiectasis:

• Cor pulmonale
• ʻApu ʻana i ke koko
• Nā pae oxygen haʻahaʻa (i nā hihia koʻikoʻi)
• Pulumonia hou
• Kaumaha (i nā manawa kakaikahi)

Kāhea i kāu mea hāʻawi inā:

• ʻOi aku ka ʻeha o ka umauma a i ʻole ka liʻiliʻi o ka hanu
• Aia kekahi loli i ke kala a i ʻole ka nui o ka phlegm e ʻūlū ai ʻoe, a inā he koko paha
• ʻOi aku ka maikaʻi o nā ʻōuli ʻē aʻe a i ʻole hoʻomaikaʻi me ka lāʻau

Hiki iā ʻoe ke hōʻemi i kou makaʻu ma ka mālama koke ʻana i nā maʻi lolo.

Kōkua nā lāʻau āpau a me nā lāʻau āpau o ka maʻi flu i kēlā me kēia makahiki e hōʻemi i ka manawa kūpono o kekahi mau maʻi. ʻO ka pale ʻana i nā maʻi hanu o luna, ka puhihaka, a me ka haumia e hoʻoliʻiliʻi paha i kou makaʻu o ka loaʻa ʻana o kēia maʻi.

Loaʻa i ka bronchiectasis; Bronchiectasis hānau; ʻO ka maʻi maʻi maʻi mau loa - bronchiectasis

• ʻOki kino - hoʻokuʻu

• Lungs
• ʻŌnaehana hanu

ʻO Chan ED, ʻo Iseman MD. ʻO Bronchiectasis. 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 48.

Chang AB, Redding GJ. ʻO Bronchiectasis a me ka maʻi o ka lung suppurative mau. I: Wilmott RW, Deterding R, Li A, et al, eds. Nā maʻi o Kendig o ke ala hanu i nā keiki. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 26.

O'Donnell AE. Bronchiectasis, atelectasis, cyst, a me nā maʻi kūloko kūloko. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 84.