ʻO Bronchiectasis

Anter

• He aha ka bronchiectasis?
• He aha nā kumu o ka bronchiectasis?
• He aha nā hōʻailona o ka bronchiectasis?
• Pehea e ʻike ʻia ai ka maʻi bronchiectasis?
• Nā koho lapaʻau no ka bronchiectasis
• Hiki ke pale ʻia ka bronchiectasis?

He aha ka bronchiectasis?

ʻO Bronchiectasis kahi kūlana kahi e hōʻino mau ʻia ai nā paipu bronchial o kou mau māmā, hoʻonui ʻia a mānoanoa hoʻi.

ʻAe kēia mau ala ʻino i hōʻino ʻia i nā bacteria a me nā mucus e kūkulu a ʻauʻau i loko o kou māmā. ʻO kēia ka hopena i nā maʻi pinepine a me nā blockages o nā alaloa.

ʻAʻohe lāʻau lapaʻau no ka bronchiectasis, akā hiki ke mālama ʻia. Me ka lapaʻau, hiki iā ʻoe ke ola maʻamau i kahi ola maʻamau.

Eia nō naʻe, pono e mālama koke ʻia nā lapalapa ahi e mālama i ke kahe o ka oxygen i ke koena o kou kino a pale i ka hōʻino hou ʻana o ka mumū.

He aha nā kumu o ka bronchiectasis?

Hiki i kekahi hōʻeha lung ke hana i bronchiectasis. Aia ʻelua papa nui o kēia ʻano.

Pili kekahi i ka loaʻa ʻana o ka cystic fibrosis (CF) a ʻike ʻia ʻo CF bronchiectasis. ʻO CF kahi ʻano kūlohelohe e hoʻokumu i kahi hana maʻamau o ka mucus.

ʻO ka mahele ʻē aʻe, ʻaʻole ʻo CF-bronchiectasis, ʻaʻole pili iā CF. ʻO nā kūlana i ʻike nui ʻia e hiki ai ke alakaʻi i nā bronchiectasis non-CF pū kekahi:

• he ʻōnaehana pale ʻino hana ʻole
• maʻi maʻi ʻōpū
• nā maʻi maʻi autoimmune
• maʻi pulmonary pulupulu paʻa (COPD)
• Ka hemahema alpha 1-antitrypsin (kahi kumu hoʻoilina o COPD)
• HIV
• allpergillosis maʻi ʻaʻano (kahi hopena maʻi ʻaʻano maʻi i ka fungus)
• nā maʻi puʻupuʻu, e like me ka kohō a me ka maʻi puʻupuʻu

Hoʻopili ka CF i nā akemāmā a me nā mea ʻē aʻe e like me ka pancreas a me ke ake. I nā māmā, hopena kēia i nā maʻi pinepine. I nā lālā ʻē aʻe, kumu ia i ka hana maikaʻi ʻole.

He aha nā hōʻailona o ka bronchiectasis?

Hiki i nā ʻōuli o bronchiectasis ke hala i mau mahina a i ʻole i mau makahiki e hoʻomohala. ʻO kekahi mau hōʻailona maʻamau e pili pū me:

• ʻūhū mau o kēlā me kēia lā
• e kahe ana ke koko
• kani kani ʻole a i ʻole ke kani ʻana i ka umauma me ka hanu ʻana
• pokole o ka hanu
• ʻeha ka umauma
• ke kuʻi nei i ka nui o nā mucus mānoanoa i kēlā me kēia lā
• Kaumaha emi
• luhi
• hoʻololi i ke ʻano o nā manamana lima a me nā manamana wāwae, ʻike ʻia ʻo ka clubbing
• maʻi hanu pinepine

Inā ʻoe e ʻike nei i kekahi o kēia mau ʻōuli, pono ʻoe e ʻike koke i kāu kauka no ka hōʻailona a me ka lāʻau.

Pehea e ʻike ʻia ai ka maʻi bronchiectasis?

ʻO ka scan tomography compute i ka umauma, a i ʻole ka CT scan, ʻo ia ka hōʻike maʻamau no ka hōʻoia ʻana i nā bronchiectasis, ʻoiai ʻaʻole lawa ka kikoʻī o ka pahu X.

Hoʻokumu kēia hōʻike ʻehaʻeha ʻole i nā kiʻi kikoʻī o kāu mau kahawai a me nā hanana ʻē aʻe i kou umauma. Hiki i kahi scan CT pahu umauma ke hōʻike i ka nui a me kahi o ka hōʻino māmā.

Ma hope o ka hōʻoia ʻana o ka bronchiectasis me ka CT scan umauma, e hoʻāʻo kāu kauka e hoʻokumu i ke kumu o ka bronchiectasis ma muli o kāu mōʻaukala a me nā hopena hōʻike kino.

He mea nui ia e ʻike i ke kumu kūpono i hiki i ke kauka ke mālama i ka maʻi kūpale e pale ai i ka bronchiectasis mai ka ʻino loa ʻana. Nui nā kumu i hiki ke hoʻoulu a hāʻawi paha i ka bronchiectasis.

ʻO ka loiloi no ke kumu kumu ke ʻano o ka hoʻokolohua a me ka hoʻowalewale microbiologic a me ka hoʻāʻo ʻana i ka hana pulmonary.

E hoʻokomo paha kāu loiloi mua i:

• helu piha i ke koko me ka ʻokoʻa
• pae immunoglobulin (IgG, IgM, a me IgA)
• moʻomeheu sputum e nānā i nā koʻohune, mycobacteria, a me nā fungi

Inā kānalua kāu kauka iā CF, e kauoha lākou i kahi hoʻokolohua chloride sweat a i ʻole hoʻāʻo genetika.

Nā koho lapaʻau no ka bronchiectasis

Hiki i nā therapies kikoʻī ke hoʻolohi i ka holomua o nā bronchiectasis e pili ana i nā kūlana aʻe:

• maʻi maʻi mycobacterial
• kekahi mau immunodeficiencies
• cystic fibrosis
• manaolana hou
• aspergillosis maʻi ʻaʻai
• ʻo nā maʻi maʻi autoimmune paha

ʻAʻohe lāʻau lapaʻau no ka bronchiectasis ma ka nui, akā he mea nui ka mālama ʻana e kōkua iā ʻoe e hoʻokele i ke ʻano. ʻO ka pahuhopu nui o ka mālama ʻana ka mālama ʻana i nā maʻi a me nā huna huna bronchial.

He mea koʻikoʻi nō hoʻi e pale i nā keakea hou o nā alaloa a hoʻoliʻiliʻi i nā hōʻino o ka māmā. ʻO nā hana maʻamau o ka mālama ʻana i nā bronchiectasis e komo pū ana:

• ka hoʻomaʻemaʻe ʻana i nā kahawai me nā hana hanu a me ka physiotherapy o ka umauma
• e hana hou ana i ka pulmonary
• lawe antibiotic e pale a mālama i ka maʻi (ke hana ʻia nei nā noiʻi ma nā formulate hou o nā lāʻau ʻino ʻino).
• lawe i nā bronchodilators e like me albuterol (Proventil) a me tiotropium (Spiriva) e wehe i nā ala
• lawe i nā lāʻau i ka mucus lahilahi
• lawe expectorants e kōkua i ka huehue i mucus
• e hele nei i ka oxygen therapy
• ke kiʻi ʻana i nā lāʻau āpau e pale ai i nā maʻi hanu

Hiki paha iā ʻoe ke kōkua o ka lāʻau physiotherapy. ʻO kahi ʻano kahi pale umauma oscillation umauma alapine kiʻekiʻe e kōkua ai e hoʻomaʻemaʻe i kou māmā o ka mucus. Hoʻopili mālie ka lole komo a hoʻokuʻu i kou umauma, e hana ana i ka hopena like me ka ʻeha. Hoʻokuʻu kēia i ka mucus mai nā paia o nā paipu bronchial.

Inā he kahe ʻana i ka akemā, a inā aia wale nō ka bronchiectasis ma hoʻokahi ʻāpana o kou māmā, pono paha ʻoe i ke ʻoki e wehe i ka wahi i hoʻopilikia ʻia.

ʻO kekahi ʻāpana o ka mālama ʻana i kēlā me kēia lā e pili ana i ka ninini ʻana i nā huna huna bronchial, kōkua ʻia e ka umekaumaha. Hiki i kahi therapist respiratory ke aʻo iā ʻoe i nā ʻenehana e kōkua i ke kuʻu ʻana i ka mucus nui.

Inā kū nā kumu e like me nā maʻi pale a COPD paha i kāu bronchiectasis, e mālama pū kāu kauka i kēlā mau ʻano.

Hiki ke pale ʻia ka bronchiectasis?

ʻAʻole ʻike ʻia ke kumu kūpono o ka bronchiectasis e pili ana i nā hihia o ka ʻole bronchiectasis non-CF.

No nā mea ʻē aʻe, pili ia i nā ʻano kūlohelohe a me nā ʻano olakino ʻē aʻe e pili ana i nā akemāmā. ʻO ka pale ʻana i ka puhipaka, ka ea haumia, nā kuke kuke, a me nā kemika hiki ke kōkua i ka pale ʻana i kou mau māmā a mālama i ke olakino māmā.

Pono ʻoe e kanikau iā ʻoe a me kāu mau keiki e kūʻē i ka maʻi palū, ka maʻi puʻu, a me ka maʻi ʻula, ʻoiai ua hoʻopili ʻia kēia mau ʻano i ke ʻano i ka wā makua.

Akā pinepine ke ʻike ʻole ʻia ke kumu, paʻakikī ka pale ʻana. He mea nui ka hoʻomaopopo mua ʻana i ka bronchiectasis i hiki iā ʻoe ke mālama i ka lāʻau ma mua o ka hōʻeha ʻana o ka maʻi nui.