He aha kāu e ʻike ai e pili ana i ka Lung Granulomas

Anter

• He aha nā hōʻailona?
• He aha nā kumu?
• Histoplasmosis
• Mycobacteria nonontercercious (NTM)
• Granulomatosis me polyangiitis (GPA)
• Rheumatoid arthritis (RA)
• ʻO Sarcoidosis
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• He aha ke kuanaʻike?

Hōʻike Overview

I kekahi manawa ke wela ka nāʻaʻaʻa - pinepine i ka pane ʻana i kahi maʻi - nā hui o nā hunaola i kapa ʻia nā pūʻulu histiocytes e hana i nā nodule liʻiliʻi. Kapa ʻia kēia mau puʻupuʻu ʻano liʻiliʻi me ka granulomas.

Hiki i nā Granulomas ke hana ma nā wahi āpau o kou kino akā ulu pinepine i kāu:

• ʻili
• lymph aka wahi
• māmā

Ke kū mua nā granulomas, palupalu lākou.Ma hope o ka manawa, hiki iā lākou ke paʻakikī a lilo i helu. ʻO kēia ke hana nei ka calcium i nā waihona i loko o nā granulomas. Hana maʻalahi nā waihona kalima i kēia mau ʻanoʻano o nā granulomas māmā i nā hoʻokolohua kiʻi, e like me nā X-ray a i ʻole CT scans.

Ma kahi pahu X-ray, hiki i kekahi mau granulomas māmā ke nānā aku e like me ka ulu ʻana o ka maʻi ʻaʻai. Eia nō naʻe, noncancerous nā granulomas a kumu pinepine ʻole i nā ʻōuli a koi ʻole i kahi lapaʻau.

He aha nā hōʻailona?

ʻAʻohe pinepine nā hōʻailona e pili ana iā lākou iho. Eia nō naʻe, hana nā granulomas i ka pane i nā kūlana hanu, e like me sarcoidosis a i ʻole histoplasmosis, no laila ke kumu o nā kumu e hōʻike i nā ʻōuli. Pākuʻi ʻia kēia mau mea:

• ʻūhū hele ʻole
• pokole o ka hanu
• ʻeha ka umauma
• ke kunu a i ʻole ke anuanu

He aha nā kumu?

ʻO nā kūlana e pili pinepine ʻia me nā granulomas māmā hiki ke hoʻokaʻawale ʻia i ʻelua mau ʻāpana: nā maʻi a me nā maʻi maʻi.

Aia i waena o nā maʻi i:

Histoplasmosis

ʻO kekahi o nā kumu maʻamau o ka granulomas māmā he ʻano maʻi maʻi fungal i ʻike ʻia ʻo histoplasmosis. Hiki iā ʻoe ke hoʻomōhala i ka histoplasmosis e ka hanu ʻana i nā spores airborne o kahi fungus i loaʻa mau i nā manu a me nā ʻōpeʻapeʻa.

Mycobacteria nonontercercious (NTM)

ʻO NTM, ka mea i loaʻa kūlohelohe i ka wai a me ka lepo, i waena o nā kumuwaiwai maʻamau o nā maʻi bacteria i hiki ai i nā granulomas māmā.

ʻO kekahi mau ʻano noninfectious, inflammates nā:

Granulomatosis me polyangiitis (GPA)

ʻO ka GPA kahi laha akā koʻikoʻi koʻikoʻi o nā kīʻaha koko i kou ihu, ʻāʻī, akemāmā, a me nā puʻupaʻa. ʻAʻole maopopo iā ia ke kumu e ulu ai kēia ʻano, ʻoiai ke ʻano he pale ʻōnaehana pale ʻole i ka maʻi.

Rheumatoid arthritis (RA)

ʻO RA ka pane kūlohelohe ʻē aʻe o ka ʻōnaehana pale i hiki i ka puhū. Hoʻopili ka RA i kou mau hui akā hiki iā ia ke kumu i nā granulomas māmā, i kapa ʻia hoʻi me nā nodule rheumatoid a i ʻole nā ​​nodule māmā. ʻAʻole pilikia kēia mau granulomas, akā aia kahi liʻiliʻi liʻiliʻi e hiki ai i kahi nodule rheumatoid ke haki a hōʻeha i kou māmā.

ʻO Sarcoidosis

ʻO Sarcoidosis kahi maʻi hōʻeha e hoʻopili pinepine i kāu mau māmā a me nā lymph node. Kuhi ʻia ia e kahi pane ʻōnaehana pale ʻole, ʻoiai ʻaʻole ʻike nā kānaka noiʻi i nā mea e hoʻomaka ai kēia pane. Pili paha ia i ka maʻi koʻohune a viral paha, akā ʻaʻohe hōʻike maopopo e kākoʻo ai i kēlā kumumanaʻo.

ʻO nā granulomas o ka lepa e pili ana i ka sarcoidosis he mea maikaʻi ʻole ia, akā hiki i kekahi ke hoʻopili i kāu hana māmā.

Pehea ia ʻike?

No ka mea liʻiliʻi lākou a ʻaʻole kumu pinepine nā hōʻailona, ​​ʻike pinepine ʻole ʻia nā granulomas. ʻO kahi laʻana, inā loaʻa iā ʻoe kahi X-ray umauma maʻamau a i ʻole CT scan ma muli o kahi pilikia hanu, ʻike paha kāu kauka i nā wahi liʻiliʻi ma kou mau māmā i lilo i granulomas. Inā helu ʻia lākou, maʻalahi ka maʻalahi o ka ʻike ʻana ma kahi X-ray.

I ka nānā mua, like nā granulomas me nā tumors cancerous. Hiki i kahi CT scan ke ʻike i nā nodule liʻiliʻi a hāʻawi i kahi ʻike kikoʻī.

Maikaʻi ʻole ke ʻano o nā nodule lung cancerous a ʻoi aku ka nui ma mua o nā granulomas benign, ʻo ka awelika 8 a 10 millimeter ke anawaena. ʻOi aku ka nui o nā Nodule i luna i kou mau māmā i nā maʻi maʻi maʻi ʻaʻai.

Inā ʻike kāu kauka i ka mea he granuloma liʻiliʻi a maikaʻi ʻole paha ma ka X-ray a i ʻole CT scan, hiki iā lākou ke nānā iā ia no kekahi manawa, me ka lawe ʻana i nā kiʻi hou aʻe i mau makahiki e ʻike inā ulu.

Hiki ke loiloi ʻia kahi granuloma nui aʻe ma mua o ka manawa me ka hoʻohana ʻana i nā scan tomography emission positron (PET). Hoʻohana kēia ʻano kiʻi i ka injection o kahi mea radioactive e ʻike ai i nā wahi o ka mumū a me ka hōʻino.

Lawe pū paha kāu kauka i kahi biopsy o ka granuloma māmā e hoʻoholo inā he maʻi ʻaʻai ia. Hoʻopili kahi biopsy i ka hemo ʻana i kahi ʻāpana o nā mea kanalua me kahi nila nīnū a i ʻole he bronchoscope, kahi ʻōmole lahilahi i wili ʻia i kou ʻāʻī a i loko o kou mau akeā. Nānā ʻia ka laʻana kiko ma lalo o kahi microscope.

Pehea e mālama ʻia ai?

ʻAʻole pono ka granulomas i ka maʻi maʻamau i ka mālama ʻana, keu hoʻi inā ʻaʻohe ou ʻōuli.

Ma muli o ka maʻamau o nā granulomas i kahi hopena o kahi ʻano diagnosable, he mea nui ka mālama ʻana i ke ʻano kumu. ʻO kahi laʻana, pono e mālama ʻia kahi maʻi bacteria i kou mau māmā e hoʻoulu ai i ka ulu ʻana o ka granuloma me nā lāʻau antibiotic. ʻO kahi maʻi hōʻeha, e like me sarcoidosis, hiki ke mālama ʻia me nā corticosteroids a i ʻole nā ​​lāʻau anti-inflammatory ʻē aʻe.

He aha ke kuanaʻike?

I ka manawa e loaʻa iā ʻoe ke kumu kumu o ka granulomas māmā ma lalo o ka kaohi, ʻaʻole paha ʻoe he nodule hou i loko o kāu mau māmā. ʻO kekahi mau kūlana, e like me sarcoidosis, ʻaʻohe mea ola, akā hiki ke mālama maikaʻi ʻia. ʻOiai hiki iā ʻoe ke mālama i nā pae o ka mumū, hiki paha ke hana i nā granulomas hou aʻe.

Hoʻomaopopo pinepine ʻia nā granulomas o ka pūpū a me nā ulu ʻē aʻe i kou mau māmā i ka wā e ʻimi ana kāu kauka no nā pilikia hanu ʻē aʻe. ʻO ia ka mea nui e hōʻike i nā ʻōuli e like me ka puʻu ʻana, ka pōkole o ka hanu, a me ka ʻeha o ka umauma i kou kauka. ʻO ka wikiwiki o kāu loaʻa ʻana o nā hōʻailona a loiloi ʻia, ʻo ka hiki koke iā ʻoe ke loaʻa i ka lāʻau kōkua.