Larring Scarring: Pono anei ka hemo ʻana?

Anter

• He koʻikoʻi paha ka scarring o nā mumū?
• Hoʻolālā mālama no ka scarring māmā
• Pehea e mālama ai i nā ʻōuli i hoʻopaʻa ʻia i ka scarring māmā
• Pehea e pale ai i ka scarring māmā hou
• Pono kahi transplant lung?
• Hiki i nā pilikia o ka scarring māmā
• I ka manawa e ʻike ai i kāu kauka
• Outlook

Pono ka hemo ʻana i nā ʻaʻa maka palu?

Loaʻa nā maʻi ʻōpū mai kahi ʻeha i ka akemāmā. He ʻano like ʻole kā lākou o nā kumu, a ʻaʻohe mea e hiki ke hana ʻia ke ʻoki ʻia nāʻiʻo o ka māmā. Eia nō naʻe, kūpaʻa nā māmā a hiki ke hoʻomanawanui i nā kaha liʻiliʻi noninvasive me nā hopena maikaʻi ʻole.

ʻAʻole mālama nā kauka i nā scars ma nā māmā i kūpaʻa. ʻAʻole pono ka hemo ʻana, ʻoiai ke ulu nei ka ʻili. I kēia kūlana, e mālama kāu kauka i ke ʻano o ke kumu o ka ʻili a lohi a kū paha i kāna holomua.

He koʻikoʻi paha ka scarring o nā mumū?

ʻAʻole koʻikoʻi nā wahi liʻiliʻi o ka scarring māmā. ʻAʻole pono lākou e hoʻopili i kou maikaʻi o ke ola a i ʻole ke kali o ke ola.

ʻO kēlā ʻōlelo, pālahalaha a hoʻonui ʻia nā kaha ma luna o ka akahā e hōʻike paha i kahi ʻano olakino olakino. Hiki i kēia kūlana kumu ke hoʻopili i kou maikaʻi o ke ola a me ke olakino holoʻokoʻa. I kēia mau hihia, e hoʻoholo kāu kauka i ke kumu o ka scarring a hana pololei me ia.

I nā hihia nui loa o ka hōʻino ʻana o ka hanu, pono paha i nā kauka ke hoʻololi i ka māmā. ʻIke ʻia kēia he transplant lung.

Hoʻolālā mālama no ka scarring māmā

ʻO ka wehe pono ʻana i kahi scar ʻaʻole ia he koho. Ma kahi o, e nānā ana kāu kauka i ka scarring a hoʻoholo inā pono kekahi mau ʻanuʻu hou aʻe.

E hoʻohana kāu kauka i nā kiʻi X-ray e nānā i ka nui a me ke kūpaʻa o ka scarring. E nānā pū lākou inā e hoʻonui ana ka ʻili. E hana i kēia, e hoʻohālikelike lākou i kahi X-ray umauma kahiko me kahi mea hou e ʻike inā ua ulu nā wahi o ka scarring. I nā manawa he nui, koho paha kāu kauka e hoʻohana i kahi CT scan me ka hoʻohui ʻia i nā kukuna X.

Inā kūloko ka ʻili, ʻo ia hoʻi ma kahi ʻāpana wale nō, a i like paha me ka nui o ka nui ma mua o ka manawa, ʻaʻohe mea maʻamau. Hoʻokumu pinepine ʻia nā scars o kēia ʻano e kekahi maʻi i hala. Inā ua mālama ʻia ka maʻi i hoʻokumu ʻia i kēia ʻili, ʻaʻole pono ka mālama hou ʻana.

Inā e ulu ana ka ʻili a ʻoi aku paha ka laulaha, hōʻike paha kēia i ka kū mau i nā mea i hiki ke hōʻeha i ka maʻi māmā e like me nā toxins a i ʻole nā ​​lāʻau. Hiki i kekahi ʻano olakino ke kumu i ka scarring, pū kekahi. Hiki i kēia ke alakaʻi i kahi pilikia i ʻike ʻia ʻo interstitial lung disease (ILD). Pili ʻo ILD i kahi hoʻonohonoho o nā maʻi e hoʻemi i ka lahilahi o nā ake māmā.

Hiki paha i kāu kauka ke koi aku i nā hoʻokolohua hou aku, e like me kahi biopsy lung, e hōʻiliʻili i ka ʻike hou aʻe a hōʻoia paha i ka ʻike o kahi maʻi. I kēia mau hihia, e hoʻomohala kāu kauka i kahi hoʻolālā lapaʻau e mālama i ke ʻano o ke kumu a pale i ka scarring hou.

Pehea e mālama ai i nā ʻōuli i hoʻopaʻa ʻia i ka scarring māmā

E loli ka ikaika a me ke ʻano o nā hōʻailona mai ka scarring māmā mai kēlā me kēia kanaka.

I ka hapanui o nā hihia, ʻaʻole ʻike ka poʻe i loaʻa i ka scarring māmā akahai a i ʻole localized i kekahi mau ʻōuli.

Inā loaʻa iā ʻoe ka scarring māmā ākea ākea, e like me ke ʻano i loaʻa i ka pulupulu fibrosis, hana pinepine ʻia e ka hoʻoponopono maikaʻi ʻole i ka ʻeha. ʻO nā ʻōuli maʻamau ka:

• ka hanu liʻiliʻi (dyspnea)
• luhi
• paʻakikī i ka hanu ʻana me ka hoʻoikaika kino
• lilo kaumaha maopopo ʻole
• nā manamana lima a me nā manamana wāwae paha e ākea a lilo a puni i ka piko (clubbing)
• ʻeha nā mākala a me nā hono
• ʻūhū maloʻo

E ʻōlelo paha kāu kauka i hoʻokahi a ʻoi paha o kēia mau mea e kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli.

• Lāʻau lapaʻau: Inā ke holomua nei ka scarring, e kuhikuhi paha kāu kauka i lāʻau lapaʻau e lohi ai i ka hoʻokumu ʻana i ka ʻili. ʻO nā koho e pili ana i ka pirfenidone (Esbriet) a me ka nintedanib (Ofev).
• Oxygen therapy: Hiki i kēia ke kōkua i ka maʻalahi o ka hanu ʻana, a ʻo ka hōʻemi ʻana hoʻi i nā pilikia mai nā pae oxygen haʻahaʻa. Eia naʻe, ʻaʻole ia e hōʻemi i ka hōʻino ʻana i nā ake māmā.
• Pulmonary rehabilitation: Hoʻohana kēia hana i nā ʻano loli o ka nohona e hoʻomaikaʻi ai i kou olakino holoʻokoʻa no laila ʻaʻole pilikia ka scarring lung i nā pilikia he nui.Aia i loko o ka hoʻoikaika kino, aʻoaʻo aʻoaʻo hānai, nā ʻenehana hanu, a me nā ʻōlelo aʻoaʻo a me ke kākoʻo.

Pehea e pale ai i ka scarring māmā hou

Mālama ʻia ka hana o ke ake inā hiki iā ʻoe ke pale i ka scarring hou aʻe.

I kekahi mau hihia, hiki iā ʻoe ke hōʻemi i kou makaʻu no ka scarring hou aʻe e:

• Ke pale a hoʻohaʻahaʻa paha i ka launa pū ʻana me nā kemika weliweli, e like me asbestos a me silica.
• Kaohi ʻana i ka paka. Hāpai ka nui o nā kemika i ka uahi paka i nā maʻi, ka mumū, a me nā maʻi i hiki ke hōʻeha ʻia ka scarring.
• Lawe i ka papa kūpono o ka lāʻau inā loaʻa ʻoe i ka maʻi ʻaʻa. E hāhai i ka ʻōlelo aʻoaʻo a kāu kauka no ka papa hoʻomaʻamaʻa ʻelua a me ka nānā ʻana.
• Hoʻopili i kāu hoʻolālā hoʻokele maʻi inā loaʻa ka scarring i nā hopena mai ka radiation no ka mālama ʻana i ka maʻi ʻaʻa maʻi a i ʻole kahi kūlana maʻi ʻē aʻe. Hiki i kēia ke komo i ka immunotherapy.

Pono kahi transplant lung?

ʻO ka hapa nui o ka poʻe me ka scarring baga ʻaʻole e pono kahi transplant. He hapa kēia ma muli o ka hoʻomau ʻole o ka nui o nā scars baga e ulu a hōʻeha paha i nā māmā. Hiki ke mālama maʻamau ʻia nā ʻōuli me ka ʻoki ʻole.

I nā hihia kahi paʻakikī ka scarring lung, e like me ka pulmonary fibrosis, hiki i kāu kauka ke koi aku i kahi transplant lung. I kēia kaʻina hana, ua hoʻololi ʻia kahi māmā maikaʻi ʻole me kahi māmā olakino i hāʻawi ʻia mai kahi kanaka ʻē aʻe. Hiki ke hana i nā transplants paru ma luna o hoʻokahi a i ʻole ʻelua māmā a ma kahi kokoke i nā poʻe āpau me ka ʻole o nā pilikia olakino a hiki i ke 65 o nā makahiki.

Hāpai nā transplants lung i kekahi mau pilikia pōkole, e like me:

• hōʻole i ka lung hou, ʻoiai e hoʻemi ʻia kēia makaʻu ma ke koho ʻana i kahi kūlike maikaʻi a me ka hoʻomākaukau kūpono ʻana o ka ʻōnaehana pale
• maʻi maʻi
• blockage o nā alaloa a me nā moku koko mai nā akemāmā
• loli e hoʻopiha nei i ka hū (edema pulmonary)
• kahe koko a me ke kahe ʻana o ke koko

Hiki i nā pilikia o ka scarring māmā

ʻO ka scarring māmā ākea ka mea hoʻoweliweli ola a hiki ke alakaʻi i nā pilikia aʻe:

• kōkō ke koko i ka hāhā
• maʻi lele
• hāneʻe lung (pneumothorax)
• hanu hanu
• ke koko kiʻekiʻe ma loko o nā māmā
• holo pono puʻuwai ʻaoʻao ʻākau
• make

I ka manawa e ʻike ai i kāu kauka

ʻOiai ʻoi aku ka maikaʻi o nā scars lung liʻiliʻi, aia kekahi mau hihia kahi e hoʻonui ai ka scarring a hohonu paha e hoʻopili i kou olakino holoʻokoʻa.

E ʻike i kāu kauka inā ʻike mau ʻoe i kekahi o nā hōʻailona aʻe:

• ʻO ka hou a me ka haʻalulu o ka pō
• luhi
• pokole o ka hanu
• poho kaumaha i manaʻo ʻole ʻia
• fiva
• ʻūhū mau
• hoʻemi i ka hiki ke hoʻoikaika kino

Outlook

ʻAʻole hōʻino nā scars lung liʻiliʻi i kou olakino holoʻokoʻa a ʻaʻole koi i kahi lapaʻau kūikawā. I kekahi manawa, hiki i ka scarring ākea ākea ke kuhikuhi i kahi ʻano olakino paʻa, e like me ka pulmonary fibrosis, a pono e mālama ʻia ma o ka mālama ʻana. I nā hihia kahi e lohi ʻole ai ka lāʻau a kāohi paha i ka scarring mau, pono pono kahi transplant lung.