Kaʻi Miliary
Anter
- Kiʻi TB Miliary
- Nā kumu o ka miliary TB
- Nā kumu pilikia no ka TB miliary
- Nā hōʻailona a me nā ʻōuli o ka miliary TB
- Kānāwai o ka miliary TB
- Iapaau ana o miliary TB
- Nā Antibiotics
- ʻO Steroids
- ʻOki kino
- Outlook o ka miliary TB
Hōʻike Overview
ʻO ka maʻi puʻupuʻu (TB) he maʻi nui ia e hoʻopili maʻamau i kāu mau māmā wale nō, ʻo ia ke kumu i kapa pinepine ʻia ai ka maʻi pulmonary tuberculosis. Eia nō naʻe, i kekahi manawa komo ka bacteria i loko o kou koko, pāhola i kou kino, a ulu i hoʻokahi a i ʻole nā mea ʻono. Kapa ʻia kēia ʻo TB miliary, kahi ʻano o ka tuberculosis i hoʻolaha ʻia.
Ua loaʻa ka inoa ʻo Miliary TB i ka makahiki 1700 mai a John Jacob Manget ma nā hopena autopsy, ma hope o ka make ʻana o kahi mea maʻi. He nui nā kiko liʻiliʻi o nā kino e like me nā haneli hua liʻiliʻi e pili ana i 2 mau mile ka lōʻihi i lūlū ʻia i nā ʻano mea like ʻole. Ma muli o kahi ʻano millet e pili ana i kēlā nui, ua ʻike ʻia ke ʻano he TB miliary. He maʻi nui loa ia, hoʻoweliweli i ke ola.
Kākaʻikahi kēia ʻano i ka poʻe me ka ʻōnaehana pale pale maʻamau. ʻOi aku ka maʻamau i ka poʻe nona ka ʻōnaehana pale ʻole e holo pono ana. Kāhea ʻia kēia me ka pale ʻana i ka maʻi.
Hoʻopilikia pinepine ʻia kou mau māmā, ka iwi iwi, a me ke akepaʻa i ka miliary TB, akā hiki ke pālahalaha ʻia i ka pale o kou puʻuwai, kou iwi kuamoʻo a me kou lolo, a me nā ʻāpana ʻē aʻe o kou kino. Wahi a ka, hoʻopili ʻia ka uhi o ka lolo ma ka 25 pākēneka o ka poʻe i loaʻa i ka TB miliary. He mea nui ka nānā ʻana i kēia no ka mea koi ʻia ka lapaʻau lōʻihi.
Kiʻi TB Miliary
Nā kumu o ka miliary TB
Hoʻokumu ʻia ka TB e nā bacteria i kāhea ʻia Mycobacterium tuberculosis. He maʻi lele ia a hoʻoili ʻia i ka wā e loaʻa ai i kahi mea me ka maʻi TB kūpono i loko o kā lākou māmā e hoʻokuʻu i nā koʻohune i ka lewa e ke kaʻe ʻana a i ʻole ka ʻūlū ʻana, a na kekahi mea ʻū aʻe. Hiki iā ia ke noho i ka ea no kekahi mau hola.
Ke loaʻa ʻoe i nā koʻohune i kou kino akā ua lawa ka ikaika o kāu ʻōnaehana pale pale e hakakā me ia, ua kapa ʻia ʻo latent TB. Me ka latent TB, ʻaʻohe ou hōʻailona a ʻaʻole lele. Inā kū kou ʻōnaehana pale ʻole i ka hana kūpono, hiki i ka latent TB ke lilo i TB nui. E loaʻa ʻoe i nā ʻōuli a lilo i maʻi lele.
Nā kumu pilikia no ka TB miliary
, miliary TB i ʻike nui ʻia i nā pēpē a me nā keiki. I kēia manawa ua ʻike pinepine ʻia i nā mākua. ʻO kēia no ka lilo ʻana o immunocompromised i mea maʻamau i kēia lā.
ʻO nā mea hoʻonāwaliwali i kou ʻōnaehana pale e hoʻonui i kou makaʻu i ka loaʻa ʻana o kekahi ʻano TB. Hana pinepine ka Miliary TB inā nāwaliwali loa kou ʻōnaehana pale. Nā kūlana a me nā kaʻina hana i hiki ke hoʻonāwaliwali i kāu ʻōnaehana pale:
- HIV a me AIDS
- ʻalekohola
- hana maikaʻi ʻole
- maʻi maʻi maʻi paʻa
- diabetes
- maʻi ʻaʻai ma kou māmā, ʻāʻī, a poʻo poʻo ʻoe
- hāpai keiki a hānau hou paha
- dialysis wā lōʻihi
ʻO ka poʻe ma ka lāʻau e hana ana ma ka loli ʻana a i ʻole ke hoʻohuli ʻana i ka ʻōnaehana paleʻea ʻoi aku ka makaʻu no ka TB miliary. ʻO ka mea maʻamau ka hoʻohana lōʻihi ʻana o ka corticosteroid lōʻihi, akā ʻo nā lāʻau i hoʻohana ʻia ma hope o ke hoʻoliʻiliʻi ʻana o ke ʻōpala a i ʻole e mālama ʻana i nā maʻi pale a me ka maʻi ʻaʻai hiki ke hoʻonāwaliwali hoʻi i kou ʻōnaehana pale a hoʻonui i kou maka o ka miliary TB.
Nā hōʻailona a me nā ʻōuli o ka miliary TB
ʻO nā ʻōuli o ka miliary TB he laulā loa. Hiki iā lākou ke hoʻopili:
- he kuni e hele mau ana i mau pule a ʻoi aku paha ka maikaʻi i ke ahiahi
- haʻalulu
- ʻūhū maloʻo a he koko paha i kekahi manawa
- luhi
- nāwaliwali
- pōkole o ka hanu e hoʻonui me ka manawa
- ʻai ʻilihune
- Kaumaha emi
- puhū pō
- ʻaʻole maikaʻi maikaʻi ma ka laulā
Inā loaʻa nā mea ʻē aʻe ma waho o kou mau māmā, pau paha kēia mau lālā i ka hana kūpono. Hiki i kēia ke kumu i nā ʻōuli ʻē aʻe, e like me nā pae haʻahaʻa o nā hunaola ʻulaʻula inā hoʻopili ʻia kou iwi iwi a i ʻole kahi ʻāwīwī ʻano inā pili kou ʻili.
Kānāwai o ka miliary TB
ʻO nā ʻōuli o ka miliary TB ka mea like me kēlā i nā maʻi he nui, a hiki i ka bacteria ke paʻakikī ke loaʻa ke nānā ʻia kou koko, nā wai ʻē aʻe, a i ʻole nā mea kiko kiko ma lalo o kahi microscope. He mea paʻakikī kēia no kāu kauka e hōʻoia a ʻokoʻa mai nā kumu ʻē aʻe o kāu mau hōʻailona. Pono paha nā hoʻokolohua like ʻole e pono ai i kāu kauka e hana i ke kuhi.
Hōʻike kahi hōʻike o ka ʻili tuberculin i kapa ʻia he hōʻike PPD inā ua hōʻike mua ʻia ʻoe i nā maʻi bacteria e kumu ai ka TB. ʻAʻole hiki i kēia hōʻike ke haʻi iā ʻoe inā he maʻi ʻino kāu i kēia manawa; hōʻike wale ia inā ua maʻi ʻoe i kekahi manawa. Ke pale aku ʻoe i ka maʻi immunocompromised, hōʻike paha kēia hōʻike ʻaʻohe ou maʻi ʻoiai ke hana ʻoe.
E kauoha kāu kauka i kahi X-ray umauma inā maikaʻi ka hoʻāʻo o kou ʻili a i ʻole inā he mau hōʻailona kāu e hōʻike ana iā TB. ʻAʻole like me ka TB maʻamau i hiki ke nānā e like me nā maʻi ʻē aʻe, ke ʻano o ka hua millet ma ka umauma X-ray he ʻano nui loa ia o ka TB miliary. Ke ʻike ʻia ke kumu, ʻoi aku ka maʻalahi o ka hana ʻana i ka hōʻailona, akā i kekahi manawa ʻaʻole ia e hōʻike a hiki i kou loaʻa ʻana i ka maʻi a me nā ʻōuli no ka manawa lōʻihi.
ʻO nā hoʻokolohua ʻē aʻe i kauoha ʻia e kau kauka e hōʻoia i ka ʻike o ka miliary TB.
- kahi CT scan, kahi e hāʻawi ai i kahi kiʻi ʻoi aku o kou māmā
- sputum Eia kekahi laʻana e nānā no nā koʻohune ma lalo o kahi microscope
- kahi hoʻokolohua koko e hiki ai ke ʻike i ke kūpikipiki
- kahi bronchoscopy kahi e hoʻokomo ʻia ai kahi kāmela lahilahi, uila i loko o kou waha a ihu paha i loko o kou mau māmā i hiki i kāu kauka ke nānā no nā kiko kīnā ʻole a loaʻa nā laʻana e nānā ma lalo o kahi microscope
Ma muli o ka hopena o ka miliary TB i nā mea i loko o kou kino ma waho o kou mau māmā, makemake paha kāu kauka i nā hoʻokolohua ʻē aʻe e pili ana i kahi a lākou e manaʻo nei ʻo ka maʻi.
- kahi CT scan o nā ʻāpana ʻē aʻe o kou kino, keu hoʻi i kou ʻōpū
- kahi MRI e nānā no ka maʻi i kou lolo a i ʻole ka iwi kuamoo
- kahi echocardiogram e nānā ai i kahi maʻi a me ka wai i ka pale o kou puʻuwai
- kahi mimi e nānā ai i ka bacteria
- kahi biopsy iwi iwi, kahi i hoʻokomo ʻia ai kahi nila i waenakonu o kahi iwi e lawe i kahi laʻana e nānā no nā koʻohune ma lalo o kahi microscope
- kahi biopsy, kahi i lawe ʻia ai kahi ʻāpana liʻiliʻi mai kahi meaola i manaʻo ʻia e maʻi a nānā ʻia me kahi microscope e loaʻa ai ka bacteria.
- kahi kuʻiwi inā manaʻo kāu kauka ʻo ka wai a puni kou kuamoʻo a me kou lolo ka mea i maʻi
- kahi hana e hoʻokomo ʻia ai kahi nila i loko o kahi hōʻiliʻili wai e pili ana i kou māmā e nānā ai i ka bacteria
Iapaau ana o miliary TB
Hoʻomaʻamaʻa like ia no ka TB maʻamau a pili paha i:
Nā Antibiotics
E mālama ʻia ʻoe me nā antibiotic he 6 a 9 mau mahina. Ke ulu ka bacteria i kahi moʻomeheu (kahi lōʻihi lōʻihi), e hoʻāʻo kahi lab e ʻike inā pepehi nā antibiotic maʻamau i ke ʻano o nā bacteria i loaʻa iā ʻoe. I ka manawa pinepine, ʻaʻole e holo kekahi a ʻoi paha o nā lāʻau antibiotic, i kapa ʻia ia lāʻau kūpaʻa. Inā kū kēia, e hoʻololi ʻia nā antibiotic i kekahi e hana.
Inā maʻi ka pale o kou lolo, pono ʻoe i 9 a 12 mau mahina o ka mālama ʻana.
ʻO nā antibiotic maʻamau:
- isoniazid
- ʻemambutol
- pyrazinamide
- rifampin
ʻO Steroids
Hāʻawi ʻia iā ʻoe nā steroid inā loaʻa ka pale o kou lolo a puʻuwai paha.
ʻOki kino
Kākaʻikahi, hiki iā ʻoe ke hoʻomohala i nā pilikia, e like me kahi abscess, e koi ai i ke ʻoki e mālama.
Outlook o ka miliary TB
He maʻi laha ʻole ʻo Miliary TB akā he maʻi lele a hoʻoweliweli hoʻi ia. ʻO ka mālama ʻana i ka maʻi e pono ai ma mua o hoʻokahi mahina o nā antibiotic he nui. He mea nui e ʻike ʻia kēia maʻi i ka wā hiki loa a e lawe ʻoe i nā lāʻau ʻalopika no ka mea i kuhikuhi ʻia. ʻAe kēia i kahi hopena maikaʻi a kāpae i ka hiki ke hoʻolaha ʻia i nā poʻe ʻē aʻe. Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka TB, a i ʻole ʻike i ke kū ʻana i ka maʻi hou, e kāhea aku i ke keʻena o kāu kauka no kahi manawa e hiki ai.