Pulmonary Fibrosis
Anter
- He aha nā hōʻailona o ka pulmonary fibrosis?
- He aha ke kumu o ka pulmonary fibrosis?
- Nā maʻi maʻi autoimmune
- Nā maʻi ʻino
- Hōʻike kaiapuni
- Nā Lapaʻau
- ʻIlikopa
- Nā Genetics
- ʻO wai ka makaʻu i ka fibrosis pulmonary?
- Pehea e ʻike ʻia ai ka fibrosis pulmonary?
- Pehea e mālama ʻia ai ka fibrosis pulmonary?
- He aha ka nānā no ka poʻe me fibrosis pulmonary?
- Nā ʻōlelo aʻoaʻo no ka pale ʻana
Pulmonary fibrosis kahi kūlana e kumu ai i ka scarring baga a me ka ʻoʻoleʻa. He mea paʻakikī kēia e hanu ai. Hiki iā ia ke pale i kou kino mai ka loaʻa ʻana o ka oxygen a hiki i ka hopena ke alakaʻi i ka ʻole hanu, ʻole ʻole ka puʻuwai, a i ʻole nā pilikia ʻē aʻe.
Manaʻo nā kānaka noiʻi i kēia manawa ka hui pū ʻana o ka hōʻike ʻana i nā ukiuki o ka hū e like me kekahi mau kemika, ka puhipaka, a me nā maʻi, a me nā genetics a me nā hana ʻōnaehana paleʻea, ke kuleana nui i ka pulmonary fibrosis.
Ua manaʻo ʻia ma muli o ke kuni ka hopena. I kēia manawa ua manaʻo ka ʻepekema aia kahi hana hoʻōla ʻole i loko o nā akemāmā e hiki ai i ka scarring. ʻO ke hoʻokumu ʻana i nā scarring māmā nui e lilo i fibrosis pulmonary.
He aha nā hōʻailona o ka pulmonary fibrosis?
Loaʻa paha iā ʻoe ka fibrosis pulmonary no kekahi manawa me ka ʻole o nā hōʻailona. ʻO ka pōkole o ka hanu ka hōʻailona mua e ulu.
Hiki i nā ʻōuli ʻē aʻe ke hoʻopili pū me:
- maloo, hacking kohā paʻa loa (wā lōʻihi)
- nāwaliwali
- luhi
- hāwili ʻana o nā manamana lima, i kapa ʻia ʻo clubbing
- Kaumaha emi
- hōʻoluʻolu umauma
Ma muli o ke ʻano e pili pinepine ai ke ʻano i ka poʻe mākua, hāʻawi pinepine ʻia nā ʻōuli mua i ka makahiki a i ʻole ka nele o ka hoʻoikaika kino.
Maliʻiliʻi paha kāu mau ʻōuli ma ka mua a holomua i ka holo ʻana o ka manawa. Hiki ke hoʻololi i nā ʻōuli mai kekahi kanaka a i kekahi. ʻO kekahi poʻe me ka fibrosis pulmonary e maʻi koke.
He aha ke kumu o ka pulmonary fibrosis?
Hiki ke hoʻokaʻawale ʻia nā kumu o ka pulmonary fibrosis i mau ʻāpana:
- nā maʻi maʻi autoimmune
- nā maʻi maʻi
- hoʻolilo kaiapuni
- nā lāʻau
- idiopathic (ʻike ʻole)
- genetics
Nā maʻi maʻi autoimmune
Hoʻokomo nā maʻi Autoimmune i kou ʻōnaehana pale maʻi e hoʻouka iā ia iho. ʻO nā kūlana autoimmune i hiki ke alakaʻi i ka fibrosis pulmonary pū:
- rumatika
- lupus erythematosus, ka mea i ʻike pinepine ʻia ʻo lupus
- scleroderma
- polymyositis
- dermatomyositis
- vasculitis
Nā maʻi ʻino
ʻO nā ʻano o nā maʻi i hiki ke kumu i ka fibrosis pulmonary:
- maʻi kīnā
- nā maʻi ʻino, nā hopena mai ka hepatitis C, adenovirus, herpes virus, a me nā maʻi ʻē aʻe
Hōʻike kaiapuni
Hiki ke hāʻawi i ka hōʻike i nā mea i ke kaiapuni a i ʻole kahi hana i ka fibrosis pulmonary. ʻO kahi laʻana, loaʻa i ka uahi paka ka nui o nā kemika i hiki ke hōʻino i kou mau māmā a alakaʻi i kēia ʻano.
ʻO nā mea ʻē aʻe i hiki ke hōʻino i kāu mau māmā me:
- nā olonā asbestos
- lepo lepo
- lepo silika
- kekahi mau ʻenekini
- pāhawewe
Nā Lapaʻau
Hiki i kekahi mau lāʻau ke hāpai i kou makaʻu i ka hoʻomōhala ʻana i ka fibrosis pulmonary. Inā ʻoe e lawe i kekahi o kēia mau lāʻau i kēlā me kēia manawa, koi paha ʻoe i ka nānā pono ʻana e kāu kauka.
- nā lāʻau chemotherapy, e like me cyclophosphamide
- antibiotics, e like me nitrofurantoin (Macrobid) a me sulfasalazine (Azulfidine)
- nā lāʻau cardiac, e like me amiodarone (Nexterone)
- nā lāʻau biologic e like me adalimumab (Humira) a i ʻole etanercept (Enbrel)
ʻIlikopa
I nā manawa he nui, ke kumu kūpono o fibrosis pulmonary i ʻike ʻole ʻia. Keia ka hihia, kapa ʻia ke ʻano he idiopathic pulmonary fibrosis (IPF).
Wahi a ka American Lung Association, ʻo ka hapa nui o ka poʻe me fibrosis pulmonary he IPF.
Nā Genetics
Wahi a ka Pulmonary Fibrosis Foundation, ma kahi o 3 a 20 pākēneka o ka poʻe me IPF i kekahi lālā ʻohana me ka fibrosis pulmonary. I kēia mau hihia, ʻike ʻia ʻo ia ʻo fibrosis pulmonary ʻohana a i ʻole famonia interstitial pneumonia.
Ua hoʻopili nā kānaka noiʻi i kekahi mau ʻiʻo i kēia kūlana, a me ka noiʻi ʻana e pili ana i nā hana a nā genetics e hoʻomau nei.
ʻO wai ka makaʻu i ka fibrosis pulmonary?
E ʻike ʻia paha ʻoe me ka pulrosary fibrosis inā ʻoe:
- he kāne
- Aia ma waena o nā makahiki 40 a 70
- he moʻolelo no ka puhipaka
- he moʻolelo ʻohana ko kēia ʻano
- pili i kahi maʻi autoimmune e pili ana i ke ʻano
- ua lawe i kekahi mau lāʻau e pili ana i ka maʻi
- ua mālama ʻia i nā maʻi maʻi ʻaʻai, ʻo ka radiation radiation
- hana i kahi hana e pili ana me ka hoʻonui i ka makaʻu, e like me ka mining, mahiʻai, a kūkulu ʻana paha
Pehea e ʻike ʻia ai ka fibrosis pulmonary?
Pulmonary fibrosis kekahi o nā ʻano ʻoi aku o 200 o nā maʻi ākea e kū nei. Ma muli o ka nui o nā ʻano maʻi like ʻole o ka maʻi, he pilikia paha kāu kauka e ʻike ai ʻo ka fibrosis pulmonary ke kumu o kāu mau ʻōuli.
I kahi ana e ka Pulmonary Fibrosis Foundation, 55 pākēneka o nā mea pane i hōʻike hewa ʻia i kekahi manawa. ʻO nā misdiagnoses maʻamau ka hānō, ka ponia, a me ka bronchitis.
Ke hoʻohana nei i nā alakaʻi i kēia manawa, ua manaʻo ʻia hiki i ka 2 ma 3 mau maʻi me ka pulmonary fibrosis ke ʻike pono ʻia me ka ʻole o kahi biopsy.
Ma ka hoʻohui ʻana i kāu ʻike haukapila a me nā hopena o kahi ʻano CT scan o ka umauma, e ʻike pono kāu kauka iā ʻoe.
I nā hihia ke maopopo ʻole ke kuhi, pono paha kahi laʻana kiko, a biopsy paha.
Nui a hewahewa nā ʻano hana no ka hana ʻana i kahi biopsy o ka maʻi āpau, no laila e paipai ai kāu kauka i ke kaʻina hana maikaʻi loa nāu.
Hiki paha i kāu kauka ke hoʻohana i nā ʻano hana like ʻole e ʻike i ka fibrosis pulmonary a i ʻole e kāpae i nā kūlana ʻē aʻe. Pākuʻi ʻia kēia mau mea:
- pulse oximetry, kahi hōʻike noninvasive o kāu pae oxygen oxygen
- nā ho'āʻo koko e nānā i nā maʻi autoimmune, nā maʻi, a me ka anemia
- kahi hoʻokolohua kinoea koko arterial e hōʻoia pololei i nā pae o ka oxygen i kou koko
- kahi sputum sample e nānā ai i nā hōʻailona o ka maʻi
- kahi hoʻāʻo hana pulmonary e ana i kou hiki māmā
- kahi echocardiogram a i ʻole ka hoʻāʻo koʻikoʻi puʻuwai e ʻike inā pilikia ka puʻuwai i kāu mau ʻōuli
Pehea e mālama ʻia ai ka fibrosis pulmonary?
ʻAʻole hiki i kāu kauka ke hoʻohuli i ka scarring paru, akā hiki iā lākou ke kuhikuhi i nā lāʻau e kōkua i ka hoʻomaikaʻi ʻana i kou hanu ʻana a hoʻolōʻihi i ka holomua o ka maʻi.
ʻO nā ʻano ma lalo iho nei kekahi mau laʻana o nā koho o kēia manawa i hoʻohana ʻia no ka mālama ʻana i ka fibrosis pulmonary:
- oxygen hoʻonui
- prednisone e kāohi i kāu ʻōnaehana paleʻoniʻoni a hoʻēmi i ka puhū
- azathioprine (Imuran) a i ʻole mycophenolate (CellCept) e kāohi i kāu ʻōnaehana pale maʻi
- pirfenidone (Esbriet) a i ʻole nintedanib (Ofev), nā lāʻau antifibrotic e ālai ana i ke kaʻina scarring i loko o nā akemāmā
E ʻōlelo paha kāu kauka i ka hoʻoponopono pulmonary. Pili kēia mālama ʻana i kahi papahana hoʻoikaika kino, aʻo, a me ke kākoʻo e kōkua iā ʻoe e aʻo pehea e hanu maʻalahi ai.
Paipai paha kāu kauka iā ʻoe e hoʻololi i kou nohona. Pili pū paha kēia mau hoʻololi i kēia mau mea:
- Pono ʻoe e hōʻalo i ka uahi lua a hana i nā ʻanuʻu e haʻalele inā puhipaka ʻoe. Hiki i kēia ke kōkua i ka lohi i ka holomua o ka maʻi a hōʻoluʻolu i kou hanu.
- ʻAi i ka papaʻai kaulike maikaʻi.
- E hāhai i kahi hoʻolālā hoʻoikaika i hoʻomohala ʻia me ke alakaʻi a kāu kauka.
- E hoʻomaha kūpono a pale i ke koʻikoʻi nui.
Hiki ke ʻōlelo ʻia kahi transplant lung no nā mea ma lalo o ka makahiki 65 me nā maʻi nui.
He aha ka nānā no ka poʻe me fibrosis pulmonary?
ʻO ka helu o ka fibrosis pulmonary e hoʻoweliweli ai i nā ake māmā o nā kānaka. ʻAʻole hiki ke hoʻohuli ʻia ka scarring, akā hiki i kāu kauka ke koi aku i nā mālama e hōʻemi ai i ka helu o kāu kūlana.
Hiki i ke ʻano ke hana i nā pilikia he nui, e like me ka hanu ʻole o ka hanu. Hana ʻia kēia ke hana pono ʻole kou mau māmā a ʻaʻole hiki iā lākou ke lawa ka oxygen i kou koko.
Hāpai pū kekahi ʻo pulosary fibrosis i kou makaʻu o ka maʻi ʻaʻai pūpū.
Nā ʻōlelo aʻoaʻo no ka pale ʻana
ʻAʻole hiki ke pale ʻia kekahi mau hihia o ka pulosary fibrosis. Pili nā hihia ʻē aʻe i nā hopena pilikia a puni a me ka lawena e hiki ke kaohi ʻia. E hāhai i kēia mau ʻōlelo aʻoaʻo e hoʻohaʻahaʻa i kou makaʻu i ka loaʻa ʻana o ka maʻi.
- Pale i ka puhipaka.
- Hōʻalo i ka uahi lua.
- E ʻaahu i kahi pale maka a i ʻole nā mea hanu ʻē aʻe inā ʻoe e hana i kahi kaiaulu me nā kemika weliweli.
Inā pilikia ʻoe i ka hanu, hana i kahi manawa me kāu kauka. Hiki ke hoʻomaikaʻi a me ka mālama ʻana i ka wā mua ke hoʻomaikaʻi i ka wā lōʻihi no ka poʻe me nā maʻi maʻi he nui, e like me ka pulmonary fibrosis.