Pehea e hoʻopili ai ka pulmonary Fibrosis a me RA?

Anter

• ʻIke i ka fibrosis pulmonary
• Pehea e hoʻopili ai ʻo RA i fibrosis pulmonary?
• Ka wā e ʻike ai i ke kauka
• Nā pilikia o ka fibrosis pulmonary
• Ka mālama ʻana a me ka mālama ʻana i nā fibrosis pulmonary
• Mālama ponoʻī
• Pūʻulu kākoʻo
• ʻO Outlook no ka pulmonary fibrosis

Hōʻike Overview

ʻO ka pulmonary fibrosis kahi maʻi e hiki ai i ka scarring a me ka hōʻino ʻana i nāʻiʻo māmā. I ka hala ʻana o ka manawa, kumu kēia pilikia i ka pilikia o ka hanu.

Hiki i nā ʻano olakino he nui ke kumu i ka fibrosis pulmonary. ʻO kekahi o lākou he rumatika (RA). Mālama ʻo RA i ka mumū a me ka ʻeha e pili i nā hono, akā hiki ke hoʻopili i nā mea ʻē aʻe, e like me kou mau māmā.

Aia i ka 40 pākēneka o ka poʻe me RA i pulmonary fibrosis. ʻO ka ʻoiaʻiʻo, ʻo nā pilikia hanu ka lua o ke kumu o ka make i ka poʻe i loaʻa RA. Akā ʻaʻole mau ka ʻike o ka poʻe loea i ka loulou ma waena o RA a me ka pulmonary fibrosis.

E haʻi mau i nā ʻōuli o ka hōʻoluʻolu ʻole i kāu kauka, ʻoiai inā loaʻa nā pilikia hanu i ka wā hoʻoikaika. Wahi a ka Arthritis Center, hōʻike pinepine ka poʻe me RA i nā pilikia hanu. ʻO ka maʻamau kēia no ka mea ʻoi aku ka liʻiliʻi o ka hana a ka poʻe me RA ma muli o ka ʻeha pū.

ʻOiai ʻoi aku ka maikaʻi o ka hoʻomaʻamaʻa ʻana no RA, ʻaʻole i mālama ʻia no ka maʻi maʻi. ʻO ka pahuhopu o ka mālama ʻana ke komo i ka wā mua e lohi i ka holomua o ka maʻi a hoʻomaikaʻi i ka maikaʻi o ke ola.

ʻIke i ka fibrosis pulmonary

ʻO ka hōʻailona kaulana loa o ka pulmonary fibrosis ka hanu ʻana. Akā ʻaʻole ʻike pinepine ʻia kēia hōʻailona a hiki i ka holomua ʻana o ka maʻi.

ʻO nā ʻōuli ʻē aʻe o ka fibrosis pulmonary pū:

• he maloo, hacking kohaka
• lilo kaumaha kaumaha ʻole
• ke ākea a me ka hoʻopuni ʻana i nā kihi o nā manamana lima a me nā manamana wāwae
• luhi nei

Māmā ka hanu o ka manawa ma mua a hana wale ʻia i ka wā o ka hoʻoikaika kino. E ulu mālie ana nā pilikia hanu ma ka manawa.

Pehea e hoʻopili ai ʻo RA i fibrosis pulmonary?

ʻAʻole ʻike ʻia ke kumu o ka pulrosary fibrosis, akā hiki i ka RA ke hoʻonui i kou makaʻu ma muli o ka pehu. Hōʻike pū kekahi nā noiʻi e pili ana nā helu kiʻekiʻe o nā huila RA i ka hoʻomohala ʻia ʻana o ka maʻi lele interstitial (ILD).

ʻO ka ILD ka maʻi ʻoi loa e pili ana me RA. He kūlana koʻikoʻi a hoʻoweliweli ia i ke ola e hiki ke ulu i fibrosis pulmonary.

Hiki i nā kumu ʻē aʻe ke hoʻonui i kou makaʻi no ka pulmonary fibrosis, me:

• ka puhipaka a me ke kūʻana i nā mea haumia i ke kaiapuni
• nā maʻi viral
• hoʻohana i nā lāʻau e hōʻino ai i nā māmā (nā lāʻau chemotherapy, nā lāʻau puʻuwai, a me kekahi mau lāʻau anti-inflammatory)
• kahi moʻolelo ʻohana o ka pulmonary fibrosis
• kahi moʻolelo o kahi maʻi reflux gastroesophageal

Hiki paha iā ʻoe ke hoʻomohala i ka fibrosis pulmonary inā he maʻi olakino kou e hōʻino ai i kou mau māmā, e like me polymyositis, sarcoidosis, a me ka niumonia.

Ka wā e ʻike ai i ke kauka

I kāu kipa ʻana, e nīnau kāu kauka e pili ana i kāu mau hōʻailona, ​​loiloi i kāu olakino a me ka mōʻaukala ʻohana, a alakaʻi i kahi hoʻokolohua kino e hoʻolohe i kou hanu ʻana. Aia kekahi mau hoʻokolohua hiki iā lākou ke hana e ʻike inā loaʻa iā ʻoe ka pulmonary fibrosis. Aia kēia mau hoʻāʻo:

• Nā hoʻāʻo kiʻi. Hiki i kahi X-ray umauma a me CT scan ke hōʻike i nā ʻili puʻupuʻu scarred. Hiki ke hoʻohana ʻia kahi echocardiogram e nānā ai i nā kaomi kūpono ʻole i ka puʻuwai i hoʻokumu ʻia e ka pulmonary fibrosis.
• ʻO ka hoʻāʻo ʻana i ka hana pulmonary. Hōʻike kahi hoʻokolohua spirometry i kāu kauka i ka nui o ka ea hiki iā ʻoe ke hoʻopaʻa i loko o kou mau māmā a me ke ala e kahe ai ka ea i loko a i waho o kou mau māmā.
• Pulse oximetry. Pulse oximetry is kahi ho'āʻo maʻalahi e ana i ka nui o ka oxygen i loko o kou koko.
• Hōʻike ʻea kinoea Arterial. Hoʻohana kēia hōʻike i kahi laʻana o kou koko e ana i ka oxygen a me nā pae kalapona.
• ʻO Biopsy. Pono paha i kāu kauka e hemo i kahi liʻiliʻi o nā kiko o ka māmā e kuhi i ka fibrosis pulmonary. Hiki ke hana i kēia ma o ka bronchoscopy a i ʻole kahi biopsy ʻoki. ʻOi aku ka liʻiliʻi o ka invasive o kahi bronchoscopy ma mua o kahi biopsy ʻoki, ʻo ia wale nō ke ala e kiʻi ai i kahi kiko kiko kiko.
• Nā hoʻāʻo koko. Hiki i kāu kauka ke hoʻohana i nā hoʻokolohua koko e ʻike pehea ka hana o kou ake a me nā puʻupaʻa. Mālama pū kēia i nā kūlana kūpono ʻē aʻe e pili ana i ka maʻi maʻi.

Nā pilikia o ka fibrosis pulmonary

ʻO ka hōʻoia a mālama ʻana i ka fibrosis pulmonary ka mea nui ma muli o ka hopena a me nā pilikia. Hiki i ka pulmonary fibrosis ke kumu:

• he hāhā hāʻule
• holo pono puʻuwai ʻaoʻao ʻākau
• hanu hanu
• ke koko kiʻekiʻe i kou mau māmā

Hiki i ka pulrosary pulosary fibrosis ke hoʻonui i kou makaʻu no ka maʻi ʻaʻai a me nā maʻi lolo.

Ka mālama ʻana a me ka mālama ʻana i nā fibrosis pulmonary

ʻAʻole hiki ke hoʻohuli ʻia ka scarring paru mai fibrosis pulmonary. ʻO ke kauka ʻoi aku ka maikaʻi e mālama ai i ke kumu o RA a hoʻolohi i ka holomua o ka maʻi. Nā koho lapaʻau e hoʻomaikaʻi ai i kou ola e like me:

• nā lāʻau e like me corticosteroids a me nā immunosuppressants
• ʻo ka oxygen therapy e hoʻomaikaʻi ai i ka hanu ʻana a hoʻemi i ka makaʻi o nā pilikia
• pulmonary rehabilitation e hoʻoikaika i nā māmā a hoʻomaikaʻi i nā ʻōuli

Inā koʻikoʻi kou ʻano, hiki i kāu kauka ke koi aku i kahi loiloi no kahi transplant puʻuwai-puʻuwai e pani i kāu mau māmā i hōʻino ʻia a me kou puʻuwai me kēlā mau mea hāʻawi maikaʻi. Hiki i kēia kaʻina hana ke hoʻomaikaʻi i ka hanu a me kou ʻano o ke ola, akā aia kekahi mau pilikia me ka transplantation.

Hiki paha i kou kino ke hōʻole i ka ʻōpala, a i ʻole hoʻomōhala paha ʻoe i kahi maʻi ma muli o nā lāʻau pale maʻi. Pono ʻoe e lawe i kēia mau lāʻau no ke koena o kou ola e hōʻemi i ka makaʻu o ka hōʻole ʻana.

Mālama ponoʻī

Ma waho aʻe o kēia mau koho lapaʻau, makemake ʻoe e mālama i kou mau māmā i ke olakino hiki. E hoʻolohi i ka holomua o ka maʻi, he mea nui e haʻalele i ka puhipaka a pale i ka uahi lua a i ʻole nā ​​mea haumia e hoʻonāukiuki ai i kou mau ake māmā

Hiki i ka hoʻoikaika mau i ka hana māmā ke hoʻomaikaʻi. E nīnau i kāu kauka e pili ana i nā hana palekana, e like me ka hele wāwae, ʻauʻau ʻana, a i ʻole ka holo kaʻa ʻana.

Pono ʻoe e loaʻa i kahi lāʻau ākea pneumonia a me ka maʻi flu i kēlā me kēia makahiki e hoʻohaʻahaʻa i kou makaʻi o nā maʻi. Inā ʻike ʻoe i ka pilikia o ka hanu ʻana ma hope o ka ʻai ʻana, ʻai i ka mea liʻiliʻi, ʻoi aku ka pinepine o ka ʻai. ʻOi aku ka maʻalahi o ka hanu ʻana inā ʻaʻole piha kou ʻōpū.

Pūʻulu kākoʻo

Hiki i kahi diagnose fibrosis pulmonary ke lawe i nā manaʻo o ke kaumaha a me ka hopohopo. E nīnau i kāu kauka e pili ana i nā hui kākoʻo kūloko.

Ke kōkua nei ka kaʻana ʻana i kāu moʻolelo me ka poʻe e hoʻomaopopo i ka ʻike. ʻO nā pūʻulu kākoʻo he wahi maikaʻi nō hoʻi e aʻo e pili ana i nā hana hou a i ʻole ke kū ʻana i nā hana e mālama i ke koʻikoʻi.

ʻO Outlook no ka pulmonary fibrosis

ʻO ka nānā a me ke ana o ka holomua no ka pulrosary fibrosis a me RA no ʻokoʻa no kēlā me kēia kanaka. ʻOiai me ka mālama ʻana, hoʻomau ka worrosis pulmonary i ka manawa.

ʻO ka awelika ola o ka poʻe me RA e hoʻomohala ILD he 2.6 mau makahiki, e like me ka a i loko o ka maʻi o ka maʻi o ka maʻi. ʻO kēia paha no ka hōʻike ʻole o nā hōʻailona ILD a hiki i ka holomua ʻana o ka maʻi i kahi pae koʻikoʻi.

ʻAʻohe ala e ʻike ai me ka maopopo pehea ka wikiwiki e holo ai ka maʻi. Loaʻa i kekahi poʻe nā ʻōuli akahai a kaulike paha no nā makahiki he nui a ʻoliʻoli i kahi ola ikaika. E hoʻolohe pono i kāu kauka a pili me kahi hoʻolālā mālama.

E hoʻomanaʻo e ʻōlelo i nā kahe maloo a me nā pilikia hanu i kāu kauka. ʻO ka mea mua e mālama iā ILD, ʻoi aku ka maʻalahi o ka hoʻolōʻihi i ka holomua o ka maʻi.