Rheumatoid Arthritis a me nā mumū: He aha e ʻike ai

Anter

• Scarring Lung
• Lāhu nodule
• Maʻi Pleural
• Pākuʻi i ke ala liʻiliʻi
• Nā kumu weliweli
• Hoʻopili paha kēia i ke ola?
• Ka wā e ʻike ai i ke kauka
• Ke laina lalo

ʻO ka Rheumatoid arthritis (RA) kahi maʻi autoimmune huehue e hiki ai ke hoʻopili i kāu mau hono wale nō, akā i nā ʻāpana ʻē aʻe o ke kino. Ke holo nei ka maʻi, hiki iā ia ke hoʻopili i kāu mau ʻōnaehana - me kāu mau māmā.

E ʻimi mākou i nā ala hiki ke hana ʻo RA ma luna o kou mau māmā i hiki ai iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kāu hoʻolālā hoʻomaʻamaʻa.

Scarring Lung

ʻO ka maʻi maʻi Interstitial lung (lung scarring) hana ʻia ma kahi o 1 i 10 mau kānaka me RA, e like me ka hōʻike ʻana o ka Arthritis Foundation.

ʻO ka scarring e pili ana i nā ʻāpana puʻupuʻu i hōʻino ʻia, i hiki ke hana ʻia ma kahi o ka manawa mai ka huhū i hoʻokomo ʻia e RA. Ke hele nei ka mumū, hoʻomaka ke kino e hoʻouka i nā hunaola māmā, a hiki i kēia ʻano hōʻino ākea.

Hiki i ka scarring paru ke alakaʻi i nā pilikia hanu a me nā ʻōuli e pili ana. Pākuʻi ʻia kēia mau mea:

• pokole o ka hanu
• ʻūhā maloʻo mau
• luhi nui loa
• nāwaliwali
• hoʻēmi ʻai
• lilo kaumaha kaumaha ʻole

I ka manawa e hoʻomaka ai ʻoe e ʻike i nā hōʻailona, ​​ua loaʻa i kāu mau māmā kahi nui nui o ka mumū mau.

Eia nō naʻe, i ka manawa ma mua e ʻike ʻia kāu maʻi, ʻo ka hiki koke iā ʻoe ke hoʻomaka i ka mālama ʻana e pale aku i ka holomua o ka maʻi a pale i ka scarring. E hana i kahi kuhi, e kauoha paha kāu kauka i ka hoʻāʻo ʻana i ka hana o ka mumū, a me ka X-ray a i ʻole CT scan o nā akemāmā.

ʻO ke ala maikaʻi loa e mālama ai i ka scarring baga mai RA ka hōʻoia ʻana i kāu mālama RA a hiki i ka par. Ma ka mālama pono ʻana i ka hoʻohaʻahaʻa o ke kumu, nui aʻe ka manawa kūpono ʻaʻole e hoʻopili ʻia kāu mau hunaola olakino olakino.

I kekahi mau hihia, hiki i ka oxygen therapy ke kōkua inā pili ʻoe i ka nāwaliwali he nui a hoʻemi i ka maikaʻi o ke ola. Hiki ke ʻōlelo ʻia kahi transplant lung no nā hihia ʻoi aku ka paʻakikī ma ke ʻano he hope loa.

Me ka ʻole o ka mālama ʻana, hiki ke hoʻoweliweli i ka scarring māmā.

Lāhu nodule

Kū paʻa nā Nodules, nā lehulehu noncancerous e hoʻomohala i kekahi manawa i nā meaola a me nā ʻāpana ʻē aʻe o ke kino. ʻO ka loaʻa ʻana o nā nūhū (pulmonary) nodules ʻaʻole ia he manaʻo ua loaʻa ʻoe i ka maʻi ʻaʻa maʻi.

Liʻiliʻi nā nodule lung, no laila ʻaʻole lākou e ʻike nui ʻia. I ka ʻoiaʻiʻo, kuhi ka Klinika Klinika ʻo ka nodules awelika 1.2 iniha ke anawaena. ʻO lākou maʻamau pū kekahi, me ka nānā ʻole inā aia ʻo RA.

ʻAʻole hōʻike nā lung nodule i kekahi mau hōʻailona ʻike ʻia. ʻIke pinepine ʻia lākou i ka wā e alakaʻi ana i nā hoʻokolohua kiʻi no nā pilikia ʻē aʻe. ʻO kahi nuipa a nui a lehulehu paha me nā kihi kaulike ʻole paha he hōʻailona ia o ka maʻi ʻaʻai māmā.

ʻAʻole koi nā nodule lung i ka hemo inā aia kahi kānalua no ka maʻi ʻaʻai.

E like me ka scarring māmā, ʻo ke ala kūpono e pale aku ai i nā nodule māmā i hana ʻia e RA e mālama i ka hoʻowahāwahā ʻia e lawe nei i kēia mau pilikia pili.

Maʻi Pleural

Kū ka maʻi Pleural (effusion) ke hele a wela ka pleura, a palupalu paha (nā membrane) e hoʻopuni ana i kou mau māmā. ʻO ka manawa pinepine, ʻo kēia ʻano o ka mumū māmā e kū pū me ka wai o ka buildup ma waena o ka pale a puni kaʻiʻo māmā a me ka paia o ka umauma (ʻike ʻia ʻo kahi pleura).

I nā hihia liʻiliʻi, ʻaʻole lawa ka maʻi pleura e hana i nā ʻōuli. I ka ʻoiaʻiʻo, hele aku paha ke kūkulu wai liʻiliʻi i kāna iho. Akā inā nui ka nui o ke kūkulu ʻana, hoʻomaka paha ʻoe e ʻike i ka pōkole o ka hanu a i ʻole ka ʻeha i ka hanu ʻana a pono ka lāʻau.

I kekahi manawa hiki i ka maʻi pleural ke kumu i ke kuni.

ʻO ka paʻa ʻana o ka wai nui mai ka maʻi pleura pono i ka mālama ʻana e wehe i ka nui o ka wai. Hana ʻia kēia me kahi pahu pahu a i ʻole ka nila, kahi e unuhi ai i nā wai mai kahi pleura.

Hoʻomaopopo hou ʻia ka mālama ʻana inā pono ka maʻi pleura e hoʻonui i ka hoʻonui ʻana o ka wai i ka wā e hiki mai ana.

Pākuʻi i ke ala liʻiliʻi

Hiki i ke RA ke alakaʻi i ka hoʻāhu i loko o nā alaloa liʻiliʻi o kou mau māmā. I ka hala ʻana o ka manawa, hiki i ka līlū mau ma kēia wahi ke hoʻoulu i kēia mau ʻāpana a alakaʻi i nā wahi mucus i kou mau ake māmā. ʻIke ʻia kēia ma ke ʻano he ākea o ke ala liʻiliʻi.

Hiki i nā hōʻailona ʻē aʻe o ke kahakaha ʻana i ke ala liʻiliʻi me ke kahe maloo, ka hanu ʻana, a me ka luhi.

ʻOiai e hiki i nā mālama ʻana RA ke pale aku i ka ālai ʻana i ke ala liʻiliʻi, ʻaʻole lākou e hāʻawi koke i ke kōkua mai kēia kūlana māmā. E kamaʻilio me kāu kauka e pili ana i nā inhalers hoʻopakele a i ʻole nā ​​bronchodilator i hiki ke kōkua i ka wehe ʻana i nā ala ākea a hōʻoia i ka hanu maʻalahi.

Nā kumu weliweli

ʻOiai ʻo RA kahi mea hāʻawi mua, hiki i nā mea ʻino ʻē aʻe ke hoʻonui i kou kūlana o nā maʻi pūpū e pili ana iā RA. Pākuʻi ʻia kēia mau mea:

• puhipaka
• he kāne
• ʻo 50 a 60 mau makahiki
• me ka hana a hana hewa ʻole RA

Hoʻopili paha kēia i ke ola?

Hiki iā RA iho ke hoʻopōkole i kou kali i ke ola ma muli o nā pilikia mai ka laha ākea.

Wahi a ka puke pai, ua emi ke ola waena ma 10 a 11 mau makahiki ke hoʻohālikelike ʻia me ka poʻe i loaʻa ʻole ka RA inā ʻaʻole mālama maikaʻi ʻia ka maʻi.

ʻO nā kūpilikiʻi mai RA e like me ka maʻi o ka māmā kekahi o nā ala a RA e hiki ai ke hōʻemi i kāu mau ola āpau.

Hiki i nā maʻi puʻupuʻu ke hōʻemi i kou kali ʻana i ke ola no ka mea hiki iā lākou ke pale i ka hāʻawi ʻana o ka oxygen nui i ke koena o kāu mau lālā a me nā kino o ke kino. Wahi a ka National Rheumatoid Arthritis Society, kū ka lua o ka maʻi maʻi i ka maʻi puʻuwai o nā kumu RA e pili ana i ka make.

ʻO ka mālama ʻana i kāu RA he ala hoʻokahi wale nō ia e hiki ai iā ʻoe ke hōʻemi i ka makaʻu o nā maʻi lolo i pili. Hiki iā ʻoe ke kōkua i ka mālama ʻana i kou mau māmā me ka haʻalele ʻana i ka puhipaka, ka pale ʻana i nā kemika ʻino a me ka uahi, a me ka hoʻoikaika mau.

Ka wā e ʻike ai i ke kauka

He mea nui ia e ʻike i kāu kauka no nā kipa maʻamau. Eia nō naʻe, ʻaʻole ʻoe makemake e kali no kāu kipa maʻamau inā ke ʻike nei ʻoe i nā hōʻailona hou a ʻano ʻē paha. E ʻike i kāu kauka e pili ana i ka maʻi maʻi maʻi mai RA inā ʻoe e ʻike nei i nā ʻōuli e like me:

• hanu ʻeha
• pokole o ka hanu
• hanu pilikia, ʻo ia hoʻi ma hope o ka hoʻoikaika kino
• ʻūhā mau
• hoʻonui i ka nāwaliwali a me ka luhi
• loli ka makemake
• pohō kaumaha hikiwawe
• fiva mau

ʻO ka wikiwiki o ka ʻike o kāu kauka e pili ana i nā ʻōuli āu e hana pū nei, ʻo ka hiki koke iā lākou ke hōʻoia a mālama iā ʻoe no ka maʻi maʻi māmā.

Ke laina lalo

Hoʻopili mua ʻo RA i nā hono, akā hiki iā ia ke lawe mai i nā pilikia ʻino ʻē aʻe i loko o kou kino, me kāu mau māmā.

ʻO ka loaʻa ʻana o ka maʻi maʻi i hōʻemi i kou ʻano o ke ola a hoʻopōkole paha i kou kali ʻana i ke ola. ʻO nā pilikia hanu e pono e kamaʻilio koke ʻia me kāu kauka e pale i nā pilikia pili i ka hanu.