Hanu mākou a pau i kēlā me kēia lā. Akā, ʻaʻole mākou i ʻike i ka nui o nā mea i loko o ka ea a mākou e hanu nei ʻaʻole hiki iā mākou ke ʻike. Ua ʻike anei ʻoe aia kekahi ʻano ʻōpala i kapa ʻia ʻo 'Aspergillus', nona nā spores e lana ana ma nā wahi a pau o kēia ea? ʻO ka maʻamau, ʻaʻole kēia e hoʻopilikia i ke kanaka olakino, no ka mea, ʻaʻole ʻae ka ʻōnaehana pale o ko mākou kino iā ia e komo. Akā no kekahi poʻe, ʻoi aku ka poʻe me nā maʻi māmā a i ʻole ka poʻe me nā ʻōnaehana pale nāwaliwali, hiki i kēia ke lilo i pilikia nui. ʻO ia ke kūlana a mākou e kamaʻilio nei i kēia lā, i kapa ʻia ʻo 'Aspergillosis'.
I ka ʻōlelo maʻalahi, he aha ka Aspergillosis?
ʻO ka ʻAspergillosis he maʻi i loko o ko mākou kino i hoʻokumu ʻia e kahi ʻano ʻōpala i kapa ʻia ʻo ʻAspergillus. He maʻi fungal kēia. Loaʻa pinepine kēia ʻano ʻōpala i ko mākou wahi noho, ʻoi aku hoʻi ma nā wahi e like me ka lepo, ka ʻōpala lau maloʻo, a me nā puʻu compost. I kekahi manawa, hiki i kēia ʻano ʻōpala ke ulu i nā wahi pulu i loko o nā hale, ʻoiai i loko o nā kānana o nā ea hoʻoluʻu (AC) i hoʻomaʻemaʻe pono ʻole ʻia.
Ke hanu mākou, komo nā spores o kēia ʻōpala i loko o ko mākou mau māmā ma o ko mākou ihu. Hoʻomaopopo a luku ka ʻōnaehana pale o ke kanaka olakino i kēia mau mea komo hewa. Akā, ʻaʻole hiki i ke kino o kekahi poʻe ke hana i kēia. ʻO ia ka manawa e kū mai ai kahi maʻi i kapa ʻia ʻo 'Aspergillosis'. Aia kekahi mau ʻano nui o kēia. ʻIke ʻia kekahi o lākou e like me ka maʻi allergy, aʻo kekahi e kaupalena ʻia i nā māmā. Akā ʻo ke ʻano weliweli loa ʻo ia ka 'Aspergillosis' invasive, kahi e pālahalaha ana ma ke kino holoʻokoʻa.
He nui ka poʻe e noʻonoʻo nei inā he "ʻeleʻele ʻeleʻele" kēia. ʻAʻole, he ʻano ʻē aʻe ia o ka ʻeleʻele (Stachybotrys chartarum). Akā, ʻo nā ʻano ʻelua o ka ʻeleʻele i loaʻa i ke kaiapuni a hiki ke hoʻomaʻi i kekahi poʻe.
ʻO wai ka mea i loaʻa i kēia maʻi? ʻO wai ka mea i pilikia?
ʻAʻole loaʻa i nā kānaka a pau ka Aspergillosis. Aia kekahi mau hui pilikia no ia mea. ʻO ia hoʻi, ʻo ka poʻe e ʻoi aku ka maʻi inā pili i kēia ʻōpala. Inā ʻoe no kekahi o kēia mau hui, he mea nui loa ia e makaʻala loa i kēia.
| Pūʻulu pilikia | He wehewehe maʻalahi |
|---|---|
| Nā kānaka me ka hānō a i ʻole nā maʻi ʻē aʻe | He ʻano maʻalahi ko lākou mau māmā a me nā ala ea. Ke komo nā spores Aspergillus, pane nui ke kino. Hiki i kēia ke alakaʻi i kahi maʻi allergic i kapa ʻia ʻo Allergic Bronchopulmonary Aspergillosis (ABPA) . |
| Nā kānaka me ka maʻi māmā mau loa | ʻO ka poʻe i loaʻa mua i ka maʻi puʻupuʻu (TB) a he mau lua i loko o ko lākou mau māmā, a i ʻole ka poʻe me nā maʻi e like me COPD (Chronic Obstructive Pulmonary Disease), a i ʻole Sarcoidosis, ua hōʻino ʻia nā wahi i loko o ko lākou mau māmā. Hiki i ka ʻōpala Aspergillus ke noho maʻalahi i loko o kēia mau lua a hana i kahi pōpō fungus. Ua kapa ʻia kēia ʻo Aspergilloma . |
| Nā kānaka me nā ʻōnaehana pale kino nāwaliwali loa | ʻO kēia ka hui weliweli loa a me ka pilikia. Ma muli o ka nāwaliwali o ka ʻōnaehana pale o ke kino (nā koa), hiki i ka ʻōpala ke komo maʻalahi i loko o ke kino, komo i ke kahe koko mai nā māmā, a laha i nā ʻāpana ʻē aʻe e like me ka lolo, nā puʻupaʻa, a me ka puʻuwai. Ua kapa ʻia kēia he Invasive Aspergillosis . ʻO nā hiʻohiʻona o kēia:
|
He aha nā hōʻailona o kēia maʻi?
ʻOkoʻa nā hōʻailona o ka aspergillosis ma muli o ke ʻano o ka maʻi a me ka ʻāpana o ke kino i hoʻopilikia ʻia. Hoʻohālikelike pinepine lākou i nā hōʻailona o kahi maʻi hanu maʻamau, e paʻakikī ai ke ʻike.
| ʻAno o ka aspergillosis | Nā hōʻailona maʻamau |
|---|---|
| ʻAno aleri (ABPA) |
|
| ʻŌpala (Aspergilloma) | |
| ʻO ka Aspergillosis komohewa |
He maʻi lele anei kēia?
ʻAʻole. ʻAʻole hiki ke laha ʻo 'Aspergillosis' mai kekahi kanaka a i kekahi. Hoʻokumu ʻia ia ma ka hanu ʻana i nā spores mold i loko o ke kaiapuni. No laila, ʻaʻole hiki iā ʻoe ke loaʻa i kēia maʻi ma ke kokoke ʻana i kahi kanaka maʻi.
Pehea e ʻike ai ke kauka i kēia maʻi?
E kānalua kāu kauka i kēia ma muli o kāu mau hōʻailona a me kou mōʻaukala olakino (no ka laʻana, he hānō kou a ke mālama ʻia nei ʻoe e ka maʻi kanesa?). E hana lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
- ʻO ke kiʻi X-ray o ka umauma a i ʻole CT scan: Hiki i kēia ke nānā i nā māka ʻē, nā lua, a i ʻole kahi puʻupuʻu i kapa ʻia ʻo "Aspergilloma" i loko o nā māmā.
- Moʻomeheu Sputum: Lawe ʻia kahi hāpana o kou sputum a hoʻāʻo ʻia i loko o kahi keʻena hoʻokolohua e ʻike ai inā ulu ka ʻōpala Aspergillus i loko. Nānā ʻia hoʻi ma lalo o kahi microscope e ʻike inā he mau ʻāpana filamentous i loko o ka sputum.
- Nā hoʻāʻo koko: Inā kānalua ʻia kahi ʻano invasive, hoʻāʻo ʻia ke koko no nā antibodies a i ʻole antigens e pili ana i ka ʻōpala Aspergillus. Hiki i kēia ke kōkua i ka ʻike koke ʻana i ka maʻi.
- Biopsy: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka māmā a i ʻole mai kahi i manaʻo ʻia ua loaʻa ka maʻi a nānā ʻia ma lalo o kahi microscope e ʻike inā he komo ʻana o ka pus.
- Nā Hoʻāʻo ʻAleʻale: Hiki i kahi hoʻāʻo ʻili a i ʻole ka hoʻāʻo koko ke hoʻoholo inā he maʻi āpau kou kino i ka Aspergillus.
He aha nā lāʻau lapaʻau? Hiki ke ho'ōla ʻia kēia?
ʻO ke ʻano o ka mālama ʻana no ka aspergillosis e pili ana i ke ʻano o ka maʻi āu e loaʻa ai, kona koʻikoʻi, a me kou olakino holoʻokoʻa.
1. Nā lāʻau lapaʻau antifungal
ʻO kēia ka lāʻau lapaʻau nui. Hana kēia mau lāʻau lapaʻau ma ka luku ʻana i ka fungus i loko o ke kino. Hoʻohana pinepine ʻia nā lāʻau lapaʻau e like me 'Voriconazole', 'Isavuconazole', 'Amphotericin B' no kēia. Hāʻawi ʻia kekahi o kēia mau mea ma ke ʻano he mau pila e lawe ai, a hāʻawi ʻia kekahi ma ke ʻano he inikini i loko o kahi aa me ka saline. Hiki i ka manawa lapaʻau ke lōʻihi mai kekahi mau pule a i kekahi mau mahina, a i ʻole ke ola holoʻokoʻa.
2. Nā lāʻau steroid (Corticosteroids)
Hoʻohana ʻia kēia mau mea e mālama i ka rhinitis allergic (ABPA) . Ma kahi o ka pepehi ʻana i ka ʻōpala, hoʻomalu kēia mau lāʻau lapaʻau i ka mumū nui a me ka pane allergic i hoʻokumu ʻia e ka ʻōpala i loko o ke kino. Hāʻawi ʻia nā pila e like me 'Prednisolone' no kēia.
3. ʻoki kino
Inā he puʻu hoʻokahi o ka ʻōpala (`Aspergilloma`) i loko o ka māmā a ke kumu nei i nā pilikia e like me ke kahe koko e hoʻomau nei, hana ʻia ke ʻoki kino e wehe i ka māmā holoʻokoʻa e loaʻa ana ka puʻu. Hiki i kēia ke ho'ōla loa i ka maʻi.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai no ka manawa i kuhikuhi ʻia. Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i ka hapalua, e hoʻi hou mai paha ka maʻi.
Pehea ʻoe e pale ai iā ʻoe iho mai kēia maʻi?
He wahi ākea ka ʻōpala Aspergillus i ke kaiapuni, no laila ʻaʻole hiki ke pale aku iā ia i ka 100% o ka manawa. Akā inā ʻoe i loko o kahi hui pilikia kiʻekiʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:
- E pale i nā wahi lepo: E pale i nā kahua kūkulu hale, nā wahi wāwahi hale kahiko, a me nā alanui lepo i ka hiki.
- E makaʻala i ka māla ʻana: ʻO nā hana e like me ke ʻeli ʻana i ka lepo, ka hana ʻana i nā puʻu compost, a me ka ʻoki ʻana i nā lau nahele hiki ke hoʻokuʻu i nā spores mold i ka lewa. Inā ʻoe e hana ana i kēia ʻano hana, e hōʻoia e komo i kahi pale maka N95 maikaʻi .
- E kāohi i ka makū i loko o kou hale: Inā he mau wahi pulu i loko o kou hale a i ʻole nā wahi me ka ʻōpala e ulu ana ma nā paia, e hoʻoponopono koke iā lākou. E hōʻoia i ka ea maikaʻi o nā wahi e like me ka lumi ʻauʻau a me ka lumi kuke.
- E mālama i nā ea hoʻoluʻu (AC) a me nā kānana ea i maʻemaʻe: He maʻalahi kēia mau kānana i ka ulu ʻana o ka ʻōpala, no laila e hoʻomaʻemaʻe mau iā lākou e like me nā kuhikuhi a ka mea hana.
Āhea wau e ʻike ai i ke kauka? Āhea wau e hele ai i ka ETU?
Inā ʻoe no kekahi o nā hui pilikia i ʻōlelo ʻia ma luna a loaʻa iā ʻoe nā hōʻailona e pili ana i ka māmā (kuke, paʻakikī ka hanu ʻana, kuni),E ʻike koke i kāu kauka.
Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e hele koke i ka Halemai Pilikia (ETU) kokoke loa.
- Kuni kiʻekiʻe loa (ma luna o 103 Fahrenheit/40 Celsius)
- Pōkole loa o ka hanu
- Ka nui o ke kahe koko i ka wā e ʻū ana
- Ka haunaele, ka huikau , a i ʻole nā loli i ke ʻano
- Nā hopu ʻana
- ʻO ke kala polū o nā lehelehe a i ʻole ka ʻili (he hōʻailona kēia o ka nele o ka oxygen i loko o ke koko - 'Cyanosis')
Leka Lawe-Home
- He ʻano ʻōpala ka ʻAspergillus i ʻike nui ʻia i ko kākou wahi. ʻAʻole ia e hōʻeha i nā kānaka olakino.
- ʻOi aku ka nui o ka pilikia no ka poʻe me nā maʻi māmā (asthma, COPD) a me ka poʻe me nā ʻōnaehana pale nāwaliwali (nā maʻi kanesa, nā mea loaʻa i ka hoʻoili ʻana o nā kino).
- Hiki i nā hōʻailona ke like me nā hōʻailona o kahi maʻi hanu maʻamau, no laila inā ʻoe i loko o kahi hui pilikia, e makaʻala i nā hōʻailona.
- ʻAʻole laha kēia maʻi mai kekahi kanaka a i kekahi kanaka.
- Aia nā lāʻau lapaʻau kūpono. ʻO ka ʻike mua ʻana a me ka mālama kūpono e like me nā kuhikuhi a ke kauka hiki ke kōkua i ka kaohi a me ka ho'ōla ʻana i ka maʻi.
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