Hanu mākou a pau i kēlā me kēia lā. Akā, ua noʻonoʻo paha ʻoe i ka nui o nā mea i loko o ka lewa a mākou e hanu nei ʻaʻole hiki iā mākou ke ʻike? Pēlā nō, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano fungus i loaʻa a puni mākou, i loko o ka lepo, i waena o nā ʻōpala lau maloʻo, akā ʻaʻole ia e hoʻopilikia pinepine iā mākou. Hanu mākou i kēia fungus i kēlā me kēia lā, akā naʻe, maʻalahi ka ʻōnaehana pale o ko mākou kino e kāohi iā ia. Eia nō naʻe, no kekahi poʻe, ʻoi aku ka poʻe me nā ʻōnaehana pale nāwaliwali, hiki i kēia fungus ke lilo i mea koʻikoʻi iki. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo Aspergillosis.
I ka ʻōlelo maʻalahi, he aha ka Aspergillosis?
ʻO Aspergillosis kahi inoa maʻamau no kekahi mau maʻi i hoʻokumu ʻia e ka haʻihaʻi ʻo Aspergillus. He mea maʻamau kēia haʻihaʻi i ko mākou wahi, ʻoi aku hoʻi ma waho, ma nā wahi e like me ka ʻōpala lau maloʻo, ka ʻili lāʻau, ka lepo, a me ka compost. Hiki ke loaʻa i kekahi manawa i loko o nā wahi pulu.
E noʻonoʻo, hanu mākou i nā tausani o nā spores o kēia fungus i kēlā me kēia lā. Akā, ʻo ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale, ua ikaika loa ia ʻaʻole ia e ʻae i kēia fungus e hoʻoulu i nā maʻi i loko o ko mākou kino. Eia naʻe, ʻaʻole hiki i ke kino o kekahi poʻe ke hakakā i kēia fungus. ʻO ia ka manawa e hoʻomaka ai nā pilikia. Hiki i kēia fungus ke hoʻoulu i nā maʻi allergies, nā maʻi māmā mau, a i ʻole nā maʻi invasive e laha ana i nā ʻōpū nui e like me ka lolo, nā puʻupaʻa, a me nā māmā.
ʻO ka mea nui, ʻo ka mea a kekahi poʻe e manaʻo ai he "ʻeleʻele ʻōpala" a me kēia haʻalulu i kapa ʻia ʻo Aspergillus he ʻelua mau mea like ʻole. He ʻano haʻalulu ʻokoʻa ka ʻōpala ʻeleʻele. Akā, he ʻano haʻalulu nā ʻano ʻelua e hiki ai i kekahi poʻe ke maʻi.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻAʻole loaʻa i nā kānaka a pau ka aspergillosis. Akā, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. ʻOkoʻa ka pilikia ma muli o ke ʻano o ka maʻi. E nānā kākou i ka mea i pilikia nui loa.
| ʻAno o ka aspergillosis | ʻO ka poʻe i hiki ke hoʻopilikia nui ʻia |
|---|---|
| ʻO ka Aspergillosis maʻi ʻaleka | ʻO ka poʻe i loaʻa mua i nā maʻi hanu e like me ka hānō, bronchiectasis, a i ʻole cystic fibrosis. |
| ʻO ka Aspergillosis mau loa | ʻO nā kānaka me nā maʻi māmā lōʻihi e like me COPD, sarcoidosis, a me ka maʻi puʻupuʻu. |
| ʻO ka Aspergillosis komohewa | Nā kānaka me nā ʻōnaehana pale kino nāwaliwali loa . Eia kekahi laʻana:
|
Pehea e komo ai kēia ʻano fungus i loko o ko kākou kino?
I ka ʻōlelo maʻalahi, ke hanu mākou, hele nā spores Aspergillus i ka lewa ma o ko mākou ihu a i loko o ko mākou mau māmā. ʻO ia kahi e hoʻomaka ai kahi hopena alerika a i ʻole ka maʻi. Inā nāwaliwali kou ʻōnaehana pale, hiki i kēia fungus ke hele mai laila a i nā ʻāpana ʻē aʻe o ke kino. Eia kekahi, hiki i kēia fungus ke komo i ke kino ma o kahi ʻeha ma ka ʻili.
E hoʻomanaʻo, ʻaʻole he maʻi lele ka aspergillosis. ʻO ia hoʻi, ʻaʻole hiki ke laha mai kekahi kanaka a i kekahi kanaka.
He aha nā hōʻailona o ka aspergillosis?
ʻOkoʻa nā hōʻailona o kēia maʻi ma muli o ke ʻano āu i loaʻa ai a me kahi o ka maʻi. ʻO nā hōʻailona maʻamau ka mea e pili ana i nā māmā.
- Kuke: I kekahi manawa e puka mai kahi koko liʻiliʻi me ka phlegm.
- Paʻakikī ka hanu ʻana: Hiki paha iā ʻoe ke hanu pōkole me ka hoʻoikaika iki ʻana.
- ʻUhaʻi: He mea maʻamau kēia i waena o nā poʻe maʻi hānō.
- ʻEha umauma: Manaʻo o ka ʻūmiʻi a i ʻole ka ʻeha ma ka umauma i ka wā e hanu ana.
- Kuni: He hōʻailona maʻamau ia o kahi maʻi i loko o ke kino.
Hiki i nā kānaka me ka aspergillosis pulmonary mau ke ʻike i nā hōʻailona e like me ka luhi a me ka pohō kaumaha .
Inā pālahalaha ka maʻi i nā ʻāpana ʻē aʻe o ke kino, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe e pili ana i kēlā ʻōkana.
Pehea ʻoe e ʻike pololei ai i kēia maʻi?
Ma muli o ke ʻano like o nā hōʻailona o ka aspergillosis me nā maʻi ʻē aʻe he nui, hiki ke paʻakikī iki ka ʻike ʻana i ka maʻi. E nānā pono kāu kauka i kāu mau hōʻailona, ka mōʻaukala olakino, a me nā mea pilikia. Hiki iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
- Nā hoʻokolohua kiʻi: Hiki i kahi X-ray umauma a i ʻole CT scan ke nānā i nā pōpō fungal a i ʻole nā hōʻailona ʻē aʻe o ka maʻi i loko o nā māmā.
- Nā hoʻokolohua aleri: Hiki i nā hoʻokolohua koko a ʻili paha ke hoʻoholo inā he aspergillosis maʻi ʻoe.
- Biopsy: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai nā māmā a i ʻole ka wahi i loaʻa i ka maʻi a nānā ʻia ma lalo o kahi microscope e hōʻoia i ke alo o ka haʻiki.
- Moʻomeheu: Lawe ʻia kahi hāpana o kou sputum, koko, a i ʻole ke kino wai ʻē aʻe a hoʻāʻo ʻia ma ka hale hana e ʻike ai inā ulu ka fungus Aspergillus ma laila.
- Nā hoʻāʻo koko: Kōkua kēia mau hoʻāʻo e ʻike koke i ke ʻano invasive, ʻoi aku hoʻi i ka poʻe me nā ʻōnaehana pale nāwaliwali loa.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke ʻano o ka aspergillosis āu e loaʻa ai, ke koʻikoʻi o ka maʻi, a me kou olakino holoʻokoʻa. ʻEkolu mau koho lapaʻau nui.
1. Nā lāʻau lapaʻau antifungal
Hoʻōla ʻia ka hapa nui o nā ʻano aspergillosis me kēia mau lāʻau lapaʻau. He mea nui e lawe i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai (e.g., Voriconazole, Itraconazole) no ka lōʻihi o ka lāʻau lapaʻau. I kekahi manawa, inā ʻaʻole holo pono kekahi lāʻau lapaʻau, hiki i kāu kauka ke kuhikuhi i kekahi lāʻau lapaʻau ʻē aʻe.
2. ʻOki kino
Inā he hoʻokahi puʻupuʻu fungal (aspergilloma) e hana ʻia i loko o nā māmā, hiki i ka wehe ʻana i ka puʻupuʻu ke ho'ōla loa i ka maʻi. I kekahi mau hihia o ka maʻi koʻikoʻi, pono paha ke ʻoki ʻana.
3. Nā Corticosteroids
Hoʻohana nui ʻia kēia mau mea no ka aspergillosis ʻano maʻi āpau (ABPA). Hana kēia mau lāʻau lapaʻau ma ka kaohi ʻana i ka mumū nui i loko o ke kino. Loaʻa lākou i nā ʻano like ʻole e like me nā papa, nā mea hoʻoheheʻe, a me nā pīpī ihu.
Āhea ʻoe e ʻike ai i ke kauka a i ʻole e hele koke i ka haukapila?
Inā ʻoe no kekahi o nā hui pilikia i ʻōlelo ʻia ma luna (e.g., ka mea loaʻa i ke kāpili ʻana o nā kino, ka mea loaʻa i ka mālama ʻana i ka maʻi kanesa, ka maʻi diabetes), e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka pale ʻana a me ka ʻike ʻana i nā maʻi fungal i ka wā mua.
Eia kekahi, inā ʻike ʻoe ua nāwaliwali kou pale ʻana a loaʻa iā ʻoe nā hōʻailona o kahi maʻi, e ʻimi koke i ke kōkua lapaʻau. Inā loaʻa iā ʻoe kekahi o nā hōʻailona koʻikoʻi ma lalo nei, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
| Nā hōʻailona hōʻike e pono ai ka nānā koke ʻana | |
|---|---|
| 🌡️ Kuni nui | Loaʻa ke kuni ma luna o 40 degere Celsius (103 Fahrenheit). |
| 😮💨 Pōkole loa o ka hanu | Paʻakikī ka hanu ʻana. |
| 🩸 Ke ʻū ʻana i ke koko | Ke kahe koko i hui pū ʻia me ka huʻa a i ʻole ke kahe koko nui. |
| 🧠 Huikau | Nā loli i ka hoʻomanaʻo, dementia. |
| ⚫ ʻEleʻele ka ʻili | Ka ʻeleʻele ʻana o ka ʻili, nā ʻiʻo, a i ʻole ka mucus mai ka ihu. |
| 🔵 Polū (Cyanosis) | ʻO ke kala polū o ka ʻili, nā lehelehe, a i ʻole nā kui lima (he hōʻailona weliweli kēia o ka nele o ka oxygen i loko o ke koko). |
Leka Lawe-Home
- He maʻi ʻo Aspergillosis i hoʻoulu ʻia e kahi fungus i loaʻa pinepine i ko mākou wahi.
- ʻAʻole nui ka pōʻino o kēia haʻiki i nā kānaka olakino me ka palekana maikaʻi.
- ʻO ka poʻe me nā ʻōnaehana pale kino nāwaliwali, ka poʻe me nā maʻi māmā e like me ka hānō, a me ka poʻe me nā maʻi e like me ka maʻi diabetes he nui ka pilikia.
- ʻO nā hōʻailona maʻamau e like me ke kuni, ke kuni, a me ka paʻakikī o ka hanu ʻana nā hōʻailona nui. No laila, inā ʻoe i loko o kahi hui pilikia, e makaʻala i kēia mau hōʻailona.
- ʻOkoʻa nā ʻano lapaʻau ma muli o ke ʻano o ka maʻi. ʻO ke ʻoki kino, nā lāʻau antifungal, a me nā lāʻau steroid nā mea nui.
- Inā no loko ʻoe o kahi hui pilikia a loaʻa iā ʻoe nā hōʻailona koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo