Ke hana nei ʻoe ma kahi e hana ʻia ai nā ʻāpana kaʻa, nā kamepiula, a i ʻole nā lako uila? Ke ʻike nei hoʻi ʻoe i ka ʻū mau a me ka paʻakikī o ka hanu ʻana i ka wā e hana ana ma ia wahi? I kekahi manawa poina iā mākou kēia mau mea, me ka manaʻo he mau mea maʻamau lākou, i hoʻokumu ʻia e ka lepo. Eia naʻe, ma hope o kēia mau hōʻailona, aia paha kekahi moʻolelo koʻikoʻi a mākou i noʻonoʻo ʻole ai. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ke hoʻopilikia i ka poʻe e hana ana i ia mau ʻoihana, ʻoiai ka poʻe e hana ana i kekahi mau ʻoihana. ʻO ia ka berylliosis.
I ka ʻōlelo maʻalahi, he aha ka Berylliosis?
He mumū lōʻihi ka Beryllium o nā māmā i hoʻokumu ʻia e ka hanu ʻana i nā ʻāpana liʻiliʻi a i ʻole ka uahi o ka metala beryllium . I ka ʻōlelo maʻalahi, he ʻano ia e pehu ai nā māmā. He metala māmā a ikaika hoʻi ka Beryllium. ʻO ia ke kumu e hoʻohana ʻia ai e hana i nā mea he nui, e like me nā kaʻa, nā kamepiula, nā lako kolepa, nā ʻāpana mokulele, a me nā lako uila like ʻole.
Akā, ʻo ka mea nui ma ʻaneʻi, ʻaʻole nā kānaka a pau i hōʻike ʻia i ka beryllium e loaʻa i kēia maʻi. He pane kēia o ka ʻōnaehana pale o ko kākou kino . ʻO ia hoʻi, ʻo ka poʻe wale nō i loaʻa i ka maʻi allergy a i ʻole ka sensitization i ka beryllium e loaʻa i kēia maʻi. Kāhea mākou i kēia sensitivity Beryllium Sensitization (BeS) .
E noʻonoʻo he maʻi ʻaleʻale kekahi i nā pīnati. Inā paha e ʻai nā kānaka a pau i nā pīnati, ʻo ka mea wale nō me kēlā maʻi ʻaleʻale e loaʻa i kahi hopena. He mea like ka ʻike ʻana i ka beryllium.
Hoʻopilikia kēia maʻi i nā ʻiʻo o ka māmā, a i ka hala ʻana o ka manawa e hoʻoulu ai i ka ʻeha. Hoʻoulu kēia i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a me ke kuʻi ʻana.
ʻElua ʻano nui o kēia maʻi.
Hiki ke hoʻokaʻawale ʻia ka maʻi Beryllium i ʻelua ʻano nui.
1. Ka maʻi Beryllium mau loa (CBD)
ʻO kēia ka mea a mākou e kapa pinepine ai he berylliosis. He maʻi māmā ia e kū mai ana i nā poʻe i maʻalahi i ka beryllium (BeS). He maʻi autoimmune ia, ʻo ia hoʻi, hoʻouka ka ʻōnaehana pale ponoʻī o ko mākou kino i ko mākou mau māmā. I kekahi manawa hiki ke huikau ʻia me kekahi maʻi māmā ʻē aʻe, e like me ka sarcoidosis .
Ke hoʻomaopopo ʻia ke kanaka i ka beryllium, hiki ke ulu ka maʻi i kēlā me kēia manawa. Hiki nō hoʻi ke hana i nā makahiki ma hope o ka pau ʻana o ka hoʻopili ʻana i ka beryllium.
2. Maʻi Beryllium ʻoi loa
He mea kākaʻikahi loa kēia kūlana e ʻike ʻia i kēia mau lā.Ma muli o nā lula palekana o ka wahi hana o kēia manawa e pale aku ai i ka pili ʻana i ka nui o ka beryllium i ka lewa e hoʻoulu ai i ia ʻano maʻi koʻikoʻi, he ʻano kēia e hiki ke ulu koke a piʻi koke.
Eia kekahi, hiki i ka beryllium ke hoʻoulu i kahi maʻi ʻili i kapa ʻia ʻo contact dermatitis, ʻo ia hoʻi ka ʻulaʻula ʻili. Inā loaʻa i kekahi mea hana me ka beryllium kēia ʻano hopena ʻili, he mea nui e ʻimi koke i ke aʻo lapaʻau, no ka mea, aia lākou i ka pilikia kiʻekiʻe o ka hoʻomohala ʻana i ka beryllium sensitivity (BeS).
He aha nā hōʻailona o kēia maʻi?
ʻO nā hōʻailona o ka berylliosis mau loa (CBD) e ulu mālie loa a ʻoi aku ka ʻino i ka hala ʻana o ka manawa. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona ke ʻike ʻia lākou me ka maʻi.
I loko o kēia maʻi, pane ko kākou mau māmā i kahi Fremdkörper (mea haole) i kapa ʻia ʻo beryllium a lilo i mumū. Ma muli o kēia pane ʻana, hōʻiliʻili nā pūnaewele pale ma nā māmā a hana i nā puʻupuʻu liʻiliʻi i kapa ʻia ʻo granulomas . I ka hala ʻana o ka manawa, hōʻiliʻili kēia mau mea i loko o nā māmā, e hana ana i ka ʻeha a me ka emi ʻana o ka hana o ka māmā. I ka holomua ʻana o ka maʻi, hiki ke ʻike ʻia nā hōʻailona penei:
| Hōʻailona | Wehewehena |
|---|---|
| Pōkole o ka hanu | Ka hanu pōkole, ʻoiai i ka wā e hoʻoikaika iki ai ʻoe, e like me ke piʻi ʻana i nā alapiʻi. |
| Kuke | He ʻūhū maloʻo a lōʻihi ka lōʻihi, i kekahi manawa me ka ʻole o ka huʻa. |
| Luhi | Luhi nui a me ka paupauaho ʻole me ke kumu ʻole. |
| ʻEha umauma | Manaʻo o ka ʻūmiʻi a i ʻole ka ʻeha ma ka umauma. |
| Nā hiʻohiʻona ʻē aʻe | Ka nalowale ʻana o ka makemake e ʻai, ka emi ʻana o ke kaumaha, ka ʻeha o nā hono, a me ka hou ʻana i ka pō. |
Pehea e ʻike ai ke kauka i kēia maʻi?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoiai inā ʻoe e hana ana i kahi hana e hiki ai ke hōʻike iā ʻoe i ka beryllium, he mea nui e ʻike i ke kauka. E lawe kāu kauka i kahi mōʻaukala lapaʻau piha, ʻoiai e pili ana i kāu mōʻaukala hana. A laila hiki iā lākou ke paipai i kekahi mau hoʻokolohua e kōkua i ka ʻike ʻana i ke kūlana.
- Hoʻāʻo Koko: Ua kapa ʻia kēia ʻo ka Beryllium Lymphocyte Proliferation Test (BeLPT) . Hoʻāʻo kēia e ʻike inā pane nā hunaola koko keʻokeʻo i loko o kou koko i ka beryllium. Hiki i kēia ke haʻi inā he beryllium sensitivity kou (BeS).
- ʻO ke kiʻi CT umauma: Hiki i kēia ke ʻike maopopo i ke kūlana o kou mau māmā a me ka nui o kekahi ʻeha a pehu paha.
- Nā Hoʻāʻo Hanu: ʻO Spirometry ka hoʻāʻo maʻamau i hoʻohana ʻia no kēia. Ana ia i ka wikiwiki a me ka nui o ka ea hiki iā ʻoe ke hanu a hoʻokuʻu aku. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo o ka hana maikaʻi o kou mau māmā.
- Bronchoscopy: Ma kēia hoʻāʻo , ua hoʻokomo ʻia kahi ʻōmole liʻiliʻi me kahi kāmela ma ka waha a i ʻole ka ihu i loko o nā māmā e nānā i loko o nā māmā. Hiki ke lawe ʻia kahi laʻana liʻiliʻi (biopsy) o ka ʻiʻo māmā no ka hoʻāʻo ʻana. Hiki ke nānā ʻia kēia laʻana e hoʻoholo ai inā he granulomas.
Aia kekahi lāʻau lapaʻau no kēia maʻi? Hiki ke ho'ōla loa ʻia?
ʻO ka mea pōʻino, ʻaʻohe "lāʻau lapaʻau" e hiki ke hoʻōla loa i ka berylliosis mau loa (CBD). Akā, mai hopohopo. ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hōʻemi ʻana i nā hōʻailona, e hoʻōki i ka maʻi mai ka ʻino ʻana, a kōkua iā ʻoe e ola i kahi ola maʻamau.
He nui nā kauka e kuhikuhi ana i nā lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale no kēia.
- Corticosteroids: Hoʻohana pinepine ʻia nā lāʻau lapaʻau e like me Prednisone no kēia. Hana kēia ma ka hōʻemi ʻana i ka mumū, a i ʻole ka pehu ʻana, i loko o nā māmā.
- Nā lāʻau lapaʻau ʻē aʻe: Methotrexate a i ʻole AzathioprineHoʻohana ʻia nā lāʻau lapaʻau e like me ia no ka mālama ʻana i ka wā lōʻihi. Hoʻopau pū kēia i ka hana o ka ʻōnaehana pale a kōkua i ka kaohi ʻana i ka maʻi.
- ʻO ka lāʻau lapaʻau Oxygen: Pono paha e hāʻawi ʻia ka oxygen o waho i ka poʻe pilikia i ka hanu ʻana.
- Hoʻoponopono Hou ʻana i ka Pulmonary: Ua like kēia me ka physiotherapy no nā māmā. Kōkua ia i ka hoʻomaikaʻi ʻana i ka hiki ke hanu a me ke ʻano o ke ola ma o nā hoʻomaʻamaʻa kūikawā a me ke aʻo ʻana.
I nā hihia koʻikoʻi loa, pono paha ka hoʻoili ʻana o ka māmā, akā he mea kākaʻikahi loa kēia.
ʻO ka mea nui loa, ʻo ia ka ʻike mua ʻana i ka maʻi a hoʻomaka i ka lāʻau kūpono. Inā hana ʻoe pēlā, hiki iā ʻoe ke pale aku i nā pilikia koʻikoʻi he nui i hoʻokumu ʻia e ka maʻi.
Pehea lā e hiki ai iā kākou ke pale iā kākou iho mai kēia maʻi weliweli?
ʻO ke ala maikaʻi loa a ʻo ke ala wale nō e pale aku ai i kēia maʻi, ʻo ia ka pale ʻana i ka pili ʻana i ka beryllium . Ma kēia, he kuleana nui kou, a me ka hui āu e hana nei.
| Nā hana e hana ʻia no ka pale ʻana | |
|---|---|
| Nā hana e hana ʻia ma ka wahi hana | |
| Hoʻoulu ʻana i ka ea | E hōʻoia i ka ea maikaʻi o ka wahi hana. |
| Ka hoʻohana ʻana i nā metala ʻē aʻe | I nā manawa hiki, e hoʻololi i ka beryllium me kahi metala palekana ʻē aʻe. |
| Hoʻomaʻemaʻe | Ke hoʻohana nei i kahi mea hoʻomaʻemaʻe ʻūlū HEPA (High-Efficiency Particulate Air) kūikawā e omo ana i nā ʻāpana lepo. |
| Nā lako palekana | Ke hoʻolako nei i nā lako palekana pilikino e like me nā pale maka a me nā respirators i nā limahana. |
| Nā mea hiki iā ʻoe ke hana e mālama i kou ʻohana | |
| Ke hoʻololi nei i nā lole | E wehe i kou mau lole maʻamau a e komo i kou ʻaʻahu hana ma mua o kou komo ʻana i ka wahi hana. |
| ʻAʻole e lawe i nā lole hana i ka home | E hoʻokomo i nā lole hana i loko o kahi hīnaʻi holoi lole i uhi ʻia ma kahi hana a mai lawe mai iā lākou i ka home. |
| ʻAuʻau | ʻAuʻau a hoʻomaʻemaʻe pono iā ʻoe iho ma ka hana ma mua o ka hoʻi ʻana i ka home mai ka hana. |
| Ka holoi ʻana i nā kāmaʻa | Mai lawe mai i nā kāmaʻa hana i ka home a hoʻomaʻemaʻe pono iā lākou. |
Leka Lawe-Home
- He maʻi māmā ʻo Berylliosis i hoʻokumu ʻia e ka hanu ʻana i ka lepo mai ka metala beryllium.
- ʻAʻole loaʻa kēia maʻi i nā poʻe a pau i pili i ka beryllium, akā i ka poʻe wale nō i hoʻopili ʻia i ia mea.
- ʻO nā hōʻailona nui ka ʻū mau, ka pōkole o ka hanu, a me ka luhi nui. Lohi loa kēia mau mea.
- Inā ʻoe e hana ana i kahi hana e hiki ai ke hōʻike iā ʻoe i ka beryllium a loaʻa iā ʻoe nā hōʻailona i luna, e ʻike koke i kāu kauka.
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia kēia maʻi, me ka ʻike mua ʻana a me ka mālama pono ʻana, hiki ke kaohi ʻia ka maʻi a hiki ke ola i kahi ola maikaʻi.
- ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā hana palekana ma ka wahi hana a pale i ka ulu ʻana o ka maʻi.
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