E aʻo kākou e pili ana i ka maʻi pneumonia koʻikoʻi e hoʻopilikia ana i nā māmā ʻelua (Bilateral Interstitial Pneumonia).

Ua loaʻa anei iā ʻoe ke kuni me ka hanu pōkole loa, kahi ʻū maloʻo ʻaʻole e hana i ka mucus? I kekahi manawa manaʻo mākou he anu maʻamau a he maʻi palū paha ia, akā hiki ke lilo i mea ʻoi aku ka koʻikoʻi. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Bilateral Interstitial Pneumonia ', ka mea e hoʻopilikia i ko mākou mau māmā ʻelua i ka manawa hoʻokahi, ʻoi aku hoʻi me ka maʻi ahulau COVID-19 . Mai hopohopo, e wehewehe maʻalahi kākou.

I ka ʻōlelo maʻalahi, he aha kēia kūlana?

E noʻonoʻo i kou mau māmā e like me kahi ʻōkana i piha i nā miliona o nā ʻeke ea liʻiliʻi, ka nui o nā hua waina liʻiliʻi. Ke hanu mākou, hoʻopiha ka ea i kēia mau ʻeke ea. ʻO ka pūnaewele palupalu o nā ʻiʻo e hoʻopuni ana i kēia mau ʻeke ea ua kapa ʻia ʻo interstitial tissue .

I kēia manawa, ke pehu kēia ʻiʻo interstitial, maʻi , a piha i nā wai e like me ka pus ma muli o kahi maʻi bacteria a viral paha, kapa mākou ia he 'Interstitial Pneumonia. ' ʻO ka huaʻōlelo 'bilateral' ʻo ia hoʻi 'ma nā ʻaoʻao ʻelua.' ʻO ia hoʻi, hoʻopilikia kēia ʻano i kou mau māmā ʻelua i ka manawa like .

ʻO ke kumu he mea koʻikoʻi iki kēia, ʻoiai ke hoʻomau ʻia ka maʻi o ka ʻiʻo ma kēia ʻano, i ka hala ʻana o ka manawa, hiki ke loaʻa nā ʻeha mau loa ma ia ʻiʻo. E like me ka wā e ho'ōla ai kahi ʻeha ma ko kākou ʻili, e hana ʻia kahi ʻeha. ʻO kēia ʻeha ke kumu o ka nalowale ʻana o ke kūlou o nā māmā, mānoanoa, a paʻakikī loa ka hanu pono ʻana. I kekahi manawa hiki i kēia kūlana ke lilo koke i mea koʻikoʻi a hiki i ka hāʻule ʻana o ka hanu.

ʻO ka pilina ma waena o COVID-19 a me kēia maʻi

Hoʻolaha pū ʻia ka maʻi COVID-19 ma o nā kulu liʻiliʻi e komo i ka lewa i ka wā e ʻū ai a ʻūhā paha ka mea maʻi. ʻOiai ʻo ka hapa nui o ka poʻe i loaʻa i ka COVID-19 e ʻike i nā hōʻailona ʻoluʻolu e like me ke anu maʻamau, hiki i kekahi poʻe ke loaʻa i kahi pilikia ʻoi aku ka koʻikoʻi a hiki ke make i kapa ʻia ʻo bilateral interstitial pneumonia.

He aha nā hōʻailona nui o kēia?

Ua like loa nā hōʻailona o kēia maʻi me nā hōʻailona o kahi hihia koʻikoʻi o COVID-19. E nānā inā loaʻa iā ʻoe kēia mau hōʻailona pū kekahi.

Pehea lā e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nānā ʻo ia iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona, ​​a e kauoha paha i kekahi mau hoʻokolohua e hoʻoholo i kēia maʻi.

• CT Scan: He ʻano X-ray ikaika kēia. Hiki iā ia ke kiʻi i nā kiʻi maopopo loa o nā māmā. I nā CT scan o ka poʻe me kēia maʻi, hiki i nā kauka ke ʻike i nā kiko keʻokeʻo i loko o nā māmā i kapa ʻia ʻo "ground glass," e like me ke aniani lepo. Hōʻike kēia i ka hōʻino ʻia o ka ʻiʻo māmā.

• Hoʻāʻo Hana Pūmā: Ke ana kēia i ka maikaʻi o ka hana ʻana o kou mau māmā a me ka nui o ka ea hiki iā ʻoe ke lawe i loko a i waho. E noi ʻia paha ʻoe e hana i nā mea e like me ka puhi wikiwiki ʻana i ka ea i loko o kahi ʻōmole.

• Bronchoscopy: Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma kou ihu a waha paha i loko o kou mau māmā, ua holoi ʻia nā ala ea me kahi wai saline liʻiliʻi, a laila ua huki ʻia ka wai a nānā ʻia. Nānā ʻia ka wai no ka helu ʻana o nā cell koko keʻokeʻo kiʻekiʻe.

• Biopsy: ʻAʻole pono kēia no nā kānaka a pau. Eia nō naʻe, i kekahi mau hihia, i ka wā o ke kaʻina hana bronchoscopy i ʻōlelo ʻia ma luna, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo māmā a nānā ʻia ma lalo o kahi microscope e hōʻoia hou i ka nui o ka hōʻino ʻia o nā ʻiʻo.

He aha nā lāʻau lapaʻau no kēia?

ʻOkoʻa nā koho lapaʻau ma muli o ke kumu a me ke koʻikoʻi o ke kūlana. Hoʻoholo ʻia kēia mau lāʻau āpau e kāu kauka.

• Nā lāʻau lapaʻau antiviral: Inā loaʻa ke ʻano i kahi maʻi viral e like me COVID-19, hiki ke hāʻawi ʻia nā lāʻau antiviral e pale aku i ka maʻi mai ka ʻino ʻana. No ka laʻana, hoʻohana ʻia nā lāʻau lapaʻau e like me ' Paxlovid' a i ʻole 'Remdesivir' i hāʻawi ʻia ma ke kino.

• ʻO ka Hoʻōla ʻOkikene: Inā paʻakikī ka hanu ʻana, hāʻawi ʻia ka oxygen ma o kahi paipu ihu a i ʻole ka pale maka. Inā koʻikoʻi ke kūlana, hiki ke hoʻokomo ʻia ʻoe i ka Emergency Treatment Unit (ETU) a hoʻopili ʻia i kahi ventilator .

• Corticosteroids: Hiki i nā lāʻau steroid , e like me ka prednisone, ke kōkua i ka kaohi ʻana i ka mumū a me ka maʻi i loko o nā māmā. Eia naʻe, ʻaʻole lākou e hana no nā mea āpau, a hiki iā lākou ke hana i nā hopena ʻaoʻao.

• Nā lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale: Hoʻohana ʻia i kekahi manawa nā lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale, e like me ' Azathioprine' a me 'Mycophenolate mofetil'.

• Nā lāʻau anti-fibrotic: E hoʻomanaʻo i ka wā a mākou i ʻōlelo ai e loaʻa ana ka ʻeha mau loa i loko o nā māmā? ʻAʻole hiki ke hoʻohuli ʻia kēia ʻeha. Eia nō naʻe, hiki i nā lāʻau lapaʻau e like me `nintedanib (Ofev)` a me `pirfenidone (Esbriet)` ke hoʻolohi i ka wikiwiki o ka loaʻa ʻana o kēia ʻeha a kōkua i ka kaohi ʻana i ka holomua o ka maʻi.

• Nā lāʻau lapaʻau ʻē aʻe: Ma waho aʻe o kēia, ka hoʻoponopono hou ʻana o ka pulmonary, ʻo ia hoʻi nā hoʻomaʻamaʻa hanu e hoʻoikaika i nā māmā, a inā ʻaʻohe lāʻau lapaʻau ʻē aʻe e holomua, hiki ke manaʻo ʻia kahi hoʻoili māmā ma ke ʻano he ala hope loa.

Pehea lā e hiki ai iā kākou ke pale aku iā kākou iho mai nā kūlana e like me kēia?

Ua ʻike mākou a pau "ʻoi aku ka maikaʻi o ka pale ʻana i kahi maʻi ma mua o ka mālama ʻana iā ia ma hope o kona ulu ʻana." No laila, e hōʻoia e hahai i kēia mau mea e mālama ai i ke olakino o kou mau māmā.

• E pale loa i ka puhipaka. Inā ʻoe e puhipaka, e hoʻōki i kēia lā. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana no kou mau māmā.
• No ka pale ʻana i nā maʻi, e holoi pono i kou mau lima me ke kopa a me ka wai no ka liʻiliʻi he 20 kekona.
• E loaʻa i ka lāʻau pale no COVID-19 a me nā maʻi ʻē aʻe i hiki ke pale ʻia me ka lāʻau pale i ka manawa kūpono.
• Mai hoʻopā i kou mau maka, ihu, a me ka waha me ka holoi ʻole i kou mau lima.
• Ke loaʻa ʻole ka holoi lima, e hoʻohana i kahi mea hoʻomaʻemaʻe lima i loaʻa ma ka liʻiliʻi he 60% ka waiʻona.
• E noho mamao aku mai ka poʻe maʻi.
• Inā maʻi ʻoe, e noho ma ka home i ka hiki a pale i nā poʻe ʻē aʻe, koe wale nō ke ʻike ʻana i ke kauka.