Ua hana ʻia kekahi mea kupanaha i kou mau māmā? E kamaʻilio kākou e pili ana i ka Cryptogenic Organizing Pneumonia (COP)!

Ke manaʻo nei ʻoe i kekahi manawa he anu kou e hoʻomaka ana me he kuni lā a ʻaʻole e hoʻomaikaʻi i loko o kekahi mau lā? A laila hoʻomaka ʻoe e ʻū a paʻakikī ke hanu i kou luhi iki ʻana? Manaʻo paha ʻoe he maʻi viral wale nō ia. Akā, ʻaʻole ia ka hihia mau. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi māmā kakaʻikahi e pono ai kākou a pau e makaʻala. Ua kapa ʻia ʻo Cryptogenic Organizing Pneumonia , a i ʻole COP no ka pōkole.

He aha ka Cryptogenic Organizing Pneumonia (COP)? E hoʻomaopopo maʻalahi kākou!

ʻAe, i kēia manawa e nānā kākou i ke ʻano o kēia maʻi māmā i kapa ʻia ʻo COPD. I ka ʻōlelo maʻalahi, he ʻano ia e hoʻopilikia ai i nā ʻeke ea liʻiliʻi loa (alveoli) i loko o ko kākou mau māmā - nā ʻano liʻiliʻi e like me ka baluna e komo ai ka oxygen a puka aku ke kalapona dioxide i ka wā e hanu ai kākou - a me nā ala ea liʻiliʻi (bronchioles) e pili ana iā lākou.

ʻO ka mea e hana ʻia ma kēia kūlana (COP) ʻo ia ka pehu ʻana o kēia mau ʻeke ea a me nā ala ea liʻiliʻi. E like me ka wā e loaʻa ai kahi ʻeha ma kekahi wahi o ko mākou kino, e pehu ana, ʻulaʻula, a ʻeha, ʻo ia ka mea like e hana ʻia i loko o nā māmā. Akā, ʻaʻole kēia he mea i hoʻokumu ʻia e ka bacteria a i ʻole nā ​​​​huakino e like me ka pneumonia maʻamau. He ʻokoʻa kēia.

I ka hala ʻana o ka manawa, hiki i kēia mumū e hoʻomau nei ke alakaʻi i ka ʻeha o ka ʻiʻo o ka māmā, ʻo ia hoʻi, lilo nā māmā i mea palupalu a emi iho ka hiki ke hana pono.

ʻO ke ʻano o ka huaʻōlelo "cryptogenic" ʻo ia hoʻi "no ke kumu i ʻike ʻole ʻia." ʻO ia hoʻi, ʻaʻole ʻike nā kauka i ke kumu pololei o kēia kūlana (COP). ʻO ia ke kumu e hoʻohana pinepine ʻia ai ka huaʻōlelo "idiopathic" no kēia kūlana, nona ke ʻano like.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi (COP)?

Hiki i kēia kūlana i kapa ʻia ʻo (COP) ke ulu maoli i loko o kekahi. ʻAʻole pili nā mea e like me ke kāne, ka lāhui, a me ke kala. Eia nō naʻe, ʻike pinepine ʻia ia i waena o ka poʻe ma waena o 40 a me 60 mau makahiki. ʻO kekahi mea ʻē aʻe, he nui ka poʻe e ulu nei i kēia kūlana (COP) ʻaʻole lākou he poʻe puhi paka .

Eia kekahi, inā loaʻa iā ʻoe kekahi mau maʻi mumū, hiki ke hoʻonui iki ʻia kou pilikia o ka loaʻa ʻana o COP. Eia kekahi laʻana:

• Lupus
• ʻO ka ʻāʻī rheumatoid
• ʻO ka ʻeha koko
• ʻO ka sclerosis lehulehu
• ʻO ka maʻi ʻōpū mumū - nā kūlana e like me ka maʻi a Crohn a i ʻole ka colitis ulcerative .

Akā, ʻaʻole ia he ʻoiaʻiʻo e loaʻa i nā kānaka a pau me kēia mau maʻi ka COPD. He mau mea pilikia wale nō kēia.

Pehea ka maʻamau o kēia kūlana?

ʻO kaʻoiaʻiʻo, he mea laha ʻole ka COP.Ua hōʻike ʻia kēia ma kahi o hoʻokahi i loko o ʻekolu o kēlā me kēia 100,000 mau haukapila ma ʻAmelika Hui Pū ʻIa, no laila ʻaʻole ia he mea maʻamau ka lohe ʻana e pili ana i ia mea.

He aha ke kumu o ka hoʻokumu ʻia ʻana o (COP)?

E like me kā mākou i ʻōlelo ai ma mua, ʻo COP kahi kūlana i kapa ʻia ʻo "cryptogenic" a i ʻole "idiopathic." ʻO ke ʻano kēia, ʻaʻohe kumu kikoʻī i loaʻa . Ma mua o ka nānā ʻana o nā kauka i ka COP, e nānā pono lākou inā he mau kumu ʻē aʻe o nā hōʻailona ke kumu o nā hōʻailona. No ka laʻana, e nānā lākou no nā maʻi e like me ka bacteria, nā virus, nā fungi, a i ʻole nā ​​​​lāʻau lapaʻau. Ma hope o ka hoʻopau ʻia ʻana o kēia mau mea a pau, e manaʻo lākou he kumu kūpono ʻo COP.

Aia kekahi mau kūlana olakino ʻē aʻe e pili ana i ke kūlana (COP). ʻO ke ʻano kēia, ʻoi aku ka haʻahaʻa o ka manawa e loaʻa ai i ka poʻe me kēia mau kūlana (COP).

• ʻO ka maʻi ʻōpū
• Nā ʻōpū o ka māmā
• Ka maʻi ʻaʻai māmā
• Nā maʻi ʻaʻai hematological - ʻo ia hoʻi, nā maʻi ʻaʻai e pili ana i nā hunaola koko keʻokeʻo a i ʻole nā ​​hunaola koko ʻulaʻula.

He aha nā hōʻailona o ke kūlana (COP)?

Ma kahi o ka hapalua o ka poʻe me COPD e ʻike mua i nā hōʻailona like me ka maʻi palū , hiki ke mau no kekahi mau pule.

• Anuanu
• ʻŪhū maloʻo (ūhū hua ʻole)
• Luhi / malaise
• Ka nalowale o ka makemake
• kuni
• Ka pohō kaumaha i wehewehe ʻole ʻia
• Nā hou o ka pō

Ma hope o kēlā, ma kahi o 75% o ka poʻe e hoʻomaka e ʻike i nā hōʻailona penei :

• ʻŪhū mau loa
• Pōkole o ka hanu / dyspnea me ka hoʻoikaika kino . E noʻonoʻo, ʻaʻole hiki iā ʻoe ke piʻi i nā alapiʻi e like me kāu ma mua, a manaʻo ʻoe ua pōkole kou hanu ʻoiai ke hele wāwae nei i kahi mamao pōkole.

I ka liʻiliʻi loa, ʻike pinepine ʻia kēia mau hōʻailona:

• ʻEha umauma
• Pūmāmā hiolo / pneumothorax
• Ke ʻū ʻana i ke koko
• ʻEha hui
• Nā pae oxygen haʻahaʻa i loko o kou koko / hypoxemia

ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ʻoi aku ka ʻū maloʻo a me ka paʻakikī o ka hanu ʻana no kekahi mau pule, e ʻike pono i ke kauka . Mai noho wale ma ka home.

Pehea e ʻike ʻia ai ka Cryptogenic Organizing Pneumonia (COP)?

Ke hele ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. A laila e hana lākou i kahi hoʻokolokolo kino. He mea nui loa ka hoʻolohe ʻana i nā māmā me ka stethoscope. Ke hoʻolohe nei i nā māmā o kekahi me COPD, lohe paha ʻoe i kahi leo "crackling", e like me ka lau maloʻo e naue ana, a i ʻole kahi leo "squeaking" haʻahaʻa ke hanu ʻoe.

ʻO ka mea aʻe, pono ke kauka e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kēia mau hōʻailona. No ka mea, ʻaʻole pili kēia mau hōʻailona i ka COP, pono e kāpae ʻia no nā kūlana e like me:

• ʻO ka niumonia hoʻonohonoho lua - Hiki ke hana ʻia kēia e nā maʻi, nā lāʻau lapaʻau, a i ʻole nā ​​​​pilikia autoimmune.
• ʻO ka maʻi pneumonia bacteria, fungal, a viral paha.
• ʻO ka niumonia eosinophilic mau loa - ʻO kēia ka hoʻonui ʻia ʻana o kahi ʻano cell i kapa ʻia ʻo eosinophilia i loko o nā māmā.
• ʻO ka pneumonitis hypersensitivity - Ka mumū o nā māmā i hoʻokumu ʻia e ka maʻi allergy i kekahi mea i ke kaiapuni.
• Nā maʻi maʻi māmā mau ʻē aʻe.
• ʻO ka lymphoma pulmonary mua.

He aha ka ʻokoʻa ma waena o ka Cryptogenic Organizing Pneumonia (COP) a me ka Ordinary Organizing Pneumonia (OP)?

He mea kēia e pono ai ke wehewehe iki ʻia. ʻO kekahi ʻano maʻi e like me (COP) ua kapa ʻia ʻo Secondary Organizing Pneumonia (OP) . Eia naʻe, ʻaʻole like me (COP), hiki ke hana ʻia kēia ʻano maʻi (Secondary OP) e kahi maʻi, kahi lāʻau lapaʻau, ka maʻi kanesa, a i ʻole kekahi pilikia autoimmune ʻē aʻe i loko o ke kino. Eia kekahi, ua pili kēia ʻano maʻi (Secondary OP) me ka maʻi hematologic, ka ʻike ʻana i nā lāʻau like ʻole, a me ka ʻike ʻana i ka radiation i nā māmā.

Ma mua o ka hoʻomaka ʻana o nā kauka e mālama (COP), hoʻāʻo lākou e hōʻoia ʻaʻole kēia he kūlana (Secondary OP). ʻO kēia no ka mea hiki ke ʻokoʻa ka mālama ʻana no nā mea ʻelua. Eia kekahi, ʻoi aku ka ʻino o nā hopena hoʻōla no ka poʻe me (Secondary OP) ma mua o ka poʻe me (COP).

(COP) He aha nā hoʻokolohua e kōkua ai i ka ʻike ʻana i ka maʻi?

Inā kānalua ke kauka i kahi maʻi COP ma hope o ka nānā ʻana iā ʻoe, e hāʻawi ʻo ia i kekahi mau hoʻokolohua hou aʻe.

• X-ray umauma: Lawe kēia i ke kiʻi o nā māmā. Inā loaʻa iā ʻoe ka COPD, e ʻike paha ʻoe i nā ʻāpana keʻokeʻo ma kekahi mau wahi o nā māmā.
• ʻO ke kiʻi CT hoʻonā kiʻekiʻe (HRCT): He hoʻāʻo kēia e hiki ke ʻike maopopo i loko o nā māmā ma mua o ka X-ray. Hiki iā ia ke kōkua i ka ʻike ʻana i nā mea e like me ka mumū a me nā hoʻopaʻa ʻana i loko o nā māmā i hoʻokumu ʻia e ka COPD.
• ʻO ka Bronchoscopy me ka bronchoalveolar lavage (BAL):ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi a palupalu (bronchoscope) me kahi kāmela liʻiliʻi a me ke kukui ma o ka ihu a i ʻole ka waha a hoʻoili i lalo i nā ala ea o nā māmā. I loko o kēia, ua hoʻokomo ʻia kahi liʻiliʻi o ka wai saline i loko o nā māmā, a laila ua omo ʻia ka wai (BAL) a hoʻouna ʻia i ka hale hana no ka hoʻāʻo ʻana. Hiki i kahi kanaka me COPD ke loaʻa ka nui o nā hunaola koko keʻokeʻo (ʻoi aku ka nui o nā lymphocytes) i loko o kēia hāpana wai. Akā ʻoi aku ka nui, hiki iā ia ke kōkua i ka pale ʻana i kahi maʻi.
• Biopsy māmā: I kekahi manawa, pono e lawe ʻia kahi ʻāpana o ka ʻiʻo māmā a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka hōʻailona. Hiki ke hana ʻia kēia ma nā ʻano he nui. ʻO kekahi, ʻo ia ke lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo i ka wā o ka bronchoscopy (transbronchial lung biopsy). Eia nō naʻe, i kekahi manawa, inā pono kahi hāpana nui o ka ʻiʻo, hiki ke hana ʻia kahi biopsy māmā ʻoki kino. ʻO kēia biopsy wale nō ke ala e hōʻoia pono ai i ka COPD a ʻaʻole nā ​​​​kūlana ʻē aʻe.
• Hoʻāʻo hana puʻuwai (PFTs): Ana kēia mau hoʻāʻo i ka maikaʻi o ka hana ʻana o kou mau māmā, ka nui o ka ea hiki iā ʻoe ke paʻa i loko o kou mau māmā, a me ka maikaʻi o ka hiki iā ʻoe ke hoʻokomo i ka oxygen i loko o kou koko. Loaʻa paha i ke kanaka me COPD kahi ʻano hoʻopaʻa e hiki ai iā lākou ke paʻa i ka ea liʻiliʻi ma mua o ke kanaka maʻamau. Loaʻa paha iā lākou nā pae oxygen koko haʻahaʻa, i ka wā hoʻomaha a i ka wā hoʻoikaika kino.

Pehea e mālama ʻia ai ka Cryptogenic Organizing Pneumonia (COP)?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau kūpono no kahi maʻi i kapa ʻia ʻo (COP). Hoʻōla pinepine nā kauka iā ia me kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo corticosteroids . No ka laʻana, hoʻohana pinepine ʻia kahi lāʻau i kapa ʻia ʻo prednisone .

ʻO ka maʻamau, lawe mau ʻia kēia lāʻau lapaʻau no 3 a 6 mau mahina . Hoʻonui mua ʻia ka nui a laila hoʻemi mālie ʻia. Inā hoʻōki koke ʻia ka lāʻau lapaʻau a i ʻole e hoʻemi koke ʻia ka nui, hiki ke hoʻi hou mai nā hōʻailona. He ʻoiaʻiʻo loa kēia i ka wā e hoʻemi ʻia ai ka nui o ka prednisone i lalo o 20 milligrams i kēlā me kēia lā.

I kekahi mau hihia akahai loa (COP), hiki ke hoʻōla ʻia ka maʻi me ka ʻole o ka lāʻau lapaʻau .

Eia nō naʻe, inā hoʻomau nā hōʻailona o COPD, a inā paʻakikī ke ʻae ʻia nā hopena ʻaoʻao o nā corticosteroids, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe. No ka laʻana, hiki ke hāʻawi ʻia no kekahi manawa nā mea mālama steroid e like me ka azathioprine a i ʻole nā ​​​​lāʻau cytotoxic e like me ka cyclophosphamide.

Hiki ke hoʻemi ʻia ka pilikia o ka ulu ʻana (COP)?

ʻAʻohe mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ka loaʻa ʻana o COPD. No ka mea, ʻaʻole ʻike ʻia ke kumu pololei, ʻaʻohe ala e pale aku ai. Eia nō naʻe, hiki iā ʻoe ke ʻike i kēia mau hōʻailona. A laila, inā ʻike ʻia nā hōʻailona, ​​​​hiki iā ʻoe ke ʻimi koke i ke aʻo lapaʻau a hoʻomaka i ka mālama ʻana inā pono . He mea nui loa ka ʻike ʻana i ka maʻi a hoʻomaka i ka mālama ʻana i ka wā mua.

He aha ka mea e hana inā ʻaʻole mālama ʻia (COP)?

Inā ʻaʻole mālama ʻia ka COPD, hiki iā ia ke hōʻeha nui i nā māmā . Hiki i ka mumū e hoʻomau nei ke alakaʻi i ka ʻeha o ka māmā, kahi e hiki ai ke hoʻopilikia mau i ka hana o ka māmā. No laila, he mea nui e ʻimi i ka lāʻau lapaʻau inā loaʻa iā ʻoe nā hōʻailona.

He aha ka manaʻo no kekahi me ke (COP)?

Mai hopohopo. ʻO ka hapa nui o ka poʻe me Cryptogenic Organizing Pneumonia (COP) e ho'ōla koke a piha . Ma kahi o 50% o ka poʻe me nā hihia liʻiliʻi e ho'ōla me ka ʻole o ka lāʻau lapaʻau. Ma kahi o 80% o ka poʻe i mālama ʻia me nā corticosteroids e ho'ōla piha .

Eia nō naʻe, i kekahi manawa hiki ke hoʻi hou mai nā hōʻailona o COPD (relapse) . ʻOiai i kēlā manawa, ʻaʻohe mea e hopohopo ai. Hiki ke hoʻomalu ʻia a ho'ōla ʻia nā hōʻailona ke hoʻomaka hou ʻia nā corticosteroids. ʻO ka poʻe e ho'ōla mai ka COPD e ola mau i nā ola lōʻihi a piha.

Pehea e mālama ai iaʻu iho me kahi maʻi (COP)?

Inā manaʻo ʻoe he mau hōʻailona kou o COPD, e ʻike koke i ke kauka . ʻO ka hoʻomaka ʻana i ka mālama ʻana i ka wā mua hiki ke hōʻemi i ka manawa kūpono o ka maʻi e hoʻi hou mai ana i ka wā e hiki mai ana a hōʻemi i ka hōʻino ʻana i kou mau māmā.

Inā kuhikuhi kāu kauka i nā corticosteroids e mālama i kāu COPD, e hōʻoia e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao. Hiki iā ia ke hoʻololi i ka nui o ka lāʻau a i ʻole e hāʻawi i kahi koho ʻē aʻe. He mea nui e lawe i kāu lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai a e hahai i ka manawa kūpono.

Leka Lawe-Home

ʻO ka Cryptogenic Organizing Pneumonia (COP) kahi maʻi māmā laha ʻole e hiki ai ke hoʻoulu i ka mumū a me ka ʻeha o nā māmā. ʻO nā hōʻailona nui ka ʻū ʻana a me ka paʻakikī o ka hanu ʻana. E hoʻomanaʻo, ʻaʻole kēia he pneumonia maʻi maʻamau.

• E hoʻolohe i nā hōʻailona: E hōʻoia e ʻike i ke kauka, ʻoiai inā he ʻū maloʻo kou e mau ana no nā pule a i ʻole ka ʻeha ʻāʻī e hele mai ana i ka wā e luhi ai ʻoe.
• Aia nā lāʻau lapaʻau: Hoʻōla nui ʻia kēia me kahi ʻano lāʻau i kapa ʻia ʻo corticosteroids. Hiki i kekahi mau hihia maʻalahi ke hoʻomaikaʻi me ka ʻole o ka lāʻau lapaʻau.
• Kiʻekiʻe ka ho'ōla ʻana: Hoʻōla loa ka hapa nui o ka poʻe mai kēia maʻi. Eia nō naʻe, i kekahi manawa hiki ke hoʻi hou mai nā hōʻailona. ʻOiai i kēlā manawa, hiki ke kāohi ʻia me ka lāʻau lapaʻau.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. ʻO ka mea nui loa, ʻo ia ka makaʻala i kou kino a me kou olakino.

ʻO ka maʻi puʻuwai hoʻonohonoho Cryptogenic, COP, maʻi māmā, maʻi hanu, ʻūlū, pōkole o ka hanu, corticosteroids, pneumonia