Ke manaʻo nei ʻoe i kekahi manawa he pilikia kou me kou mau māmā, e like me ka paʻakikī o ka hanu ʻana a i ʻole ka ʻū mau? Malia paha he ʻano maʻi māmā kakaikahi i lohe ʻole ʻia e kekahi o mākou. I kēia lā e kamaʻilio mākou e pili ana i kekahi maʻi like, ʻo Eosinophilic Pneumonia . ʻOiai paha he paʻakikī iki ka inoa, e hoʻomaopopo maʻalahi kākou.
He aha ka maʻi puʻuwai Eosinophilic?
I ka ʻōlelo maʻalahi, he maʻi laha ʻole ka Eosinophilic Pneumonia e hoʻopilikia ana i kou mau māmā. Hana ia i ka wā e hōʻiliʻili ai kahi ʻano koko keʻokeʻo i kapa ʻia ʻo eosinophil i loko o kou mau māmā, a i kekahi manawa i loko o kou kahe koko, e hoʻoulu ai i ka mumū , a i ʻole ka pehu ʻana, i loko o nā māmā, hiki ke hōʻino iā lākou.
Hiki i kēia maʻi ke hoʻopilikia i nā kānaka o kēlā me kēia makahiki. Hiki ke hana ʻia e nā kumu like ʻole. ʻO ka puhi paka , nā maʻi allergies , a i ʻole ka maʻi parasitic roundworm ke kumu o ia mea. Inā ʻaʻole mālama pono ʻia, hiki i kekahi manawa ke alakaʻi i nā kūlana koʻikoʻi, e like me ka hāʻule ʻana o ka hanu .
Hiki ke loaʻa ka maʻi pneumonia eosinophilic i ʻelua mau ʻano nui:
- Ke kūlana koʻikoʻi: Hiki koke kēia i ka ulu ʻana, kokoke i ka koke, a he manawa pōkole wale nō ka lōʻihi.
- Ke kūlana mau loa: He kūlana kēia e lilo i mea ʻino wale nō i ka hala ʻana o ka manawa, akā hiki ke mau no ka manawa lōʻihi.
Akā, mai hopohopo, ʻaʻole kēia maʻi i kapa ʻia ʻo Eosinophilic Pneumonia he maʻi lele . Inā ʻike mua ʻoe i ka maʻi a loaʻa ka lāʻau kūpono, hiki i kāu kauka ke kāohi i kēia mau hōʻailona a hoʻihoʻi iā ʻoe i ke ala kūpono. Aia kahi manawa kūpono e hoʻōla piha ʻoe.
ʻO wai kēia mau eosinophils? No ke aha lākou e hana ai i kēia?
I kēia manawa ke noʻonoʻo nei paha ʻoe, he aha kēia mau eosinophils a no ke aha lākou e hoʻopilikia ai i ko mākou mau māmā? ʻO nā Eosinophils kahi ʻano o nā keʻena koko keʻokeʻo e kōkua ana i kā mākou ʻōnaehana pale . I ka pololei, hana ko mākou iwi iwi i kēia mau eosinophils. I loko o ke kanaka olakino, aia lākou i nā helu liʻiliʻi loa, ma waena o 1% a me 5% o nā keʻena koko keʻokeʻo.
Eia nō naʻe, inā loaʻa iā ʻoe nā maʻi e like me nā maʻi allergies , ka hānō , nā maʻi , kekahi mau lāʻau lapaʻau , a i ʻole ke kanesa , hiki ke piʻi koke ka nui o nā eosinophils. Kāhea mākou i kēia he eosinophilia . ʻO kekahi hana a nā eosinophils, ʻo ia ka hoʻokuʻu ʻana i nā mea like ʻole (nā enzymes a me nā protein) a luku i nā cell i hōʻino i ke kino.
Eia nō naʻe, ʻo ka pilikia ke piʻi nui kēia mau eosinophils. A laila hōʻiliʻili lākou i loko o ko kākou mau ʻiʻo a me nā ʻōpū a hoʻoulu i ka mumū, ʻo ia hoʻi, ka pehu ʻana. Ke hana ʻia kēia i loko o nā māmā, ulu ka Eosinophilic Pneumonia.
He aha ka ʻokoʻa o ka Eosinophilic Pneumonia mai ka pneumonia maʻamau?
Ua lohe paha ʻoe i ka niumonia, akā he ʻokoʻa iki kēia niumonia eosinophilic mai ka niumonia maʻamau.
ʻO ka ʻokoʻa nui ke kumu. Hoʻokumu ʻia ka niumonia maʻamau e nā maʻi me nā bacteria , fungi , a i ʻole nā virus .
Eia nō naʻe, hiki mai ka Eosinophilic Pneumonia ke piha nā paia o kou mau ala ea, nā māmā, a me nā kīʻaha koko i loko o kou ʻōnaehana hanu me nā eosinophils. Inā loaʻa iā ʻoe kahi maʻi e like me ka hānō , hiki ke hoʻonui ʻia kēia maʻi. ʻO kēia no ka mea e hōʻiliʻili ana ka mucus , e ālai hou ana i kēia mau ala ea i haiki.
He aha nā ʻano nui o ka Eosinophilic Pneumonia?
ʻEkolu ʻano nui o kēia maʻi. E nānā kākou i ke ʻano o lākou:
1. ʻO ka Pneumonia Eosinophilic Acute (AEP): E ʻoi aku ka wikiwiki o kēia ʻano, e hāʻule ana nā pae oxygen i loko o kou koko. Eia nō naʻe, i ka hapa nui o ka manawa, inā mālama pono ʻia, hiki iā ʻoe ke hoʻōla piha.
2. Ka Pneumonia Eosinophilic Mau Loa (CEP): He ʻano kēia e ulu ana ma luna o kekahi mau lā, i kekahi manawa he mau pule. Inā ʻaʻole mālama ʻia, hiki ke mau no nā pule a i ʻole nā mahina, a hiki i nā hōʻailona ke lilo i mea koʻikoʻi.
3. ʻO ka maʻi Löffler / eosinophilia pulmonary maʻalahi (SPE): He ʻano pneumonia eosinophilic nō hoʻi kēia. Eia nō naʻe, i kēia hihia, ʻaʻohe paha he mau hōʻailona iki, a i ʻole he mau hōʻailona liʻiliʻi wale nō e like me ka ʻū maloʻo . Hoʻokumu ʻia kēia maʻi Löffler e nā maʻi parasitic , ʻoi aku hoʻi nā ilo poepoe . Me ka mālama ʻana, hoʻopau pinepine ia i loko o hoʻokahi mahina.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka Eosinophilic Pneumonia?
ʻOiai hiki ke loaʻa kēia maʻi i kēlā me kēia makahiki, aia kekahi mau ʻokoʻa iki ma muli o kekahi mau kumu. ʻOiai ʻaʻole ʻike ʻia ke kumu pololei, ʻike pinepine ʻia kēia maʻi, ʻoi aku hoʻi i nā hihia koʻikoʻi, i ke kauwela.
Aia kekahi mau ʻokoʻa ma muli o ke ʻano o ka maʻi:
- ʻO ka maʻi pneumonia eosinophilic koʻikoʻi (AEP): ʻO kēia ka mea maʻamau i nā kāne ma waena o 20 a me 40 mau makahiki.
- ʻO ka niumonia eosinophilic mau loa (CEP): ʻO kēia ka mea maʻamau i waena o nā wahine ma waena o 30 a me 50 mau makahiki.
He nui ka poʻe me AEP e puhipaka ana.Nā kānaka. Akā, ʻo ka hapa nui o ka poʻe me CEP ʻaʻole lākou e puhi paka, a ʻoi aku ma mua o ka hapalua o lākou i loaʻa i nā maʻi allergies e like me ka hānō , eczema / atopic dermatitis , a i ʻole allergic rhinitis / hay fever .
Pehea ka maʻamau o kēia maʻi?
Ua manaʻo ʻia ka maʻi pneumonia eosinophilic he maʻi laha ʻole loa . Wahi a kahi noiʻi 2020, ua emi ma mua o 200 mau hihia o AEP i hōʻike ʻia ma nā moʻolelo lapaʻau.
Eia nō naʻe, manaʻoʻiʻo nā kānaka noiʻi ua pili kēia i ka ʻoiaʻiʻo ʻaʻole i ʻike pono ʻia ka maʻi. No ka mea, ua like loa kona mau hōʻailona me nā maʻi viral maʻamau a i ʻole nā maʻi māmā ʻē aʻe, hiki ke nalowale ka ʻike inā ʻaʻole koʻikoʻi loa ka maʻi, ʻoiai inā ʻaʻole maopopo loa ke kumu (idiopathic).
He aha nā maʻi ʻē aʻe e like me ka Eosinophilic Pneumonia?
E like me kā mākou i ʻōlelo ai ma mua, hiki ke paʻakikī ke ʻike pololei i ka maʻi no ka mea ua like kona mau hōʻailona me nā maʻi viral a me nā maʻi hanu maʻamau. Aia kekahi mau kūlana ʻē aʻe e hiki ke hana i nā hōʻailona like:
- ʻO ka maʻi hoʻopilikia hanu koʻikoʻi (ARDS)
- Asthma
- ʻO ka Granulomatosis Eosinophilic me ka Polyangiitis (EGPA, i ʻike mua ʻia ʻo Churg-Strauss syndrome)
- ʻO ka niumonia maʻamau
He aha nā kumu o ka maʻi Eosinophilic Pneumonia?
Nui nā kumu o kēia maʻi, ʻo ia hoʻi ka maʻi lele a me ka maʻi ʻole lele. Akā i kekahi manawa, ʻaʻole hiki i nā kauka ke loaʻa ke kumu pololei.
ʻO kekahi o nā kumu nui ʻaʻole i hoʻopili ʻia:
- Nā hopena alerika
- ʻO ka fungus (pinepine he ʻano i kapa ʻia ʻo Aspergillosis )
- Nā mea ʻawahia i hanu ʻia , e like me ka uahi kemika, nā ʻāpana metala i ka lewa, a i ʻole ka lepo.
- ʻO kekahi mau lāʻau lapaʻau , no ka laʻana, nā antibiotics i hoʻohana pinepine ʻia, nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) , a i ʻole kekahi mau antidepressants (Selective Serotonin Reuptake Inhibitors - SSRIs) .
- Ka puhipaka ʻana , ʻoiai inā ua hoʻomaka wale ʻoe e puhipaka a inā paha ua hoʻonui koke ʻoe i ka nui o kāu puhipaka.
- Nā pilikia kumu ʻē aʻe , no ka laʻana, ke kanesa, ka maʻi autoimmune , a i ʻole ka maʻi mumū .
Eia kekahi, ʻo kekahi mau maʻi, ʻoiai nā parasites, hiki ke hana i ka EP. He mea kākaʻikahi loa, hiki ke hana pū i nā poʻe i loaʻa iā COVID-19 .
He aha nā hōʻailona o ka maʻi pneumonia eosinophilic?
Hiki ke ʻokoʻa nā hōʻailona o kēia maʻi ma muli o ke ʻano a me ke kumu o ka maʻi, akā aia kekahi mau hōʻailona maʻamau:
- Kuke
- kuni
- Pōkole o ka hanu / Dyspnea
Hiki i ka maʻi pneumonia eosinophilic acute (AEP) ke lilo i mea ʻino loa me ka wikiwiki loa, pinepine i loko o ʻelua pule. Hiki ke ʻoi aku ka ʻino o nā hōʻailona i ka poʻe puhipaka. Hiki iā lākou ke ʻike i nā hōʻailona e like me:
- ʻEha umauma
- Anuanu
- Luhi
- ʻEhaʻeha ʻiʻo / Myalgia
He mea nui: Inā ʻaʻole i ʻike koke ʻia a mālama ʻia, hiki i ka pae oxygen i loko o kou koko ke hāʻule haʻahaʻa loa. Hiki i kēia ke alakaʻi i ka hāʻule ʻana o ka hanu i loko o kekahi mau hola, e pono ai ka mālama ʻana i ka pilikia.
Hoʻomaka mālie nā hōʻailona o ka maʻi pneumonia eosinophilic mau loa (CEP) , i kekahi manawa he mau mahina ma mua o ka ʻike ʻia ʻana o ka maʻi. ʻAʻole pinepine ka poʻe me CEP i ka hanu pōkole a i ʻole nā pae oxygen koko haʻahaʻa. ʻO nā hōʻailona maʻamau:
- Ka pōkole o ka hanu e ʻoi aku ka ʻino
- Nā hou o ka pō
- Ka pohō kaumaha i wehewehe ʻole ʻia
- Hanu ʻana
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike pono i ke kauka . Inā pilikia ʻoe i ka hanu ʻana a i ʻole ka ʻeha o ka umauma, e hele koke i ka haukapila kokoke loa.
Pehea e ʻike ʻia ai ka maʻi pneumonia eosinophilic?
Hoʻoponopono nā kauka i kēia maʻi ma ka nīnau ʻana iā ʻoe e pili ana i kāu mau hōʻailona. Eia kekahi, e hana ke kauka i kēia mau mea:
- E nīnau lākou e pili ana i kou mōʻaukala olakino a me kou wahi i hele ai.
- Hana ʻia kahi hoʻokolohua kino .
- Hana ʻia nā hoʻāʻo koko , ʻoiai ka helu koko piha (CBC) , e nānā i nā mea ʻē.
Hiki ke paʻakikī ke ʻike i ka maʻi pneumonia eosinophilic no ka mea ua like kona mau hōʻailona me nā maʻi ʻē aʻe. ʻAʻohe palena i hoʻonohonoho ʻia no ka nui o nā eosinophils e loaʻa ana, e paʻakikī ai ke ʻike. I kekahi manawa, hōʻoia wale nā kauka i ka ʻike ke hoʻomaikaʻi nā hōʻailona ma hope o ka mālama ʻana.
He aha nā hoʻokolohua e kōkua ai i ka hōʻoia ʻana?
ʻO ka hoʻāʻo koʻikoʻi a nā kauka e hoʻohana ai e ʻike i kēia maʻi he bronchoalveolar lavage (BAL) . Pili kēia i ka lawe ʻana i kahi hāpana wai mai kou mau māmā me ka hoʻohana ʻana i kahi ʻōmole palupalu i kapa ʻia he bronchoscope a nānā iā ia no nā hōʻailona. Eia kekahi, hiki ke hana ʻia kēia mau hoʻāʻo:
- X-ray umauma
- Nānā CT
Hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua kūikawā hou aʻe e hōʻoia i ka hōʻailona, e kāpae i nā kūlana ʻē aʻe, a hana i nā hoʻokolohua ʻē aʻe. Inā he mau nīnau kāu e pili ana i nā hoʻokolohua, e kamaʻilio me kāu kauka.
ʻO wai ka mea hiki ke hoʻokomo ʻia i loko o ka hui lapaʻau e mālama ana i kēia maʻi?
I ka mālama ʻana i ka maʻi pneumonia eosinophilic, hiki i kāu hui lapaʻau ke komo pū me:
- Nā mea hoʻōla kino
- Nā kauka lapaʻau pulmonology
- Nā mea lapaʻau hanu
Aia kekahi lāʻau lapaʻau piha no kēia? Hiki ke hoʻoweliweli i ke ola?
I ka hapanui o nā hihia, inā ʻike mua ʻia ka maʻi a mālama pono ʻia me ka lāʻau lapaʻau, hiki ke kāohi ʻia nā hōʻailona, a i kekahi manawa hiki ke hoʻokō ʻia kahi hoʻōla piha. Inā ʻoe e hahai pono i nā ʻōlelo aʻoaʻo lapaʻau, hiki iā ʻoe ke hoʻi i nā hana āu e makemake ai.
ʻAʻole maʻamau ka maʻi niumonia eosinophilic he pilikia olakino. Eia nō naʻe, he mea kakaikahi loa, hiki iā ia ke hana i nā pilikia koʻikoʻi e hoʻoweliweli ana i ke ola, e like me ka hāʻule ʻana o ka hanu .
Pehea e mālama ʻia ai ka maʻi pneumonia eosinophilic?
Inā loaʻa iā ʻoe kahi maʻi iki, ʻaʻole paha e mālama kāu kauka iā ʻoe. I kekahi manawa, hoʻokumu ʻia ka EP e kahi lāʻau lapaʻau āu e lawe nei. Inā pēlā, e haʻi aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kēlā lāʻau lapaʻau.
Inā makemake ʻoe i ka lāʻau lapaʻau, mālama nā kauka i nā ʻano nui ʻekolu o ka EP me ka hoʻohana ʻana i nā lāʻau lapaʻau i hoʻopilikino ʻia i ke kumu a me nā hōʻailona. ʻO nā Corticosteroids , ka mea e hōʻemi ai i ka pehu (inflammation), ʻo ia ka lāʻau lapaʻau maʻamau, a he kūpono loa lākou.
I nā hihia koʻikoʻi o AEP, hiki i nā kauka ke ʻōlelo i nā lāʻau ʻē aʻe e pale aku i ka pilikia hanu, e like me:
- Okikene hoʻohui
- ʻO Glucocorticoids (he ʻano corticosteroid nō hoʻi)
Pono pinepine ka poʻe me CEP e lawe i nā steroids no ka manawa lōʻihi, maʻamau no nā mahina. Pono paha kekahi poʻe i ka lāʻau lapaʻau no ka manawa lōʻihi.
Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka Eosinophilic Pneumonia?
Inā hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi, aia ia i ke kumu kumu. ʻO ke kumu nui o nā pae eosinophil kiʻekiʻe, ʻo ia nā maʻi allergies. Hiki ke hoʻoili ʻia kēia mau mea i nā hanauna. Hiki i nā lāʻau lapaʻau ke kōkua i ka pale ʻana a i ʻole ka kaohi ʻana i nā hopena allergies o kāu ʻōnaehana pale.
ʻO kahi nohona olakino , e like me ka hōʻemi ʻana a i ʻole ka haʻalele ʻana i ka puhipaka, hiki ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi ma ke ʻano laulā. E kamaʻilio me kāu kauka e pili ana i nā ala e hōʻemi ai i kou pilikia o ka loaʻa ʻana o ka maʻi pneumonia eosinophilic.
Pehea ka lōʻihi e hoʻōla ai? Pehea ka manaʻo?
ʻOkoʻa ka manawa hoʻōla mai ka Eosinophilic Pneumonia ma muli o ke ʻano a me ke koʻikoʻi o ka maʻi. Hoʻōla koke ka hapa nui o ka poʻe me ka acute eosinophilic pneumonia (AEP), i kekahi manawa i loko o 48 mau hola o ka hoʻomaka ʻana o ka lāʻau steroid. Lawe ka hapa nui o ka poʻe ma kahi o hoʻokahi a ʻelua paha pule e hoʻōla piha ai.
Inā loaʻa iā ʻoe ka maʻi pneumonia eosinophilic mau loa (CEP), pono paha ʻoe e lawe i kahi steroid waha (e like me ka prednisone ) no ka manawa lōʻihi - no nā mahina, a hiki paha i nā makahiki. E mālama ʻia nō hoʻi ʻoe no kekahi mau maʻi kumu, e like me ka hānō.
He maikaʻi loa ka wānana no ka hapa nui o ka poʻe i loaʻa ka lāʻau lapaʻau i ka wā mua . Hiki i nā lāʻau lapaʻau i hāʻawi ʻia no AEP ke hōʻemi koke i nā hōʻailona a alakaʻi i ka hoʻōla piha ʻana.
Eia nō naʻe, ʻoi aku ma mua o 50% o ka poʻe me CEP e loaʻa hou ka maʻi . A laila pono lākou e lawe i nā steroids no kahi manawa lōʻihi, malia paha i kekahi mau manawa. E hana pū kāu kauka me ʻoe i kou ola a pau e kōkua i ka hoʻokele ʻana i kēia pneumonia eosinophilic mau loa a hōʻemi i kāu mau hōʻailona.
Pono ʻoe e hana i nā nānā maʻamau e nānā i kou kūlana. E ʻae kēia nānā ʻana i kāu kauka e hoʻoponopono i kāu lāʻau lapaʻau inā pono a pale i nā pilikia. E hahai pono i nā ʻōlelo a kāu kauka a mālama i kāu mau manawa i hoʻopaʻa ʻia. E kōkua kēia iā ʻoe e loaʻa ka lāʻau lapaʻau i ka manawa kūpono.
E hoʻopilikia anei kēia maʻi i koʻu kūlana ola?
ʻO ka nui o ka hopena o ka maʻi pneumonia eosinophilic i kou ola e pili ana i ke koʻikoʻi o kāu mau hōʻailona, nā maʻi ʻē aʻe, a me ka holomua o ka lāʻau. Hiki paha iā ʻoe ke hoʻōla piha a hoʻi i kāu mau hana maʻamau.
A i ʻole, pono paha ʻoe e hana i kekahi mau hoʻololi i ke ʻano o ka nohona, e hoʻomau i ka lawe ʻana i nā lāʻau lapaʻau e kāohi i nā hōʻailona, a pale i nā pilikia. Ma ka hana pū ʻana me kāu kauka, hiki iā ʻoe ke noho olakino a hana ikaika e like me ka hiki.
I ka manawa hea ʻoe e ʻimi ai i ke kōkua lapaʻau no ka Eosinophilic Pneumonia?
Inā loaʻa iā ʻoe nā hōʻailona e like me ka hanu pōkole, ka ʻeha o ka umauma, ke kuni, a i ʻole ka piʻi koke ʻana o ke kuni, e ʻimi i ke kōkua lapaʻau e pili ana i ka Eosinophilic Pneumonia. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi kauka pulmonologist .
Ke aʻo ʻoe e pili ana i kēia ʻano maʻi māmā kakaʻikahi i kapa ʻia ʻo ka pneumonia eosinophilic, nui paha kāu mau nīnau e pili ana i kou olakino. Akā, nui ka poʻe e hoʻomaikaʻi me nā corticosteroids. Hiki i kāu kauka ke kōkua iā ʻoe e hōʻemi i kāu mau hōʻailona a pale i nā pilikia. E hana pū lākou me ʻoe e hana i kahi hoʻolālā lapaʻau e kūpono iā ʻoe, i hiki iā ʻoe ke hoʻōla hou. E hoʻomanaʻo, inā ʻike ʻoe i kekahi mau loli i kou olakino, e like me ke kuni, ke kuni, a i ʻole ka ʻeha o ka umauma, e kamaʻilio mau me kāu kauka. E ʻike lākou i ke kumu o kāu mau hōʻailona a hāʻawi iā ʻoe i ka lāʻau āu e pono ai.
Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i ka Eosinophilic Pneumonia. Eia kekahi mau mea e hoʻomanaʻo ai i ka pōkole:
- He maʻi laha ʻole kēia i hoʻokumu ʻia e ka nui o kekahi ʻano hunaola koko keʻokeʻo i kapa ʻia ʻo eosinophil i loko o nā māmā.
- Hiki i nā mea e like me ka puhipaka, nā maʻi allergies, kekahi mau lāʻau lapaʻau, a me nā maʻi parasitic ke hana i kēia.
- ʻO ke kuni, ke kuni, a me ka paʻakikī o ka hanu ʻana nā hōʻailona nui. Hiki nō hoʻi ke ʻeha ka umauma, ka luhi, a me ka hou ʻana i ka pō.
- ʻAʻole kēia he maʻi lele.
- Inā ʻike koke ʻia a mālama ʻia me nā lāʻau lapaʻau e like me corticosteroids, hiki ke ho'ōla pinepine ʻia.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai palaualelo a ʻike i ke kauka . ʻO ia ka mea nui loa.
Ke lana nei ko mākou manaʻo ua hoʻomaopopo ʻia ʻoe e kēia ʻike. E noho olakino!
ʻUminiuma Eosinophilic, ʻUminiuma Eosinophilic, maʻi māmā, maʻi hanu, eosinophils, allergies, niumonia
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