I kekahi manawa, loaʻa iā ʻoe ke anu, ka ʻū, a me ka paʻakikī iki o ka hanu ʻana, ʻeā? E hoʻomaikaʻi ia i loko o ʻelua a ʻekolu paha lā. Akā inā e hoʻomau kēia, ʻoiai inā e hoʻonui ʻia kēia mau hōʻailona ke hele ʻoe i kou home a i ʻole ka hana, ʻaʻole paha he mea maʻamau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kūlana i hiki ke koʻikoʻi iki, akā ʻaʻole ʻike ka poʻe he nui. ʻO ia ka Hypersensitivity Pneumonitis, a i ʻole HP no ka pōkole.
I ka ʻōlelo maʻalahi, he aha ka Hypersensitivity Pneumonitis (HP)?
ʻO ka Hypersensitivity Pneumonitis (HP), ʻo ia hoʻi, he allergy e hoʻopilikia ai i ko kākou mau māmā . Akā, ʻaʻole kēia e like me ka allergy a kākou i ʻike pinepine ai i ka pollen a i ʻole ka lepo. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka pane nui ʻana o nā ʻeke ea liʻiliʻi (alveoli) i loko o ko kākou mau māmā i nā ʻāpana liʻiliʻi loa (a mākou e kapa nei he allergens) a kākou e hanu ai. Hoʻoulu kēia i ka pehu ʻana, a i ʻole ka mumū , i loko o kēlā mau ʻeke ea.
Hiki i kēia mau hōʻailona ke hiki koke mai (ʻoi) a nalo koke, a i ʻole hiki iā lākou ke hoʻonui mālie i ka hala ʻana o ka manawa a lilo i mau loa (mau loa).
Pehea ka ʻokoʻa o kēia mai kahi maʻi allergy maʻamau?
E noʻonoʻo, ke loaʻa iā ʻoe kahi maʻi allergy i ka lepo, loaʻa iā ʻoe kahi ihu wai a me ka ʻūhā. Akā me HP, ʻokoʻa ia. Ke hoʻopili mau ʻia mākou i nā ʻāpana e hoʻokumu ai i kēia, ʻo ia hoʻi, ke hanu mākou iā lākou, hiki ke hōʻino mau ʻia ko mākou mau māmā. I ka hala ʻana o ka manawa, hiki ke loaʻa nā ʻeha i loko o nā māmā. Kāhea mākou i kēia ʻano he ' maʻi mama interstitial '. No laila, ʻaʻole maikaʻi ke noʻonoʻo wale ia he maʻi allergy maʻamau.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka Hypersensitivity Pneumonitis?
ʻOiai hiki i kēia maʻi ke hoʻopilikia i kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe e hana ana i kekahi mau hana a noho i kekahi mau wahi no ka mea ke hanu mau nei lākou i nā ʻōpala e hoʻoulu ai. E ʻike kākou ʻo wai lākou.
| Pūʻulu pilikia | He wehewehe maʻalahi |
|---|---|
| Nā kānaka e hana ana ma nā mahiʻai | ʻO ka poʻe e launa pinepine me nā mea e like me nā pipi, nā mea kanu, nā mauʻu maloʻo, a me nā palaoa hiki ke hanu i ka ʻōpala a me ka bacteria. |
| Nā kānaka e hana pū ana me nā holoholona | Hiki i nā kauka holoholona, ka poʻe hānai manu a moa paha, a me ka poʻe hoʻomaʻemaʻe i nā pā manu ke hanu i nā ʻāpana mai nā ʻōpala manu a me nā hulu manu. |
| Nā wili lāʻau a me nā mea hana lāʻau | Ka hanu ʻana i ka lepo lāʻau a me nā ʻōpala e ulu ana ma luna o ka lāʻau. |
| Nā kānaka e hana ana ma ka ʻoihana metala | Ka hanu ʻana i nā ʻāpana kemika liʻiliʻi i hoʻokuʻu ʻia i ka wā o ka hana ʻana i ka metala. |
| Kaiapuni o loko | ʻO ka hanu ʻana i ka ʻōpala a me nā bacteria mai nā mea hoʻohaʻahaʻa wai i mālama pono ʻole ʻia, nā ʻōnaehana AC, nā ʻauʻau wela, a me nā mea ʻē aʻe. ʻO ka hoʻohana ʻana i nā uluna a me nā moena i hana ʻia mai nā hulu manu he mea pilikia nō hoʻi. |
| Makahiki | ʻO ka mea maʻamau ka loaʻa ʻana o ia i nā poʻe ma waena o 50 a me 70 mau makahiki. |
ʻO ka mea nui, hiki mai kēia maʻi ke lilo kou ʻōnaehana pale i "ʻike nui ʻia" i kekahi mea. ʻAʻole loaʻa i nā mahiʻai a me nā mea hānai manu āpau kēia.
He aha nā hōʻailona o kēia maʻi?
Hiki ke loaʻa nā hōʻailona o ka maʻi HP i ʻelua ʻano nui. ʻO kekahi he mau hōʻailona koʻikoʻi a ʻo kekahi he mau hōʻailona mau loa .
| HP koʻikoʻi | HP mau loa |
|---|---|
| ʻIke ʻia kēia mau hōʻailona i loko o kekahi mau hola o ka hoʻopili ʻana i ka allergen a nalowale i loko o kekahi mau lā. Manaʻo paha lākou e like me ke anu. | |
| - Paʻakikī ka hanu ʻana (dyspnea) | - Ka pōkole o ka hanu i ka wā e hoʻoikaika kino ai a i ʻole e hana ana |
| - ʻŪhū maloʻo | - ʻŪhū mau |
| - Manaʻo o ka ʻūmiʻi ma ka umauma | - Luhi nui loa |
| - Ke anu nei, ke haʻalulu nei | - Ka pohō kaumaha me ke kumu ʻole |
| - Kuni | - Ke kuʻi ʻana i ka manamana lima |
| - ʻEha kino | |
Hoʻomohala mālie ka HP mau , no laila ʻaʻole paha ʻoe e ʻike iā ia i ka wā mua. ʻO ka mea mua āu e ʻike ai he mea e like me "Manaʻo wau ua luhi wau i koʻu piʻi ʻana i kekahi mau alapiʻi i kēia manawa ma mua o ka wā ma mua."
Pehea e ʻike ai i ka maʻi?
Inā loaʻa iā ʻoe kēia mau hōʻailona, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu hana, nā leʻaleʻa,, e nīnau i nā nīnau he nui e pili ana i kou wahi noho. E hāʻawi kēia iā ʻoe i kahi manaʻo o ka mea āu e maʻi ai. A laila, e hoʻolohe ke kauka i kou mau māmā me kahi stethoscope a nānā i kāu pae oxygen ma ke kau ʻana i kahi mea like me ke clip i kou manamana lima (he `pulse oximeter`).
Eia kekahi, hiki ke hana i nā hoʻokolohua e like me kēia e hōʻoia pololei i ka maʻi.
- Nā hoʻāʻo koko allergies: Hiki ke hana i nā hoʻokolohua kūikawā (kahi `hypersensitivity pneumonitis panel`) e ʻike ai inā he mau antibodies e pili ana i kēia allergy i loko o kou koko.
- ʻO ke kiʻi X-ray a i ʻole CT scan: Hiki i kēia ke ʻike maopopo inā he pehu, ʻeha (fibrosis), a i ʻole nā hōʻino ʻē aʻe i nā māmā.
- Nā hoʻāʻo hana pulmonary: Pili kēia i kekahi mau hoʻokolohua e ana i ka hana maikaʻi o kou mau māmā a me ka nui o ka ea hiki iā ʻoe ke hanu a hoʻokuʻu i waho.
- Bronchoscopy: Ma kēia, ua hoʻokomo ʻia kahi ʻōmole me kahi kāmela liʻiliʻi i hoʻopili ʻia ma ka ihu a i ʻole ka waha i loko o nā māmā, kahi e nānā ʻia ai ka ʻaoʻao o loko a, inā pono, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo no ka hoʻokolokolo ʻana.
Pehea e mālama ʻia ai?
ʻO ka hana mua a koʻikoʻi loa i ka mālama ʻana i kēia maʻi, ʻo ia ka ʻike ʻana i ka mea hoʻoulu e hoʻoulu ai i ka maʻi a pale loa iā ia.
Inā hoʻomau ʻoe i ka pili ʻana iā ia, ʻaʻohe mea i ka lāʻau lapaʻau āu e lawe ai, ʻaʻole e ho'ōla loa ʻia ka maʻi. I nā hihia o ka HP Mau, ʻoiai inā e noho mamao ʻoe mai ka mea hoʻonāukiuki, hiki ke hoʻomau ka hōʻino ʻana i nā māmā.
Ma waho aʻe o ka pale ʻana i ka allergen, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā Corticosteroids a i ʻole nā lāʻau immunosuppressive | Kōkua kēia mau lāʻau lapaʻau i ka hōʻemi ʻana i ka mumū i loko o nā māmā. Nā laʻana: `prednisone`, `mycophenolate`, `azathioprine`. |
| Nā lāʻau anti-fibrotic | Kōkua kēia i ka hoʻolohi ʻana i ka wikiwiki o ka ʻōpala ma nā māmā. Nā laʻana: `pirfenidone`, `nintedanib`. |
| Hoʻoponopono hou ʻana i ka puʻuwai | Hiki i nā hoʻomaʻamaʻa hanu a me ka hoʻoikaika kino ke kōkua i ka maʻalahi o ka hanu ʻana. |
| Hoʻōla oxygen | Inā koʻikoʻi ka maʻi, hoʻolako ʻia ka oxygen mai waho e hāʻawi i ke kino i ka nui o ka oxygen e pono ai. |
| Hoʻoili ʻana o ka māmā | Inā lilo ka maʻi i mea koʻikoʻi loa a oki loa ka hana ʻana o nā māmā, ʻo ka hoʻoili māmā paha ke koho hope loa. |
Pehea ʻoe e pale ai iā ʻoe iho mai kēia maʻi?
ʻAʻole hiki ke hoʻihoʻi ʻia ka pōʻino o nā māmā i ka HP mau loa, no laila ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke noho mamao loa mai nā mea hoʻonāukiuki e hoʻoulu ai.
- Inā ʻoe e hana i nā hana weliweli (e like me ka mahiʻai, ka hana lāʻau, ka hana ʻana me nā manu), e hōʻoia e komo i nā lako pale pilikino (PPE) .
- E mālama mau i nā mea hoʻohaʻahaʻa wai a me nā ʻōnaehana AC i loko o kou home i ka maʻemaʻe a ma ke kūlana maikaʻi.
- E hōʻalo i ka hoʻohana ʻana i nā uluna, nā moena, a me nā moe i hana ʻia me ka hulu manu.
- Inā he mau holoholona kāu, ʻoi aku hoʻi nā manu, e mālama i ko lākou mau pā manu i maʻemaʻe. E ʻaʻahu i ka pale maka i ka wā e hoʻomaʻemaʻe ai.
Inā ua ʻike mua ʻia ʻoe me HP, e kamaʻilio me kāu kauka a hana i kahi hoʻolālā e pale aku ai i ka hōʻino hou ʻana i kou mau māmā. E lawe i kāu mau lāʻau lapaʻau i ka manawa kūpono. E nīnau e pili ana i nā hoʻomaʻamaʻa hanu hiki iā ʻoe ke hana ma ka home.
Leka Lawe-Home
- ʻAʻole he maʻi maʻamau ka Hypersensitivity Pneumonitis (HP). Hiki iā ia ke hōʻeha mau loa i kou mau māmā.
- ʻO ke kumu nui o kēia, ʻo ia ka hanu ʻana i nā mea e like me ka ʻōpala, ka bacteria, a me nā kemika mai kāu wahi hana a i ʻole ka home.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni mau, ka paʻakikī o ka hanu ʻana, a i ʻole ka luhi, mai hoʻowahāwahā iā ia a e ʻike koke i ke kauka .
- ʻO ka lāʻau lapaʻau maikaʻi loa no kēia maʻi, ʻo ia ka pale loa ʻana i ke kumu o ka maʻi. He mea paʻakikī ke hoʻōla piha ʻia me ka lāʻau lapaʻau wale nō.
- Inā ʻike mua ʻia ka maʻi, hiki ke kāohi ʻia ma mua o ka hōʻeha nui ʻana i nā māmā.
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