He maʻi ʻaleka paha kou mau māmā? E kamaʻilio kākou e pili ana i ka (Hypersensitivity Pneumonitis)!

Ke paʻakikī nei ʻoe i ka hanu ʻana i kekahi manawa, a i ʻole he ʻū wale nō? Malia paha he maʻalahi kou mau māmā i kekahi mau ʻāpana lepo a i ʻole ka ʻōpala i kāu wahi hana a i ʻole kahi noho home. ʻO ia ke ʻano o ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo "Hypersensitivity Pneumonitis". Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha kēia `(Hypersensitivity Pneumonitis)`? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka Hypersensitivity Pneumonitis kahi hopena allergic i nā ʻeke ea liʻiliʻi i loko o kou mau māmā (i kapa ʻia hoʻi ʻo alveoli). E like me ka pane ʻana o ko mākou kino i kekahi manawa i kahi mea e hōʻino ai iā mākou, pane pū ko mākou mau māmā i kekahi mau mea. Hiki i kēia mau hōʻailona ke hele koke mai (acute) a nalowale koke, a i ʻole hiki iā lākou ke ulu i ka hala ʻana o ka manawa a lilo i mea maʻi .

I kēia manawa ke noʻonoʻo nei ʻoe, "ʻĀ... ua like kēia me ka maʻi allergy i nā ʻuku lepo a i ʻole ka pollen?" ʻAʻole maoli. ʻO ka pneumonitis hypersensitivity kahi ʻano pane pale ʻokoʻa ma mua o ka maʻi allergy maʻamau. ʻAʻole like me nā maʻi allergy maʻamau e hoʻoulu ai i ka ihu wai, nā maka ʻāʻī, a me ka hānō, he kūlana kēia kahi e hiki ai i ka hoʻopili pinepine ʻana i ka allergen ke hōʻeha mau loa i nā māmā. No laila he mea kēia e makaʻala ai.

ʻO ka Chronic Hypersensitivity Pneumonitis hāʻule i loko o ka māhele o ka maʻi māmā interstitial . I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i ka ʻeha o nā māmā.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka Hypersensitivity Pneumonitis?

ʻOiai hiki ke ulu kēia ʻano maʻi i kekahi kanaka, ʻo ka poʻe e hana ana i kekahi mau ʻoihana a ua pinepine lākou i nā mea hoʻonāukiuki kikoʻī, aia lākou i kahi pilikia kiʻekiʻe iki. E nānā inā ʻoe i ka pilikia:

• ʻO ka poʻe e hana ana ma nā mahiʻai: e like me ka poʻe mālama pipi a ulu i nā mea kanu. I kekahi manawa no ka mea ua pilikia mau lākou i nā mea e like me ka mauʻu maloʻo a me ka lepo.
• ʻO ka poʻe e hana pū me nā holoholona: nā kauka holoholona, ​​​​ka poʻe e hānai holoholona e like me nā manu, nā moa, a pēlā aku. Ma muli o nā mea e like me ka hulu manu a me nā hulu manu.
• ʻO ka poʻe e hana ana ma nā wahi e wili ʻia ai a hoʻouka ʻia ai paha ka palaoa a me ka palaoa: ma nā wahi e like me nā wili paddy ma ko mākou ʻāina.
• ʻO ka poʻe e hana ana i nā wili ʻoki lāʻau a me nā ʻāpana lāʻau.
• ʻO nā kānaka ma nā wahi e hana ana i ka papa paia a me ka pepa.
• Nā mea hana hao.
• ʻO ka poʻe i pili i nā ʻōpala manu a me nā hulu manu: ʻO ka hoʻohana ʻana i nā uluna a me nā moena i piha i ka hulu manu kekahi kumu o kēia.
• ʻO ka poʻe e hanu ana i nā allergens mai nā mea hoʻohaʻahaʻa humidifiers i mālama pono ʻole ʻia, nā ʻōnaehana hoʻomehana a me nā ea hoʻoluʻu, a i ʻole nā ​​​​ʻauʻau wela.
• ʻO ka maʻamau ma waena o 50 a me 70 mau makahiki.

E noʻonoʻo, ma kekahi mau hale, hana nā manu e like me nā manu ʻōpeʻapeʻa i nā pūnana. Inā ʻaʻole i hoʻomaʻemaʻe pono ʻia kēlā mau pūnana, hiki ke hana ʻia kēia maʻi e ka hanu ʻana i ka lepo a me ka pollen e puka mai ana mai loko mai o lākou.

He maʻi koʻikoʻi anei ka Hypersensitivity Pneumonitis?

ʻAe, ʻo ka `(Hypersensitivity Pneumonitis)` he kūlana ia i hiki ke koʻikoʻi i kekahi manawa . No ka mea, inā ʻoe e hoʻopili mau ʻia i ka allergen, hiki i ka mumū i loko o nā māmā ke hōʻeha mau loa. No laila, he mea nui loa e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona.

Pehea ka hopena o kēia `(Hypersensitivity Pneumonitis)` i ko mākou kino?

Inā loaʻa iā ʻoe ka "Hypersensitivity Pneumonitis", pane nui kou kino i kekahi mau ʻāpana liʻiliʻi (kapa mākou i kēia mau mea "allergens") āu e hanu ai. Loaʻa pinepine kēia mau allergens mai kāu wahi hana a i ʻole kahi noho home. He liʻiliʻi loa kēia mau ʻāpana a hiki iā lākou ke komo i loko o nā ʻeke ea liʻiliʻi (alveoli) i loko o kou mau māmā a hoʻoulu i ka mumū ma laila.

Ke pane mua ʻoe i ka allergen, hana ka ʻōnaehana pale o kou kino i nā kemika e ʻike iā ia. A laila, i kou hoʻopili pinepine ʻia ʻana i ka allergen, lilo kou kino i mea ʻoi aku ka naʻau a hoʻomaka e pane ʻoi aku ka koʻikoʻi. I ka hala ʻana o ka manawa, hōʻino kēia i nā ʻeke ea (alveoli) a me nā ala ea liʻiliʻi e pili ana iā lākou. ʻO ia ke kumu o nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a me ke kunu ʻana.

He aha nā hōʻailona o ka `(Hypersensitivity Pneumonitis)`?

Hiki i kēia mau hōʻailona ke ʻākea a i ʻole ka maʻi mau.

Nā hōʻailona o ka `(Hypersensitivity Pneumonitis)` ʻāwīwī:

ʻIke pinepine ʻia kēia mau hōʻailona i loko o kekahi mau hola o ka hōʻike ʻana i ka allergen a hiki ke mau no kekahi mau hola a i ʻole nā ​​​​lā.

• Ka paʻakikī o ka hanu ʻana (dyspnea)
• ʻŪhū maloʻo
• ʻO ka paʻa o ka umauma, me he mea lā he poloka
• Anuanu
• Luhi nui
• kuni
• ʻEha kino, ʻeha ʻiʻo

Me he mea lā he kuni koʻu. Ua kaumaha koke koʻu kino.

Nā hōʻailona o ka Pneumonitis Hypersensitivity Mau Loa:

ʻIke mālie ʻia kēia mau hōʻailona, ​​e piʻi mālie ana i ka hala ʻana o ka manawa.

• Ka paʻakikī o ka hanu ʻana, ʻoiai ke luhi ʻoe a hoʻoikaika kino paha
• ʻŪhū (malia paha me ka phlegm)
• Luhi
• Ka emi ʻana o ke kaumaha
• Ka hoʻonui ʻia ʻana o nā wēlau o ka manamana lima a i ʻole ka manamana wāwae (Clubbing) - ʻAʻole kēia e hana ʻia i nā kānaka a pau.

Pehea kou manaʻo ke loaʻa iā ʻoe ka `(Hypersensitivity Pneumonitis)`?

ʻO ka `(Hypersensitivity Pneumonitis)` ʻoi paha e like me ke anu. ʻO ka `(Hypersensitivity Pneumonitis)` mau loa he mea paʻakikī ke ʻike no ka mea e ulu mālie ana. E ʻike paha ʻoe, "Me he mea lā ua ʻoi aku koʻu paʻakikī i ka hanu ʻana i kēia manawa ma mua o ka wā ma mua," "Me he mea lā e ʻoi aku ka ʻino o koʻu ʻū a me ka luhi."

He aha ke kumu o ka Hypersensitivity Pneumonitis?

ʻO ke kumu nui o ka hypersensitivity pneumonitis ʻo ia ka hanu ʻana i nā mea (allergens) e hoʻoulu ai i kahi hopena allergic i loko o nā māmā. I ka hala ʻana o ka manawa, hiki i kēia ke hōʻino i nā māmā a hoʻonui i nā hōʻailona. Ua ʻike ʻia ma mua o 300 mau mea e hoʻoulu ai i ka hypersensitivity pneumonitis. ʻO kēia mau mea:

• Bacteria
• ʻŌpala a me nā fungi: Hiki ke loaʻa kēia mau mea ma nā paia kahiko, i loko o nā lumi ʻauʻau, a me nā ʻāpana ea i hoʻomaʻemaʻe pono ʻole ʻia.
• ʻO kekahi mau kemika a me nā metala.
• Nā protein holoholona a me nā mea kanu: No ka laʻana, nā protein i loaʻa i nā hulu manu a me nā ʻōpala holoholona.

ʻO kekahi mau laʻana o ka `(Hypersensitivity Pneumonitis)`:

Aia kekahi mau inoa like ʻole no nā ʻano o ka "Hypersensitivity Pneumonitis" i hoʻokumu ʻia e nā allergens like ʻole. Eia kekahi laʻana:

• ʻO ka Māmā o ka Mahiʻai: Hoʻokumu ʻia ia e nā ʻōpala i loaʻa i nā mea e like me ka mauʻu maloʻo a me ka palaoa.
• ʻO ka mama o ka mea makemake i ka manu: Hoʻokumu ʻia ia e nā protein i loaʻa i loko o nā hulu manu a me nā hulu manu.
• Humidifier Lung: Hoʻokumu ʻia ia e ka bacteria a me nā fungi i hoʻokuʻu ʻia mai nā humidifiers a me nā ʻāpana AC i hoʻomaʻemaʻe pono ʻole ʻia.

Ke kumu nei anei ʻo COVID-19 i ka Hypersensitivity Pneumonitis?

Wahi a ka ʻike o kēia manawa, ʻaʻole ʻo COVID-19 ke kumu pololei o ka Hypersensitivity Pneumonitis. Eia nō naʻe, hiki i ka COVID-19 ke hoʻoulu i ka mumū o nā māmā, kahi e like me ka Hypersensitivity Pneumonitis. Aia kekahi hōʻike inā loaʻa i kekahi kanaka i loaʻa mua i ka Hypersensitivity Pneumonitis ka COVID-19, ʻoi aku ka koʻikoʻi o kēlā maʻi.

Pehea e ʻike ʻia ai ka Hypersensitivity Pneumonitis?

E nānā ke kauka i ka Hypersensitivity Pneumonitis ma muli o kāu mau hōʻailona, ​​​​ʻike e pili ana i kāu ʻoihana, kou wahi noho, kahi hoʻokolohua kino, a me kekahi mau hoʻokolohua ʻē aʻe. E nīnau ke kauka iā ʻoe i nā nīnau e hoʻomaopopo ai i nā mea allergens āu e hōʻike nei.

E hoʻolohe ke kauka i kou mau māmā me kahi stethoscope, e nānā i kou pae oxygen me kahi mea liʻiliʻi (he 'pulse oximeter') i kau ʻia ma kou manamana lima, a e hana paha i nā hoʻokolohua hana māmā, nā hoʻokolohua koko, a i ʻole nā ​​​​hoʻokolohua kiʻi.

He aha nā hoʻokolohua e hoʻohana ʻia no ka ʻike ʻana i ka `(Hypersensitivity Pneumonitis)`?

No ka hōʻoia ʻana i kēia kūlana, hiki i ke kauka ke hana i nā hoʻokolohua aʻe:

• Nā hoʻāʻo koko allergy: Lawe ʻia kahi koko liʻiliʻi mai kou lima e ʻike inā loaʻa i kou kino kahi hopena i nā allergens e hoʻoulu ai i ka Hypersensitivity Pneumonitis. I kekahi manawa ua kapa ʻia kēia he panela Hypersensitivity Pneumonitis.
• Nā hoʻāʻo kiʻi: Lawe nā kiʻi X-ray umauma a me nā scan CT i nā kiʻi o nā māmā e ʻike ai inā he pōʻino.
• Nā hoʻāʻo hana puʻuwai: Hoʻokomo pinepine kēia i ka hanu ʻana i loko a i waho ma o kahi ʻōmole i hoʻopili ʻia i kahi mīkini. Hiki iā lākou ke ana i ka maikaʻi o ka hana ʻana o kou mau māmā. Hiki iā lākou ke hoʻokomo pū i nā hoʻāʻo koko a me nā hoʻāʻo hoʻoikaika kino.
• Bronchoscopy: Ma kēia hoʻāʻo ʻana, hoʻokomo ʻia kahi ʻōmole liʻiliʻi a palupalu (me kahi kāmela) ma o ka ihu a i ʻole ka waha e nānā i loko o nā māmā. Inā pono, hiki ke lawe ʻia nā laʻana no ka hoʻāʻo ʻana.

Pehea e mālama ʻia ai ka Hypersensitivity Pneumonitis?

I mea e mālama pono ai i ka Hypersensitivity Pneumonitis, ʻo ka mea nui loa, ʻo ia ka pale loa ʻana i ka allergen āu e maʻi ai.

ʻOiai me ka lāʻau lapaʻau, inā hoʻomau ʻoe i ka pili ʻana i ka allergen, ʻaʻole e ho'ōla loa ʻia ka maʻi. ʻO ka pōʻino i hana ʻia e ka "Hypersensitivity Pneumonitis" mau loa hiki ke hoʻomau i ka hoʻonui ʻia, ʻoiai inā ʻoe e noho mamao mai ka allergen.

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i ka mumū i loko o kou mau māmā, wehe i kou mau ala ea, a hoʻonui paha i kāu pae oxygen.

He aha nā lāʻau lapaʻau/lāʻau lapaʻau i hoʻohana ʻia no ka `(Hypersensitivity Pneumonitis)`?

• Nā Corticosteroids a i ʻole nā ​​​​lāʻau lapaʻau immunosuppressive: Hoʻemi kēia i ka mumū. No ka laʻana, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me prednisone, mycophenolate, a i ʻole azathioprine.
• Nā lāʻau anti-fibrotic: No ka laʻana, pirfenidone lāua ʻo nintedanib. Hoʻolohi kēia i ka wikiwiki o ka ʻeha o ka māmā.
• Hoʻoponopono hou ʻana i ka pulmonary: ʻO nā hoʻomaʻamaʻa hanu a me ka hoʻoikaika kino e kōkua i ka hanu ʻana e maʻalahi.
• Lapaʻau oxygen: Inā loaʻa iā ʻoe ka pneumonitis hypersensitivity koʻikoʻi, pono paha e hāʻawi ʻia iā ʻoe ka oxygen hou e hōʻoia i ka loaʻa ʻana o ka oxygen i kou koko a me nā ʻiʻo. Hiki ke hāʻawi ʻia kēia ma o kahi mask i kau ʻia ma luna o kou maka a i ʻole kahi paipu i kau ʻia ma kou ihu.
• Ke kāpili ʻana o ka māmā: Inā hele a lilo ka Hypersensitivity Pneumonitis i ka pulmonary fibrosis , pono paha ʻoe i kahi ke kāpili ʻana o ka māmā.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

Hiki i ka mumū i hoʻokumu ʻia e ka Hypersensitivity Pneumonitis ke hala i kekahi mau mahina no ka ho'ōla ʻana o nā māmā. Hiki ke mau loa kekahi o nā pōʻino.

Hiki ke ho'ōla loa ʻia ka Hypersensitivity Pneumonitis?

He mea paʻakikī ke ho'ōla loa i ka pneumonitis hypersensitivity mau loa. Eia nō naʻe, hiki ke ho'ōla ʻia ka pneumonitis hypersensitivity ʻoi a me ka subacute (manawa pōkole) me ka lāʻau lapaʻau a i ʻole me ka ʻole o ka lāʻau lapaʻau inā ʻoe e pale loa i ka allergen.

Pehea e pale ai iā ʻoe iho mai ka `(Hypersensitivity Pneumonitis)`?

ʻAʻole hiki ke hoʻihoʻi ʻia ka pōʻino i hana ʻia e ka `(Hypersensitivity Pneumonitis)` mau loa. No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke noho mamao aku mai nā mea hoʻonāukiuki e hoʻoulu ai i ka mumū i loko o nā māmā. Inā pono ʻoe e noho i loko o ia ʻano, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:

• Inā ʻoe e hana i kahi hana weliweli (hana hao, hana me nā manu a i ʻole nā ​​holoholona ʻē aʻe, hana me ka lāʻau, pepa, palaoa, a pēlā aku), e ʻaʻahu i nā lako pale pilikino (PPE) i ka wā e hana ana. E hoʻohana pono i kahi pale maka e kānana ana i nā ʻāpana liʻiliʻi.
• E mālama i nā mea hoʻohaʻahaʻa wai, nā ʻauʻau wela, nā ʻōnaehana hoʻomehana a me nā ʻōnaehana hoʻoluʻu i ka maʻemaʻe a i ke kūlana maikaʻi.
• E hōʻalo i ka hoʻohana ʻana i nā uluna a me nā moena i piha i ka hulu manu.
• E mālama i nā wahi o kāu mau holoholona (ʻoi aku hoʻi nā pā manu). E ʻaʻahu i ka pale maka i ka wā e hoʻomaʻemaʻe ai iā lākou.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka `(Hypersensitivity Pneumonitis)`?

ʻO ka mea hiki iā ʻoe ke manaʻo e pili ana i ka lōʻihi o kou loaʻa ʻana i ka Hypersensitivity Pneumonitis a me kona koʻikoʻi.

• ʻO ka maʻamau, hoʻōla ka "Hypersensitivity Pneumonitis" koʻikoʻi i loko o kekahi mau lā, ke ʻole ka hoʻopili hou ʻana o ke kanaka i ka allergen.
• ʻO ka subacute "Hypersensitivity Pneumonitis" (i hoʻokumu ʻia e ka hoʻopili pinepine ʻana i kahi allergen) hiki ke mau no kekahi mau mahina a mālama pinepine ʻia me ka lāʻau lapaʻau.
• ʻAʻole ho'ōla loa ʻia ka maʻi pneumonitis hypersensitivity mau loa , akā hiki ke hoʻomalu ʻia nā hōʻailona me ka lāʻau lapaʻau.

Nā pilikia o ka `(Hypersensitivity Pneumonitis)`

ʻO ka hoʻomau ʻana i ka hoʻopili ʻana i kahi allergen e hoʻoulu ai i ka Hypersensitivity Pneumonitis hiki ke alakaʻi i nā pilikia koʻikoʻi, me:

• Ka ʻeha o nā māmā (pulmonary fibrosis)
• Ke koko kiʻekiʻe ma waena o ka puʻuwai a me nā māmā (pulmonary hypertension)

He aha ka manaʻo no ke kūlana `(Hypersensitivity Pneumonitis)`?

ʻO ka nānā ʻana no ka pneumonitis hypersensitivity mau loa e pili ana i ka nui o ka hōʻino ʻia i kou mau māmā. Hōʻike ka noiʻi inā ʻaʻole i loaʻa i kou mau māmā nā ʻōpala, hiki iā ʻoe ke holomua nui i loko o hoʻokahi makahiki o ka hōʻoia ʻana. ʻO ka poʻe me nā ʻōpala i loko o ko lākou mau māmā e pilikia ana i ka make ʻana mai ka pneumonitis hypersensitivity i loko o kekahi mau makahiki inā ʻaʻole lākou e loaʻa i kahi hoʻoili māmā. He mea weliweli paha kēia, akā he mea nui e ʻike i kēia ʻike.

He aha ke ola o kekahi kanaka me ka `(Hypersensitivity Pneumonitis)`?

Pili nō hoʻi kēia i ke koʻikoʻi o ka hōʻino ʻana i nā māmā. Hiki i kahi hoʻoili māmā ke hoʻolōʻihi i kēia mau wā.

• No kekahi me ka ʻole o ka ʻili (ʻaʻohe fibrosis): ʻO ke ola he 15 mau makahiki ma hope o ka hōʻoia ʻana.
• No kekahi me nā ʻeha akā ʻaʻohe hōʻeha ʻē aʻe o ka māmā (e.g., honeycombing):Ma kahi o 8 mau makahiki ma hope o ka hōʻoia ʻana.
• No kekahi me ka pōʻino nui - ka ʻeha a me ka 'meli': ma kahi o 3 mau makahiki ma hope o ka hōʻoia ʻana.

Mai hopohopo i kēia mau helu helu. He mau kūlana maʻamau kēia. Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau.

Pehea e mālama ai iaʻu iho me ka `(Hypersensitivity Pneumonitis)`?

Inā ua ʻike ʻia ʻoe me ka Hypersensitivity Pneumonitis, e hana pū me kāu kauka e hoʻomohala i kahi hoʻolālā e hōʻemi i ka hōʻino hou ʻana i kou mau māmā. E lawe i nā lāʻau lapaʻau āpau e like me ke kauoha. E nīnau i kāu kauka e pili ana i nā hoʻomaʻamaʻa kino a me nā hoʻomaʻamaʻa hanu hiki iā ʻoe ke hana ma ka home e hoʻomaikaʻi i kāu hana māmā.

Āhea wau e ʻike ai i ke kauka e pili ana i ka `(Hypersensitivity Pneumonitis)`?

Inā loaʻa iā ʻoe nā hōʻailona o `(Hypersensitivity Pneumonitis)`, e ʻike koke i ke kauka. Inā loaʻa iā ʻoe `(Hypersensitivity Pneumonitis)`, e ʻike i ke kauka inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole inā e ʻoi aʻe ka ʻino o kāu mau hōʻailona.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

• He aha ke kumu i loaʻa ai iaʻu ka `(Hypersensitivity Pneumonitis)`?
• Pehea e pale aku ai i ka allergen e hoʻoulu ai i kēia?
• Ua hōʻino ʻia koʻu mau māmā? Pehea ka ʻino?
• Hiki ke hoʻohuli ʻia kēia kūlana?
• Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
• Pehea ka lōʻihi o koʻu ola ʻana?
• Āhea wau e hele hou mai ai e ʻike iā ʻoe?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka pneumonitis hypersensitivity kahi kūlana e hiki ai ke hōʻeha nui i nā māmā ma hope o ka hoʻopili pinepine ʻia ʻana i kahi allergen. Eia nō naʻe, inā ʻike mua ʻia, hiki ke hoʻōki ʻia kēia pōʻaiapuni ma mua o ka hiki ʻana mai o ka hōʻino hiki ʻole ke hoʻihoʻi ʻia. Inā loaʻa iā ʻoe kekahi mau hōʻailona māmā mau, he mea nui e ʻike koke i ke kauka.

Inā ua ʻike ʻia ʻoe me ka Hypersensitivity Pneumonitis, e kamaʻilio pololei me kāu kauka e pili ana i ke koʻikoʻi o kou kūlana. E kōkua kēia iā ʻoe e hoʻomohala i kahi hoʻolālā no ka mea e manaʻo ai a pehea e hoʻomaikaʻi ai i kou hanu ʻana a me ke ʻano o ke ola. Mai hopohopo, hiki ke mālama ʻia kēia kūlana me ka mālama kūpono a me nā hoʻololi ʻana i ke ʻano o ka nohona.

ʻO ka Hypersensitivity Pneumonitis, allergy māmā, maʻi hanu, ʻū mau, paʻakikī ka hanu ʻana, nā allergens, pneumonia