Ke hoʻopilikia nei kēia bacteria ʻē i kou mau māmā? (NTM Lung Disease) E kamaʻilio kikoʻī kākou!

Ua lohe paha ʻoe i kahi ʻano bacteria i kapa ʻia ʻo `Nontuberculous Mycobacteria` (NTM) e hoʻoulu ai i ka maʻi māmā? He mea kākaʻikahi kēia, ʻo ia hoʻi, ʻaʻole ia he maʻi i loaʻa i nā kānaka a pau. I ka ʻōlelo maʻalahi, ʻo kēia ʻano i kapa ʻia ʻo ka maʻi māmā NTM e kū mai ana i ka wā e komo ai kēia mau germs i kapa ʻia ʻo NTM i ko kākou mau māmā a hoʻoulu i kahi maʻi ma laila. Malia paha he mea hou iki kēia inoa iā ʻoe, akā mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī i kēia lā, ma ka ʻōlelo Sinhala hiki iā ʻoe ke hoʻomaopopo.

He aha kēia maʻi māmā NTM? Aia kekahi mau ʻano?

ʻAe, e nānā kākou i kēia maʻi māmā NTM, a inā he mau ʻano like ʻole. He maʻi kēia e hoʻopilikia wale ana i nā māmā. ʻIke mākou i ʻelua ʻano nui o kēia:

1. Nodular bronchiectasis: ʻO kēia ke ʻano maʻamau o ka maʻi a he ʻano akahai iki . ʻO ke kikoʻī, he ʻano ia e ulu ai nā nodules liʻiliʻi (nā puʻupuʻu liʻiliʻi) i loko o nā māmā, e hoʻonui ai i ka bronchi (bronchiectasis). ʻOi aku ka maʻamau o kēia ʻano i nā wahine postmenopausal (ʻo ia hoʻi, ka poʻe i pau ka menstruation) a me ka poʻe puhi ʻole . ʻOiai he akahai ia, hiki iā ia ke hana i nā pilikia inā ʻaʻole mālama ʻia.

2. Maʻi akemāmā Cavitary NTM: He ʻano ʻoi aku ka ʻino o kēia o ka maʻi ma mua o ke ʻano ma mua. Hōʻike ʻia ia e ka ulu mālie ʻana o nā lua, a i ʻole nā ​​lua, i loko o kou ʻiʻo akemāmā. E noʻonoʻo iā ia he mau hakahaka liʻiliʻi a hakahaka i loko o kou akemāmā. Ke hoʻomau nei kēia, lilo ka hanu ʻana i mea paʻakikī a hiki ke alakaʻi i ka hāʻule ʻana o ka hanu . ʻOi aku ka maʻamau o kēia ʻano i nā mea puhi paka, ka poʻe i puhi paka no nā makahiki he nui, a i ʻole ka poʻe i loaʻa i nā maʻi akemāmā ʻē aʻe, e like me ka emphysema .

No laila he aha kēia NTM?

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka bacteria NTM. ʻO ka 'Nontuberculous mycobacteria' (NTM) kahi ʻohana o nā bacteria e ulu mālie ana, ʻo ia hoʻi, ʻaʻole lākou e hoʻonui a ulu koke. He mea kupanaha lākou ma nā wahi āpau i ko mākou kaiapuni. No ka laʻana, hiki ke loaʻa kēia mau bacteria i ka lepo, ka wai (nā muliwai, nā kahawai, a me ka wai piula wai), a me ka lepo . No laila, he mea hiki ʻole iā mākou ke hoʻokuʻu loa iā lākou.

ʻO kekahi mea kūikawā e pili ana i kēia mau bacteria NTM, ʻo ia ko lākou kūpaʻa i nā mea hoʻomaʻemaʻe maʻamau . Eia kekahi, he hiki kupaianaha ko kēia mau bacteria NTM e kū i nā mahana kiʻekiʻe e pepehi ai i nā ʻano bacteria ʻē aʻe. ʻO ke ʻano kēia, ʻaʻole lākou e make ʻoiai inā holoi wale ʻoe iā lākou i ka wai wela.

ʻO ke koʻikoʻi o kēia maʻi, ka lāʻau i hāʻawi ʻia no ia mea, a me ka wikiwiki o ka hoʻōla ʻana ua hoʻoholo ʻia e nā kumu nui ʻelua. ʻO ka mea mua,He aha ke ʻano o ka bacteria (`strain`) e hoʻoulu ai i ka maʻi? ʻO kekahi, inā paha ʻo ka maʻi ka `nodular bronchiectatic` a i ʻole `cavitary` i ʻōlelo mua ʻia . ʻOiai he nui nā ʻano bacteria i loko o ka ʻohana NTM, aia kekahi mau ʻano nui e hoʻoulu ai i nā maʻi māmā i loko o ke kanaka:

• ʻO ka Mycobacterium avium complex (MAC): Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, hoʻoulu pinepine ʻia nā maʻi māmā NTM e kēia hui o nā bacteria.
• ʻO Mycobacterium abscessus: He ʻano ʻoi aku ka koʻikoʻi a paʻakikī hoʻi kēia e mālama.
• ʻO `Mycobacterium kansasii`: He ʻano ʻē aʻe kēia.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka maʻi māmā NTM?

ʻAʻole maʻi nā kānaka a pau mai ka bacteria NTM. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi i kekahi poʻe, a i ʻole he kiʻekiʻe aʻe ko lākou pilikia . ʻO ia hoʻi, hiki i ka poʻe me kekahi mau kūlana predisposing ke hoʻopilikia ʻia. ʻOi aku hoʻi, inā loaʻa iā ʻoe nā maʻi māmā ʻē aʻe, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi māmā NTM. Eia kekahi mau mea e noʻonoʻo ai:

• ʻO ka niumonia hou: Loaʻa pinepine i kekahi poʻe nā maʻi māmā. He ʻoiaʻiʻo loa kēia no ka poʻe me nā maʻi e like me ka 'aspirate pneumonia', kahi e hiki ai i nā mea a mākou e hanu ai (e like me ka meaʻai a me ka mea inu) ke komo i loko o ko mākou mau māmā a lilo i maʻi .
• Asthma: He maʻi maʻamau kēia i waena o nā poʻe he nui. Hoʻopilikia ka Asthma i nā ala ea i loko o nā māmā, e lilo ai lākou i mea maʻalahi i nā maʻi NTM.
• Bronchiectasis: Ua ʻōlelo ʻia ʻo ia ke kumu nui o ka pilikia no ka hoʻomohala ʻana i ka maʻi māmā NTM. Ma kēia, lilo nā bronchi ( nā ala ea) i loko o nā māmā i hoʻonui mau ʻia, hoʻonui ʻia, a nāwaliwali ko lākou mau paia. ʻO kēia ka mea e maʻalahi ai ka paʻa ʻana o ka mucus, e hana ana i kahi kūlana maikaʻi no ka ulu ʻana o ka bacteria.
• ʻO ka maʻi pulmonary obstructive mau loa (COPD): He maʻi māmā mau loa kēia i maʻamau i waena o ka poʻe puhi paka.
• ʻO Cystic fibrosis: He maʻi hoʻoilina kēia. Hoʻoulu pū ia i ka hōʻiliʻili ʻana o ka mucus mānoanoa i loko o nā māmā, e alakaʻi ana i nā maʻi.
• Ka maʻi ʻaʻai māmā: Ma muli o ka nāwaliwali o nā māmā o ke kanaka me ka maʻi ʻaʻai māmā, hiki ke ulu maʻalahi nā maʻi e like me NTM.
• ʻO ka maʻi puʻupuʻu (TB): ʻO ka poʻe i loaʻa mua i ka maʻi puʻupuʻu a ua hōʻino ʻia ko lākou mau māmā, aia nō hoʻi lākou i ka pilikia o ka loaʻa ʻana o ka NTM.

Eia kekahi, inā ʻoe ma luna o 65 mau makahiki , a i ʻole he mau maʻi olakino e hoʻonāwaliwali i kou ʻōnaehana pale (e laʻa, ka maʻi pale ʻole kanaka (HIV) / AIDS , ka rheumatoid arthritis - kahi maʻi e hoʻoulu ai i ka mumū o nā hono,Inā loaʻa iā ʻoe ka maʻi Sjögren (kahi e hoʻoulu ai i nā hōʻailona e like me nā maka maloʻo a me ka waha), a inā ʻoe e lawe i nā lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale (e laʻa, chemotherapy , corticosteroids inhaled no nā kūlana e like me ka hānō), aia nō hoʻi ʻoe i ka piʻi ʻana o ka pilikia o ka loaʻa ʻana o ka maʻi māmā NTM.

He aha nā hōʻailona o ka maʻi māmā NTM?

ʻAe, i kēia manawa e nānā kākou i nā hōʻailona e ʻike ʻia ke ulu aʻe kēia maʻi māmā NTM. ʻO ka hōʻailona nui i ʻike pinepine ʻia he ʻū . ʻAʻole like kēia ʻū me ke ʻū e hele mai me ke anu maʻamau. ʻO ia:

• Hiki ke lōʻihi . ʻO ia hoʻi, hiki ke mau no nā pule a i ʻole nā ​​mahina.
• I kekahi manawa, ke ʻū ʻoe, hiki iā ʻoe ke hoʻāla i kahi koko liʻiliʻi me ka mucus . Ua kapa ʻia kēia ʻo 'hemoptysis' ma ka ʻōlelo lapaʻau.
• Hiki i ke kuni ke lilo i mea koʻikoʻi loa a hiki ʻole iā ʻoe ke hiamoe i ka pō. E ala paha ʻoe me ka kuni ʻana i kou wā hiamoe.
• Hiki ke puka mai ka huʻa mānoanoa, me he mea lā he kala .

Ma waho aʻe o kēia ʻū, hiki ke loaʻa nā hōʻailona ʻē aʻe. ʻAʻole e loaʻa i nā kānaka a pau kēia mau hōʻailona a pau, akā hiki iā ʻoe ke loaʻa kekahi o kēia mau mea:

• ʻEha umauma: Hiki iā ʻoe ke manaʻo i ka ʻeha ma kou umauma i kou hanu ʻana a i ʻole ke kūlou ʻana.
• Luhi nui/māluhiluhi: ʻAʻole wale ka luhi, akā, he manaʻo o ke kōkua ʻole i nā mea āu e hana ai.
• Anorexia: Ka nalowale o ka makemake e ʻai.
• Kuni haʻahaʻa me ka malaise: ʻAʻole ke kuni kiʻekiʻe, akā mau ke kiʻekiʻe o ka mahana o ke kino.
• Hou ka pō: Ala ʻoe e hou ana ma kou kino a pau i kou hiamoe ʻana.
• Nā maʻi hanu pinepine: Loaʻa nā maʻi e like me ka niumonia i kēlā me kēia mau mahina.
• Paʻakikī ka hanu ʻana (dyspnea): Paʻakikī ka hanu ʻana me ka hoʻoikaika iki a i ʻole ke piʻi ʻana i ke alapiʻi.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Ka pohō koke ʻana o ke kaumaha me ka ʻole o ka ʻai ʻana.
• Ke kani ʻūlū i ka wā e hanu ana: Lohe ʻia kahi leo hūlū mai ka umauma mai.

ʻO ka mea nui loa, ʻo ia ke ʻike pono i ke kauka no ka ʻōlelo aʻo inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ʻoiai ka ʻū mau.

He maʻi laha anei ka maʻi māmā NTM?

He nīnau kēia a ka poʻe he nui e nīnau ai a makemake e ʻike. ʻO ka ʻoiaʻiʻo, ʻaʻole i laha pinepine nā bacteria NTM mai kekahi kanaka a i kekahi. ʻO ke ʻano kēia, inā ʻoe e kamaʻilio me kahi mea i loaʻa i ka maʻi pneumonia NTM a inu paha mai ke kīʻaha a lākou i hoʻohana ai, ʻaʻole ʻoe e loaʻa. No laila, ua ʻae ʻia i kēia manawa ʻaʻole kēia he maʻi lele .

Eia nō naʻe, hoʻokahi mea. I waena o ka poʻe me ka maʻi genetic "cystic fibrosis", ua laha pinepine ʻole kekahi mau maʻi (ke noiʻi nei nā mea noiʻi inā aia kēia mau maʻi NTM i waena o lākou). Eia nō naʻe, i waena o ka heluna kanaka, ʻaʻohe kumu e makaʻu ai i ka laha ʻana o ka maʻi māmā NTM.

Pehea e ʻike pololei ʻia ai ka maʻi māmā NTM?

E like me kā mākou i ʻōlelo ai ma mua, hiki ke paʻakikī ka ʻike ʻana i ka maʻi māmā NTM no ka mea ʻaʻole kikoʻī kona mau hōʻailona. ʻO ia hoʻi, ua like loa lākou me nā maʻi māmā ʻē aʻe i ʻike nui ʻia (e laʻa me ka pneumonia, tuberculosis, bronchitis).

No ka hana ʻana i kahi hōʻailona, ​​​​pono e hoʻokō ʻia ma ka liʻiliʻi he ʻekolu mau mea:

1. Ke ʻike ʻia ʻana o nā hōʻailona: Nā hōʻailona e like me ka ʻū ʻana i ʻōlelo ʻia ma mua a me ka paʻakikī o ka hanu ʻana.

2. Nā loli i ka X-ray umauma a i ʻole CT scan: Ke nānā nei kēia mau hoʻokolohua no nā nodules, nā lua, a i ʻole bronchiectasis i loko o nā māmā.

3. Ka ulu ʻana o ka bacteria NTM i loko o kahi hāpana sputum: ʻO ka sputum āu e ʻū ai (hiki ke hui pū ʻia me ka lawai) e lawe ʻia a hoʻāʻo ʻia ma kahi keʻena hoʻokolohua e ʻike ai inā aia ka bacteria NTM a ulu ana i loko.

Inā loaʻa iā ʻoe kahi maʻi, he mea nui ka ʻike pono ʻana i ke ʻano o ka bacteria NTM ke kumu no ka mālama ʻana.

ʻO kekahi o nā hoʻokolohua i hana ʻia no kēia:

• Hoʻokolokolo kino: E nīnau ke kauka e pili ana i kāu mau hōʻailona a hoʻolohe i kou umauma me kahi stethoscope.
• Nā haʻawina kiʻi: X-ray umauma a i ʻole CT scan e loiloi i nā loli i loko o nā ʻiʻo māmā. Hiki i ka CT scan ke hāʻawi i kahi kiʻi ʻoi aku ka maopopo ma mua o ka X-ray.
• Moʻomeheu sputum: ʻO kēia ka hoʻāʻo koʻikoʻi loa. ʻO ka mea mua i ke kakahiaka, ma mua o ka palaki ʻana i kou mau niho, pono ʻoe e ʻū i ka nui o ka sputum a waiho i loko o kahi ʻōmole kūikawā. No ka hoʻonui ʻana i ka pololei o ka hoʻāʻo, pono ʻoe e hāʻawi i ka hāpana no kekahi mau lā (ʻo ka maʻamau ma ka liʻiliʻi he ʻekolu lā). I kekahi manawa, inā ʻaʻole hiki iā ʻoe ke ʻū pono i ka sputum, hiki i kāu kauka ke lawe i kahi hāpana mai nā ala ea liʻiliʻi i loko o kou mau māmā me ka hoʻohana ʻana i kahi kaʻina hana i kapa ʻia he bronchoscopy . A laila e nānā ke kauka loea i ka hāpana ma lalo o kahi microscope a hoʻoulu i ka bacteria.
• ʻO ka biopsy māmā: ʻAʻole hana ʻia kēia no nā kānaka a pau. Inā ʻaʻole hiki ke hoʻokō ʻia kahi hopena maopopo mai ka hoʻāʻo sputum a i ʻole nā ​​​​hoʻokolohua ʻē aʻe, a inā he kānalua no kekahi maʻi ʻē aʻe, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka māmā a nānā ʻia.

He aha hou kāu e pono ai e ʻike e pili ana i nā hoʻokolohua NTM?

Aia kekahi mea nui e ʻike e pili ana i ka hoʻāʻo NTM. Loaʻa i ka poʻe he nui ka maʻi no nā makahiki ma mua o ko lākou ʻike ʻia ʻana.Hiki ke loaʻa kēia maʻi māmā NTM. Ma muli o ka ʻike mālie ʻana o nā hōʻailona, ​​ʻaʻole nānā kekahi poʻe iā ia. ʻO ka lōʻihi o kou loaʻa ʻana i kēia maʻi, ʻoi aku ka nui o ka hōʻino ʻana i kou mau māmā a ʻoi aku ka nui o kou pilikia o nā pilikia.

Inā ke mālama ʻia nei ʻoe no kekahi maʻi māmā ʻē aʻe (e like me ka hānō, COPD), akā ke ʻoi aku ka ʻino o kou mau hōʻailona (e like me ke kuni, ka pōkole o ka hanu), hiki iā ʻoe ke pōmaikaʻi mai ka hoʻāʻo ʻia ʻana no ka maʻi NTM. E hōʻoia e haʻi i kāu kauka e pili ana i kēia.

ʻO ka mālama maikaʻi loa no kēia maʻi e loaʻa mai ana mai nā kauka i loaʻa ka ʻike kūikawā a me ka ʻike ma kēia maʻi. Eia kekahi laʻana , nā kauka pulmonologists a me nā kauka maʻi lele .

Pehea e mālama ʻia ai ka maʻi māmā NTM?

ʻAe, e kamaʻilio kākou e pili ana i ka lāʻau lapaʻau no kēia. ʻO ka lāʻau lapaʻau kūpono iā ʻoe e pili ana i kekahi mau mea. ʻO kēia mau mea ke ʻano o ka bacteria NTM e hoʻoulu nei i kāu maʻi, ke ʻano o ka maʻi māmā NTM āu (nodular bronchiectatic a cavitary paha) , a me kou mōʻaukala olakino holoʻokoʻa a me ke kūlana olakino o kēia manawa .

ʻO ka maʻamau, ʻo ka lāʻau lapaʻau nui no kēia he mau antibiotics . Akā, ʻaʻole kēia he lāʻau lapaʻau wale nō āu e lawe ai no ʻehiku a ʻewalu paha lā a laila hoʻōki. Pono e lawe mau ʻia kēia mau antibiotics no kekahi mau mahina, i kekahi manawa hoʻokahi makahiki a ʻoi aku paha . I ka manawa pinepine, ʻaʻole ia he antibiotic hoʻokahi wale nō, akā ʻelua a ʻekolu paha ʻano antibiotics e pono e lawe pū ʻia .

I nā hihia koʻikoʻi o ka maʻi, ʻo ia hoʻi ua hōʻino nui ʻia nā māmā a ua hana ʻia nā lua, pono paha ke ʻoki ʻana i kekahi manawa e wehe i ka ʻiʻo māmā i loaʻa i ka maʻi. Eia naʻe, ʻaʻole hana ʻia kēia no nā mea āpau. Inā ʻaʻole mālama pono nā antibiotics i kāu maʻi, a inā ʻaʻole hiki iā ʻoe ke ʻae i nā hopena ʻaoʻao o nā antibiotics, ʻoi aku ka nui o nā kauka e noʻonoʻo i ke ʻoki ʻana. Hiki i ka poʻe me ka maʻi Mycobacterium avium complex (MAC) ke kahe koko mai nā māmā ma muli o kēia maʻi. I kēlā mau hihia, pono paha ke ʻoki ʻana e hoʻōki i ke kahe koko.

Aia kekahi mau hopena ʻaoʻao o ka mālama ʻana iā NTM?

ʻAe, he nīnau koʻikoʻi nō hoʻi kēia. ʻO ka lawe ʻana i nā lāʻau antibiotic no ka manawa lōʻihi, ʻo ia hoʻi, no nā mahina, hiki ke hana i kekahi mau hopena ʻaoʻao . ʻO nā hopena ʻaoʻao maʻamau:

• Ka luaʻi a me ka nausea
• Ka maʻi ʻōpū (ʻeha ʻōpū)
• Makemake nui
• ʻeha ka ʻōpū

Eia kekahi, hiki i kekahi mau lāʻau antibiotic (ʻaʻole nā ​​​​mea āpau) ke hoʻololi i ka lohe (e like me ka emi ʻana o ka lohe), nā loli o ka ʻike (e like me ka ʻike blurred), ka hōʻino ʻana o ke ake, a me nā ʻulaʻula ʻili.ʻAʻole hiki ke hana pinepine ʻia nā mea e like me ia.

Mai hopohopo! E hoʻomaopopo kāu kauka iā ʻoe e pili ana i kēia mau hopena ʻaoʻao. Eia kekahi, i ka wā o ka mālama ʻana, e hana mau ʻia kāu mau hoʻāʻo koko, nā hoʻāʻo maka, a me nā hoʻāʻo lohe e nānā i kēia mau hopena ʻaoʻao.

Hiki i kēia mau pilikia ke hoʻolilo i mea paʻakikī ke hana i nā hana o kēlā me kēia lā. Eia nō naʻe, inā pilikia ʻoe i ka hoʻomau ʻana i kāu lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka. Hiki paha i kāu kauka ke hoʻololi i ka nui o ka lāʻau, kuhikuhi i kahi lāʻau lapaʻau ʻokoʻa, a hoʻohana paha i nā ʻano ʻē aʻe e hoʻokele ai i nā hopena ʻaoʻao. Mai hoʻōki i ka lawe ʻana i nā antibiotics me ka ʻole o ke kamaʻilio ʻana me kāu kauka. ʻO ka hana ʻana pēlā e hiki ai i ka bacteria ke kūʻē i ka lāʻau lapaʻau, hiki ke hoʻonui i kou kūlana.

Hiki ke pale ʻia ka maʻi māmā NTM?

E like me kā mākou i ʻōlelo ai ma mua, he paʻakikī ke pale loa i ka pili ʻana i nā bacteria NTM no ka mea ua laha loa lākou i ko mākou wahi. Eia nō naʻe, aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o kahi maʻi NTM māmā:

• E hoʻomaʻemaʻe pono: ʻO ka holoi mau ʻana i kou mau lima me ke kopa a me ka wai e hiki ke kōkua i ka kaohi ʻana i ka laha ʻana o nā germs e like me ka bacteria NTM. Hoʻemi pū ia i ka manawa kūpono o ka loaʻa ʻana o kahi maʻi inā pili ʻoe i ka bacteria.
• E kiʻi i ka lāʻau pale: He mea nui e kiʻi i ka lāʻau pale maʻi palū i kēlā me kēia makahiki a me ka lāʻau pale niumonia e like me ke kuhikuhi a kāu kauka. No ka mea, inā loaʻa iā ʻoe ka maʻi palū a i ʻole ka niumonia, hiki ke paʻakikī ka hoʻōla ʻana mai ka maʻi māmā NTM a hiki i kou mau māmā ke lilo i mea nāwaliwali.
• E hoʻōki loa i ka puhipaka a me nā huahana paka: He mea ʻino loa ka hoʻohana ʻana i ka paka i nā māmā. Hoʻonui nui ia i ka pilikia o nā maʻi māmā a me nā maʻi e like me NTM. Inā he mea puhipaka ʻoe, ʻo ka haʻalele ʻana ka mea maikaʻi loa hiki iā ʻoe ke hana no kou mau māmā. Inā makemake ʻoe i ke kōkua me kēia, e kamaʻilio me ke kauka.

He aha ka wā e hiki mai ana no ka poʻe me ka maʻi māmā NTM?

Pili nui kēia i ke kūlana o ke kanaka. Eia nō naʻe, nui ka poʻe, ʻoiai ka poʻe me ke ʻano maʻi 'non-cavitary' (ʻaʻohe lua, ʻo ia hoʻi, ʻaʻohe lua i loko o nā māmā), e ola piha ana. ʻO kou manawa kūpono a me ka wikiwiki o ka hoʻōla ʻana e pili ana i nā mea e like me:

• ʻO ke ʻano o ka maʻi māmā NTM i loaʻa iā ʻoe (e.g., nodular bronchiectasis a i ʻole cavitary?).
• He aha ke ʻano o ka bacteria NTM i hoʻoulu ai i ka maʻi? (ʻOi aku ka maikaʻi o ka pane ʻana o kekahi mau ʻano i ka lāʻau lapaʻau ma mua o nā mea ʻē aʻe.)
• ʻO kou mōʻaukala olakino holoʻokoʻa (e like me nā maʻi ʻē aʻe, ka ʻōnaehana pale, a me nā mea ʻē aʻe).
• Inā hiki iā ʻoe ke ʻae i ka lāʻau lapaʻau lōʻihi (he pilikia inā pono ʻoe e hoʻōki i ka lāʻau lapaʻau ma muli o nā hopena ʻaoʻao).
• E loaʻa nō hoʻi iā ʻoe ka lāʻau antibiotic kūpono, kūpono i kou maʻi a me ke ʻano o ka bacteria.
• Inā loaʻa iā ʻoe ka bronchiectasis, he mea nui kou hiki a me kou makemake e hana i nā lāʻau lapaʻau ea (e like me nā hoʻomaʻamaʻa e hoʻomaʻemaʻe i ka mucus).

He mea nui: ʻOiai inā holomua ka lāʻau lapaʻau, hiki i kekahi poʻe ke loaʻa i hoʻokahi a ʻoi aku paha mau hoʻi hou ʻana o ka maʻi māmā NTM. No laila, he mea nui loa ia e makaʻala i nā hōʻailona a hahai i nā ʻōlelo a kāu kauka.

He aha ka mea nui i ka wā e noho ai me ka maʻi akemāmā NTM?

ʻO ka noho ʻana me kahi maʻi māmā i hoʻokumu ʻia e ka bacteria NTM hiki ke lilo i mea paʻakikī i kekahi manawa. Eia nō naʻe, aia kekahi mau mea maʻalahi a pono e hiki iā ʻoe ke hana e kōkua iā ʻoe e noho olakino a ʻoluʻolu hoʻi e like me ka hiki:

• E pale i ka makū a me ka mahu: Ulu maikaʻi nā bacteria NTM i nā wahi pulu. No laila, e pale i ka hoʻohana ʻana i nā ʻauʻau wela, nā spa, a me nā sauna i ka hiki. Inā ʻoe i loko o ka lumi kuke a i ʻole ka lua, inā hōʻiliʻili ka mahu, e hoʻā i kahi `ventilation fan` / `exhaust fan`. I ka wā e ʻauʻau ai, mai waiho i ka wai e holo ana no ka manawa lōʻihi a hoʻopiha i ka lua me ka mahu.
• ʻAi i ka ʻai momona: ʻO ka mālama ʻana i kāu ʻai kaulike a momona hoʻi e hāʻawi i kou kino i ka ikehu a me nā meaʻai e pono ai e hakakā i nā maʻi. E hoʻokomo i ka nui o ka protein (iʻa, ʻiʻo, hua manu, waiū, nati), nā wai (wai, sopa, wai huaʻai), a me nā mea kanu a me nā huaʻai i kāu ʻai.
• E hana i nā hoʻoikaika kino a kāu kauka e ʻōlelo ai: Hiki i nā hana kino maʻalahi (e like me ka hele wāwae) ke hoʻokuʻu i ka mucus i loko o kou mau māmā a maʻalahi hoʻi ke ʻū. Hiki iā lākou ke hoʻomaikaʻi i kou ikaika a me ke ahonui. Eia nō naʻe, e nīnau i kāu kauka a mea hoʻoponopono kino paha e pili ana i nā hoʻoikaika kino kūpono iā ʻoe.
• E ʻaʻahu i ka pale maka inā pono: ʻOiai hiki i nā bacteria NTM ke noho i ka lepo a me ka lepo, ʻo ke ʻaʻahu ʻana i ka pale maka i ka wā e kipa aku ai i nā wahi e like me nā lau nahele i ʻoki hou ʻia, nā wahi i hoʻolālā hou ʻia, nā mahiʻai, a me nā wahi lepo e hiki ke kōkua i ka palena ʻana i ka hoʻopili mau ʻia ʻana i ka NTM i kekahi ʻano.

E lawe kākou i kēia leka i ka home.

ʻAe, ua kamaʻilio nui mākou e pili ana i ka maʻi māmā NTM. I ka hopena, eia kekahi o nā mea nui e pono ai ʻoe e hoʻomanaʻo:

ʻO ka maʻi māmā NTM kahi maʻi māmā i hoʻokumu ʻia e kahi ʻano bacteria ('Nontuberculous Mycobacteria') e ulu mālie ana i ko kākou wahi noho, e like me ka lepo a me ka wai. ʻO ka poʻe me nā maʻi māmā ʻē aʻe (ʻoi aku hoʻi ʻo 'Bronchiectasis') a me ka poʻe me nā ʻōnaehana pale nāwaliwali e ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi.

Hiki ke paʻakikī ke ʻike a me ka mālama ʻana, no ka mea, ua like nā hōʻailona me nā maʻi māmā ʻē aʻe a hiki ke lōʻihi ka manawa e mālama ai. Eia nō naʻe,Hoʻōla piha ka poʻe he nui me ka mālama lapaʻau kūpono a me nā ʻōlelo aʻoaʻo.

Inā loaʻa iā ʻoe kēia maʻi, a inā manaʻo ʻoe ua pilikia ʻoe i ka loaʻa ʻana, hiki ke kōkua nui i ka pale ʻana i ka makū, mālama i ka hoʻomaʻemaʻe maikaʻi, a inā pono, ʻo ke komo ʻana i ka pale maka i ka wā e hele ai i waho i nā wahi lepo.

ʻO ka mea nui loa, inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni mau, ka ʻōpū koko, ka pōkole o ka hanu, a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia, mai hoʻokuʻu wale iā ia me he mea lā he mea maʻamau, akā e ʻike koke i ke kauka kūpono no ka ʻōlelo aʻo. Mai hopohopo, me ka ʻike kūpono a me ka mālama ʻana, hiki ke hoʻomalu maikaʻi ʻia kēia kūlana. ʻAʻole ʻoe hoʻokahi, a aia nā kauka ma laila e kōkua iā ʻoe.

ʻO ka maʻi māmā NTM, ka mycobacteria ʻaʻole tuberculous, ka maʻi māmā, ka bacteria, ka maʻi hanu, ke kuni, nā lāʻau antibiotic