Ua pehu kou mau māmā? He pneumonitis paha kēia!

Ke manaʻo nei ʻoe i kekahi manawa he pōkole iki ka hanu? A i ʻole ke manaʻo nei ʻoe i kahi manaʻo ʻē a ʻeha i loko o kou umauma? Malia paha ua hoʻomaka wale ia ma ke ʻano he anu, akā pilikia mau ʻoe i ka hanu ʻana? Inā pēlā, he mea nui loa iā ʻoe ke makaʻala i kēia maʻi i kapa ʻia ʻo "pneumonitis", a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka pneumonitis? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka pneumonitis kahi e pehu ai nā ʻeke ea liʻiliʻi (i kapa ʻia ʻo alveoli) i loko o kou mau māmā, a pehu paha, ma muli o kekahi kumu ʻē aʻe, ma mua o kahi maʻi . E noʻonoʻo e pili ana i ia mea, e like me ka wā e loaʻa ai iā mākou kahi palapū, hiki i kekahi mea e like me kēia ke hana i loko o ko mākou mau māmā. Hiki i kēia mumū ke hoʻolilo iā ʻoe i mea paʻakikī ke hanu pono, a hiki nō hoʻi ke hana i nā pilikia ʻē aʻe i loko o kou kino.

Aia nā pae like ʻole o ka pneumonitis:

• Ke kūlana koʻikoʻi: I kēia hihia, hiki koke mai ka mumū a emi iho ma hope o kahi manawa pōkole.
• Kahua Subacute: Maanei, ulu mālie a mālie ka mumū.
• Ke kūlana mau loa: He mea weliweli iki kēia. He lōʻihi ka lōʻihi o ka mumū, a hiki ke mau loa.

He maʻi weliweli anei ka pneumonitis?

ʻAe, he maʻi ka pneumonitis e pono e mālama pono ʻia . No ka mea, ʻo ka lōʻihi o ka hoʻopili ʻana i nā mea e hoʻoulu ai i ia mea hiki ke hōʻeha mau loa i kou mau māmā. No laila he mea nui e makaʻala i kēia a e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona.

He aha nā ʻano nui o ka pneumonitis?

Aia nā ʻano pneumonitis like ʻole ma muli o ke kumu. E nānā kākou i kekahi o nā ʻano nui:

• ʻO ka Pneumonitis Interstitial ʻĀkiu: Hoʻomaka koke kēia a e ʻoi aku ka ʻino o nā hōʻailona me ka wikiwiki loa. ʻAʻole ʻike nā kauka i ke kumu pololei.
• ʻO ka Pneumonitis Kemika: Hoʻokumu ʻia kēia e ka hanu ʻana i nā kemika (`(inhalants)`) a mākou e hoʻohana ai i kēlā me kēia lā, a i ʻole e pili ana i ka wahi hana. No ka laʻana, nā kemika i hoʻohana ʻia i kekahi mau hoʻokolohua, ke kinoea chlorine, nā pesticides, ka gasoline, a me ka uahi.
• ʻO ka Pneumonitis Hypersensitivity: Ua like kēia me kahi maʻi allergy. Hoʻokumu ʻia ia e ka hanu ʻana i nā antigens, e like me ka bacteria, ka lepo, ka ʻōpala, a me nā ʻāpana liʻiliʻi (dander) mai ka ʻili holoholona, ​​​​ka huluhulu, a i ʻole nā ​​​​hulu.
• Ka Pneumonitis Pāhawewe:Hiki ke hōʻike ʻia kēia kūlana ma hope o ka radiation therapy no ka maʻi kanesa.

He aha nā hōʻailona o ka maʻi pneumonitis?

I nā pae mua, ua like paha nā hōʻailona o ka pneumonitis me nā hōʻailona o ke anu maʻamau. ʻO kēia mau mea:

• Paʻakikī ka hanu ʻana (Dyspnea). E manaʻo paha ʻoe he pōkole iki ka hanu.
• ʻEha ka umauma.
• ʻO ka ʻū maloʻo me ka ʻole o ka huʻa.

Ma waho aʻe o kēia, hiki ke loaʻa nā hōʻailona ʻē aʻe:

• Luhi.
• Kuni.
• ʻUlaʻula o ka ʻili.
• Ke hou nei.

Eia nō naʻe, i ke ʻano o ka pneumonitis mau loa, hiki ke ʻike ʻia nā hōʻailona e like me kēia:

• Nā hanu pōkole a pāpaʻu.
• ʻO ke kala polū o ka ʻili (Cyanosis). Hana ʻia kēia ke loaʻa ʻole i ke kino ka oxygen lawa.
• Ka pohō kaumaha i manaʻo ʻole ʻia.

He aha nā kumu o ka maʻi pneumonitis?

Nui nā kumu hiki ke loaʻa i ka pneumonitis. E nānā kākou i kekahi o nā kumu maʻamau:

• Nā holoholona: ʻO nā mea hoʻonāukiuki i loaʻa i ka hulu holoholona, ​​​​nā hulu manu, a me ka ʻili hiki ke hoʻoulu i ka mumū o ka māmā. ʻO ka poʻe e hana ana ma nā mahiʻai, a me nā kauka holoholona a me nā mea mālama holoholona, ​​​​ua pilikia.
• Bacteria: Hiki i kekahi ʻano bacteria, ʻoi aku ka poʻe i loaʻa ma nā wahi e hōʻiliʻili ai ka makū, e like me nā ʻōnaehana ea hoʻoluʻu, nā mea hoʻohaʻahaʻa, a me nā ʻauʻau wela, ke ulu a komo i ka ea a mākou e hanu ai.
• Nā lāʻau lapaʻau a me nā lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hana i kēia. ʻO nā laʻana e like me ka aspirin, kekahi mau antibiotics (e.g., sulfonamides, nitrofurantoin), kekahi mau lāʻau lapaʻau puʻuwai (e.g., amiodarone), a me nā lāʻau chemotherapy.
• ʻŌpala: Hiki ke hana ʻia kēia ʻano ma muli o ka hanu ʻana i nā ʻōpala e ulu ana ma luna o nā mea e like me ka mauʻu maloʻo, nā hua maloʻo, ka tīhi, nā halo, a me ke kō. Hiki ke loaʻa kēia mau ʻōpala ma nā hale kahiko a pulu a me nā wahi i hoʻopuehu ʻia ai nā puke.
• Lapaʻau Radiation: Hiki ke hana ʻia kēia ʻano ma hope o ka hāʻawi ʻia ʻana o ka radiation therapy i ke kino holoʻokoʻa a i ʻole ka umauma i ka wā e mālama ʻia ai kekahi mau ʻano maʻi kanesa, e like me ke kanesa o ka umauma a me ke kanesa o ka māmā.

He maʻi laha anei kēia pneumonitis?

ʻAʻole, ʻaʻole he maʻi lele ka pneumonitis . Eia nō naʻe, hiki ke laha kekahi mau virus a bacteria paha e hoʻoulu ai mai ke kanaka a i ke kanaka. Eia nō naʻe, ʻaʻole lele ka mumū e kū mai ana i loko o nā māmā.

ʻO wai ka mea e ʻoi aku ka nui o ka loaʻa ʻana o ka pneumonitis?

Hiki i kekahi ke loaʻa i ka pneumonitis, akā ʻoi aku kou pilikia inā ʻoe e hana ma nā wahi aʻe:

• ʻO ka poʻe e hana pū ana me nā holoholona (nā mahiʻai, nā kauka holoholona, ​​nā mea mālama holoholona, ​​​​nā mea kūʻai aku holoholona).
• ʻO ka poʻe e hana ana ma nā mahiʻai e lawelawe ana i nā pesticides a i ʻole ka palaoa ʻōpala a me ka mauʻu maloʻo.
• ʻO ka poʻe e hana ana i nā wili palaoa, nā hale hana pepa, a me nā wili ʻoki lāʻau.

Eia kekahi, inā ʻoe e hoʻohana i kahi humidifier ma ka home a i ʻole e hoʻolilo i ka manawa i loko o nā ʻauʻau wela, inā ʻaʻole lākou e hoʻomaʻemaʻe pono ʻia, hiki i ka ʻōpala a me ka bacteria ke ulu a ʻo ka hanu ʻana i nā mahu mai ia mau mea e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka pneumonitis.

He aha nā pilikia e hiki ke loaʻa mai ka pneumonitis?

ʻO ka lōʻihi o ka hoʻopili ʻana i nā kumu o ka pneumonitis hiki ke alakaʻi i ka hōʻino nui ʻana o ka māmā . ʻO nā mea nui:

• ʻO Pulmonary Fibrosis: He ʻano kēia e lilo ai nā māmā i ʻeha a lilo mālie i mea nui. Hiki i kēia ke paʻakikī loa ka hanu ʻana a hiki ke alakaʻi i ka make.
• ʻO ke koko kiʻekiʻe o ka puʻuwai: ʻO kēia ka wā e piʻi ai ke koko (hypertension) i loko o nā kīʻaha koko (nā aʻa pulmonary) e lawe ana i ke koko mai kou puʻuwai a i kou mau māmā.

E hoʻomanaʻo: Hiki i kēia mau pilikia ke hoʻoweliweli i ke ola, ʻo ia ke kumu he mea nui e ʻike mua a mālama i ka maʻi.

Pehea e ʻike ʻia ai ka maʻi pneumonia?

Hiki i ke kauka ke ʻike i ka pneumonitis. E nīnau ʻo ia e pili ana i kāu mau hōʻailona, ​​​​e lawe i kāu mōʻaukala olakino, a e hoʻolohe i kou mau māmā me ka stethoscope (`(auscultation)`). Eia kekahi, hiki iā lākou ke hana i kekahi mau hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻailona.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

No ka hōʻoia ʻana i ka pneumonitis, hiki i kāu kauka ke kauoha i nā hoʻokolohua aʻe:

• Hoʻāʻo Koko Allergy: Lawe ʻia kahi hāpana o kou koko a hoʻāʻo ʻia e ʻike inā pane ia i kekahi mau allergens.
• Bronchoscopy: Hoʻomaha ʻia ʻoe a hoʻokomo ʻia kahi mea lahilahi a maʻalahi (bronchoscope) me kahi kāmela ma kou waha a ihu paha e nānā i kou mau māmā.
• Nā Hoʻāʻo Kiʻi: He mau hoʻāʻo ʻeha ʻole kēia. Hiki ke hana ʻia kahi X-ray umauma a i ʻole kahi scan CT.
• Biopsy o ka Māmā: He hana ʻoki kino e wehe i nā hāpana ʻiʻo liʻiliʻi mai nā māmā no ka hoʻokolokolo ʻana.
• Nā Hoʻāʻo Hana Pulmonary: Ke ana kēia i ka helu o nā hanu āu e lawe ai i kēlā me kēia minuke (ka helu hanu), ka nui o ka ea e komo a puka i waho o kou mau māmā.
• ʻO ka Pulse Oximetry (Pulse Ox):Ana kahi mea liʻiliʻi e hoʻopili ʻia i kou manamana lima i ka nui o ka oxygen i loko o kou koko.

He aha nā lāʻau lapaʻau no ka pneumonitis?

Inā loaʻa iā ʻoe ka pneumonitis, ʻo ka lāʻau lapaʻau maikaʻi loa, ʻo ia ka noho mamao aku mai nā mea e hoʻoulu ai . Eia kekahi, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau a i ʻole nā ​​​​​​lāʻau lapaʻau e like me:

• Nā Corticosteroids a i ʻole nā ​​immunosuppressants: Hoʻemi kēia mau lāʻau i ka mumū i loko o nā māmā. No ka laʻana, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me `(prednisone)`, `(mycophenolate)`, a i ʻole `(azathioprine)`.
• Nā lāʻau antifibrotic: Hoʻemi kēia i ke kūkulu ʻia ʻana o nā ʻōpala i loko o nā māmā. Hiki ke hāʻawi ʻia nā lāʻau e like me `(pirfenidone)` a i ʻole `(nintedanib)`.
• Hoʻoponopono Hou ʻana i ka Pulmonary: Ma kēia, hana pū ʻoe me ke kauka e hana i kahi papahana hoʻoikaika kino e hoʻonui i ka ikaika o kou mau māmā.
• ʻO ka Oxygen Therapy: Kōkua kēia i ka hāʻawi ʻana i ka oxygen i ke kino ke paʻakikī ka hanu ʻana. Hiki ke hāʻawi ʻia ka oxygen i nā manawa a pau, a i ʻole i kekahi mau manawa wale nō, e like me ka wā hoʻoikaika kino a i ʻole ka wā hiamoe.
• Hoʻoili Mama: Inā lilo ka pneumonitis i mea koʻikoʻi a holomua i nā kūlana e like me ka fibrosis pulmonary, hiki i nā kauka ke ʻōlelo aku e wehe i kekahi a i ʻole nā ​​​​​​māmā ʻelua i hōʻino ʻia a hoʻoili i kahi māmā olakino.

Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?

Aia maoli nō ia i ke kumu o kou pneumonitis a me kona koʻikoʻi. Hiki ke hala kekahi mau mahina no ka ho'ōla ʻana o kou mau māmā. I kekahi mau hihia, hiki ke mau loa ka hōʻino ʻana i kou mau māmā .

Hiki ke pale ʻia ka maʻi pneumonia?

ʻAe, ʻo ke ala maikaʻi loa e hōʻemi ai i kou pilikia o ka loaʻa ʻana o ka pneumonitis, ʻo ia ke noho mamao aku mai nā mea e hoʻoulu ai i ka mumū o ka māmā i ka hiki . Inā pono ʻoe e hōʻike ʻia i kēlā mau mea, hiki iā ʻoe ke hana i kēia mau mea:

• E komo i nā lako pale pilikino (PPE) , ʻoiai ka pale maka ʻano N95, i mea e pale ai i ka hanu ʻana i nā ʻāpana ʻino i ka lewa.
• E hoʻomaʻemaʻe a hoʻomake i nā mea e like me nā ʻōnaehana ea hoʻoluʻu, nā ʻauʻau wela, a me nā mea hoʻohaʻahaʻa i ka ea i kēlā me kēia manawa .
• E hoʻomaʻemaʻe pinepine i nā kāpeti a me nā moena me ka mīkini hoʻoheheʻe lepo e wehe i ka lepo a me ka hulu holoholona.
• ʻO ka hoʻohana ʻana i kahi kānana ea particulate air kiʻekiʻe (HEPA) ma ka home hiki ke kōkua i ka wehe ʻana i nā allergens mai ka lewa.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka pneumonitis?

Inā ʻike mua ʻia a mālama pono ʻia, hiki ke hoʻohuli nui ʻia ka pneumonitis. Inā loaʻa iā ʻoe ka pneumonitis koʻikoʻi, e nalo paha kāu mau hōʻailona i loko o kekahi mau lā ma hope o kou hoʻopau ʻana i ke kumu mai kou wahi noho.

ʻO ka maʻamau, ʻo nā kūlana subacute ke kumu o ka hoʻohana lōʻihi ʻana i nā pae haʻahaʻa o nā mea ʻino. Hiki ke mau nā hōʻailona no kekahi mau mahina a pono e mālama ʻia.

Eia nō naʻe, ʻo ka pōʻino i hana ʻia e ka pneumonitis mau loa he mau loa ia . Eia nō naʻe, hiki i nā lāʻau lapaʻau a me nā lāʻau lapaʻau ke hōʻemi i ke koʻikoʻi o nā hōʻailona.

He aha ka ʻokoʻa ma waena o ka maʻi Pneumonitis a me ka maʻi Pneumonia?

He mea kēia e huikau ai nā kānaka he nui. E nānā kākou i ka ʻokoʻa ma waena o nā mea ʻelua:

• Pneumonitis: ʻO kēia ka mumū o ka ʻiʻo māmā me ka ʻole o ka maʻi . Hoʻopilikia kēia mumū i nā paia o nā alveoli, akā ʻaʻohe hōʻiliʻili o ka wai a i ʻole ka pus. Hoʻokumu ka Pneumonitis i ka ʻū maloʻo .
• Pneumonia: He maʻi bacteria, viral, a fungal paha kēia o nā māmā. He ʻano pneumonitis nō hoʻi kēia, akā i kēia hihia, me ka mumū, hōʻiliʻili ka wai a i ʻole ka pus i loko o ka ʻiʻo māmā. Hiki i kēia ke hana i kahi ʻū e hoʻopuka ai i ka phlegm melemele, ʻōmaʻomaʻo, a i ʻole ke koko (he ʻū pulu) .

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

ʻO ka niumonia kahi mumū o nā ʻiʻo māmā. ʻO ka lōʻihi o ka hoʻopili ʻana i nā mea e hoʻoulu ai i ia mea hiki ke hōʻino nui i ka māmā. No laila, he mea nui loa e ʻike i ke kauka i ka wā e ʻike ʻia ai nā hōʻailona . Hiki i kēia ke pale i ka hōʻino hiki ʻole ke hoʻihoʻi ʻia. Hiki i ke kauka ke hana i nā hoʻokolohua, hoʻoholo i ke koʻikoʻi o kou kūlana, a kōkua i ka hōʻemi ʻana i kāu mau hōʻailona a maʻalahi iā ʻoe ke hanu.

Inā ʻike ʻoe he pneumonitis kou, mai poina e pale i nā mea e hoʻoulu ai, e lawe i nā lāʻau lapaʻau i kuhikuhi ʻia, a hana i nā hoʻomaʻamaʻa hanu e like me ka ʻōlelo a kāu kauka. E nīnau i kāu kauka e pili ana i kēia mau mea:

• No ke aha i loaʻa ai iaʻu ka maʻi pneumonia?
• Loaʻa iaʻu ka maʻi ʻākiu a maʻi mau paha?
• He aha ke ala maikaʻi loa e pale aku ai i nā mea e hoʻokumu ai ia mea?
• Ua hōʻino mau ʻia koʻu mau māmā?
• He aha ke ʻano lāʻau lapaʻau āu e paipai nei?
• Pehea ka lōʻihi e pono ai iaʻu e ʻoluʻolu?
• Āhea wau e hoʻi hou mai ai no ka hoʻokolohua?
• Pono anei au e ʻike i kahi kauka pulmonologist?

Inā manaʻo ʻoe ʻaʻole hiki iā ʻoe ke hanu, e hele koke i ka haukapila kokoke loa a kāhea aku paha i kahi helu ulia pōpilikia .

ʻO ka maʻi puʻupuʻu, ka maʻi puʻupuʻu, ka mumū o ka māmā, ka paʻakikī o ka hanu ʻana, nā maʻi hanu, nā maʻi ʻaleka, nā maʻi māmā