Yu lɔng dɛnsɛf kin fil we yu gɛt alɛji? Lɛ wi tɔk bɔt (Hypersensitivity Nyumonitis)!

Sɔntɛnde, i nɔ kin izi fɔ yu fɔ blo, ɔ yu kin jɔs kɔf? Sɔntɛm yu lɔng dɛn kin fil sɔm dɔst ɔ mold we de na yu wokples ɔ na yu os. Na di kayn sik we wi go tɔk bɔt tide, we dɛn kɔl ``Hypersensitivity Pneumonitis''. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na dis `(Hypersensitivity Nyumonitis)`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, Hypersensitivity Nyumonitis na alɛji to di smɔl smɔl ay sak dɛm we de na yu lɔng (dɛn kin kɔl am bak alveoli). Jɔs lɛk aw sɔntɛnde wi bɔdi kin du sɔntin we de ambɔg wi, na so wi lɔng dɛn kin du sɔm tin dɛn bak. Dɛn sayn ya kin kam wantɛm wantɛm (akyu) ɛn go kwik, ɔr kin kam as tɛm de go ɛn bi krɛse .

Naw yu de tink se, "Oh... dis na jɔs lɛk alɛji to dɔst mit ɔ pɔlin?" Nɔto fɔ tru. Hypersensitivity nyumonitis na difrɛn kayn imyun rεspכns pas wan tipik alɛji. Dis nɔ tan lɛk di kayn alɛji we kin mek yu nos rɔn, yu yay kin it, ɛn gɛt asma, dis na tin we yu kin gɛt di alɛji bɔku tɛm, dat kin mek yu lɔng dɛn pwɛl fɔ ɔltɛm. So dis na sɔntin we wi fɔ tek tɛm wit.

Krכnik Hypersensitivity Nyumonitis de fכl insay di kεtכgrεf fכ intastitial lכng sik . As tɛm de go, dis kin mek di lɔng dɛn gɛt skata.

Udat kin gɛt Hypersensitivity Nyumonitis?

Pan ɔl we dis sik kin kam pan ɛnibɔdi, pipul dɛn we de wok pan sɔm wok dɛn ɛn we kin gɛt sɔm patikyula alɛrjens bɔku tɛm kin gɛt smɔl prɔblɛm. Si if yu de pan denja:

• Pipul dɛn we de wok na fam: lɛk di wan dɛn we de kia fɔ kaw ɛn plant vɛjitebul. Sɔntɛnde bikɔs dɛn kin de pan tin dɛn lɛk hay ɛn dɔst ɔltɛm.
• Pipul dɛn we de wok wit animal: vetɛriana, pipul dɛn we de mɛn animal lɛk bɔd, kɔk, ɛn ɔda tin dɛn Bikɔs ɔf tin dɛn lɛk bɔd in fɛda ɛn fɛda.
• Pipul we de wok na ples we dɛn kin grind ɔ lod gren ɔ flawa: na ples lɛk padi mil na wi kɔntri.
• Pipul dɛn we de wok na say dɛn we dɛn kin kɔt tik ɛn usay dɛn kin kɔt wud.
• Pipul dɛn na ples dɛn we de mek wɔlbɔd ɛn pepa.
• Di wan dɛn we de wok wit mɛtal.
• Pipul dɛn we kin gɛt bɔd dɛn dɔti ɛn fɛda: If yu yuz pilo ɛn matres we ful-ɔp wit fɛda, dat kin mek bak dis apin.
• Pipul dɛn we de blo alɛrjens frɔm humidifier dɛn we dɛn nɔ de mɛn fayn, ɔt ɛn ay kɔndishɔn sistem, ɔ hot tub.
• Bɔku tɛm, dɛn kin ol bitwin 50 ɛn 70 ia.

Imajin, insay sɔm os dɛn, bɔd dɛn lɛk parrot kin bil nɛst. If dɛn nɔ klin dɛn nɛst dɛn de fayn, dis kin apin bak we pɔsin de blo di dɔst ɛn di pɔlin we de kɔmɔt pan dɛn.

Yu tink se Hypersensitivity Nyumonitis na siriɔs sik?

Yes, `(Hypersensitivity Pneumonitis)` na wan sik wae kin siriɔs sɔmtɛm . Bikɔs, if yu kɔntinyu fɔ gɛt di alɛrjen, di inflamɛns na di lɔng dɛn kin mek yu gɛt damej fɔ ɔltɛm. So, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt sɔm sayn dɛn.

Aw dis `(Hypersensitivity Pneumonitis)` de afɛkt wi bɔdi?

If yu gɛt ``Hypersensitivity Pneumonitis'', yu bɔdi kin ɔva riak to sɔm smɔl smɔl tin dɛm (wi kin kɔl dɛn tin ya ``allergens'') we yu de blo insay.Bɔku tɛm dɛn alɛrgen ya kin kɔmɔt na yu wokples ɔ yu os. dis patikyula dεm so sכm dat dεn kin go insay di sכm sכm εya sak dεm (alveoli) na yu lכng dεm εn mek yu inflameshn de.

We yu fɔs riak to di alɛrjen, yu bɔdi in imyun sistɛm de mek kemikal dɛn we de no am. Dɔn, as yu de gɛt di alɛrjen bak ɛn bak, yu bɔdi kin fil bad ɛn bigin fɔ riak bad bad wan. As tɛm de go, dis kin pwɛl di ay sak dɛn (alveoli) ɛn di smɔl smɔl aywe dɛn we de kɔnɛkt to dɛn. Na dat kin mek yu gɛt sɔm sayn dɛm lɛk wae yu nɔr kin ebul fɔ blo fayn ɛn yu kin kɔf.

Wetin na di sayn dɛm fɔ `(Hypersensitivity Pneumonitis)`?

Dɛn sayn ya kin bi akyu ɔr kin te.

Di simptom dɛm fɔ akyu `(Hypersensitivity Nyumonitis)`:

Dɛn sayn ya kin apin insay sɔm awa afta yu dɔn gɛt di alɛrjen ɛn dɛn kin las fɔ sɔm awa ɔ ivin sɔm dez.

• I nɔ izi fɔ blo (dyspnea) .
• Dray kɔf
• Chɛst tayt, fil lɛk se yu dɔn blok
• Chills we de mek pɔsin kol
• I kin taya bad bad wan
• Fiva
• Bɔdi de at, mɔsul dɛn de pen

I kin tan lɛk se a gɛt fiva. Mi bɔdi kin fil ebi wantɛm wantɛm.

Di sayn dɛm fɔ Kronik Hypersensitivity Nyumonitis:

Dɛn sayn ya kin apin smɔl smɔl, ɛn smɔl smɔl dɛn kin bɔku as tɛm de go.

• I nɔ kin izi fɔ yu fɔ blo, mɔ we yu taya ɔ we yu de du ɛksɛsayz
• Kɔf (maybe wit phlegm) .
• Taya
• We yu de lɔs yu wet
• Di finga ɔ fut tip dɛn we big (Klɔb) - Dis nɔ kin apin to ɔlman.

Aw e kin fil we yu gɛt `(Hypersensitivity Pneumonitis)`?

Akyu `(Hypersensitivity Pneumonitis)` kin fil lɛk kol. Krכnik `(Hypersensitivity Pneumonitis)` kin at fכ no biכs i de divεlכp sכmtεm. Yu kin notis se, "I tan lɛk se i nɔ izi fɔ blo naw pas aw a bin de blo," "I tan lɛk se mi kɔf ɛn taya de wɔs."

Wetin kin mek pɔsin gɛt Hypersensitivity Nyumonitis?

di men tin we kin mek yu gɛt alɛji na di lכng dεm na we yu de blo tin dεm (allergens) we de mek yu gɛt alɛji na di lכng dεm. As tɛm de go, dis kin pwɛl di lɔng dɛn ɛn mek di sik dɛn wɔs. Dɛn dɔn no se pas 300 tin dɛn kin mek pɔsin gɛt hypersensitivity nyumonitis. Dɛn tin ya na:

• Baktri dɛn we de na di bɔdi
• Mold ɛn fɛns: Yu kin si dɛn tin ya na ol wɔl, na batrum, ɛn na AC yunit dɛn we dɛn nɔ klin fayn.
• Sɔm kemikal ɛn mɛtal dɛn.
• Animal ɛn plant prɔtin: Fɔ ɛgzampul, di prɔtin we de insay bɔd dɛn fɛda ɛn animal fes.

Sɔm ɛgzampul dɛn bɔt `(Hypersensitivity Nyumonitis)`:

ivin difrεn nem dεm de fכ di kayn ``Hypersensitivity Pneumonitis'' we difrεn alergen dεm kin kכz. Fɔ ɛgzampul:

• Fama in Lɔng: Na mold we de na tin dɛn lɛk hay ɛn gren kin mek am.
• Bird Fancier’s Lung: Na di protin dεm we de insay bכd fεda εn fεda de kכz am.
• Humidifier Lung: Na baktri ɛn fɛns we de kɔmɔt frɔm humidifier ɛn AC yunit dɛn we dɛn nɔ klin fayn.

Yu tink se COVID-19 de mek pɔsin gɛt Hypersensitivity Nyumonitis?

Akɔdin to di infɔmeshɔn we de naw, `(COVID-19)` nɔto dairekt kɔz fɔ `(Hypersensitivity Pneumonitis)`. Bɔt, `(COVID-19)` kin mek di lɔng dɛn inflamɛns, we kin tan lɛk `(Hypersensitivity Pneumonitis)` sɔmtɛm. Pruf de bak fɔ se if pɔsin we dɔn ɔlrɛdi gɛt `(Hypersensitivity Pneumonitis)` gɛt `(COVID-19)`, da kɔndishɔn de kin rili bad.

Aw dɛn kin no se pɔsin gɛt Hypersensitivity Nyumonitis?

Dɔktɔ go no if yu gɛt Hypersensitivity Nyumonitis bay di sayn dɛm we yu gɛt, infɔmeshɔn bɔt di wok we yu de du, di say we yu de liv, ɛgzam fɔ yu bɔdi, ɛn sɔm ɔda tɛst dɛm. Di dɔktɔ go aks yu kwɛstyɔn fɔ ɔndastand us alɛrjens yu de gɛt.

di dכkta go lisin to yu lכng wit stεtoskop, chεk yu כksijεn lεvεl wit wan sכmכl divays (a `pulse oximeter`) we dεn put pan yu finga, εn i kin du tεst fכ di lכng fכnshכn, blכd tεst, כ imej tεst.

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt `(Hypersensitivity Pneumonitis)`?

Fɔ kɔnfirm dis sik, di dɔktɔ kin du dɛn tɛst ya:

• Alɛji blɔd tɛst: Dɛn kin tek smɔl blɔd frɔm yu an fɔ si if yu bɔdi gɛt riakshɔn to di alɛji dɛn we kin mek pɔsin gɛt Hypersensitivity Nyumonitis. Sɔntɛnde dɛn kin kɔl dis Hypersensitivity Nyumonitis panɛl.
• Imej tɛst: Chɛst ɛkstrem rayt ɛn CT skan kin tek pikchɔ fɔ di lɔng dɛn fɔ si if ɛnitin dɔn pwɛl.
• di tεst dεm fכ di pulmonari fכnshכn: bכku tεm dεn tin ya kin min fכ brith insay εn kכmכt tru wan tiub we dεn kכnekt to mashin. Dɛn kin mɛzhɔ aw yu lɔng dɛn de wok fayn fayn wan. Dɛn kin inklud bak fɔ tɛst blɔd ɛn fɔ du ɛksɛsayz.
• brכnkoskopi: Insay dis tεst, dεn kin put wan sכm sכm tכb we kin fכm (wit kεmεra) tru di nos כ mכt fכ luk insay di lכng dεm. If nid de, dɛn kin tek sɛmpul fɔ tɛst.

Aw dɛn kin trit Hypersensitivity Nyumonitis?

Fɔ mek yu ebul fɔ trit Hypersensitivity Nyumonitis fayn fayn wan, di tin we impɔtant pas ɔl na fɔ avɔyd di alɛrjen we yu gɛt alɛji to ɔltogɛda.

Ivin wit mɛrɛsin, if yu kɔntinyu fɔ gɛt di alɛrgen, di sik nɔ go wɛl ɔl. Di damej wae de kam wit kronik ``Hypersensitivity Pneumonitis`` kin kɔntinyu fɔ bɔku sɔmtɛm, ivin if yu de fa frɔm di alɛrjen.

Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ gɛt inflamɛns na yu lɔng, fɔ opin yu aywe, ɔ fɔ mek yu gɛt mɔ ɔksijɛn.

Wetin na di mɛrɛsin/tritmɛnt dɛm we dɛn kin yuz fɔ `(Hypersensitivity Pneumonitis)`?

• Kɔtikosterɔyd ɔ imyunosuprɛsiv mɛrɛsin dɛn: Dɛn wan ya kin ridyus di inflamɛns. Fɔ ɛgzampul, dɛn kin gi am mɛrɛsin dɛn lɛk prɛdnisɔn, maykofɛnolayt, ɔ azathioprine.
• Anti-fibrotic drugs: Fɔ ɛgzampul, pirfenidone ɛn nintedanib. Dɛn tin ya kin mek di rεt we di lכng skata kin slo.
• Pulmonary rehabilitation: We yu de du ɛksesaiz fɔ blo ɛn yu de du fyzikal tritmɛnt de ɛp fɔ mek i izi fɔ blo.
• Ɔksijɛn tɛrapi: If yu gɛt siriɔs aypasɛnsitiviti nyumonitis, yu kin nid fɔ gi yu sɔpɔtmɛnt ɔksijɛn fɔ mek shɔ se yu blɔd ɛn tisu dɛn gɛt inof ɔksijɛn. Dis kin bi tru wan mask we dɛn put oba yu fes ɔ wan tiub we dɛn put dɔŋ yu nos.
• Lɔng transplant: If yu Hypersensitivity Nyumonitis go bifo to pulmonary fibrosis , yu kin nid fɔ transplant yu lɔng.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Di inflamɛns we di Hypersensitivity Nyumonitis kin mek kin tek sɔm mɔnt fɔ mek di lɔng dɛn wɛl. Sɔm pan di damej dɛn kin de fɔ ɔltɛm.

Yu tink se dɛn kin mɛn Hypersensitivity Nyumonitis ɔltogɛda?

Nyumonitis we gɛt krɛse sik kin at fɔ mɛn ɔltogɛda. Bɔt, yu kin mɛn akyu ɛn sab-akyu (shɔt tɛm) haypa sɛnsitiviti nyumonitis wit ɔ atɔl mɛrɛsin if yu avɔyd di alɛrjen ɔltogɛda.

Aw fɔ protɛkt yusɛf frɔm `(Hypersensitivity Pneumonitis)`?

Di damej we di kronik `(Hypersensitivity Pneumonitis)` kin mek nɔ kin ebul fɔ rivɛns. So, di bεst tin fכ du na fכ de fa frכm di alergen dεm we de mek di lכng inflamεshכn. If yu rili nid fɔ de na dis kayn ples, yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:

• If yu de wok na wok we denja (fɔ wok wit mɛtal, fɔ wok wit bɔd ɔ ɔda animal, fɔ wok wit wud, pepa, gren, ɛn ɔda tin dɛn), wɛr tin dɛn fɔ protɛkt yusɛf (PPE) we yu de wok. Ɛspɛshali yuz mask we de filta smɔl smɔl tin dɛn.
• Kip di humidifier, hot tub, di hitin ɛn kul sistem klin ɛn insay gud kɔndishɔn.
• Nɔ yuz pilo ɛn matres we ful-ɔp wit fɛda.
• Kip di say dɛn we yu animal dɛn de (espɛshali di bɔd dɛn kech) klin. Wear mask we yu de klin dɛn.

Wetin yu kin ɛkspɛkt if yu gɛt `(Hypersensitivity Pneumonitis)`?

Wetin yu kin ɛkspɛkt dipen pan aw lɔng yu dɔn gɛt Hypersensitivity Pneumonitis ɛn aw i tranga.

• Akyu ``Hypersensitivity Nyumonitis'' kin dɔn insay sɔm dez, pas nɔmɔ di pɔsin gɛt di alɛrjen bak.
• Subacute ``Hypersensitivity Pneumonitis`` (we kin kam bay we yu de ripit low-level exposure to wan alergen) kin las fɔ sɔm mɔnt ɛn dɛn kin trit am wit mɛrɛsin.
• Kronik Hypersensitivity Nyumonitis nɔ kin wɛl ɔl, bɔt dɛn kin kɔntrol di sayn dɛm wit mɛrɛsin.

Kɔmplikɛshɔn dɛm fɔ `(Hypersensitivity Nyumonitis)`

If yu kɔntinyu fɔ gɛt alɛrjen we de mek yu gɛt Hypersensitivity Nyumonitis, dat kin mek yu gɛt siriɔs prɔblɛm dɛn, lɛk:

• Ska we de na di lɔng dɛn (pulmonary fibrosis) .
• Di ay blɔd prɛshɔn bitwin di at ɛn di lɔng (pulmonary hypertension) .

Wetin na di lukin-grɔn fɔ di kɔndishɔn `(Hypersensitivity Pneumonitis)`?

Di luk fɔ krɛse haypasɛnsitiviti nyumonitis de dipen pan di kayn we aw yu lɔng dɛn dɔn pwɛl. Risach dɔn sho se if yu lɔng nɔ gɛt skata, yu kin mek bɔku prɔgrɛs insay wan ia afta dɛn dɔn no se yu gɛt di sik. Pipul wae gɛt skata na dɛn lɔng kin de pan denja fɔ day wit haypa sɛnsitiviti nyumonitis insay sɔm ia if dɛn nɔr gɛt lɔng transplant. Dis kin tan lɛk se yu de mek yu fred, bɔt i impɔtant fɔ no dis infɔmeshɔn.

Wetin na di layf we pɔsin we gɛt `(Hypersensitivity Pneumonitis)` kin liv?

Dis kin dipen bak pan aw di damej we di lכng dεm gεt bad bad wan. If yu transplant yu lɔng, dat kin mek dɛn tɛm ya lɔng.

• Fɔ pɔsin we nɔ gɛt skata (nɔ gɛt fibrosis): I go liv fɔ pas 15 ia afta dɛn dɔn no se i gɛt am.
• Fɔ pɔsin we gɛt skata bɔt nɔ gɛt ɔda damej na in lɔng (e.g., ɔnikɔm):Na lɛk 8 ia afta dɛn dɔn no di sik.
• Fɔ pɔsin we gɛt siriɔs damej - skata ɛn `ɔnikɔm`: lɛk 3 ia afta dɛn dɔn no di sik.

Nɔ mek yu fred wit dɛn statystik ya. Dis na nɔmal tin dɛn we kin apin. Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Di tin we impɔtant pas ɔl na fɔ fala di advays we dɔktɔ gi wi.

Aw a kin tek kia ɔf misɛf wit `(Hypersensitivity Pneumonitis)`?

If dɛn dɔn no se yu gɛt Hypersensitivity Pneumonitis, wok wit yu dɔktɔ fɔ mek wan plan fɔ mek yu nɔ gɛt mɔ damej pan yu lɔng. Tek ɔl di mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek. Aks yu dɔktɔ bɔt ɛksɛsayz ɛn ɛksesaiz fɔ blo we yu kin du na os fɔ mek yu lɔng dɛn wok fayn fayn wan.

Ustɛm a fɔ si dɔktɔ bɔt `(Hypersensitivity Pneumonitis)`?

If yu gɛt sayn dɛm fɔ `(Hypersensitivity Pneumonitis)`, go to dɔktɔ wantɛm wantɛm. If yu dɔn gɛt `(Hypersensitivity Pneumonitis)`, go to dɔktɔ if yu gɛt nyu sik ɔ if yu sik de wɔs.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• Wetin mek a gɛt `(Hypersensitivity Pneumonitis)`?
• Aw a go de fa frɔm di alɛrjen we de mek dis?
• Mi lɔng dɛn dɔn pwɛl? Aw bad i bi?
• Yu tink se dɛn go ebul fɔ chenj dis tin we de apin?
• Aw a fɔ yuz dis mɛrɛsin?
• Aw lɔng i go tek fɔ mek a wɛl?
• Ustɛm a fɔ kam si yu bak?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Hypersensitivity pneumonitis na wan sik wae kin mek di lכng dεm bad bad wan afta dεn dכn εkspos to wan alergen ripit. Bɔt if dɛn no am kwik, dɛn kin stɔp dis saykl bifo damej we nɔ go ebul fɔ chenj apin. If yu gɛt ɛni sik we de kɔntinyu fɔ de na yu lɔng, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

If dɛn dɔn no se yu gɛt Hypersensitivity Pneumonitis, tɔk ɔnɛs wit yu dɔktɔ bɔt aw yu sik bad. Dis go ɛp yu fɔ mek wan plan fɔ wetin fɔ ɛkspɛkt ɛn aw fɔ mek yu brith ɛn kwaliti layf bɛtɛ. Nɔr wɔri, yu kin ebul fɔ mɛn dis sik wit di rayt tritmɛnt ɛn chenj na yu layf.

` Hypersensitivity Nyumonitis, alɛji na di lɔng, sik we de mek pɔsin nɔ ebul fɔ blo, kɔf we nɔ de dɔn, i nɔ izi fɔ blo, alɛrjen, nyumonia