Kei te kikī haere ō pūkahukahu, kei te uaua haere te manawa? (Pūkahukahu) Me kōrero tāua!

Kei te ahua manawa koe i ētahi wā ina piki koe i ngā arawhata, ina hikoi rānei i tētahi tawhiti poto? Kāore rānei koe i te ahua ngenge pērā i mua, ā, inaianei kua tino ngenge koe ahakoa kei te mahi i ngā mahi iti? Ko tētahi take mō ēnei mea he panoni pea kei roto i ō pukahukahu. Ae, ko te Pulmonary Fibrosis, he mate e whakapakeke haere ana i ngā pukahukahu, e uaua ai te manawa, koinei tā tātou e kōrero ai i tēnei rā.

He aha rawa te Pūkahukahu Pūkahukahu?

I te whakarapopototanga, ko te Pulmonary Fibrosis te whara me te matotoru o te kiko i roto i ō pūkahukahu. Whakaarohia he whara kei te kiri ina whara koe, ka puta he mea rite i roto i ngā pūkahukahu. Nō roto tēnei i tētahi rōpū mate pūkahukahu e kiia nei ko te mate pūkahukahu interstitial. Ko te mea e tupu ana i konei ko ngā pēke hau iti rawa i roto i ō tātou pūkahukahu, arā, ngā wāhi e uru mai ai te hāora ina manawa tātou, ka kiia e tātou ko '(alveoli)', ā, ka pakaru te kiko e karapoti ana i aua '(alveoli)'. Inaianei, tirohia, he rite ngā pūkahukahu ki te hautai. Ka pupuhi rātou ina manawa tātou ki roto, ā, ka kōpiri ina manawa tātou ki waho. Engari ina puta tēnei āhuatanga (Pulmonary Fibrosis), ka pakari, ka mārō ngā kiko i roto i ngā pūkahukahu, ā, kāore e taea te pupuhi, te kōpiri rānei kia rite ki mua. Koinā te wā ka uaua ai te manawa, ā, ka hopu koe i tō manawa . Ahakoa ngā mahi o ia rā he ngāwari i mua, ka tino hoha inaianei.

Ko te mea nui ko tēnei mate e kiia nei ko te (Pulmonary Fibrosis) he mea pumau , arā, he uaua ki te whakaora katoa. Waihoki, ka kino haere tonu i roto i te wā (ka kino haere) . Ka kiia tēnā e mātou ko te '(progressive pulmonary fibrosis)'.

Ka taea te whakakeke o ngā pukahukahu me te kore take? He aha te Idiopathic Pulmonary Fibrosis?

Ae, i ētahi wā kāore e kitea te pūtake o tēnei mate pūkahukahu . Koinei te mea e kiia nei e mātou ko te `(Idiopathic Pulmonary Fibrosis)` mō ēnei momo take. Ko te tikanga o te kupu "idiopathic" ko te "kāore i te mōhiotia te pūtake." I te nuinga o te wā, ko te nuinga o ngā tūroro e pāngia ana e te (Pulmonary Fibrosis) he mate `(Idiopathic Pulmonary Fibrosis)`.

Me pēhea koe e mōhio ai mēnā kei a koe te Pulmonary Fibrosis? He aha ngā tohu?

Tērā pea he rerekē ngā tohu o tēnei mate i ia tangata, engari he maha ngā tohu e kitea whānuitia ana:

• Te poto o te manawa : Te uaua ki te manawa, inā koa i te wā e mahi ana i tētahi mahi māmā, i a ia e mahi ana, i muri rānei i te otinga o tētahi mahi.
• Ngā manawa poto, pāpaku: Te tango i ngā manawa tere, pakupaku, me te mea kāore e taea te whakakī i tō uma.
• Maremare maroke pumau: He maremare kāore e puta he hūpē, ā, kāore e memeha haere i roto i te wā.
• Ngenge noa iho (Ngenge): Kei te ngenge tonu koe, ahakoa he pai tō moe, he iti rānei tō mahi.
• Te whakahekenga taumaha kāore i te whakamāramahia: Te whakahekenga taumaha noa me te kore e kai kai.
• Ngā matihao kua whiua : Ka pupuhi, ka rahi pea ngā matihao me ngā matihao o ētahi tāngata, ka rite ki te rākau pahu.
• Te rerekētanga o te kiri (Cyanosis): Ki te kore e nui te hāora i roto i te toto, ka huri pea ngā ngutu, te taha o ngā kanohi, me ngā maikuku ki te kikorangi, ki te hina, ki te mā rānei.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he pai ake te rapu tohutohu hauora.

He aha tēnei (Pūkahu Pūkahukahu) ka puta ai? He aha ngā take?

E whakapono ana ngā tohunga ka puta te mate pukupuku pūkahukahu ina pakaru, ina mumura rānei ngā pūkahukahu, ā, kāore e ora tika te tukanga. Ko te tikanga o tēnei, ina ngana ngā pūkahukahu ki te whakaora i a rātou anō, ka hē tetahi mea, ā, ka puta te kiko whara. He maha ngā take motuhake ka whai wāhi ki tēnei:

• Ngā mate hononga kiko : Mena kei a koe ngā mate pēnei i te Rheumatoid Arthritis (RA), Lupus, Scleroderma rānei, ka pā pea ēnei ki ō pukahukahu .
• Ngā pānga taiao: Ka taea e te pānga roa ki ētahi puehu me ngā matū te kino i ngā pukahukahu. Hei tauira, ko te asbestos, te silica, me te beryllium. Ka taea hoki e te hypersensitivity pneumonitis, he mate pāwera ki ētahi harore, huakita, huruhuru manu, huruhuru kiri rānei, te whakaputa i tēnei mate.
• Ngā mate granulomatous: Ngā āhuatanga pēnei i te sarcoidosis me te histiocytosis pūtau Langerhans.
• Ngā rongoā, ngā maimoatanga rānei: Ka taea hoki e ētahi rongoā pēnei i te amiodarone mō te mate manawa, te nitrofurantoin mō ngā mate mimi, te methotrexate mō te mate pukupuku me te mate rumatiki, me te rongoā irahiko mō te mate pukupuku te kino i ngā pukahukahu.
• Te hikareti: He tino kino te hikareti ki ngā pukahukahu. He tino take nui anō hoki tēnei o te mate pukupuku pūkahukahu.

Heoi, e ai ki te kōrero i mua ake nei, i roto i te nuinga o ngā wā, kāore e taea te kimi i tētahi take motuhake.

Ko wai kei te mōrearea nui ake ki te whakawhanake i te Pulmonary Fibrosis?

Haunga ngā take kua whakahuatia i runga ake nei, he nui ake te tūponotanga o ētahi atu tāngata ki te pāngia e tēnei mate:

• Mō te hunga neke atu i te 65 tau te pakeke.
• Mō ngā tāne, nui atu i ngā wāhine.
• Mena he mate pūkahukahu (PhN) tō tetahi o te whānau, tera pea he pānga ira.
• Mō te hunga whai mate ira (ngā panonitanga DNA) e hua ai ngā mate. Hei tauira, he mate tino onge o te hinu wheua e kiia nei ko te dyskeratosis congenita.

He aha atu ngā raruraru ka puta mai i te Pulmonary Fibrosis?

Ina pakaru te kiko o te pukahukahu, kāore e taea e ia te tuku tika i te hāora ki te toenga o te tinana. Ka kaha ake te mahi a te ngākau. Ka ara ake pea ēnei raruraru:

• Te hekenga o te taumata hāora i roto i te toto (hypoxemia) me te korenga o te hāora ki ngā kiko (hypoxia).
• Te toto toto tiketike o te pūkahukahu.
• Puku pūkahukahu kua hinga.
• Ngā mate pūkahukahu auau.
• Te ngoikore katoa o te manawa.
• Te ngoikore o te ngākau.

Koia te mea nui kia tere tonu te toro atu ki te tākuta me te rapu maimoatanga mēnā ka puta ngā tohu.

Me pēhea te tautuhi i te mate pukupuku pūkahukahu? He aha ngā whakamātautau e mahia ana?

He maha ngā whakamātautau e hiahiatia ana hei whakaū i te mate pukupuku pūkahukahu. Ka whakarongo tuatahi tō tākuta ki ō pūkahukahu, ka pātai atu mō ō tohumate. Kātahi ka whakahaerehia he whakamātautau hei tirotiro i te pai o te mahi a ō pūkahukahu. Ka tirohia hoki e ia ētahi atu mate o te ngākau, o te pūkahukahu rānei, e pāngia ai ō tohumate. Ko ngā whakamātautau tino noa ko:

• X-ray o te uma: Tirohia te āhua whānui o ngā pukahukahu.
• Matawai CT teitei-taumira (HRCT): Ka taea e tēnei te whakaatu mārama i te whara o ngā pukahukahu.
• Ngā whakamātautau mahi pūkahukahu (PFT): Ka ine ēnei i te pai o tō manawa ki roto, ki waho hoki, me te nui o te hau ka taea e ō pūkahukahu te pupuri.
• Ngā whakamātautau toto: Ngā whakamātautau pēnei i te hau toto uaua hei tirotiro i te taumata hāora i roto i te toto, me te tirotiro hoki mō ētahi atu mate.
• Pūkahukahu: He whakamātautau e whakaurua ai he kāmera iti me te ngongo e piri ana ki roto mā te ihu, mā te waha rānei hei tirotiro i roto i ngā pukahukahu. Tērā pea ka tangohia he tauira kiko (biopsy) i tēnei wā.
• Koiora: Ka tangohia he wahi iti o te kiko mai i ngā pukahukahu ka tirotirohia i raro i te karu hiko.

I ētahi wā, ka tūtohu pea tō tākuta i tētahi echocardiogram hei tirotiro i ngā raruraru o te ngākau.

Ka taea te whakaora katoa i te mate pukupuku pūkahukahu? He aha ngā maimoatanga e wātea ana?

Engari, kāore anō kia kitea he rongoā mō te mate pūkahukahu. Kaua e manukanuka. Ka taea e ngā maimoatanga o nāianei te āwhina i te whakahaere i ngā tohu, te whakaroa i te haere whakamua o te mate, me te whakapai ake i te kounga o tō oranga . Ko ngā maimoatanga matua e whakamahia ana ko:

• Ngā rongoā ārai-fibrotic: Ka āwhina ngā rongoā pēnei i te Nintedanib (OFEV®) me te Pirfenidone (Esbriet®) ki te whakaroa i te tere o te hanga o ngā koha o te pukahukahu me te tiaki i te mahi a te pukahukahu.
• Corticosteroids: Ka whakamahia ēnei i ētahi wā hei whakaiti i te mumura i roto i ngā pukahukahu.
• Whakaora hāora: Ki te kore e nui te hāora e whiwhi ana i roto i ō toto, i ō kiko rānei, ka kī atu pea tō tākuta kia tangohia e koe he hāora tāpiri. Ka hoatu tēnei mā te cannula ihu, mā te kopare kanohi rānei.
• Te whakaora i ngā pūkahukahu: Kei roto i tēnei ko ngā mahi manawa motuhake me ngā mahi ā-tinana hei whakapakari i ō pūkahukahu, hei whakangāwari hoki i te manawa.
• Te whakawhitinga pūkahukahu: Ko ētahi tūroro e pāngia ana e te Pulmonary Fibrosis ka whakaarohia pea kia whakawhitia he pūkahukahu mēnā he kino rawa te mate.
• Ngā whakamātautau haumanu: Ki te hiahia koe, ka taea hoki e koe te whai wāhi atu ki ngā rangahau mō ngā rongoā me ngā maimoatanga hou. Pātai atu ki tō tākuta mō tēnei.

Hei tāpiritanga, mēnā he mate anō kei te pūtake o te Pulmonary Fibrosis (hei tauira, `(mate autoimmune)`), me rongoā, mēnā rānei he āhuatanga kei te kino ake te pupū o te pukahukahu (hei tauira, `(GERD)` - te mamae o te puku), me tango rongoā anō hoki koe mō tēnā.

Mena he mate pūkahukahu tōku, me pēhea taku tiaki i a au anō?

(Pūkahu Pūkahu) Tērā pea ka uaua ake te whawhai a te tangata whai pūkahukahu ki ngā mate me te ora. Nō reira, he mea nui kia horoia ō ringaringa ki te hopi me te wai, kia ma te taiao, kia matara atu hoki i ngā wāhi kī tonu i te tangata (ina koa i ngā wā rewharewha me te makariri, me te wā o te mate urutā COVID). He mea nui hoki kia whiwhi koe i ngā werohanga i tūtohutia e tō tākuta. Ka āwhina ēnei werohanga ki te tiaki i a koe mai i ngā mate pēnei i te niumōnia, te rewharewha, te RSV, me te COVID.

Āhea ahau me toro atu ki te tākuta?

Mena he uaua ki a koe te manawa, he tere ake rānei te ngenge i tō mua, me toro atu ki te tākuta tonu. Nā te mea ki te kitea wawetia e koe ēnei āhuatanga, ā, ka tīmata wawe te rongoā, ka taea e koe te whakaroa i te haere whakamua o te mate.Mena kei a koe tētahi mate kiko honohono, he mate granulomatous rānei, kōrero ki tō tākuta mō ngā huarahi hei whakaiti i tō tupono ki te whakawhanake i te fibrosis pūkahukahu.

Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Mena ka puta tetahi o ngā tohu e whai ake nei, waea atu ki te 911, haere rānei ki te rūma whawhati tata tonu:

• Te uauatanga ohorere, te uaua ki te manawa.
• Te mamae nui o te uma.
• Te pōhēhē, te whakarerekētanga rānei o te āhua hinengaro.
• He tae kikorangi te kiri, ngā ngutu, ngā maikuku rānei.

He aha taku e pātai atu ai ki taku tākuta?

He mea āwhina māu te pātai i ēnei pātai ina toro atu koe ki te tākuta:

• "E te tākuta, he aha te mea e pēnā ai te kikī o ōku pukahukahu?"
• "He aha ngā kōwhiringa maimoatanga kei a au?"
• "Me pēhea taku whakamahi i ēnei rongoā?"
• "Āhea ahau me haere mai ki te kite i te tākuta i muri mai?"
• "E tika ana ahau mō te whakawhitinga pukahukahu?"

He mea tino nui kia pātaihia ēnei pātai, kia pai ake ai tō māramatanga ki tō āhuatanga.

Ka taea te ārai i te mate pukupuku pūkahukahu?

Kāore e taea e tātou te ārai i te nuinga o ngā take o te mate pukupuku pūkahukahu. Heoi anō, kei reira ētahi mea ka taea e tātou te mahi hei whakaiti i te kino o ngā pūkahukahu i puta mai i ngā āhuatanga taiao:

• Kia matara atu i ngā mea e kino ana ki ngā pukahukahu (hei tauira, te asbestos, te puehu whakarewa, ngā matū) i ngā wā katoa e taea ana. Mēnā me mahi koe me ēnei mea, whakamahia he taputapu manawa motuhake.
• Me matara atu i ngā mea ka pāngia ai e te mate pāwera mō te wā roa (hei tauira, te tarutaru maroke, ngā witi, ngā paru manu, ngā huruhuru manu, me ētahi pūnaha hauhautanga). Whakamahia he taputapu manawa mēnā ka mahi koe me ēnei.
• Ki te kai paipa koe, kati tonu, kaua rawa rānei e tīmata.

Mena kei a au te Pūkahukahu Fibrosis, he aha ngā mea ka tumanakohia e au?

He tata pumau tēnei whara o ngā pukahukahu (engari i ētahi wā onge, ina puta mai i te rongoā, ā, ka kitea wawetia). Mena he mate kē atu tōu, mā te whakahaere i taua mate ka āwhina i te whakaiti i te kino atu ki ō pukahukahu. Mena kāore e kitea he take, ka ngana tō tākuta ki te rongoā i ō tohumate me te ngana anō ki te ārai i ngā kino atu. He uaua ki ngā tākuta te matapae tika i te whanaketanga o te fibrosis pukahukahu. Mō ētahi tāngata, ka āta whanake pea ngā tohumate i roto i ngā tau. Mō ētahi atu, ka tere te whanaketanga o te mate, ā, ka kino haere i roto i ētahi marama.

Kia pēhea te roa ka taea e koe te ora me te Pulmonary Fibrosis?

Ko te roanga o te oranga mō te tangata e pāngia ana e te mate tino noa, arā, ko te "Idiopathic Pulmonary Fibrosis," he toru ki te rima tau te roa. Heoi, nā ngā whanaketanga hou o te maimoatanga, kua paku piki ake te roanga o te oranga mō te hunga e pāngia ana e te Pulmonary Fibrosis. Nō reira kaua e manukanuka.

He wāhanga anō kei te mate pukupuku pūkahukahu?

Kāore he pūnaha "whakatau" mana mō te fibrosis pūkahukahu. Heoi, ka whakarōpūtia pea e ētahi tākuta te mate hei "ngāwari," "whakaōrite," "kino," "tino kino" rānei i runga i ō tohu, ngā hua whakamātautau mahi pūkahukahu, me ngā matawai.

I tehea tau ka tīmata te mate pukupuku pūkahukahu?

Ko te nuinga o te wā ka kitea te mate pukupuku pūkahukahu i roto i te hunga neke atu i te 65 tau te pakeke.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He wheako whakarerekē te mōhio kei a koe te mate Pūkahukahu Fibrosis. Ka taea e te mea te taumaha rawa, me te kore e tino mārama mō te heke mai. I ngā wā pēnei , he mea tino nui te whai i tētahi pūnaha tautoko mai i ō whanaunga, i tō whānau, me ētahi atu e pāngia ana e te mate kotahi.

Ko te mea nui, he rerekē ia tangata e pāngia ana e te mate pukupuku pūkahukahu. Kāore e taea e tetahi te matapae i te āhua o tō heke mai. Ka taea e ngā maimoatanga o nāianei te āwhina i te whakaroa i te haere whakamua o te mate, te whakahaere i ngā tohu, me te whakapai ake i te kounga o tō oranga. Nō reira, kia pono ki tō tākuta mō ngā mea hei tumanako atu me ngā mea ka taea e koe te mahi mō tō āhua. He mea nui anō hoki kia noho pai.

Te Pūkahukahu Pūkahukahu, Te Pūpūnga o te Pūkahukahu, Te Uauatanga ki te Manawa, Te Maremare Maroke, Te Mate Pūkahukahu, Te Mate Manawa, Te Pūkahukahu Pūkahukahu Idiopathic, Te Pakaru o te Pūkahukahu