Kei te uaua hoki tō manawa? He mea tauhou kei roto i ō pukahukahu? Me kōrero tātou mō te Bullous Emphysema!

Kei te pōturi te manawa i ētahi wā, kei te kikī te uma? Kei te mārō koe i te ata, kei te ngenge rānei koe? Ehara i te mea he tohu makariri noa iho ēnei. He tohu pea ēnei mō te mate pūkahukahu e kiia nei ko te Bullous Emphysema , me āwangawanga koe. Nō reira, me kōrero taipitopito tātou mō tēnei i tēnei rā, me te mea kei te kōrero koe ki tētahi hoa, āe?

He aha te Bullous Emphysema?

Ki te whakarapopoto, ko te Bullous Emphysema he momo mate pūkahukahu e kiia nei ko te emphysema . Ka puta te emphysema ina pakaru ngā pakitara o ngā pēke hau iti i roto i ō pūkahukahu, e kiia nei ko ngā alveoli . Kia mahara, ko ēnei alveoli te mea e mahi ana i te mahi tino nui o te tango hāora me te tuku hauhā waro ina manawa tātou.

I roto i te emphysema bullous, ko te mea ka tupu ko te pakaru o ngā pakitara o aua alveoli, ka pupuhi ka hanga he pēke hau nui, pērā i ngā poihau. Ka kiia ēnei he bullae . Ka taea e ēnei bullae te nui ake i te henimita.

Ina puta tēnei pūkahukahu, ka whakararuraru i te kaha o ngā pūkahukahu ki te mahi tika. Ka uaua ki ngā alveoli te whakawhiti hāora me te hauhā waro. Ka puta pea tēnei āhuatanga i roto i tētahi, i ngā pūkahukahu e rua rānei. Heoi, ahakoa ka puta tēnei pūkahukahu i roto i tētahi pūkahukahu, ka whakararuraru pea i te kaha o tētahi atu pūkahukahu ki te pupuhi, arā, ko te manawa. I ētahi wā, ki te nui rawa tēnei pūkahukahu, ka hinga te pūkahukahu, ka puta he āhuatanga e kiia nei ko te Vanishing Lung Syndrome . Ahakoa ka taea e tēnei te whakararu tuturu i ngā pūkahukahu, mā te maimoatanga tika ka taea te whakahaere i tēnei āhuatanga me te whakanui ake i tō roanga o te ora.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ina hoki, ka taea e te tangata katoa te pāngia e te emphysema bullous, ahakoa te pakeke, te iwi, te ira tangata rānei. Heoi, ko te nuinga o te wā ka hono atu ki te mate pūkahukahu aukati mau tonu (COPD) , he mate pūkahukahu i puta mai i te kai paipa. Waihoki, ki te mea he mate ira tōu, ka nui ake tō tūponotanga. Hei tauira:

• Te ngoikore o te Alpha-1 antitrypsin
• Te mate Ehlers-Danlos
• Te mate Marfan

Hei tāpiri, ko te hunga kua pangia e te Huaketo Ārai Mate Tangata (HIV) ka nui ake te mōrearea ki te whakawhanake i te bullous emphysema.

He pēhea te noa o tēnei? He aha i puta ai tēnei?

I te ao whānui, e kīia ana he nui atu i te 5% o te taupori me te neke atu i te 12% o ngā pakeke neke atu i te 30 tau te pakeke e pāngia ana e te bullous emphysema. Koinei hoki te tuatoru o ngā tino take o te mate i ngā whenua pēnei i te Hononga o Amerika. Nō reira, ehara tēnei i te mea hei mea māmā noa iho.

Nā, kia titiro tātou he aha i puta ai tēnei.

Ko te kai hikareti te tino take o te emphysema bullous. Ka pakaru ngā pakitara o ō alveoli i te mumura mau tonu e puta mai ana i te paowa hikareti. Ka nui haere ngā pēke hau, ka aukati i te nekehanga o te hāora me te hauhā waro.

Haunga te kai paipa, tera atu anō ngā take:

• Te momi hikareti, te momi tarukino rānei.
• Te whakamahinga o ngā rongoā ā-roto.
• Ka taea hoki e ngā āhuatanga ira kua whakahuatia ake nei te ngoikore me te pakaru o ngā pakitara o te alveolar, ka hua ake ai te bullous emphysema.

He aha ngā tohu o tēnei?

Ko te tohu matua, ko te tohu tino kitea o te bullous emphysema, ko te poto o te manawa . Ko te tikanga o tēnei ka pōrearea koe i te manawa, ehara i te mea i te wā e ngenge ana koe, i te piki arawhata, engari i ētahi wā ahakoa kei te tū noa koe.

Tērā atu anō ngā tohu e kitea whānuitia ana:

• Te mamae o te uma, te kikī rānei.
• Te maremare (he maha ngā wā ka kino ake i te ata).
• Te ngenge me te ngenge tonu.
• Kāore he reka o te kai.
• Whakapairuaki.
• He uaua ki te manawa.

Heoi, tera pea ētahi tāngata e pāngia ana e te emphysema bullous engari kāore e whakaatu i ngā tohu. Mēnā ka tino nui ngā bullae, ka kiia rātou he bullae nunui , kātahi ka kaha ake ngā tohu.

Ina kite koe i tētahi tākuta, ka rapu ia i ēnei tohu i a koe e tirotiro ana i a koe:

• He uma āhua-pū.
• Ngā matihao e piri ana ki te karapu.
• Te rongonga nui i te pao o te ngakau nā te toto toto tiketike o te pūkahukahu.
• Te pupuhi (Edema).
• Te whewhe.

Me pēhea koe e tino mōhio ai ki tēnei?

Ka pātai tuatahi tō tākuta ki a koe mō ō tohumate, tō hītori hauora, me te mea kua pāngia tētahi o tō whānau e ngā āhuatanga rite. Kātahi ka tirotirohia e rātou te tinana.

Mena kei te whakapaehia he emphysema bullous, ka whakahau tō tākuta i te whakamātautau mahi pūkahukahu (PFT) . Ka tirohia e ēnei whakamātautau te pai o te neke o te hau i roto i ō pūkahukahu, me te mea kei te aukatihia te rere o te hau e ngā bullae.

Hei wāhanga o ēnei whakamātautau, ka whakamahia te spirometry heiKa taea te whakamātau i a koe. Ko tāu mahi he manawa mā roto i tētahi ngongo ki roto i tētahi mīhini (spirometer). Mā tēnei ka ine i te nui o te hau e neke ana ki roto, ki waho hoki i ō pukahukahu ina manawa koe ki roto, ki waho hoki.

Hei tāpiritanga, ka tūtohu pea tō tākuta i ngā whakamātautau whakaahua hei tirotiro i ngā alveoli kua nui, kua pakaru rānei. Kei roto i ēnei ko:

• X-ray o te uma: Mā tēnei ka āwhina ki te whakatau mēnā he kikorangi kei roto i ngā pukahukahu, me te wāhi kei reira.
• Matawai CT: Ka āwhina tēnei ki te whakatau i te wāhi, te maha, me te rahi tuturu o te kiore.

Tērā pea ka tūtohuhia ētahi atu whakamātautau, hei tauira:

• Ngā whakamātautau toto: Tirohia mēnā he nui te waro hauhā i roto i ngā pukahukahu, e waikawa ai te toto (e kiia ana tēnei ko te waikawa manawa ), he iti rānei ngā taumata hāora.
• Te tatau toto katoa (CBC): Te tirotiro mō ngā taumata hemoglobin iti.
• Te hikohiko o te manawa (EKG): Hei tirotiro i ngā pānga o te ngākau i puta mai i te mate pūkahukahu, pērā i te hypertrophy o te ventricle matau , te whakanui rānei i te atrium matau.

Ka taea hoki e tō tākuta te tirotiro mēnā kei a koe te ngoikore o te Alpha-1 antitrypsin mā te whakamātautau toto.

He rongoā tino pai mō tēnei?

Engari, kāore he rongoā mō te bullous emphysema. Ko te tikanga, ina pā mai, kāore e taea te whakakore. Kaua e manukanuka! He maimoatanga kei reira hei āwhina i a koe ki te ora me ngā tohu me te aukati i te kino haere o te mate.

Nā, he aha ngā maimoatanga?

Hei āwhina i te whakahaere i ō tohumate, ka tohua pea e tō tākuta ngā rongoā e kiia nei ko ngā bronchodilator . Ko te tikanga ka hongia ēnei mā te inhaler . Ka mahi ngā bronchodilator mā te whakangāwari i ngā uaua o ō ara manawa, kia māmā ake ai te hau ki roto i ō pukahukahu, me te whakaiti i te poto o te manawa.

Whakaarohia, he rite te mahi a ēnei rongoā ki te whakawhānui ake i tētahi rori kīkī, kia māmā ake ai te haere a ngā waka.

Mena he kino ngā tohu, he mate pūkahukahu rānei, ka hoatu pea he rongoā paturopi , he corticosteroids rānei ki a koe mō te wā poto.

Mena he iti ō taumata hāora, ka tūtohu pea tō tākuta i tētahi rongoā hāora tāpiri , arā, ko te hoatu i tētahi atu hāora ki tō tinana mā roto i tētahi ngongo kua whakanohoia ki roto i ō ihu, i tētahi kopare rānei kua whakanohoia ki tō mata.

I ētahi wā, ina koa ka kī koe i tērāMena he nui ngā kiko o te ihu, he tino uaua ki te manawa, he raruraru rānei nā tēnei mate, hei tauira:

• Pūkahukahu kua hinga (Pneumothorax)
• Te mare toto (Hemoptysis)
• Ngā mate pūkahukahu

Ki te puta mai ēnei āhuatanga, me mahi pea koe i te pokanga.

Ngā momo pokanga mō te emphysema bullous:

• Bullectomy: I tēnei tikanga, ka tangohia e te taote pokanga te bulla (te putea hau) mai i tō pukahukahu. Ka taea tēnei te mahi hei pokanga tuwhera (Thoracotomy) hei pokanga iti rawa te whakaekenga (Pokanga uma āwhina-ataata - VATS).
• Te whakaiti i te rōrahi o te pūkahukahu bronchoscopic (BLVR): I roto i tēnei tikanga iti rawa te whakaekenga, ka whakauruhia e te taote pokanga he takirere ki roto i tō pūkahukahu, ā, ka whakaitihia e ia tētahi wāhanga o te pūkahukahu.
• Pokanga whakaiti i te rōrahi o te pukahukahu (LVRS): I roto i tēnei, ka tangohia e te taote pokanga te kiko pukahukahu kua pakaru kia pai ake ai te mahi a te kiko e toe ana.

Ki te kore tetahi o ēnei maimoatanga e mahi, ā, ki te tika, ka tukuna pea koe e tō tākuta mō te whakawhitinga pukahukahu .

Me pēhea te whakaiti i tēnei mōrearea?

Ko te mea pai rawa atu ka taea e koe te mahi hei whakaiti i tō tupono ki te pāngia e te emphysema bullous ko te kore e kai paipa, mehemea rānei he kai paipa koe, me mutu. Kōrero ki tō tākuta mō ngā huarahi hei āwhina i a koe ki te whakamutu i te kai paipa. E mōhio ana mātou ehara i te mea ngāwari, engari he pai mō te hauora o ō pukahukahu.

He aha ngā mea e tika ana kia tumanakohia e koe ina noho tahi ana koe me tēnei mate?

He mate hauora mō te wā roa te emphysema bullous. Ko te tikanga o tēnei, ina pakaru ō pukahukahu, e kore rawa e tino ora. Heoi, ki te tīmata wawe koe i te maimoatanga, ka nui ake te tūponotanga ka kore e kino haere te mate. Nō reira, he mea nui kia rapu tohutohu hauora i te wā e taea ai mēnā ka puta ngā tohu.

Me pēhea taku tiaki i ahau anō?

Ka taea e koe te whakahaere i ō tohumate me te ora pai. Mā te kimi i te maimoatanga tika māu ka tino whakapai ake i te kounga o tō oranga.

He mea nui anō hoki kia noho hauora, kia karohia hoki ngā raruraru hauora nui. Nō reira, kōrero ki tō tākuta mō ngā momo kano kano e hiahiatia ana e koe, pērā i te kano kano rewharewha, te kano kano COVID, me te kano kano Pneumococcus .

Kia pēhea te wā me toro atu ahau ki te tākuta?

Ki te kite koe i ētahi tohu o te emphysema bullous, ki te puta rānei he tohu hou, me toro atu ki te tākuta.

Mena kei a koe ngā tohu e whai ake nei, he mea nui kia rapu awhina hauora tonu koe:

• He kikorangi, he hina rānei ō ngutu, ō maikuku rānei (cyanosis).
• Te uaua ki te noho mataara hinengaro.
• Te uaua haere o te manawa.
• Te tere o te manawa o te ngakau (Tachycardia).

He mea whakamataku te kore manawa. Mena he mate pūkahukahu tōu, tera pea ka rite koe ki te uaua tonu ki te manawa. Kia maumahara, ko te kai paipa te tino take. Waihoki, ka taea e ētahi āhuatanga ira te whakanui ake i tō mōrearea. Ko te whakamutu i te kai paipa te mea pai rawa atu ka taea e koe te mahi hei aukati i te kino haere o te mate pūkahukahu. Ka taea e tō tākuta te tohutohu i ngā maimoatanga hei āwhina i a koe ki te manawa ngāwari ake, me te whakahaere i tō oranga o ia rā.

Kia maumahara ki te mea tino nui (Karere hei kawe ki te kāinga)

Āe, anei ētahi o ngā mea tino nui kua kōrerohia e tātou i tēnei rā hei āwhina i a koe ki te maumahara:

• Ko te bullous emphysema he āhuatanga e pakaru ai ngā pēke hau i roto i ngā pukahukahu, ā, ka puta mai ngā pēke hau nui (bullae).
• Ko te kai hikareti te tino take o tēnei, nō reira he mea tino nui kia kaua e kai hikareti.
• Mena kei a koe ngā tohu pēnei i te uaua ki te manawa, te maremare tonu, te mamae rānei o te uma, me rapu tohutohu hauora koe.
• Ahakoa kāore he rongoā katoa mō tēnei, kei reira ngā maimoatanga whai hua hei whakahaere i ngā tohu me te ārai i te kino haere o te mate.
• Mā te tautuhi me te maimoatanga wawe ka pai ake te kounga o tō oranga.

Nō reira, ki te pāngia koe, tētahi atu rānei e mōhio ana koe e ēnei tohu, kaua e mataku, engari me toro atu ki te tākuta mō ētahi tohutohu. Kia ora tonu!

` Te mate pūkahukahu, te mate pūkahukahu, te uaua o te manawa, te kai hikareti, te COPD, ngā pūkahukahu, ngā alveoli