Kua pā mai tētahi mea rerekē ki ōu pukahukahu? Me kōrero tātou mō te Cryptogenic Organizing Pneumonia (COP)!

I ētahi wā ka rite koe ki te makariri, ā, ka tīmata hei kirika, ā, kāore e pai ake i roto i ētahi rā? Kātahi ka tīmata te maremare, ā, ka uaua ki te manawa ahakoa he paku ngenge noa iho? Tērā pea ka whakaaro koe he mate huaketo noa iho. Engari, ehara i te mea koinei tonu te āhua. I tēnei rā ka kōrero tātou mō tētahi mate pūkahukahu onge me mōhio tātou katoa. Ko tōna ingoa ko te Cryptogenic Organizing Pneumonia , ko te COP rānei te whakarapopototanga.

He aha te Cryptogenic Organizing Pneumonia (COP)? Kia mārama tātou!

Āe, me titiro tātou ki te āhua o tēnei mate pūkahukahu e kiia nei ko te COPD. He māmā noa iho, he mate tēnei e pā ana ki ngā pēke hau iti rawa (alveoli) i roto i ō tātou pūkahukahu – arā, ngā hanganga iti rite ki te poihau e tomo ai te hāora, e puta ai te hauhā waro ina manawa tātou – me ngā ara manawa iti (bronchioles) e hono ana ki aua mea.

Ko te mea ka tupu i roto i tēnei āhuatanga (COP) ko te mumura o ēnei pēke hau me ngā ara manawa iti. Pērā i te wā e pupuhi ana, e whero ana, e mamae ana hoki te patunga i roto i te tinana, ka pupuhi, ka whero, ka mamae hoki, ka pērā anō te mea ka tupu i roto i ngā pukahukahu. Engari ehara tēnei i te mea i puta mai i te huakita, i te huaketo rānei pērā i te niumōnia noa. He rerekē tēnei.

I roto i te wā, ka taea e tēnei mumura tonu te arahi ki te whara o te kiko o te pukahukahu, arā, ka ngoikore haere ngā pukahukahu, ka kore e kaha ki te mahi tika.

Ko te tikanga o te kupu "cryptogenic" he "kore e mōhiotia te take." Ko te tikanga tēnei kāore anō kia mōhiotia e ngā tākuta te tino take o tēnei āhuatanga (COP). Koia te take i whakamahia ai te kupu "idiopathic" mō tēnei āhuatanga, he rite tonu te tikanga.

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

Ka taea e tēnei āhuatanga e kiia nei ko te (COP) te whanake i roto i te tangata. Kāore ngā mea pēnei i te ira tangata, te iwi, me te tae kiri e pā ki tēnei. Heoi, he maha ake te kitea i waenga i te hunga i waenga i te 40 me te 60 tau te pakeke. Ko tētahi atu mea ko te nuinga o te hunga e pāngia ana e tēnei āhuatanga (COP) ehara i te hunga kaipaipa .

Waihoki, ki te mea kei a koe ētahi mate mumura, tera pea ka paku piki ake tō tupono ki te whakawhanake i te COP. Hei tauira:

• Lupus
• te rumatiki
• Te kiriuhi o te kiriuhi
• Te mate urutā maha
• Te mate puku mumura - ngā mate pēnei i te mate a Crohn, te mate colitis ulcerative rānei.

Engari ehara i te mea pono ka pāngia te hunga katoa e pāngia ana e ēnei mate e te COPD. He āhuatanga mōrearea noa iho ēnei.

E hia te auau o tēnei āhuatanga?

He tino onge te mate COP.E pūrongohia ana tēnei mō te kotahi i roto i te toru o ia 100,000 e whakaurua ana ki te hōhipera i te United States, nō reira ehara i te mea onge te rongonga mō tēnei.

He aha te take i whakatūria ai te (COP)?

E ai ki tā mātou i kōrero ai i mua ake nei, ko te COP he āhuatanga e kiia ana ko te "cryptogenic" me te "idiopathic" rānei. Ko te tikanga tēnei kāore anō kia kitea he take motuhake . I mua i te tātaritanga a ngā tākuta i te COP, ka tirotirohia e rātou mēnā kei te puta ngā tohu i ētahi atu take. Hei tauira, ka tirohia e rātou ngā mate pēnei i te huakita, te huaketo, te harore, te rongoā rānei. Kia whakakorea katoatia ēnei, ka whakaarohia ko te COP te take pea.

Tērā atu anō ētahi āhuatanga hauora e pā ana ki te mate (COP). Ko te tikanga he iti ake te tūponotanga o te hunga whai mate pēnei ki te whakawhanake (COP).

• Lymphoma
• Ngā whewhe pūkahukahu
• Matepukupuku pūkahukahu
• Ngā mate pukupuku toto - arā, ngā mate pukupuku e pā ana ki ngā toto mā, ki ngā toto whero rānei.

He aha ngā tohu o te mate (COP)?

Tata ki te haurua o te hunga whai COPD ka pāngia i te tīmatanga e ngā tohumate rite ki te rewharewha , ā, ka roa pea mō ētahi wiki.

• Ngā makariri
• Maremare maroke (maremare kore hua)
• Ngenge / koretake o te tinana
• Te ngaronga o te hiahia kai
• Kirika
• Te whakahekenga taumaha kāore i te whakamāramahia
• Te werawera o te pō

I muri i tēnā, tata ki te 75% o te iwi ka tīmata ki te pāngia e ēnei tohu :

• Maremare mau tonu
• Te poto o te manawa / te mate puku i te wā e kaha ana te mahi . Whakaarohia, kāore e taea e koe te piki arawhata pērā i mua, ā, ka pōturi tō manawa ahakoa he poto noa te tawhiti e hikoi ana koe.

He tino onge, ka kitea pea ēnei tohu:

• Mamae o te uma
• Te hinga o te pukahukahu / te pneumothorax
• Te maremare toto
• Mamae hononga
• Te iti o te hāora i roto i tō toto / te koretake o te toto

Ko te mea nui, ki te pāngia koe e ēnei tohu, inā koa he maremare maroke me te uaua ki te manawa mō ngā wiki maha, me toro atu koe ki te tākuta . Kaua e noho noa ki te kāinga.

Me pēhea te tātaritanga o te mate pūkahukahu whakahaere-cryptogenic (COP)?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohu me tō hītori hauora. Kātahi ka tirotirohia e rātou te tinana. He mea nui rawa te whakarongo ki ngā pukahukahu me te stethoscope. Ina whakarongo koe ki ngā pukahukahu o te tangata whai COPD, tera pea ka rongo koe i te tangi "pakū", he rite ki te pakū o te rau maroke, he tangi "kiki" iti rānei ina manawa koe.

Muri iho, me whakakore e te tākuta ētahi atu āhuatanga e puta ai ēnei tohu. Nā te mea ehara ēnei tohu i te mea motuhake ki te COP, me whakakore mō ngā āhuatanga pēnei i:

• Te niumōnia whakahaere tuarua – Ka puta pea tēnei i ngā mate urutā, i ngā rongoā, i ngā raruraru pūnaha ārai mate rānei.
• Pūnia kitakita, harore, huaketo rānei.
• Te niumōnia eosinophilic mau tonu – He pikinga tēnei o tētahi momo pūtau e kiia nei ko te eosinophilia i roto i ngā pukahukahu.
• Te niumōnia tairongo nui – he mumura o ngā pukahukahu i puta mai i te mate pāwera ki tētahi mea o te taiao.
• Ētahi atu mate pūkahukahu mau tonu.
• Te lymphoma pūkahukahu tuatahi.

He aha te rerekētanga i waenga i te Cryptogenic Organizing Pneumonia (COP) me te Ordinary Organizing Pneumonia (OP)?

He mea anō tēnei me whakamārama ake. Ko tētahi atu mate e rite ana ngā tohu ki te (COP) ko te Secondary Organizing Pneumonia (OP) . Heoi, kāore i rite ki te (COP), ka taea tēnei mate (Secondary OP) te puta mai i te mate urutā, i te rongoā, i te mate pukupuku, i tētahi atu take pūnaha ārai mate rānei i roto i te tinana. Hei tāpiri, kua honoa tēnei mate (Secondary OP) ki te mate toto, te pānga ki ngā momo rongoā, me te pānga ki ngā pūkahukahu e te irahiko.

I mua i te tīmatanga o te rongoā (COP) a ngā tākuta, ka ngana rātou ki te whakarite kia kore tēnei e waiho hei mate (OP Tuarua). Nā te mea he rerekē pea te maimoatanga mō ngā mea e rua. Waihoki, ko ngā hua whakaora mō te hunga whai (OP Tuarua) tera pea he kino ake i te hunga whai (COP).

(COP) He aha ngā whakamātautau hei āwhina i te tautuhi i te mate?

Mena ka whakapae te tākuta kei a koe he mate COP i muri i te tirotiro i a koe, ka tūtohu ia i ētahi atu whakamātautau.

• X-ray o te uma: Ka tangohia he pikitia o ngā pukahukahu. Mena he COPD tōu, tera pea ka kitea he mā i ētahi wāhi o ngā pukahukahu.
• Matawai CT teitei-taumira (HRCT): He whakamātautau tēnei e kite mārama ake ai i roto i ngā pukahukahu i te hihi-X. Ka taea e ia te āwhina ki te kite i ngā mea pēnei i te mumura me te whakakotahitanga i roto i ngā pukahukahu i puta mai i te COPD.
• Te tirotiro i te pūkahukahu me te horoi i te pūkahukahu (BAL):Ko te whakauru i tētahi ngongo angiangi, ngāwari (bronchoscope) me tētahi kāmera iti me te mārama mā roto i te ihu, i te waha rānei, ka tukuna ki raro i ngā ara manawa o ngā pukahukahu. I tēnei wā, ka whakatōkia he iti o te wai tote ki roto i ngā pukahukahu, kātahi ka mimitihia te wai (BAL) ka tukuna ki te taiwhanga hei whakamātautau. Tērā pea ka nui ake te maha o ngā toto toto mā (ina koa ko ngā lymphocytes) i roto i tēnei tauira wai mō te tangata whai COPD. Engari ko te mea nui ake, ka taea e ia te āwhina ki te whakakore i te mate.
• Te tirotiro i te pūkahukahu: I ētahi wā, me tango he wahi kiko o te pūkahukahu, ā, me tirotirohia i raro i te karuārai hei whakaū i te mate. He maha ngā huarahi e taea ai tēnei. Ko tētahi ko te tango i tētahi wahi kiko iti i te wā o te tirotiro pūkahukahu (te tirotiro pūkahukahu whakawhiti-pūkahukahu). Heoi, i ētahi wā, ki te hiahiatia he tauira kiko nui ake, ka taea te mahi i tētahi tirotiro pūkahukahu pokanga. Ko tēnei tirotiro pūkahukahu anake te huarahi hei tautuhi i te mate COPD, kaua i ētahi atu mate.
• Whakamātautau mahi pūkahukahu (PFT): Ka ine ēnei whakamātautau i te pai o te mahi a ō pūkahukahu, te nui o te hau ka taea e koe te pupuri i roto i ō pūkahukahu, me te pai o te uru o te hāora ki roto i ō toto. Tērā pea he tauira here o te tangata whai COPD, arā, he iti ake te hau ka taea e ia te pupuri i tērā o te tangata noa. Tērā pea he iti hoki ō rātou taumata hāora i roto i te toto, i te wā okioki me te wā e whakakorikori tinana ana.

Me pēhea te rongoā i te mate pūkahukahu whakahaere-cryptogenic (COP)?

Ko te rongo pai, he rongoā whai hua kei reira mō tētahi mate e kiia nei ko te (COP). He maha ngā wā ka rongoāhia e ngā tākuta mā te whakamahi i tētahi momo rongoā e kiia nei ko te corticosteroids . Hei tauira, he rongoā e kiia nei ko te prednisone te mea e whakamahia pinepinetia ana.

Ko te tikanga ka tangohia tonutia tēnei rongoā mō te 3 ki te 6 marama . Ka whakanuia te horopeta i te tīmatanga, kātahi ka whakaitihia mārire. Mēnā ka mutu ohorere te rongoā, ka tere rawa rānei te whakaiti i te horopeta, ka hoki mai anō pea ngā tohu. He pono rawa tēnei ina whakaitihia te horopeta prednisone ki raro iho i te 20 mirikaramu ia rā.

I ētahi wā tino ngawari (COP), ka memeha pea te mate me te kore rongoā .

Heoi, ki te mau tonu ngā tohu o te COPD, ki te uaua rānei te aro atu ki ngā pānga taha o ngā corticosteroids, ka tūtohu pea tō tākuta i ētahi atu maimoatanga. Hei tauira, ka taea te hoatu mō te wā poto ngā rongoā whakaora-steroid pēnei i te azathioprine, ngā rongoā cytotoxic pēnei i te cyclophosphamide rānei.

Ka taea te whakaiti i te mōrearea o te whanaketanga (COP)?

Kāore rawa he mea e taea e tātou te mahi hei whakaiti i te tūponotanga o te whakawhanake i te COPD. Nā te mea kāore i te mōhiotia te tino take, kāore he huarahi hei ārai. Heoi, ka taea e koe te mōhio ki ēnei tohu. Kātahi, ki te puta mai ngā tohu, ka taea e koe te rapu tohutohu hauora wawe tonu, ā, ka tīmata te maimoatanga mēnā e tika ana . He mea tino nui kia tautuhia te mate, kia tīmata wawe hoki te maimoatanga.

Ka aha mēnā kāore te (COP) e rongoatia?

Ki te kore e rongoatia te COPD, ka pā he kino nui ki ngā pukahukahu . Ka taea e te mumura tonu te arahi ki te whara o te pukahukahu, ka whakararuraru i te mahi a ngā pukahukahu mō ake tonu atu. Nō reira, he mea nui kia rapu maimoatanga mēnā ka puta ngā tohu.

He aha te tirohanga mō te tangata whai (COP)?

Kaua e manukanuka. Ko te nuinga o te hunga e pāngia ana e te Cryptogenic Organizing Pneumonia (COP) ka ora wawe, ka ora katoa . Tata ki te 50% o te hunga he mate ngawari ka ora me te kore maimoatanga. Tata ki te 80% o te hunga i rongoatia ki te corticosteroids ka ora katoa .

Heoi, i ētahi wā ka hoki anō ngā tohu o te COPD (ka hoki anō) . Ahakoa i taua wā, kāore he mea hei manukanuka. Ka taea te whakahaere me te whakaora i ngā tohu ina tīmata anō te rongoā corticosteroids. Ko te hunga e ora ana i te COPD ka roa, ka ora tonu.

Me pēhea taku tiaki i ahau anō me te mate (COP)?

Ki te whakaaro koe kei a koe ngā tohu o te COPD, me toro atu ki te tākuta i te wā e taea ai . Mā te tīmata wawe i te maimoatanga ka whakaiti i te tūponotanga o te hokinga mai o te mate ā muri ake nei, me te whakaiti hoki i te kino o ō pukahukahu.

Mena ka tohua e tō tākuta he corticosteroids hei rongoā i tō COPD, me whakamōhio atu ki tō tākuta mēnā ka pāngia koe e ētahi pānga taha. Ka taea e ia te whakarerekē i te horopeta, te tūtohu rānei i tētahi atu rongoā. He mea nui kia tangohia tō rongoā kia rite ki tā tō tākuta e tohutohu ana, me te whai i te wā tika.

Karere Tangohia ki te Kāinga

Ko te Cryptogenic Organizing Pneumonia (COP) he mate pūkahukahu onge ka puta te mumura me te whara o ngā pūkahukahu. Ko ngā tohu matua ko te maremare me te uaua ki te manawa. Kia maumahara, ehara tēnei i te niumōnia pangia noa.

• Kia tūpato ki ngā tohu: Kia kite koe i te tākuta, ina koa mēnā he maremare maroke tōu e roa ana mō ngā wiki, he mamae rānei tō korokoro ina ngenge koe.
• He maimoatanga kei reira: Ko te nuinga o tēnei ka rongoatia mā te whakamahi i tētahi momo rongoā e kiia nei ko ngā corticosteroids. Tērā pea ka ora ake ētahi mate ngawari me te kore rongoā.
• He tere te ora: Ka ora katoa te nuinga o te tangata i tēnei mate. Heoi, i ētahi wā ka hoki mai anō ngā tohu. Ahakoa i taua wā, ka taea tonu te whakahaere mā te rongoā.

Nō reira, ko tāku tumanako he whai hua ēnei kōrero ki a koe. Ko te mea nui ko te mōhio ki tō tinana me tō hauora.

` Nūmia Whakahaere Tuturu, COP, mate pūkahukahu, mate manawa, maremare, poto o te manawa, corticosteroids, niumōnia