I ētahi wā ka pāngia koe e te makariri, te maremare, me te uaua ki te manawa, tika? Ka pai ake i roto i ngā rā e rua, e toru rānei. Engari ki te haere tonu tēnei, ina koa ka piki ake ēnei tohu ina haere koe ki tō kāinga, ki tō mahi rānei, tērā pea ehara i te mea noa. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga kino pea, engari he tokomaha kāore i te mōhio. Ko te Hypersensitivity Pneumonitis, ko te HP rānei te whakarapopototanga.
He aha te Hypersensitivity Pneumonitis (HP)?
Ko te mate pūkahukahu tairongo nui (HP) he mate pāwera e pā ana ki ō tātou pukahukahu . Engari ehara tēnei i te mate pāwera e mōhiotia whānuitia ana e tātou ki te hae , ki te puehu rānei. Ko te mea ka tupu i roto i tēnei ko te nui rawa o te urupare a ngā pēke hau iti (alveoli) i roto i ō tātou pukahukahu ki ngā matūriki tino iti (e kiia nei e tātou he mate pāwera) e manawahia ana e tātou. Ka puta te pupuhi, te mumura rānei, i roto i aua pēke hau.
Ka puta ohorere mai ēnei tohu (kaha) ka memeha wawe atu, ka piki haere rānei i roto i te wā, ā, ka mau tonu (pūmau).
He aha te rerekētanga o tēnei i tētahi mate pāwera noa?
Whakaarohia, ina he mate pāwera koe ki te puehu, ka ihu pupuhi koe, ka tihe hoki. Engari ki te HP, he rerekē. Ina pāngia tonutia tātou e ngā matūriki e hua ai tēnei, arā, ina manawahia e tātou, ka pakaru tonu ō tātou pukahukahu. I roto i te wā, ka puta he koha ki roto i ngā pukahukahu. Ka kiia tēnei mate ko te ' mate pukahukahu interstitial '. Nō reira, ehara i te mea pai kia whakaarohia he mate pāwera noa iho.
Ko wai kei te mōrearea nui ake ki te whakawhanake i te Hypersensitivity Pneumonitis?
Ahakoa ka pāngia te tangata e tēnei mate, he nui ake te mōrearea o te hunga e mahi ana i ētahi mahi, e noho ana hoki i ētahi taiao, nā te mea kei te hongi tonu rātou i ngā matūriki e hua ai tēnei mate. Kia kite tātou ko wai rātou.
| Rōpū mōrearea | He whakamārama māmā |
|---|---|
| Ngā tāngata e mahi ana i ngā pāmu | Ka taea e te hunga e taunekeneke pinepine ana me ngā mea pēnei i te kau, te huawhenua, te tarutaru maroke, me ngā witi te manawa i te harore me te huakita. |
| Ngā tāngata e mahi tahi ana me ngā kararehe | Ka taea e ngā tākuta kararehe, te hunga e whāngai manu ana, me te hunga e horoi ana i ngā whare manu te hongi i ngā matūriki mai i ngā paru manu me ngā huruhuru manu. |
| Ngā mira rakau me ngā kaimahi rakau | Te manawa i te puehu rakau me ngā pokepokea ai e tupu ana i runga i te rakau. |
| Ngā tāngata e mahi ana i te umanga whakarewa | Te manawa o ngā matūriki matū iti e tukuna ana i te wā e tukatukahia ana te konganuku. |
| Taiao o roto | Te hongi i te harore me te huakita mai i ngā whakamakuku hau, ngā pūnaha hauhautanga, ngā kaukau wera, me ētahi atu kāore i te tiakina pai. He mōrearea anō hoki te whakamahi i ngā urunga me ngā moenga i hangaia mai i ngā huruhuru manu. |
| Tau | Ko te nuinga o te wā ka pāngia te hunga i waenga i te 50 me te 70 tau te pakeke. |
Ko te mea nui, ka puta tēnei mate ina "tino pāngia" tō pūnaha ārai mate e tētahi mea. Ehara i te mea ka pāngia ngā kaiahuwhenua katoa, ngā kaiwhakatupu manu katoa rānei e tēnei mate.
He aha ngā tohu o tēnei mate?
E rua ngā momo matua o ngā tohu o te mate HP. Ko tētahi he tohu tere , ko tētahi he tohu mau tonu .
| HP Koi | HP Mau tonu |
|---|---|
| Ka puta mai ēnei tohu i roto i ētahi haora i muri i te pānga ki te mate pāwera, ā, ka memeha haere i roto i ētahi rā. Tērā pea he rite ki te makariri. | |
| - Te uaua ki te manawa (dyspnea) | - Te poto o te manawa i te wā e whakakorikori tinana ana, e mahi ana rānei |
| - Maremare maroke | - Te maremare tonu |
| - Te ahua o te kikī o te uma | - Ngenge rawa |
| - Te mātao, te wiri | - Te whakahekenga taumaha me te kore take |
| - Kirika | - Te patu i ngā maihao |
| - Mamae tinana | |
Ka āta whanake haere te HP mau tonu, nō reira, kāore pea koe e mōhio i te tīmatanga. Ko te mea tuatahi ka kite pea koe he mea pēnei i te "Kei te ngenge ahau ina piki ahau i ētahi arawhata inaianei, nui atu i mua."
Me pēhea te tautuhi i te mate?
Mena kei a koe ēnei tohu, ka pātai tuatahi tō tākuta ki a koe mō tō mahi, mō ō hiahia,, ka pātaihia e ia he maha ngā pātai mō te taiao o tō kāinga. Mā tēnei ka hoatu he whakaaro ki a koe mō ngā mea ka pāwera pea koe. Kātahi ka whakarongo te tākuta ki ō pukahukahu me te stethoscope , ā, ka tirohia ō taumata hāora mā te tāpiri i tētahi taputapu rite ki te topenga ki tō maihao (he 'pulse oximeter').
Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau pēnei hei whakaū tika i te mate.
- Ngā whakamātautau toto mō te mate pāwera: Ka taea te whakahaere i ngā whakamātautau motuhake (he 'pānui mate pāwera') hei tirotiro mēnā he paturopi e pā ana ki tēnei mate pāwera i roto i ō toto.
- Ko te hihi-X o te uma, ko te matawai CT rānei: Ka kitea mārama mēnā he pupuhi, he koha (fibrosis), he kino rānei ki ngā pukahukahu.
- Ngā whakamātautau mahi a ō pūkahukahu: Kei roto i tēnei he maha ngā whakamātautau e ine ana i te pai o te mahi a ō pūkahukahu me te nui o te hau ka taea e koe te manawa me te whakaputa atu.
- Pūkahukahu: I roto i tēnei, ka tukuna he ngongo me te kāmera iti e piri ana mā te ihu, mā te waha rānei ki roto i ngā pukahukahu, ka tirohia te roto, ā, ki te tika, ka tangohia he tauira iti o te kiko hei tirotiro.
Me pēhea te rongoā?
Ko te taahiraa tuatahi me te mea nui rawa atu ki te rongoā i tēnei mate ko te tautuhi i te mate pāwera e puta ai te mate, me te karo rawa atu.
Ki te mau tonu tō pānga ki tēnei mate, ahakoa te rongoā e tangohia ana e koe, e kore e tino ora te mate. Mō ngā mate HP Mau tonu, ahakoa ka matara atu koe i te mate pāwera, ka piki haere tonu pea te kino o ngā pukahukahu.
Haunga te karo i te mate pāwera, ka tohua pea e tō tākuta ētahi maimoatanga pēnei.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā corticosteroids, ngā rongoā ārai mate rānei | Ka āwhina ēnei rongoā ki te whakaiti i te mumura o ngā pukahukahu. Hei tauira: `prednisone`, `mycophenolate`, `azathioprine`. |
| Ngā rongoā ārai-fibrotic | Ka āwhina ēnei ki te whakaroa i te tere o te puta o ngā koha i roto i ngā pukahukahu. Hei tauira: `pirfenidone`, `nintedanib`. |
| Te whakaora i te pūkahukahu | Mā ngā mahi manawa me te whakaora tinana ka māmā ake te manawa. |
| Te rongoā hāora | Mena he kino rawa te mate, ka tukuna he hāora mai i waho hei whakarato i te nui o te hāora e tika ana ki te tinana. |
| Te whakawhitinga pūkahukahu | Ki te tino kino te mate, ā, ka mutu te mahi a ngā pukahukahu, ko te whakawhitinga pukahukahu pea te kōwhiringa whakamutunga. |
Me pēhea e taea ai e koe te tiaki i a koe mai i tēnei mate?
Kāore e taea te whakaora i te kino o ngā pukahukahu i roto i te HP mau tonu, nō reira ko te mea pai ko te noho matara atu i ngā mate pāwera e hua ai te kino.
- Ki te mahi koe i ngā mahi morearea (hei tauira, te mahi pāmu, te mahi rakau, te mahi me ngā manu), kia mau koe i ngā taputapu tiaki whaiaro (PPE) .
- Me pupuri tonu kia ma, kia pai hoki te āhua o ngā taputapu whakamakuku me ngā pūnaha hauhautanga o tō whare.
- Kaua e whakamahi i ngā urunga, ngā moenga, me ngā moenga i hangaia ki te huruhuru manu.
- Ki te mea he mōkai āu, inā koa ngā manu, kia ma ō rātou whare manu. Mauria he kopare kanohi i te wā e horoi ana.
Mena kua tāpaetia kētia tō mate HP, kōrero ki tō tākuta, ā, whakaritea he mahere hei ārai i ngā kino atu ki ō pukahukahu. Tangohia ō rongoā i te wā tika. Pātai atu mō ngā mahi manawa ka taea e koe te mahi i te kāinga.
Karere Tangohia ki te Kāinga
- Ehara te mate pāwera noa i te mate pāwera nui (HP). Ka taea e ia te whakararu tuturu i ō pukahukahu.
- Ko te tino take mō tēnei ko te hongi i ngā mea pēnei i te harore, te huakita, me ngā matū mai i tō mahi, i tō kāinga rānei.
- Mena kei a koe ngā tohu pēnei i te maremare tonu, te uaua ki te manawa, te ngenge rānei, kaua e warewarehia , engari me toro atu ki te tākuta tonu .
- Ko te rongoā pai rawa atu mō tēnei mate ko te karo rawa i te pūtake o te mate. He uaua ki te whakatutuki i te rongoā katoa mā te rongoā anake.
- Ki te kitea wawe te mate, ka taea te whakahaere i mua i te pānga kino ki ngā pukahukahu.
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