He pāwera anō hoki ō pūkahukahu ki ngā mate pāwera? Me kōrero tātou mō te (Hypersensitivity Pneumonitis)!

He uaua ki a koe te manawa i ētahi wā, he maremare noa iho rānei? Tērā pea he tairongo ō pūkahukahu ki ētahi matūriki puehu, ki te harore rānei i tō wāhi mahi, i tō kāinga rānei. Koinei te momo mate ka kōrerohia e tātou i tēnei rā, e kiia nei ko te "Hypersensitivity Pneumonitis". Kaua e manukanuka, me kōrero noa iho tātou mō tēnei.

He aha tēnei `(Hypersensitivity Pneumonitis)`? He māmā noa iho...

Ki te whakarapopoto, ko te Hypersensitivity Pneumonitis he mate pāwera ki ngā pēke hau iti i roto i ō pūkahukahu (e kiia ana ko ngā alveoli). Pērā i te urupare a ō tātou tinana ki tētahi mea e kino ana ki a tātou, ka urupare hoki ō tātou pūkahukahu ki ētahi mea. Ka puta ohorere mai ēnei tohu (whakamataku) ka tere te memeha, ka puta rānei i roto i te wā ka mau tonu .

Inaianei kei te whakaaro koe, "Āe... he rite noa tēnei ki te mate pāwera ki ngā mite puehu, ki te hae rānei?" Kāore rawa. He rerekē te momo urupare ārai mate te niumōnia hypersensitivity i te mate pāwera noa. He rerekē tēnei i ngā mate pāwera noa e puta ai te ihu pupuhi, te mākūkū o ngā kanohi, me te mate huango, he āhuatanga tēnei e taea ai e te pānga tonu ki te mate pāwera te whakararu i ngā pukahukahu. Nō reira, he mea tēnei hei tūpato.

Ko te mate pūkahukahu interstitial te mate pūkahukahu roa. I roto i te wā, ka arahi pea tēnei ki te whara o ngā pūkahukahu.

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

Ahakoa ka taea e te tangata te pāngia e tēnei mate, he nui ake te mōrearea o te hunga e mahi ana i ētahi mahi, ā, e pāngia pinepine ana e ngā mate pāwera motuhake. Tirohia mēnā kei te mōrearea koe:

• Ngā tāngata e mahi ana i ngā pāmu: pērā i te hunga e tiaki kau ana, e whakatipu ana hoki i ngā huawhenua. I ētahi wā nā te mea e pāngia tonutia ana rātou e ngā mea pēnei i te tarutaru me te puehu.
• Ngā tāngata e mahi tahi ana me ngā kararehe: ngā tākuta kararehe, ngā tāngata e whakatipu ana i ngā kararehe pēnei i ngā manu, heihei, me ētahi atu. Nā ngā mea pēnei i ngā huruhuru manu me ngā huruhuru manu.
• Ngā tāngata e mahi ana i ngā wāhi e hurihia ana, e utaina ana rānei te witi, te paraoa rānei: i ngā wāhi pērā i ngā mira raihi i tō tātou whenua.
• Ngā tāngata e mahi ana i ngā mira kani me ngā maramara rakau.
• Ngā tāngata i ngā wāhi e hanga ana i ngā papa pakitara me ngā pepa.
• Ngā kaimahi whakarewa.
• Te hunga e pāngia ana e ngā paru manu me ngā huruhuru manu: Ko te whakamahi i ngā urunga me ngā moenga kapi tonu i te huruhuru manu tētahi atu take o tēnei.
• Ko te hunga e manawa ana i ngā mate pāwera mai i ngā taputapu whakamakuku, ngā pūnaha whakamahana me te hauhautanga kāore i te pai te tiaki, ngā kaukau wera rānei.
• I te nuinga o te wā i waenga i te 50 me te 70 tau te pakeke.

Whakaarohia, i roto i ētahi whare, ka hanga kōhanga ngā manu pērā i ngā kākā. Ki te kore e horoia tika aua kōhanga, ka puta pea tēnei āhuatanga i te manawa i te puehu me te hae e puta mai ana i roto i aua kōhanga.

He mate kino te niumōnia tairongo nui?

Ae, he mate kino te `(Hypersensitivity Pneumonitis)` i ētahi wā . Nā te mea, ki te pā tonu koe ki te mate pāwera, ka taea e te mumura o ngā pukahukahu te whakararuraru tuturu. Nō reira, he mea nui kia rapu tohutohu hauora tonu mēnā ka puta ngā tohu.

He aha te pānga o tēnei `(Hypersensitivity Pneumonitis)` ki tō tātou tinana?

Mena kei a koe te "Hypersensitivity Pneumonitis", ka nui rawa te urupare a tō tinana ki ētahi matūriki iti (e kiia ana ēnei he "allergens") e manawahia ana e koe. He maha ngā wā ka puta mai ēnei mate pāwera i tō wāhi mahi, i tō kāinga rānei. He tino iti ēnei matūriki, ka taea e rātou te uru ki roto i ngā pēke hau iti (alveoli) i roto i ō pukahukahu, ka puta ai te mumura ki reira.

Ina tauhohe tuatahi koe ki te mate pāwera, ka hangaia e te pūnaha ārai mate o tō tinana ngā matū e mōhio ana ki a ia. Kātahi, i a koe e pāngia ana e te mate pāwera, ka kaha ake te aro o tō tinana, ā, ka tīmata te tauhohe kino. I roto i te wā, ka kino ngā pēke hau (alveoli) me ngā ara manawa iti e hono ana ki a rātou. Koinei te take e puta ai ngā tohu pēnei i te uaua ki te manawa me te maremare.

He aha ngā tohu o te `(Hypersensitivity Pneumonitis)`?

Ka taea e ēnei tohu te pā mai, te mau tonu rānei.

Ngā tohu o te `(Hypersensitivity Pneumonitis)` whakapeka:

Ko te tikanga ka puta mai ēnei tohu i roto i ētahi haora i muri i te pānga ki te mate pāwera, ā, ka roa pea mō ētahi haora, mō ngā rā rānei.

• Te uaua ki te manawa (dyspnea)
• Maremare maroke
• Te kikī o te uma, te ahua kei te aukatihia
• Ngā makariri
• Ngenge nui
• Kirika
• Mamae tinana, mamae uaua

Me te mea kei te pāngia ahau e te kirika. Kātahi ka taumaha te tinana.

Ngā Tohu o te Pneumonitis Hypersensitivity Mau tonu:

Ka puta mārire mai ēnei tohu, ka piki haere i roto i te wā.

• He uaua ki te manawa, ina koa kei te ngenge koe, kei te whakakori tinana rānei
• Maremare (tērā pea me te huware)
• Ngenge
• Te whakahekenga taumaha
• Te nui haere o ngā pito o te maihao, o te waewae rānei (Clubbing) - Kāore tēnei e pā ki te katoa.

He aha te āhua o te mate ina pāngia koe e te `(Hypersensitivity Pneumonitis)`?

Tērā pea ka rite te ahua o te `(Hypersensitivity Pneumonitis)` ki te makariri. He uaua ki te kite i te `(Hypersensitivity Pneumonitis)` mau tonu nā te mea ka āta whanake haere. Tērā pea ka kite koe, "Me te mea nei kei te uaua ake taku manawa ināianei i mua," "Me te mea nei kei te kino haere taku maremare me taku ngenge."

He aha te take o te mate pūkahukahu hypersensitivity?

Ko te tino take o te niumōnia pāwera ko te manawa i ngā matū (ngā mate pāwera) e puta ai he mate pāwera ki roto i ngā pukahukahu. I roto i te wā, ka kino pea ngā pukahukahu, ka kino ake hoki ngā tohu. Neke atu i te 300 ngā mea kua tautuhia hei take o te niumōnia pāwera. Kei roto i ēnei ko:

• huakita
• Ngā poke me ngā harore: Ka kitea ēnei i ngā pakitara tawhito, i ngā kaukau, me ngā hauhautanga kāore i horoia tika.
• Ko ētahi matū me ngā konganuku.
• Ngā pūmua kararehe me ngā pūmua tipu: Hei tauira, ngā pūmua e kitea ana i roto i ngā huruhuru manu me ngā paru kararehe.

Ko ētahi tauira o te `(Hypersensitivity Pneumonitis)`:

He rerekē ngā ingoa mō ngā momo "Hypersensitivity Pneumonitis" i puta mai i ngā momo mate pāwera rerekē. Hei tauira:

• Pūkahukahu a te Kaiahuwhenua: Ka puta mai i ngā harore e kitea ana i roto i ngā mea pēnei i te tarutaru maroke me te witi.
• Te Pūkahukahu Manu: Nā ngā pūmua e kitea ana i roto i ngā huruhuru manu me ngā huruhuru manu i puta ai.
• Pūkahukahu Whakamakuku: Nā te huakita me te harore i tukuna mai i ngā pūkahukahu me ngā waeine hauhautanga kāore i te horoia tika.

Ka puta te mate pūkahukahu hypersensitivity i te COVID-19?

E ai ki ngā kōrero o nāianei, ehara te `(COVID-19)` i te tino take o te `(Hypersensitivity Pneumonitis)`. Heoi, ka taea e te `(COVID-19)` te mumura o ngā pukahukahu, ka rite ki te `(Hypersensitivity Pneumonitis)` i ētahi wā. He taunakitanga anō hoki mēnā ka pāngia te `(COVID-19)` e te `(Hypersensitivity Pneumonitis)`, tera pea ka kino rawa atu taua mate.

Me pēhea te tautuhi i te mate pūkahukahu hypersensitivity?

Ka tātaritatia e te tākuta te mate pūkahukahu tairongo nui i runga i ō tohumate, ngā mōhiohio e pā ana ki tō mahi, tō taiao noho, he whakamātautau tinana, me ētahi atu whakamātautau. Ka pātai atu te tākuta ki a koe kia mārama ai koe ki ngā mate pāwera e pāngia ana koe.

Ka whakarongo te tākuta ki ō pukahukahu mā te whakamahi i te stethoscope, ka tirohia ō taumata hāora mā te whakamahi i tētahi taputapu iti (he 'pulse oximeter') ka whakanohoia ki tō maihao, ā, ka mahi pea i ngā whakamātautau mahi pukahukahu, i ngā whakamātautau toto, i ngā whakamātautau whakaahua rānei.

He aha ngā whakamātautau e whakamahia ana hei tautuhi i te `(Hypersensitivity Pneumonitis)`?

Hei whakaū i tēnei mate, ka whakahaerehia pea e te tākuta ngā whakamātautau e whai ake nei:

• Ngā whakamātautau toto mate pāwera: Ka tangohia he toto iti mai i tō ringa hei tirotiro mēnā he tauhohenga tō tinana ki ngā mate pāwera e hua ai te mate pūkahukahu hypersensitivity. I ētahi wā ka kiia tēnei ko te papa whakamātautau mate pūkahukahu hypersensitivity.
• Ngā whakamātautau whakaahua: Mā ngā hihi-X o te uma me ngā karapa CT ka tangohia ngā whakaahua o ngā pukahukahu hei tirotiro mēnā he pakaru.
• Ngā whakamātautau mahi a ngā pūkahukahu: He maha ngā wā ka uru te manawa ki roto, ki waho hoki mā roto i tētahi ngongo e hono ana ki tētahi mīhini. Ka taea e ēnei te ine i te pai o te mahi a ō pūkahukahu. Tērā pea kei roto hoki i ēnei he whakamātautau toto me ngā whakamātautau whakakori tinana.
• Pūkahukahu: I tēnei whakamātautau, ka whakauruhia he ngongo iti, ngāwari (me te kāmera) mā te ihu, mā te waha rānei hei tirotiro i roto i ngā pukahukahu. Mēnā e tika ana, ka taea te tango tauira hei whakamātautau.

Me pēhea te rongoā i te niumōnia tairongo nui?

Hei rongoā angitu i te niumōnia hypersensitivity, ko te mea nui ko te karo katoa i te mate pāwera e mate pāwera ana koe.

Ahakoa te rongoā, ki te mau tonu te pānga o te mate pāwera ki a koe, e kore te mate e tino ora. Ka piki haere tonu te kino i puta mai i te "Hypersensitivity Pneumonitis" mau tonu, ahakoa ka noho tawhiti atu koe i te mate pāwera.

Tērā pea ka tohua e tō tākuta he rongoā hei whakaiti i te mumura i roto i ō pukahukahu, hei whakatuwhera i ō ara manawa, hei whakanui ake rānei i ō taumata hāora.

He aha ngā rongoā/maimoatanga e whakamahia ana mō te `(Hypersensitivity Pneumonitis)`?

• Ngā rongoā corticosteroids, ngā rongoā ārai mate rānei: Ka whakaitihia te mumura e ēnei. Hei tauira, ka taea te hoatu i ngā rongoā pēnei i te prednisone, mycophenolate, azathioprine rānei.
• Ngā rongoā ārai-fibrotic: Hei tauira, ko te pirfenidone me te nintedanib. Ka whakaroa ēnei i te tere o te puta o ngā whara i roto i te pukahukahu.
• Te whakaora i ngā pūkahukahu: Mā ngā mahi manawa me te whakaora tinana ka māmā ake te manawa.
• Te whakaora hāora: Mena he nui te mate pūkahukahu e pāngia ana e te mate pāwera nui, me hoatu pea he hāora tāpiri ki a koe kia nui ai te hāora e whiwhi ana i roto i ō toto me ō kiko. Ka taea tēnei te hoatu mā te kopare e hipoki ana i tō mata, mā te ngongo rānei e whakatakotoria ana ki raro i tō ihu.
• Te whakawhitinga pukahukahu: Mena ka huri tō mate pūkahukahu aro nui ki te mate pukupuku pūkahukahu , me whakawhitinga pukahukahu pea koe.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

Ka roa pea te wā e ora ai ngā pukahukahu i te mumura i puta mai i te "Hypersensitivity Pneumonitis". Tērā pea ka pumau tonu ētahi o ngā kino.

Ka taea te whakaora katoa i te niumōnia tairongo nui?

He uaua te rongoā katoa i te niumōnia pāwera mau tonu. Heoi, ka taea te rongoā i te niumōnia pāwera whakapeka me te iti rawa o te pāwera (wā poto) mā te rongoā, mā te kore rongoā rānei, mēnā ka karohia rawatia e koe te mate pāwera.

Me pēhea te tiaki i a koe mai i te `(Hypersensitivity Pneumonitis)`?

Kāore e taea te whakakore i te kino i puta mai i te `(Hypersensitivity Pneumonitis)` mau tonu. Nō reira, ko te mea pai ko te noho tawhiti atu i ngā mate pāwera e puta ai te mumura o ngā pukahukahu. Mena me noho koe i roto i tētahi taiao pēnei, ka taea e koe te mahi i ēnei mea hei whakaiti i tō mōrearea:

• Ki te mahi koe i tētahi mahi morearea (te mahi whakarewa, te mahi me ngā manu, ngā kararehe rānei, te mahi me te rakau, te pepa, te witi, me ētahi atu), mauria he taputapu tiaki whaiaro (PPE) i te wā e mahi ana. Whakamahia he kopare hei tātari i ngā matūriki iti.
• Kia ma, kia pai hoki te āhua o ngā taputapu whakamakuku hau, ngā kaukau wera, ngā pūnaha whakamahana me te whakamatao.
• Kaua e whakamahi i ngā urunga me ngā moenga e kī ana i te huruhuru manu.
• Kia ma tonu ngā wāhi o āu mōkai (ina koa ko ngā whare manu). Mauria he kopare kanohi ina horoia ana.

He aha ngā mea ka taea e koe te tumanako mēnā kei a koe te `(Hypersensitivity Pneumonitis)`?

Ko te mea ka taea e koe te tumanako ka whakawhirinaki ki te roa o te wā e pāngia ana koe e te Hypersensitivity Pneumonitis me tōna kaha.

• Ko te "Pneumonitis Hipersensitiví" whakapeka ka memeha i roto i ngā rā torutoru, ki te kore te tangata e pāngia anō e te mate pāwera.
• Ka roa pea te "Pneumonitis Hypersensitivity" (e puta mai ana i te pānga auau o tētahi mate pāwera ki te taumata iti) mō ētahi marama, ā, i te nuinga o te wā ka rongoatia ki te rongoā.
• Te Mate Pāwera Mau tonu Kāore e tino ora te niumōnia, engari ka taea te whakahaere i ngā tohu mā te rongoā.

Ngā raruraru o te `(Hypersensitivity Pneumonitis)`

Mā te pānga tonu ki tētahi mate pāwera e hua ai te mate pūkahukahu hypersensitivity ka arahi pea ki ngā raruraru nui, tae atu ki:

• Te whara o ngā pukahukahu (pulmonary fibrosis)
• Te toto toto tiketike i waenganui i te ngākau me ngā pukahukahu (te toto toto tiketike o te pūkahukahu)

He aha te tirohanga mō te mate `(Hypersensitivity Pneumonitis)`?

Ko te tirohanga mō te niumōmonitis hypersensitivity mau tonu e whakawhirinaki ana ki te nui o te kino ki ō pūkahukahu. E ai ki ngā rangahau, ki te kore ō pūkahukahu e whara, ka taea e koe te ahu whakamua nui i roto i te tau kotahi o te tātaritanga. Ko te hunga he whara kei roto i ō rātou pūkahukahu kei te mōrearea ki te mate i te niumōmonitis hypersensitivity i roto i ētahi tau mena kāore rātou e whiwhi i te whakawhitinga pūkahukahu. Tērā pea he whakamataku tēnei, engari he mea nui kia mōhio ki ēnei mōhiohio.

He aha te roanga o te oranga o te tangata e pāngia ana e te `(Hypersensitivity Pneumonitis)`?

Kei te kaha hoki o te kino o ngā pukahukahu tēnei. Ka taea e te whakawhitinga pukahukahu te whakaroa i ēnei wā.

• Mō te tangata kāore he mātā (kāore he fibrosis): Ko te roanga o te oranga neke atu i te 15 tau i muri i te tautuhi.
• Mō te tangata he mātā engari kāore he whara o te pukahukahu (hei tauira, te whakapūpū i te honikoma):Tata ki te 8 tau i muri i te tātaritanga.
• Mō te tangata he kino te whara - he kōpura me te 'whakapaipai': tata ki te 3 tau i muri i te tautuhi mate.

Kaua e mataku i ēnei tatauranga. He āhuatanga noa ēnei. Ka rerekē pea tēnei i ia tangata, i ia tangata. Ko te mea nui ko te whai i ngā tohutohu a te rata.

Me pēhea taku tiaki i ahau anō me te `(Hypersensitivity Pneumonitis)`?

Mena kua tāpaetia koe he mate pūkahukahu tino tairongo, mahi tahi me tō tākuta ki te whakawhanake i tētahi mahere hei whakaiti i te kino atu ki ō pukahukahu. Tangohia ngā rongoā katoa e ai ki te whakahaunga. Pātai atu ki tō tākuta mō ngā mahi whakakori tinana me ngā mahi manawa ka taea e koe te mahi ki te kāinga hei whakapai ake i te mahi a ō pukahukahu.

Āhea ahau me toro atu ki te tākuta mō te `(Hypersensitivity Pneumonitis)`?

Mena kei a koe ngā tohu o te `(Hypersensitivity Pneumonitis)`, me toro atu ki te tākuta tonu. Mena kei a koe kē te `(Hypersensitivity Pneumonitis)`, me toro atu ki te tākuta mena ka puta he tohu hou, ka kino rānei ō tohu.

He aha ngā pātai me pātai atu e au ki taku tākuta?

• He aha te take i pā mai ai te `(Hypersensitivity Pneumonitis)` ki ahau?
• Me pēhea taku noho tawhiti atu i te mate pāwera e hua ai tēnei?
• Kua pakaru ōku pūkahukahu? He aha te kino?
• Ka taea te huri i tēnei āhuatanga?
• Me pēhea taku whakamahi i tēnei rongoā?
• Kia pēhea te roa ka ora ake ahau?
• Āhea ahau me haere mai anō kia kite i a koe?

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

Ko te niumōnitis pāwera nui he āhuatanga ka pā kino ki ngā pukahukahu i muri i te pānga maha ki tētahi mate pāwera. Heoi, ki te kitea wawe, ka taea te whakamutu i tēnei huringa i mua i te puta o te kino kāore e taea te whakatika. Mena kei a koe ētahi tohu pūkahukahu e mau tonu ana, he mea nui kia kite tonu koe i te tākuta.

Mena kua tāpaetia koe he mate pūkahukahu tino tairongo, kōrero pono ki tō tākuta mō te kaha o tō mate. Mā tēnei koe e āwhina ki te whakawhanake i tētahi mahere mō ngā mea hei tumanakohia me pēhea te whakapai ake i tō manawa me te kounga o te oranga. Kaua e manukanuka, ka taea te whakahaere i tēnei mate mā te maimoatanga tika me ngā huringa momo noho.

Te aro nui ki te mate pūkahukahu, te mate pāwera ki ngā pukahukahu, te mate manawa, te maremare mau tonu, te uaua ki te manawa, ngā mate pāwera, te niumōnia