He maremare maroke tonu tōu i ētahi wā, kāore e puta he hūpē? Ka pōturi tō manawa ina ngenge koe, ina piki arawhata rānei? He tokomaha e whakaaro ana he mea noa tēnei, nā te puehu pea i puta, engari i ētahi wā he tohu pea nō te mate pūkahukahu e hiahia ana kia arohia. I tēnei rā ka kōrero tātou mō tētahi o aua mate, arā, ko te NSIP.
BMI Calculator
Know your body mass index (BMI) and weight classification
He aha te NSIP (Nonspecific Interstitial Pneumonia)?
Ki te whakarapopoto, ko te NSIP he mumura o te kiko i waenganui i ngā pēke hau iti (alveoli) i roto i ō pūkahukahu me ngā oko toto e karapoti ana i a rātou. Whakaarohia ō pūkahukahu he paihere karepe he maha ngā karepe iti (alveoli). Ko te niumōnia e mōhiotia whānuitia ana e tātou ka puta i roto i ēnei karepe. Engari i roto i te NSIP, ka puta te mumura i ngā āputa i waenganui i ēnei karepe me te kiko e karapoti ana i a rātou.
He mate tēnei nō roto i tētahi rōpū mate pūkahukahu e kiia nei ko te "mate pūkahukahu interstitial". He maha ngā wā ka kitea te NSIP i roto i te hunga e pāngia ana e te mate kiko honohono (CTD). Waihoki, he mate roa pea, kāore e pai ake i roto i ētahi rā, pērā i te niumōnia noa. I ētahi wā, ka puta he whara tuturu ki ngā pūkahukahu.
E rua ngā momo matua o ngā NSIP.
E rua ngā momo matua o te NSIP e wehea ana e ngā tākuta. He mea nui kia mārama ki te rerekētanga i waenga i ngā momo e rua, nā te mea ka rerekē pea te maimoatanga me te whanaketanga o te mate ā muri ake nei.
| Momo NSIP | Hei whakarāpopototanga, he aha te mea ka tupu? | Te Hiranga |
|---|---|---|
| NSIP Waea Pūkoro | I tēnei momo, ka mumura ngā pūtau i waenganui i ngā pēke hau. Kāore he koha. | Kāore i te tino kino. He tino pai te urupare ki te maimoatanga. Ka taea te whakaora katoa. |
| NSIP Pūmua | Ka mātotoru te kiko o te pukahukahu, ka puta he koha. I roto i te rongoā, ka kiia tēnei koha he fibrosis . | Koinei te momo tino kino, tino morearea hoki. He uaua te whakatika i te kino o ngā pukahukahu. |
He aha ngā tohu o te NSIP?
Kāore pea ngā tohu o te NSIP e kitea i te tīmatanga. Heoi, ka piki haere pea i roto i te wā, i roto i ngā marama, i ngā tau rānei. Ko ngā tohu matua ko:
- He maremare maroke tonu: Kāore e puta he hūpē. He rite noa ki te maremare e whakawātea ana i te korokoro.
- Te poto o te manawa (dyspnea): Te uaua ki te manawa, inā koa i te wā e mahi ana i tētahi mea uaua, pērā i te hikoi, te piki arawhata rānei. I te haere whakamua o te mate, ka puta te poto o te manawa ahakoa te tū noa.
- Te manawa uaua: Te āhua me te mea me whakapau kaha koe ki te manawa.
- Ngenge rawa atu: Te tino ngenge ahakoa kāore he mahi e mahia ana.
- Ngā matimati kua pākia: Kāore tēnei i te tino kitea. Heoi, mō ētahi tāngata, ka pupuhi pea ngā pito o ngā matimati pērā i ngā rākau pahu, ā, ka porotaka pea ngā maikuku. He tohu tēnei kāore te tinana e whiwhi ana i te nui o te hāora.
Ko te mea nui, kaua ēnei tohu e tīmata ohorere, engari ka piki haere i roto i te wā. Nō reira, he tokomaha pea kāore e aro nui ki tēnei.
He aha ngā take o te NSIP? Ko wai kei te mōrearea nui ake?
Ina hoki, kāore anō kia mōhiotia e ngā tākuta te tino take o te NSIP. Heoi, ina tirohia te hunga whai mate nei, he maha atu ngā mate hauora kei a rātou. Nō reira, e whakaponohia ana he hononga kei waenganui i ēnei mate me te NSIP.
Ngā āhuatanga matua e pā ana ki te NSIP:
- Ngā mate hononga kiko: He mate pūnaha ārai mate ēnei e whakaekehia ai e te pūnaha ārai mate o te tinana ōna ake kiko. Hei tauira:
- te rumatiki - he mate e pupuhi ai, e mamae ai hoki ngā hononga
- Lupus
- Te kiriuhi o te kiriuhi
- Ngā mate huaketo: Ko ētahi mate huaketo, pērā i te HIV me te hepatitis, ka honoa pea ki te NSIP.
- Ngā tauhohenga ki ētahi rongoā: Ka taea hoki tēnei āhuatanga te puta mai i te chemotherapy mō te mate pukupuku, te radiotherapy, me ētahi rongoā mō te mate ngakau.
Ko te mate NSIP te tikangaHe mea tino noa i waenga i ngā wāhine i waenga i te 40 me te 50 tau te pakeke.
Me pēhea te tātaritanga tika a te tākuta i tēnei mate?
Mena kei a koe tētahi o ngā tohu kua whakahuatia ake nei, ko te mea tuatahi ka mahia e tō tākuta ko te pātai atu ki a koe mō tō hītori hauora. He mea nui kia kōrerotia e koe ki tō tākuta ngā mea katoa e pā ana ki a koe mō ētahi atu mate hauora, ngā rongoā rānei e tangohia ana e koe.
I muri i tēnā, ka whakaritea he maha ngā whakamātautau hei whakaū i te mate.
- Ngā whakamātautau mahi a ngā pūkahukahu: Kei roto i tēnei ko te manawa ki roto, ki waho hoki mā roto i tētahi ngongo e hono ana ki tētahi mīhini. Mā tēnei ka āwhina koe ki te whai whakaaro ki te pai o te mahi a ō pūkahukahu mā te ine i te nui o te hau ka taea e koe te hopu me te tere o tō manawa ki waho.
- Ko te hihi-X o te uma me te matawai CT: Ahakoa ka taea e te hihi-X te homai he whakaaro whānui, ka taea e te matawai CT (matawai Tomography Rorohiko) te kite mārama i ngā huringa tino iti me ngā koha i roto i ngā pukahukahu. He mea tino nui te matawai CT hei tautuhi i te NSIP.
- Pūnaha tirotiro kanohi: I roto i tēnei, ka tāpirihia he kāmera ki te pito o tētahi ngongo angiangi, ngāwari, ka tukuna mā tō ihu, mā tō waha rānei ki roto i ō pukahukahu.
- Ko te koiora-koiora: Koinei te huarahi pai rawa atu hei whakaū i te mate 100%. Ka tangohia he wahi kiko iti rawa mai i te pukahukahu mā te pokanga, ā, ka tirohia i raro i te karuārai. Mā tēnei ka taea te whakatau tika mēnā he pūtau, he pūtau-pūtau rānei.
He aha ngā maimoatanga mō te NSIP?
Ko ngā whāinga matua o te rongoā i te NSIP he whakaiti i te mumura i roto i ngā pukahukahu, he whakahaere i te kino haere o te mate, me te āwhina ki te pupuri i te kounga o tō oranga.
He rerekē ngā tikanga maimoatanga i ia tūroro, i ia tūroro, ā, e whakawhirinaki ana ki te momo mate.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā rongoā corticosteroid (Corticosteroids) | Hei tauira, ko ngā rongoā pēnei i te (Prednisone). Ka mahi ēnei mā te whakaiti i te mumura i roto i te tinana me ngā pukahukahu. |
| Ngā rongoā ārai mate | Ngā rongoā pēnei i te 'azathioprine', te 'cyclophosphamide', te 'mycophenolate'. Ka mahi ēnei mā te whakahaere i ngā mahi kāore e hiahiatia o te pūnaha ārai mate o te tinana. He mea nui rawa atu ēnei mō te hunga whai mate '(autoimmune)'. |
| Ngā rongoā ārai-fibrotic | Ngā rongoā pēnei i te pirfenidone me te nintedanib. Ka hoatu ēnei ki te hunga whai NSIP Fibrotic. Ka āwhina i te whakaroa i te tere o te hanga kōhatu i roto i ngā pukahukahu. |
| Te whakaora i te pūkahukahu | He rite te hiranga o tēnei ki te whakarato rongoā. Kei roto ko ngā mahi whakakori tinana motuhake hei whakapakari i ngā pukahukahu, ngā tikanga manawa, me te mātauranga mō te mate. |
| Te rongoā hāora | Te whakarato hāora ki te hunga he iti te taumata hāora i roto i te toto, inā koa ka ngenge rātou. |
| Te whakawhitinga pūkahukahu | Ko te huarahi whakamutunga mēnā ka kore e angitu ngā maimoatanga katoa, ā, ka kino haere te mate. |
Ka pēhea te āhua o te oranga me te NSIP? (Te Matapae)
He pātai tēnei a te tini tāngata. Ko te whakautu ki tēnei, kei te momo NSIP kei a koe.
- Mō te Cellular NSIP: He tino pai te tirohanga mō ēnei tāngata. Mēnā ka tika te maimoatanga, e tata ana ki te 100% te tūponotanga o te ora i roto i ngā tau e 5 i muri i te tātaritanga. I te nuinga o te wā, ka taea te whakaora katoa.
- Mō te NSIP Fibrotic: Kāore e taea te whakakore i te kino o ngā pukahukahu i konei. Nō reira he kino ake te āhua. Heoi, ka taea e ngā maimoatanga kua whakahuatia i mua te whakahaere me te whakaroa i te haere whakamua o te mate. E whakaatu ana ngā pūrongo hauora ka taea e te tangata te ora i waenga i te 6 me te 14 tau i muri i te tātaritanga.
Nō reira, he mea nui te tautuhi i te mate i te wā tōmua me te tīmata i te maimoatanga tika kia roa ai te ora.
Me aha koe?
Ki te kī atu tō tākuta kei a koe te NSIP, kaua e mataku. He iti noa ngā mea ka taea e koe te mahi.
- Kia tika te whai i ngā tohutohu a tō tākuta me tana mahere maimoatanga. Tangohia te rongoā i te wā tika, me te horopeta tika.
- Mena kei a koe tētahi atu mate hauora, pērā i te mate rumatiki, kia pai te whakahaere i taua mate.
- Ki te kite koe i ētahi huringa o ō tohumate, pērā i te piki haere o te ngenge, me whakamōhio tonu atu ki tō tākuta.
- Ki te kai paipa koe, kati tonu. Ka nui ake te kino o te kai paipa ki ō pukahukahu.
Mena he maremare maroke tōu, he uaua rānei ki te manawa kua roa nei, me toro atu ki te tākuta kia tirohia koe, kaua e whakaaro he mea noa. Ka kino haere te NSIP mena kāore e rongoatia.
Karere Tangohia ki te Kāinga
- Ehara te NSIP i te niumōnia e mōhiotia whānuitia ana e tātou. I roto i tēnei, ka puta te mumura i roto i ngā kiko i waenganui i ngā pēke hau o ngā pukahukahu.
- Ko te maremare maroke roa me te whewhe i te wā e ngenge ana koe ngā tohu matua o tēnei mate. Kaua e warewaretia ēnei.
- E rua ngā momo matua o te NSIP. Ka taea te whakaora katoa i te momo 'Cellular' mā te rongoā. Ahakoa he kino te momo 'Fibrotic', ka taea te whakahaere mā te rongoā.
- He mea tino nui te kite wawe me te whai i ngā tohutohu a tō tākuta hei ārai i te kino tuturu o te pukahukahu.
- Mena kei a koe tētahi mate hononga-pūkahukahu pērā i te rumatiki rheumatoid, kia tūpato koe ki ēnei tohu e pā ana ki te pukahukahu.
No comments yet. Be the first to share your question or experience below.