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.
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.
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