Maʻi Ālohilohi O Nā Mākū

ʻO ka maʻi ʻōpū ʻōpū (in-tur-STISH-ul), i kapa ʻia ʻo ILD, e wehewehe ana i kahi pūʻulu nui o nā kūlana. ʻO ka hapa nui o kēia mau kūlana e hoʻoulu ai i ka ʻāʻī a me ka ʻōpala o ka ʻiʻo o ka māmā. Ma ke ʻano o kēia kaʻina hana, e mānoanoa a paʻakikī ka ʻiʻo o ka māmā, e hana ʻana i ka paʻakikī o ka māmā e hoʻonui a hoʻopiha i ka ea. I kekahi manawa, ʻo ka ʻōpala mai ka maʻi ʻōpū ʻōpū e hana ʻana i ka paʻakikī o ka hanu a me ka loaʻa ʻana o ka oxygen i ke kahe koko. ʻO ka nui o ka poʻe me ILD e pōkole ka hanu me ka hana a hiki ke loaʻa ka ʻū maloʻo ʻino. Hiki i ka maʻi ʻōpū ʻōpū ke loaʻa nā kumu he nui, me ka hoʻopaʻa ʻana i nā mea pōʻino e like me ka asbestos. Hiki i kekahi ʻano o nā maʻi autoimmune, e like me ka rheumatoid arthritis, ke hoʻoulu i ka maʻi ʻōpū ʻōpū. Akā, ʻaʻole i ʻike ʻia ke kumu i kekahi manawa. Hiki iā ILD ke loaʻa nā kumu he nui, no laila e ʻokoʻa ai ka mālama ʻana. Hiki i ka maʻi ke ʻoi aku ka ʻino a i ʻole wikiwiki i kahi wikiwiki ʻaʻole hiki ke wānana pinepine ʻia. I ka wā i hiki mai ai ka ʻōpala o ka māmā, ʻaʻole ia e hiki ke hoʻihoʻi ʻia. ʻO ka mālama ʻana e kau ana i ka hoʻopaʻa ʻana i ka ʻōpala hou mai ka hiki ʻana, ka mālama ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola. Hiki i nā lāʻau ke hoʻolohi i ka pōʻino o ka maʻi ʻōpū ʻōpū, akā ʻaʻole loaʻa i ka nui o ka poʻe ka hoʻohana piha ʻana i ko lākou mau māmā. ʻO ka hoʻololi ʻana i ka māmā he koho no kekahi poʻe me ILD.

ʻO nā hōʻailona nui o ka maʻi hanu interstitial: ka hanu pōkole i ka hoʻomaha a i ʻole ka hanu pōkole e ʻoi aku ka ʻino me ka hana kino. Ka makeʻe maloʻo. I ka manawa e ʻike ʻia ai nā hōʻailona ma kekahi mau ʻano o ka maʻi hanu interstitial, ua hana mua ʻia ka pōʻino lōʻihi o ka māmā. No laila, he mea nui ia e ʻike i kāu limahana mālama ola i ka hōʻailona mua o nā pilikia hanu. He nui nā kūlana ʻē aʻe ma mua o ka ILD e hiki ke hoʻopilikia i kou mau māmā. He mea nui ka loaʻa ʻana o kahi ʻike pololei a kakahiaka nui no ka mālama kūpono.

I ka manawa e hōʻike mai ai nā hōʻailona ma kekahi mau ʻano o ka maʻi interstitial lung, ua hana mua ʻia ka pōʻino lōʻihi o ka māmā. ʻO ia ke kumu e pono ai ke ʻike i kāu kauka mālama ola i ka hōʻailona mua o ka pilikia hanu. He nui nā kūlana ʻē aʻe ma mua o ka ILD e hiki ke hoʻopilikia i kou māmā. He mea nui ka loaʻa ʻana o kahi ʻike pololei a kakahiaka nui no ka mālama kūpono.

Ma kou mākū, ʻo nā ala nui o ka ea, i kapa ʻia ʻo bronchi, ke lālā aku nei i nā ala liʻiliʻi a me nā ala liʻiliʻi. ʻO nā ala liʻiliʻi loa, i kapa ʻia ʻo bronchioles, e alakaʻi ana i nā ʻeke ea liʻiliʻi i kapa ʻia ʻo alveoli.

Me he mea lā e kū mai ana ka maʻi interstitial lung i ka wā e hōʻeha ai kahi hōʻeha i kou mau mākū i kahi pane ho'ōla ʻaʻole kūpono. Ma ke ʻano maʻamau, e hana pono kou kino i ka nui o ka pūnaewele e hoʻoponopono ai i ka hōʻeha. Akā i ka ILD, ʻaʻole hana pono ke kaʻina hana hoʻoponopono. Hoʻoulu ʻia ka pūnaewele ma loko a puni nā ʻeke ea o nā mākū, i kapa ʻia ʻo alveoli, e hoʻoulu ʻia, ʻeha a mānoanoa. ʻO kēia ka mea e paʻakikī ai ka oxygen e hele i loko o kou kahe koko.

He nui nā ʻano o ka maʻi interstitial lung. Hoʻokaʻawale ʻia lākou ma ke ʻano maʻamau e nā kumu i ʻike ʻia a i ʻole i ʻike ʻole ʻia:

• Kau hana a i ʻole ke kaiapuni.
• Ke kūlana systemic underlying.
• Kekahi mau ʻano lāʻau lapaʻau, a i ʻole ka radiation.
• ʻAʻohe kumu i ʻike ʻia.

Hiki ke pili kekahi mau maʻi interstitial lung i ka puhipaka.

ʻO ka lōʻihi o ka hōʻike ʻana i kekahi mau mea ʻawaʻawa a me nā mea haumia e hiki ke hōʻino i kou mau mākū. No ka laʻana:

• Pneumoconiosis. ʻO Pneumoconiosis (noo-moe-koh-nee-O-sis) kahi ʻano o ka maʻi interstitial lung i hana ʻia e ka hanu ʻana i kekahi mau ʻano lepo mai ka hana a i ʻole kekahi kaiapuni ʻē aʻe ma kahi manawa lōʻihi. Hiki i nā maʻi i loko o kēia hui ke hoʻokumu i ka ʻeha a me ka hōʻino ʻana i nā mākū ma ka manawa, e alakaʻi ana i ka pōkole o ka hanu a me ka hiki ʻole ke lawe i ka oxygen. ʻAʻole hiki ke hoʻihoʻi ʻia kēia mau hōʻailona. Hoʻoinoa pinepine ʻia ka maʻi ma hope o ke ʻano o ka hōʻike ʻana a i ʻole ke kuleana hana ponoʻī. Loaʻa iā lākou nā maʻi e like me ka mākū o ka mea kalapona, i hana ʻia e ka hanu ʻana i ka lepo kalapona, a me ka asbestosis, i hana ʻia e ka hanu ʻana i nā ʻāpana asbestos. Loaʻa pū kēia mau maʻi i ka silicosis, i hana ʻia e ka hanu ʻana i ka lepo silica.
• Hypersensitivity pneumonitis. Hoʻokumu ʻia kēia hoʻoulu ʻana o nā mākū e ka hanu ʻana i nā mea hoʻonāukiuki i ka lewa, pinepine e pili ana i nā protein o nā mea ola. ʻO nā mea hoʻonāukiuki maʻamau loa i ka lewa ʻo ia nā protein manu, nā ʻōpala a i ʻole nā ​​​​bacteria. Hoʻoinoa pinepine ʻia nā kūlana o kēia ʻano ma hope o ke ʻano a i ʻole ke kumu o ka hōʻike ʻana. No ka laʻana, pili ka maʻi pigeon-breeder a i ʻole ka maʻi aloha manu i ka hōʻike ʻana i ka protein manu, a pili ka maʻi mahiʻai i ka hōʻike ʻana i ka mauʻu pala. Hiki i nā kānaka me kēia ʻano hoʻoulu ʻana o nā mākū ke maikaʻi ma ka noho ʻana mai ka mea hoʻonāukiuki. Akā hiki ke ʻoi aku ka maikaʻi o kēia ʻano hoʻoulu ʻana o nā mākū a alakaʻi i ka hōʻino lōʻihi inā hoʻomau nā kānaka i ka hanu ʻana i ka mea hoʻonāukiuki.

Hiki i kekahi mau maʻi a i ʻole nā ​​kūlana ke alakaʻi i ka maʻi interstitial lung. No ka laʻana:

• Nā maʻi connective tissue. Loaʻa kēia i nā maʻi autoimmune, e like me ka rheumatoid arthritis, scleroderma a me ka maʻi connective tissue hui. Hoʻopuka kēia mau maʻi i kahi pane pale ʻaʻole kūpono a hiki ke hoʻokumu i ka hoʻoulu ʻana o nā pūnaewele a me ka ʻeha i ke kino, me nā mākū.
• Sarcoidosis. He maʻi kēia e komo pū ana i ka ulu ʻana o nā hōʻiliʻili liʻiliʻi o nā sela hoʻoulu i kapa ʻia ʻo granulomas ma kekahi ʻāpana o kou kino - pinepine loa nā mākū a me nā lymph nodes. ʻO nā ʻōnaehana i hoʻopilikia pinepine ʻia ʻo nā maka, ka ʻili, ka naʻau, ka spleen a me ke ake.

Hiki i kekahi mau ʻano lāʻau lapaʻau ke hoʻokumu i ka maʻi interstitial lung i kekahi poʻe. Hiki paha kēia a i ʻole ʻaʻole hiki ke hoʻihoʻi ʻia ma muli o ke ʻano a me ka lōʻihi o ka hōʻike ʻana.

ʻO nā lāʻau lapaʻau i pili pinepine ʻia me ka ILD:

• Nā lāʻau chemotherapy. ʻO nā lāʻau i hoʻolālā ʻia e pepehi i nā sela kanesa, e like me ka bleomycin, gemcitabine a me nā mea pale ʻana i ka immune checkpoint, hiki ke hōʻino i ka pūnaewele mākū.
• Nā lāʻau naʻau. Hiki i kekahi mau lāʻau i hoʻohana ʻia e mālama i nā heartbeat kūpono ʻole, e like me ka amiodarone (Nexterone, Pacerone), ke hōʻino i ka pūnaewele mākū.
• Kekahi mau antibiotics. Hiki i ka Nitrofurantoin (Macrobid, Macrodantin, nā mea ʻē aʻe) a me ka daptomycin ke hōʻino i nā mākū.
• Nā lāʻau anti-inflammatory. Hiki i kekahi mau lāʻau anti-inflammatory, e like me ka methotrexate (Trexall, Xatmep, nā mea ʻē aʻe) a i ʻole sulfasalazine (Azulfidine), ke hōʻino i nā mākū.

ʻO ka radiation i kuhikuhi ʻia i ka umauma i ka wā o nā mālama no kekahi mau ʻano kanesa - nā kanesa umauma a me nā mākū, no ka laʻana - hiki ke alakaʻi i ka hōʻeha a i ʻole ka ʻeha lōʻihi i kekahi poʻe. Pehea ka nui o ka hōʻino ʻana e hilinaʻi paha ma:

• Pehea ka nui o ka mākū i hōʻike ʻia i ka radiation.
• Ka nui o ka radiation i hāʻawi ʻia.
• Inā hoʻohana ʻia ka chemotherapy.
• Inā aia ka maʻi mākū underlying.

ʻO ka papa inoa o nā mea a me nā kūlana e hiki ke alakaʻi i ka maʻi interstitial lung he lōʻihi. ʻOiai pēlā, i kekahi poʻe, ʻaʻole loa e loaʻa ke kumu. Hoʻokaʻawale ʻia nā kūlana me ka ʻole o ke kumu i ʻike ʻia ma lalo o ka inoa o nā idiopathic interstitial pneumonias. No ka laʻana:

• Idiopathic pulmonary fibrosis, i kapa ʻia hoʻi ʻo IPF. ʻO IPF kahi maʻi mākū holomua maʻamau e kū mai ana i ka wā e hōʻino ʻia a ʻeha ai ka pūnaewele mākū - ka mea i ʻike ʻia ʻo fibrosis. ʻO Idiopathic ka manaʻo ʻaʻole ʻike ʻia ke kumu. Hiki ke ʻike ʻia ʻo IPF ma ka imaging a me ka biopsy inā lawe ʻia kahi biopsy mākū. ʻO kēia pūnaewele mānoanoa, paʻakikī e hana paʻakikī ai i kāu mau mākū e hana pono. ʻO ka ʻano maʻamau o ka ILD, pinepine ka IPF e ʻoi aku ka maikaʻi a ʻaʻole hiki ke hoʻihoʻi ʻia.
• Cryptogenic organizing pneumonia, i kapa ʻia hoʻi ʻo COP. ʻO COP kahi kūlana mākū maʻamau kahi i hoʻoulu ʻia ai nā ala liʻiliʻi, i kapa ʻia ʻo bronchioles, a me nā ʻeke hoʻololi ea liʻiliʻi, i kapa ʻia ʻo alveoli. ʻO kēia hoʻoulu ʻana e paʻakikī ai ka hanu. Hōʻike nā hoʻokolohua imaging i ka pneumonia, akā ʻaʻole he maʻi ʻaʻai ʻo COP, a ʻaʻole ʻike ʻia ke kumu. He mea maʻamau ʻole ka ʻeha a i ʻole fibrosis, akā hiki ke hana i kekahi mau mea maʻi inā hoʻi mai ke kūlana.

Nā kumu e hiki ai ke loaʻa iā ʻoe ka maʻi interstitial lung disease (ILD):

• Makahiki. ʻOi aku ka nui o ka hopena o ka ILD i nā mākua, ʻoiai naʻe, loaʻa i kekahi mau pēpē a me nā keiki kēia maʻi.
• Hōʻike ʻia i nā mea ʻino ma ka hana a i ʻole i ke kaiapuni. ʻO ka hana ʻana ma ka ʻeli lāʻau, mahiʻai a i ʻole kūkulu hale, a i ʻole no kekahi kumu e hōʻike ʻia ai i nā mea haumia i ʻike ʻia e hōʻino i nā māmā, e hoʻonui i kou pilikia o ka loaʻa ʻana o ka ILD.
• Pāpā ʻana. ʻOi aku ka nui o kekahi mau ʻano o ka ILD i nā poʻe i puhi paka ma mua.
• Radiation a me chemotherapy. ʻO ka loaʻa ʻana o nā lāʻau radiation i kou umauma a i ʻole ka hoʻohana ʻana i kekahi mau lāʻau chemotherapy e hoʻonui i kou pilikia o ka maʻi māmā.
• Maʻi connective tissue. Hoʻopili kēia i nā maʻi autoimmune e hiki ke hoʻonui i kou pilikia o ka ILD.

Hiki i ka maʻi ālohilohi o nā mākū o ka māmā ke alakaʻi i kahi papa o nā pilikia weliweli i ke ola, me kēia mau mea: Ke koko kiʻekiʻe i loko o kou mau māmā, i kapa ʻia hoʻi ʻo ka hypertension pulmonary. ʻAʻole e like me ke koko kiʻekiʻe o ke kino holoʻokoʻa, hoʻopili wale kēia kūlana i nā arteries i loko o kou mau māmā. Hoʻopaʻa nā ʻili ʻili a i ʻole nā ​​paepae oxygen haʻahaʻa i nā kīʻaha koko liʻiliʻi loa, e kaupalena ana i ke kahe koko i loko o kou mau māmā. Hoʻokiʻekiʻe kēia i ke kaomi i loko o nā arteries pulmonary a hiki ke hoʻoino i ka hoʻololi ʻana o ka oxygen, e hoʻohaʻahaʻa ana i nā pae oxygen i loko o kou koko. He maʻi koʻikoʻi ka hypertension pulmonary e hiki ke ʻino aku i ka manawa, e hoʻopilikia ana i ka ʻaoʻao ʻākau o kou naʻau e hāʻule. Ka hāʻule ʻana o ka naʻau ʻākau, i kapa ʻia hoʻi ʻo cor pulmonale. Hana ʻia kēia kūlana koʻikoʻi i ka wā e pono ai ka lumi ʻākau haʻahaʻa o kou naʻau, i kapa ʻia hoʻi ʻo ka ventricle ʻākau, e pūʻiwa nui ma mua o ka maʻamau e hoʻoneʻe i ke koko ma o nā arteries pulmonary i pani ʻia. I ka hopena, hāʻule ka ventricle ʻākau mai ka hoʻoikaika hou. ʻO kēia pinepine ma muli o ka hypertension pulmonary. Ka hāʻule ʻana o ka hanu. I ka hopena o ka ILD maʻi mau, hana ʻia ka hāʻule ʻana o ka hanu i ka wā e haʻahaʻa loa ai nā pae oxygen koko, me ka piʻi ʻana o ke kaomi i loko o nā arteries pulmonary a me ka ventricle ʻākau, e hoʻopilikia ana i ka naʻau e hāʻule.

No ka pale ʻana i ka maʻi o nā mākala o ka mākala, e pale i ka pili ʻana i nā mea ʻino ma ka hana, e like me ka asbestos, ka lepo lanahu a me ka lepo silica. E pale pū kekahi i ka pili ʻana i nā mea ʻino i loko o ke kaiapuni, e like me ka protein manu, ka huʻi a me nā bacteria. Inā pono ʻoe e pili kokoke i kēia mau mea ʻino, e pale iā ʻoe iho ma ke komo ʻana i kahi respirator. ʻO nā ʻano ʻē aʻe e pale aku ai i ka ILD, ʻo ia ka ʻole o ka puhi ʻana a me ka pale ʻana i ka uahi puhi. Inā loaʻa iā ʻoe kahi maʻi autoimmune a i ʻole ke lawe nei ʻoe i nā lāʻau lapaʻau e hoʻonui ai i kou pilikia o ka loaʻa ʻana o ka ILD, e kamaʻilio me kāu kauka lapaʻau e pili ana i nā ʻanuʻu e hiki iā ʻoe ke hana e pale aku ai i ka ILD. E kiʻi pū kekahi i nā lāʻau pale, no ka mea, hiki i nā maʻi hanu ke hoʻoino i nā hōʻailona o ka ILD. E hōʻoia ʻoe e kiʻi i ka lāʻau pale pneumonia a me kahi pana flu i kēlā me kēia makahiki. E nīnau pū kekahi i kāu kauka lapaʻau e pili ana i ka kiʻi ʻana i nā lāʻau pale no ka pertussis, COVID-19 a me ka maʻi hanu syncytial hanu, i kapa ʻia ʻo RSV.

He mea paʻakikī ka loaʻa ʻana o ke kumu o ka maʻi o ka mākū o ka mākū, a i kekahi manawa ʻaʻole hiki ke loaʻa ke kumu. Nui nā kūlana i komo i loko o ka māhele o ka ILD. Eia kekahi, hiki i nā hōʻailona o ka nui o nā kūlana olakino ke ʻano he ILD. Pono nā limahana mālama ola e kāpae i kēia mau kūlana ma mua o ka hana ʻana i kahi ʻike. Hiki paha ke pono kekahi o kēia mau hoʻokolohua. Nā hoʻokolohua lapaʻau Nā hoʻokolohua koko. Hiki i kekahi mau hana koko ke ʻike i nā protein, nā antibody a me nā mea hōʻailona ʻē aʻe o nā maʻi autoimmune a i ʻole nā pane inflammatory i nā hōʻike ʻana i ke kaiapuni, e like me nā mea i hana ʻia e nā molds a i ʻole ka protein manu. Nā hoʻokolohua kiʻi ʻana Computerized tomography, i kapa ʻia hoʻi he CT scan. ʻO kēia hoʻokolohua kiʻi ke kī i ka ʻike ʻana i ka maʻi o ka mākū o ka mākū. ʻO ia kekahi manawa ka hoʻokolohua mua i ka ʻike ʻana. Hoʻopuka nā mīkini CT i nā kiʻi 3D o nā ʻano kūloko. Hiki i kahi CT scan kiʻekiʻe ke kōkua nui i ka ʻike ʻana i ka nui o ka pōʻino o ka mākū. Hiki iā ia ke hōʻike i nā kikoʻī o ka fibrosis, kahi e hiki ai ke hoʻoemi i ka ʻike a alakaʻi i nā hoʻoholo mālama. Echocardiogram. Hoʻohana ka echocardiogram i nā nalu kani e ʻike i ka naʻau. Hiki iā ia ke hana i nā kiʻi paʻa o nā ʻano o kou naʻau a me nā wikiō e hōʻike ana i ka hana ʻana o kou naʻau. Hiki i kēia hoʻokolohua ke ana i ka nui o ke kaomi ma ka ʻaoʻao ʻākau o kou naʻau. Nā hoʻokolohua hana mākū Spirometer Hoʻonui i ke kiʻi E pani i ka Spirometer Spirometer ʻO ka spirometer kahi mea hana ʻike e ana i ka nui o ka ea āu e hiki ai ke hanu a me ka manawa e pono ai e hanu piha ma hope o kou hanu hohonu. Spirometry a me ka diffusion capacity. Pono kēia hoʻokolohua e hanu koke a ikaika ma o kahi paipu i hoʻopili ʻia i kahi mīkini. Ana ka mīkini i ka nui o ka ea i hiki i kou mau mākū ke paʻa a me ka wikiwiki o kou neʻe ʻana i ka ea mai kou mau mākū. Ana pū ia i ka maʻalahi o ka neʻe ʻana o ka oxygen mai kou mau mākū i loko o kou kahe koko. Oximetry. Hoʻokomo ʻia kahi mea liʻiliʻi ma kekahi o kou mau manamana lima e ana i ka pae oxygen i loko o kou koko. Hiki ke hana ʻia kēia hoʻokolohua i ka hoʻomaha a i ʻole me ka hana e nānā i ke kaʻina o ka maʻi mākū a ʻike i ka nui o kona koʻikoʻi. Ka nānā ʻana i ka ʻiʻo mākū I kekahi manawa, hiki ke ʻike ʻia nā maʻi mākū o ka mākū ma ka nānā wale ʻana i kahi liʻiliʻi o ka ʻiʻo mākū i loko o kahi lapaʻau - ka mea i ʻike ʻia he biopsy. Hiki i kāu kauka a i ʻole kekahi limahana mālama ola ke lawe i kahi laʻana o ka ʻiʻo me kekahi o kēia mau ʻano: Bronchoscopy. I kēia kaʻina hana, wehe kāu limahana mālama ola i nā laʻana liʻiliʻi loa o ka ʻiʻo - ʻaʻole nui ma mua o ke poʻo o kahi pine. Hana ʻia kēia ma ka hoʻohana ʻana i kahi paipu liʻiliʻi, palupalu, i ʻike ʻia hoʻi he bronchoscope, i hoʻohana ʻia ma o kou waha a i ʻole ihu i loko o kou mau mākū. ʻO nā pilikia o ka bronchoscopy he liʻiliʻi, ʻo ia hoʻi ka ʻeha ʻana o ka ʻāʻī no kahi manawa pōkole a me ka leo ʻole mai ka bronchoscope. Akā, i kekahi manawa he liʻiliʻi loa nā laʻana o ka ʻiʻo e hana i kahi ʻike. Bronchoalveolar lavage. I kēia kaʻina hana, hoʻokomo kāu kauka i kahi punetune o ka wai paʻakai maʻemaʻe ma o ka bronchoscope i loko o kahi ʻāpana o kou mākū a laila hoʻopio koke ia. Loaʻa i ka wai i lawe ʻia nā cell mai kou mau ʻeke ea. ʻOiai ke lawe ʻana o ka bronchoalveolar lavage i kahi ʻāpana nui o ka mākū ma mua o nā kaʻina hana ʻē aʻe, ʻaʻole paha ia e hāʻawi i ka ʻike lawa e ʻike ai i ke kumu o ka pulmonary fibrosis. Surgical biopsy. ʻOiai he kaʻina hana ʻoi aku ka nui o kēia me nā pilikia hiki ke loaʻa, ʻo ia pinepine ke ala wale nō e loaʻa ai ka laʻana o ka ʻiʻo nui e hana i ka ʻike pololei. Hoʻohana ʻia ka anesthesia maʻamau no kēia hoʻokolohua. Hoʻokomo ʻia nā mea hana ʻoki a me kahi kāmela liʻiliʻi ma o hoʻokahi a ʻoi aku paha nā ʻoki liʻiliʻi ma waena o nā iwi ʻaoʻao. Hāʻawi ka kāmela i kahi kauka e ʻike i nā mākū ma kahi monitor wikiō ʻoiai e wehe ana i nā laʻana o ka ʻiʻo mai nā mākū. Mālama ma Mayo Clinic Hiki i kā mākou hui mālama o nā loea Mayo Clinic ke kōkua iā ʻoe me kou mau pilikia olakino e pili ana i ka maʻi mākū o ka mākū Hoʻomaka Maanei ʻIke hou aku Mālama maʻi mākū o ka mākū ma Mayo Clinic Bronchoscopy CT scan Echocardiogram Spirometry Hōʻike i ka ʻike pili hou aku

ʻAʻole hiki ke hoʻihoʻi hou i ka ʻili o ka mākū i hana mua ʻia ma ka maʻi mākū interstitial, a ʻaʻole mau ka mālama ʻana e pale aku i ka maʻi mai ka ʻino ʻana. Hiki i kekahi mau lāʻau lapaʻau ke hoʻomaikaʻi i nā hōʻailona no ka manawa pōkole a i ʻole e hoʻolohi i ka maʻi. Loaʻa kekahi mau mea e kōkua i ka mālama ʻana i ka maikaʻi o ke ola. Ma muli o ka nui o nā ʻano like ʻole o nā maʻi ʻili ʻili ʻaʻohe lāʻau lapaʻau i ʻāpono ʻia a i ʻike ʻia paha, hiki i nā hoʻokolohua lapaʻau ke koho e loaʻa ai kahi lāʻau lapaʻau hoʻokolohua. Nā lāʻau lapaʻau Ke hoʻomau nei ka noiʻi ikaika e ʻimi i nā koho mālama no nā ʻano kikoʻī o ka maʻi mākū interstitial. Hiki ke ʻokoʻa ka mālama ʻana ma muli o ke kumu o ka ILD a me ka pōʻino i hana ʻia i loko o nā mākū. Ma ka hoʻohana ʻana i ka ʻike ʻepekema hou loa, hiki i kāu limahana mālama ola ke ʻōlelo aku: Nā lāʻau Corticosteroid. I ka hoʻomaka mua, nui ka poʻe i ʻike ʻia me ka ILD i mālama ʻia me ka corticosteroid, ʻo ia hoʻi ka prednisone (Prednisone Intensol, Rayos). I kekahi manawa, mālama ʻia nā kānaka me nā lāʻau ʻē aʻe e kāohi i ka ʻōnaehana pale. Ma muli o ke kumu o ka ILD, hiki i kēia mau lāʻau ke hoʻolohi a i ʻole e mālama paha i ka maʻi mai ka ʻino ʻana. Nā lāʻau lapaʻau e hoʻolohi i ka ʻino ʻana o ka idiopathic pulmonary fibrosis. ʻO Pirfenidone (Esbriet) a me nintedanib (Ofev) nā lāʻau lapaʻau e hiki ke hoʻolohi i ka wikiwiki o ka ʻino ʻana o ka IPF. Ua ʻāpono ʻia hoʻi ʻo Ofev no nā kānaka me ka fibrosis mākū e ʻino nei ma muli o nā ʻano ʻē aʻe o ka maʻi mākū interstitial. He mea maʻamau nā hopena ʻaoʻao no nā lāʻau ʻelua. E kamaʻilio me kāu limahana mālama ola e pili ana i nā pono a me nā hemahema o kēia mau lāʻau. Nā lāʻau lapaʻau e hoʻemi i ka waikawa ʻōpū. Hoʻopili ka maʻi reflux gastroesophageal, i ʻike ʻia hoʻi ʻo GERD, i ka hapa nui o nā kānaka me ka idiopathic pulmonary fibrosis. Hoʻopili ʻia ʻo GERD i ka pōʻino mākū ʻino. Inā loaʻa iā ʻoe nā hōʻailona o ka reflux waikawa, hiki i kāu limahana mālama ola ke kuhikuhi i nā ala e mālama ai i ka GERD e hoʻemi i ka waikawa ʻōpū. Ka mālama ʻana i ka oxygen ʻAʻole hiki i ka hoʻohana ʻana i ka oxygen ke pale aku i ka pōʻino o ka mākū, akā hiki iā ia ke: Hoʻomaʻalahi i ka hanu a me ka hoʻoikaika kino. Pale aku a hoʻemi paha i nā pilikia mai nā pae haʻahaʻa o ka oxygen koko. Hoʻemi i ke kaomi koko ma ka ʻaoʻao ʻākau o kou naʻau. Hoʻomaikaʻi i kou hiamoe a me kou manaʻo maikaʻi. ʻOi aku ka nui o kou loaʻa ʻana i ka oxygen i kou hiamoe a i ʻole hoʻoikaika kino, ʻoiai kekahi poʻe e hoʻohana paha iā ia i ka lā a pau. Hoʻomaʻamaʻa pulmonary ʻO ka pahuhopu o ka hoʻomaʻamaʻa pulmonary ʻo ia ke hoʻomaikaʻi i kou hiki ke hana a ola i kahi ola piha a māʻona. ʻO ia ke kumu e kau nui ai nā papahana hoʻomaʻamaʻa pulmonary ma: Ke aʻo hou aku e pili ana i kou maʻi mākū. Hoʻoikaika kino, i hiki ai iā ʻoe ke lilo i mea hana kino hou aku no nā manawa lōʻihi. Nā ʻano hanu e hoʻomaikaʻi ai i kāu mau mākū. Kākoʻo manaʻo. Kūkākūkā meaʻai. ʻO ka ʻoki kino Hiki i ka hoʻololi mākū ke koho hope loa no kekahi poʻe me ka maʻi mākū interstitial koʻikoʻi i ka wā ʻaʻole i kōkua nā koho mālama ʻē aʻe. ʻIke hou aku Mālama maʻi mākū interstitial ma Mayo Clinic Hoʻololi mākū Nā lawelawe haʻalele puhi ʻana Noi i kahi manawa

ʻO ka noho ʻana me ka maʻi māmā lōʻihi he mea kaumaha ia ma ka manaʻo a me ke kino. Pono paha ʻoe e hoʻololi i kāu mau hana a me nā hana o kēlā me kēia lā—i kekahi manawa he nui—i ka wā e ʻino ai nā pilikia hanu a i ʻoi aku ka nui o nā pono mālama ola. He mea maʻamau nā manaʻo makaʻu, huhū a me ke kaumaha i kou kanikau ʻana i ka nalowale ʻana o kou ola kahiko a me ka hopohopo e pili ana i ka mea e hiki mai ana iā ʻoe a me kou ʻohana. E haʻi i kou mau manaʻo i kou poʻe aloha a me kāu limahana mālama ola. Hiki i ka kamaʻilio ākea ke kōkua iā ʻoe a me kou poʻe aloha e hoʻoponopono i nā pilikia manaʻo o kou maʻi. Eia kekahi, hiki i ka kamaʻilio maopopo ke kōkua iā ʻoe a me kou ʻohana e hoʻolālā no kāu mau pono inā ʻino aku kou maʻi. E noʻonoʻo e komo i kahi hui kākoʻo, kahi e hiki ai iā ʻoe ke kamaʻilio me nā kānaka e kū nei i nā pilikia e like me kāu. Hiki i nā lālā o ka hui ke kaʻana like i nā ʻano hoʻoponopono, hoʻololi i ka ʻike e pili ana i nā lāʻau hou a i ʻole e hoʻolohe wale i kou haʻi ʻana i kou mau manaʻo. Inā ʻaʻole ia he hui no ʻoe, makemake paha ʻoe e kamaʻilio me kahi kākāʻōlelo ma kahi kūlana hoʻokahi.