Interstitial akemāmā maʻi: hōʻike, kumu, symptoms,ʻike, a me ka Mea Maluna lapaʻau

He aha e interstitial akemāmā maʻi? E e ho'ākāka 'ia ma hope iapaau ana o kēia mau maʻi, kā lākou mau symptoms a me ka Mea Maluna.

Summary

Interstitial akemāmā maʻi - o ka luna 'maʻi maʻi o ka akemāmā'aʻaʻa i hoike mai ai ia li nui, a capillary endothelial' aʻe 'ole perivazalnyh alveolar pā pōhaku a me nā'aʻaʻa perilymphatic. A ano hiʻona o ia pathological kulana mea dyspnea. Kēia symptom He He manaʻo o pulmonary insufficiency.

Interstitial akemāmā maʻi pinepine alakai i ka fibrosis. Ma kēia 'inikua hana, keia makahiki ua ole ia me ka hua'ōlelo'ālike ILD, akā, i kekahi manawa hoʻohana nō i loko o keia ano.

Mea Maluna

Ma ka kumu hoomaopopo interstitial akemāmā maʻi? Na Mea Maluna o kēia mau maʻi ia lŘlŘ ma ka etiological muli o ka:

• No AiON ia ai ', a aho, i antibiotics, antiarrhythmic ai' a me ka ai 'no ka chemotherapy.
• Inhalation o kekahi mau waiwai, mai ka puni meakino ('okanikaʻole a me ke aloha waiwai, silicosis, berylliosis, asbestosis, allergic alveolitis exogenous a Hypersensitivity pneumonitis).
• Systemic connective'aʻaʻa maʻi (rheumatoid arthritis, scleroderma, systemic lupus erythematosus, dermatomyositis).
• Idiopathic (histiocytosis X, sarcoidosis, alveolar proteinosis, idiopathic pulmonary fibrosis, idiopathic interstitial alveolitis, a me huʻi interstitial alveolitis).
• Maʻiʻaʻai (Pneumocystis pneumonia, SARS, tuberculosis).
• Hui pu interstitial akemāmā maʻi (me ka ake maʻi: iniiaiie biliary cirrhosis,ʻeleu maʻi hepatitis, me ka pulmonary vasculitis: lymphomatoid granulomatosis, Wegener ka granulomatosis, Hypersensitivity vasculitis, necrotizing vasculitis, systemic; he "pakuiia auanei lakou kū'ē kaua" naoh).
• Malignant hikoko (carcinomatosis limfangitny).

He aha e ILD?

I haiia ae maluna,, ka interstitial akemāmā maʻi mea he nōhie inoa Hawaiian Airlines maʻi pae. Ka mea, i loko o na mea i ka mea, a pau lakou aloha ia na interstices, i ka hapa o ka ia maʻiʻaʻai.

Interstitial connective'aʻaʻa kapaia pulmonary'aʻaʻa. Ka mea, i nā kākoʻo i ka microscopic lewa sacs a me na alveoli o na ia maʻiʻaʻai.

moku koko maalo ae la oia ma ka interstitium hana kinoea mail hana ma waena o ka lewa i loko o ka naehana'āpana a me ke koko. Interstitial'aʻaʻa mea ai lahilahi i ia mea i hiki i ka m-Ray a wā HI. Akā, manaʻo huhū keia, ia mea no ka maʻi hiki ke 'akomi i loko o ka papa o kēia hoʻokolokolo' ana i.

Kekahi akemāmā'aʻaʻa maʻi i kona ai hanaʻia naʻe. Oia ka pathological ana i ho i ka li nui, a me ka haanou ana scarring. Kekahi mau 'ano o ka lesion interstitial'aʻaʻa e holo koke ma, oiai kekahi poe i maʻi a maʻi.

Kumu o ka maʻi

No ke aha la e au ka interstitial akemāmā maʻi (lapaʻau koi o ka poe akamai i e e hōʻike mai iā ia ma lalo nei)? Ua nui kekahi mau kumu o ka akemāmā'aʻaʻa lesions. No ka laʻana, interstitial pneumonia kena ae la ia e nā mea hoʻomaʻi, koʻohune a fungus. Ka hooulu ana i nā maʻi i ke pili me ka pololei, inhalation o irritants e like me asbestos, talc, ka silica i ka lepo, metala lepo, lanahu a me ka palaoa. Loa kākaʻikahi akemāmā maʻi o keia pae i hanaʻia ma muli o ai i ka hopena o narcotic eiiiiiaiou.

A hiʻona o ILD mea ia a pau o kēia mau kumumea he hoʻonui i ka hooulu ana i ka kekahi maʻi. Ma ka hapanui o na hihia i nā kumu kona mau helehelena.

maʻi symptoms

Eiei? Interstitial akemāmā maʻi wehewehe aku ma ka li nui o ka akemāmā'aʻaʻa a me kona mahope poino. Oia pathological Hawaii pu ma ka pokole o ka hanu. 'O kēia ka papa kuhikuhiE symptom o ILD. Ma mua, pokole o ka hanu mea,ʻaʻole nui kekahi ', akā, e pono ke kuai i ka hoʻomanawanui, e hana hoʻokō' a pii anuu, ua kauoha koke mea ia i manao ai.

Mākou E hoi e hoailona oukou ia ia no ka ILD ua wehewehe aku ma ka cough maloo. No hoi, e hoomanawanui i mi kino me ka nui loa. Ka mea, i ka Muscle hui a me ka eha, ka luhi. I nui kou hihia, he kanaka i abnormally hoomaka kui, mau lehelehe, a me ka ili huli uliuli. Oia ka pathological kŰia pili me ka haʻahaʻa pae o ka o oxygen i loko o ke koko.

ʻike, o interstitial akemāmā mai

Pehea e kuhikuhi i ka maʻi ma lalo o noonoo? E like me ka rula, kanaka me ILD pulmonologist ka hoohewa ana o ka cough a me ka pokole o ka hanu. E hana i ka pololeiʻike, ke kauka ana hoʻohana ke kēia malamalama kiʻina hana:

• Me tomography. Ma keia hana, e hiki ke hana i kekahi piha kiʻi o nā maʻiʻaʻai, like hoʻi me nā mea a pau e pili hale. ILD 'ano hoopuni diagnosed e HI.
• X-Ray. Oia ka like o ka pahu ua ana hana e Loiloi i ka nui ana o ka pulmonary nenoaiu. Loli interstitial hōʻike i nā kiʻi i loko o ka palapala o he laina.

• High ka hoʻonā 'HI. Pololei mīkiniʻimi napoo ana no hoi, e like me ka 'oihana ka hoao ana me ka nui loa hoʻonui i ka PalekanaEND_LINK hopenaʻoi loa o ILD.
• Akemāmā biopsy a me ka like ana o kekahi laʻana ma lalo o ka microscope. Muli o kona kulana pinepine ka mea, o ke ala wale i ka hoʻoholo 'ana i ke' ano o ke poho i ka akemāmā'aʻaʻa. Kona Eia kekahi laʻana hiki ke lawe hoʻohana Videoassisted thoracoscopicʻoki kino, bronchoscopy paha toraktomii.

Ua E hoi e kaulana ia no ka loiloi ' ana i naehana hanu hana , kekahi poe akamai i hana kūikawā e ho'āʻo ai, a me spirometry, kino plethysmography, a me na mea e ae.

Lapaau a me ka lapaʻau lula

Interstitial akemāmā maʻi - keia mea hala loa he maʻi nui e noi koke lapaau. Ke ano o ka hana maikaʻiʻole o na maʻi e e wae wale pulmonologist, ke kaumaha ma muli o ka aoao o ke? Acaeoey a me ke 'ano o ka'aʻaʻa ka pōʻino.

Ma ka hapanui o hoopii, lapaʻau ua hana ma ka ILD antibiotics. Oia konohiki, he mana no na ano o interstitial pneumonia o ka mea koʻohune kumu.

Like no ka mea hoʻomaʻi pneumonia, e like me ka rula, e holo kū kaʻawale. Pono ia me ka antibiotics ua koi 'ia. Ua E hoi e kaulana i keia pohihihi keia maʻi, nā fungal pneumonia, ua eliminated kekahi antifungal konohiki wale ma.

Kekahiʻano o ka lapaʻauʻia i ua hoʻohana 'ia no ka iapaau ana o ILD i corticosteroids. Oia hoomakaukau hoʻopau li nui,ʻaʻole wale nō i loko o nā maʻiʻaʻai, akā, i loko o nā māhele o ke kino. Ma ke ala, 'ē aʻe Luna hoʻohana no ka lapaau ana i ka maʻi i loko o nīnau hiki wale' ūlōlohi mai ana i ka poino i na maʻiʻaʻai, like hoʻi me ka mea hōʻemi o kā lākou hana. No hoi, ka mea pinepine uhi i ka'ōnaehana paleʻea'ōnaehana e ho'ēmi i li nui, i hiki aku ai i ola pilikia 'ē aʻe.

People me ka haahaa oxygen ma ka maʻiʻo ma ke koko'ōnaehana, poe akamai i kūkā e hanu i oxygen ma kūikawā manaʻo. Kēia mau kaʻina hana e kōkua e hoʻoikaika 'ia ai ka pono ana o ka hoomanawanui, e like me ka hoʻopiha i ka pono o ka naau Muscle i loko o ka O _2.

Mākou E hoi e hoailona oukou i kauka waiho aku lākou nā mea maʻi lawe wahi i loko o kekahi mau hihia, he akemāmā transplant. He pinepine ka loa ka hoʻokō ano o kanaka me ka me ka maʻi, o ka oi aku ma ka loa a me ka holomua hihia.

Outlook

Kekahi nā mea maʻi ma luna o ke kāʻei kua o ILD e hoʻomōhala ana i ka naʻau o ka hoʻokō 'ole, a me he mea kiʻekiʻe ke koko, i loko o nā ipu akemāmā. Ka hiki ole o ka hoʻomanawanui ka loaa ole worsening maʻi papa hilinaʻi ma luna o nā kumu i kā lākou ulu, ka oolea a me kaʻike, manawa. It E e kaulana i idiopathic pulmonary fibrosis mea ma mull prognosis ilihune.