Mate pūkahukahu interstitial: whakaahuatanga, take, tohu, te tātaritanga, whakarōpū me te maimoatanga

He aha e mate pūkahukahu interstitial? Ka kia whakaahuatia maimoatanga o enei mate, ratou tohu me te whakarōpūtanga muri.

whakarāpopototanga

mate pūkahukahu interstitial - ko te mate mau matatini o te kiko pūkahukahu i whakaatu mumura me te capillary endothelial hanganga takahi perivazalnyh taiepa pūtake me te kopa perilymphatic. He āhuatanga āhuatanga o taua huru pathological he dyspnea. Tenei tohu Ko te whakaata o te iti hoki pūkahukahu.

mate pūkahukahu interstitial maha arahi ki kakakīrehe. I roto i te mahi hauora hou, e kore te tenei wā whakamahia rite te Ild ōrite, engari i ētahi wā whakamahia tonu i roto i tenei tikanga.

whakarōpū

I aha pūtake wehewehe mate pūkahukahu interstitial? Ko te whakarōpū o enei mate puta i runga i te pūtake etiological o:

• Tauhohenga ki raau taero, ranei, kaua, ki paturopi, taero antiarrhythmic me taero mō te hahau.
• Inhalation o etahi matū i te reo e karapoti ana (inorganic me organic matū, silicosis, berylliosis, mate kiripaka, exogenous alveolitis pāwera hypersensitivity pneumonitis ranei).
• Nahanaha mate kiko tūhonohono (kaikōiwi, Scleroderma, erythematosus lupus pūnahanaha, dermatomyositis).
• Idiopathic (histiocytosis X, sarcoidosis, proteinosis kauae, idiopathic kakakīrehe pūkahukahu, idiopathic alveolitis interstitial, tae atu alveolitis interstitial whakapeka).
• Mate (Pneumocystis kakā, te mahaha, kohi).
• Associated mate interstitial pūkahukahu (ki ate mate: cirrhosis biliary tuatahi, kaha kakā, ki vasculitis pūkahukahu: granulomatosis lymphomatoid, granulomatosis a Wegener, hypersensitivity vasculitis, necrotizing vasculitis, nahanaha: he "uhi versus ope" tauhohenga).
• puku mārere (carcinomatosis limfangitny).

He aha e Ild?

Ka rite ki whakahuatia i runga ake, te mate pūkahukahu interstitial ko te rōpū mate Airways ingoa kano. E ratou i roto i te noa, ko te e pā ratou katoa nga interstices, e ko te wahi o te pūkahukahu.

kiko tūhonohono interstitial i huaina kiko pūkahukahu. whakarato te reira i te tautoko ki te sacs rangi mōkitokito me nga alveoli o te pūkahukahu.

oko toto haere i roto i te interstitium whakahaere hau utu mahi i waenganui i te rangi i roto i te wahi romahā me te toto. Ko na kikokore e kore ko reira kitea i runga i x-ray ranei i roto i CT kiko interstitial. Ko, ahakoa tenei, ko reira tonu e taea te kitea he mate i roto i te akoranga o enei ngā tirohanga.

meinga Tetahi mate pūkahukahu kiko tona thickening. kia hua te huru pathological pērā i te mumura, huamo scarring ranei. Ētahi momo o te lesion kiko interstitial hohoro haere, ētahi i he mahu ma'i ranei.

Take o te mate

He aha ahau he ahau mate pūkahukahu interstitial (tūtohutanga maimoatanga o tohunga ka kia te aroaro i raro)? He maha take rerekē o pāpaka pūkahukahu kiko. Hei tauira, kakā interstitial meinga e wheori, huakita harore ranei. Ko te whanaketanga o ētahi atu mate kia pā ana ai ki inhalation auau o nanamu pērā i papa kiripaka, talc, silica puehu, puehu whakarewa, waro ranei witi. Tino uaua pūkahukahu mate o tenei rōpū e hanga e tika ana ki te pānga o ngā wāhanga whakapōauau.

He āhuatanga o Ild ko e whai wāhi katoa o enei āhuatanga ki te whanaketanga o te tetahi mate. I roto i te nuinga o te wā i te take noho unknown.

tohu mate

Haaparare i mate pūkahukahu interstitial āhuatanga e mumura o te kiko pūkahukahu me tona kino muri. Taua āhua pathological haere tahi i te hāhā o te manawa. Ko te tohu matua o Ild tenei. I te tuatahi, e kore he kite rawa hāhā o manawa, engari ko reira utu te manawanui ki te mahi i mahi ranei piki arawhata, tonu ia hanga ite iho.

kia mōhio hoki tatou e hoki te āhuatanga te Ild e te mare maroke. Ano, ngaro tūroro taimaha tino. E ratou he mamae tahi me te uaua, te rohirohi. I roto i te wā matatau, kua whänui tomuri te tangata whao, ngutu, me te tahuri kiri puru. he āhuatanga pathological taua e pā ana ki ngā taumata iti o te hāora i roto i te toto.

Tātaritanga o interstitial mate pūkahukahu

Me pēhea te ki te tautuhi i te mate i raro i whakaarohia? Ka rite ki te tikanga, iwi ki Ild pulmonologist amuamu o te mare, me te hāhā o te manawa. Hei hanga i te tātaritanga tika, te tikanga whakamahi i te tākuta te tikanga marama e whai ake nei:

• tomography computed. Na roto i tenei tikanga, ka taea e koe te hanga i tētahi whakapakoko oti o nga pūkahukahu, me te hanganga pātata katoa. Ild tika ngāwari pāngia e CT.
• X-ray. he ako taua o te pouaka kei te nuinga o te wā whakamana ki te aromatawai i te huru whānui o te pūnaha pūkahukahu. puta interstitial Pāngia i roto i ngā whakaahua i roto i te puka o ngā rārangi pai.

• CT taumira High. tautuhinga matawai tika, me te wheako ngaio tino whakanui i te miramira tātaritanga o Ild.
• Lung unuhanga me ako o ngā tauira i raro i te karu. Tino maha he reira anake te huarahi ki te whakatau i te momo o te kino ki te pūkahukahu kiko. Ka taea te tango ona tauira whakamahi i Videoassisted thoracoscopic pokanga, bronchoscopy toraktomii ranei.

Me mahara hoki käore te reira e mo te aro mātai o te mahi romahā , etahi tohunga whakahaere whakamātautau motuhake, tae atu spirometry, plethysmography tinana, me etahi atu.

aratohu Treatment me haumanu

mate pūkahukahu interstitial - he rawa, he mate nui tono maimoatanga tonu tenei. kia te kaupapa o te maimoatanga o taua mate, ka tīpakohia pulmonologist anake, i runga i te take o te whanaketanga me te momo o te kino kiko rānei.

I roto i te nuinga o te wā, whakamana maimoatanga e paturopi Ild. He whai hua mō te maha ngā momo o te kakā interstitial o te take mai kitakita taua āpiha.

Ko kakā viral, rite ki te tikanga, rere reira takitahi. Hamani i te reira ki te paturopi e hiahiatia ana te. Me mahara hoki käore te reira e tenei mate onge, whakakorea e rua kakā fungal, Kei te anake i roto i āpiha antifungal motuhake.

Ko tētahi atu momo o te rongoā e whakamahia e te mo te maimoatanga o Ild he corticosteroids. Taua teuteu whakakore mumura, i roto i te pūkahukahu kore anake, engari ano hoki i roto i te tahi atu wahi o te tinana. E te ara, ka taea e ētahi atu āpiha whakamahia mo te maimoatanga o te mate i roto i te pātai anake pōturi iho te kino ki te pūkahukahu, me te te ino o to ratou mahi. Ano, maha pehi ratou te pūnaha ārai mate ki te whakaiti i mumura, e arata'i ki ētahi atu raruraru hauora.

Iwi ki te ihirangi hāora iti i roto i te pūnaha toto, tohunga tohutohu ki te manawa hāora i roto i ngā pūrere motuhake. Ka āwhina i ēnei ngā tukanga ki te whakapai ake i te huru whānui o te manawanui, me te ki te whakaki i te hiahia o te uaua ngakau i roto i te O _2.

kia mōhio hoki tatou e tākuta tūtohu ratou tūroro tango te wahi i roto i ētahi wā, he transplant pūkahukahu. Ko maha tenei te tikanga whai hua tino o e pā ana ki te mate, ina koa i roto i ngā take kino, me te matatau.

outlook

Ētahi tūroro i runga i te whakamārama o Ild whakawhanake kore ngakau, a reira he pēhanga toto tiketike i roto i te oko tana pukapuka. Ko te tūpono o te ora o te manawanui te ähua te akoranga mate ranei whakawhirinaki i runga i nga take mo to ratou whanaketanga, pakeke, me te tātaritanga wā. Me kï reira e idiopathic kakakīrehe pūkahukahu he tino rawakore waitohunga.