Faʻamaʻi pipisi na mafua mai i fualaʻau

O fualaʻau mamai na mafua mai i fualaʻau o le mama i le mama na aumaia e le leaga le tali atu i se vailaʻau. Pulmonary o lona uiga e fesoʻotaʻi ma māmā.

Tele ituaiga o manuʻa manuʻa e mafua mai i vailaʻau. E masani a e le mafai ona valoʻia poʻo ai o le a maua i faʻamaʻi o le mama mai se vailaʻau.

Ituaiga o faʻafitauli o le mama poʻo faʻamaʻi e ono mafua mai i vailaʻau e aofia ai:

• Tali a le kanesa - sela, hypersensitivity pneumonitis, poʻo le eosinophilic pneumonia
• Toto i totonu o le ea ea ato, taʻua o le alveoli (alveolar hemorrhage)
• Fula ma fulafula aʻa i le autu auala e ave le ea i le mama (bronchitis)
• Faʻaleagaina i māmā tino (interstitial fibrosis)
• Fualaʻau e mafua ai le sese o le tino e osofaʻi sese ma faʻaleagaina maloloina tino tino, pei o fualaʻau-faʻaosofia lupus erythematosus
• Granulomatous mama faʻamaʻi - o se ituaiga o mumu i le mama
• Fula o le ea ea sac (pneumonitis po o le faʻasolo)
• Vasculitis mama (pupuga o alatoto toto)
• Fula fulafula node
• Fulafula ma itaitagofie (pupuga) o le vaega o le fatafata i le va o le mama (mediastinitis)
• Faʻateleina le faʻaputuputuina o vai i le mama (pulmonary edema)
• Faʻaputuga o vai i le va o faaputuga pepa e faʻapipiʻi ai le mama ma le pusa o le pusa (pleural effusion)

Tele vailaʻau ma vailaʻau e iloa e mafua ai faʻamaʻi mama i nisi tagata. E aofia ai:

• Antibiotics, pei o nitrofurantoin ma fualaʻau sulfa
• Fatu fualaʻau, pei ole amiodarone
• Chemotherapy vailaʻau pei o bleomycin, cyclophosphamide, ma methotrexate
• Vailaau i luga o auala

Faʻailoga mafai ono aofia ai soʻo se tasi o mea nei:

• Tino toto
• Tiga o le fatafata
• Mama
• Fiva
• Manava le mānava
• Uigi

O le tausi soifua maloloina o le a faia se faʻataʻitaʻiga tino ma faʻalogo i lou fatafata ma mama ma le stethoscope. E masani ona lagona le manava masani.

O suʻega e mafai ona faia e aofia ai:

• Kesi toto Arterial
• Toto suʻega e siaki ai se faʻamaʻi o le autoimmune
• Toto kemisi
• Bronchoscopy
• Faitau atoa le toto ma le toto eseʻese
• Suʻega o le fatafata CT
• Fatafata x-ray
• Lolo biopsy (i ni tulaga seasea)
• Luga gaioiga suʻega
• Thoracentesis (pe a fai o iai le pleural effusion)

O le laasaga muamua o le taofi le vailaʻau o loʻo mafua ai le faʻafitauli. O isi togafitiga faʻamoemoeina i ou faʻapitoa faʻailoga. Mo se faʻataʻitaʻiga, oe ono manaʻomia le okesene seʻia alualu i luma le faʻafitauli o le mama ua maua i le kanesa. O vailaʻau e teteʻe ai i le mumū e faʻaigoaina ole corticosteroids e masani ona faʻaaogaina e vave fesuiaʻi ai le puta ole māmā.

Matuitui vaega masani alu ese i totonu o le 48 i le 72 itula pe a maeʻa le vailaʻau. Faʻailoga masani atonu e umi atu se taimi e faʻaleleia atili ai.

O ni fualaʻau mama e mafua mai i fualaʻau, e pei o le pulmonary fibrosis, e le taitai alu ese ma mafai ai ona leaga, e tusa lava pe a uma ona taofi le vailaʻau poʻo vailaʻau ma mafai ai ona oʻo atu i ni maʻi o le mama ma le oti.

Faʻafitauli e ono tupu e aofia ai:

• Faʻafesoʻotaʻi fibrosis pulmonary interstitial
• Hypoxemia (maualalo le okesene o le toto)
• Faʻamalologa manava

Valaʻau lau tautua pe a fai oe maua i faʻamaʻi o lenei faʻamaʻi.

Manatua soʻo se taimi ua teʻa na e feagai ai ma se vailaʻau, ina ia mafai ai ona e aloese mai le vailaʻau i le lumanaʻi. Fai se taulima mataala faafomaʻi pe a fai e te iloa le tali atu i fualaʻau. Aloese mai fualaʻau faasaina i le auala.

Faʻamaʻi pipisi i totonu ole vaʻa - vailaʻau faʻatosina

• Faʻamaʻi pipisi i totonu ole vaʻa - tagata matutua - faʻateʻaina

• Respiratory system

Dulohery MM, Maldonado F, Limper AH. Faʻamaʻi pipisi na mafua mai i fualaʻau. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray ma Nadel's Textbook of Respiratory Medicine. 6th ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 71.

Kurian ST, Walker CM, Chung JH. Faʻamaʻi o le mama na maua i vailaʻau. I totonu: Walker CM, Chung JH, eds. Muller's Imaging of the Chest. 2nd ed. Filatelefaia, PA: Elsevier Saunders; 2019: chap 65.

Taylor AC, Verma N, Slater R, Mohammed TL. Leaga mo le manava: o se ata o vailaʻau-faʻaosofia i le pulmonary faamaʻi. Curr Probl Digan Radiol. 2016; 45 (6): 429-432. PMID: 26717864 www.ncbi.nlm.nih.gov/pubmed/26717864.