Rheumatoid mamaʻi

Rheumatoid mama faʻamaʻi o se vaega o le mama faʻafitauli e fesoʻotaʻi ma rheumatoid gugu. O le tuutuuga mafai aofia ai:

• Le poloka o tamaʻi vaʻalele (bronchiolitis obliterans)
• Fluid i le pusa (pleural effusions)
• Toto maualuga i le māmā (toto pulmonary)
• Lumps i totonu o mama (nodules)
• Faʻapaʻu (fibrosis pulmonary)

O faʻafitauli o le mama e masani ona maua i le gugu i le gugu. Latou masani ona mafua ai leai auga.

O le mafuaʻaga o faʻamaʻi mama e fesoʻotaʻi ma le gugu rumatika e leʻo iloa. O isi taimi, o vailaʻau e faʻaaoga e togafitia ai le rheumatoid arthritis, aemaise le methotrexate, e ono iʻu ai i le maʻi mama.

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

• Tiga o le fatafata
• Mama
• Fiva
• Manava le mānava
• Tiga soʻoga, malo, fula
• Paʻu nodules

O le tausi soifua maloloina o le a faia se faʻataʻitaʻiga tino ma fesili e uiga i ou faʻailoga.

Faʻalagolago faʻalagolago i le ituaiga o mama faamaʻi rheumatoid gugu mafua mai i le mama.

E ono lagona e le tagata o loʻo faʻataʻamilomilo (rales) pe a faʻalogo i mama i se stethoscope. Poʻo, atonu e i ai faʻaititia manava leo, wheezing, o se olo olo, poʻo masani manava leo. A faʻalogo ile fatu, e i ai ni leo le masani ai o le fatu.

O suʻega o loʻo mulimuli mai e ono faʻaalia ai faʻailoga o le rheumatoid māmā faʻamaʻi:

• Fatafata x-ray
• CT faʻataʻitaʻi le fatafata
• Echocardiogram (ono faʻaalia le toto maualuga toto)
• Lolo biopsy (bronchoscopic, vitio-fesoasoani, pe matala)
• Luga gaioiga suʻega
• Nila tuu i totonu o le suavai faataamilo i le māmā (thoracentesis)
• Toto tofotofoga mo rheumatoid gugu
  

Tele o tagata ma lenei tulaga e leai ni faʻailoga. Togafitiga e faʻatatau i faʻafitauli tau le soifua maloloina e mafua ai le faʻafitauli o le mama ma faʻafitauli e mafua mai ile maʻi. O Corticosteroids poʻo isi vailaʻau e tineia le tino puipuia e aoga tele i isi taimi.

O taunuʻuga e fesoʻotaʻi ma le faʻafitauli o loʻo tupu ma le ituaiga ma le ogaoga o faʻamaʻi mama. I tulaga ogaoga, e mafai ona iloiloina le tuiina o mama. Lenei sili atu taatele i tulaga o bronchiolitis obliterans, pulmonary fibrosis, po o le toto maualuga toto.

O le faamaʻi o le Rheumatoid mama e ono taitai atu ai i:

• Pulu malepe (pneumothorax)
• Toto maualuga

Valaau vave lau tautua peʻa iai sau gugu i le gugu ma ua e maua i ni faʻalavelave faigata tau manava.

Maʻi kanesa - rheumatoid gugu; Rheumatoid nodules; Māmā Rheumatoid

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

• Bronchoscopy
• Respiratory system

Corte TJ, Du Bois RM, Wells AU. Faamai fesoʻotaʻiga. 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 65.

Yunt ZX, Solomon JJ. Maʻi kanesa i le gugu rumatika. Rheum Dis Clin North Am. 2015; 41 (2): 225-236. PMID: PMC4415514 www.ncbi.nlm.nih.gov/pmc/articles/PMC4415514.