Bronchiectasis

O le Bronchiectasis ose faʻamaʻi e afaina ai auala tetele o alatele i mama. O lenei mafuaʻaga o auala vaʻaia e faʻalauteleina lautele.

Bronchiectasis mafai ona i ai i le taimi o le fanau mai pe pepe pe atiaʻe mulimuli ane i le olaga.

Bronchiectasis e masani ona mafua mai i le fulafula poʻo le faʻamaʻi o alatele e toe foʻi mai.

O isi taimi e amata i le tamaititi pe a maeʻa se faʻamaʻi pipisi o le mama pe manavaina se mea mai fafo. Manava i meaʻai meaʻai mafai foi ona taʻitaʻia ai lenei tulaga.

O isi mafuaʻaga o le bronchiectasis mafai ona aofia ai:

• Cystic fibrosis, o se faʻamaʻi e mafua ai ona tupu aʻe i luga māmā le mafiafia, ma pipisi
• Faʻafitauli o le autoimmune, pei o le rheumatoid arthritis poʻo le Sjögren syndrome
• O faʻamaʻi mama papala
• Leukemia ma kanesa fesoʻotaʻi
• Puʻupuʻu le atoatoa Immundrades
• Tulaga muamua ciliary dyskinesia (o se isi faamai masani)
• Siama i mycobacteria lē mamapala

Faʻailoga atinaʻe i le aluga o taimi. E ono tutupu ni masina poʻo ni tausaga talu ona tupu le mafuaʻaga o le bronchiectasis.

Umi umi (tumau) tale ma le tele aofaʻi o le manogi leaga sputum o le autu faʻailoga o le bronchiectasis. O isi faʻailoga e mafai ona aofia ai:

• Manava manogi
• Mauaina o le toto (itiiti masani i tamaiti)
• Le lavava
• Paʻepaʻe
• Papu le manava e atili ai le leaga i le faʻamalositino
• Paʻu pauna
• Uigi
• Fiva maualalo vasega ma afu i le po
• Faʻapipiʻiina o tamailima (seasea, faʻamoemoe ile mafuaʻaga)

E faʻataʻitaʻi e le tausi soifua le suʻega o le tino. A faʻalogo i le fatafata i le stethoscope, e ono faʻalogo le tagata e faʻaavanoaina ni tamai kili, paʻu, faʻapaʻu, paʻu, poʻo isi leo, e masani lava i mama maualalo.

O suʻega e mafai ona faia e aofia ai:

• Aspergillosis precipitin tofotofoga (e siaki ai faʻailoga o se faʻaletonu tali atu i fungus)
• Suʻesuʻega ole toto ole Alpha-1 antitrypsin
• Fatafata x-ray
• Fatafata CT
• Aganuu Sputum
• Faitau atoa le toto (CBC)
• Faʻataʻitaʻiga genetic, e aofia ai suʻega afu mo cystic fibrosis ma faʻataʻitaʻiga mo isi faʻamaʻi (pei o muamua ciliary dyskinesia)
• Suʻega ole paʻu ole PPD e siaki ai le faʻamaʻi o le mamapala ua mavae
• Serum immunoglobulin electrophoresis e fua ai polotini e taʻua o le immunoglobulins i le toto
• Lung gaioiga faʻataʻitaʻiga e fua ai le manava ma pe faʻafefea ona lelei gaioiga o mama
• Puipuiga le atoatoa workup

Togafitiga e faʻatatau i:

• Faʻatonutonuina faʻamaʻi ma sputum
• Faʻamalieina o poloka ala
• Puipuia le faʻafitauli mai le avea atili leaga

O alavai i aso uma e aveese ai sputum o se vaega o togafitiga. E mafai ona faʻaalia e le fomaʻi faʻamalosi tino le tagata i le tale o loʻo fesoasoani i le tale.

O vailaʻau e masani ona faʻatonuina. E aofia ai:

• Vailaau vailaau e togafitia ai siama
• Bronchodilators e tatala ala vaʻalele
• Faʻamoemoe e fesoasoani e faʻamalolo ma tale i luga le mafiafia puputu

O taotoga e aveʻese ai (faʻamaonia) atonu e manaʻomia le mama pe a le aoga vailaʻau ma o le faʻamaʻi o loʻo i se tamaʻi eria, pe afai o le tagata o loʻo tele le toto i le māmā. E sili atu ona masani ona mafaufauina pe a fai e leai se kenera poʻo maua predisposition i bronchiectasis (mo se faʻataʻitaʻiga, sili ono ono mafaufau pe i ai ni bronchiectasis i le tasi vaega o le māmā na o le muamua faʻalavelave).

O le vaʻaiga e faʻamoemoe ile mafuaʻaga faʻapitoa o le faʻamaʻi. Faʻatasi ai ma togafitiga, o le tele o tagata ola e aunoa ma sili atu le atoatoa ma le faʻamaʻi alualu lemu.

Faʻafitauli o le bronchiectasis ono aofia ai:

• Cor pulmonale
• Mauaina le toto
• Maualuga le okesene tulaga (i matuia tulaga)
• Maua o le niumonia
• Faʻanoanoa (i tulaga seasea)

Valaʻau lau tautua pe a fai:

• Paʻu tiga poʻo le manava puʻupuʻu e atili ai le leaga
• E i ai le suiga i le lanu poʻo le aofaʻi o phlegm oe tale i, pe afai e toto
• O isi faʻailoga e amata ona leaga pe le toe faʻaleleia atili i togafitiga

Oe mafai ona faʻaititia lou tulaga lamatia i le vave togafitia siama papala.

O tui puipui o tamaiti ma le tui puipuia o le fulū i le tausaga e fesoasoani e faʻaititia ai le ono maua o nisi faʻamaʻi. Aloese mai faʻamaʻi pipisi i luga o le manava, ulaula, ma le filogia e ono faʻaititia ai foʻi lou ono maua i lenei faʻamaʻi.

Bronchiectasis maua; Bronchiectasis amata; Faʻamaʻi o le mama faaumiumi - bronchiectasis

• Lolo taotoga - faʻateʻa

• Papa
• Respiratory system

Chan ED, Iseman MD. Bronchiectasis. 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 48.

Chang AB, Redding GJ. Bronchiectasis ma faʻamaʻi o le mama e masani ai. I le: Wilmott RW, Deterding R, Li A, et al, eds. Kendig's Disorder o le Respiratory Tract i Tamaiti. 9th ed. Filatelefia, PA: Elsevier; 2019: chap 26

O'Donnell AE. Bronchiectasis, atelectasis, cyst, ma faʻalavelave faʻafuaseʻi o mama. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 84.