So biribi a ɛyɛ nwonwa ato w’ahurututu? Momma yɛnka Cryptogenic Organizing Pneumonia (COP) ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ wowɔ atiridii a efi ase sɛ atiridiinini na ɛnyɛ yiye wɔ nna kakraa bi mu? Afei wufi ase fefe na ɛyɛ den sɛ wobɛhome bere a woabrɛ kakra mpo no? Ebia wubesusuw sɛ ɛyɛ ɔyare mmoawa bi kɛkɛ. Nanso, ɛnyɛ bere nyinaa na ɛte saa. Ɛnnɛ yɛbɛka ahurututu mu yare bi a ɛntaa nsi a ɛsɛ sɛ yɛn nyinaa hu ho asɛm. Wɔfrɛ no Cryptogenic Organizing Pneumonia , anaasɛ COP tiawa.

Dɛn ne Cryptogenic Organizing Pneumonia (COP)? Momma yɛnte ase kɛkɛ!

Okay, afei momma yɛnhwɛ nea ahurututu mu tebea a wɔfrɛ no COPD yi yɛ ankasa. Sɛ yɛbɛka no tiawa a, ɛyɛ tebea a ɛka mframa kotoku nketewa (alveoli) a ɛwɔ yɛn ahurututu mu – nneɛma nketenkete a ɛte sɛ balloon a oxygen fa mu kɔ mu na carbon dioxide fi mu bere a yɛhome no – ne mframa kwan nketewa (bronchioles) a ɛka ho no.

Nea ɛkɔ so wɔ saa (COP) tebea yi mu ne sɛ mframa kotoku ne mframa kwan nketewa yi ho hyehye . Sɛnea sɛ yɛwɔ kuru wɔ yɛn nipadua mu baabi a, ɛhoa, ɛyɛ kɔkɔɔ, na ɛyɛ yaw no, saa ara na ɛkɔ so wɔ ahurututu no mu. Nanso eyi nyɛ biribi a mmoawa anaa mmoawa te sɛ ahurututu mu yare a wɔyɛ no daa na ɛde ba. Eyi yɛ soronko.

Bere kɔ so no, ɔfe a ɛkɔ so yi betumi ama ahurututu no mu ntini no ayɛ akuru , na ɛno kyerɛ sɛ ahurututu no ntumi nyɛ adwuma yiye na entumi nyɛ adwuma yiye.

Asɛmfua "cryptogenic" kyerɛ "a wonnim nea ɛde ba." Eyi kyerɛ sɛ nnuruyɛfo da so ara nnim nea ɛde tebea yi ba ankasa (COP). Ɛno nti na ɛtɔ da bi a wɔde asɛmfua "idiopathic" di dwuma ma saa tebea yi, a ɛwɔ ntease koro no ara.

Hena na ɛda adi kɛse sɛ obenya saa (COP) tebea yi?

Saa tebea a wɔfrɛ no (COP) yi betumi aba obiara mu ankasa. Nneɛma te sɛ ɔbarima anaa ɔbea, abusuakuw, ne kɔla nnya so nkɛntɛnso. However, it is usually seen more commonly among people between the ages of 40 and 60. Another thing is that many people who develop this (COP) condition are non-smokers .

Afei nso, sɛ wowɔ nyarewa bi a ɛma obi ho hyehye no a, asiane a ɛwɔ hɔ sɛ wubenya COP no betumi ayɛ kɛse kakra. Nhwɛsoɔ:

• Lupus a ɛyɛ hu
• Ntini mu yare a ɛma ntini mu yare
• Scleroderma a ɛma nipadua no yɛ adwuma
• Multiple sclerosis a ɛma obi ho kyere no
• Inflammatory bowel disease - tebea horow te sɛ Crohn yare anaasɛ ulcerative colitis.

Nanso ɛnyɛ nokware sɛ obiara a ɔwɔ saa nyarewa yi benya COPD. Eyinom yɛ nneɛma a ɛde asiane ba ara kwa.

Tebea yi abu so dɛn?

Nokwarem no, COP yɛ tebea a ɛntaa nsi koraa.Wɔbɔ eyi ho amanneɛ wɔ nnipa 100,000 biara a wɔde wɔn kɔ ayaresabea wɔ United States no mu bɛyɛ baasa biara mu biako mu, enti ɛnyɛ nea ɛntaa nsi sɛ wɔbɛte ho asɛm.

Dɛn ne nea enti a wɔhyehyɛɛ (COP)?

Sɛnea yɛadi kan aka no, COP yɛ tebea bi a wɔfrɛ no "cryptogenic" anaa "idiopathic." Eyi kyerɛ sɛ wonhuu nea ɛde ba pɔtee biara . Ansa na nnuruyɛfo behu COP no, wɔbɛhwɛ yiye sɛ ebia nneɛma afoforo a ɛde sɛnkyerɛnne ahorow no ba na ɛde sɛnkyerɛnne ahorow no ba anaa. Sɛ nhwɛso no, wɔbɛhwɛ sɛ ɔyare mmoawa, mmoawa, fungi, anaa nnuru bi wɔ hɔ anaa. Bere a wɔapow eyinom nyinaa akyi nkutoo na wobebu COP sɛ ebetumi de aba.

Ayaresa mu tebea afoforo bi wɔ hɔ a ebetumi ne (COP) tebea no abata ho. Eyi kyerɛ sɛ nnipa a wɔwɔ saa tebea horow yi no hokwan a ɛba fam sɛ wobenya (COP).

• Lymphoma a ɛma mogya tu
• Ahurututu mu akisikuru
• Ahurututu mu kokoram
• Hematological cancers - kyerɛ sɛ, kokoram a ɛfa mogya mu nkwammoaa fitaa anaa mogya mu nkwammoaa kɔkɔɔ ho.

Dɛn ne (COP) tebea no ho sɛnkyerɛnne?

(COP) . ‍ .

• Awɔw a ɛyɛ nwini
• Dry cough (ɔfe a ɛnyɛ nea ɛsow aba) .
• Ɔbrɛ / adwenemhaw
• Aduan ho akɔnnɔ a ɛyera
• Huraeɛ
• Mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu
• Anadwo fifiri a ɛba

Ɛno akyi no, nnipa bɛyɛ 75% fi ase nya sɛnkyerɛnne ahorow a edidi so yi :

• Ɔfe a enni sabea
• Ahome a ɛyɛ tiaa / ahome a ɛyɛ den a wɔde mmɔdenbɔ ka ho . Fa no sɛ, wuntumi foro antweri te sɛ kan no, na wote nka sɛ wo home yɛ wo yaw bere a wonam kwan tiaa bi mpo no.

Ɛntaa mma koraa sɛ wobetumi ahu saa sɛnkyerɛnne ahorow yi nso:

• Koko mu yaw
• Ahurututu a abubu / pneumothorax
• Mogya a wɔfefe
• Nkwaa mu yaw
• Oxygen dodow a ɛba fam wɔ wo mogya mu / hypoxemia

Nea ɛho hia sen biara ne sɛ, sɛ wowɔ saa sɛnkyerɛnne ahorow yi, titiriw ɔfe a ɛyɛ kusuu na ɛyɛ den sɛ wobɛhome a ɛtra hɔ adapɛn pii a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn . Mma ntra fie kɛkɛ.

Ɔkwan bɛn so na wohu sɛ obi anya Cryptogenic Organizing Pneumonia (COP)?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm. Afei wɔbɛyɛ nipadua mu nhwehwɛmu. Ɛho hia titiriw sɛ wode afiri a wɔde tie asɛm tie ahurututu no. Sɛ woretie obi a ɔwɔ COPD ahurututu a, ebia wobɛte "crackling" nnyigyei, a ɛte sɛ ahaban a ayow a ɛrebɔ, anaasɛ "squeaking" nnyigyei a ɛba fam bere a worehome no.

Afei, ɛho behia sɛ oduruyɛfo no yi tebea afoforo a ebetumi de saa sɛnkyerɛnne ahorow yi aba no fi hɔ. Esiane sɛ saa sɛnkyerɛnne ahorow yi nyɛ COP pɔtee nti, ɛsɛ sɛ wɔpow wɔ tebea horow te sɛ:

• Secondary organizing pneumonia – Eyi betumi afi ɔyare mmoawa, nnuru, anaa autoimmune haw ahorow mu aba.
• Ahurututu mu yare a ɔyare mmoawa, fungal, anaa ɔyare mmoawa de ba.
• Chronic eosinophilic pneumonia – Eyi yɛ nkwammoaa bi a wɔfrɛ no eosinophilia a ɛkɔ soro wɔ ahurututu mu.
• Hypersensitivity pneumonitis – Ahurututu mu ɔfe a efi biribi a ɛwɔ nneɛma a atwa yɛn ho ahyia mu ho akisikuru de ba.
• Ahurututu mu nyarewa afoforo a enni sabea.
• Ahurututu mu lymphoma titiriw.

Nsonsonoe bɛn na ɛda Cryptogenic Organizing Pneumonia (COP) ne Ordinary Organizing Pneumonia (OP) ntam?

Eyi nso yɛ biribi a ɛsɛ sɛ wɔkyerɛkyerɛ mu kakra. Tebea foforo a ɛwɔ sɛnkyerɛnne ahorow a ɛte sɛ (COP) no, wɔfrɛ no Secondary Organizing Pneumonia (OP) . Nanso, nea ɛnte sɛ (COP) no, saa (Secondary OP) tebea yi betumi afi ɔyare mmoawa, aduru, kokoram, anaa asɛm foforo a nipadua no mu tumi a ɛko tia nyarewa no mu aba. Afei nso, wɔde saa (Secondary OP) tebea yi abata mogya mu yare bɔne, nnuru ahorow a wɔde di dwuma, ne mframa a wɔde bɔ ahurututu mu ho.

Ansa na nnuruyɛfo befi ase asa (COP) no, wɔbɔ mmɔden sɛ wɔbɛhwɛ sɛ eyi nyɛ (Secondary OP) tebea. Eyi te saa efisɛ ɛsono ayaresa a wɔde ma abien no nyinaa. Afei nso, nea ebefi nnipa a wɔwɔ (Secondary OP) ho a wɔbɛsan anya no betumi asɛe kakra asen nnipa a wɔwɔ (COP).

(COP) Nhwehwɛmu bɛn na ɛboa ma wohu yare no?

Sɛ oduruyɛfo no susuw sɛ COP tebea bi wɔ hɔ bere a wayɛ wo nhwehwɛmu awie a, ɔbɛkyerɛ sɛ wɔnyɛ nhwehwɛmu pii bio.

• Chest X-ray: Eyi twa ahurututu no mfonini. Sɛ wowɔ COPD a, ebia wubehu nsensanee fitaa wɔ ahurututu no mmeae bi.
• High-resolution CT scan (HRCT): Eyi yɛ sɔhwɛ a wotumi hu ahurututu no mu yiye sen X-ray. Ebetumi aboa ma wɔahu nneɛma te sɛ ɔfe ne ahurututu mu a ɛyɛ den a COPD de ba no.
• Ahurututu mu nhwehwɛmu a wɔde ahurututu mu ntini a wɔde hohoro (BAL): .Nea ɛka eyi ho ne sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (bronchoscope) a mfoninitwa afiri ketewaa bi ne hann fa hwene anaa ano no mu na wɔde fa ahurututu no mframa kwan mu. Wɔ eyi mu no, wɔde nkyene kakraa bi hyɛ ahurututu no mu, na afei wɔtwe nsu no (BAL) na wɔde kɔ aduruyɛdan mu kɔsɔ hwɛ. Obi a ɔwɔ COPD betumi anya mogya mu nkwammoaa fitaa (titiriw lymphocytes) dodow a ɛkɔ soro wɔ nsu a wɔde yɛ nhwɛso yi mu. Nanso nea ɛho hia sen saa no, ebetumi aboa ma wɔayi ɔyare mmoawa bi afi hɔ.
• Ahurututu mu nhwehwɛmu: Ɛtɔ mmere bi a, ɛsɛ sɛ wɔfa ahurututu mu ntini bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu de si so dua sɛ wɔahu yare no. Wobetumi ayɛ eyi wɔ akwan horow pii so. Biako ne sɛ wɔbɛfa ntini ketewaa bi bere a wɔreyɛ ahurututu mu nhwehwɛmu (transbronchial lung biopsy). Nanso ɛtɔ mmere bi a, sɛ ɛho hia sɛ wonya ntini kɛse bi a, wobetumi ayɛ oprehyɛn ayɛ ahurututu mu nipadua mu nhwehwɛmu. Saa nipadua mu nhwehwɛmu yi nkutoo ne ɔkwan a wɔfa so hu COPD yiye na ɛnyɛ tebea afoforo.
• Pulmonary function testing (PFTs): Saa nhwehwɛmu ahorow yi kyerɛ sɛnea w’ahurututu yɛ adwuma yiye, mframa dodow a wubetumi akura w’ahurututu mu, ne sɛnea wubetumi de mframa pa akɔ wo mogya mu yiye. Ebia obi a ɔwɔ COPD benya anohyeto nhyehyɛe bi a ɛma otumi kura mframa kakraa bi mu sen obi a ɔte ase. Ebia oxygen dodow a ɛwɔ wɔn mogya mu nso sua, bere a wɔregye wɔn ahome ne bere a wɔreteɛteɛ wɔn apɔw mu nyinaa.

Ɔkwan bɛn so na wɔsa Cryptogenic Organizing Pneumonia (COP)?

Asɛmpa no ne sɛ ayaresa a etu mpɔn wɔ hɔ ma tebea bi a wɔfrɛ no (COP). Nnuruyɛfo taa de nnuru ahorow bi a wɔfrɛ no corticosteroids sa no . Sɛ nhwɛso no, wɔtaa de aduru bi a wɔfrɛ no prednisone di dwuma.

Wɔtaa nom saa aduru yi bere nyinaa asram 3 kosi 6 . Mfiase no wɔma dodow a wɔde ma no kɔ soro na afei wɔtew so nkakrankakra. Sɛ wogyae aduru no mpofirim anaasɛ wɔtew dodow no so ntɛmntɛm dodo a, sɛnkyerɛnne ahorow no betumi asan aba bio. Eyi te saa titiriw bere a wɔtew prednisone dodow so ma ennu miligram 20 da biara no.

Wɔ nsɛm bi a emu nyɛ den koraa (COP) mu no, yare no betumi agyae a wɔmfa nnuru biara nni dwuma .

Nanso, sɛ COPD ho sɛnkyerɛnne kɔ so, anaasɛ ɛyɛ den sɛ wobegye corticosteroids nsunsuanso bɔne no atom a, ebia wo duruyɛfo no bɛkamfo ayaresa afoforo. Sɛ nhwɛso no, wobetumi de nnuru a ɛmma steroid nsɛe te sɛ azathioprine anaa nnuru a ekum nkwammoaa te sɛ cyclophosphamide ama bere tiaa bi.

So wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya (COP) no so?

Biribiara nni hɔ ankasa a yebetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ yebenya COPD no so. Esiane sɛ wonnim nea ɛde ba ankasa nti, ɔkwan biara nni hɔ a wobetumi afa so asiw ano. Nanso, wubetumi ahu saa sɛnkyerɛnne ahorow yi. Afei, sɛ yare no ho sɛnkyerɛnne da adi a, wubetumi akɔhwehwɛ aduruyɛfo afotu ntɛm na sɛ ɛho hia a, woafi ase sa yare . Ɛho hia paa sɛ wohu yare no na wofi ase sa yare no ntɛm.

Sɛ wɔansa (COP) yare a, dɛn na ɛba?

Sɛ wɔansa COPD a, ebetumi asɛe ahurututu no kɛse . Ɔfe a ɛkɔ so no betumi ama ahurututu mu akuru aba, na ebetumi asɛe ahurututu no dwumadi koraa. Enti, sɛ wowɔ sɛnkyerɛnne bi a, ɛho hia sɛ wohwehwɛ ayaresa.

Dɛn ne obi a ɔwɔ (COP) no anidaso?

Nha wo ho. Nnipa dodow no ara a wɔwɔ Cryptogenic Organizing Pneumonia (COP) no ho tɔ wɔn ntɛmntɛm na wɔn ho tɔ wɔn koraa . Nnipa a wɔn yare no nyɛ den no mu bɛyɛ 50% ho tɔ wɔn a wonnya ayaresa. Nnipa a wɔde corticosteroids sa wɔn yare no mu bɛyɛ 80% ho tɔ wɔn koraa .

Nanso, ɛtɔ mmere bi a COPD ho sɛnkyerɛnne betumi asan aba bio (ɛsan ba bio) . Ɛno mpo no, biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho. Mpɛn pii no, wobetumi adi sɛnkyerɛnne ahorow no so na wɔasa bere a wɔasan afi corticosteroids ase no. Nnipa a wɔn ho tɔ wɔn wɔ COPD mu no taa tra nkwa tenten a edi mũ.

Mɛyɛ dɛn ahwɛ me ho wɔ (COP) tebea bi ho?

Sɛ wususuw sɛ wowɔ COPD ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi . Sɛ wufi ase sa yare ntɛm a, ebetumi atew hokwan a ɛwɔ hɔ sɛ yare no bɛsan aba daakye no so na ama w’ahurututu asɛe no kakraa bi.

Sɛ wo duruyɛfo kyerɛw wo corticosteroids de sa wo COPD a, hwɛ hu sɛ sɛ wunya ɔhaw biara a, wobɛma wo duruyɛfo ahu. Obetumi ayɛ nsakrae wɔ dodow a wɔde ma no mu anaasɛ ɔkyerɛ ɔkwan foforo a wɔbɛfa so ayɛ saa. Ɛho hia sɛ wonom w’aduru no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ na wudi akyi bere ano.

Nkrasɛm a Wɔde Kɔ Fie

Cryptogenic Organizing Pneumonia (COP) yɛ ahurututu mu yare a ɛntaa nsi a ebetumi ama ahurututu mu ayɛ hyew na akuru ayɛ no. Nsɛnkyerɛnne titiriw ne ɔfe ne ɔhome a ɛyɛ den. Kae sɛ eyi nyɛ ahurututu mu yare a ɛtaa de ɔyare mmoawa ba.

• Hwɛ yiye wɔ sɛnkyerɛnne ahorow no ho: Hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn, titiriw sɛ wowɔ ɔfe a ɛyɛ kusuu a ɛtra hɔ adapɛn pii anaasɛ wo menewam yɛ wo yaw bere a woabrɛ a.
• Ayaresa ahorow bi wɔ hɔ: Wɔde aduru bi a wɔfrɛ no corticosteroids titiriw na ɛsa eyi. Ebia nsɛm bi a emu nyɛ den mpo bɛkɔ yiye a wɔmfa nnuru nni dwuma.
• Sɛ obi ho tɔ no kɛse: Nnipa dodow no ara ho tɔ wɔn koraa fi tebea yi mu. Nanso, ɛtɔ mmere bi a, yare no ho sɛnkyerɛnne betumi asan aba bio. Ɛno mpo no, wobetumi de ayaresa adi wɔn so.

Enti, mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Ade a ɛho hia sen biara ne sɛ wobɛhwɛ wo nipadua ne w’akwahosan.

` Cryptogenic Organizing Ahurututu mu yare, COP, ahurututu mu yare, ɔhome mu yare, ɔfe, ahome a ɛyɛ tiaa, corticosteroids, ahurututu mu yare