Ðe nu wɔnuku aɖe dzɔ ɖe wò lãkusiwo dzia? Mina míaƒo nu tso Cryptogenic Organizing Pneumonia (COP) ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yexɔ dzamezã si dzea egɔme abe asrã ene eye megahayana le ŋkeke ʋɛ aɖewo megbe oa? Emegbe èdzea kɔdzidede gɔme eye wòsesẽna na wò be nàgbɔ ne ɖeɖi te ŋuwò vie gɔ̃ hã? Ðewohĩ àsusu be dɔlékui ƒe dɔléle aɖe koe wònye. Gake, menye nenemae wònɔna ɣesiaɣi o. Egbea míele nu ƒom tso lãkusidɔ aɖe si mebɔ o si ŋu wòle be mí katã míanya nu tsoe ŋu. Woyɔe be Cryptogenic Organizing Pneumonia , alo COP kpuie.

Nukae Nye Cryptogenic Organizing Pneumonia (COP) ƒe Dɔléle? Mina míase egɔme bɔbɔe!

Enyo, azɔ mina míalé ŋku ɖe nusi tututu lãkusi ƒe dɔléle sia si woyɔna be COPD nye ŋu. Kpuie ko la, enye nɔnɔme si gblẽa nu le yakotoku suetɔ kekeake (alveoli) siwo le míaƒe lãkusiwo me ŋu – nu suesuesue siwo le abe balloon ene siwo me oxygen gena ɖe eme eye carbon dioxide dona ne míele gbɔgbɔm – kple yaƒoƒomɔ̃ suewo (bronchioles) siwo do ƒome kpli wo.

Nusi dzɔna le (COP) nɔnɔme sia mee nye be yakotoku siawo kple yaƒoƒomɔ̃ suewo va xɔa dzo . Abe alesi ne abi le míaƒe ŋutilã ƒe teƒe aɖe, evuvu, biã, eye wòvea ame ene la, nu ma ke dzɔna le lãkusi me. Gake esia menye nusi dɔlékui alo dɔlékuiwo abe aklãdɔ si wozãna edziedzi ene gbɔe wòtso o. Esia to vovo.

Le ɣeyiɣi aɖe megbe la, dɔdzẽ sia si yia edzi ate ŋu ana abi nanɔ lãkusia me, si fia be lãkusia megate ŋu trɔna ɖe nɔnɔmewo ŋu nyuie o eye megate ŋu wɔa dɔ nyuie o.

Nya "cryptogenic" gɔmee nye "nusi womenya nusi gbɔ wòtso o." Esia fia be ɖɔktawo menya nusi tututu gbɔ dɔléle sia tso (COP) haɖe o. Esia tae wozãa nya "idiopathic" ɣeaɖewoɣi na nɔnɔme sia, si gɔmesese ɖeka le.

Amekae ate ŋu axɔ dɔléle sia (COP) wu?

Nɔnɔme sia si woyɔna be (COP) ate ŋu adze ame sia ame dzi ŋutɔŋutɔ. Nuwo abe ŋutsu alo nyɔnu nyenye, ameƒomevinyenye, kple amadede ene mekpɔa ŋusẽ ɖe edzi o. Gake zi geɖe la, wokpɔnɛ wu le amesiwo xɔ tso ƒe 40 va ɖo ƒe 60. Nu bubue nye be ame geɖe siwo ŋu dɔléle sia (COP) le la menoa atama o .

Azɔ hã, ne dɔdzẽ aɖewo le ŋuwò la, afɔku si le COP xɔxɔ me ate ŋu adzi ɖe edzi vie. Le kpɔɖeŋu me:

• Lupus ƒe dɔléle
• Lãmetsiŋusẽ ƒe ƒunukpeƒetetedɔ
• Scleroderma ƒe dɔléle
• Dɔléle si nye multiple sclerosis
• Dɔgbo ƒe dɔléle si naa dɔdzẽ - nɔnɔmewo abe Crohn ƒe dɔléle alo ulcerative colitis ene.

Gake menye nyateƒe be amesiame si ŋu dɔléle siawo le la axɔ COP o. Afɔku siwo ate ŋu ado tso eme koe esiawo nye.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, COP nye nɔnɔme si mebɔ kura o.Woka nya ta le esia ŋu le ame 100,000 ɖesiaɖe si woxɔna ɖe kɔdzi le United States dometɔ ɖeka le etɔ̃ ɖesiaɖe me, eyata mebɔ be woase eŋu nya o.

Nukae nye susu si ta woɖo (COP) ɖo?

Abe alesi míegblɔe va yi ene la, COP nye nɔnɔme si woyɔna be "cryptogenic" alo "idiopathic." Esia fia be womekpɔ nusi koŋ gbɔ wòtso o . Hafi ɖɔktawo nakpɔ COP la, woalé ŋku ɖe eŋu nyuie nenye be nu bubu siwo gbɔ dzesiawo tso gbɔe dzesiawo tso. Le kpɔɖeŋu me, woalé ŋku ɖe dɔlékuiwo abe dɔlékuiwo, dɔlékuiwo, fungiwo, alo atikewo ene ŋu. Ne woɖe nusiawo katã ɖa vɔ ko hafi woabu COP be enye nusi ate ŋu ahe esia vɛ.

Atikewɔwɔ ƒe nɔnɔme bubu aɖewo li siwo ate ŋu ado ƒome kple (COP) nɔnɔme. Esia fia be amesiwo ŋu nɔnɔme siawo le la ƒe dɔlélea xɔxɔ ƒe mɔnukpɔkpɔ le ʋɛ wu (COP).

• Lãmetsiŋusẽ ƒe dɔléle
• Aklã me ʋuʋudedi
• Aklã me dɔdzẽ
• Ʋumenugbagbeviɣidɔ - si nye kansa siwo do ƒome kple ʋumenugbagbevi ɣiwo alo ʋumenugbagbevi dzĩwo.

Nukae nye (COP) nɔnɔmea ƒe dzesiwo?

Ame siwo ŋu COPD le la dometɔ siwo ade afã kpɔa dzesi siwo ɖi dzamezã le gɔmedzedzea me , eye zi geɖe la, woate ŋu anɔ anyi kwasiɖa geɖe.

• Vuvɔ le wɔwɔm
• Kɔdzi ƒuƒu (kɔdzi si mewɔa dɔ o) .
• Ðeɖiteameŋu / lãmetutudɔ
• Nuɖuɖudzroame ƒe vɔvɔ
• Asrã
• Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o
• Zã me fifia

Le ema megbe la, ame siwo ade 75% dzea dzesi siwo gbɔna kpɔkpɔ gɔme :

• Kɔdzidede si nɔa anyi didi
• Yagbɔgbɔ kpui / gbɔgbɔtsixetsixe kple agbagbadzedze . Bu eŋu kpɔ, màte ŋu alia atrakpuiwo abe tsã ene o, eye gbɔgbɔtsixe tsi ƒowò ne èzɔ mɔ kpui aɖe gɔ̃ hã.

Ƒã ŋutɔ la, woate ŋu akpɔ dzesi siawo hã:

• Akɔtave
• Aɖuɖɔtoe si mu / pneumothorax
• Ʋu ƒe kɔdzidede
• Ƒunukpeƒewo ƒe vevesese
• Oxygen ƒe agbɔsɔsɔ si bɔbɔ le wò ʋu me / hypoxemia

Nu vevitɔe nye be, ne dzesi siawo le ŋuwò, vevietɔ kɔdzi ƒuƒu kple gbɔgbɔ sesẽ si nɔa anyi kwasiɖa geɖe la, yi ɖɔkta gbɔ godoo . Mèganɔ aƒeme ko o.

Aleke wokpɔa Cryptogenic Organizing Pneumonia (COP) ƒe dɔlélea?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò dzesiwo kple wò atikewɔwɔ ŋutinya ŋu. Emegbe woawɔ ŋutilãmedɔdada. Ele vevie ŋutɔ be woatsɔ nuƒomɔ̃ aɖo to lãkusiwo. Ne èle to ɖom ame aɖe si ŋu COPD le ƒe lãkusiwo la, àte ŋu ase "crackling" gbeɖiɖi, si le abe aŋgba ƒuƒu ƒe ƒoƒo ene, alo "squeaking" gbeɖiɖi si bɔbɔ ne èle gbɔgbɔm.

Eyome ahiã be ɖɔktaa naɖe nɔnɔme bubu siwo ate ŋu ahe dzesi siawo vɛ la ɖa. Esi wònye be dzesi siawo meku ɖe COP ŋu koŋ o ta la, ele be woaɖe wo ɖa le nɔnɔmewo abe:

• Secondary organizing pneumonia – Esia ateŋu atso dɔlékuiwo, atikewo, alo dɔlélenutsiŋutete ƒe kuxiwo gbɔ.
• Dɔlékui, fungi, alo dɔlékui ƒe aklãdɔ.
• Chronic eosinophilic pneumonia – Esia nye lãmenugbagbevi ƒomevi aɖe si woyɔna be eosinophilia ƒe dzidziɖedzi le lãkusi me.
• Hypersensitivity pneumonitis – Aklã ƒe dɔdzẽ si tso nane si le nutoa me ƒe nulɔdɔ gbɔ.
• Aɖuɖɔtoedɔléle bubu siwo nɔa anyi didi.
• Aklã me ʋumenugbagbeviɣidɔ gbãtɔ.

Vovototo kae le Cryptogenic Organizing Pneumonia (COP) kple Ordinary Organizing Pneumonia (OP) dome?

Esia hã nye nusi me wòle be woaɖe eme vie. Woyɔa dɔléle bubu si ƒe dzesiwo sɔ kple (COP) tɔ be Secondary Organizing Pneumonia (OP) . Gake to vovo na (COP) la, dɔléle sia (Secondary OP) ate ŋu atso dɔlékui, atike, kansa, alo dɔlélenutsiŋutete ƒe nya bubu aɖe si le ŋutilãa me gbɔ. Tsɔ kpe ɖe eŋu la, wogblɔ be nɔnɔme sia (Secondary OP) do ƒome kple ʋumenugbagbeviɣidɔ, atike vovovowo zazã, kple keklẽŋusẽ ƒe dodo ɖe lãkusiwo me.

Hafi ɖɔktawo nadze atikewɔwɔ gɔme (COP) la, wodzea agbagba be yewoakpɔ egbɔ be esia menye (Secondary OP) nɔnɔme o. Esia le alea elabena atikewɔwɔ na wo ame evea siaa ate ŋu ato vovo. Azɔ hã, amesiwo ŋu (Secondary OP) le ƒe hayahaya me tsonu ate ŋu agblẽ vie wu amesiwo ŋu (COP) le.

(COP) Dodokpɔ kawoe kpena ɖe ame ŋu wòkpɔa dɔlélea?

Ne ɖɔktaa susui be COP ƒe nɔnɔme aɖe le ŋuwò le wò dodokpɔ vɔ megbe la, aɖo aɖaŋu be nàgawɔ dodokpɔ geɖe.

• Akɔta ƒe X-ray: Esia ɖea lãkusi ƒe foto. Ne COPD le ŋuwò la, àte ŋu akpɔ teƒe ɣiwo le lãkusi ƒe akpa aɖewo.
• High-resolution CT scan (HRCT): Esia nye dodokpɔ si ate ŋu akpɔ lãkusi ƒe eme nyuie wu X-ray. Ate ŋu akpe ɖe ame ŋu wòade dzesi nuwo abe dɔdzẽ kple ƒoƒo ɖe lãkusiwo me si COPD hena vɛ ene.
• Aɖuɖɔtoemekpɔkpɔ kple aɖuɖɔtoemeʋuʋu (BAL):Esia bia be woade mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe (bronchoscope) si me fotoɖemɔ̃ sue aɖe kple kekeli le to ŋɔti alo nu me eye woatsɔe ato lãkusi ƒe yaƒoƒomɔ̃wo me. Le esia me la, wotsɔa dzetsi sue aɖe dea lãkusia me, eye emegbe woɖea tsi si le eme (BAL) eye woɖonɛ ɖe nudokpɔƒe be woadoe kpɔ. Ʋumenugbagbevi ɣiwo (vevietɔ ʋumenugbagbevi dzĩwo) ate ŋu adzi ɖe edzi le amesi ŋu COPD le si le tsi ƒe kpɔɖeŋu sia me. Gake vevietɔ wu la, ate ŋu akpe ɖe ame ŋu be woagaxɔ dɔlékui aɖeke o.
• Aklã me lãmenugbagbeviwo ɖeɖe: Ɣeaɖewoɣi la, ehiãna be woaɖe aklã ƒe lãkusi aɖe atsɔ adoe kpɔ le nusuekpɔmɔ̃ me atsɔ aɖo kpe dɔlélea dzi. Woate ŋu awɔ esia le mɔ vovovowo nu. Ðekae nye be woaɖe lãkusi sue aɖe le aɖuɖɔtoemekpɔkpɔ (transbronchial lung biopsy) me. Gake ɣeaɖewoɣi la, ne ehiã be woaxɔ lãkusi si lolo wu la, woate ŋu awɔ dɔ na amekoko be woaɖe lãkusi. Biopsy sia koe nye mɔ si dzi woato anya COPD godoo ke menye nɔnɔme bubuwo o.
• Aklã ƒe dɔwɔwɔ dodokpɔ (PFT): Dodokpɔ siawo dzidzea alesi wò lãkusi wɔa dɔ nyuie, ya agbɔsɔsɔme si nàte ŋu alé ɖe wò lãkusi me, kple alesi nàte ŋu ana ya si nye oxygen nage ɖe wò ʋu me nyuie. Mɔxenu aɖe ate ŋu anɔ amesi ŋu COPD le si si me woate ŋu alé ya ʋɛ aɖewo ɖe asi wu ame dzɔdzɔe tɔ. Ate ŋu adzɔ hã be oxygen ƒe agbɔsɔsɔ si le wo me naɖiɖi, le ɖiɖiɖemeɣi kple kamedede siaa me.

Aleke wodaa Cryptogenic Organizing Pneumonia (COP) ƒe dɔléleae?

Nya nyuiae nye be atike nyuiwo li na dɔléle aɖe si woyɔna be (COP). Zi geɖe la ɖɔktawo tsɔa atikewo ƒe hatsotso aɖe si woyɔna be corticosteroids daae . Le kpɔɖeŋu me, wozãa atike aɖe si woyɔna be prednisone zi geɖe.

Zi geɖe la , wozãa atike sia atraɖii hena ɣleti 3 va ɖo 6 . Wodzia agbɔsɔsɔme si wozãna ɖe edzi le gɔmedzedzea me eye emegbe woɖea edzi vivivi. Ne wodzudzɔ atikeawo zazã kpata alo woɖe atikeawo ƒe agbɔsɔsɔ dzi kpɔtɔ kabakaba akpa la, dzesiawo ate ŋu atrɔ ake. Esia nye nyateƒe vevietɔ ne woɖe prednisone ƒe agbɔsɔsɔ dzi kpɔtɔ va ɖo miligram 20 gbesiagbe.

Le dɔléle aɖewo siwo mesẽ kura o (COP) me la, dɔlélea ate ŋu adzo atike aɖeke manɔmee .

Gake ne COPD ƒe dzesiwo gakpɔtɔ li, alo ne corticosteroids ƒe nugbegblẽ le ame ŋu dzi ɖuɖu sesẽ la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike bubuwo. Le kpɔɖeŋu me, woate ŋu ana atike siwo me steroid mele o abe azathioprine alo atike siwo wua lãmenugbagbeviwo abe cyclophosphamide ene hena ɣeyiɣi aɖe.

Ðe woate ŋu aɖe afɔku si le dɔlélea xɔxɔ me (COP) dzi akpɔtɔa?

Le nyateƒe me la, naneke meli míate ŋu awɔ atsɔ aɖe afɔku si le COPD xɔxɔ me dzi akpɔtɔ o. Esi womenya nusi tututu gbɔ wòtso o ta la, mɔ aɖeke meli si dzi woato axe mɔ ɖe enu o. Ke hã, àte ŋu anya dzesi siawo. Emegbe ne dzesiwo dze la, àte ŋu adi atikewɔlawo ƒe aɖaŋuɖoɖo kaba eye nàdze atikewɔwɔ gɔme ne ehiã . Ele vevie ŋutɔ be woanya dɔlélea eye woadze edada gɔme kaba.

Nukae adzɔ ne womewɔ atike na (COP) o?

Ne womeda COPD o la, ate ŋu agblẽ nu le lãkusiwo ŋu vevie . Dzoxɔxɔ si yia edzi ate ŋu ana abi nadze lãkusi me, si ate ŋu agblẽ nu le lãkusi ƒe dɔwɔwɔ ŋu tegbee. Eyata ele vevie be nàdi atike ne dzesiwo le ŋuwò.

Nukae nye mɔkpɔkpɔ na amesi ŋu (COP) le?

Mega tsi dzi o. Ame akpa gãtɔ siwo ŋu Cryptogenic Organizing Pneumonia (COP) le la hayana kaba eye wohayana keŋkeŋ . Ame siwo ƒe dɔlélea mesẽ o la dometɔ siwo ade 50% hayana ne womewɔ atike na wo o. Ame siwo wotsɔ corticosteroids da dɔ na la dometɔ siwo ade 80% hayana keŋkeŋ .

Gake ɣeaɖewoɣi la, COPD ƒe dzesiwo ate ŋu agadze ake (agbugbɔ adze egɔme) . Ɣemaɣi gɔ̃ hã la, naneke meli si ŋu woatsi dzi ɖo o. Zi geɖe la, woate ŋu aɖu dzesiawo dzi ahada wo ne wonya dze corticosteroid zazã gɔme ake. Zi geɖe la, amesiwo haya tso COPD me la nɔa agbe didi, bliboe.

Aleke mawɔ akpɔ ɖokuinye dzi kple (COP) nɔnɔme aɖe?

Ne èsusu be COPD ƒe dzesiwo le ye ŋu la, yi ɖɔkta gbɔ kaba ale si nàte ŋui . Ne èdze atikewɔwɔ gɔme kaba la, ate ŋu aɖe mɔnukpɔkpɔ si li be dɔlélea nagadzɔ le etsɔme dzi akpɔtɔ eye wòaɖe nusiwo agblẽ le wò lãkusiwo ŋu dzi akpɔtɔ.

Ne wò ɖɔkta ŋlɔ corticosteroids na wò be nàtsɔ ada wò COPD la, kpɔ egbɔ be yena wò ɖɔkta nanya ne èkpɔ nugbegblẽ aɖewo. Ate ŋu atrɔ asi le agbɔsɔsɔme si woazã ŋu alo aɖo aɖaŋu bubu aɖe si woazã ɖe eteƒe. Ele vevie be nàno wò atikeawo abe alesi wò ɖɔkta gblɔe na wò ene pɛpɛpɛ eye nàkplɔe ɖo ɖe game dzi.

Gbedasi si Wotsɔ Yi Aƒeme

Cryptogenic Organizing Pneumonia (COP) nye lãkusidɔ si mebɔ o si ate ŋu ana aɖuɖɔtoewo naxɔ abi ahaxɔ abi. Dzesi vevitɔwoe nye kɔdzi kple gbɔgbɔ sesẽ. Ðo ŋku edzi be menye aklãdɔ si woxɔna le ame ŋu si bɔe nye esia o.

• Lé ŋku ɖe dzesiawo ŋu: Kpɔ egbɔ be yeyi ɖɔkta gbɔ, vevietɔ ne kɔdzi ƒuƒu si nɔa anyi kwasiɖa geɖe alo ŋɔti me veve si va dzea dziwò ne ɖeɖi te ŋuwò.
• Dɔdamɔnu aɖewo li: Atike ƒomevi aɖe si woyɔna be corticosteroids koŋue wotsɔ daa esiae. Dɔléle siwo mesẽ o dometɔ aɖewo gɔ̃ hã ate ŋu anyo ne womezã atike o.
• Hayahaya sɔ gbɔ: Ame akpa gãtɔ hayana keŋkeŋ tso nɔnɔme sia me. Ke hã, ɣeaɖewoɣi la, dzesiawo ate ŋu atrɔ ava. Ɣemaɣi gɔ̃ hã la, woate ŋu atsɔ atikewɔwɔ aɖu wo dzi.

Eyata, mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nu vevitɔe nye be nànɔ ŋudzɔ ɖe wò ŋutilã kple wò lãmesẽ ŋu.

` Cryptogenic Organizing Aklãdɔ, COP, lãkusidɔ, gbɔgbɔtsixe ƒe dɔléle, kɔdzidɔ, gbɔgbɔtsixetsixe, corticosteroids, aklãdɔ