Ðe kɔdzidɔ kple ʋuʋudedi si nɔa anyi ɖaa hã le ŋuwòa? Mina míaƒo nu tso NSIP (Nonspecific Interstitial Pneumonia) ŋu!

Ðe kɔdzi ƒuƒu si nɔa anyi ɖaa si le edzi yim ŋkeke geɖe, ɖewohĩ kwasiɖa geɖe la le ŋuwòa? Ðe wòsesẽna na wò be nàgbɔ ya, ne èzɔ mɔ kpui aɖe, nèle aƒemedɔwo wɔm, alo nèle atrakpuiwo liam gɔ̃ hã? Zi geɖe la, míeɖea nu siawo ɖa be "vuvɔ koe." Gake ɣeaɖewoɣi la, le dzesi siawo megbe la, lãkusidɔ aɖe ate ŋu anɔ anyi si ŋu míese nu geɖe tsoe o, gake ele be míatsi dzi ɖe eŋu godoo. Egbea la, míele nu ƒom tso dɔléle mawo dometɔ ɖeka ŋu, si nye NSIP, alo Nonspecific Interstitial Pneumonia.

Kpuie ko la, nukae nye NSIP (Nonspecific Interstitial Pneumonia)?

Togbɔ be ŋkɔa adze nu sesẽ vie hã la, mina míana wòanɔ bɔbɔe. NSIP hã nye lãkusi ƒe dɔdzẽ. Gake eto vovo vie tso aklãdɔ si bɔ si míesena zi geɖe gbɔ.

Bu wò lãkusi be enye ŋutinu si me yakotoku suesuesue miliɔn geɖe siwo le abe weintsetse ene (alveoli) le. Ne míele gbɔgbɔm la, ɔksidzin gena ɖe lãkusi me eye wòtoa ʋuka siawo me gena ɖe ʋua me. Le NSIP me la, menye ʋukawo ŋutɔ mee dɔdzẽ dzɔna le o, ke boŋ le teƒe siwo le wo kple lãkusi siwo ƒo xlã ʋukawo dome . Esiae nye nusi míeyɔna le atikewɔwɔ me be ``interstitial lung disease''.

Wokpɔa nɔnɔme sia zi geɖe le amesiwo ŋu kadodo ƒe dɔléle (CTD) le ŋu. Ate ŋu ado ƒome kple atikewɔwɔ me nɔnɔme bubuwo hã. To vovo na aklãdɔ bɔbɔe, si nu yina zi geɖe le ŋkeke ʋɛ aɖewo megbe la, ate ŋu anɔ anyi eteƒe nadidi eye ɣeaɖewoɣi ate ŋu ana abi nanɔ lãkusia ŋu tegbee.

NSIP ƒomevi vevi eve li.

Ðɔktawo ma NSIP ɖe hatsotso vevi eve me, le alesi gbegbe wògblẽ nu le lãkusia ŋu nu. Ele vevie be nànya ƒomevi eve siawo, elabena atikewɔwɔ kple ŋgɔdonya nɔ te ɖe ƒomevi si wowɔ dzi.

Ðe esia to vovo na aklãdɔléle si wozãna edziedzia?

Ẽ, kakaɖedzitɔe. Ele vevie ŋutɔ be míase vovototo sia gɔme.

• Aklãdɔ: Esia nye yakotokuwo (kotoku siwo le abe weintsetse ene) siwo le lãkusiwo me ƒe dɔdzẽ . Woate ŋu ayɔ fũ kple ʋuʋudedi alo tsi. Zi geɖe la, dɔlékui alo dɔlékui ƒe dɔléle gbɔe esia tsona.
• Aklãdɔléle si le domedome (abe NSIP ene): Le esia me la, dɔdzẽ dzɔna le teƒe siwo le yakotokuawo dome . Esia fia be lãkusiwo ƒe wɔwɔme kple woƒe wɔwɔme gblẽna. Zi geɖe la, womate ŋu ake ɖe nusi koŋ gbɔ NSIP tsona ŋu o.

Nu bubu enye be, `Usual Interstitial Pneumonia (UIP)` nye ŋkɔ bubu si wozãna na dɔléle si nye `Idiopathic Pulmonary Fibrosis (IPF).` IPF nye dɔléle sesẽ si womate ŋu atrɔ o, si naa abi nɔa lãkusiwo me. Gake zi geɖe la, woate ŋu ada NSIP, vevietɔ Cellular NSIP, to atikewɔwɔ me. Eyata, mègatɔtɔ ame eveawo o.

Nukae nye NSIP ƒe dzesiwo?

Ðewohĩ NSIP ƒe dzesiwo madze nyuie le gɔmedzedzea me o eye woate ŋu agblẽ ɖe edzi vivivi le ɣeyiɣi aɖe megbe. Ele vevie be nànya dzesi siawo.

• Kɔdzi ƒuƒu: Esiae nye dzesi vevitɔ kple esi bɔ wu. Kɔdzidede si nɔa anyi ɖaa, si doa dziku na ame, si me ʋuʋudedi mele o.
• Gbɔgbɔtsixetsixe: Gbã la, woate ŋu asee le kamedede alo azɔlizɔzɔ sesĩe me. Gake ne dɔlélea le sesẽm ɖe edzi la, ate ŋu asesẽ be woagbɔ ya ne wotsi tre ɖe teƒe ɖeka ko gɔ̃ hã.
• Gbɔgbɔ sesẽ: Sese le ɖokuiwò me be ele be yeadze agbagba geɖe be yeagbɔ.
• Ðeɖiteameŋu: Ðeɖiteameŋu kple ɖeɖiteameŋu sese le eɖokui me dɔ aɖeke mawɔmawɔe gɔ̃ hã.
• Asibidɛ siwo wotsɔ ƒo ƒu: Esia mebɔ o, gake ate ŋu anye be ame aɖewo ƒe asibidɛwo ƒe nugbɔwo le goglo eye wovuvu ƒo xlã ɖawo.

Nukae hea NSIP vɛ? Nukawoe nye afɔku siwo le eme?

Ne míagblɔe tututu la, eŋutinunyalawo menya nusi tututu hea NSIP vɛ haɖe o. Gake ne èlé ŋku ɖe amesiwo ŋu dɔléle sia le ŋu la, wokpɔnɛ be atikewɔwɔ ƒe nɔnɔme bubuwo le yewo ŋu. Ema fia be togbɔ be menye nyateƒe be nɔnɔme siawo hea NSIP vɛ o hã la, kadodo sẽŋu aɖe le wo dome.

Nusiwo gbɔna la dzia afɔku si le NSIP xɔxɔ me ɖe edzi.

Aleke ɖɔkta awɔ anya dɔléle siae?

Ne èyi ɖɔkta gbɔ la, aɖo to wò dzesiwo nyuie gbã. Ele be nàgblɔ atikewɔwɔ ƒe nɔnɔme bubu ɖesiaɖe si le ŋuwò kple atike siwo zãm nèle hã na ɖɔktaa. Emegbe, aɖe gbe be woawɔ dodokpɔ geɖe atsɔ anya dɔlélea.

• Aklã ƒe dɔwɔwɔ dodokpɔ: Esia bia be woana nàgbɔ ya ɖe mɔ̃ aɖe me, si dzidzea ya agbɔsɔsɔme si wò lãkusi ate ŋu age ɖe eme kple alesi nàte ŋu agbɔe kabakabae.
• Akɔta ƒe X-ray: Esia kpena ɖe ame ŋu be gɔmesese vevi aɖe sua ame si nenye be nusiwo mesɔ o le lãkusiwo me.
• CT scan (Computed Tomography scan): Esia ate ŋu awɔ nɔnɔmetata siwo me kɔ wu, siwo le akpa etɔ̃ me wu X-ray. CT scan le vevie be woatsɔ akpɔ alesi gbegbe lãkusia gblẽe kple eƒe nɔnɔme (lãmenugbagbeviwo alo fibrotic) nyuie.
• Bronchoscopy: Wotsɔa mɔ̃ sue aɖe si me akaɖi le si me fotoɖemɔ̃ le la toa nu alo ŋɔti me yia lãkusi me be woatsɔ ado yaƒoƒomɔ̃awo ƒe eme. Ne ehiã la, woate ŋu axɔ lãmenugbagbeviwo ƒe kpɔɖeŋu aɖe atsɔ adoe kpɔ.
• Biopsy: Esia nye dodokpɔ nyuitɔ kekeake si woatsɔ aɖo kpe dɔlélea dzi 100%. Le esia me la, wowɔa dɔ na lãmenugbagbevi sue aɖe ŋutɔ le lãkusia me hedoa wo kpɔna le nusuekpɔmɔ̃ me.

Nukae nye atike siwo wozãna na NSIP?

Taɖodzinu vevi eve le ɖɔktawo si ne wole NSIP dam. Ðekae nye be woaɖe dɔdzẽ si le lãkusiwo me dzi akpɔtɔ. Bubue nye be woakpɔ atikewɔwɔ me nɔnɔme ɖesiaɖe si le ete (abe ƒunukpeƒetetedɔ ene) si ate ŋu anɔ NSIP hem vɛ la dzi.

Le dɔléle sesẽwo me la, wozãa atike bubuwo hã tsɔ doa ŋusẽ lãkusiwo eye wonaa oxygen agbɔsɔsɔme si hiã la ŋutilãa.

• Atikewo:
• Corticosteroids abe Prednisolone ene: Esiawo nye steroid ƒomevi siwo ɖea dɔdzẽ dzi kpɔtɔna kabakaba.
• Dɔlélenutsiŋutete ƒe atikewo: Atikewo abe `Azathioprine`, `Cyclophosphamide`, kple `Mycophenolate` wɔa dɔ to ŋutilã ƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi ɖuɖu me eye woxea mɔ nɛ be wòagagblẽ nu le eya ŋutɔ ƒe lãkusiwo ŋu o.
• Atike siwo tsia fibrotic nu: Wozãa atikewo abe `Pirfenidone` kple `Nintedanib` na amesiwo ŋu Fibrotic NSIP le. Esiawo nana abi siwo le lãkusiwo me ƒe tsɔtsɔme dzi ɖena kpɔtɔna.
• Rituximab: Esia nye ``biologic`` atike si wozãna na kadodoŋusẽdɔlélewo.
• Atikewɔmɔnu Bubuwo:
• Aklã ƒe ɖɔɖɔɖo: Esia nye kamedede kple aɖaŋuɖoɖo ƒe ɖoɖo tɔxɛ aɖe si kpena ɖe ame ŋu wòkpɔa gbɔgbɔtsixetsixe gbɔ eye wòdoa ŋusẽ ŋutilã.
• Oxygen zazã: Wotoa mɔ̃ aɖe dzi naa oxygen amesiwo ƒe ʋu me oxygen mesɔ gbɔ o.
• Aklãdodo: Esiae nye tiatia mamlɛtɔ si ŋu woabu na amesiwo ŋu dɔléle sesẽ ŋutɔ le siwo do kpo atikewɔwɔ bubuawo katã.

Aleke agbea anɔ kple dɔléle sia?

Biabia sia ƒe ŋuɖoɖo nɔ te ɖe NSIP ƒomevi si le asiwò dzi tẽ.

Nya kawoe wòle be mabia ɖɔktaa?

Ne wokpɔ NSIP le ŋuwò la, esɔ be nyabiase geɖe nanɔ susu me na wò. Ne èyi wò ɖɔkta gbɔ la, mègaŋlɔ nya siawo biabia be o.

• Ðe susu aɖe koŋ li si tae nɔnɔme sia ate ŋu anɔ ŋunyea?
• Ƒomevi kae le asinye, Cellular alo Fibrotic?
• Atikewɔwɔmɔnu kawoe nyo nam wu?
• Ðe atikewɔmɔnu siawo ƒe nugbegblẽ le ame ŋu aɖewoa?
• Aleke gbegbee wòanya wɔ be dɔléle sia agblẽ ɖe edzi le ɣeyiɣi aɖe megbe?
• Ðe mate ŋu aɖe lãkusi ƒe gbegblẽ bubuwo dzi akpɔtɔa?
• Nu kawo ŋue wòle be maɖɔ ŋu ɖo vevietɔ le nye gbesiagbegbenɔnɔ kple nuɖuɖu kple nunono me?
• Ɣekaɣie wòle be magakpɔ ɖɔkta ake?

Nya siawo tɔgbe biabia kple wò nɔnɔmea gɔmesese nyuie akpe ɖe ŋuwò ŋutɔ be nàdo alɔ wò atikewɔwɔ.