Koj puas muaj tej lub sij hawm koj hnoos qhuav tas li uas tsis muaj hnoos qeev? Koj puas xav tias ua tsis taus pa thaum koj nkees me ntsis, lossis thaum koj nce ntaiv? Muaj coob tus neeg xav tias qhov no yog ib qho ib txwm muaj, tej zaum yog vim muaj hmoov av, tab sis qee zaum nws tuaj yeem yog ib qho cim qhia txog kab mob ntsws uas xav tau kev saib xyuas. Hnub no peb tab tom tham txog ib qho mob zoo li no, NSIP.
NSIP (Nonspecific Interstitial Pneumonia) yog dab tsi?
Hais yooj yim xwb, NSIP yog o ntawm cov nqaij ntawm cov hnab cua me me (alveoli) hauv koj lub ntsws thiab cov hlab ntsha nyob ib puag ncig lawv. Xav txog koj lub ntsws zoo li ib pawg txiv hmab uas muaj ntau cov txiv hmab me me (alveoli). Tus mob ntsws uas peb feem ntau paub tshwm sim hauv cov txiv hmab no. Tab sis hauv NSIP, qhov o tshwm sim hauv qhov chaw ntawm cov txiv hmab no thiab cov nqaij nyob ib puag ncig lawv.
Qhov no yog ib yam mob uas yog ib pawg ntawm cov kab mob ntsws hu ua "interstitial lung disease". NSIP feem ntau pom muaj nyob rau hauv cov neeg uas muaj kab mob connective tissue disease (CTD). Tsis tas li ntawd, nws tuaj yeem yog ib yam mob mus sij hawm ntev, tsis zoo dua hauv ob peb hnub zoo li mob ntsws ib txwm muaj. Qee zaum, nws tuaj yeem ua rau mob ntsws mus tas li.
Muaj ob hom NSIP tseem ceeb.
Cov kws kho mob faib NSIP ua ob hom tseem ceeb. Nws yog ib qho tseem ceeb kom nkag siab txog qhov txawv ntawm ob qho no, vim tias kev kho mob thiab kev nce qib ntawm tus kab mob yav tom ntej tuaj yeem sib txawv.
| Hom NSIP | Hais yooj yim xwb, ua li cas lawm? | Kev Ua Siab Loj |
|---|---|---|
| NSIP ntawm tes | Hauv hom mob no, cov hlwb ntawm cov hnab cua yuav o. Tsis muaj qhov caws pliav. | Nws tsis loj heev. Nws teb tau zoo heev rau kev kho mob. Nws tuaj yeem kho tau tag nrho. |
| Fibrotic NSIP | Qhov no ua rau cov nqaij ntsws tuab thiab ua caws pliav. Hauv kev kho mob, qhov caws pliav no hu ua fibrosis . | Qhov no yog hom mob hnyav thiab txaus ntshai tshaj plaws. Qhov kev puas tsuaj rau lub ntsws nyuaj rau kho dua. |
Cov tsos mob ntawm NSIP yog dab tsi?
Cov tsos mob ntawm NSIP tej zaum yuav tsis pom tseeb thaum xub thawj. Txawm li cas los xij, lawv tuaj yeem maj mam nce ntxiv mus rau lub sijhawm, dhau lub hlis lossis xyoo. Cov tsos mob tseem ceeb yog:
- Hnoos qhuav tas li: Qhov no tsis tsim cov hnoos qeev. Nws tsuas yog suab zoo li hnoos kom huv si xwb.
- Ua tsis taus pa (dyspnea): Ua tsis taus pa, tshwj xeeb tshaj yog thaum ua tej yam nyuaj xws li taug kev lossis nce ntaiv. Thaum tus kab mob loj zuj zus tuaj, ua tsis taus pa txawm tias sawv ntsug xwb los xij.
- Ua pa nyuaj: Zoo li koj yuav tsum siv zog ntau los ua pa.
- Qaug zog heev: Xav tias qaug zog heev txawm tias tsis tau ua dab tsi los xij.
- Cov ntiv tes tawg: Qhov no tsis tshua muaj. Txawm li cas los xij, rau qee tus neeg, cov ntiv tes kawg yuav o zoo li cov ntiv tes nruas thiab cov rau tes yuav puag ncig. Qhov no qhia tau tias lub cev tsis tau txais oxygen txaus.
Qhov tseem ceeb yog tias cov tsos mob no tsis pib sai sai, tab sis maj mam nce ntxiv mus raws sijhawm. Yog li ntawd, ntau tus neeg yuav tsis quav ntsej txog qhov no.
Cov ua rau muaj NSIP yog dab tsi? Leej twg muaj feem yuav mob ntau dua?
Qhov tseeb, cov kws kho mob tseem tsis tau paub qhov ua rau NSIP yog dab tsi. Txawm li cas los xij, thaum cov neeg uas muaj tus kab mob no raug saib xyuas, lawv feem ntau muaj lwm yam mob. Yog li ntawd, nws ntseeg tias muaj kev sib txuas ntawm cov mob no thiab NSIP.
Cov xwm txheej tseem ceeb cuam tshuam nrog NSIP:
- Cov kab mob sib txuas ntawm cov nqaij: Cov no yog cov kab mob autoimmune uas lub cev tiv thaiv kab mob tawm tsam nws cov nqaij. Piv txwv li:
- Mob pob qij txha caj qaum - ib yam kab mob uas ua rau o thiab mob hauv cov pob qij txha
- Lupus
- Kab mob Scleroderma
- Cov kab mob viral: Qee cov kab mob viral, xws li HIV thiab kab mob siab hepatitis, kuj tuaj yeem cuam tshuam nrog NSIP.
- Kev tsis haum tshuaj rau qee yam tshuaj: Qhov mob no kuj tuaj yeem tshwm sim los ntawm kev siv tshuaj kho mob qog noj ntshav, kev kho mob hluav taws xob, thiab qee yam tshuaj rau kab mob plawv.
Feem ntau yog kab mob NSIPNws yog feem ntau ntawm cov poj niam hnub nyoog ntawm 40 thiab 50 xyoo.
Tus kws kho mob yuav kuaj mob no li cas kom meej?
Yog koj muaj ib qho tsos mob uas tau hais los saum toj no, thawj qhov koj tus kws kho mob yuav ua yog nug koj txog koj keeb kwm kev kho mob. Nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txhua yam uas koj muaj txog lwm yam mob lossis tshuaj uas koj noj.
Tom qab ntawd, yuav muaj ntau qhov kev kuaj mob kom paub tseeb tias koj tau kuaj mob.
- Kev ntsuam xyuas kev ua haujlwm ntawm lub ntsws: Qhov no suav nrog koj ua pa nkag thiab tawm los ntawm lub raj txuas nrog lub tshuab. Qhov no pab kom tau lub tswv yim ntawm seb koj lub ntsws ua haujlwm zoo npaum li cas los ntawm kev ntsuas seb koj tuaj yeem nqus pa ntau npaum li cas thiab koj tuaj yeem ua pa tawm sai npaum li cas.
- Kev X-ray hauv siab thiab CT scan: Txawm hais tias X-ray tuaj yeem muab lub tswv yim dav dav, CT scan (Computed Tomography scan) tuaj yeem pom tseeb tias muaj kev hloov pauv me me thiab caws pliav hauv lub ntsws. CT scan yog qhov tseem ceeb heev hauv kev kuaj mob NSIP.
- Bronchoscopy: Hauv qhov no, lub koob yees duab raug txuas rau qhov kawg ntawm lub raj nyias nyias, yoog tau thiab dhau los ntawm koj lub qhov ntswg lossis qhov ncauj mus rau hauv koj lub ntsws.
- Kev kuaj mob: Qhov no yog txoj hauv kev zoo tshaj plaws los paub tseeb tias muaj tus kab mob 100%. Ib daim nqaij me me raug rho tawm ntawm lub ntsws los ntawm kev phais thiab kuaj hauv qab lub tshuab microscope. Qhov no tuaj yeem txiav txim siab seb nws puas yog cellular lossis fibrotic.
Cov kev kho mob rau NSIP yog dab tsi?
Lub hom phiaj tseem ceeb ntawm kev kho mob NSIP yog kom txo qhov o ntawm lub ntsws, tswj tus kab mob kom tsis txhob hnyav zuj zus, thiab pab tswj koj lub neej zoo.
Cov kev kho mob sib txawv ntawm tus neeg mob mus rau tus neeg mob thiab nyob ntawm hom kab mob.
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| Cov tshuaj Corticosteroids (Corticosteroids) | Piv txwv li, cov tshuaj xws li '(Prednisone)'. Cov no ua haujlwm los ntawm kev txo qhov o ntawm lub cev thiab lub ntsws. |
| Cov tshuaj tiv thaiv kab mob | Cov tshuaj xws li `azathioprine`, `cyclophosphamide`, `mycophenolate`. Cov no ua haujlwm los ntawm kev tswj cov haujlwm tsis xav tau ntawm lub cev tiv thaiv kab mob. Cov no tseem ceeb heev rau cov neeg uas muaj kab mob `(autoimmune)`. |
| Cov tshuaj tiv thaiv kab mob fibrotic | Cov tshuaj xws li 'pirfenidone' thiab 'nintedanib'. Cov no yog muab rau cov neeg uas muaj Fibrotic NSIP. Lawv pab qeeb qeeb qhov kev mob ntawm cov ntsws. |
| Kev kho mob ntsws | Qhov no tseem ceeb npaum li kev muab tshuaj. Nws suav nrog kev tawm dag zog tshwj xeeb los pab txhawb lub ntsws, kev ua pa, thiab kev qhia txog tus kab mob. |
| Kev kho mob siv oxygen | Muab cov pa oxygen rau cov neeg uas cov ntshav oxygen tsawg, tshwj xeeb tshaj yog thaum lawv nkees. |
| Kev hloov pauv ntsws | Qhov kev xaiv kawg yog tias txhua yam kev kho mob tsis ua haujlwm thiab tus kab mob hnyav zuj zus. |
Lub neej yuav zoo li cas nrog NSIP? (Kev kwv yees)
Qhov no yog ib lo lus nug uas ntau tus neeg muaj. Cov lus teb rau qhov no nyob ntawm seb koj muaj hom NSIP twg.
- Rau Cellular NSIP: Qhov kev cia siab rau cov neeg no zoo heev . Yog tias kho kom zoo, lub sijhawm ntawm kev ciaj sia 5 xyoos tom qab kuaj pom yog ze li ntawm 100%. Feem ntau, kev kho mob tag nrho yog ua tau.
- Rau Fibrotic NSIP: Qhov kev puas tsuaj rau lub ntsws tsis tuaj yeem thim rov qab ntawm no. Yog li ntawd, tus mob hnyav dua me ntsis. Txawm li cas los xij, cov kev kho mob uas tau hais ua ntej tuaj yeem tswj thiab qeeb qhov kev loj hlob ntawm tus kab mob. Cov ntaub ntawv kho mob qhia tias tib neeg feem ntau tuaj yeem nyob ntawm 6 thiab 14 xyoo tom qab kuaj pom.
Yog li ntawd, kev kuaj mob thaum ntxov thiab pib kho kom zoo yog qhov tseem ceeb rau kev ua kom lub neej ntev dua.
Koj yuav tsum ua li cas?
Yog koj tus kws kho mob hais rau koj tias koj muaj NSIP, tsis txhob ntshai. Muaj ob peb yam koj ua tau.
- Ua raws li koj tus kws kho mob cov lus qhia thiab txoj kev npaj kho mob kom raug. Noj koj cov tshuaj raws sijhawm thiab raws li qhov ntau npaum li cas.
- Yog koj muaj lwm yam mob, xws li mob pob qij txha, tswj qhov mob ntawd kom zoo.
- Yog koj pom muaj kev hloov pauv ntawm koj cov tsos mob, xws li qaug zog ntxiv, qhia rau koj tus kws kho mob tam sim ntawd.
- Yog koj haus luam yeeb, tsum tam sim ntawd. Kev haus luam yeeb ua rau koj lub ntsws puas ntau dua.
Yog tias koj hnoos qhuav lossis ua pa nyuaj uas tau ntev ntau lub lis piam lawm, thov mus ntsib kws kho mob thiab mus kuaj mob, es tsis txhob xav tias nws yog ib txwm muaj. NSIP tuaj yeem mob hnyav zuj zus yog tias tsis kho.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- NSIP tsis yog tus mob ntsws uas peb feem ntau paub. Hauv qhov no, kev o tshwm sim hauv cov nqaij ntawm cov hnab cua ntawm lub ntsws.
- Cov tsos mob tseem ceeb ntawm tus kab mob no yog hnoos qhuav ntev thiab ua pa nrov nrov thaum koj nkees . Tsis txhob tsis quav ntsej txog cov no.
- Muaj ob hom NSIP tseem ceeb. Hom 'Cellular' tuaj yeem kho tau tag nrho nrog kev kho mob. Hom 'Fibrotic', txawm hais tias mob hnyav, tuaj yeem tswj tau nrog kev kho mob.
- Kev kuaj pom thaum ntxov thiab ua raws li koj tus kws kho mob cov lus qhia yog qhov tseem ceeb heev kom tiv thaiv kev puas tsuaj rau lub ntsws mus tas li.
- Yog tias koj muaj kab mob sib txuas xws li mob rheumatoid arthritis, yuav tsum paub txog cov tsos mob ntawm lub ntsws no.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus