Yu kin gɛt bak dray kɔf we nɔ de dɔn ɛn i nɔ kin izi fɔ yu fɔ blo? I kin bi di sik we dɛn kɔl Interstitial Lung Disease (ILD)!

Yu kin si am bak se i nɔ kin izi fɔ yu fɔ blo we yu taya smɔl, we yu de klaym wan stej? Sɔntɛnde yu kin gɛt kɔf we nɔ de dɔn ɛn dray we nɔ gɛt blɔd fɔ no rizin? Bɔku tɛm wi kin fɔgɛt se dɛn sik ya na jɔs nɔmal taya ɔ smɔl alɛji. Bɔt dɛn kin bi di fɔs sayn dɛn we de sho se siriɔs chenj dɛn de apin insay wi lɔng. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya, we na Interstitial Lung Disease, ɔ ILD fɔ shɔt tɛm.

Fɔ tɔk am simpul wan, wetin na Interstitial Lung Disease (ILD)?

Tink bɔt wi lɔng dɛn lɛk tu spɔnj dɛn we ful-ɔp wit bɔku bɔku smɔl smɔl bɔbul dɛn we de na di briz. Dɛn kɔl dɛn smɔl smɔl ay sak dɛn ya alviɔl . We wi de blo, di ɔksijɛn we wi de tek kin ad to wi blɔd tru dɛn ay sak dɛn ya. Ɛn di kabon dayɔgzayd we dɛn nɔ want we de na di blɔd kin kɔmɔt bak tru dɛn ay sak dɛn ya.

Naw, bitwin dɛn ay sak dɛn ya, lɛk di mɔta bitwin di brik dɛn we de na brik wɔl, wan nɛtwɔk de we gɛt dilik tisu dɛn. Dis na wetin wi kɔl di intastitium . insay ILD, dis nεtwכk fכ di dilik tisu dεm kin dכn pwεl, כ fכ se i kin dכn, εn sכmtεm i kin tik, i kin at, εn ska (fibrosis) kin apin.

we di lכng tisu tik dis we, di כksijεn we de pas na di ay sak dεm to di bכdi de blok. Dis kin mek wi bɔdi nɔ kin gɛt di ɔksijɛn we i nid. Dis na di men rizin wae de mek yu gɛt sayn dɛm lɛk wae yu nɔr de blo fayn ɛn yu taya.

ILD nɔto wan sik. I pas 200 kɔndishɔn dɛn we dɛn dɔn klas ɔnda dis nem. di kכmכn tin we dεn kכmכn pan dεm na di damej pan di intastitial tisu dεm na di lכng dεm.

Wetin na di sayn dɛm fɔ pɔrsin wae gɛt ILD?

Di sayn dɛm fɔ ILD nɔ kin rili siriɔs fɔs. Bɔt as tɛm de go, fɔ sɔm mɔnt ɔ ia, dɛn sik ya kin bɔku smɔl smɔl. Dis na de sayn wae bɔrku pipul kin gɛt.

If yu gɛt dɛn sik ya, nɔr fɔ tink se yu gɛt ILD. Bɔt nɔ ignore dɛn sɛf. I impɔtant fɔ go to yu dɔktɔ , mɔ if yu nɔ de blo fayn ɛn yu de kɔf we dɔn dray fɔ sɔm mɔnt .

Wetin mek dis kayn sik kin apin? Wetin na di tin dɛn we kin mek i apin?

Dɛn kin sheb di tin dɛn we kin mek pɔsin gɛt ILD to tu kategori: di tin dɛn we dɛn no bɔt di tin dɛn we kin mek pɔsin gɛt ILD ɛn di tin dɛn we dɛn nɔ no/idiopathic kɔz .

1. Di Kɔz dɛn we Dɛn No

Dis min se wi kin se wit shɔ se, "Dis na wetin mek dis sik."

• Awtoimyun ɔ Kɔnɛktiv Tisu Sik dɛm: Sɔntɛnde wi bɔdi in yon imyun sistɛm kin bigin fɔ atak wi bɔdi in wɛlbɔdi tisu dɛm. Pipul wae gɛt sik lɛk Rheumatoid Arthritis (RA) , Lupus , ɛn Scleroderma kin gɛt bɔrku risk fɔ gɛt ILD.
• Di wok we wi de du ɛn di say we wi de: Sɔm pan di dɔst we wi de blo kin mek di lɔng dɛn pwɛl fɔ lɔng tɛm.
• Silika dɔst: Fɔ di wan dɛn we de wok na ston, mayn, ɛn seramik faktri.
• Asbest fayba dɛn:Fɔ di wan dɛn we de pwɛl ol bildin dɛn, we de wok na di shiping biznɛs, ɛn we de wok wit brek pad na sɔm motoka dɛn.
• Gren dɔst, hay, bɔd dɔti: Na wan sik we dɛn kɔl Hypersensitivity Pneumonitis we kin apin to pipul dɛn we de fam ɔ mɛn animal.
• Mold ɛn Fɔngi: Fɔ di wan dɛn we de wok na say dɛn we gɛt bɔku bɔku wata ɛn we nɔ gɛt bɛtɛ briz.
• Sɔm mɛrɛsin ɛn tritmɛnt dɛn:
• Mεdikeshכn dεm lεk amiodarone, wae dεn kin yuse fכ trit sכm hat kכndyushכn dεm.
• Sɔm mɛrɛsin dɛn we de agens kansa (Kɛmotɛrapi drɔgs) .
• Redyushɔn tɛrapi fɔ brɔst ɔ lɔng kansa.
• Sɔm infekshɔn: Ska na di lɔng dɛn kin apin ivin afta bad bad infɛkshɔn lɛk TB ɛn nyumonia .

2. Di tin dɛn we dɛn nɔ no bɔt (Idiopathic) .

Bɔku tɛm, dɛn nɔ kin fɛn ɛni patikyula kɔz fɔ ILD. Di pɔsin nɔ gɛt ɔda sik ɔ i nɔ gɛt ɛnitin we de ambɔg am, bɔt di lɛng tisu gɛt skata. Wi kin kɔl dɛn kes ya idiopathic , we min "we dɛn nɔ no wetin mek dɛn du am."

Di wan we kin bɔku ɛn we kin rili bad na Idiopathic Pulmonary Fibrosis (IPF) .

Udat de pan ay risk fɔ gɛt ILD?

Pan ɔl we ɛnibɔdi kin gɛt ILD, sɔm pipul dɛn kin gɛt am mɔ.

Aw di dɔktɔ kin no bɔt dis sik?

We yu go to dɔktɔ wit di sayn dɛn we yu bin dɔn tɔk bɔt, i go du bɔku tɛst fɔ no if yu gɛt dis sik kɔrɛkt wan.

1. Fɔ aks yu bɔt yu sik dɛn: Fɔs, dɛn go aks yu bɔt yu sik dɛn, di de we dɛn bigin, ustɛm dɛn wɔs, ɛn ɔda tin dɛn Dɛn go aks yu bak bɔt di wok we yu de du, if ɛnibɔdi na yu famili dɔn gɛt dis kayn sik, ɛn us ɔda mɛrɛsin yu de tek.

2. Fɔ chɛk yu bɔdi: Di ​​dɔktɔ go put stetɔskɔp na yu chɛst ɛn lisin to di sawnd dɛn we yu de mek we yu de blo. Bɔrku pipul dɛm wae gɛt ILD kin yɛri "krak krak" na dɛn lɔng, lɛk we dɛn nɔ dɔn du Vɛlkɔ .

3. Pulmonary Function Tests (PFT): Insay dis tɛst, dɛn kin aks yu fɔ blo insay ɛn kɔmɔt tru wan tiub we dɛn kɔnɛkt to mashin. Dis tɛst de mɛzhɔ ɔmɔs briz yu lɔng dɛn kin ol ɛn aw fast yu kin pul am. Insay ILD, di lכng kapasiti de rεdכks.

4. Imej Tɛst dɛn:

• Chɛst X-ray: We yu tek ɛkstrem na di chɛst, i kin mek yu no if ɛni skata de na di lɔng dɛn.
• High-Resolution CT (HRCT) Scan: Dis na di tɛst we impɔtant pas ɔl fɔ no if pɔsin gɛt ILD. I kin mek pikchɔ dɛn we klia ɛn we gɛt bɔku tin dɛn pas di CT skan we dɛn kin yuz ɔltɛm. i kin bεtεh sho di kayn we aw di skata de na di lכng dεm εn aw i dכn spre (patεn dεm lεk "כni kכmb").

5. Blɔd Tɛst: Dɛn kin tɛst blɔd sɛmpul fɔ no ɔda sik dɛn we pɔsin kin gɛt, lɛk sik dɛn we pɔsin kin gɛt we i de fɛt insɛf.

6. Bronkoskopi: Sɔntɛnde, dɛn kin pas wan tin tiub we gɛt kamɛra we dɛn tay tru di nos ɔ mɔt insay di lɔng, usay dɛn kin chɛk am insay ɛn tek wan tisu sɛmpul (bayopsi).

7. 7. .Ɔspitul Bayɔpsi: If di tɛst dɛn we wi dɔn tɔk bɔt nɔ klia, dɛn kin du smɔl ɔpreshɔn fɔ pul wan smɔl pat pan di tisu na di lɔng fɔ mek dɛn chɛk am.

Wetin na di tritmɛnt dɛm fɔ ILD?

I sɔri fɔ no se naw, no mɛrɛsin nɔ de fɔ ILD, we min se no mɛrɛsin nɔ de fɔ di skata we kin apin na di lɔng dɛn. Bɔt bɔku tritmɛnt dɛn de we go ɛp fɔ kɔntrol aw di sik de go bifo, fɔ ridyus di sayn dɛm, ɛn fɔ mek yu liv bɛtɛ layf. Di tritmɛnt dipen pan di kayn ILD we yu gɛt, aw di sik bad, ɛn yu ɔl wɛl bɔdi.

Na sɔm pan di men we dɛn fɔ trit am:

• Di mɛrɛsin dɛn we dɛn kin yuz:
• Kɔtikosterɔyd: Drug dɛm lɛk Prednisolone de ridyus di inflamɛns na di lɔng dɛm.
• Anti-fibrotic drugs: Drugs lεk Pirfenidone εn Nintedanib kin slo dכn di rεt fכ di lכng skata. Dɛn kin gi dɛn tin ya mɔ to di wan dɛn we gɛt IPF.
• Immunosuppressants: Dɛn kin gi pipul dɛm we gɛt ILD bikɔs ɔf ɔtoimyun sik dɛm mɛrɛsin dɛm we de ridyus di aktiviti fɔ di imyun sistɛm.
• Ɔksijɛn Tɛrapi: Fɔ pipul dɛn we gɛt smɔl ɔksijɛn na dɛn blɔd, dɛn kin gi dɛn ɔda ɔksijɛn tru wan nos tyub ɔ fes mask. Dis kin ɛp fɔ ridyus di shɔt briz ɛn taya.
• Pulmonary Rehabilitation: Dis tan lɛk ‘physiotherapy’ fɔ di lכng. Wan tim we dɛn tren spɛshal wan go gi yu ɛksesaiz fɔ blo, ɛksesaiz fɔ yu bɔdi, ɛn advays bɔt it. Dis go mek yu gɛt mɔ trɛnk ɛn ɛp yu fɔ liv wit yu sik dɛn.
• Lɔng Transplant: Fɔ di wan dɛn we dɛn sik rili bad ɛn nɔ ebul fɔ kɔntrol dɛn wit ɛni ɔda tritmɛnt, di las tin we dɛn fɔ du na fɔ transplant dɛn lɔng we gɛt wɛlbɔdi.

Wetin a kin du we a de liv wit ILD?

Na nɔmal tin fɔ fil bad ɛn fred we dɛn dɔn no se yu gɛt ILD. Bɔt if yu mek smɔl chenj dɛn na yu layf ɛn fala yu dɔktɔ in advays, yu go ebul fɔ liv fayn layf wit dis sik.

• Nɔ smok kpatakpata: If yu na pɔsin we de smok, di bɛst tin we yu go du na fɔ lɛf fɔ smok tide.
• It fayn it: If yu it fayn it, dat kin ɛp fɔ mek di bɔdi gɛt trɛnk.
• Ɛksesaiz ɔltɛm:Aks yu dɔktɔ ɛn du layt ɛksesaiz we go fayn fɔ yu. Ivin sɔntin lɛk fɔ waka pas inof.
• Gɛt rɛst: I rili impɔtant fɔ gi di bɔdi di rɛst we i nid.
• Protɛkt yusɛf frɔm infekshɔn: Wear fes mask we yu de go na say dɛn we pipul dɛn kin bɔku, was yu an ɔltɛm, ɛn tɔk to yu dɔktɔ bɔt aw fɔ gɛt nyumonia ɛn influenza vaysin.
• Tink bɔt yu wok: If yu wok na fɔ blo tin dɛn we go ambɔg yu lɔng, yu kin tink bɔt fɔ tek we dɛn we nɔ gɛt wan prɔblɛm ɔ chenj wok.