Yu gɛt dray kɔf we nɔ de dɔn ɛn we dɔn de fɔ sɔm dez, sɔntɛm fɔ sɔm wiks? Yu tink se i nɔ kin izi fɔ yu fɔ blo, ivin we yu de waka fɔ shɔt tɛm, du os wok dɛn, ɔ we yu de klaym stej? Bɔku tɛm, wi kin dismis dɛn tin ya as "jɔs kol." Bɔt sɔmtɛm, biɛn dɛn sik ya, wan sik kin de na di lɔng we wi nɔ yɛri bɔku bɔt, bɔt we wi fɔ rili wɔri bɔt. Tide, wi de tɔk bɔt wan pan dɛn kayn sik ya, NSIP, ɔ Nonspecific Interstitial Pneumonia.
Fɔ tɔk am simpul wan, wetin na NSIP (Nonspecific Interstitial Pneumonia)?
Pan ɔl we i go tan lɛk se di nem kɔmplikt smɔl, lɛ wi kip am simpul. NSIP na inflameshn bak na di lכng dεm. Bɔt i difrɛn smɔl frɔm di kɔmɔn nyumonia we wi kin yɛri bɔt bɔku tɛm.
Tink bɔt yu lɔng dɛn lɛk ɔgan we gɛt bɔku bɔku smɔl smɔl ay sak dɛn we tan lɛk grep (alveoli). We wi de blo, ɔksijɛn kin go insay di lɔng dɛn ɛn go insay di blɔd tru dɛn alvɔlɔ dɛn ya. insay NSIP, inflameshn nכ de apin na di alvεol dεm sεf, bכt na di spεs bitwin dεm εn di tisu dεm we de rawnd di bכdi vεsul dεm . dis na wetin wi mεdikal kכl ``intastitial lכng sik''.
Bɔrku tɛm dɛn kin si dis sik pan pipul dɛm wae gɛt kɔnektiv tisu sik (CTD). I kin gɛt fɔ du bak wit ɔda sik dɛn we pɔsin kin gɛt. Nɔ lɛk simpul nyumonia we kin dɔn insay sɔm dez, i kin las fɔ lɔng tɛm ɛn sɔntɛnde i kin mek di lɔng dɛn gɛt skata fɔ ɔltɛm.
Tu men kayn NSIP dɛn de.
Dɔktɔ dɛn kin sheb NSIP to tu men kayn, i kin dipen pan di kayn damej we di lɔng dɛn dɔn pwɛl. I impɔtant fɔ mek yu no dɛn tu kayn ya, bikɔs di tritmɛnt ɛn di prɔgnosis dipen pan di kayn.
| NSIP tayp | Simpul ɛksplen |
|---|---|
| Sεlyulεr NSIP | wetin kin apin pan dis na we di sεl dεm bitwin di ay sak dεm we wi bin tכk bכt kin inflam. Dat min se dɛn sɛl dɛn de kin swel. Dis na di kayn we bɛtɛ smɔl pas di tu kayn NSIP, ɛn i kin ansa fayn to tritmɛnt.I kin wɛl kpatakpata if dɛn trit am fayn. |
| Fibrotik NSIP we de na di bɔdi | insay dis, di lכng tisu kin tik, stif, εn skata. Wi kin kɔl dis fibrosis . Dis na siriɔs kɔndishɔn , bikɔs di skata we kin apin nɔ kin ebul fɔ rivɛns. Bɔt wit tritmɛnt, dɛn kin kɔntrol di rit we dis skata kin apin. |
Dis difrɛn frɔm nyumonia we dɛn kin gɛt ɔltɛm?
Yɛs, fɔ tru. I rili impɔtant fɔ ɔndastand dis difrɛns.
- Nyumonia: Dis na inflamɛns na di ay sak dɛm (di sak dɛm we tan lɛk grep) na di lɔng dɛm . Dɛn kin ful-ɔp wit pus ɔ wata. Bɔku tɛm, dis kin apin bikɔs ɔf baktri ɔ vayral infɛkshɔn.
- intastitial nyumonia (lεk NSIP): insay dis, inflameshn de apin na di spεs dεm bitwin di ay sak dεm. dis min se di strכkchכ εn fכm fכ di lכng dεm dεn dכn pwεl. Bɔku tɛm, dɛn nɔ kin ebul fɔ fɛn wan patikyula kɔz fɔ NSIP.
Wan ɔda tin na, `Usual Interstitial Pneumonia (UIP)` na ɔda nem we dɛn kin yuz fɔ di sik `Idiopathic Pulmonary Fibrosis (IPF).` IPF na sik we nɔ kin chenj, we kin mek pɔsin gɛt skata na di lɔng dɛn. כltu, NSIP, spεshal wan Sεlyul NSIP, kin kכl bכku tεm wit tritmεnt. So, nɔ kɔnfyus di tu.
Wetin na di sayn dɛm fɔ NSIP?
Di sayn dɛm fɔ NSIP nɔ kin rili notis fɔs ɛn i kin wɔs smɔl smɔl as tɛm de go. I impɔtant fɔ mek yu no bɔt dɛn sik ya.
- Dray kɔf: Dis na di men ɛn kɔmɔn sayn. Wan kɔf we nɔ de dɔn, we de mek pɔsin vɛks ɛn we nɔ gɛt mɔyz.
- Fɔ blo shɔt: Fɔs, yu kin fil am we yu de du ɛksɛsayz ɔ we yu de waka kwik kwik wan. Bɔt as di sik de go bifo, i kin at fɔ blo ivin we yu jɔs tinap.
- Labored breathing: Fɔ fil lɛk se yu fɔ tray tranga wan fɔ blo.
- Taya: Fɔ fil taya ɛn taya ivin we yu nɔ du ɛni wok.
- Klɔb finga: Dis nɔ kin apin, bɔt sɔm pipul dɛn kin gɛt rawnd finga ɛn swel rawnd di nel dɛn.
If yu gɛt dɛn sik ya, mɔ we yu de kɔf we yu de dray ɛn yu nɔ de blo fayn fɔ sɔm wiks ɔ if dɛn de wɔs, duya nɔ ignore am ɛn go to dɔktɔ.
Wetin kin mek pɔsin gɛt NSIP? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Fɔ tɔk tru, masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin de mek NSIP. Bɔt we yu luk pipul dɛn we gɛt dis sik, dɛn kin si se dɛn gɛt ɔda mɛrɛsin. Dat min se pan ɔl we nɔto tru se dɛn kɔndishɔn ya kin mek NSIP, strɔng kɔnekshɔn de bitwin dɛn.
Dɛn tin ya we de kam biɛn ya kin mek di risk fɔ gɛt NSIP kin bɔku.
| Risk factor | Tɔk bɔt |
|---|---|
| Jɛnda ɛn ej | Dɛn kin no dis sik mɔ pan uman dɛn we ol bitwin 40 ɛn 50 ia . |
| Kɔnɛktiv Tisu Disɔda dɛn | Dis na di men link wit NSIP. dis na di כtoimyun dizכrd dεm we di bכdi in imyun sistεm de atak in כwn tisu dεm. Sɔm ɛgzampul dɛn na Rimatɔyd Atraytis , Lupus , ɛn Sklerodama (wan sik we de mek di skin tik). |
| Vayral infɛkshɔn dɛn | Sɔm vayral infɛkshɔn dɛn kin involv bak. Ɛgzampul dɛn: HIV ɛn Epataytis . |
| Riakshɔn to sɔm mɛrɛsin dɛn | Sɔm mɛrɛsin kin mek yu lɔng damej bak as sayd ɛfɛkt. dis dεn kכl am ``drug-induced interstitial pneumonia''. Sɔm ɛgzampul dɛn na kemotɛrapi fɔ kansa, redyushɔn tɛrapi, ɛn sɔm mɛrɛsin dɛn we de mek pɔsin gɛt at sik. |
Aw dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ, i go tek tɛm lisin fɔs to yu sayn dɛn. Yu fɔ tɛl di dɔktɔ bak bɔt ɛni ɔda mɛrɛsin we yu gɛt ɛn di mɛrɛsin dɛn we yu de tek. Dɔn, i go ɔda fɔ du bɔku tɛst fɔ no if i gɛt di sik.
- Pɔlmonari wok tɛst: Dis na fɔ mek yu blo insay wan mashin, we de mɛzhɔ ɔmɔs briz yu lɔng dɛn kin tek ɛn aw kwik yu kin blo.
- Chɛst X-ray: Dis kin ɛp fɔ gɛt di bɛsis ɔndastandin if ɛni abnɔmal tin de na di lɔng dɛn.
- CT scan (Computed Tomography scan): Dis kin mek yu gɛt bɔku klia pikchɔ dɛn we gɛt tri dimɛnshɔnal pas ɛkstrem rayt. CT skan impɔtant fɔ no di kayn we aw di lɔng dɛn dɔn pwɛl ɛn di kayn we aw i tan (sɛl ɔ fibrotik).
- Bronchoscopy: Dɛn kin pas wan smɔl tiub we gɛt layt wit kamɛra tru di mɔt ɔ nos insay di lɔng dɛn fɔ chɛk di insay pat pan di say dɛn we di briz de blo. If nid de, dɛn kin tek wan sampul pan di sɛl dɛn fɔ tɛst.
- Bayopsi: Dis na di bɛst tɛst fɔ kɔnfɔm di sik 100%. Insay dis, dɛn kin ɔpreshɔn wan rili smɔl tisu na di lɔng ɛn chɛk am ɔnda maykroskɔp.
Wetin na di tritmɛnt dɛm fɔ NSIP?
Dɔktɔ dɛn gɛt tu men gol dɛn we dɛn de trit NSIP. Wan na fɔ ridyus di inflamɛns na di lɔng dɛn. Di ɔda wan na fɔ kɔntrol ɛni ɔndalayn mɛdikal kɔndishɔn (lɛk at at sik) we kin de mek NSIP.
If i siriɔs, dɛn kin yuz ɔda tritmɛnt dɛn bak fɔ mek di lɔng dɛn strɔng ɛn gi di bɔdi di ɔksijɛn we i nid.
- Di mɛrɛsin dɛn we dɛn kin yuz:
- Kɔtikosterɔyd lɛk Prednisolone: Dɛn wan ya na stɛroyd-tayp mɛrɛsin dɛn we kin ridyus di inflamɛns kwik kwik wan.
- Immunosuppressive drugs: Drug dεm lεk `Azathioprine`, `Cyclophosphamide`, εn `Mycophenolate` de wok bay we dεn de kכntrכl di aktiviti fכ di bכdi in imyun sistεm εn stכp am fכ damej in כwn lכng dεm.
- Anti-fibrotic drugs: Dɛn kin yuz drɔgs lɛk `Pirfenidon` ɛn `Nintedanib` pan pipul dɛm we gɛt Fibrotic NSIP. Dɛn tin ya kin mek di skata na di lɔng dɛn slo.
- Rituximab: Dis na ``biologic`` dכg we dεn kin yus fכ kכnektiv tisu sik dεm.
- Ɔda Tɛrapi dɛn:
- Pulmonary rehabilitation: Dis na spɛshal ɛksɛsayz ɛn kɔyl program we de ɛp fɔ mɛn di prɔblɛm dɛn we i gɛt fɔ blo ɛn fɔ mek di bɔdi strɔng.
- Ɔksijɛn tɛrapi: Dɛn kin gi ɔksijɛn tru wan tiub to di wan dɛn we gɛt smɔl ɔksijɛn na dɛn blɔd.
- Lɔng transplant: Dis na di las tin we dɛn kin tink bɔt fɔ di wan dɛn we gɛt siriɔs sik we nɔ ebul fɔ du ɔl di ɔda tritmɛnt dɛn.
Aw layf go tan lɛk wit dis sik?
Di ansa to dis kwɛshɔn dipen dairekt pan us kayn NSIP yu gɛt.
Di luk fɔ pɔsin we gɛt sɛlular NSIP rili fayn . If yu gɛt di rayt tritmɛnt, i pɔsibul fɔ mek yu wɛl ful wan. di fayv ia sכvayv rεt na כlmost 100%. Bɔt yu go nid fɔ tek mɛrɛsin ɔnda dɔktɔ in sɔpɔt fɔ sɔm mɔnt.
insay fibrotic NSIP , di damej to di lכng dεm nכ de rεvεr . Di skata kin de sote go. So dis na siriɔs tin smɔl. Bɔt nɔ wɔri. Tritmɛnt kin mek di sik slo ɛn i kin mek i liv lɔng. Stɔdi dɔn sho se pipul dɛn kin liv fɔ lɛk 6 to 14 ia afta dɛn dɔn no se dɛn gɛt di sik.
Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?
If dɛn dɔn no se yu gɛt NSIP, na nɔmal tin fɔ gɛt bɔku kwɛstyɔn na yu maynd. We yu go si yu dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya.
- Wan patikyula rizin de we mek a kin gɛt dis sik?
- Us kayn a gɛt, Sɛlula ɔ Fibrotik?
- Us tritmɛnt opshɔn dɛn we bɛtɛ fɔ mi?
- Ɛni bad tin de we dɛn tritmɛnt ya kin du?
- Aw i go bi se dis sik go wɔs as tɛm de go?
- A kin slo fɔ mek a gɛt mɔ lɔng damej?
- Us tin dɛn a fɔ tek tɛm mɔ bɔt na mi ɛvride layf ɛn it ɛn drink?
- Ustɛm a fɔ go to di dɔktɔ bak?
If yu aks kwɛstyɔn dɛn lɛk dis ɛn ɔndastand yu sik klia wan, dat go ɛp yu fɔ sɔpɔt yu tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- NSIP nɔto jɔs ɔdinari nyumonia. Na wan kכndyushכn we de afekt di tisu bitwin di ay sak dεm na di lכng.
- Wan dray kɔf we nɔ de dɔn ɛn we yu nɔ de blo fayn we yu de du ɛksɛsayz na di men sayn dɛm. Nɔ ignore dɛn tin ya.
- tu men kayn NSIP de: Sεlyul (we dεn kin kכl) εn Fibrotic (siriכs, bכt i kin mεnεj).
- If yu gɛt kɔnektiv tisu sik (e.g. at at), no mɔ bɔt di sayn dɛm we gɛt fɔ du wit yu lɔng.
- I rili impɔtant fɔ go to dɔktɔ we sabi du di wok kwik kwik wan fɔ mek dɛn no di sik ɛn tritmɛnt kɔrɛkt wan. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
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