Sɔntɛnde yu kin gɛt kɔf we nɔ de dɔn ɛn dray we nɔ de mek yu gɛt mɔt? Yu kin fil shɔt we yu taya smɔl, ɔ we yu de klaym stej? Bɔku pipul dɛn kin tink se dis na nɔmal tin, sɔntɛm na dɔst kin kam wit am, bɔt sɔntɛnde i kin bi sayn fɔ se pɔsin gɛt lɔng sik we nid sɔm atɛnshɔn. Tide wi de tok abaut wan dis kain kondishon, NSIP.
Wetin na NSIP (Nɔnspɛsifi k Intɛrstitial Nyumonia)?
Fɔ tɔk am simpul wan, NSIP na inflamɛns na di tisu bitwin di smɔl smɔl ay sak dɛm (alveoli) na yu lכng dεm εn di blɔd vεsul dεm we de rawnd dεm. Tink bɔt yu lɔng dɛn lɛk wan bɔnch greps we gɛt bɔku bɔku smɔl smɔl greps (alveoli). Di nyumonia we wi kin no kin apin insay dɛn greps ya. bכt insay NSIP, di inflameshn de apin na di spεs bitwin dεn greps dεm ya εn di tisu we de rawnd dεm.
dis na kכndyushכn we de pan wan grup fכ lכng sik dεm we dεn kכl ``interstitial lכng sik''. Bɔku tɛm dɛn kin si NSIP pan pipul dɛn we gɛt kɔnektiv tisu sik (CTD). Dɔn bak, e kin bi fɔ lɔng tɛm, nɔr kin bɛtɛ insay sɔm dez lɛk nyumonia ɔltɛm. Sɔntɛnde, i kin ivin mek di lɔng dɛn gɛt skata fɔ ɔltɛm.
Tu men kayn NSIP dɛn de.
Dɔktɔ dɛn kin sheb NSIP to tu men kayn. I impɔtant fɔ ɔndastand di difrɛns bitwin di tu, bikɔs di tritmɛnt ɛn aw di sik go go bifo tumara bambay kin difrɛn.
| NSIP tayp | Fɔ tɔk am simpul wan, wetin kin apin? | Siriɔs tin we yu fɔ du |
|---|---|---|
| Sεlyulεr NSIP | insay dis kayn, di sεl dεm bitwin di ay sak dεm kin inflam. No skata nɔ de. | I nɔ kin rili bad. I kin ansa fayn fayn wan to tritmɛnt. I kin mɛn am kpatakpata. |
| Fibrotik NSIP we de na di bɔdi | Dis kin mek di lכng tisu tik εn skata. Insay mɛrɛsin, dɛn kin kɔl dis skata fibrosis . | Dis na di kayn we we siriɔs ɛn denja pas ɔl. Di damej we di lɔng dɛn dɔn pwɛl kin at fɔ rivɛns. |
Wetin na di sayn dɛm fɔ NSIP?
Di sayn dɛm fɔ NSIP nɔr kin notis fɔs. Bɔt, dɛn kin bɔku smɔl smɔl as tɛm de go, fɔ sɔm mɔnt ɔ ia. Di men sayn dɛm wae de sho se yu gɛt dis sik na:
- Wan dray kɔf we kin kɔntinyu fɔ de: Dis nɔ kin mek yu gɛt mɔkus. I jɔs de sawnd lɛk kɔf we de klin yu trot.
- Fɔ blo shɔt (dyspnea): I nɔ kin izi fɔ yu fɔ blo, mɔ we yu de du sɔntin we de mek yu taya, lɛk fɔ waka ɔ fɔ klaym stej. As di sik de go bifo, yu kin gɛt shɔt briz ivin we yu jɔs tinap.
- Labored breathing: Fɔ fil lɛk se yu fɔ tray tranga wan fɔ blo.
- Taya pasmak: Fɔ fil taya bad bad wan ivin we yu nɔ du natin.
- Finga dɛn we gɛt klɔb: Dis nɔ kin rili kɔmɔn. Bɔt pan sɔm pipul dɛn, di finga dɛn tip kin swel lɛk drɔmstik ɛn di nel dɛn kin rawnd. Dis de sho se di bɔdi nɔ de gɛt bɛtɛ ɔksijɛn.
De impɔtant tin na dat, dɛn sik ya nɔ kin bigin wantɛm wantɛm, bɔt dɛn kin bɔku smɔl smɔl as tɛm de go. So bɔku pipul dɛn nɔ kin pe atɛnshɔn tumɔs to dis.
Wetin na di tin dɛn we kin mek pɔsin gɛt NSIP? Udat dɛn de pan big risk?
Infakt, dɔktɔ dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt NSIP. Bɔt we dɛn de luk pipul dɛn we gɛt dis sik, dɛn kin gɛt ɔda kayn mɛrɛsin. So dɛn biliv se link de bitwin dɛn kɔndishɔn ya ɛn NSIP.
Ki kɔndishɔn dɛn we gɛt fɔ du wit NSIP:
- di sik dεm we de kכnεkt di tisu dεm: Dis na כtoimyun sik dεm we di bכdi in imyun sistεm de atak in yon tisu dεm. Fɔ ɛgzampul:
- Rimatɔyd at at sik - na sik we de mek di jɔyn dɛn swel ɛn fil pen
- Lupus we gɛt di sik
- Sklɛrodama
- Vayral infεkshכn: Sɔm vayral infεkshכn, lεk HIV εn epataytis, kin gɛt fɔ du wit NSIP bak.
- Di tin dɛn we pɔsin kin du we i tek sɔm mɛrɛsin dɛn: Dis sik kin kam bak bikɔs dɛn de tek kimotɛrapi fɔ kansa, redyushɔn tɛrapi, ɛn sɔm mɛrɛsin fɔ at sik.
Nɔmal wan na NSIP sikI kin mɔs pan uman dɛn we ol bitwin 40 ɛn 50 ia.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
If yu gɛt ɛni wan pan di sayn dɛm we wi dɔn tɔk bɔt, di fɔs tin we yu dɔktɔ go du na fɔ aks yu bɔt yu mɛdikal istri. I impɔtant fɔ tɛl yu dɔktɔ ɔltin we yu gɛt bɔt ɛni ɔda mɛrɛsin ɔ mɛrɛsin we yu de tek.
Afta dat, dɛn go ɔda fɔ du sɔm tɛst fɔ kɔnfirm di diagnosis.
- Pulmonary function tests: Dis min se yu de blo insay ɛn kɔmɔt tru wan tiub we dɛn kɔnɛkt to mashin. Dis kin ɛp fɔ gɛt aidia bɔt aw yu lɔng dɛn de wok fayn bay we yu de mɛzhɔ ɔmɔs briz yu kin tek ɛn aw fast yu kin blo.
- Chɛst X-ray ɛn CT skan: Pan ɔl we ɛkstrem rayt kin gi wan jenɛral aidia, CT skan (Computed Tomography scan) kin si klia wan chenj dɛn we rili shɔt ɛn skata na di lɔng dɛn. CT skan rili impɔtant fɔ no NSIP.
- Bronchoscopy: Insay dis, dɛn kin tay kamɛra na di ɛnd pan wan tin we kin chenj ɛn pas tru yu nos ɔ yu mɔt insay yu lɔng.
- Bayopsi: Dis na di bɛst we fɔ kɔnfɔm di sik 100%. Dɛn kin pul wan rili smɔl tisu na di lɔng tru ɔpreshɔn ɛn chɛk am ɔnda maykroskɔp. afta dat dis kin no εksεkt if i na sεl כ fibrotik.
Wetin na di tritmɛnt dɛm fɔ NSIP?
Di men gol fɔ trit NSIP na fɔ ridyus inflamɛns na di lɔng, kɔntrol di sik fɔ mek i nɔ wɔs, ɛn ɛp fɔ mek yu kɔntinyu fɔ gɛt kwaliti layf.
Di we aw dɛn kin trit am kin difrɛn frɔm wan pɔsin to ɔda pɔsin ɛn i kin difrɛn frɔm di kayn sik we i gɛt.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Kɔtikosterɔyd drɔgs `(Kɔtikosterɔyd)` | Fɔ ɛgzampul, mɛrɛsin dɛn lɛk `(Prednisone)`. Dɛn tin ya de wok bay we dɛn de ridyus di inflamɛns na di bɔdi ɛn di lɔng dɛn. |
| Drug dɛn we de mek di bɔdi nɔ gɛt bɛtɛ wɛlbɔdi | Mεdisin dεm lεk `azathioprine`, `cyclophosphamide`, `mycophenolate`. Dɛn tin ya de wok bay we dɛn de kɔntrol di tin dɛn we di bɔdi in imyun sistɛm de du we dɛn nɔ want. Dɛn tin ya impɔtant mɔ fɔ pipul dɛn we gɛt `(autoimmune)` sik. |
| Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt fibrotik | Drugs lɛk `pirfenidone` ɛn `nintedanib`. Dɛn kin gi dɛn tin ya to pipul dɛn we gɛt Fibrotic NSIP. Dɛn kin ɛp fɔ mek di skata na di lɔng dɛn slo. |
| Pulmonari rihabiliteshɔn | Dis impɔtant jɔs lɛk aw i impɔtant fɔ gi am mɛrɛsin. I gɛt spɛshal ɛksɛsayz fɔ ɛp fɔ mek di lɔng dɛn strɔng, aw fɔ blo, ɛn fɔ tich bɔt di sik. |
| Ɔksijɛn tɛrapi | Fɔ gi ɔksijɛn to di wan dɛn we gɛt smɔl ɔksijɛn na dɛn blɔd, mɔ we dɛn taya. |
| Transplant fɔ di lɔng | Di las tin fɔ du if ɔl di ɔda tritmɛnt dɛn nɔ wok ɛn di sik kam tranga. |
Aw layf go tan lɛk wit NSIP? (Prɔgnosis) .
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Di ansa to dis dipen pan us kayn NSIP yu gɛt.
- Fɔ Cellular NSIP: Di lukin-grɔn fɔ dɛn pipul ya rili fayn . Wit di rayt tritmɛnt, di chans fɔ liv 5 ia afta dɛn dɔn no di sik de nia 100%. Bɔku tɛm, pɔsin kin ebul fɔ mɛn am kɔmplit wan.
- fכ Fibrotic NSIP: di damej we di lכng dεm dεn nכ kin rivεs ya. So di kɔndishɔn siriɔs smɔl. Bɔt di tritmɛnt dɛn we wi bin dɔn tɔk bɔt kin kɔntrol ɛn slo di sik fɔ go bifo. Di mɛdikal ripɔt sho se pipul dɛn kin liv bitwin 6 ɛn 14 ia afta dɛn dɔn no se dɛn gɛt di sik.
So, fɔ no di sik kwik kwik wan ɛn bigin fɔ tek di rayt tritmɛnt impɔtant fɔ mek yu liv lɔng.
Wetin yu fɔ du?
If yu dɔktɔ tɛl yu se yu gɛt NSIP, nɔ panik. Sɔm tin dɛn de we yu kin du.
- Fɔ fala yu dɔktɔ in instrɔkshɔn ɛn tritmɛnt plan ɛksaktɔli. Tek yu mɛrɛsin di rayt tɛm ɛn di rayt doz.
- If yu gɛt ɔda sik lɛk at at sik, kɔntrol da sik de fayn fayn wan.
- If yu notis ɛni chenj na yu sik, lɛk fɔ taya pasmak, tɛl yu dɔktɔ wantɛm wantɛm.
- If yu de smok, stɔp wantɛm wantɛm. Smok kin pwɛl yu lɔng dɛn mɔ ɛn mɔ.
If yu gɛt dray kɔf ɔ yu gɛt prɔblɛm fɔ blo we dɔn de fɔ sɔm wiks, duya go to dɔktɔ ɛn chɛk yu, pas fɔ tink se na nɔmal tin. NSIP kin wɔs smɔl smɔl if dɛn nɔ trit am.
Mɛsej we dɛn kin kɛr go na os
- NSIP nɔto di nyumonia we wi kin no. insay dis, inflameshn de apin na di tisu dεm bitwin di ay sak dεm na di lכng dεm.
- Dray kɔf we de te ɛn swɛt we yu taya na di men sayn dɛm fɔ dis sik. Nɔ ignore dɛn tin ya.
- Tu men kayn NSIP de. di ‘Sεl’ tכyp kin kכmplit kכl wit tritmεnt. Di ‘Fibrotic’ tayp, pan ɔl we i siriɔs, dɛn kin kɔntrol am wit tritmɛnt.
- Fɔ no kwik ɛn fɔ fala yu dɔktɔ in instrɔkshɔn dɛn rili impɔtant fɔ mek yu nɔ pwɛl yu lɔng fɔ ɔltɛm.
- If yu gɛt kɔnektiv tisu sik lɛk rεumatoid at, na fɔ no mɔ bɔt dɛn sik ya we gɛt fɔ du wit yu lɔng.
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