Yu de gɛt dɛn prɔblɛm ya wit yu lɔng? Lɛ wi tɔk bɔt Pulmonary Sarcoidosis

Sɔntɛnde yu kin fil lɛk se yu nɔ de blo fayn, ɔ yu kin kɔf ɔltɛm we kin de fɔ sɔm dez? Sɔntɛm yu kin fil taya fɔ natin, wit pen na yu chɛst. Dɛn tin ya kin pas fɔ jɔs taya. Tide wi go tɔk bɔt wan kɔndishɔn wae yu nɔr dɔn yɛri bɔt, bɔt i rili impɔtant fɔ no bɔt. Dat na pulmonari sarkoidosis.

Wetin na Pulmonary Sarcoidosis?

Fɔ tɔk am simpul wan, sarkoidosis na sik we kin mek wi gɛt inflamɛns , ɔ swɛlin, na difrɛn pat dɛn na wi bɔdi. wetin kin apin pan dis na we di sεl dεm na wi imyun sistεm kin gεt εn mek sכm sכm sכm sכm sכm sכm dεm. Wi kin kɔl dɛn lumps ya wit mɛrɛsin granulomas . Fɔ tɔk di kɔrɛkt tin, dɛn tin ya kin smɔl lɛk wan gren rays ɔ big smɔl.

Naw, Pulmonary Sarcoidosis na we dis kכndyush כn de afekt wi lכng dεm spεshal wan . Bɔt nɔto jɔs di lɔng dɛn nɔmɔ i de du. Sɔmtɛm i kin afɛkt di skin, di yay, di limf no dɛm, di at, ɔ ɛni ɔda pat na di bɔdi. Bɔrku tɛm, dis pulmonary sarcoidosis kɔndishɔn kin bɛtɛ fɔ insɛf. Bɔt insay sɔm ɔnaful kes dɛm, dis inflamɛns we de kɔntinyu kin mek di lɔng dɛn gɛt skata fɔ ɔltɛm . Na dat mek i rili impɔtant fɔ lɛ wi ɔl no bɔt dis sik.

Na dis kansa?

Bɔrku pipul, we dɛn yɛri di nem "sarcoidosis", mɔ we dɛn yɛri di "lumps" we de fɔm, kin tink se, "Oh, a nɔ no if dis na kansa." Nɔ, fɔ mek wi no klia wan, sarkoidosis nɔto kansa. Na wan sik we rili difrɛn. Bɔt sɔm mɛdikal stɔdi dɔn sho se pipul dɛm wae gɛt sarkoidosis kin gɛt smɔl risk fɔ gɛt sɔm kayn kansa tumara bambay pas ɔda pipul dɛm. Bɔt yu fɔ mɛmba se dɛn tu sik ya nɔto di sem.

Wetin na di sayn dɛm fɔ Pulmonary Sarcoidosis?

Mɛmba se nɔr to ɔlman gɛt dis sik, bɔt dɛn nɔr de sho ɛni sayn. Sɔm pipul kin gɛt am wae nɔr gɛt ɛni sayn. Bɔt if yu kɔntinyu fɔ gɛt dɛn tin ya, yu fɔ wɔri smɔl:

• Yu kin gɛt pen na yu chɛst . I kin fil lɛk se yu chɛst tayt, ɔ i kin at we yu de blo.
• Yu kin gɛt dray kɔf we nɔ de dɔn we nɔ de go ilɛksɛf yu tek kɔf mɛrɛsin.
• Yu kin fil taya , taya, yu kin fil lɛk yu nɔr wɛl, ɔr yu nɔr kin fil fayn . I tan lɛk se yu gɛt fiva, ɛn yu bɔdi de fil ebi.
• I nɔ izi fɔ blo (dyspnea) ., we min se yu de fil shɔt fɔ blo, lɛk se yu gɛt prɔblɛm fɔ blo. Yu kin ivin fɔdɔm afta yu dɔn waka fɔ shɔt tɛm.
• Sɔntɛnde yu kin yɛri wisɛl sawnd frɔm yu chɛst we yu de blo .

Apat frɔm dɛn tin ya, bɔku pipul dɛn we gɛt pulmonary sarcoidosis kin gɛt prɔblɛm wit pwɛl hat . E nɔr wɔnda wae de sik wae nɔr de mɛn lɛk dis kin ambɔg yu ɛvride layf, woke, ɛn soshal intarakshɔn, e kin mek yu strɛs.

Wetin na di rizin fɔ dis?

Infakt, dɔktɔ ɛn sayɛnsman dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt pulmonary sarcoidosis. I kɔmplikt smɔl. Sɔntɛnde, i kin rɔn na famili, we min se i kin gɛt sɔntin fɔ du wit di jɛnɛtiks . Ɔda tɛm dɛn, dɛn kin tink se na tin dɛn we de apin na di say we dɛn de, lɛk sɔm bɔdi, vayrɔs, dɔst, ɔ we pɔsin de yuz kemikal fɔ lɔng tɛm . I kin bi bak wan sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn . Risach pipul dɛn stil de stɔdi dis fɔ no di rayt tin we kin apin.

Aw dis sik kin kɔmɔn? Udat kin gɛt am mɔ?

Pan ɔl we dɛn nɔ gɛt ɛni rayt statystik bɔt dis na Sri Lanka, we wi luk ɔda kɔntri dɛn na di wɔl, fɔ ɛgzampul na kɔntri dɛn lɛk Amɛrika, dɛn ripɔt se lɛk wan ɛn af to tu ɔndrɛd tawzin pipul dɛn de sɔfa wit dis sik we dɛn kɔl sarcoidosis. Na avrej, pan ɔl we na lɛk 11 pipul dɛn pan ɛvri 100,000 wayt pipul dɛn kin gɛt dis sik, pan pipul dɛn we kɔmɔt na Afrika dis nɔmba kin go ɔp to lɛk 34 pan ɛvri 100,000. Jɛnɛral wan, na lɛk 2.4 pasɛnt chans de fɔ mek pɔrsin gɛt dis sik.

Bɔku tɛm, sarkoidosis kin fɔs afɛkt di lɔng dɛn.

Pulmonary Sarcoidosis kin afɛkt ɛnibɔdi, ilɛksɛf na man ɔ uman, ej, ɔ rays. Bɔt dɛn dɔn si se dɛn pipul ya kin gɛt di prɔblɛm smɔl:

• Pipul dɛm we kɔmɔt na Afrika ɔ Nɔtan Yurop (e.g. kɔntri dɛm lɛk Denmak, Nɔwe, Swidan).
• Pipul dɛn we de wok na say dɛn we gɛt peshɛnt, mold, dɔst, ɔ ɔda tin dɛn we kin mek dɛn gɛt inflamɛns.
• Pipul wae de tek sɔm mɛrɛsin fɔ lɔng tɛm. Fɔ ɛgzampul, sɔm mɛrɛsin fɔ HIV infɛkshɔn, mɛrɛsin fɔ mɛn kansa, ɔ mɛrɛsin we de mek di imyun sistɛm wok pasmak.
• If sɔmbɔdi na yu famili dɔn gɛt pulmonary sarcoidosis bifo, dat min se i kin gɛt sɔntin fɔ du wit in jɛnɛtiks.
• Uman dɛnsɛf kin gɛt dis sik pas man dɛn.

Aw yu no dis?

If yu dɔktɔ saspek pulmonary sarcoidosis bay di sayn dɛm ɔ ɔda tɛst dɛm, i kin ɔda fɔ du sɔm tɛst dɛm, lɛk:

• Chɛst X-ray: Dis na di fɔs big tɛst we dɛn kin du. I kin chɛk fɔ si if tin nɔ de na di lɔng dɛn ɛn di limf no dɛn we dɔn swel.
• CT skan: CT skan kin mek klia, krɔs-sekshɔn pikchɔ pas ɛkstrem rayt. Dis kin ɛp fɔ si di kɔndishɔn na di lɔng dɛn mɔ ditayli.
• Pulmonary function testing: Dis involv fɔ mek yu blo insay mashin fɔ no aw yu lɔng dɛn de wok fayn, aw bɔku briz yu kin tek insay ɛn kɔmɔt, ɛn aw yu kin absɔb ɔksijɛn fayn fayn wan insay yu blɔd (e.g., gas diffusion test) .
• Bayopsi: Dis na di bɛst we fɔ kɔnfirm di diagnosis. Dis na fɔ tek wan smɔl pat pan di tisu frɔm di lɔng ɔ wan limf node we dɔn swel ɛn chɛk am ɔnda maykroskɔp fɔ si if ɛni granuloma de. dis tisu sεmpl kin kכmכt tru wan prכsidכm we dεn kכl brכnkoskopi (wan tin tכb we dεn put kεmεra insay di aywe dεm).
• bכdi tεst: Chεk fכ tin dεm lεk inflameshn lεvεl, kalsiכm lεvεl, kidni εn liva fכ wok, εn כda tin dεm sכmtεm dεn de chεk di lεvεl fכ angiotensin-converting enzyme (ACE), biכs dis kin εlevεt insay sarkoidosis.
• If nid de, dɛn kin du ɔda spɛshal skan dɛn lɛk MRI ɔ positron emission tomography (PET) skan dɛn bak.

Wetin na di stej dɛm fɔ Pulmonary Sarcoidosis?

Bay di tin dɛn we yu dɔn du fɔ yu tɛst, mɔ di tin dɛn we yu si pan yu chɛst ɛkstrem rayt, ɛn di sayn dɛn we yu gɛt, yu dɔktɔ kin gi yu wan stej fɔ di sik. dis stej dεm de kכmכt frכm asymptomatic to siriכs lכng damej:

• Stej 0: Chɛst X-ray na kɔmplit nɔmal tin. No sayn nɔ de fɔ se yu gɛt granuloma. Di sayn dɛm bak kin nɔr de.
• Stej I: di hilar limf no dεm na di tu say dεm na di chεst dεn swεla, bכt nכ damej de we yu kin si pan di lכng tisu. Bɔrku tɛm, di sayn dɛm nɔr kin de.
• Stej II: di limf no dεm de swεla, εn sayn dεm de fכ granuloma na di lכng tisu. Dɛn pipul ya kin gɛt sɔm kayn sik.
• Stej III: Granuloma dεn dכn spre כlsay na di lכng tisu, bכt di swεla na di limf no dεm kin rεdכks כ nכ de.
• Stej IV: Dis na di stej we kin rili bad. di pulmonary sarcoidosis de mek di lכng tisu dεm pwεl.skata we de sote go, we nɔ go ebul fɔ chenj, we dɛn kɔl pulmonary fibrosis, kin apin. Dis kin mek di lכng wok bכku bכku wan.

Mɛmba se dɛn stej ya nɔ kin ɔltɛm gɛt sɔntin fɔ du wit di kayn we aw di sik kin tranga. Sɔm pipul kin gɛt siriɔs sik ivin na stej I.

Wetin na di tritmɛnt dɛm fɔ dis?

Gud nyus de! Nɔto ɔlman we gɛt pulmonary sarcoidosis go nid tritmɛnt. Bɔrku tɛm, mɔ na stej I, di kɔndishɔn kin go insay spontan remission witout ɛni tritmɛnt . Yu dɔktɔ go jɔs de wach yu fɔ sɔm tɛm.

Bɔt if yu sik bad bad wan, if yu lɔng in wok afɛkt, ɔ if i afɛkt wan impɔtant ɔgan lɛk yu yay ɔ yu at, yu nid fɔ gɛt tritmɛnt.

• Di men mɛrɛsin we dɛn kin gi na prɛdnison . Dis na wan kayn kɔtikosterɔyd . Dɛn kin yuz am fɔ kɔntrol inflamɛns na di bɔdi ɛn di ɔva aktiviti fɔ di imyun sistɛm. Bɔt bikɔs dis mɛrɛsin kin mek yu gɛt bad bad tin dɛn lɛk fɔ gɛt bɔku bɔku bɔdi, fɔ gɛt dayabitis, ɛn fɔ mek yu bon dɛn tan we yu yuz am fɔ lɔng tɛm, di dɔktɔ go gi am di smɔl smɔl doz ɛn fɔ shɔt tɛm.
• Fɔ pipul dɛm wae nɔr kin izi fɔ tek prednisone, ɔr wae nid fɔ gɛt tritmɛnt fɔ lɔng tɛm, dɔktɔ kin tɛl dɛn fɔ tek ɔda mɛrɛsin lɛk:
• Mεdisin dεm we de sכprεs di imyun sistεm, lεk mεthotrexate εn azathioprine .
• di tכmכro nεkrכsis fכktכ (TNF) inhibito dεm, lεk infliximab כ adalimumab . Bɔrku tɛm dɛn kin yuse dɛn tin ya fɔ sik dɛm lɛk rεumatoid at at.
• Sɔntɛnde, dɛn kin yuz mɛrɛsin fɔ mɛn malaria lɛk haydroksiklɔrokin fɔ mɛn di sik dɛn we de sho se di sik na di skin ɛn di jɔyn dɛn.

Na smɔl tɛm nɔmɔ, pan siriɔs kes dɛm (stej IV) usay pɔrmɛnt lכng damej dɔn apin ɛn we i nɔ kin izi fɔ blo, dɛn tin ya kin nid fɔ apin:

• Pulmonary rihabiliteshɔn: Spɛshal ɛksɛsayz ɛn advays program dɛn.
• Sɔplimɛnt ɔksijɛn .
• Fɔ dɔn, dɛn kin du ɔpreshɔn fɔ transplant in lɔng .

Yu tink se dɛn go ebul fɔ stɔp dis?

I sɔri fɔ no se sayɛnsman dɛn stil nɔ ɔndastand gud gud wan wetin kin mek pɔsin gɛt pulmonary sarcoidosis, so no we nɔ de we dɛn dɔn pruv fɔ mek i nɔ apin. Bɔt sɔm kes dɛn dɔn gɛt fɔ du wit di tin dɛn we de apin na di envayrɔmɛnt lɛk peshɛnt sayd, dɔst, ɛn mold.If yu de fa frɔm dɛn kayn tin ya as yu ebul ɛn de na say we klin briz de, dat go ɛp fɔ mek yu lɔng dɛn gɛt wɛlbɔdi. Dɔn bak, i rili impɔtant fɔ avɔyd fɔ smok kpatakpata.

Yu tink se dis kin mek pɔsin in layf de pan denja? Yu tink se i go apin bak?

Bɔrku pan di kes dɛm wae gɛt pulmonary sarcoidosis, mɔ if di sayn dɛm nɔr kin fayn, kin go insay spontan remission . Ɔda kes dɛn kin sɔlv kpatakpata wit shɔt tɛm tritmɛnt. Dɛn kayn kes ya nɔ kin mek pɔsin in layf de pan denja.

Bɔt if dis sik de fɔ lɔng tɛm ɛn i nɔ de ansa fayn to tritmɛnt, skata (fibrosis) na di lɔng dɛn kin apin ɔltɛm. If dis kin apin, i kin mek di lכng wok nɔr de wok fayn, i kin mek i nɔ izi fɔ blo, ɛn sɔntɛnde i kin mek pɔsin in layf shɔt.

Sɔm pipul kin gɛt fɔ gɛt rɛmishɔn fɔ ɔltɛm, we min se di sik dɔn go ɔlsay ɛn nɔ kin kam bak.

Bɔt, pulmonary sarcoidosis kin kam bak ivin afta dɛn dɔn lɛf am ɔ afta dɛn dɔn trit am fayn . Sɔntɛnde dɛn kin kɔl dis ‘flare-up’. So, ilɛksɛf di sik de bɛtɛ, i impɔtant fɔ kɔntinyu fɔ go fɔ tɛst lɛk aw yu dɔktɔ tɛl yu fɔ du.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt Pulmonary Sarcoidosis?

If dɛn granuloma dɛn we wi bin dɔn tɔk bɔt bifo tɛm nɔ wɛl ɛn kɔntinyu fɔ de, dɛn kin mek prɔblɛm dɛn lɛk:

• Pulmonary fibrosis: Dis na di kɔmplikeshɔn we siriɔs ɛn denja pas ɔl. di lכng tisu kin skata εn di lכng dεm kin stif. Dis kin mek i nɔ izi fɔ blo ɛn i kin mek di lɔng dɛn pwɛl sote go.
• Bronchiectasis: Dis na di kכndyushכn we di εya pasεj dεm (bronchi) na di aywe dεm de wayd fכ כltεm εn dεm de pwεl. Dis kin mek di mכkus bכku εn yu kin gεt infεkshכn na di lכng bכku tεm.
• Pulmonary hypertension: Dis na ay blɔd prɛshɔn na di at we de kɛr blɔd go na di lɔng. Dis kin afɛkt di at bak.
• Prɔblɛm na di yay: If sarkoidosis afɛkt di yay, tin dɛn lɛk uveitis kin apin, we kin mek i nɔ ebul fɔ si fayn ɛn ivin blaynd.
• At sik: Nɔr kin bɔrku, e kin afɛkt di at, kin mek yu gɛt tin dɛm lɛk aw at nɔr de bit ɔltɛm ɛn at nɔr de woke fayn.
• di ifekt dεm pan di kidni dεm: If di kalsiכm lεvεl dεm na di bכdi go כp, i kin mek di kidni ston dεm fכm εn di kidni dεm nכ de wok fayn.
• εnd-stej lכng sik: Dis na di las stej fכ lכng sik. Insay dis, yu lɔng dɛn nɔ kin ebul fɔ pul di kabon dayɔgzayd na yu bɔdi ɔ gi yu bɔdi inof ɔksijɛn.

Aw a go tek kia ɔf misɛf as pɔsin we gɛt Pulmonary Sarcoidosis?

If dɛn dɔn no se yu gɛt Pulmonary Sarcoidosis, nɔ panik. Dɛn advays ya kin ɛp yu fɔ kɔntrol di sik, fɔ wɛl, ɛn liv wɛl bɔdi layf:

• Stay away frɔm tin dɛn we de ambɔg yu lɔng. Protɛkt yusɛf frɔm tin dɛn lɛk dɔst, kemikal, pent smok, peshɛnt sayd, ɛn mold. Nɔ smok atɔl. Nɔ de na say dɛn we ɔda pipul dɛn de smok (sɛkɔnd smok).
• It tin dɛn we gɛt fayn fayn tin dɛn fɔ it ɛn we gɛt balans. It mɔ vɛjitebul, frut, klin fish, ɛn ɔl gren. Ridyus di it dɛn we dɛn dɔn prosɛs, shuga, ɛn it dɛn we gɛt bɔku fat.
• Ɛksesaiz ɔltɛm. Aks yu dɔktɔ us ɛgzampul dɛn we fayn fɔ yu ɛn du dɛn. Tin dɛn lɛk fɔ waka ɛn fɔ swim kin fayn.
• Mek yu gɛt wɛlbɔdi wet. If yu fat pasmak, dat kin mek yu gɛt prɔblɛm wit yu briz.
• Mek shɔ se yu atɛnd ɔl di tɛst dɛn we dɛn dɔn sɛtul ɛn apɔntinmɛnt dɛn wit yu dɔktɔ di rayt tɛm. Nɔ skip fɔ du blɔd tɛst, fɔ du di wok we yu lɔng, ɔ fɔ tek ɛkstrem rayt.
• Tek ɔl di mɛrɛsin dɛn we dɛn gi yu jɔs lɛk aw yu dɔktɔ tɛl yu, di tɛm ɛn fɔ di tɛm we dɛn tɛl yu. Nɔ stɔp fɔ tek di mɛrɛsin ɔ chenj di doz fɔ yusɛf.
• Tek kia ɔf yu maynd wɛlbɔdi. Fɔ liv wit sik lɛk dis kin mek yu strɛs. Tɔk to yu dɔktɔ, yu fambul, ɛn padi dɛn bɔt aw yu de fil. Go to saykayatrik ɛp if nid de.
• If yu gɛt ɛni nyu sayn ɔ if i tan lɛk se yu sik de wɔs, mɔ we yu chenj di we aw yu de blo, yu chɛst de pen, ɔ yu de kɔf bad bad wan, tɛl yu dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go to dɔktɔ?

Yu dɔktɔ go tɛl yu us sayn dɛn yu fɔ no mɔ bɔt ɛn wetin fɔ du if dɛn apin. Dɛn sayn ya kin difrɛn difrɛn wan bay usay di sarkoidosis de. If yu gɛt pulmonary sarcoidosis, yu fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt chenj we yu de blo wantɛm wantɛm, yu chɛst de pen bad bad wan, yu nɔ de blo fayn, ɔ yu gɛt blɔd we de kɔmɔt na yu bɔdi. Dɔn bak, go to yu dɔktɔ if yu gɛt fiva, yu bɔdi de at, ɔ yu de kɔf ɔltɛm we de te fɔ sɔm dez.

Di impɔtant tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .

Okay, so di pulmonary sarcoidosis we wi bin tɔk bɔt tide na sik we wi nɔ no bɔt we kin mek pɔsin inflamɛns ɛn smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Fɔ bɔrku pipul, e kin sɔlv fɔ insɛf, ɔr kin bɛtɛ wit shɔt tɛm tritmɛnt. So nɔ fred ɔ wɔri bɔt dis we nɔ impɔtant.

Di tin we impɔtant pas ɔl na dat if yu gɛt sɔm sayn dɛn lɛk we yu de kɔf ɔltɛm, yu nɔ de blo fayn, ɔ yu de fil pen na yu chɛst, nɔ jɔs ignore am ɛn go to dɔktɔ fɔ mek dɛn chɛk yu. Fɔ no kwik kwik wan ɛn fɔ trit am fayn fayn wan rili impɔtant pan dɛn kayn sik ya. If yu fala yu dɔktɔ in instrɔkshɔn dɛn, tek yu mɛrɛsin dɛn kɔrɛkt wan, ɛn go fɔ chɛk-ap ɔltɛm, dat go ɛp yu bɔku. Nɔr frayd fɔ tɔk to yu dɔktɔ ɔr fambul bɔt ɛni kwɛstyɔn ɔr tin wae de mɔna yu. Stay positive, stay helti!

` Pulmonary Sarcoidosis, Sarcoidosis, Granulomas, Lɔng Sik, Respiratory Distress, Kɔf, Inflameshɔn, Pulmonary Fibrosis