Waliwo ekintu ekyewuunyisa ekituuse ku mawuggwe? Ka twogere ku bulwadde bwa Cryptogenic Organizing Pneumonia (COP)!

Oluusi owulira ng’olina omusujja ogutandikira ng’omusujja ne gutawona mu nnaku ntono? Olwo n’otandika okusesema n’osanga obuzibu okussa ng’okooye wadde katono? Oyinza okulowooza nti bulwadde bwa buwuka bwokka. Naye, ekyo si bwe kiri bulijjo. Leero tugenda kwogera ku mbeera y'amawuggwe etali ya bulijjo ffenna gye twetaaga okumanya. Kiyitibwa Cryptogenic Organizing Pneumonia , oba COP mu bufunze.

Cryptogenic Organizing Pneumonia (COP) kye ki? Ka tukitegeere mu ngeri ennyangu!

Okay, kati katutunuulire embeera eno ey’amawuggwe eyitibwa COPD kye ki ddala. Mu ngeri ennyangu, mbeera ekosa ensawo z’empewo ezisinga obutono (alveoli) mu mawuggwe gaffe – obutonde obutono obulinga bbaatule mwe muyita omukka gwa oxygen ne kaboni dayokisayidi n’afuluma nga tussa – n’emikutu emitono egy’empewo (bronchioles) obugakwatagana nabyo.

Ekibaawo mu mbeera eno (COP) kwe kuba nti ensawo zino ez’empewo n’emikutu emitono egy’empewo gizimba . Nga bwe tuba n’ekiwundu awalala mu mubiri gwaffe, kizimba, kimyufu, era nga kiruma, ekintu kye kimu kibaawo munda mu mawuggwe. Naye kino si kintu ekiva ku bakitiriya oba akawuka nga ekifuba ekya bulijjo. Kino kya njawulo.

Ekiseera bwe kigenda kiyitawo, okuzimba kuno okugenda mu maaso kuyinza okuvaako enkovu mu bitundu by’amawuggwe, ekitegeeza nti amawuggwe tegakyukakyuka nnyo era nga tegasobola kukola bulungi.

Ekigambo "cryptogenic" kitegeeza "eky'ensonga etamanyiddwa." Kino kitegeeza nti abasawo n’okutuusa kati tebamanyi kituufu ekivaako embeera eno (COP). Eno y'ensonga lwaki ekigambo "idiopathic" oluusi kikozesebwa ku mbeera eno, erimu amakulu ge gamu.

Ani asinga okulwala embeera eno (COP)?

Embeera eno eyitibwa (COP) mu butuufu esobola okukula mu muntu yenna. Ebintu ng’ekikula ky’omuntu, eggwanga, ne langi tebikikosa. Wabula kitera okulabibwa mu bantu abali wakati w’emyaka 40 ne 60. Ekirala abantu bangi abafuna embeera eno (COP) tebanywa ssigala .

Ate era bw’oba ​​olina endwadde ezimu ezizimba, emikisa gyo egy’okukwatibwa COP giyinza okweyongera katono. Okugeza nga:

• Lupus
• Obulwadde bw’endwadde z’enkizi
• Obulwadde bwa Scleroderma
• Obulwadde bw’okuzimba omubiri (multiple sclerosis).
• Obulwadde bw’ekyenda obuzimba - embeera nga obulwadde bwa Crohn oba ulcerative colitis.

Naye si kituufu nti buli muntu alina endwadde zino ajja kufuna COP. Bino biba bya bulabe byokka.

Embeera eno ya bulijjo etya?

Mu butuufu, COP mbeera ya bbula nnyo.Kino kitegeezebwa mu muntu nga ku buli bantu basatu abajjanjabirwa mu malwaliro mu Amerika, n’olwekyo si kya bulijjo okukiwulira.

Kiki ekivuddeko okutondebwawo kwa (COP)?

Nga bwe twagambye emabegako, COP mbeera eyitibwa "cryptogenic" oba "idiopathic." Kino kitegeeza nti tewali nsonga ntongole ezuuliddwa . Abasawo nga tebannazuula bulwadde bwa COP, bajja kwekenneenya n’obwegendereza oba ebirala ebivaako obubonero buno bye bivaako obubonero buno. Okugeza, bajja kukebera oba temuli yinfekisoni nga bakitiriya, akawuka, ffene oba eddagala. Bino byonna bwe bimala okuggyibwawo lwe banaatwala COP ng’ensonga eyinza okuvaako.

Waliwo embeera endala ez’obujjanjabi eziyinza okukwatagana n’embeera ya (COP). Kino kitegeeza nti abantu abalina embeera zino balina emikisa emitono egy’okukula (COP).

• Obulwadde bwa lymphoma
• Ebizimba mu mawuggwe
• Kookolo w’amawuggwe
• Kookolo w’omusaayi - kwe kugamba, kookolo eyeekuusa ku butoffaali obweru oba obutoffaali obumyufu.

Bubonero ki obulaga embeera ya (COP)?

Nga kitundu ku bantu abalina COPD mu kusooka bafuna obubonero obulinga obwa ssennyiga , obutera okumala wiiki eziwera.

• Okuwunya
• Okusesema okukalu (okusesema okutali kwa bibala) .
• Obukoowu / obutakola bulungi
• Okubulwa okwagala okulya
• Omusujja
• Okugejja mu ngeri etategeerekeka
• Entuuyo z’ekiro

Oluvannyuma lw’ekyo, abantu nga 75% batandika okufuna obubonero buno wammanga :

• Okusesema okutambula obutasalako
• Okussa obubi / okusannyalala nga ofuba nnyo . Teebereza, tosobola kulinnya madaala nga bwe wali okola, era owulira ng’omukka gukutte ne bw’oba ​​otambula olugendo olutono.

Tekitera nnyo, obubonero buno era buyinza okulabibwa:

• Obulumi mu kifuba
• Amawuggwe agagwa / pneumothorax
• Okusesema omusaayi
• Obulumi mu binywa
• Omukka gwa oxygen omutono mu musaayi gwo / hypoxemia

Ekisinga obukulu, bw’oba ​​olina obubonero buno naddala okusesema okukalu n’okukaluubirirwa okussa okumala wiiki eziwera, mazima ddala olabe omusawo . Tomala gasigala waka.

Obulwadde bwa Cryptogenic Organizing Pneumonia (COP) buzuulibwa butya?

Bw’ogenda ew’omusawo ajja kusooka kukubuuza ku bubonero bwo n’ebyafaayo by’obujjanjabi bwo. Olwo bajja kukola okukebera omubiri. Kikulu nnyo naddala okuwuliriza amawuggwe ng’okozesa ekyuma ekiwuliriza. Bw'owuliriza amawuggwe g'omuntu alina COPD, oyinza okuwulira eddoboozi "okuwuuma", nga lino liringa okunyiga kw'amakoola amakalu, oba eddoboozi erya wansi erya "okuwuuma" ng'ossa.

Ekiddako, omusawo ajja kwetaaga okuggyawo embeera endala eziyinza okuba nga ze zireeta obubonero buno. Olw’okuba obubonero buno si bwa COP bwa njawulo, busaana okugobwa ku mbeera nga:

• Secondary organizing pneumonia – Kino kiyinza okuva ku yinfekisoni, eddagala, oba obuzibu bw’abaserikale b’omubiri.
• Obulwadde bw’ekifuba obuva ku bakitiriya, ffene oba akawuka.
• Chronic eosinophilic pneumonia – Kino kweyongera mu kika ky’obutoffaali obuyitibwa eosinophilia mu mawuggwe.
• Hypersensitivity pneumonitis – Okuzimba kw’amawuggwe okuva ku alergy eri ekintu ekiri mu butonde.
• Endwadde endala ez’amawuggwe ezitawona.
• Obulwadde bw’amawuggwe obusookerwako.

Njawulo ki eriwo wakati wa Cryptogenic Organizing Pneumonia (COP) ne Ordinary Organizing Pneumonia (OP)?

Kino nakyo kyetaaga okunnyonnyolwa katono. Embeera endala erimu obubonero obufaananako ne (COP) eyitibwa Secondary Organizing Pneumonia (OP) . Wabula obutafaananako (COP), embeera eno (Secondary OP) eyinza okuva ku yinfekisoni, eddagala, kookolo, oba ensonga endala ey’obusimu obuziyiza endwadde mu mubiri. Okugatta ku ekyo, embeera eno (Secondary OP) ebadde ekwatagana n’obulwadde bwa hematologic malignancy, okubeera n’eddagala ery’enjawulo, n’okukwatibwa emisinde mu mawuggwe.

Abasawo nga tebannatandika kujjanjaba (COP), bagezaako okukakasa nti eno si mbeera ya (Secondary OP). Kino kiri bwe kityo kubanga obujjanjabi bwa bombi buyinza okuba obw’enjawulo. Era, ebiva mu kudda engulu eri abantu abalina (Secondary OP) biyinza okuba ebibi katono okusinga ku bantu abalina (COP).

(COP) Bikebere ki ebiyamba okuzuula obulwadde buno?

Singa omusawo atebereza embeera ya COP oluvannyuma lw’okukwekebejja, ajja kukuwa amagezi okukeberebwa okulala okuwerako.

• X-ray y’ekifuba: Kino kikuba ekifaananyi ky’amawuggwe. Bw’oba ​​olina COPD, oyinza okulaba ebitundu ebyeru mu bitundu ebimu eby’amawuggwe.
• High-resolution CT scan (HRCT): Kino kigezo ekisobola okulaba obulungi ennyo munda mu mawuggwe okusinga X-ray. Kiyinza okuyamba okuzuula ebintu ng’okuzimba n’okunyweza mu mawuggwe ebiva ku COPD.
• Okukebera emisuwa nga bakozesa okulongoosa ennyindo (BAL):Kino kizingiramu okuyingiza ekyuma ekigonvu ekigonvu (bronchoscope) nga kiriko kkamera entono n’ekitangaala okuyita mu nnyindo oba mu kamwa n’okiyisa wansi mu mikutu gy’empewo egy’amawuggwe. Mu kiseera kino, omunnyo omutono guteekebwa mu mawuggwe, oluvannyuma amazzi ago ne gafuumuulwa (BAL) ne gasindikibwa mu laboratory okukeberebwa. Omuntu alina COPD ayinza okuba n’obutoffaali obweru obweyongedde (naddala lymphocytes) mu sampuli eno ey’amazzi. Naye ekisinga obukulu, kiyinza okuyamba okugaana yinfekisoni.
• Okukebera amawuggwe: Oluusi, ekitundu ky’amawuggwe kyetaaga okutwalibwa ne kikeberebwa mu microscope okukakasa nti kizuuliddwa. Kino kiyinza okukolebwa mu ngeri eziwerako. Ekimu kwe kukwata akatundu akatono ak’ekitundu ky’omubiri mu kiseera ky’okukebera ennyindo (transbronchial lung biopsy). Kyokka oluusi, singa kyetaagisa sampuli ennene ey’ebitundu by’omubiri, okulongoosa amawuggwe gayinza okukolebwa. Biopsy eno y’engeri yokka ey’okuzuulamu ddala COPD so si mbeera ndala.
• Okukebera enkola y’amawuggwe (PFTs): Okukebera kuno kupima engeri amawuggwe go gye gakola obulungi, empewo gy’osobola okukwata mu mawuggwe, n’engeri gy’osobola okuyingizaamu omukka gwa oxygen mu musaayi. Omuntu alina COPD ayinza okuba n’enkola eziyiza (restrictive pattern) mw’asobola okukwata empewo entono okusinga omuntu owa bulijjo. Era bayinza okuba n’omukka gwa oxygen omutono mu musaayi, nga bawummudde ne nga bakola dduyiro.

Obulwadde bwa Cryptogenic Organizing Pneumonia (COP) bujjanjabwa butya?

Amawulire amalungi gali nti waliwo obujjanjabi obulungi ku mbeera eyitibwa (COP). Abasawo batera okugijjanjaba n'eddagala eriyitibwa corticosteroids . Okugeza, eddagala eriyitibwa prednisone litera okukozesebwa.

Eddagala lino litera okumira obutasalako okumala emyezi 3 ku 6 . Dozi eno esooka kwongerwako oluvannyuma n’ekendeezebwa mpolampola. Singa eddagala liyimirizibwa mu bwangu oba ddoozi n’ekendeezebwa mangu, obubonero buyinza okuddamu. Kino kituufu naddala nga ddoozi ya prednisone ekendeezeddwa okutuuka wansi wa miligiraamu 20 buli lunaku.

Mu mbeera ezimu ezitali za maanyi nnyo (COP), obulwadde buyinza okuwona awatali ddagala lyonna .

Kyokka singa obubonero bwa COPD busigala nga bukyali, oba singa ebizibu ebiva mu ddagala lya corticosteroids biba bizibu okugumira, omusawo ayinza okukuwa amagezi ku bujjanjabi obulala. Okugeza, ebirungo ebikekkereza steroid nga azathioprine oba eddagala eritta obuwuka nga cyclophosphamide liyinza okuweebwa okumala akaseera.

Obulabe bw‟okulwala (COP) busobola okukendeezebwa?

Mu butuufu tewali kye tuyinza kukola okukendeeza ku bulabe bw’okukwatibwa COPD. Olw’okuba ekivaako ekituufu tekimanyiddwa, tewali ngeri yonna gye tuyinza kukiziyiza. Kyokka osobola okuba ng’omanyi obubonero buno. Oluvannyuma, singa obubonero bulabika, osobola okugenda amangu mu basawo n’otandika okujjanjabibwa bwe kiba kyetaagisa . Kikulu nnyo okuzuula obulwadde buno n’okutandika obujjanjabi nga bukyali.

Kiki ekibaawo singa (COP) tejjanjabibwa?

Singa COPD erekebwa nga tejjanjabiddwa, eyinza okwonoona ennyo amawuggwe . Okuzimba okugenda mu maaso kuyinza okuvaako enkovu z’amawuggwe, ekiyinza okukosa enkola y’amawuggwe enkalakkalira. N’olwekyo kikulu okunoonya obujjanjabi bw’oba ​​olina obubonero.

Endowooza etya eri omuntu alina (COP)?

Tofaayo. Abantu abasinga obungi abalina Cryptogenic Organizing Pneumonia (COP) bawona mangu era mu bujjuvu . Abantu nga 50% abalina obulwadde obutono bawona nga tebafunye bujjanjabi. Abantu nga 80% abajjanjabwa n’eddagala lya corticosteroids bawona ddala .

Naye oluusi obubonero bwa COPD busobola okuddamu (okuddamu) . Ne mu kiseera ekyo, tewali kye yeeraliikirira. Obubonero butera okufugibwa n’okuwona ng’eddagala lya corticosteroids lizzeemu okutandika. Abantu abawona ekirwadde kya COPD batera okuwangaala era nga bajjuvu.

Nkola ntya okwerabirira nga nnina embeera ya (COP)?

Bw’oba ​​olowooza nti olina obubonero bw’obulwadde bwa COPD, laba omusawo amangu ddala nga bwe kisoboka . Okutandika obujjanjabi nga bukyali kiyinza okukendeeza ku mikisa gy’obulwadde okuddamu mu biseera eby’omu maaso n’okukendeeza ku kwonooneka kw’amawuggwe go.

Singa omusawo akuwandiikira eddagala lya corticosteroids okujjanjaba COPD yo, kakasa nti otegeeza omusawo wo singa ofuna ebizibu byonna. Asobola okukyusakyusa mu ddoozi oba okuteesa ku ngeri endala. Kikulu okumira eddagala lyo ddala nga omusawo bw’akugamba n’okugoberera mu budde.

Obubaka Obutwala Awaka

Cryptogenic Organizing Pneumonia (COP) bulwadde bw’amawuggwe obutatera kulabika era buyinza okuvaako okuzimba n’okuzimba amawuggwe. Obubonero obukulu kwe kusesema n’okukaluubirirwa okussa. Jjukira nti kino si bulwadde bwa kifuba obutera okusiigibwa.

• Faayo ku bubonero: Kakasa nti ogenda ew’omusawo naddala ng’olina okusesema okukalu okumala wiiki oba okulumwa emimiro ng’okooye.
• Waliwo obujjanjabi: Kino okusinga kijjanjabwa n’ekika ky’eddagala eriyitibwa corticosteroids. Emisango egimu emitono giyinza n’okuwona nga tebalina ddagala.
• Okuwona kuli waggulu: Abantu abasinga bawona ddala embeera eno. Kyokka oluusi obubonero busobola okuddamu. Ne mu kiseera ekyo, zisobola okufugibwa nga zijjanjabwa.

Kale, nsuubira nti amawulire gano ga mugaso gy’oli. Ekisinga obukulu kwe kumanya omubiri gwo n’obulamu bwo.

` Cryptogenic Organizing Pneumonia, COP, obulwadde bw’amawuggwe, obulwadde bw’okussa, okusesema, okussa obubi, corticosteroids, ekifuba