Kodi mapapu anu akuvutika kupuma? (Pulmonary Fibrosis) Tiyeni tikambirane za izi!

Kodi nthawi zina mumamva ngati mukupuma movutikira mukakwera masitepe kapena kuyenda mtunda waufupi? Kapena mumamva ngati simunatope monga kale, ndipo tsopano mumamva kutopa kwambiri ngakhale mukuchita ntchito zazing'ono? Chifukwa chimodzi cha zinthuzi chikhoza kukhala kusintha kwa mapapu anu. Ndi zoona, Pulmonary Fibrosis, vuto lomwe limalimbitsa mapapu pang'onopang'ono ndikupangitsa kuti zikhale zovuta kupuma, ndi lomwe tikambirana lero.

Kodi matenda a pulmonary fibrosis ndi chiyani kwenikweni?

Mwachidule, Pulmonary Fibrosis ndi zipsera ndi makulidwe a minofu mkati mwa mapapo anu. Taganizirani ngati chilonda pakhungu mukavulala, chinthu chofanana chimachitika mkati mwa mapapo. Izi ndi za gulu la matenda a m'mapapo otchedwa interstitial lung disease. Chomwe chimachitika apa ndi chakuti timatumba tating'ono kwambiri ta mpweya m'mapapo mwathu, malo omwe mpweya umalowa tikamapuma, timawatcha `(alveoli)`, ndipo minofu yozungulira `(alveoli)` imawonongeka. Tsopano taonani, mapapo ali ngati siponji. Amatuluka mpweya tikamapuma, ndipo amatuluka mpweya tikamapuma. Koma vutoli likachitika (Pulmonary Fibrosis), minofu m'mapapo imakhala yolimba komanso yolimba, kotero singathe kupupuma kapena kufupika bwino monga momwe inkachitira kale. Pamenepo zimakhala zovuta kupuma, ndipo mumapuma . Ngakhale ntchito za tsiku ndi tsiku zomwe zinali zosavuta tsopano zimatha kuoneka zotopetsa kwambiri.

Chofunika kwambiri ndichakuti vuto limeneli lotchedwa (Pulmonary Fibrosis) likhale lokhalitsa , zomwe zikutanthauza kuti n'zovuta kuchiza kwathunthu. Komanso, limatha kuipiraipira pang'onopang'ono pakapita nthawi (kuipiraipira pang'onopang'ono) . Timatcha kuti `(progressive pulmonary fibrosis)`.

Kodi mapapo angaume popanda chifukwa? Kodi Idiopathic Pulmonary Fibrosis ndi chiyani?

Inde, nthawi zina chomwe chimayambitsa matenda a m'mapapo awa sichipezeka . Ndicho chimene timachitcha `(Idiopathic Pulmonary Fibrosis)` pazochitika zotere. Mawu oti "idiopathic" amatanthauza "chomwe sichidziwika." Nthawi zambiri, odwala ambiri omwe ali ndi (Pulmonary Fibrosis) amakhala ndi vuto la `(Idiopathic Pulmonary Fibrosis)`.

Kodi mungadziwe bwanji ngati muli ndi matenda a pulmonary fibrosis? Kodi zizindikiro zake ndi ziti?

Zizindikiro za matendawa zimatha kusiyana pang'ono kuchokera kwa munthu ndi munthu, koma pali zizindikiro zina zodziwika bwino:

• Kupuma movutikira : Kuvutika kupuma, makamaka panthawi yochita masewera olimbitsa thupi pang'ono kapena pambuyo pake, kuchita ntchito, kapena mukamaliza.
• Kupuma pang'ono komanso mwachangu: Kupuma pang'ono komanso mwachangu, ngati kuti simungathe kudzaza chifuwa chanu.
• Chifuwa chouma chosalekeza: Chifuwa chomwe sichimatulutsa mamina ndipo sichimachepa pakapita nthawi.
• Wotopa popanda chifukwa (Kutopa: Kumva kutopa nthawi zonse, ngakhale mutagona bwino kapena simukugwira ntchito yambiri.
• Kuchepetsa thupi mosadziwika: Kungochepetsa thupi popanda kuchepetsa thupi.
• Zala zokhala ndi zibonga : Zala ndi zala za anthu ena zimatha kutupa ndikukula, ngati ndodo ya ng'oma.
• Kusintha kwa mtundu wa khungu (Cyanosis): Ngati palibe mpweya wokwanira m'magazi, milomo, kuzungulira maso, ndi zikhadabo zimatha kusintha kukhala buluu, imvi, kapena yoyera.

Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro izi, ndi bwino kufunsa upangiri wa dokotala.

N’chifukwa chiyani izi (Pulmonary Fibrosis) zimachitika? Kodi zimayambitsa chiyani?

Akatswiri amakhulupirira kuti pulmonary fibrosis imachitika mapapo akawonongeka kapena kutupa, ndipo njira imeneyi sichira bwino. Izi zikutanthauza kuti mapapo akamayesa kudzichiritsa okha, chinachake chimalakwika ndipo minofu ya chilonda imapangika. Pali zifukwa zingapo zomwe zingayambitse izi:

• Matenda a minofu yolumikizana : Ngati muli ndi matenda monga Rheumatoid Arthritis (RA), Lupus, kapena Scleroderma, awa angakhudzenso mapapo anu .
• Kukhudzana ndi chilengedwe: Kukhudzana ndi fumbi ndi mankhwala enaake kwa nthawi yayitali kungawononge mapapo. Zitsanzo ndi monga asbestos, silica, ndi beryllium. Kutupa kwa chibayo, kusagwirizana ndi nkhungu zina, mabakiteriya, nthenga za mbalame, kapena dander, kungayambitsenso vutoli.
• Matenda a granulomatous: Matenda monga sarcoidosis kapena Langerhans cell histiocytosis.
• Mankhwala ena kapena mankhwala: Mankhwala ena monga amiodarone a matenda a mtima, nitrofurantoin ya matenda a mkodzo, methotrexate ya khansa ndi nyamakazi, ndi chithandizo cha radiation cha khansa chingawonongenso mapapo.
• Kusuta: Kusuta fodya kumawononga kwambiri mapapo. Komanso ndi chifukwa chachikulu cha matenda a m'mapapo otchedwa Pulmonary Fibrosis.

Komabe, monga tanenera kale, nthawi zambiri, chifukwa chenicheni sichingapezeke.

Ndani ali pachiwopsezo chachikulu chotenga matenda a pulmonary fibrosis?

Kuwonjezera pa zifukwa zomwe zatchulidwa pamwambapa, anthu ena ali pachiwopsezo chachikulu chotenga matendawa:

• Kwa iwo omwe ali ndi zaka zoposa 65.
• Kwa amuna, kuposa akazi.
• Ngati wina m'banjamo ali ndi matenda a pulmonary fibrosis, pakhoza kukhala chifukwa cha majini.
• Kwa anthu omwe ali ndi matenda enaake a majini (kusintha kwa DNA) omwe amayambitsa matenda. Mwachitsanzo, matenda osowa kwambiri a m'mafupa otchedwa dyskeratosis congenita.

Ndi mavuto ena ati omwe angachitike chifukwa cha Pulmonary Fibrosis?

Minofu ya m'mapapo ikawonongeka, singathe kubweretsa mpweya wabwino ku thupi lonse. Izi zimapangitsa mtima wathu kugwira ntchito molimbika. Izi zingayambitse mavuto osiyanasiyana:

• Kuchepa kwa mpweya m'magazi (hypoxemia) ndi kusowa kwa mpweya m'maselo (hypoxia).
• Kuthamanga kwa magazi m'mapapo.
• Mapapu osweka.
• Matenda opatsirana m'mapapo pafupipafupi.
• Kulephera kupuma mokwanira.
• Kulephera kwa mtima.

Ichi ndichifukwa chake ndikofunikira kuonana ndi dokotala nthawi yomweyo ndikupempha chithandizo ngati muli ndi zizindikiro.

Kodi mumazindikira bwanji matenda a m'mapapo? Kodi mayeso otani amachitidwa?

Pakufunika mayeso angapo kuti atsimikizire kupezeka kwa matenda a pulmonary fibrosis. Dokotala wanu adzayamba wamvetsera mapapu anu ndikufunsa za zizindikiro zanu. Kenako adzayesa kuti awone momwe mapapu anu akugwirira ntchito. Adzayesanso matenda ena a mtima kapena mapapo omwe angayambitse zizindikiro zanu. Mayeso ofala kwambiri ndi awa:

• X-ray ya pachifuwa: Yang'anani momwe mapapo alili.
• Kujambula kwa CT (HRCT) kokhala ndi mawonekedwe apamwamba: Izi zitha kuwonetsa bwino kwambiri zipsera za m'mapapo.
• Mayeso a ntchito ya m'mapapo (PFTs): Izi zimayesa momwe mungapumire bwino polowa ndi kutuluka, komanso kuchuluka kwa mpweya womwe mapapu anu angasunge.
• Kuyezetsa magazi: Kuyezetsa magazi monga mpweya wa m'magazi kuti muwone kuchuluka kwa mpweya m'magazi, komanso matenda ena.
• Bronchoscopy: Kuyesa komwe kamera kakang'ono kokhala ndi chubu cholumikizidwa nako kamalowetsedwa kudzera mu mphuno kapena pakamwa kuti kaone mkati mwa mapapo. Chitsanzo cha minofu (biopsy) chingatengedwenso panthawiyi.
• Kufufuza za matenda: Kachidutswa kakang'ono ka minofu kamatengedwa m'mapapo ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu.

Nthawi zina, dokotala wanu angakulangizeninso kuti muone ngati muli ndi vuto la mtima (echocardiogram).

Kodi matenda a m'mapapo (Pulmonary Fibrosis) angachiritsidwe kwathunthu? Kodi pali mankhwala otani omwe alipo?

Mwatsoka, pakadali pano palibe mankhwala a pulmonary fibrosis. Koma musadandaule. Mankhwala omwe alipo pano angathandize kuchepetsa zizindikiro, kuchepetsa kupitirira kwa matendawa, komanso kukonza moyo wanu . Mankhwala akuluakulu omwe amagwiritsidwa ntchito ndi awa:

• Mankhwala oletsa kutupa m'mapapo: Mankhwala monga Nintedanib (OFEV®) kapena Pirfenidone (Esbriet®) amathandiza kuchepetsa kuchuluka kwa zipsera m'mapapo ndikusunga ntchito ya mapapo.
• Corticosteroids: Izi nthawi zina zimagwiritsidwa ntchito kuchepetsa kutupa m'mapapo.
• Chithandizo cha okosijeni: Ngati magazi kapena minofu yanu sikupeza mpweya wokwanira, dokotala wanu angakuuzeni kuti mutenge mpweya wowonjezera. Izi zimaperekedwa kudzera mu kannula ya m'mphuno kapena chophimba nkhope.
• Kubwezeretsa mapapo: Izi zimaphatikizapo masewera olimbitsa thupi apadera opumira komanso masewera olimbitsa thupi omwe amathandiza kulimbitsa mapapo anu ndikupangitsa kupuma kukhala kosavuta.
• Kuika mapapo: Odwala ena omwe ali ndi Pulmonary Fibrosis angaganizidwe kuti aikidwe mapapo ngati matendawa ndi aakulu.
• Mayeso azachipatala: Ngati mukufuna, mutha kutenga nawo mbali mu kafukufuku wa mankhwala atsopano ndi mankhwala. Funsani dokotala wanu za izi.

Kuphatikiza apo, ngati pali matenda ena omwe amayambitsa matenda a Pulmonary Fibrosis (monga `(matenda a autoimmune)`), adzafunika kuchiritsidwa, kapena ngati pali matenda omwe amapangitsa kuti mapapo azidzaza kwambiri (monga `(GERD)` - kuvutika m'mimba), muyeneranso kumwa mankhwala a zimenezo.

Ngati ndili ndi matenda a pulmonary fibrosis, ndiyenera kudzisamalira bwanji?

(Pulmonary Fibrosis) Zimakhala zovuta pang'ono kwa munthu amene ali ndi fibrosis ya m'mapapo kuti athane ndi matenda ndikuchira. Chifukwa chake, ndikofunikira kwambiri kusamba m'manja nthawi zambiri ndi sopo ndi madzi, kusunga malo anu oyera, komanso kupewa malo odzaza anthu momwe mungathere (makamaka nthawi ya chimfine ndi nyengo yozizira komanso nthawi ya mliri wa COVID). Komanso, ndikofunikira kupeza katemera wolimbikitsidwa ndi dokotala wanu. Katemerayu amathandiza kuteteza matenda monga chibayo, chimfine, RSV, ndi COVID.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuvutika kupuma kapena mukumva kutopa mosavuta kuposa kale, pitani kwa dokotala nthawi yomweyo. Chifukwa ngati mutazindikira ndikuyamba chithandizo cha matenda amenewa msanga, mutha kuchepetsa kupitirira kwa matendawa.Ngati muli kale ndi matenda a minofu yolumikizana kapena matenda a granulomatous, lankhulani ndi dokotala wanu za njira zochepetsera chiopsezo chanu chokhala ndi pulmonary fibrosis.

Kodi ndi liti pamene muyenera kupita ku Emergency Treatment Unit (ETU) ?

Ngati pali zizindikiro zotsatirazi, imbani 911 kapena pitani ku chipinda chapafupi chadzidzidzi nthawi yomweyo:

• Kupuma movutikira komanso movutikira kwambiri.
• Kupweteka kwambiri pachifuwa.
• Kusokonezeka kapena kusintha kwa maganizo.
• Kusanduka kwa buluu kwa khungu, milomo, kapena misomali.

Kodi ndifunse dokotala wanga chiyani?

Zingakuthandizeni kufunsa mafunso awa mukapita kwa dokotala:

• "Dokotala, n’chiyani chikuchititsa kuti mapapo anga akhale olimba chonchi?"
• "Ndi njira ziti zochiritsira zomwe ndili nazo?"
• "Ndingagwiritse ntchito bwanji mankhwalawa?"
• "Ndiyenera kubwera liti kwa dokotala?"
• "Kodi ndine woyenera kuikidwa mapapo?"

Ndikofunikira kwambiri kufunsa mafunso ngati awa kuti mumvetse bwino momwe zinthu zilili.

Kodi matenda a pulmonary fibrosis angapewedwe?

Sitingathe kupewa zinthu zambiri zomwe zimayambitsa matenda a m'mapapo. Komabe, pali zinthu zina zomwe tingachite kuti tichepetse kuwonongeka kwa mapapo komwe kumachitika chifukwa cha zinthu zachilengedwe:

• Pewani zinthu zomwe zingawononge mapapo (monga asbestos, fumbi lachitsulo, mankhwala) momwe mungathere. Ngati muyeneradi kugwira ntchito ndi zinthu zotere, gwiritsani ntchito chopumira chapadera.
• Pewani zinthu zomwe zingayambitse ziwengo kwa nthawi yayitali (monga udzu, tirigu, ndowe za mbalame, nthenga, ndi makina ena oziziritsira mpweya). Gwiritsani ntchito chopumira ngati mukugwiritsa ntchito izi.
• Ngati mukusuta, siyani nthawi yomweyo, kapena musayambe.

Ngati ndili ndi matenda a pulmonary fibrosis, ndiyenera kuyembekezera chiyani?

Zilonda za m'mapapozi zimakhala zosatha (kupatula nthawi zina, zikachitika chifukwa cha mankhwala ndipo zimagwidwa msanga). Ngati muli ndi vuto lina, kuwongolera vutoli kungathandize kuchepetsa kuwonongeka kwina kwa mapapu anu. Ngati palibe chifukwa chomwe chingapezeke, dokotala wanu adzayesa kuchiza zizindikiro zanu pamene akuyesera kupewa kuwonongeka kwina. N'zovuta kuti madokotala aneneretu momwe pulmonary fibrosis idzapitirire. Kwa anthu ena, zizindikiro zimatha kukula pang'onopang'ono kwa zaka zambiri. Kwa ena, matendawa amatha kukula mofulumira ndikukhala oopsa mkati mwa miyezi ingapo.

Kodi mungakhale ndi moyo wautali bwanji ndi pulmonary fibrosis?

Avereji ya nthawi yoti munthu amene ali ndi matenda ofala kwambiri, ``Idiopathic Pulmonary Fibrosis,'' nthawi zambiri inali zaka zitatu mpaka zisanu. Komabe, chifukwa cha kupita patsogolo kwa chithandizo posachedwapa, nthawi yoti munthu amene ali ndi Pulmonary Fibrosis akhale ndi moyo yawonjezeka pang'ono. Choncho musadandaule.

Kodi pali magawo a Pulmonary Fibrosis?

Palibe njira yodziwika bwino yodziwira matenda a pulmonary fibrosis. Komabe, madokotala ena angagawire matendawa m'magulu a "ofatsa," "apakati," "oopsa," kapena "oopsa kwambiri" kutengera zizindikiro zanu, zotsatira za mayeso a mapapu, ndi ma scan.

Kodi nthawi zambiri pulmonary fibrosis imayamba pa msinkhu wanji?

Matenda a pulmonary fibrosis nthawi zambiri amapezeka mwa anthu azaka zopitilira 65.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kudziwa kuti muli ndi matenda a Pulmonary Fibrosis kungakhale chinthu chosintha moyo wanu. Zingakhale zovuta komanso zosatsimikizika za tsogolo lanu. Nthawi ngati izi , kukhala ndi chithandizo kuchokera kwa okondedwa anu, banja lanu, ndi ena omwe ali ndi vuto lomweli kungakhale kothandiza kwambiri.

Chofunika kwambiri ndichakuti munthu aliyense amene ali ndi matenda a m'mapapo ndi wosiyana. Palibe amene anganeneretu momwe tsogolo lanu lidzakhalire. Mankhwala omwe alipo pano angathandize kuchepetsa kupitirira kwa matendawa, kuchepetsa zizindikiro, komanso kukonza moyo wanu. Chifukwa chake, khalani oona mtima ndi dokotala wanu za zomwe mungayembekezere komanso zomwe mungachite pa vuto lanu. Ndikofunikanso kukhala ndi chiyembekezo.

Kutupa kwa Mapapo, Kutsekeka kwa Mapapo, Kuvuta Kupuma, Chifuwa Chouma, Matenda a Mapapo, Matenda Opumira, Idiopathic Pulmonary Fibrosis, Zilonda za Mapapo