Tiyeni tiphunzire za chibayo chachikulu chomwe chimakhudza mapapo onse awiri (Bilateral Interstitial Pneumonia).

Kodi mudayamba mwakhalapo ndi malungo ndi kupuma movutikira, chifuwa chouma chomwe sichimatulutsa ntchofu? Nthawi zina timaganiza kuti ndi chimfine wamba kapena chimfine, koma chingakhale china choopsa kwambiri. Lero tikulankhula za matenda otchedwa 'Bilateral Interstitial Pneumonia ', omwe amakhudza mapapu athu onse nthawi imodzi, makamaka ndi mliri wa COVID-19 . Musadandaule, tiyeni tifotokoze mwachidule.

Mwachidule, kodi vutoli ndi lotani?

Taganizirani mapapu anu ngati chiwalo chodzaza ndi matumba ang'onoang'ono mamiliyoni ambiri a mpweya, kukula ngati mphesa zazing'ono. Tikamapuma, mpweya umadzaza matumba a mpweya awa. Unyolo wofewa wa minofu yozungulira matumba a mpweya awa umatchedwa minofu yapakati .

Tsopano, pamene minofu yamkati iyi yatupa, yatenga kachilombo , ndikudzazidwa ndi madzi ofanana ndi mafinya chifukwa cha matenda a bakiteriya kapena kachilombo, timatcha 'Interstitial Pneumonia. ' Mawu oti 'mbali zonse ziwiri' amatanthauza 'mbali zonse ziwiri.' Izi zikutanthauza kuti vutoli limakhudza mapapu anu onse awiri nthawi imodzi .

Chifukwa chake izi ndi zazikulu pang'ono ndikuti pamene minofu imatenga kachilomboka nthawi zonse, pakapita nthawi, zipsera zosatha zimatha kuchitika m'minofuyo. Monga momwe bala pakhungu lathu limachira, chipsera chimapangidwa. Zipsera izi zimapangitsa kuti mapapu asamasunthike, azikhuthala, ndikupangitsa kuti zikhale zovuta kupuma bwino. Nthawi zina vutoli limatha kukhala lalikulu mofulumira komanso kupangitsa kuti kupuma kulephere.

Kugwirizana pakati pa COVID-19 ndi matendawa

Kachilombo ka COVID-19 kamafalikiranso kudzera m'madontho omwe amalowa mumlengalenga munthu wodwala akamatsokomola kapena kuyetsemula. Ngakhale anthu ambiri omwe amatenga COVID-19 amakumana ndi zizindikiro zochepa zofanana ndi chimfine, anthu ena amatha kukhala ndi vuto lalikulu lomwe lingathe kupha lotchedwa bilateral interstitial pneumonia.

Kodi zizindikiro zazikulu za izi ndi ziti?

Zizindikiro za matendawa zimafanana kwambiri ndi zizindikiro za munthu amene ali ndi vuto lalikulu la COVID-19. Onaninso ngati muli ndi zizindikiro zimenezi.

Kodi dokotala amapeza bwanji izi?

Mukapita kukaonana ndi dokotala, adzakuyesani, adzakufunsani za zizindikiro zanu, ndipo angakupatseni mayeso angapo kuti atsimikizire kuti vutoli ndi losatheka.

• CT Scan: Iyi ndi mtundu wamphamvu wa X-ray. Imatha kujambula zithunzi zomveka bwino za mapapo. Mu CT scan ya anthu omwe ali ndi matendawa, madokotala amatha kuwona madontho oyera m'mapapo otchedwa "ground glass," omwe amawoneka ngati galasi lafumbi. Izi zimasonyeza kuwonongeka kwa minofu ya mapapo.

• Mayeso a Ntchito ya M'mapapo: Izi zimayesa momwe mapapu anu amagwirira ntchito komanso kuchuluka kwa mpweya womwe mungalowe ndi kutuluka. Mungapemphedwe kuchita zinthu monga kupumira mpweya mu chubu mwachangu.

• Bronchoscopy: Mu izi, chubu chopyapyala, chosinthasintha chokhala ndi kamera yolumikizidwa chimadutsa m'mphuno kapena pakamwa panu kupita m'mapapo anu, njira zopumira zimatsukidwa ndi madzi pang'ono a saline, kenako madziwo amachotsedwa ndikuwunika. Madziwo amawunikidwa kuti awone kuchuluka kwa maselo oyera m'magazi.

• Kufufuza za m'mapapo: Izi si zofunika kwa aliyense. Komabe, nthawi zina, panthawi ya opaleshoni ya bronchoscopy yomwe yatchulidwa pamwambapa, chidutswa chaching'ono kwambiri cha minofu ya m'mapapo chimatengedwa ndikuyang'aniridwa pansi pa maikulosikopu kuti zitsimikizire kuchuluka kwa kuwonongeka kwa minofu.

Kodi mankhwala ochizira izi ndi otani?

Njira zochiritsira zimasiyana malinga ndi chifukwa ndi kuopsa kwa vutoli. Mankhwala onsewa amatsimikiziridwa ndi dokotala wanu.

• Mankhwala oletsa mavairasi: Ngati vutoli layamba chifukwa cha kachilombo ka COVID-19, mankhwala oletsa mavairasi angaperekedwe kuti matendawa asakule kwambiri. Mwachitsanzo, mankhwala monga ` Paxlovid` kapena `Remdesivir` omwe amaperekedwa kudzera m'mitsempha amagwiritsidwa ntchito.

• Chithandizo cha Oxygen: Ngati kupuma kuli kovuta, mpweya umaperekedwa kudzera mu chubu cha m'mphuno kapena chigoba. Ngati vutoli ndi lalikulu, mutha kuloledwa ku Emergency Treatment Unit (ETU) ndikulumikizidwa ndi chopumira mpweya .

• Corticosteroids: Mankhwala a steroid , monga prednisone, angathandize kuchepetsa kutupa ndi matenda m'mapapo. Komabe, sagwira ntchito kwa aliyense, ndipo angayambitse zotsatirapo zake.

• Mankhwala oletsa chitetezo chamthupi: Mankhwala oletsa chitetezo chamthupi, monga ` Azathioprine` ndi `Mycophenolate mofetil`, nthawi zina amagwiritsidwa ntchito.

• Mankhwala oletsa kutupa: Mukukumbukira pamene tinanena kuti ziphuphu zosatha zimachitika m'mapapo? Zilondazi sizingathetsedwe. Komabe, mankhwala monga `nintedanib (Ofev)` ndi `pirfenidone (Esbriet)` amatha kuchepetsa liwiro la ziphuphuzi ndikuthandizira kuwongolera kufalikira kwa matendawa.

• Mankhwala ena: Kuwonjezera pa izi, kubwezeretsa mapapo, komwe kumaphatikizapo kuchita masewera olimbitsa thupi kuti alimbikitse mapapo, ndipo ngati palibe njira zina zomwe zathandiza, kuyika mapapo ena kungaganizidwe ngati njira yomaliza.

Kodi tingadziteteze bwanji ku zinthu ngati zimenezi?

Tonsefe tikudziwa kuti "ndi bwino kupewa matenda kusiyana ndi kuchiza matendawo akayamba." Choncho, onetsetsani kuti mwatsatira izi kuti mapapu anu akhale athanzi.

• Pewani kusuta fodya kotheratu. Ngati mukusuta, siyani lero. Ndicho chinthu chabwino kwambiri chomwe mungachite kuti mapapo anu azitha kuchira.
• Kuti mupewe matenda, sambani m'manja mwanu bwino ndi sopo ndi madzi kwa masekondi osachepera 20.
• Pezani katemera wa COVID-19 ndi matenda ena omwe angapewedwe ndi katemera pa nthawi yake.
• Pewani kukhudza maso, mphuno, ndi pakamwa popanda kusamba m'manja.
• Ngati palibe kusamba m'manja, gwiritsani ntchito sanitizer ya m'manja yomwe ili ndi mowa wosachepera 60%.
• Khalani kutali ndi anthu odwala.
• Ngati mukudwala, khalani panyumba momwe mungathere ndipo muteteze ena, kupatulapo kupita kwa dokotala.