Kodi mumavutika kupuma ngakhale mukuyenda mwachangu kapena kukwera masitepe? Kodi mumamva ngati pachifuwa panu pali mpweya wochuluka ndipo simungathenso kupuma? Ili ndi vuto lofala lomwe anthu ambiri amakumana nalo ndi emphysema , mtundu woopsa wa COPD (Chronic Obstructive Pulmonary Disease). Koma musadandaule, pali mankhwala amakono omwe angakuthandizeni kuthana ndi vutoli. Lero, tikambirana za chithandizo chapadera chotere.
Kodi BLVR ndi chiyani? Tiyeni timvetse mosavuta.
BLVR, yomwe imayimira Bronchoscopic Lung Volume Reduction , ndi chithandizo chomwe, mwachidule, chimalola mpweya womwe uli m'mapapu mwanu kuti utuluke.
Ganizirani mapapu anu ngati mabaluni awiri. Mu emphysema, mpweya ungalowe m'malo ena a mapapu anu koma sungatuluke kwathunthu. Kenako ziwalo zowonongeka zimadzaza, zomwe zimachepetsa malo omwe alipo kuti ziwalo zathanzi za mapapu anu zigwire ntchito. Izi zimapangitsa kuti zikhale zovuta kupuma, ndipo mumamva kutopa komanso kupuma movutikira.
Kotero mu chithandizo cha BLVR ichi, madokotala amaika bronchoscope , chubu chopyapyala chokhala ndi kamera, pansi pa pakhosi panu ndikulowa m'mapapo anu. Kenako, amaika ma valve ang'onoang'ono angapo m'malo okulira modabwitsa a mapapo.
Ma valve amenewa amalola mpweya wotsekeredwa kutuluka mukamatuluka mpweya, koma mukapumanso, amaletsa mpweya kulowa m'malo owonongeka.
Pakapita nthawi, izi zimachepetsa kuchuluka kwa mpweya womwe umalowa m'mapapo mwanu, zimapangitsa kuti mapapu anu achepe pang'ono, ndikuyamba kugwira ntchito bwino. Izi zichepetsa kwambiri kupuma kwanu movutikira komanso kutopa.
Chofunika kwambiri ndichakuti BLVR si mankhwala a emphysema kapena chithandizo chotalikitsa moyo. Cholinga chachikulu ndikuchepetsa zizindikiro ndikukweza moyo wanu.
Kodi chithandizochi n’choyenera kwa ndani kwenikweni?
Chithandizo cha BLVR si cha aliyense. Pali ziyeneretso zina zapadera pa izi. Dokotala wanu adzakuyang'anirani mosamala kuti aone ngati mukukwaniritsa ziyeneretsozi.
| Kuganizira | Kufotokozera |
|---|---|
| Zaka | Kawirikawiri, muyenera kukhala ndi zaka zosakwana 75. |
| Kuopsa kwa zizindikiro | Kupuma movutikira komanso kutopa kwambiri kumapitirirabe ngakhale kuti munthu amalandira mankhwala oyenera komanso amachira bwino m'mapapo. |
| Matenda a mapapo | Mapapu ayenera kudzazidwa kwambiri ndipo mpweya uyenera kutsekeredwa. Komanso, mpweya sayenera kuyenda m'njira zachilendo m'mapapo (sipayenera kukhala mpweya wowonjezera). |
| Kusuta | Simuyenera kusuta fodya pakadali pano, ndipo muyenera kupewa kusuta fodya kwa miyezi yosachepera inayi. |
| Mapulogalamu okonzanso zinthu | Ayenera kukhala ndi mwayi wochita nawo mapulogalamu okonzanso mapapo asanayambe komanso atalandira chithandizo. |
Ndi mayeso ati omwe amachitidwa musanalandire chithandizo?
Kuti adziwe ngati ndinu woyenera kulandira chithandizochi, dokotala wanu adzakupimitsani thupi lonse ndikuyitanitsa mayeso angapo. Ena mwa iwo ndi awa:
- Kuyezetsa magazi
- X-ray pachifuwa
- Kujambula kwa CT kwapamwamba kwambiri
- Mayeso a ntchito ya m'mapapo
- Kuyesa mpweya wa m'magazi a mitsempha
- Kuyezetsa kwa Echocardiogram komwe kumayesa momwe mtima ukugwira ntchito
- Kuyesa kuyenda kwa mphindi zisanu ndi chimodzi - Izi zimayesa momwe mtima ndi mapapo anu amagwirira ntchito.
Kodi mumakonzekera bwanji chithandizo?
Dokotala wanu adzakupatsani malangizo a momwe mungakonzekerere chithandizo chanu. Ndikofunikira kwambiri kutsatira malangizo awa molondola kuti muchepetse mavuto.
- Pewani kudya kapena kumwa chilichonse kwa maola 8 musanalandire chithandizo (kusala kudya).
- Mungafunike kusiya kumwa mankhwala ena kapena kusintha nthawi yogwiritsira ntchito. Lankhulani ndi dokotala wanu za izi.
- Popeza mudzakhala m'chipatala kwa masiku angapo mutalandira chithandizo, konzani pasadakhale kuti wina akutengereni kunyumba.
Momwe chithandizochi chimachitikira komanso ubwino ndi kuipa kwake
Iyi si opaleshoni yaikulu. Palibe kuduladula komwe kumachitika. Mumagonekedwa ndi mankhwala oletsa ululu (otchedwa anesthesia). Dokotala amaika bronchoscope pakhosi panu, amaika ma valve pafupifupi anayi m'mapapo omwe awonongeka, kenako amachotsa bronchoscope. Njira yonseyi imatenga mphindi 30 mpaka 60 zokha.
| Ubwino | Zoopsa |
|---|---|
| Palibe mabala pa thupi. | Zomwe zingatheke chifukwa cha mankhwala oletsa ululu. |
| Nthawi yochepa yochira. | Pneumothorax . |
| Kutha kuchotsa kapena kusintha ma valve ngati pakufunika. | Matenda monga chibayo . |
| Mavuto ochepa poyerekeza ndi opaleshoni yachikhalidwe. | Kuchuluka kwa COPD. |
| Moyo wabwino wasintha kwambiri. | Mavuto aakulu monga kutuluka magazi, sitiroko , ndi matenda a mtima (nthawi zambiri sachitika kawirikawiri). |
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Mukalandira chithandizo, muyenera kukhala m'chipatala kwa masiku osachepera atatu. Gulu lachipatala lidzakuyang'anirani mosamala. Mukapita kunyumba, mudzapemphedwa kuti muyambe pulogalamu yothandiza kupuma m'mapapo mkati mwa milungu 4-6. Izi zidzakuthandizani kwambiri pakuwongolera thanzi lanu.
Ndiyenera kupita kwa dokotala liti?
Ngati muli ndi mafunso kapena nkhawa musanayambe kapena mutalandira chithandizo, musazengereze kulankhula ndi dokotala wanu. Komanso, ngati mukukumana ndi zizindikiro zotsatirazi, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi.
- Malungo popanda chifukwa.
- Kupweteka kwambiri pachifuwa.
- Kuvuta kwambiri kupuma.
- Kusintha kwa mtundu wabuluu pakhungu, milomo, kapena misomali (Cyanosis) .
Palibe mankhwala a emphysema, koma mankhwala monga BLVR angakuthandizeni kupuma mosavuta komanso kukhala ndi moyo wabwino pang'ono. Lankhulani ndi dokotala wanu kuti mudziwe ngati iyi ndi njira yoyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- BLVR ndi mankhwala amakono, osavulaza odwala matenda oopsa a emphysema.
- Ngakhale izi sizichiritsa matendawa, zimathandizira kwambiri moyo wa munthu popangitsa kupuma kukhala kosavuta.
- Chithandizochi sichiyenera aliyense ndipo chimafuna ziyeneretso zapadera.
- Monga momwe zimakhalira ndi chithandizo chamankhwala chonse, pali zoopsa zina, koma ndizochepa poyerekeza ndi opaleshoni yachikhalidwe.
- Kambiranani ndi katswiri wanu wa kupuma ngati chithandizochi chili choyenera kwa inu komanso ubwino ndi kuipa kwake.
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