Kodi inunso mukuvutika kupuma? Kodi ndi chinthu chachilendo m'mapapo mwanu? Tiyeni tikambirane za Bullous Emphysema!

Kodi nthawi zina mumamva kupuma movutikira, kupsinjika pachifuwa panu? Kapena muli ndi chifuwa chomwe chimakula kwambiri m'mawa, kapena mumamva kutopa? Izi sizingakhale zizindikiro za chimfine chokha. Zingakhale zizindikiro za matenda a m'mapapo otchedwa Bullous Emphysema , omwe muyenera kuda nkhawa nawo. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane lero, ngati mukulankhula ndi mnzanu, chabwino?

Kodi Bullous Emphysema ndi chiyani?

Mwachidule, Bullous Emphysema ndi mtundu wa matenda a m'mapapo otchedwa emphysema . Emphysema imachitika pamene makoma a tinthu tating'onoting'ono ta mpweya mkati mwa mapapo anu, otchedwa alveoli , awonongeka. Kumbukirani, ma alveoli awa ndi omwe amagwira ntchito yofunika kwambiri yolandira mpweya ndi kutulutsa carbon dioxide tikamapuma.

Tsopano, mu bullous emphysema, chomwe chimachitika ndichakuti makoma a alveoli amenewo amawonongeka, ndipo amatupa ndikupanga matumba akuluakulu a mpweya, ngati mabaluni. Timatcha awa bullae . Ma bullae awa amatha kukhala akulu kuposa sentimita imodzi.

Chiphuphuchi chikapangidwa, chimasokoneza mphamvu ya mapapu kugwira ntchito bwino. Zimakhala zovuta kuti alveoli isinthe mpweya ndi carbon dioxide. Vutoli likhoza kuchitika m'mapapo amodzi kapena onse awiri. Komabe, ngakhale chiphuphuchi chikapangidwa m'mapapo amodzi, chingasokoneze mphamvu ya mapapu ena yodzaza mpweya, zomwe zikutanthauza kupuma. Nthawi zina, ngati chiphuphuchi chikakula kwambiri, mapapo amatha kugwa, zomwe zimayambitsa vuto lotchedwa Vanishing Lung Syndrome . Ngakhale izi zingayambitse kuwonongeka kosatha kwa mapapo, chithandizo choyenera chingathetse vutoli ndikuwonjezera nthawi yanu yokhalira ndi moyo.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Ndipotu, aliyense akhoza kudwala bullous emphysema, mosasamala kanthu za msinkhu, fuko, kapena jenda. Komabe, nthawi zambiri imagwirizanitsidwa ndi matenda osatha obstructive pulmonary disease (COPD) , matenda a m'mapapo omwe amayamba chifukwa cha kusuta fodya. Komanso, ngati muli ndi matenda enaake a majini, chiopsezo chanu chimakhala chachikulu. Mwachitsanzo:

• Kusowa kwa Alpha-1 antitrypsin
• Matenda a Ehlers-Danlos
• Matenda a Marfan

Kuphatikiza apo, anthu omwe ali ndi kachilombo ka HIV ali pachiwopsezo chachikulu chotenga matenda a bullous emphysema.

Kodi izi ndi zofala bwanji? N’chifukwa chiyani izi zimachitika?

Padziko lonse lapansi, anthu oposa 5% ndi akuluakulu opitilira 12% azaka zopitilira 30 akuti ali ndi bullous emphysema. Ilinso ndi vuto lachitatu lalikulu la imfa m'maiko ngati United States. Chifukwa chake, ichi si chinthu chongopeka.

Tsopano tiyeni tiwone chifukwa chake izi zimachitika.

Chifukwa chachikulu cha bullous emphysema ndi kusuta . Kutupa kosatha komwe kumachitika chifukwa cha utsi wa ndudu kumawononga makoma a alveoli yanu. Izi zimapangitsa kuti matumba a mpweya akule, zomwe zimalepheretsa kuyenda kwa mpweya ndi carbon dioxide.

Kupatula kusuta fodya, palinso zifukwa zina:

• Kusuta cocaine kapena chamba.
• Kugwiritsa ntchito mankhwala m'mitsempha.
• Matenda a majini omwe atchulidwa pamwambapa angayambitsenso kuti makoma a alveolar akhale ofooka komanso owonongeka, zomwe zimapangitsa kuti bullous emphysema ikule.

Kodi zizindikiro za izi ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha bullous emphysema ndi kupuma movutikira . Izi zikutanthauza kuti mumamva kupuma movutikira, osati mukatopa pang'ono, mukakwera masitepe, komanso nthawi zina ngakhale mutangoyima.

Palinso zizindikiro zina zodziwika bwino:

• Kumva kupweteka pachifuwa kapena kukakamira.
• Kukhala ndi chifuwa (nthawi zambiri izi zimakhala zovuta kwambiri m'mawa).
• Kumva kutopa komanso kutopa nthawi zonse (Kutopa).
• Chakudyacho sichikoma.
• Kusanza.
• Kuvutika kupuma.

Komabe, anthu ena akhoza kukhala ndi bullous emphysema koma osawonetsa zizindikiro zilizonse. Ngati bullae ikukula kwambiri, timaitcha kuti giant bullae , ndiye kuti zizindikirozo zimatha kukhala zoopsa kwambiri.

Mukapita kwa dokotala, adzayang'ana zizindikiro ngati izi akamakuyesani:

• Chifuwa chooneka ngati mbiya.
• Zala zokhala ndi zibonga.
• Kumva kugunda kwa mtima kwanu mokweza chifukwa cha kuthamanga kwa magazi m'mapapo.
• Kutupa (Edema).
• Kupuma movutikira.

Kodi mumazindikira bwanji izi molondola?

Dokotala wanu adzakufunsani kaye za zizindikiro zanu, mbiri yanu ya thanzi, komanso ngati pali aliyense m'banja mwanu amene wakhala ndi matenda ofanana ndi anu. Kenako adzakuyezani thupi.

Ngati mukukayikira kuti muli ndi bullous emphysema, dokotala wanu adzalamula kuyezetsa ntchito ya m'mapapo (PFT) . Mayesowa amawunika momwe mapapu anu akuyendetsera mpweya komanso ngati bullae ikulepheretsa kuyenda kwa mpweya.

Monga gawo la mayeso awa, spirometryMukhoza kuyezedwa. Izi zimaphatikizapo kupuma kudzera mu chubu kupita mu makina (spirometer). Izi zimayesa kuchuluka kwa mpweya womwe umalowa ndi kutuluka m'mapapu anu mukapuma ndi kutuluka.

Kuphatikiza apo, dokotala wanu angakulangizeni mayeso ojambulira kuti aone ngati pali alveoli yokulirapo kapena yowonongeka. Izi zingaphatikizepo:

• X-ray ya pachifuwa: Izi zingathandize kudziwa ngati pali ma bullae ndi komwe ali m'mapapo.
• Kujambula kwa CT: Izi zingathandize kudziwa malo enieni, chiwerengero, ndi kukula kwa chotupacho.

Mayeso ena angapangidwe, mwachitsanzo:

• Kuyezetsa magazi: Yang'anani ngati mpweya wa carbon dioxide wasonkhana m'mapapo, zomwe zimapangitsa kuti magazi akhale ndi asidi (izi zimatchedwa respiratory acidosis ), kapena kuti mpweya wochepa.
• Kuchuluka kwa magazi (CBC): Kufufuza kuchuluka kwa hemoglobin m'magazi.
• Electrocardiogram (EKG): Kuyang'ana ngati pali zovuta zilizonse za mtima zomwe zimayambitsidwa ndi matenda a m'mapapo, monga hypertrophy ya ventricle yakumanja kapena kukula kwa atrium yakumanja.

Dokotala wanu angayang'anenso ngati muli ndi vuto la Alpha-1 antitrypsin kudzera mu mayeso a magazi.

Kodi pali mankhwala athunthu a izi?

Mwatsoka, palibe mankhwala a bullous emphysema. Izi zikutanthauza kuti ikangoyamba, singathe kubwezeretsedwa. Koma musadandaule! Pali mankhwala omwe angakuthandizeni kukhala ndi zizindikiro ndikuletsa matendawa kuti asakule kwambiri.

Ndiye kodi mankhwala ake ndi otani?

Pofuna kukuthandizani kuchepetsa zizindikiro zanu, dokotala wanu angakupatseni mankhwala otchedwa bronchodilators . Mankhwalawa nthawi zambiri amapumidwa kudzera mu inhaler . Mankhwala opumitsira bronchodilators amagwira ntchito pomasula minofu ya m'mapapo mwanu, zomwe zimapangitsa kuti mpweya ulowe mosavuta m'mapapo mwanu, komanso kuchepetsa kupuma movutikira.

Tangoganizirani, mankhwala awa amagwira ntchito ngati kukulitsa msewu wodzaza anthu pang'ono, zomwe zimapangitsa kuti magalimoto azitha kudutsa mosavuta.

Ngati muli ndi zizindikiro zoopsa kapena matenda a m'mapapo, mungapatsidwenso mankhwala opha tizilombo toyambitsa matenda kapena corticosteroids kwa kanthawi kochepa.

Ngati mpweya wanu uli wochepa, dokotala wanu angakulangizeni kuti muwonjezere mpweya , womwe umaphatikizapo kupatsa thupi lanu mpweya wowonjezera kudzera mu chubu chomwe chimayikidwa m'mphuno mwanu kapena chophimba nkhope yanu.

Nthawi zina, makamaka mukanena zimenezoNgati pali ma bullae akuluakulu, ngati vuto lopuma ndi lalikulu kwambiri, kapena ngati pali mavuto ena chifukwa cha matendawa, mwachitsanzo:

• Mapapo osweka (Pneumothorax)
• Kutsokomola magazi (Hemoptysis)
• Matenda a m'mapapo

Ngati zinthu ngati izi zitachitika, mungafunike opaleshoni.

Mitundu ya opaleshoni ya bullous emphysema:

• Kuchotsa Bullectomy: Mu njira iyi, dokotala wa opaleshoni amachotsa bulla (thumba la mpweya) m'mapapo mwanu. Izi zitha kuchitika ngati opaleshoni yotseguka (Thoracotomy) kapena ngati njira yochepetsera kufalikira kwa matenda (opaleshoni ya chifuwa yothandizidwa ndi kanema - VATS).
• Kuchepetsa kuchuluka kwa mapapo a bronchoscopy (BLVR): Mu njira iyi yosalowa kwambiri, dokotalayo amaika valavu m'mapapo mwanu ndipo mwadala amachepetsa gawo lina la mapapo.
• Opaleshoni yochepetsa kuchuluka kwa mapapo (LVRS): Pachifukwa ichi, dokotalayo amachotsa minofu ya mapapo yowonongeka kuti minofu yotsalayo igwire bwino ntchito.

Ngati palibe njira iliyonse yothandizira imeneyi, ndipo ngati kuli koyenera, dokotala wanu angakutumizireni kuti mukaikidwe mapapo .

Kodi chiopsezochi chingachepe bwanji?

Chinthu chabwino kwambiri chomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi bullous emphysema ndikusasuta, kapena ngati mukusuta, kusiya. Lankhulani ndi dokotala wanu za njira zokuthandizani kusiya kusuta. Tikudziwa kuti sikophweka, koma ndikofunikira pa thanzi la mapapo anu.

Kodi muyenera kuyembekezera chiyani mukakhala ndi vutoli?

Bullous emphysema ndi matenda omwe munthu amakhala nawo moyo wake wonse. Izi zikutanthauza kuti mapapu anu akawonongeka, sadzachira mokwanira. Komabe, mukayamba chithandizo msanga, mumakhala ndi mwayi woti vutoli lisakule kwambiri. Chifukwa chake, ndikofunikira kufunafuna upangiri wa dokotala mwachangu ngati muli ndi zizindikiro.

Kodi ndimadzisamalira bwanji?

Mukhoza kuthana ndi zizindikiro zanu ndikukhala ndi moyo wabwino. Kupeza chithandizo choyenera kungakuthandizeni kwambiri kukhala ndi moyo wabwino.

Ndikofunikanso kukhala ndi thanzi labwino komanso kupewa mavuto aakulu azaumoyo. Choncho, lankhulani ndi dokotala wanu za mitundu ya katemera yomwe mungafune, monga katemera wa chimfine, katemera wa COVID, ndi katemera wa Pneumococcus .

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati muwona zizindikiro zilizonse za bullous emphysema, kapena ngati mukuyamba zizindikiro zatsopano, onetsetsani kuti mwawonana ndi dokotala.

Ngati muli ndi zizindikiro zotsatirazi, ndikofunikira kupita kuchipatala nthawi yomweyo:

• Mtundu wabuluu kapena imvi pamilomo kapena m'zikhadabo zanu (cyanosis).
• Kuvuta kukhala maso m'maganizo.
• Kuvuta kupuma kwambiri.
• Kugunda kwa mtima mwachangu (Tachycardia).

Kulephera kupuma bwino kungakhale chinthu choopsa. Ngati muli ndi bullous emphysema, mungamve ngati mukuvutika kupuma nthawi zonse. Kumbukirani, kusuta fodya ndiye chifukwa chachikulu. Komanso, matenda enaake a majini angakulitse chiopsezo chanu. Kusiya kusuta ndiye chinthu chabwino kwambiri chomwe mungachite kuti bullous emphysema isakule kwambiri. Dokotala wanu angakupatseni chithandizo chomwe chingakuthandizeni kupuma mosavuta ndikupangitsa moyo wanu watsiku ndi tsiku kukhala wosavuta.

Kumbukirani chinthu chofunika kwambiri (Uthenga Wopita Nawo Kunyumba)

Chabwino, nazi zina mwa zinthu zofunika kwambiri zomwe takambirana lero kuti zikuthandizeni kukumbukira:

• Bullous emphysema ndi vuto lomwe matumba a mpweya m'mapapo amawonongeka ndipo matumba akuluakulu a mpweya (bullae) amapangika.
• Kusuta fodya ndiye chifukwa chachikulu cha izi, choncho ndikofunikira kwambiri kupewa kusuta.
• Ngati muli ndi zizindikiro monga kupuma movutikira, chifuwa chosatha, kapena kupweteka pachifuwa, onetsetsani kuti mwapeza upangiri wa dokotala.
• Ngakhale kuti palibe mankhwala athunthu a izi, pali mankhwala othandiza oletsa zizindikiro ndikuletsa matendawa kuti asakule kwambiri.
• Kuzindikira msanga matendawa ndi chithandizo kungakuthandizeni kukhala ndi moyo wabwino.

Choncho, ngati inu kapena munthu amene mumamudziwa ali ndi zizindikiro izi, musachite mantha ndipo pitani kwa dokotala kuti akupatseni upangiri. Khalani ndi thanzi labwino!

` Bullous emphysema, matenda a m'mapapo, vuto la kupuma, kusuta fodya, COPD, bullae, alveoli