Kodi pali chinthu chachilendo chomwe chachitika m'mapapu anu? Tiyeni tikambirane za Cryptogenic Organizing Pneumonia (COP)!

Kodi nthawi zina mumamva ngati muli ndi chimfine chomwe chimayamba ngati malungo koma sichichira pakatha masiku ochepa? Kenako mumayamba kutsokomola ndipo zimakuvutani kupuma ngakhale mutatopa pang'ono? Mungaganize kuti ndi kachilombo ka HIV kokha. Koma, sizili choncho nthawi zonse. Lero tikambirana za vuto la m'mapapo lomwe tonsefe tiyenera kudziwa. Limatchedwa Cryptogenic Organizing Pneumonia , kapena mwachidule COP .

Kodi Cryptogenic Organizing Pneumonia (COP) ndi chiyani? Tiyeni timvetse mosavuta!

Chabwino, tsopano tiyeni tiwone chomwe kwenikweni vuto la m'mapapo lotchedwa COPD lili. Mwachidule, ndi vuto lomwe limakhudza timatumba tating'ono kwambiri ta mpweya (alveoli) m'mapapo mwathu - tinthu tating'onoting'ono tofanana ndi baluni momwe mpweya umalowera ndi mpweya wa carbon dioxide umatuluka tikamapuma - ndi njira zazing'ono zopumira (bronchioles) zomwe zimalumikizana nazo.

Chomwe chimachitika mu mkhalidwe uwu (COP) ndikuti matumba a mpweya ndi njira zazing'ono zopumira zimatupa . Monga momwe chilonda chikatupa kwinakwake m'thupi lathu, chimatupa, chimafiira, komanso chimapweteka, zomwezo zimachitikanso m'mapapo. Koma izi sizimachitika chifukwa cha mabakiteriya kapena mavairasi monga chibayo wamba. Izi ndi zosiyana.

Pakapita nthawi, kutupa kumeneku kungayambitse zipsera m'mapapo, zomwe zikutanthauza kuti mapapu sasinthasintha bwino ndipo sagwira ntchito bwino.

Mawu oti "cryptogenic" amatanthauza "chomwe sichikudziwika." Izi zikutanthauza kuti madokotala sakudziwabe chomwe chimayambitsa vutoli (COP). Ndicho chifukwa chake mawu oti "idiopathic" nthawi zina amagwiritsidwa ntchito pa vutoli, lomwe lili ndi tanthauzo lomwelo.

Ndani amene ali ndi mwayi waukulu wopeza vutoli (COP)?

Matendawa otchedwa (COP) amatha kufalikira mwa aliyense. Zinthu monga jenda, fuko, ndi khungu sizimakhudza matendawa. Komabe, nthawi zambiri amapezeka kwambiri pakati pa anthu azaka zapakati pa 40 ndi 60. Chinanso n'chakuti anthu ambiri omwe ali ndi vutoli (COP) sasuta fodya .

Komanso, ngati muli ndi matenda ena otupa, chiopsezo chanu chokhala ndi COP chingawonjezeke pang'ono. Mwachitsanzo:

• Lupus
• Matenda a nyamakazi
• Scleroderma
• Matenda a sclerosis ambiri
• Matenda otupa m'matumbo - matenda monga matenda a Crohn kapena ulcerative colitis.

Koma si zoona kuti aliyense amene ali ndi matenda amenewa adzakhala ndi COP. Izi ndi zinthu zoopsa chabe.

Kodi vutoli ndi lofala bwanji?

Ndipotu, COP ndi vuto losowa kwambiri.Izi zimachitika pafupifupi m'modzi mwa atatu mwa anthu 100,000 omwe amagonekedwa m'chipatala ku United States, kotero si zachilendo kumva za izi.

Kodi chifukwa cha kupangidwa kwa (COP) ndi chiyani?

Monga tanenera kale, COP ndi matenda otchedwa "cryptogenic" kapena "idiopathic." Izi zikutanthauza kuti palibe chifukwa chenicheni chomwe chapezeka . Madokotala asanazindikire COP, adzafufuza mosamala ngati zifukwa zina za zizindikirozo zikuyambitsa zizindikirozo. Mwachitsanzo, adzafufuza matenda monga mabakiteriya, mavairasi, bowa, kapena mankhwala. Pokhapokha ngati zonsezi zachotsedwa, adzaona COP ngati chifukwa chomwe chingakhalepo.

Palinso matenda ena omwe angagwirizane ndi vuto la (COP). Izi zikutanthauza kuti anthu omwe ali ndi matendawa ali ndi mwayi wochepa woti adwale (COP).

• Lymphoma
• Matumbo a m'mapapo
• Khansa ya m'mapapo
• Khansa za m'magazi - kutanthauza khansa yokhudzana ndi maselo oyera a magazi kapena maselo ofiira a magazi.

Kodi zizindikiro za matenda a (COP) ndi ziti?

Pafupifupi theka la anthu omwe ali ndi COPD poyamba amakhala ndi zizindikiro zofanana ndi chimfine , zomwe nthawi zambiri zimatha kwa milungu ingapo.

• Kuzizira
• Chifuwa chouma (chifuwa chosabereka)
• Kutopa / kutopa
• Kutaya chilakolako
• Malungo
• Kuchepetsa thupi kosamveka bwino
• Thukuta la usiku

Pambuyo pake, pafupifupi 75% ya anthu amayamba kuona zizindikiro zotsatirazi :

• Chifuwa chosatha
• Kupuma movutikira / kupuma movutikira chifukwa cha kuchita khama . Tangoganizirani, simungathe kukwera masitepe monga kale, ndipo mumamva kupuma movutikira ngakhale mutayenda mtunda waufupi.

Kawirikawiri, zizindikiro izi zingawonekerenso:

• Kupweteka pachifuwa
• Mapapo osweka / pneumothorax
• Kutsokomola magazi
• Kupweteka kwa mafupa
• Mpweya wochepa m'magazi anu / hypoxemia

Chofunika kwambiri ndichakuti, ngati muli ndi zizindikiro izi, makamaka chifuwa chouma komanso kupuma movutikira komwe kumatenga milungu ingapo, pitani kwa dokotala . Musangokhala panyumba.

Kodi Cryptogenic Organizing Pneumonia (COP) imapezedwa bwanji?

Mukapita kwa dokotala, iye adzakufunsani kaye za zizindikiro zanu ndi mbiri yanu yachipatala. Kenako adzakuyesani thupi. Ndikofunikira kwambiri kumvetsera mapapu ndi stethoscope. Mukamvetsera mapapu a munthu yemwe ali ndi COPD, mungamve phokoso "losweka", lomwe limakhala ngati tsamba louma likuphwanyika, kapena phokoso lochepa "losweka" mukapuma.

Kenako, dokotalayo ayenera kuchotsa matenda ena omwe angayambitse zizindikirozi. Popeza zizindikirozi sizili za COP, ziyenera kuchotsedwa pa matenda monga:

• Chibayo chachiwiri - Izi zitha kuchitika chifukwa cha matenda, mankhwala, kapena mavuto a autoimmune.
• Chibayo cha bakiteriya, bowa, kapena kachilombo.
• Chibayo chosatha cha eosinophilic - Ichi ndi kuwonjezeka kwa mtundu wa selo wotchedwa eosinophilia m'mapapu.
• Kutupa kwa mapapo chifukwa cha ziwengo zomwe zimachitika m'thupi.
• Matenda ena a m'mapapo osatha.
• Matenda oyamba a pulmonary lymphoma.

Kodi pali kusiyana kotani pakati pa Cryptogenic Organizing Pneumonia (COP) ndi Ordinary Organizing Pneumonia (OP)?

Ichi ndi chinthu chomwe chikufunika kufotokozedwa pang'ono. Vuto lina lomwe lili ndi zizindikiro zofanana ndi (COP) limatchedwa Secondary Organizing Pneumonia (OP) . Komabe, mosiyana ndi (COP), vuto ili (Secondary OP) lingayambitsidwe ndi matenda, mankhwala, khansa, kapena vuto lina la chitetezo chamthupi m'thupi. Kuphatikiza apo, vuto ili (Secondary OP) lakhala likugwirizana ndi khansa ya m'magazi, kukhudzana ndi mankhwala osiyanasiyana, komanso kukhudzana ndi kuwala kwa dzuwa m'mapapo.

Madokotala asanayambe kuchiza (COP), amayesetsa kutsimikiza kuti ichi si vuto la (Secondary OP). Izi zili choncho chifukwa chithandizo cha onse awiri chingakhale chosiyana. Komanso, zotsatira za kuchira kwa anthu omwe ali ndi (Secondary OP) zitha kukhala zoyipa pang'ono kuposa anthu omwe ali ndi (COP).

(COP) Ndi mayeso ati omwe amathandiza kuzindikira matendawa?

Ngati dokotala akukayikira kuti muli ndi vuto la COP atakuyesani, adzakulangizani mayeso ena angapo.

• X-ray ya pachifuwa: Izi zimatenga chithunzi cha mapapo. Ngati muli ndi COPD, mutha kuwona mawanga oyera m'malo ena a mapapo.
• Kujambula kwa CT (HRCT): Iyi ndi njira yoyezera yomwe imatha kuona bwino mkati mwa mapapo kuposa X-ray. Ingathandize kuzindikira zinthu monga kutupa ndi kukhazikika kwa mapapo komwe kumachitika chifukwa cha COPD.
• Kujambula kwa bronchoscopy pogwiritsa ntchito kusamba kwa bronchoalveolar (BAL):Izi zimaphatikizapo kuyika chubu chopyapyala komanso chosinthasintha (bronchoscope) chokhala ndi kamera kakang'ono ndi kuwala kudzera m'mphuno kapena pakamwa ndikuchipereka m'mapapo. Panthawiyi, madzi ochepa amchere amaikidwa m'mapapo, kenako madziwo amatuluka (BAL) ndikutumizidwa ku labotale kuti akayesedwe. Munthu yemwe ali ndi COPD akhoza kukhala ndi maselo oyera ambiri (makamaka ma lymphocyte) mu chitsanzo ichi cha madzi. Koma chofunika kwambiri, chingathandize kuthetsa matenda.
• Kufufuza mapapo: Nthawi zina, chidutswa cha minofu ya mapapo chimayenera kutengedwa ndikuyang'aniridwa pansi pa maikulosikopu kuti atsimikizire kuti matendawa ndi otani. Izi zitha kuchitika m'njira zingapo. Chimodzi ndikutenga chidutswa cha minofu panthawi ya bronchoscopy (transbronchial lung biopsy). Komabe, nthawi zina, ngati pakufunika chitsanzo chachikulu cha minofu, opaleshoni ya mapapo ikhoza kuchitidwa. Kufufuza kumeneku ndiyo njira yokhayo yodziwira COPD osati matenda ena.
• Kuyesa kwa ntchito ya m'mapapo (PFTs): Mayesowa amayesa momwe mapapu anu amagwirira ntchito bwino, kuchuluka kwa mpweya womwe mungasunge m'mapapu anu, komanso momwe mungalowetsere mpweya m'magazi mwanu moyenera. Munthu amene ali ndi COPD akhoza kukhala ndi njira yoletsa yomwe angasunge mpweya wochepa kuposa munthu wamba. Angakhalenso ndi mpweya wochepa m'magazi, pogona komanso pochita masewera olimbitsa thupi.

Kodi Cryptogenic Organizing Pneumonia (COP) imachiritsidwa bwanji?

Nkhani yabwino ndi yakuti pali mankhwala othandiza pa vuto lotchedwa (COP). Madokotala nthawi zambiri amalichiza ndi gulu la mankhwala otchedwa corticosteroids . Mwachitsanzo, mankhwala otchedwa prednisone amagwiritsidwa ntchito nthawi zambiri.

Mankhwalawa nthawi zambiri amatengedwa mosalekeza kwa miyezi 3 mpaka 6. Mlingo umawonjezeka poyamba kenako umachepa pang'onopang'ono. Ngati mankhwalawo ayimitsidwa mwadzidzidzi kapena mlingowo wachepetsedwa mofulumira kwambiri, zizindikiro zimatha kubwerera. Izi zimakhala zoona makamaka ngati mlingo wa prednisone wachepetsedwa kufika pa mamiligalamu 20 patsiku.

Muzochitika zina zochepa kwambiri (COP), matendawa amatha popanda mankhwala aliwonse .

Komabe, ngati zizindikiro za COPD zikupitirira, kapena ngati zotsatirapo zoyipa za corticosteroids n'zovuta kuzipirira, dokotala wanu angakupatseni mankhwala ena. Mwachitsanzo, mankhwala ochepetsa ma steroid monga azathioprine kapena mankhwala a cytotoxic monga cyclophosphamide angaperekedwe kwakanthawi.

Kodi chiopsezo cha matenda (COP) chingachepe?

Palibe chomwe tingachite kuti tichepetse chiopsezo cha matenda a COPD. Chifukwa chakuti chifukwa chenicheni sichikudziwika, palibe njira yopewera. Komabe, mutha kudziwa zizindikiro izi. Kenako, ngati zizindikiro zikuwonekera, mutha kupeza upangiri wachipatala mwachangu ndikuyamba chithandizo ngati pakufunika kutero . Ndikofunikira kwambiri kuzindikira matendawa ndikuyamba chithandizo msanga.

Kodi chimachitika ndi chiyani ngati (COP) sichilandira chithandizo?

Ngati matenda a COPD sachiritsidwa, akhoza kuwononga mapapo kwambiri . Kutupa komwe kukuchitika kungayambitse zipsera m'mapapo, zomwe zingasokoneze kugwira ntchito kwa mapapo kwamuyaya. Chifukwa chake, ndikofunikira kufunafuna chithandizo ngati muli ndi zizindikiro.

Kodi chiyembekezo cha munthu amene ali ndi matenda a shuga (COP) n'chiyani?

Musadandaule. Anthu ambiri omwe ali ndi Cryptogenic Organizing Pneumonia (COP) amachira mwachangu komanso mokwanira . Pafupifupi 50% ya anthu omwe ali ndi matenda ofooka amachira popanda chithandizo. Pafupifupi 80% ya anthu omwe amalandira mankhwala a corticosteroid amachira kwathunthu .

Komabe, nthawi zina zizindikiro za COPD zimatha kubwereranso . Ngakhale zili choncho, palibe chodetsa nkhawa nacho. Zizindikiro nthawi zambiri zimatha kulamulidwa ndikuchiritsidwa mankhwala a corticosteroid akayambiranso. Anthu omwe amachira ku COPD nthawi zambiri amakhala ndi moyo wautali komanso wathunthu.

Kodi ndimadzisamalira bwanji ndili ndi vuto la (COP)?

Ngati mukuganiza kuti muli ndi zizindikiro za COPD, pitani kwa dokotala mwamsanga . Kuyamba chithandizo msanga kungachepetse mwayi woti matendawa abwererenso mtsogolo ndikuchepetsa kuwonongeka kwa mapapo anu.

Ngati dokotala wanu akukupatsani mankhwala a corticosteroid kuti muchiritse matenda anu a COPD, onetsetsani kuti mwadziwitsa dokotala wanu ngati mukukumana ndi zotsatirapo zina. Iye akhoza kusintha mlingo kapena kupereka njira ina. Ndikofunikira kumwa mankhwala anu monga momwe dokotala wanu wanenera ndikutsatira nthawi yake.

Uthenga Wopita Nawo Kunyumba

Cryptogenic Organizing Pneumonia (COP) ndi matenda osowa kwambiri m'mapapo omwe angayambitse kutupa ndi zipsera m'mapapo. Zizindikiro zazikulu ndi kukhosomola komanso kuvutika kupuma. Kumbukirani, iyi si chibayo chofala kwambiri.

• Samalani ndi zizindikiro: Onetsetsani kuti mwaonana ndi dokotala, makamaka ngati muli ndi chifuwa chouma chomwe chimatenga milungu ingapo kapena pakhosi lomwe limabwera mukatopa.
• Pali mankhwala: Izi zimachiritsidwa makamaka ndi mtundu wa mankhwala otchedwa corticosteroids. Matenda ena ofooka amatha kuchira popanda mankhwala.
• Kuchira n’kwabwino kwambiri: Anthu ambiri amachira kwathunthu ku vutoli. Komabe, nthawi zina zizindikiro zimatha kubwerera. Ngakhale zili choncho, zimatha kuthetsedwa ndi chithandizo.

Kotero, ndikukhulupirira kuti izi zikuthandizani. Chofunika kwambiri ndikudziwa bwino za thupi lanu komanso thanzi lanu.

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