Tiyeni tikambirane za Goodpasture Syndrome, yomwe imawononga mapapo ndi impso nthawi imodzi.

Tangoganizirani zomwe zingachitike ngati gulu lathu lankhondo, chitetezo chathu chamthupi , chomwe chikuyenera kuteteza matupi athu ku matenda , mwadzidzidzi chitalakwitsa ndikuyamba kuukira ziwalo zathu zabwino? Umenewo ndi vuto limodzi losowa koma loopsa kwambiri lotchedwa Goodpasture Syndrome. Mu matendawa, chitetezo chathu chamthupi chimawononga ziwalo ziwiri zofunika kwambiri m'thupi lathu, mapapo ndi impso . Ndikofunikira kwambiri kudziwa izi chifukwa zimatha kukhala zoopsa ngati sizizindikirika ndikuchiritsidwa mwachangu.

Kodi Goodpasture Syndrome ndi chiyani kwenikweni?

Mwachidule, Goodpasture Syndrome ndi matenda omwe amayambitsa chitetezo chamthupi . Izi zikutanthauza kuti, chitetezo chamthupi chathu, chitetezo chamthupi, chimatha kuukira maselo ndi minofu yathu.

Mu matendawa, chitetezo chamthupi chimapanga ma antibodies motsutsana ndi puloteni yapadera yotchedwa collagen , yomwe imapezeka m'mapapo ndi impso zathu. Taganizirani za collagen iyi ngati guluu womwe umagwirira ziwalo za thupi lathu pamodzi. Chifukwa chake ma antibodies awa akamaukira collagen imeneyo, mapapo ndi impso zimayamba kuwonongeka kwambiri.

Kodi n’chiyani chimayambitsa vutoli?

Madokotala sakumvetsabe bwino chifukwa chake chitetezo chathu cha mthupi chimaukira ziwalo zake molakwika mwanjira imeneyi. Komabe, pali zinthu zingapo zomwe zimaganiziridwa kuti zimakhudza izi.

• Mphamvu ya majini : Popeza matendawa amapezeka m'mabanja ena, amakhulupirira kuti pakhoza kukhala chifukwa cha majini omwe amachititsa matendawa.
• Zinthu Zachilengedwe: Kukhudzidwa ndi mankhwala enaake, monga hydrocarbon solvents ndi mankhwala ophera udzu monga paraquat.
• Fumbi lachitsulo: Kukumana ndi fumbi lachitsulo nthawi zonse.
• Mankhwala Osokoneza Bongo: Kugwiritsa ntchito mankhwala osokoneza bongo monga cocaine.
• Kusuta: Kusuta fodya ndi chinthu chachikulu chomwe chimayambitsa izi.
• Matenda opatsirana ndi mavairasi: Matendawa amatha kuchitika pambuyo pa matenda ena opatsirana ndi mavairasi.

Matendawa amapezeka kwambiri mwa anyamata, makamaka azaka zapakati pa 20 ndi 30 komanso azaka zopitilira 60.

Kodi zizindikiro zake ndi ziti? Kodi mumazindikira bwanji izi?

Magawo oyambirira a matendawa amasonyeza zizindikiro wamba komanso zosamveka bwino. Choncho nthawi zina sizingawoneke ngati vuto lalikulu. Koma vutoli limakula mofulumira kwambiri.

Onani tebulo ili m'munsimu kuti mudziwe zizindikiro izi.

Ngakhale kuti matendawa angayambitse kutuluka magazi m'mapapo komwe kungawononge moyo, kuwonongeka kwa mapapo kwa nthawi yayitali nthawi zambiri kumakhala kochepa. Komabe, zotsatirapo zoyipa kwambiri za matendawa ndi kulephera kwa impso . Ngati izi zitachitika, mungafunike dialysis ya moyo wanu wonse kapena kuikidwa impso ina.

Kodi dokotala amazindikira bwanji matendawa?

Ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikiro zomwe takambiranazi, musazengereze . Pitani kwa dokotala mwamsanga. Makamaka ngati mukutsokomola magazi, mukuvutika kupuma, kapena kutaya magazi mumkodzo wanu, ndi vuto ladzidzidzi.

Dokotala akhoza kuyitanitsa mayeso angapo kuti atsimikizire matendawa:

• Kusanthula mkodzo: Kuyesaku kumafufuza kuchuluka kwa mapuloteni ndi maselo ofiira a magazi mumkodzo. Izi zingathandize kudziwa ngati impso zawonongeka.
• Kuyezetsa magazi: Magazi anu amafufuzidwa kuti aone ngati pali ma antibodies enaake omwe amaukira mapapo ndi impso.
• X-ray pachifuwa: Izi zitha kuyang'ana kuwonongeka kwa mapapo, monga mawanga oyera osazolowereka omwe amayambitsidwa ndi kutuluka magazi.
• Kufufuza za matenda: Nthawi zina kachidutswa kakang'ono ka minofu kamatengedwa kuchokera ku impso kapena mapapo ndikuwunikidwa pogwiritsa ntchito maikulosikopu. Izi zitha kutsimikizira ngati pali ma antibodies a Goodpasture Syndrome komanso kuchuluka kwa kuwonongeka kwa impso.

Kodi mankhwala ochizira izi ndi otani?

Matendawa akapezeka, chithandizo chiyenera kuyamba mwachangu komanso mwamphamvu. Zolinga zazikulu za chithandizo ndi izi:

• Kulimbana ndi ma antibodies owopsa.
• Kulamulira kuchuluka kwa madzi m'thupi.
• Kulamulira kuthamanga kwa magazi.
• Kuletsa kuwonongeka kwa mapapo ndi impso.

Chithandizo nthawi zambiri chimakhala ndi izi:

1. Mankhwala oletsa chitetezo chamthupi: Mankhwala monga cyclophosphamide ndi corticosteroids amaperekedwa. Mankhwalawa amagwira ntchito pochepetsa mphamvu ya chitetezo chamthupi chathu ndikuletsa kupanga ma antibodies owopsa. Nthawi zina ma steroids ambiri angafunike kuperekedwa kudzera m'mitsempha kuti achepetse kutuluka kwa magazi m'mapapo.

2. Plasmapheresis: Iyi ndi njira yovuta pang'ono. Mwachidule, imafuna kutenga magazi pang'ono, kuwayika mu makina apadera, ndikulekanitsa gawo lamadzimadzi, lotchedwa plasma, lomwe lili ndi ma antibodies oopsa. Kenako, magawo abwino otsala a magazi (maselo ofiira ndi oyera a magazi) amasakanizidwa ndi malo ena olowa m'malo mwa plasma ndikubwezedwa m'thupi lanu. Izi zimachotsa ma antibodies oopsa m'magazi. Chithandizochi chingafunike kuchitika tsiku lililonse kwa milungu ingapo.

Chithandizochi chingatenge miyezi 6 mpaka 12. Zingatenge milungu ingapo mpaka zaka ziwiri kuti achire bwino. Panthawiyi, odwala ena angafunike mpweya wowonjezera kapena chopumira. Kuikidwa magazi kungafunikenso.

Goodpasture Syndrome Sinhala, matenda a m'mapapo, matenda a impso, chitetezo chamthupi, matenda a autoimmune sinhala, kutsokomola magazi, magazi mu mkodzo