Kodi nthawi zina mumavutika kupuma, kumva kupsinjika pachifuwa panu, kapena kupuma movutikira ngakhale mutachita masewera olimbitsa thupi pang'ono? Kodi nthawi zambiri mumamva kutopa kwambiri? Zizindikirozi zimatha kuchitika chifukwa cha zifukwa zosiyanasiyana, koma chifukwa chimodzi chachikulu chingakhale chakuti mapapu anu amasunga mpweya wambiri, matenda omwe madokotala amatcha Hyperinflated Lungs . Lero, tiyeni tikambirane za izi mwatsatanetsatane koma mosavuta, kuno ku Nirogi Lanka.
Kodi mapapo odzaza ndi mpweya wambiri (Hyperinflated Lungs) ndi chiyani kwenikweni?
Mwachidule, izi zimachitika pamene njira zazing'ono zopumira mkati mwa mapapu anu zatsekeka, zomwe zimapangitsa kuti mpweya ukhale wovuta kutuluka mutapuma. Chifukwa mpweya sungatuluke mokwanira, umakhalabe wotsekeredwa pamodzi ndi mamina. Taganizirani ngati baluni: ngati muutulutsa mpweya koma mpweya sungatuluke, umakhala wotambasuka kwambiri komanso wotsekeredwa. Izi ndi zomwe zimachitika m'mapapu anu.
Mpweya ndi mamina zikamatsekeka, kupuma kumakhala kovuta, ndipo mapapu anu amakula kuposa mphamvu zawo zachibadwa. Pakapita nthawi, izi zingayambitse kuwonongeka kosatha kwa mapapo, kupsinjika kwa mtima, komanso mpweya wokwanira m'thupi lanu . Chifukwa chake, vutoli limafuna thandizo lachipatala.
Dokotala amatha kuzindikira izi kudzera mu mayeso owunika thupi ndi zithunzi monga X-ray. Njira zochiritsira m'zipatala nthawi zambiri zimaphatikizapo ma inhalers, nebulizers , masewera olimbitsa thupi apadera opumira, ndipo pazochitika zovuta kwambiri, opaleshoni.
N’chifukwa chiyani mapapu amadzaza ndi mpweya wambiri? Kodi zimayambitsa chiyani?
Chifukwa chachikulu cha kukwera kwa mpweya m'mapapo ndi COPD , kapena Chronic Obstructive Pulmonary Disease . Ili si matenda amodzi okha, koma gulu la matenda a m'mapapo, lomwe ndilodziwika kwambiri:
1. Matenda a Bronchitis Osatha: Izi zimaphatikizapo kutupa kosatha ndi kutupa kwa bronchi yanu (njira zopumira). Izi zimapangitsa kuti njirayo ikhale yopapatiza, zomwe zimapangitsa kuti kupuma kukhale kovuta komanso zimapangitsa kuti mamina atuluke kwambiri.
2. Emphysema: Izi zimaphatikizapo kuwonongeka kwa matumba a mpweya ofewa (alveoli) m'mapapo mwanu, omwe pamapeto pake amataya kulimba kwawo ndikugwa. Matumba awa ndi ofunikira kwambiri potumiza mpweya m'magazi mwanu ndikuchotsa carbon dioxide. Akawonongeka, mpweya umalowa mkati.
Kupatula COPD, matenda ena a m'mapapo omwe amalepheretsa kupuma amathanso kuyambitsa kukwera kwa mitengo, kuphatikizapo:
- Mphumu : Monga mukudziwa, mphumu imafinya njira zopumira, zomwe zingayambitse vutoli.
- Cystic Fibrosis: Matenda a majini omwe mamina okhuthala komanso omata amasonkhana m'mapapo, zomwe zimapangitsa kuti kupuma kukhale kovuta.
- Bronchiectasis: Matenda omwe njira zopumira zimakulirakulira kosatha, zomwe zimapangitsa kuti mamina azisonkhana komanso matenda opatsirana pafupipafupi.
- Bronchiolitis: Kutupa kwa njira zazing'ono kwambiri zopumira m'mapapo, zomwe zimachitika kawirikawiri mwa ana aang'ono.
Kodi vutoli ndi lofala bwanji?
Kukwera kwa mpweya m'mapapo kumachitika kawirikawiri mwa odwala omwe ali ndi COPD. M'maiko ngati US, anthu 15-20 miliyoni amakhala ndi COPD. Ngakhale ziwerengero zenizeni zapadziko lonse lapansi zokhudzana ndi kukwera kwa mpweya m'mapapo sizimagawidwa nthawi zonse, izi ndi zomwe zimachitika kawirikawiri pakati pa odwala COPD.
Kodi zizindikiro zake ndi ziti?
Zizindikiro za kukwera kwa mpweya m'mapapo zimafanana ndi zizindikiro za matenda ena a m'mapapo osatha:
- Kupuma movutikira : Kumva ngati watopa kuyenda pang'ono kapena kukwera masitepe. Nthawi zina, zimakhala zovuta kupuma ngakhale mutapumula.
- Kupuma pang'ono: Kulephera kupuma mozama komanso mokwanira.
- Kutopa kosalekeza komanso kusowa mphamvu: Kumva kutopa nthawi zonse kapena kusowa mphamvu zogwirira ntchito za tsiku ndi tsiku.
- Kutsekeka pachifuwa: Kumva kutsekeka kapena kulemera pachifuwa, komwe nthawi zambiri kumagwirizanitsidwa ndi kusungunuka kwa mamina.
Zizindikiro zimenezi zingabuke ngakhale popanda khama lalikulu. Ngati mukuona kuti zochita za tsiku ndi tsiku—monga ntchito zapakhomo kapena kupita kusitolo mwachangu—zimakupangitsani kupuma movutikira komanso kutopa, ndi nthawi yoti mukaonane ndi dokotala.
Ndani amene ali pachiwopsezo chachikulu?
Anthu omwe ali ndi matenda opuma monga COPD, mphumu, ndi emphysema ali pachiwopsezo chachikulu.
Kusuta fodya ndiye chinthu chachikulu chomwe chimayambitsa chiopsezo chachikulu. Kusuta kumayambitsa kuwonongeka kwa mapapo mwachindunji, zomwe zimakupangitsani kukhala pachiwopsezo chachikulu chotenga matenda a COPD komanso kukwera kwa mpweya m'mapapo.
Kuphatikiza apo, pali zinthu zina zokhudzana ndi majini, monga kusowa kwa Alpha-1 antitrypsin , vuto lomwe limafalikira m'mabanja lomwe lingawonjezere kwambiri chiopsezo cha emphysema ndi kukwera kwa mpweya m'mapapo. Ngati muli ndi zizindikiro zoopsa, chonde funsani ogwira ntchito zadzidzidzi akumaloko nthawi yomweyo.
Kodi ndi mavuto otani omwe angabwere chifukwa cha vutoli?
Chimodzi mwa mavuto aakulu kwambiri a kukwera kwa mpweya m'mapapo ndi kupsinjika komwe kumaika pamtima panuPopeza mtima wanu umakhala pakati pa mapapo anu, mapapo odzaza kwambiri amatha kuupanikiza. Pakapita nthawi, kupanikizika kumeneku kungalepheretse mtima wanu kupopera magazi bwino kupita ku mapapo anu, zomwe sizimangowonjezera chiopsezo cha mtima kulephera komanso zingayambitse kuchepa kwa mpweya m'magazi anu .
Kuphatikiza apo, kukwera kwa mpweya m'mapapo kungasokoneze kwambiri moyo wanu watsiku ndi tsiku. Popeza kupuma kumakhala kovuta, mungakhale ndi ntchito zosavuta zomwe zingakuvuteni, zomwe zingakhudze moyo wanu wonse.
Kodi izi zimazindikirika bwanji?
Dokotala wanu adzawunikanso mbiri yanu yachipatala, adzayesa zizindikiro zanu, ndikukupimani thupi. Pogwiritsa ntchito stethoscope, adzamvetsera mtima ndi mapapo anu pamene akukupemphani kuti mupume mpweya wakuya kangapo. Pa nthawi yoyezetsayi, angazindikire kuti chifuwa chanu sichikukula ndi kufupika bwino pamene mukupuma.
Pambuyo pa izi, dokotala wanu angafune mayeso ena owunikira kuti awone momwe mapapo anu amagwirira ntchito, monga:
- X-ray ya pachifuwa: Izi zimakupatsani chithunzi cha mapapo anu, mtima, ndi malo olumikizirana pachifuwa, zomwe zimathandiza kuzindikira zizindikiro za kukwera kwa mpweya m'mapapo.
- Kujambula kwa computerized tomography (CT): Izi zimapereka chithunzi chatsatanetsatane komanso chomveka bwino cha mapapo ndi mtima wanu kuposa X-ray wamba.
- Mayeso a ntchito ya m'mapapo (PFTs): Mayesowa amayesa kuchuluka kwa mpweya womwe mapapu anu angasunge komanso momwe amagwirira ntchito bwino.
Dokotala wanu wamkulu angakutumizireninso kwa Pulmonologist (katswiri wa matenda opumira).
Kodi kukwera kwa mpweya m'mapapo ndi vuto lalikulu?
Inde, kukwera kwa mpweya m'mapapo ndi vuto lalikulu lachipatala . Kupatula kuwononga minofu ya m'mapapo ndikuchepetsa moyo wanu, kungayambitse kupsinjika kwakukulu pamtima wanu, zomwe zingayambitse mavuto monga kulephera kwa mtima. Chifukwa chake, kuyang'aniridwa mwachangu ndi akatswiri athu aku Nirogi Lanka ndikofunikira.
Kodi mankhwala omwe alipo ndi ati?
Mapulani a chithandizo amadalira kuopsa kwa zizindikiro zanu komanso thanzi lanu lonse. Mankhwala ofala ndi awa:
- Mankhwala ochepetsa mpweya m'mapapo: Mankhwalawa amamasula minofu yozungulira njira zanu zopumira, kuwasunga otseguka kuti mpweya wotsekeka utuluke mosavuta. Nthawi zambiri amaperekedwa kudzera mu inhalers kapena nebulizers.
- Njira zopumira: Dokotala wanu angakuphunzitseni masewera olimbitsa thupi enaake, monga kupuma movutikira, kuti njira zopumira zisamatseguke. Mapulogalamu ochiritsira matenda a m'mapapo ndi othandiza kwambiri pothana ndi matenda monga COPD.
- Chithandizo cha okosijeni: Odwala ena amafunika mpweya wowonjezera womwe umaperekedwa kudzera mu kannula ya m'mphuno kapena chophimba nkhope kuti atsimikizire kuti thupi lawo limalandira mpweya wokwanira.
- Zipangizo zothandizira kupuma: Zipangizo monga nebulizers ndi makina a CPAP zingathandize kuti mpweya utuluke mosavuta.
- Opaleshoni yochepetsa kuchuluka kwa mapapo:Izi nthawi zambiri zimaonedwa ngati njira yomaliza ngati njira zina zothandizira sizikuyenda bwino; zimaphatikizapo kuchotsa minofu ya m'mapapo yowonongeka kuti minofu yotsalayo yathanzi igwire ntchito bwino.
Kodi vutoli lingasinthe?
Mwatsoka, kuwonongeka komwe kumachitika m'mapapo nthawi zambiri kumakhala kosatha , zomwe zikutanthauza kuti sangabwerere momwe analili poyamba. Komabe, chithandizo choyenera chingathandize kuthana ndi zizindikiro bwino ndikuchepetsa kwambiri kufunikira kolowa m'chipatala kapena kupita ku dipatimenti yadzidzidzi (ED) . Ngakhale chithandizo chimathandiza kuti muzitha kupuma bwino, minofu ya m'mapapo yokha siikonzanso mokwanira.
Kodi chiyembekezo cha vutoli ndi chotani?
Ndi chisamaliro choyenera ndi chitsogozo kuchokera ku gulu la Nirogi Lanka, mutha kukhala ndi moyo wopindulitsa komanso wokhutiritsa . Ngakhale sitingathe kusintha kuwonongeka konse, titha kugwiritsa ntchito njira zopewera kukwera kwa mpweya ndikuletsa kuwonongeka kwina kwa mapapo.
Ndikofunikira kudziwa kuti popanda thandizo lachipatala, kukwera kwa mpweya m'mapapo kungayambitse kupsinjika kwakukulu kwa mtima ndi kulephera kwa mtima. Kukhala odzipereka ku dongosolo lanu la chithandizo ndikofunikira.
Kodi izi zingapewedwe bwanji?
Njira yabwino yopewera kukwera kwa mpweya m'mapapo ndikuchitapo kanthu kuti mupewe kapena kulamulira COPD. Pafupifupi 90% ya milandu ya COPD imagwirizanitsidwa ndi kusuta fodya. Chifukwa chake, kusiya kusuta fodya ndi kupewa utsi wogwiritsidwa ntchito ndi ena ndiyo njira yothandiza kwambiri yopewera COPD ndi kuwonongeka kwa mapapo. Kuphatikiza apo, kuchepetsa kuipitsidwa kwa mpweya ndikofunikira kwambiri pa thanzi lanu la mapapo kwa nthawi yayitali.
Kodi muyenera kupita kwa dokotala liti?
Ngati mukuvutika kupuma—makamaka ngati muli ndi vuto la m'mapapo monga COPD kapena mphumu—ndikofunika kukaonana ndi dokotala mwachangu . Chonde funsani upangiri wa dokotala ngati muwona zizindikiro zotsatirazi:
- Kupuma movutikira nthawi zonse.
- Kuvuta kupuma kapena kumva ngati simungathe kupeza mpweya wokwanira.
- Kutopa kapena kutopa kosazolowereka, ngakhale mutachita masewera olimbitsa thupi pang'ono.
Kodi muyenera kupita ku Chipinda Chodzidzimutsa Liti (ER)?
Ngati vuto lanu lopuma silikuyenda bwino ngakhale kuti mukuyesetsa nthawi zonse kusamalira, chonde pitani ku dipatimenti yapafupi yothandiza anthu odwala mwadzidzidzi . Ngakhale kuti anthu ambiri omwe ali ndi vuto la kupuma kwambiri m'mapapo amapeza mpumulo kudzera mu chithandizo choyenera chamankhwala, vuto lalikulu la kupuma ndi vuto ladzidzidzi lomwe limafuna thandizo mwachangu. Ngati mukuvutika kupuma, imbani ogwira ntchito zadzidzidzi (monga 911) nthawi yomweyo.
` ## Mawu Omaliza ochokera ku Nirogi Lanka
Kukhala ndi matenda aakulu a m'mapapo kungakhale kovuta ndipo kungakhudze kwambiri zochita zanu za tsiku ndi tsiku. Kukwera kwa mpweya m'mapapo ndi vuto lodziwika bwino lomwe limagwirizanitsidwa ndi matenda monga COPD ndi mphumu. Dokotala wanu kapena katswiri wa mapapu angagwire nanu ntchito kuti apange dongosolo la chithandizo chapadera kuti athandize kuthana ndi zizindikirozi bwino.
> **Ndikofunikira kutsatira ndondomeko ya mankhwala yomwe mwapatsidwa monga momwe mwalangizidwira.** Ngakhale matenda ena a m'mapapo amakula pang'onopang'ono, mutha kulamulira matendawa mwa kusiya kusuta fodya, kupewa utsi wogwiritsidwa ntchito ndi munthu wina, komanso kuchepetsa kukhudzana ndi mpweya woipa. Thanzi lanu ndiye chinthu chofunika kwambiri kwa ife.
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Kukwera kwa mpweya m'mapapo, kupuma movutikira, COPD, mphumu, matenda a m'mapapo, thanzi la kupuma, kusiya kusuta fodya
