Kodi muli ndi chifuwa chouma komanso kupuma movutikira nthawi zonse? Tiyeni tikambirane za NSIP (Nonspecific Interstitial Pneumonia)

Kodi nthawi zina mumakhala ndi chifuwa chouma chomwe sichimatulutsa ntchofu? Kodi mumamva kusowa mpweya mukatopa pang'ono, kapena mukakwera masitepe? Anthu ambiri amaganiza kuti izi ndi zachilendo, mwina chifukwa cha fumbi, koma nthawi zina zimatha kukhala chizindikiro cha matenda a m'mapapo omwe amafunika chisamaliro. Lero tikulankhula za vuto limodzi lotere, NSIP.

Kodi NSIP (Nonspecific Interstitial Pneumonia) ndi chiyani?

Mwachidule, NSIP ndi kutupa kwa minofu pakati pa matumba ang'onoang'ono a mpweya (alveoli) m'mapapo anu ndi mitsempha yamagazi yozungulira. Ganizirani mapapu anu ngati gulu la mphesa zokhala ndi mphesa zazing'ono zambiri (alveoli). Chibayo chomwe nthawi zambiri timachidziwa chimachitika mkati mwa mphesa izi. Koma mu NSIP, kutupa kumachitika m'malo omwe ali pakati pa mphesa izi ndi minofu yozungulira.

Uwu ndi matenda omwe ali m'gulu la matenda a m'mapapo otchedwa "interstitial lung disease". NSIP nthawi zambiri imapezeka mwa anthu omwe ali ndi matenda a connective tissue disease (CTD). Komanso, ikhoza kukhala matenda a nthawi yayitali, osachira pakatha masiku ochepa monga chibayo wamba. Nthawi zina, imatha kuyambitsa zipsera zosatha m'mapapo.

Pali mitundu iwiri ikuluikulu ya NSIPs.

Madokotala amagawa NSIP m'magulu awiri akuluakulu. Ndikofunikira kumvetsetsa kusiyana pakati pa ziwirizi, chifukwa chithandizo ndi kupita patsogolo kwa matendawa mtsogolo zimatha kusiyana.

Kodi zizindikiro za NSIP ndi ziti?

Zizindikiro za NSIP sizingawonekere poyamba. Komabe, zimatha kuwonjezeka pang'onopang'ono pakapita nthawi, pakapita miyezi kapena zaka. Zizindikiro zazikulu ndi izi:

• Chifuwa chouma chosalekeza: Izi sizitulutsa ntchofu. Zimangomveka ngati chifuwa chochotsa pakhosi.
• Kupuma movutikira (dyspnea): Kuvutika kupuma, makamaka pochita zinthu zolemetsa, monga kuyenda kapena kukwera masitepe. Pamene matendawa akupitirira, kupuma movutikira kumatha kuchitika ngakhale mutangokhala chete.
• Kupuma movutikira: Kumva ngati uyenera kuchita khama kwambiri kuti upume.
• Kutopa kwambiri: Kumva kutopa kwambiri ngakhale osagwira ntchito iliyonse.
• Zala zokhala ndi zibonga: Izi sizichitika kawirikawiri. Komabe, mwa anthu ena, nsonga za zala zimatha kutupa ngati zikhomo ndipo misomali imatha kukhala yozungulira. Izi zimasonyeza kuti thupi silikupeza mpweya wokwanira.

Kodi ndi zinthu ziti zomwe zimayambitsa NSIP? Ndani ali pachiwopsezo chachikulu?

Ndipotu, madokotala sakudziwabe chomwe chimayambitsa NSIP. Komabe, anthu omwe ali ndi matendawa akayang'aniridwa, nthawi zambiri amakhala ndi matenda ena. Chifukwa chake amakhulupirira kuti pali mgwirizano pakati pa matendawa ndi NSIP.

Zinthu zazikulu zokhudzana ndi NSIP:

• Matenda a connective tissue: Awa ndi matenda omwe chitetezo cha mthupi chimaukira minofu yake. Mwachitsanzo:
• Matenda a nyamakazi - matenda omwe amayambitsa kutupa ndi kupweteka m'malo olumikizirana mafupa
• Lupus
• Scleroderma
• Matenda a kachilombo: Matenda ena a kachilombo, monga HIV ndi chiwindi, amathanso kugwirizanitsidwa ndi NSIP.
• Kuyankha kwa mankhwala ena: Matendawa angayambitsidwenso ndi mankhwala a khansa, chithandizo cha radiation, ndi mankhwala ena a matenda a mtima.

Kawirikawiri matenda a NSIPNdi yofala kwambiri pakati pa akazi azaka zapakati pa 40 ndi 50.

Kodi dokotala amazindikira bwanji matendawa molondola?

Ngati muli ndi zizindikiro zilizonse zomwe zatchulidwa pamwambapa, chinthu choyamba chomwe dokotala wanu angachite ndikukufunsani za mbiri yanu yachipatala. Ndikofunikira kuuza dokotala wanu zonse zomwe muli nazo zokhudza matenda ena aliwonse kapena mankhwala omwe mukumwa.

Pambuyo pake, mayeso angapo adzalamulidwa kuti atsimikizire matendawa.

• Mayeso a ntchito ya m'mapapo: Izi zimaphatikizapo kupuma ndi kutulutsa mpweya kudzera mu chubu cholumikizidwa ndi makina. Izi zimathandiza kudziwa momwe mapapu anu akugwirira ntchito bwino poyesa kuchuluka kwa mpweya womwe mungalowe komanso kuchuluka kwa mpweya womwe mungatulutse.
• Kujambula pachifuwa kwa X-ray ndi CT scan: Ngakhale kuti X-ray ingapereke lingaliro lalikulu, kujambulidwa kwa CT (Computed Tomography scan) kumatha kuwona bwino kusintha kochepa kwambiri ndi zipsera m'mapapo. Kujambula kwa CT ndikofunikira kwambiri pozindikira NSIP.
• Bronchoscopy: Mu izi, kamera imalumikizidwa kumapeto kwa chubu chopyapyala komanso chosinthasintha ndipo imadutsa m'mphuno kapena pakamwa panu kupita m'mapapu anu.
• Kufufuza za matenda: Iyi ndiyo njira yabwino kwambiri yotsimikizira matendawa 100%. Kachidutswa kakang'ono kwambiri ka minofu kamatengedwa kuchokera m'mapapo kudzera mu opaleshoni ndikuwunikidwa pogwiritsa ntchito maikulosikopu. Izi zimatha kudziwa ngati ndi selo kapena fibrotic.

Kodi mankhwala a NSIP ndi ati?

Zolinga zazikulu zochizira NSIP ndi kuchepetsa kutupa m'mapapo, kuwongolera matendawa kuti asakule kwambiri, komanso kuthandizira kukhala ndi moyo wabwino.

Njira zochiritsira zimasiyana malinga ndi wodwala aliyense komanso kutengera mtundu wa matenda.

Kodi moyo udzakhala bwanji ndi NSIP? (Zomwe zidzachitike mtsogolo)

Funso limeneli ndi limene anthu ambiri amafunsa. Yankho la funsoli limadalira mtundu wa NSIP womwe muli nawo.

• Kwa Cellular NSIP: Chiyembekezo cha anthu awa ndi chabwino kwambiri . Ndi chithandizo choyenera, mwayi wopulumuka zaka 5 mutapezeka ndi matendawa ndi pafupifupi 100%. Nthawi zambiri, kuchira kwathunthu n'kotheka.
• Kwa Fibrotic NSIP: Kuwonongeka kwa mapapo sikungathe kubwezeretsedwa pano. Chifukwa chake vutoli ndi lalikulu pang'ono. Komabe, mankhwala omwe atchulidwa kale amatha kuletsa ndikuchepetsa kufalikira kwa matendawa. Malipoti azachipatala akuwonetsa kuti anthu nthawi zambiri amakhala ndi moyo pakati pa zaka 6 ndi 14 atapezeka ndi matendawa.

Choncho, kuzindikira matendawa pachiyambi ndikuyamba chithandizo choyenera ndikofunikira kuti munthu akhale ndi moyo wautali.

Kodi muyenera kuchita chiyani?

Ngati dokotala wanu akukuuzani kuti muli ndi NSIP, musachite mantha. Pali zinthu zingapo zomwe mungachite.

• Tsatirani malangizo a dokotala wanu ndi ndondomeko ya chithandizo molondola. Imwani mankhwala anu panthawi yoyenera komanso mu mlingo woyenera.
• Ngati muli ndi matenda ena, monga nyamakazi, samalani bwino vutoli.
• Ngati muwona kusintha kulikonse kwa zizindikiro zanu, monga kutopa kwambiri, dziwitsani dokotala wanu nthawi yomweyo.
• Ngati mukusuta, siyani nthawi yomweyo. Kusuta kumawononga mapapo anu kwambiri.

Ngati muli ndi chifuwa chouma kapena kupuma movutikira komwe kwakhala kukuvutitsani kwa milungu ingapo, chonde pitani kwa dokotala ndikupita kuchipatala, m'malo moganiza kuti ndi zachilendo. NSIP ikhoza kukulirakulira pang'onopang'ono ngati simulandira chithandizo.