Kodi munayamba mwamvapo chonchi? Mukapuma mpweya wozama, kuseka mokweza, kapena kutsokomola, mwadzidzidzi mumamva kupweteka kwambiri pachifuwa panu. Izi sizachilendo, ndipo mumaopa. Mtundu umenewo wa ululu ndiye chizindikiro chachikulu cha vuto lomwe tikambirane, lotchedwa Pleurisy.
Kodi Pleurisy ndi chiyani?
Mwachidule, Pleurisy ndi kutupa kwa nembanemba yopyapyala yomwe imazungulira mapapo athu ndi nembanemba ina yomwe imazungulira mkati mwa chifuwa chathu. Nembanemba ziwirizi zimatchedwa pleura.
Tangoganizirani, pali malo ochepa pakati pa zophimba ziwirizi, malo a pleural. Nthawi zambiri amakhala ndi madzi ochepa. Monga mafuta mu injini ya galimoto, madzi awa amalola zophimba ziwirizi kuti ziyende bwino popanda kukangana pamene mapapu akuyenda mozungulira pamene tikupuma.
Koma, chimachitika ndi chiyani ngati chimodzi kapena zonse ziwiri zatupa pazifukwa zina? M'malo motsetsereka bwino, zophimba ziwirizi zimayamba kukanda pamodzi. Pamenepo ndi pomwe ululu wosapiririka, wakuthwa, komanso wobaya umabwera.
Kodi zizindikiro za pleurisy ndi ziti?
Matenda a pleurisy amatha kukhala ndi zizindikiro zingapo. Koma chizindikiro chachikulu komanso chodziwikiratu ndi kupweteka pachifuwa. Tiyeni tiwone zizindikirozi.
| Chizindikiro | Kufotokozera |
|---|---|
| Chizindikiro chachikulu: Kupweteka pachifuwa |
|
| Zina mwazinthu |
|
Chofunika: Kupweteka pachifuwa kungayambitsidwe ndi matenda ena akuluakulu (monga matenda a mtima) kupatula pleurisy. Chifukwa chake, ngati mukumva kupweteka pachifuwa kosamvetsetseka, musanyalanyaze.
Kodi n’chiyani chimayambitsa pleurisy?
Matenda a pleurisy amatha kuchitika pazifukwa zosiyanasiyana, osati chimodzi chokha. Nthawi zambiri, amapezeka mwa munthu wathanzi chifukwa cha matenda m'mapapo.
- Matenda: Choyambitsa chachikulu ndi kachilombo ka HIV (monga kachilombo ka fuluwenza) kapena kachilombo ka bakiteriya. Kutupa kumeneku kumachitika pamene matendawa akufalikira kuchokera m'mapapo kupita ku pleura.
- Matenda a Autoimmune: Kutupa kumeneku kungayambitsidwenso ndi matenda omwe amaukira maselo a thupi, monga lupus kapena rheumatoid arthritis.
- Matenda ena okhudzana ndi mapapo: Matenda monga khansa ya m'mapapo, chifuwa chachikulu, ndi pulmonary embolism.
- Kuvulala pachifuwa: Kutupa pachifuwa kumatha kuchitika pambuyo pa opaleshoni pachifuwa kapena chifukwa cha ngozi.
- Mankhwala ena: Mankhwala ena monga Hydralazine ndi Isoniazid angayambitsenso izi.
Kodi pleurisy imafalikira?
Ayi. Pleurisy si matenda opatsirana. Komabe, matenda ena opatsirana ndi mavairasi kapena mabakiteriya (monga chimfine, chibayo) omwe amayambitsa pleurisy akhoza kukhala opatsirana.
Dokotala, kodi mumazindikira bwanji izi ngati pleurisy?
Mukapita kukaonana ndi dokotala amene ali ndi ululu pachifuwa, iye adzakufunsani kaye za ululuwo. Kodi ululuwo umapweteka kuti, ndi mtundu wanji wa ululuwo, komanso chomwe chimaupangitsa kukhala woipa kwambiri. Kenako, adzamvetsera mapapu anu ndi stethoscope. Nthawi zina munthu amene ali ndi pleurisy amamva phokoso lopweteka, lomveka bwino kuchokera m'mapapu awo.
Kuphatikiza apo, mayeso otsatirawa angachitike kuti atsimikizire matendawa molondola ndikupeza chomwe chimayambitsa.
| Mayeso | Mukuona chiyani pamenepa? |
|---|---|
| Kuyezetsa magazi | Yang'anani ngati muli ndi matenda kapena matenda a autoimmune m'thupi. |
| Mayeso a ECG (EKG) | Onetsetsani kuti chomwe chimayambitsa kupweteka pachifuwa si matenda a mtima. |
| Mayeso ojambula zithunzi (X-ray, CT, Ultrasound) | Jambulani zithunzi za mapapo kuti mudziwe vuto lake. Mutha kuyang'ana zinthu monga madzi ozungulira mapapo (pleural effusion) kapena matenda (pneumonia). |
| Kuyesa madzimadzi (Thoracentesis) | Pogwiritsa ntchito singano yaying'ono kwambiri, madzi pang'ono (madzi) amatengedwa kuchokera kuzungulira mapapo kuti aone ngati pali matenda kapena zifukwa zina. |
| Chifuwa cha Thoracoscopy | Kamera yaying'ono yaikidwa m'chifuwa ndipo inayang'ana mwachindunji vuto lake. |
Kodi chithandizo cha pleurisy ndi chiyani?
Chofunika kwambiri pochiza pleurisy ndikupeza chomwe chikuyambitsa ndikuchichiza. Pakadali pano, dokotala wanu adzakupatsaninso mankhwala oletsa ululu womwe mukumva.
- Kuchiza chomwe chimayambitsa matendawa: Ngati chomwe chimayambitsa matendawa ndi kachilombo ka bakiteriya, maantibayotiki adzaperekedwa. Ngati chomwe chimayambitsa matendawa ndi kachilombo ka bowa, mankhwala ophera bowa adzaperekedwa.
- Kuchepetsa ululu: Mankhwala ochepetsa ululu monga `NSAIDs` (mankhwala oletsa kutupa omwe si a steroidal) kapena `Corticosteroids` angaperekedwe kuti achepetse ululu ndi kutupa.
- Kuchotsa madzimadzi: Ngati pali madzi ambiri ozungulira mapapo (pleural effusion), madziwo amatha kuchotsedwa (thoracentesis) kuti achepetse ululu ndikupangitsa kupuma kukhala kosavuta.
Kodi pleurisy imatha yokha?
Inde, nthawi zina. Ngati chomwe chimayambitsa pleurisy ndi kachilombo ka HIV, pleurisy imatha kutha yokha pamene thupi lanu likulimbana ndi kachilomboka. Komabe, ngati pali chifukwa chachikulu, monga khansa kapena matenda odziteteza ku matenda, pleurisy sidzatha mpaka itachiritsidwa bwino.
Kodi ndingatani kuti ndichepetse chiopsezochi?
Ngakhale kuti pleurisy singathe kupewedwa 100%, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu.
- Pewani kusuta fodya kotheratu.
- Ngati muli ndi vuto lina la matenda, monga matenda odziteteza ku matenda a autoimmune, pezani chithandizo choyenera.
- Sambani m'manja nthawi zonse ndi sopo ndi madzi kuti mudziteteze ku matenda opatsirana ndi mavairasi ndi mabakiteriya.
Chofunika kwambiri ndi ichi. Ngati mukumva kupweteka pachifuwa, musanyalanyaze. Kupweteka pachifuwa ndi chizindikiro cha matenda aakulu monga matenda ena a mtima. Chifukwa chake, ngati mukumva kupweteka pachifuwa popanda chifukwa chomveka, pitani ku Dipatimenti Yothandiza Pachipatala (ETU) yapafupi nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Pleurisy ndi matenda omwe amayamba chifukwa cha kutupa kwa nembanemba yozungulira mapapo.
- Chizindikiro chachikulu ndi kupweteka kwambiri pachifuwa komwe kumawonjezeka mukapuma mpweya wozama kapena kutsokomola.
- Matenda opatsirana, matenda a chitetezo chamthupi, ndi matenda ena okhudzana ndi mapapo angayambitse izi.
- Chithandizo chimadalira chomwe chimayambitsa pleurisy. Kuchepetsa ululu ndi gawo lofunikira la chithandizo.
- Musanyalanyaze kupweteka pachifuwa. Ngati muli ndi ululu pachifuwa wosadziwika bwino, ndikofunikira kupita kuchipatala mwamsanga ku Dipatimenti Yothandiza Pangozi (ETU).
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