Kodi simukutopa monga momwe munkachitira kale, mukamayenda pang'ono, mukakwera masitepe? Kodi mumangomva kusowa mpweya? Mwina mukuganiza kuti, 'Izi ndi zomwe zimachitika mukakula.' Koma si chifuwa chilichonse, si chifuwa chilichonse chomwe chimakhala chachibadwa. Lero tikulankhula za matenda omwe angayambitse zizindikiro zotere, zomwe ndi zoopsa pang'ono, koma ndikofunikira kudziwa. Imeneyo ndi Pulmonary Fibrosis .
Kodi matenda a pulmonary fibrosis (PF) ndi chiyani kwenikweni?
Mwachidule, izi zimachitika pamene minofu yofewa mkati mwa mapapu anu imauma pang'onopang'ono, ndikupanga chilonda. Monga momwe chilonda chimapangikira pakhungu lathu tikavulala, chinthu chofananacho chimachitikanso m'mapapu athu. Chilondachi chimapangitsa mapapu kutaya kulimba kwawo , zomwe zimapangitsa kuti asathe kudzaza kapena kutulutsa mpweya bwino.
Tikamapuma, mpweya umalowa m'matumba ang'onoang'ono a mpweya (alveoli) m'mapapo. Pamene minofu yozungulira matumba a mpweya amenewa iuma, mpweya sulowa m'magazi bwino. Izi zimapangitsa kuti zikhale zovuta kuti tipume bwino ndipo timasowa mpweya. Matendawa nthawi zambiri amakhala matenda omwe amakula pang'onopang'ono pakapita nthawi.
Kodi idiopathic pulmonary fibrosis (PF) ndi chiyani?
Nthawi zina madokotala sangapeze chifukwa chenicheni cha kuuma ndi kuvulala kwa mapapo. Ndicho chimene timachitcha Idiopathic Pulmonary Fibrosis . Mawu akuti "idiopathic" amatanthauza 'chomwe sichikudziwika chifukwa chake.' Ndipotu, odwala ambiri a Pulmonary Fibrosis ali ndi mtundu uwu wa idiopathic.
Kodi zizindikiro za matendawa ndi ziti? Kodi mumazindikira bwanji?
Zizindikiro zimenezi sizingaoneke poyamba, koma pang'onopang'ono zimawonjezeka pakapita nthawi. Mungaganize kuti izi ndi kusintha kwachibadwa komwe kumabwera chifukwa cha ukalamba. Koma ndikofunikira kulabadira zizindikiro zimenezi.
| Chizindikiro | Kufotokozera |
|---|---|
| Kupuma movutikira | Mungamve ngati mulibe mpweya wokwanira, makamaka mukamayenda kapena mukuchita zinthu zosavuta monga kukwera masitepe. Pamene matendawa akupitirira, mungavutike kupuma ngakhale mutaima chilili. |
| Chifuwa chouma chosalekeza | Chifuwa chouma chosalekeza, chokwiyitsa, chimachitika popanda ntchofu. |
| Kutopa | Ngakhale simugwira ntchito iliyonse, nthawi zonse mumakhala otopa komanso otopa. |
| Kuchepetsa thupi mwadzidzidzi | Mumachepetsa thupi popanda kuyesetsa, popanda chifukwa chomveka. |
| Zala zokhala ndi zibonga | Nsonga za zala ndi zala zimakhala zozungulira, ndipo khungu lozungulira misomali limatupa. |
| Khungu labuluu/imvi (Cyanosis) | Pamene mpweya m'magazi ukuchepa, milomo, kuzungulira maso, kapena zikhadabo zimakhala zabuluu, imvi, kapena zoyera. |
N’chifukwa chiyani matenda amtunduwu amapezeka? Kodi zimayambitsa matenda amenewa ndi chiyani?
Madokotala amakhulupirira kuti zipsera zimenezi zimachitika chifukwa cha kuwonongeka kapena kutupa kwa mapapo komwe sikuchira bwino. Pali zifukwa zingapo zomwe zingayambitse.
| Chifukwa | Zitsanzo ndi kufotokozera |
|---|---|
| Matenda a minofu yolumikizana | Matenda monga Rheumatoid Arthritis (RA ), Lupus , ndi Scleroderma angakhudzenso mapapo. |
| Kukumana ndi zinthu zachilengedwe | Kukumana ndi fumbi monga asbestos ndi silica kwa nthawi yayitali. Zingayambitsidwenso ndi ziwengo ( Hypersensitivity Pneumonitis ) ku mitundu ina ya nkhungu, mabakiteriya, ndowe za mbalame, kapena dander. |
| Mankhwala ndi mankhwala ena | Mankhwala ena monga Amiodarone , yomwe imagwiritsidwa ntchito pa matenda a mtima, Nitrofurantoin , yomwe imagwiritsidwa ntchito pa matenda opatsirana, Methotrexate , yomwe imagwiritsidwa ntchito pa khansa, ndi chithandizo cha radiation zingawonongenso mapapo. |
| Kusuta | Kusuta fodya ndi chinthu chachikulu chomwe chimayambitsa matendawa. |
Ndani ali pachiwopsezo chachikulu chotenga matendawa?
Kuwonjezera pa zifukwa zomwe zili pamwambapa, zinthu zina zomwe zingayambitse matendawa zitha kuonjezera chiopsezo cha matendawa:
- Kukhala ndi zaka zoposa 65.
- Kukhala mwamuna.
- Kukhala ndi wachibale wapafupi (makolo, abale) amene ali ndi matendawa.
- Kukhala ndi matenda enaake omwe amayamba chifukwa cha kusintha kwa majini ( DNA ).
Kodi mavuto omwe angakhalepo chifukwa cha pulmonary fibrosis ndi ati?
Mapapo akalephera kugwira ntchito bwino, zimakhudza thupi lonse. Mtima makamaka uyenera kugwira ntchito molimbika. Izi zingayambitse mavuto osiyanasiyana.
Chofunika kwambiri ndikupeza matendawa msanga ndikuyamba kulandira chithandizo. Izi zitha kuchepetsa chiopsezo cha mavutowa.
- Kuchepa kwa mpweya m'thupi: Minofu ya thupi silandira mpweya wofunikira.
- Kuthamanga kwa magazi m'mapapo : Kupanikizika m'mitsempha yamagazi yomwe imanyamula magazi kupita m'mapapo kumawonjezeka. Izi zimaika mtolo wolemera pamtima.
- Matenda a m'mapapo ndi mapapo osweka.
- MapumuloKulephera Kupuma: Mapapu sangathenso kupatsa thupi mpweya womwe limafunikira.
- Kulephera kwa Mtima: Kulephera kwa mtima kumachitika pamene mtima ukukakamizika kugwira ntchito molimbika kwa nthawi yayitali.
Kodi mungadziwe bwanji matendawa molondola? (Kuzindikira)
Uwu si matenda omwe angadziwike ndi mayeso amodzi okha. Dokotala wanu adzamvetsera mosamala zizindikiro zanu, adzamvetsera pachifuwa chanu ndi stethoscope, kenako adzakulangizani mayeso angapo.
Mayeso akuluakulu omwe amachitika ndi awa:
- X-ray ya pachifuwa: Kuwunika pachifuwa ndi X-ray.
- Kujambula kwa CT (HRCT) kokhala ndi mawonekedwe apamwamba: Uku ndi kujambula kwapadera komwe kumasonyeza tsatanetsatane wa mapapo kuposa kujambulidwa kwa CT kwachizolowezi.
- Mayeso a ntchito ya mapapo: Izi zimaphatikizapo kupumira mu makina, omwe amayesa kuchuluka kwa mpweya womwe mapapu anu angalandire komanso kuchuluka kwa mpweya womwe mungatuluke mwachangu.
- Kuyezetsa magazi: Kuyezetsa magazi kumachitika kuti aone ngati pali mpweya wochuluka m'magazi.
- Bronchoscopy: Njira yomwe chubu chopyapyala chokhala ndi kamera chimayikidwa kudzera mu mphuno kapena pakamwa kuti chione mkati mwa mapapo.
- Kufufuza za matenda: Nthawi zina, kachidutswa kakang'ono kwambiri ka minofu kamatengedwa m'mapapo ndikukawunikidwa kuti atsimikizire matendawa.
Kodi mankhwala ake ndi otani? Kodi angathe kuchiritsidwa kwathunthu?
Funso lomwe anthu ambiri amafunsa ndi lakuti kodi matendawa angachiritsidwe kotheratu? Kunena zoona, zipsera zomwe zimayambitsidwa ndi matendawa m'mapapo sizingathetsedwe.
Koma musadandaule. Chithandizo chingachepetse kufalikira kwa matendawa, kuchepetsa zizindikiro, komanso kukweza moyo wanu .
| Njira yochizira | Zomwe zimachitika? |
|---|---|
| Mankhwala oletsa kutupa kwa minofu | Mankhwala monga Nintedanib ndi Pirfenidone amachepetsa kuchuluka kwa zipsera m'mapapo. |
| Corticosteroids | Izi nthawi zina zimagwiritsidwa ntchito kuchepetsa kutupa m'mapapo. |
| Chithandizo cha Mpweya | Ngati mpweya m'magazi uli wochepa, mpweya wowonjezera umaperekedwa kudzera mu chubu chaching'ono chomwe chimayikidwa m'mphuno. |
| Kukonzanso M'mapapo | Iyi ndi pulogalamu yapadera yomwe imakulitsa mphamvu zanu ndi moyo wanu kudzera mu masewera olimbitsa thupi opuma, masewera olimbitsa thupi, komanso kuzindikira matenda. |
| Kusamutsa Mapapo | Odwala ena omwe ali ndi matenda oopsa kwambiri akhoza kupatsidwa opaleshoni yoika mapapo ngati akwaniritsa zofunikira. |
Kodi muyenera kupita ku dokotala liti? Kodi muyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) liti?
Kulankhula momveka bwino za izi kungakuthandizeni kupulumutsa moyo wanu.
Pitani kwa dokotala nthawi zonse.
Ngati mukukumana ndi zizindikiro zilizonse zomwe zatchulidwa pamwambapa, monga kupuma movutikira, chifuwa chosalekeza, kapena kuvutika kuchita ngakhale ntchito zosavuta, chonde musanyalanyaze . Pitani kwa dokotala mwamsanga ndipo mukambirane izi. Matendawa akapezeka msanga, zimakhala zosavuta kuchiza.
Mukafunika kupita ku ETU nthawi yomweyo
Ngati muli ndi zizindikiro izi, musataye nthawi ndipo pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo kapena imbani 1990.
| Mwadzidzidzi! Pitani kuchipatala mwachangu. | |
|---|---|
| 🚨 Kupuma movutikira kapena mwadzidzidzi | |
| 🚨 Kupweteka pachifuwa | |
| 🚨 Kusokonezeka kapena kusintha kwa chidziwitso | |
| 🚨 Kusintha kwa mtundu wa khungu, milomo, kapena misomali kukhala yabuluu | |
Kodi tsogolo la matendawa lidzakhala lotani?
Ndi zachilendo kukhala ndi mantha komanso kusadziwa za tsogolo lako ukapezeka ndi matendawa. Ndi zachilendonso kudzifunsa kuti, 'Kodi ndidzakhala ndi moyo nthawi yayitali bwanji?'
Koma kumbukirani, si odwala onse omwe ali ofanana. Kwa ena, matendawa amakula pang'onopang'ono, pakapita zaka zambiri. Kwa ena, amatha kukula mofulumira pang'ono, pakapita miyezi ingapo. Palibe amene anganene motsimikiza.
Chofunika kwambiri ndikulankhula momasuka ndi dokotala wanu, kupeza chithandizo choyenera, ndikulimbana ndi izi molimbika komanso mothandizidwa ndi banja lanu. Mankhwala amakono asintha kwambiri moyo wa odwala komanso ubwino wa moyo wawo.
Mukhoza kulowa m'magulu othandizira kuti mupeze mphamvu kuchokera ku zomwe ena omwe ali ndi matendawa akumana nazo.
Uthenga Wopita Nawo Kunyumba
- Pulmonary Fibrosis ndi matenda omwe minofu ya mapapo imakhala yolimba komanso yotupa, zomwe zimapangitsa kuti zikhale zovuta kupuma.
- Kuvuta kupuma, chifuwa chouma chosalekeza, ndi kutopa kwambiri ndi zizindikiro zazikulu. Musanyalanyaze izi.
- Ngakhale kuti matendawa sangachiritsidwe kwathunthu, chithandizo chogwira mtima chingathandize kuti matendawa apitirire kukula ndikukuthandizani kukhala ndi moyo wabwino.
- Ngati mukusuta fodya, ndikofunikira kusiya nthawi yomweyo . Ndikofunikanso kudziteteza ku fumbi ndi mankhwala omwe amawononga mapapo.
- Ngati inu kapena munthu amene mumamudziwa ali ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo . Kuzindikira matendawa mwachangu ndikofunikira kuti mupeze chithandizo.
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