Ese nawe ufite ikibazo cyo guhumeka? Ese ni ikintu cy'amahanga kiri mu bihaha byawe? Reka tuvuge kuri Bullous Emphysema!

Ese hari igihe wumva ufite umwuka muke, ufunze mu gituza? Cyangwa ufite inkorora irushaho kuba mbi mu gitondo, cyangwa wumva unaniwe? Ibi bishobora kuba atari ibimenyetso by'ibicurane gusa. Bishobora kuba ibimenyetso by'indwara y'ibihaha yitwa Bullous Emphysema , ibyo wagombye guhangayikishwa na byo. Reka tubiganireho birambuye uyu munsi, nk'aho uri kuganira n'inshuti yawe, sibyo?

Bullous Emphysema ni iki?

Mu magambo make, Bullous Emphysema ni ubwoko bw'indwara y'ibihaha yitwa emphysema . Emphysema ibaho iyo inkuta z'udusaho duto tw'umwuka turi mu bihaha byawe, twitwa alveoli , zangiritse. Wibuke ko utu dusabo tw'umwuka ari two dukora akazi gakomeye ko gufata ogisijeni no kurekura dioxyde de carbone iyo duhumeka.

Noneho, muri bullous emphysema, ikibaho ni uko inkuta z'utwo dusimba tw'amaraso zirangirika, maze zikabyimba zigakora udusanduku duto tw'umwuka, nk'udupira tw'amapine. Tubyita bullae . Utwo dusimba dushobora kuba tunini kurusha santimetero imwe.

Iyo iki kibeho, kibangamira ubushobozi bw'ibihaha bwo gukora neza. Bigora alveoli guhinduranya ogisijeni na dioxyde de carbone. Iki kibazo gishobora kubaho mu gihaha kimwe cyangwa byombi. Ariko, nubwo iki kibeho mu gihaha kimwe, gishobora kubangamira ubushobozi bw'ikindi kibeho bwo kubyimba, bivuze guhumeka. Hari igihe, iyo iki kibeho kibaye kinini cyane, ibihaha bishobora gusenyuka, bigatera indwara yitwa Vanishing Lung Syndrome . Nubwo ibi bishobora kwangiza ibihaha burundu, ubuvuzi bukwiye bushobora kugenzura iki kibazo no kongera igihe cyo kubaho kwawe.

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?

Mu by’ukuri, umuntu wese ashobora kurwara indwara ya bullous emphysema, hatitawe ku myaka ye, ubwoko bwe, cyangwa igitsina cye. Ariko, akenshi ifitanye isano n’indwara idakira y’ibihaha (COPD) , indwara y’ibihaha iterwa no kunywa itabi. Nanone, niba ufite indwara zimwe na zimwe zikomoka ku ngirabuzimafatizo, ibyago byawe biba byinshi. Urugero:

• Kubura Alpha-1 antitrypsin
• Indwara ya Ehlers-Danlos
• Indwara ya Marfan

Byongeye kandi, abantu banduye Virusi itera SIDA (HIV) nabo bafite ibyago byinshi byo kurwara bullous emphysema.

Ibi bikunze kugaragara gute? Kuki bibaho?

Ku isi yose, abantu barenga 5% by'abaturage n'abantu bakuru barenga 12% barengeje imyaka 30 bavugwaho kugira indwara ya bullous emphysema. Ni nayo mpamvu ya gatatu itera impfu mu bihugu nka Leta Zunze Ubumwe za Amerika. Rero, iki si ikintu cyo gufatanwa uburemere.

Noneho reka turebe impamvu ibi bibaho.

Impamvu nyamukuru itera indwara yo kubura umwuka ni ukunywa itabi . Ubwinshi bw'ibicurane buterwa n'umwotsi w'itabi bwangiza inkuta z'imiyoboro y'umwuka (alveoli). Ibi bituma udusaho tw'umwuka twaguka, bigahagarika urujya n'uruza rwa ogisijeni na dioxyde de carbone.

Uretse kunywa itabi, hari n'izindi mpamvu:

• Kunywa kokayine cyangwa marijuana.
• Gukoresha imiti mu mitsi.
• Indwara zavuzwe haruguru zishobora no gutuma inkuta z'imiyoboro y'amaraso zicika intege kandi zikangirika, bigatera indwara yo mu bwonko iterwa no kubura amaraso.

Ni ibihe bimenyetso by'ibi?

Ikimenyetso nyamukuru kandi gikunze kugaragara cya bullous emphysema ni ukubura umwuka . Ibi bivuze ko wumva unaniwe guhumeka gusa, atari iyo unaniwe gato, iyo uzamuka ingazi, ahubwo rimwe na rimwe ndetse n'iyo uhagaze gusa.

Hariho n'ibindi bimenyetso bisanzwe:

• Kumva ububabare mu gituza cyangwa gufungana.
• Kurwara inkorora (ibi akenshi biba bibi cyane mu gitondo).
• Kumva unaniwe kandi unaniwe igihe cyose (Umunaniro).
• Ibiryo nta buryohe bwabyo.
• Isesemi.
• Guhumeka nabi.

Ariko, hari abantu bashobora kugira bullous emphysema ariko ntibagaragaze ibimenyetso. Iyo bullous ibaye nini cyane, tuyita big bullous , ibimenyetso bishobora kwiyongera cyane.

Iyo ugiye kwa muganga, azareba ibimenyetso nk'ibi mu gihe agusuzuma:

• Igituza gisa n'umuheto.
• Ibitoki bifite inkokora.
• Kumva umutima wawe utera cyane bitewe n'umuvuduko ukabije w'amaraso mu bihaha.
• Kubyimba (Edema).
• Guhumeka.

Ubimenya ute neza?

Muganga wawe azabanza kukubaza ibimenyetso byawe, amateka y'ubuzima bwawe, ndetse niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo nk'ibyo. Hanyuma azagukorera isuzuma ry'umubiri.

Niba ukeka ko hari indwara ya bullous emphysema, muganga wawe azagutegeka gupima imikorere y'ibihaha (PFT) . Ibi bizamini bireba uburyo ibihaha byawe bigenda neza kandi niba bullae zibuza umwuka gutembera.

Muri ibi bizamini, spirometryUshobora gupimwa. Ibi bikubiyemo guhumeka binyuze mu muyoboro w'amazi ujya mu mashini (spirometer). Ibi bipima ingano y'umwuka winjira n'usohoka mu bihaha byawe iyo uhumeka kandi usohoka.

Byongeye kandi, muganga wawe ashobora kukugira inama yo gusuzuma amashusho kugira ngo arebe niba alveoli yagutse cyangwa yangiritse. Ibi bishobora kuba birimo:

• X-ray yo mu gituza: Ibi bishobora gufasha kumenya niba hari bullae n'aho ziri mu bihaha.
• Gupima CT: Ibi bishobora gufasha kumenya neza aho cyst iherereye, umubare wayo n'ingano yayo.

Hari ibindi bizamini bishobora gutangwa, urugero:

• Gupima amaraso: Reba niba gaze karuboni yibumbiye mu bihaha, bigatuma amaraso aba aside (ibi byitwa aside yo mu myanya y'ubuhumekero ), cyangwa urugero rwa ogisijeni ruri hasi.
• Umubare wuzuye w'amaraso (CBC): Isuzuma urugero rwa hemoglobine ruri hasi.
• Electrocardiogram (EKG): Gusuzuma ingaruka z'umutima ziterwa n'indwara z'ibihaha, nko gupima umutima mu buryo bw'iburyo cyangwa kwaguka kw'umutima mu buryo bw'iburyo.

Muganga wawe ashobora kandi kugenzura niba ufite ikibazo cyo kubura Alpha-1 antitrypsin binyuze mu gupima amaraso.

Ese hari umuti wuzuye w'ibi?

Ikibabaje ni uko nta muti uhari wo kuvura indwara ya bullous emphysema. Ibi bivuze ko iyo imaze kugaragara, idashobora gusubizwa inyuma. Ariko ntugahangayike! Hari uburyo bwo kuvura bushobora kugufasha kwihanganira ibimenyetso no guhagarika indwara gukomeza kwiyongera.

None se uburyo bwo kuvura ni ubuhe?

Kugira ngo umuganga wawe agufashe kugenzura ibimenyetso byawe, ashobora kukwandikira imiti yitwa bronchodilators . Iyi miti ikunze guhumekwa binyuze mu cyuma gihumeka . Bronchodilators ikora mu kuruhura imitsi yo mu myanya y'ubuhumekero, bigatuma umwuka winjira mu bihaha byawe byoroha, kandi ikagabanya guhumeka nabi.

Tekereza, iyi miti ikora nk'aho yagura umuhanda urimo abantu benshi, bigatuma imodoka zinyuramo zoroha.

Niba ufite ibimenyetso bikomeye cyangwa indwara y'ibihaha, ushobora no guhabwa imiti igabanya ubukana bw'ibihaha cyangwa imiti ya corticosteroids mu gihe gito.

Niba urugero rwa ogisijeni yawe ruri hasi, muganga wawe ashobora kukugira inama yo kongeramo ogisijeni , bikubiyemo guha umubiri wawe ogisijeni y'inyongera binyuze mu muyoboro ushyizwe mu mazuru yawe cyangwa agapfukamunwa gashyizwe mu maso.

Hari igihe, cyane cyane iyo uvuze ibyoUrugero, niba hari ubwoko bw'udusimba twinshi, niba guhumeka bigoye cyane, cyangwa niba hari izindi ngorane ziterwa n'iyi ndwara:

• Ibihaha byaguye (Pneumothorax)
• Gukorora amaraso (Hemoptysis)
• Indwara zo mu bihaha

Ibintu nk'ibi bibaye, ushobora gukenera kubagwa.

Ubwoko bw'uburyo bwo kubaga bullous emphysema:

• Kubaga Bullectomy: Muri ubu buryo, umuganga ubaga akuramo agasakoshi k'umwuka (bulla) mu bihaha byawe. Ibi bishobora gukorwa haba mu kubaga bifunguye (Thoracotomy) cyangwa mu kubaga mu gituza gake cyane (kubaga igituza hakoreshejwe videwo - VATS).
• Kugabanya ingano y'ibihaha bya Bronchoscopic (BLVR): Muri ubu buryo bwo kubaga butari busanzwe, umuganga ubaga ashyira valve mu bihaha byawe maze akagabanya igice cy'ibihaha nkana.
• Kubaga ibihaha bigabanya ingano y'ibihaha (LVRS): Muri ibi, umuganga ubaga akuraho ibihaha byangiritse kugira ngo ibisigaye bikore neza.

Niba nta na kimwe muri ubu buryo kigira icyo kigeraho, kandi byaba ngombwa, muganga wawe ashobora kukwohereza mu kigo cy’ibihaha .

Ni gute iki kibazo cyagabanuka?

Ikintu cyiza wakora kugira ngo ugabanye ibyago byo kurwara bullous emphysema ni ukudanywa itabi, cyangwa niba unywa itabi, kurireka. Vugana na muganga wawe uburyo bwo kugufasha kureka kunywa itabi. Tuzi ko bitoroshye, ariko birakwiye ku buzima bw'ibihaha byawe.

Ni iki wakwitega mu gihe ubana n'iki kibazo?

Uburwayi bwo mu mutwe (bullous emphysema) ni indwara y’ubuzima bw’umuntu. Ibi bivuze ko iyo ibihaha byawe byangiritse, bitazigera bikira neza. Ariko, uko utangira kuvurwa vuba, ni ko uba ushobora guhagarika iyo ndwara. Kubwibyo, ni ngombwa gushaka inama za muganga vuba bishoboka niba ufite ibimenyetso.

Nitwara nte?

Ushobora kwihanganira ibimenyetso byawe no kubaho neza. Kubona uburyo bwiza bwo kuvura bishobora gutuma ubuzima bwawe burushaho kuba bwiza.

Ni ngombwa kandi kugira ubuzima bwiza no kwirinda ingorane zikomeye ku buzima. Bityo rero, ganira na muganga wawe ku bwoko bw'inkingo ushobora gukenera, nk'urukingo rwa grippe, urukingo rwa COVID, n'urukingo rwa Pneumococcus .

Ni ryari ngomba kubonana na muganga?

Niba ubonye ibimenyetso bya bullous emphysema, cyangwa niba ugaragaje ibimenyetso bishya, menya neza ko wagiye kwa muganga.

Niba ufite ibimenyetso bikurikira, ni ngombwa kwihutira gushaka abaganga:

• Ibara ry'ubururu cyangwa imvi ku minwa yawe cyangwa ku nzara zawe (cyanosis).
• Kugorwa no kuguma uri maso mu mutwe.
• Kurushaho kugorwa no guhumeka.
• Umutima utera vuba (Tachycardia).

Kubura umwuka bishobora gutera ubwoba. Niba ufite bullous emphysema, ushobora kumva uhora ugorwa no guhumeka. Wibuke ko kunywa itabi ari yo mpamvu nyamukuru. Nanone, hari indwara zimwe na zimwe zikomoka ku ngirabuzimafatizo zishobora kongera ibyago byawe. Kureka kunywa itabi ni cyo kintu cyiza ushobora gukora kugira ngo uhagarike bullous emphysema. Muganga wawe ashobora kukugira inama y'uburyo bwo kuvura bullous emphysema bushobora kugufasha guhumeka neza no gutuma ubuzima bwawe bwa buri munsi burushaho kuba bwiza.

Wibuke ikintu cy'ingenzi kurusha ibindi (Ubutumwa bwo kujyana mu rugo)

Noneho, dore bimwe mu bintu by'ingenzi twaganiriyeho uyu munsi kugira ngo bigufashe kwibuka:

• Bullous emphysema ni indwara aho udusaho tw’umwuka mu bihaha twangiritse hanyuma udusaho tw’umwuka tunini (bullae) tugatera.
• Kunywa itabi ni yo mpamvu nyamukuru ibitera, bityo rero ni ngombwa cyane kwirinda kunywa itabi.
• Niba ufite ibimenyetso nko kugorwa no guhumeka, inkorora idashira, cyangwa ububabare bwo mu gatuza, menya neza ko wagisha inama kwa muganga.
• Nubwo nta muti wuzuye uhari, hari uburyo bwiza bwo kuvura ibimenyetso no gukumira ko indwara ikomeza kwiyongera.
• Gusuzuma indwara hakiri kare no kuyivura bishobora gutuma ubuzima bwawe burushaho kuba bwiza.

Niba wowe cyangwa undi muntu uzi afite ibi bimenyetso, ntugatinye ujye kwa muganga kugira ngo akugire inama. Komeza ugire ubuzima bwiza!

` Bullous emphysema, indwara z'ibihaha, ibibazo byo guhumeka, kunywa itabi, COPD, bullae, alveoli