Hari ikintu kidasanzwe cyabaye ku bihaha byawe? Reka tuvuge kuri Cryptogenic Organizing Pneumonia (COP)!

Ese hari igihe wumva urwaye ibicurane bitangira nk'umuriro ariko ntibikongere mu minsi mike? Hanyuma utangira gukorora ukabona bigoye guhumeka nubwo waba unaniwe gato? Ushobora gutekereza ko ari indwara ya virusi gusa. Ariko, si ko bigenda buri gihe. Uyu munsi tugiye kuvuga ku ndwara idasanzwe y'ibihaha twese tugomba kumenya. Yitwa Cryptogenic Organizing Pneumonia , cyangwa COP mu magambo ahinnye.

Cryptogenic Organizing Pneumonia (COP) ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Noneho reka turebe neza iyi ndwara y'ibihaha yitwa COPD. Muri make, ni indwara igira ingaruka ku dusaho duto cyane tw'umwuka (alveoli) mu bihaha byacu - utunyangingo duto tumeze nk'udupira ducamo umwuka wa ogisijeni winjira na dioxyde de carbone isohoka iyo duhumeka - hamwe n'imiyoboro mito y'umwuka (bronchiole) ihuzwa na byo.

Ikiba muri iki kibazo (COP) ni uko utu dufuka tw'umwuka n'imiyoboro mito y'umwuka bibyimba . Nk'uko iyo dufite igikomere ahantu runaka mu mubiri wacu, kibyimba, kigatukura, kandi kikababaza, ni ko bibaho no mu bihaha. Ariko ibi si ibintu biterwa na bagiteri cyangwa virusi nk'umusonga usanzwe. Ibi biratandukanye.

Uko igihe kigenda gihita, uku kubyimba gukomeje bishobora gutera inkovu ku bihaha, bivuze ko ibihaha birushaho kuba bibi kandi ntibishobore gukora neza.

Ijambo "cryptogenic" risobanura "impamvu itazwi." Ibi bivuze ko abaganga bataramenya impamvu nyayo y'iyi ndwara (COP). Niyo mpamvu ijambo "idiopathic" rimwe na rimwe rikoreshwa kuri iyi ndwara, ifite ibisobanuro bimwe.

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara (COP)?

Iyi ndwara yitwa (COP) ishobora kugaragara ku muntu uwo ari we wese. Ibintu nk'igitsina, ubwoko, n'ibara ry'uruhu ntibigira ingaruka kuri yo. Ariko, ikunze kugaragara cyane mu bantu bari hagati y'imyaka 40 na 60. Ikindi kintu ni uko abantu benshi barwara iyi ndwara (COP) baba batanywa itabi .

Nanone, niba ufite indwara zimwe na zimwe zitera ububabare, ibyago byawe byo kurwara COP bishobora kwiyongera gato. Urugero:

• Lupus
• Indwara ya rubagimpande
• Scleroderma
• Sclerosis nyinshi
• Indwara y'amara abyimba - indwara nk'indwara ya Crohn cyangwa indwara y'igisebe .

Ariko si ukuri ko abantu bose bafite izi ndwara bazarwara COP. Ibi ni ibintu bishobora gutera ibyago gusa.

Iki kibazo gikunze kugaragara gute?

Mu by’ukuri, COP ni indwara ikunze kugaragara cyane.Ibi bivugwa muri kimwe muri bitatu muri buri 100.000 byagiye mu bitaro muri Leta Zunze Ubumwe za Amerika, bityo ntibisanzwe kubyumva.

Impamvu yo gushinga (COP) ni iyihe?

Nkuko twabivuze mbere, COP ni indwara yitwa "cryptogenic" cyangwa "idiopathic." Ibi bivuze ko nta mpamvu yihariye yabonetse . Mbere y'uko abaganga basuzuma COP, bazasuzuma neza niba izindi mpamvu z'ibimenyetso ari zo zitera ibimenyetso. Urugero, bazasuzuma indwara nka bagiteri, virusi, ibihumyo, cyangwa imiti. Nyuma y'uko ibi byose bivanyweho, ni bwo bazafata COP nk'impamvu ishoboka.

Hari izindi ndwara zishobora kujyana n'indwara ya (COP). Ibi bivuze ko abantu bafite izi ndwara bafite amahirwe make yo kurwara (COP).

• Lymphoma
• Ibibyimba byo mu bihaha
• Kanseri y'ibihaha
• Kanseri z’amaraso - ni ukuvuga kanseri zifitanye isano n’uturemangingo tw’amaraso twera cyangwa uturemangingo dutukura tw’amaraso.

Ni ibihe bimenyetso by'indwara ya (COP)?

Hafi kimwe cya kabiri cy'abantu barwaye COPD batangira kugira ibimenyetso bisa n'ibicurane , ubusanzwe bishobora kumara ibyumweru byinshi.

• Ubukonje
• Inkorora yumye (inkorora idatanga umusaruro)
• Umunaniro / kurwara indwara
• Kubura ubushake bwo kurya
• Umuriro
• Kugabanya ibiro mu buryo budasanzwe
• Kubira ibyuya nijoro

Nyuma y'ibyo, abantu bagera kuri 75% batangira kugaragaza ibimenyetso bikurikira :

• Inkorora idakira
• Guhumeka nabi / kubura umwuka bitewe n'imbaraga nyinshi . Tekereza, udashobora kuzamuka ingazi nkuko wabikoraga mbere, kandi wumva udafite umwuka mwiza nubwo waba uri kugenda n'amaguru hafi.

Ni gake cyane, ibi bimenyetso bishobora kugaragara:

• Kubabara mu gatuza
• Ibihaha byaguye / pneumothorax
• Gukorora amaraso
• Ububabare bw'ingingo
• Ogisijeni nke mu maraso yawe / hypoxemia

Igikuru ni uko, niba ufite ibi bimenyetso, cyane cyane inkorora yumye no guhumeka bimara ibyumweru byinshi, jya kwa muganga . Ntugagume mu rugo gusa.

Ni gute indwara ya Cryptogenic Organizing Pneumonia (COP) ipimwa?

Iyo ugiye kwa muganga, abanza kukubaza ibimenyetso byawe n'amateka yawe y'ubuzima. Hanyuma bazakora isuzuma ry'umubiri. Ni ngombwa cyane cyane kumva ibihaha ukoresheje stethoscope. Iyo wumva ibihaha by'umuntu urwaye COPD, ushobora kumva ijwi "risakuza", nk'aho ikibabi cyumye gicika, cyangwa ijwi "risakuza" rito iyo uhumeka.

Hanyuma, umuganga azakenera kugaragaza izindi ndwara zishobora gutera ibi bimenyetso. Kubera ko ibi bimenyetso atari ibya COP gusa, bigomba gukurwaho ku ndwara nka:

• Umusonga wo mu bwoko bwa kabiri - Ibi bishobora guterwa n'indwara zandurira mu mubiri, imiti, cyangwa ibibazo by'ubwiyongere bw'umubiri.
• Umusonga uterwa na bagiteri, imiyoboro y'amazi cyangwa virusi.
• Umusonga uhoraho wa eosinophilic pneumonia - Iyi ni ukwiyongera k'ubwoko bw'uturemangingo twitwa eosinophilia mu bihaha.
• Hypersensitivity pneumonitis - Kubyimba kw'ibihaha guterwa n'ubwivumbure ku kintu kiri mu bidukikije.
• Izindi ndwara zidakira z'ibihaha.
• Lymphoma y'ibanze y'ibihaha.

Ni irihe tandukaniro riri hagati ya Cryptogenic Organizing Pneumonia (COP) na Ordinary Organizing Pneumonia (OP)?

Iki nacyo ni ikintu gikwiye gusobanurwa gato. Indi ndwara ifite ibimenyetso bisa na (COP) yitwa Secondary Organizing Pneumonia (OP) . Ariko, bitandukanye na (COP), iyi ndwara (OP) ishobora guterwa n'ubwandu, imiti, kanseri, cyangwa ikindi kibazo cy'ubwiyongere bw'umubiri mu mubiri. Byongeye kandi, iyi ndwara (OP) yakunze kujyana no kugira kanseri y'amaraso, guhura n'imiti itandukanye, ndetse no guhura n'imirasire y'ibihaha.

Mbere y'uko abaganga batangira kuvura (COP), bagerageza kwemeza ko iyi atari indwara (Secondary OP). Ibi biterwa nuko uburyo bwo kuvura bwombi bushobora kuba butandukanye. Nanone, ingaruka zo gukira ku bantu bafite (Secondary OP) zishobora kuba mbi gato ugereranyije n'abantu bafite (COP).

(COP) Ni ibihe bipimo bifasha mu gusuzuma indwara?

Niba muganga akeka ko ufite ikibazo cya COP nyuma yo kugusuzuma, azagukorera ibindi bipimo byinshi.

• X-ray yo mu gituza: Iyi ifoto y'ibihaha. Niba urwaye COPD, ushobora kubona uduce tumwe na tumwe tw'ibihaha.
• Gupima CT scan (HRCT): Iki ni ikizamini gishobora kubona imbere mu bihaha neza cyane kurusha X-ray. Gishobora gufasha kumenya ibintu nko kubyimba no guhagarara kw'ibihaha biterwa na COPD.
• Uburyo bwo gupima imitsi hakoreshejwe uburyo bwo koza imitsi mu maraso (BAL):Ibi bikubiyemo gushyiramo agakoresho gato kandi gafite ubushobozi bworoshye bwo koroshya (bronchoscope) gakoresheje kamera nto hanyuma kakanyura mu mazuru cyangwa mu kanwa hanyuma kakanyuzwa mu nzira z'ubuhumekero z'ibihaha. Muri iki gihe, hashyirwamo amazi make ya saline mu bihaha, hanyuma amazi agashyirwa mu kirere (BAL) akoherezwa muri laboratwari kugira ngo apimwe. Umuntu urwaye COPD ashobora kugira umubare munini w'uturemangingo tw'amaraso twera (cyane cyane lymphocytes) muri iki gipimo cy'amazi. Ariko ikiruta byose, bishobora gufasha gukumira ubwandu.
• Biopsy y'ibihaha: Hari igihe, igice cy'umubiri w'ibihaha gikenera gufatwa no gusuzumwa hifashishijwe mikorosikopi kugira ngo hemezwe ko indwara yanduye. Ibi bishobora gukorwa mu buryo butandukanye. Bumwe ni ugufata igice gito cy'umubiri mu gihe cyo gupima bronchoscopy (transbronchial lung biopsy). Ariko, rimwe na rimwe, niba hakenewe icyitegererezo kinini cy'umubiri, biopsy y'ibihaha ishobora gukorwa. Iyi biopsy ni bwo buryo bwonyine bwo gusuzuma COPD burundu ntabwo ari izindi ndwara.
• Gupima imikorere y'ibihaha (PFTs): Ibi bizamini bipima uburyo ibihaha byawe bikora neza, ingano y'umwuka ushobora kubika mu bihaha byawe, n'uburyo ushobora kwinjiza umwuka mu maraso yawe neza. Umuntu urwaye COPD ashobora kugira imiterere imubuza kubika umwuka muke ugereranije n'umuntu usanzwe. Ashobora kandi kugira umwuka muke mu maraso, haba mu gihe cyo kuruhuka no mu gihe cy'imyitozo ngororamubiri.

Ni gute indwara ya Cryptogenic Organizing Pneumonia (COP) ivurwa?

Inkuru nziza ni uko hari uburyo bwiza bwo kuvura indwara yitwa (COP). Abaganga bakunze kuyivura bakoresheje ubwoko bw'imiti yitwa corticosteroids . Urugero, umuti witwa prednisone ukunze gukoreshwa.

Uyu muti ubusanzwe ufatwa buri gihe mu gihe cy'amezi 3 kugeza kuri 6. Igipimo cyongerwa mbere hanyuma kikagabanuka buhoro buhoro. Iyo umuti uhagaritswe mu buryo butunguranye cyangwa igipimo kikagabanuka vuba cyane, ibimenyetso bishobora kugaruka. Ibi bibaho cyane cyane iyo igipimo cya prednisone cyagabanutse kikagera kuri miligarama ziri munsi ya 20 ku munsi.

Mu bihe bimwe na bimwe byoroheje cyane (COP), indwara ishobora gukemuka nta miti iyo ari yo yose .

Ariko, niba ibimenyetso bya COPD bikomeje, cyangwa niba ingaruka mbi za corticosteroids zigoye kwihanganira, muganga wawe ashobora kukugira inama y'ubundi buryo bwo kuvura. Urugero, imiti igabanya ubukana bwa steroid nka azathioprine cyangwa imiti igabanya ubukana bwa cytotoxic nka cyclophosphamide ishobora gutangwa by'agateganyo.

Ese ibyago byo kurwara indwara ya COP (COP) bishobora kugabanuka?

Nta kintu na kimwe dushobora gukora kugira ngo tugabanye ibyago byo kurwara COPD. Kubera ko impamvu nyayo itazwi, nta buryo bwo kuyirinda buhari. Ariko, ushobora kumenya ibi bimenyetso. Hanyuma, nibigaragara ibimenyetso, ushobora gushaka inama kwa muganga vuba no gutangira kuvurwa bibaye ngombwa . Ni ngombwa cyane gusuzuma indwara no gutangira kuyivura hakiri kare.

Bigenda bite iyo (COP) itavuwe?

Iyo COPD itavuwe, ishobora kwangiza ibihaha cyane . Kubyimba gukomeje bishobora gutera inkovu mu bihaha, bishobora kwangiza imikorere y'ibihaha burundu. Kubwibyo, ni ngombwa gushaka ubuvuzi niba ufite ibimenyetso.

Ni iki cyizere cy'umuntu ufite (COP)?

Ntugahangayike. Abantu benshi barwaye Cryptogenic Organizing Pneumonia (COP) bakira vuba kandi burundu . Abantu bagera kuri 50% bafite indwara zoroheje bakira batavuwe. Abantu bagera kuri 80% bavuwe imiti ya corticosteroids bakira burundu .

Ariko, hari igihe ibimenyetso bya COPD bishobora kongera kugaruka . Nubwo bimeze bityo, nta kintu na kimwe gikwiye guhangayikishwa. Ibimenyetso bishobora kugenzurwa no gukira iyo imiti ya corticosteroids yongeye gutangira gukoreshwa. Abantu bakize COPD bakunze kubaho igihe kirekire kandi cyuzuye.

Ni gute nakwiyitaho mfite ikibazo cyo kurwara indwara ya (COP)?

Niba ubona ko ufite ibimenyetso bya COPD, gana muganga vuba bishoboka . Gutangira kuvurwa hakiri kare bishobora kugabanya amahirwe yo kongera kurwara indwara mu gihe kizaza no kugabanya kwangirika kw'ibihaha byawe.

Niba muganga wawe akwandikiye imiti ya corticosteroids yo kuvura COPD yawe, menya neza ko wabimenyesheje muganga wawe niba ugize ingaruka mbi. Ashobora guhindura ingano cyangwa akakugira inama y'ubundi buryo. Ni ngombwa gufata imiti yawe neza nk'uko muganga wawe abikubwiye no kuyikurikirana ku gihe.

Ubutumwa bwo kujyana mu rugo

Cryptogenic Organizing Pneumonia (COP) ni indwara idakunze kugaragara mu bihaha ishobora gutera ububyimbirwe n'inkovu mu bihaha. Ibimenyetso by'ingenzi ni inkorora no kugorwa no guhumeka. Wibuke ko iyi atari indwara isanzwe yandura.

• Itondere ibimenyetso: Menya neza ko wagiye kwa muganga, cyane cyane niba ufite inkorora yumye imara ibyumweru cyangwa ubabara mu muhogo iyo unaniwe.
• Hari uburyo bwo kuvura: Ibi bivurwa ahanini n'ubwoko bw'umuti witwa corticosteroids. Hari indwara zoroheje zishobora no gukira nta miti.
• Gukira birakomeye: Abantu benshi bakira burundu iyi ndwara. Ariko, hari igihe ibimenyetso bishobora kugaruka. Nubwo bimeze bityo, bishobora kugenzurwa hakoreshejwe imiti.

Rero, ndizera ko aya makuru azakugirira akamaro. Ikintu cy'ingenzi ni ukumenya neza umubiri wawe n'ubuzima bwawe.

` Cryptogenic Organizing Pneumonia, COP, indwara z'ibihaha, indwara z'ubuhumekero, inkorora, guhumeka nabi, corticosteroids, umusonga