Mapapu ako ari kuramba achioma here kufema? (Pulmonary Fibrosis) Ngatitaurei nezvazvo!

Dzimwe nguva unonzwa sekunge uri kufema nehasha here paunokwira masitepisi kana kufamba chinhambwe chipfupi? Kana kuti unonzwa sekunge hauna kuneta sezvawaiita kare, uye ikozvino unonzwa kuneta zvakanyanya kunyangwe uchiita mabasa madiki? Chimwe chikonzero chezvinhu izvi chingave kuchinja kwemapapu ako. Ndizvozvo, Pulmonary Fibrosis, chirwere chinoita kuti mapapu aome zvishoma nezvishoma uye chinoita kuti zviome kufema, ndicho chatichataura nezvacho nhasi.

Chii chinonzi Pulmonary Fibrosis?

Zvichitaurwa zviri nyore, Pulmonary Fibrosis ivanga uye kukora kwenyama iri mukati memapapu ako. Funga nezvazvo sevanga riri paganda paunokuvara, chimwe chinhu chakafanana chinoitika mukati memapapu. Izvi ndezveboka rezvirwere zvemapapu zvinonzi interstitial lung disease. Chinoitika pano ndechekuti tumasagi tudiki twemhepo mumapapu edu, nzvimbo dzinopinda okisijeni patinofema, tinoti `(alveoli)`, uye tissue yakakomberedza `(alveoli)` twakakuvara. Zvino tarisa, mapapu akaita sechipanji. Anofema patinofema, uye anofema patinobuda. Asi kana chirwere ichi (Pulmonary Fibrosis) chikaitika, tissue dziri mumapapu dzinova dzakaoma uye dzakaoma, saka hadzigone kufema kana kufinya sezvadzaiita kare. Ndipo pazvinova zvakaoma kufema, uye unobata mweya wako . Kunyangwe mabasa ezuva nezuva aimbova nyore anogona kunzwa sekuneta zvikuru.

Chinhu chinonyanya kukosha ndechekuti chirwere ichi chinonzi (Pulmonary Fibrosis) chigare zvachose , zvinoreva kuti chinonetsa kurapwa zvachose. Uyewo, chinogona kuwedzera zvishoma nezvishoma nekufamba kwenguva (chinowedzera kuipa) . Tinochidana kuti `(progressive pulmonary fibrosis)`.

Mapapu anogona kuoma pasina chikonzero here? Chii chinonzi Idiopathic Pulmonary Fibrosis?

Ehe, dzimwe nguva chikonzero chechirwere ichi chemapapu hachiwanikwe . Ndizvo zvatinodaidza kuti `(Idiopathic Pulmonary Fibrosis)` pazviitiko zvakadaro. Izwi rekuti "idiopathic" rinoreva "chikonzero chisingazivikanwe." Kazhinji, varwere vazhinji vane (Pulmonary Fibrosis) vane chirwere ichi `(Idiopathic Pulmonary Fibrosis)`.

Ungaziva sei kana uine Pulmonary Fibrosis? Ndezvipi zviratidzo?

Zviratidzo zvechirwere ichi zvinogona kusiyana zvishoma kubva kumunhu kuenda kumunhu, asi pane zvimwe zviratidzo zvakajairika:

• Kushaya mweya : Kutadza kufema zvakanaka, kunyanya panguva yekurovedza muviri kana mushure mekuita maekisesaizi madiki, kuita basa, kana mushure mekupedza.
• Kufema kwenguva pfupi, kushoma: Kufema nekukurumidza, kushoma, sekunge usingakwanise kuzadza chipfuva chako.
• Kukosora kwakaoma kunogara kwenguva refu: Kukosora kusingaburitse madzihwa uye kusingadziki nekufamba kwenguva.
• Ndakaneta pasina chikonzero (Kuneta: Kunzwa kuneta nguva dzese, kunyangwe ukarara zvakanaka kana kuti usingaite basa rakawanda.
• Kuderedza uremu zvisina tsananguro: Kungoderedza uremu pasina kudya zvishoma.
• Minwe ine mavanga : Minwe yevamwe vanhu inogona kuzvimba uye kukura, zvichiita sechigunwe chedrumstick.
• Kuchinja ruvara rweganda (Cyanosis): Kana pasina okisijeni yakakwana muropa, miromo, kutenderedza maziso, nenzara zvinogona kuchinja kuita bhuruu, grey, kana chena.

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakanaka kutsvaga rubatsiro kubva kuna chiremba.

Sei izvi (Pulmonary Fibrosis) zvichiitika? Ndezvipi zvinokonzera?

Nyanzvi dzinotenda kuti pulmonary fibrosis inoitika kana mapapu akakuvara kana kuzvimba, uye maitiro acho asingapore zvakanaka. Izvi zvinoreva kuti kana mapapu achiedza kuzvirapa, pane chimwe chinhu chinoitika zvisina kunaka uye mavanga anoumbwa. Pane zvikonzero zvakawanda zvinogona kukonzera izvi:

• Zvirwere zve connective tissue : Kana uine zvirwere zvakaita seRheumatoid Arthritis (RA), Lupus, kana Scleroderma, izvi zvinogona kukanganisawo mapapu ako .
• Kusangana nezvakatipoteredza: Kusangana neguruva nemamwe makemikari kwenguva refu kunogona kukuvadza mapapu. Mienzaniso inosanganisira asbestos, silica, uye beryllium. Hypersensitivity pneumonitis, allergy kune mamwe mafungu, mabhakitiriya, minhenga yeshiri, kana dander, zvinogonawo kukonzera chirwere ichi.
• Zvirwere zvegranulomatous: Zvirwere zvakaita sesarcoidosis kana Langerhans cell histiocytosis.
• Mimwe mishonga kana marapirwo: Mimwe mishonga yakaita seamiodarone yechirwere chemwoyo, nitrofurantoin yezvirwere zvemunzira yeweti, methotrexate yekenza nearthritis, uye radiation therapy yekenza inogonawo kukuvadza mapapu.
• Kusvuta: Kusvuta kunokanganisa mapapu zvikuru. Ndiyo imwe yezvikonzero zvikuru zvePulmonary Fibrosis.

Zvisinei, sezvambotaurwa, muzviitiko zvakawanda, chikonzero chaicho hachigone kuwanikwa.

Ndiani ari panjodzi huru yekubatwa nePulmonary Fibrosis?

Kuwedzera kune zvikonzero zvataurwa pamusoro apa, vamwe vanhu vari panjodzi huru yekubatwa nechirwere ichi:

• Kune avo vane makore anopfuura makumi matanhatu nemashanu ekuberekwa.
• Kune varume, kupfuura vakadzi.
• Kana mumwe munhu mumhuri aine Pulmonary Fibrosis, panogona kunge paine chikonzero chezvirwere zvemajini.
• Kune vanhu vane mamwe majini (kuchinja kweDNA) anokonzera zvirwere. Semuenzaniso, chirwere chisingawanzoitiki chinonzi dyskeratosis congenita.

Ndezvipi zvimwe zvinetso zvinogona kuitika nekuda kwePulmonary Fibrosis?

Kana mapapu akakuvara, haakwanise kuendesa okisijeni zvakanaka kumuviri wese. Izvi zvinoita kuti mwoyo wedu ushande nesimba. Izvi zvinogona kukonzera matambudziko akasiyana-siyana:

• Kuderera kwehuwandu hweokisijeni muropa (hypoxemia) uye kushaikwa kweokisijeni mumatishu (hypoxia).
• Kukwira kweropa mumapapu.
• Mapapu akaputsika.
• Kurwara nemapapu kakawanda.
• Kutadza kufema zvachose.
• Kukundikana kwemoyo.

Ndosaka zvichikosha kuti uone chiremba nekukasika uye kutsvaga rubatsiro kana uine zviratidzo.

Unoona sei chirwere che pulmonary fibrosis? Ndedzipi bvunzo dzinoitwa?

Zvinodiwa bvunzo dzinoverengeka kuti zvionekwe kuti une chirwere che pulmonary fibrosis. Chiremba wako achatanga ateerera mapapu ako obvunza nezvezviratidzo zvako. Zvadaro achaita bvunzo kuti aone kuti mapapu ako ari kushanda zvakanaka sei. Vachatarisawo zvimwe zvirwere zvemwoyo kana mapapu zvingave zvichikonzera zviratidzo zvako. Miedzo inowanzo onekwa ndeiyi:

• X-ray yechipfuva: Tarisa mamiriro emapapu ese.
• Kuongororwa kweCT (HRCT) neHigh-resolution: Izvi zvinogona kuratidza mavanga emapapu zvakajeka.
• Miedzo yekushanda kwemapapu (PFTs): Iyi inoyera kuti unogona kufema zvakanaka sei mukati nekubuda, uye kuti mapapu ako anogona kuchengeta mweya wakawanda sei.
• Kuongororwa kweropa: Kuongororwa kweropa kunosanganisira gasi remuropa kuti rionekwe kuti mweya uri muropa wakawanda sei, pamwe nekuongorora zvimwe zvirwere.
• Bronchoscopy: Kuongororwa kwemushonga wekubvisa tsinga (bronchoscopy): Kamera diki ine chubhu yakabatana nayo inopinzwa nepamhino kana muromo kuti ionekwe mukati memapapu. Sample yenyama (biopsy) inogonawo kutorwa panguva ino.
• Kuongororwa kwemuviri: Kanyama kadiki kanotorwa kubva mumapapu koongororwa nemaikorosikopu.

Dzimwe nguva, chiremba wako anogonawo kukurudzira kuti utarise echocardiogram kuti uone kana paine matambudziko emwoyo.

Pulmonary Fibrosis inogona kurapwa zvachose here? Ndeapi marapirwo aripo?

Zvinosuwisa kuti pari zvino hapana mushonga we pulmonary fibrosis. Asi musazvidya mwoyo. Mishonga iripo inogona kubatsira kudzora zviratidzo, kuderedza kufambira mberi kwechirwere, uye kuvandudza hupenyu hwenyu . Mishonga mikuru inoshandiswa ndeiyi:

• Mishonga inorwisa fibrosis: Mishonga yakaita seNintedanib (OFEV®) kana Pirfenidone (Esbriet®) inobatsira kuderedza mwero wemavanga emapapu uye kuchengetedza mashandiro emapapu.
• Corticosteroids: Dzimwe nguva inoshandiswa kuderedza kuzvimba mumapapu.
• Kurapa neokisijeni: Kana ropa rako kana nyama yako isiri kuwana okisijeni yakakwana, chiremba wako anogona kukuudza kuti utore okisijeni yekuwedzera. Izvi zvinopihwa kuburikidza ne cannula yemhino kana mask yekumeso.
• Kugadziriswa kwemapapu: Izvi zvinosanganisira maekisesaizi ekufema akakosha uye maekisesaizi emuviri anobatsira kusimbisa mapapu ako uye kuita kuti kufema kuve nyore.
• Kuisirwa mapapu: Vamwe varwere vane Pulmonary Fibrosis vanogona kutarisirwa kuisirwa mapapu kana chirwere chacho chakakomba.
• Miedzo yekiriniki: Kana uchifarira, unogona zvakare kutora chikamu muzvidzidzo zvekutsvagisa pamishonga mitsva uye kurapwa. Bvunza chiremba wako nezveizvi.

Pamusoro pezvo, kana paine chimwe chirwere chiri kukonzera kukura kwePulmonary Fibrosis (semuenzaniso, `(autoimmune disease)`), chinofanira kurapwa, kana kana paine zvirwere zvinoita kuti mapapu avhare zvakanyanya (semuenzaniso, `(GERD)` - gastric distress), unofanirawo kutora mushonga weizvozvo.

Kana ndine Pulmonary Fibrosis, ndinofanira kuzvitarisira sei?

(Pulmonary Fibrosis) Zvinogona kuoma zvishoma kuti munhu ane pulmonary fibrosis arwise hutachiona uye apore. Saka, zvakakosha zvikuru kugeza maoko ako nguva nenguva nesipo nemvura, kuchengetedza nzvimbo yauri kugara yakachena, uye kugara kure nenzvimbo dzine vanhu vakawanda sezvinobvira (kunyanya munguva yefuruu nemwaka wechando uye munguva yedenda reCOVID). Zvakare, zvakakosha kuti uwane majekiseni anokurudzirwa nachiremba wako. Majekiseni aya anobatsira kudzivirira zvirwere zvakaita sepneumonia, furuu, RSV, neCOVID.

Ndinofanira kuona chiremba rini?

Kana uchinetseka kufema kana kuti uchinzwa kuneta zviri nyore kupfuura kare, enda kuna chiremba nekukasika. Nekuti kana ukaona uye ukatanga kurapwa kwezvirwere izvi nekukurumidza, unogona kuderedza kuenderera mberi kwechirwere.Kana uine chirwere che connective tissue kana granulomatous disease, taura nachiremba wako nezvenzira dzekuderedza njodzi yako yekubatwa ne pulmonary fibrosis.

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana chimwe chezviratidzo zvinotevera chikaitika, fonera 911 kana enda kuchipatara chiri pedyo nekukasika:

• Kufema kamwe kamwe, zvakaoma zvikuru.
• Kurwadziwa kwakanyanya pachipfuva.
• Kuvhiringidzika kana kuchinja kwemamiriro epfungwa.
• Kushanduka kweruvara rwebhuruu rweganda, miromo, kana nzara.

Chii chandinofanira kubvunza chiremba wangu?

Zvichakubatsira kubvunza mibvunzo iyi paunoshanyira chiremba:

• "Chiremba, chii chiri kukonzera kuti mapapu angu anyatsosimba seizvi?"
• "Ndedzipi nzira dzekurapa dzandinadzo?"
• "Ndinofanira kushandisa sei mishonga iyi?"
• "Ndinofanira kuuya rini kunoona chiremba?"
• "Ndinokodzera here kuisirwa mapapu?"

Zvakakosha kubvunza mibvunzo yakaita seiyi uye kunzwisisa zviri nani mamiriro ako ezvinhu.

Pulmonary Fibrosis inogona kudzivirirwa here?

Hatigoni kudzivirira zvakawanda zvezvikonzero zvinokonzera pulmonary fibrosis. Zvisinei, pane zvimwe zvatinogona kuita kuderedza kukuvara kwemapapu kunokonzerwa nezvinhu zvakatikomberedza:

• Dzivisa zvinhu zvinokuvadza mapapu (semuenzaniso asbestos, guruva resimbi, makemikari) zvakanyanya sezvinobvira. Kana uchifanira kushanda nezvinhu zvakadaro, shandisa muchina wekufema wakakosha.
• Rega zvinhu zvinogona kukonzera allergies kwenguva refu (semuenzaniso, huswa, zviyo, tsvina yeshiri, minhenga, uye mamwe masisitimu emhepo inotonhodza). Shandisa muchina wekufema kana uchishanda nazvo.
• Kana ukasvuta, rega ipapo ipapo, kana kuti usambotanga.

Kana ndine Pulmonary Fibrosis, chii chandinofanira kutarisira?

Mavanga aya emapapu anenge ari echigarire (kunze kwezviitiko zvisingawanzoitiki, kana zvichikonzerwa nemushonga uye zvikabatwa nekukurumidza). Kana uine chimwe chirwere chiripo, kudzora dambudziko iroro kunogona kubatsira kuderedza kukuvara kwakawanda kumapapu ako. Kana pasina chikonzero chingawanikwa, chiremba wako achaedza kurapa zviratidzo zvako uku achiedza kudzivirira kukuvara kwakawanda. Zvakaoma kuti vanachiremba vafanotaura chaizvo kuti pulmonary fibrosis ichakura sei. Kune vamwe vanhu, zviratidzo zvinogona kukura zvishoma nezvishoma kwemakore. Kune vamwe, chirwere chinogona kukura nekukurumidza uye kuva chakanyanya mukati memwedzi mishoma.

Unogona kurarama kwenguva yakareba sei nePulmonary Fibrosis?

Avhareji yemakore ekurarama kwemunhu ane chirwere chakajairika, ``Idiopathic Pulmonary Fibrosis,'' yaiwanzova makore matatu kusvika mashanu. Zvisinei, nekufambira mberi kwekurapwa munguva pfupi yapfuura, makore ekurarama kwevanhu vane Pulmonary Fibrosis akawedzera zvishoma. Saka musazvidya mwoyo.

Pane matanho ePulmonary Fibrosis here?

Hapana nzira inozivikanwa zviri pamutemo ye "staging" system ye pulmonary fibrosis. Zvisinei, vamwe vanachiremba vanogona kuisa chirwere ichi mu "nyoro," "pakati nepakati," "chakakomba," kana "chakakomba zvikuru" zvichibva pazviratidzo zvako, mhedzisiro yebvunzo dzekushanda kwemapapu, uye scans.

Pulmonary Fibrosis inowanzotanga pazera ripi?

Pulmonary Fibrosis inowanzoonekwa muvanhu vane makore anopfuura 65.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kuziva kuti une Pulmonary Fibrosis kunogona kuchinja hupenyu hwako. Zvinogona kukuomera uye kusaziva remangwana. Panguva dzakadai , kuva nerutsigiro kubva kune vadikanwi vako, mhuri, nevamwe vane chirwere chakafanana kunogona kubatsira zvikuru.

Chinhu chakakosha ndechekuti munhu wese ane pulmonary fibrosis akasiyana. Hapana anogona kufanotaura chaizvo kuti ramangwana rako richave rakaita sei. Kurapa kwazvino kunogona kubatsira kunonoka kufambira mberi kwechirwere, kudzora zviratidzo, uye kuvandudza hupenyu hwako. Saka, taura chokwadi nachiremba wako nezvezvaunotarisira uye zvaunogona kuita nezvechirwere chako. Zvakakoshawo kuti ugare uine tariro.

Kuoma Kwemapapu, Kuzadzwa Kwemapapu, Kutadza Kufema, Kukosora Kwakaoma, Chirwere Chemapapu, Chirwere Chekufema, Idiopathic Pulmonary Fibrosis, Kukuvara Kwemapapu