Unoona zvichiwedzera kuoma kufema kunyangwe uchifamba nekukurumidza kana kukwira masitepisi here? Unonzwa sekuti chipfuva chako chazara nemhepo uye hauchakwanisi kufema here? Iri idambudziko rinowanzoitika kuvanhu vazhinji ne emphysema , rudzi rwakanyanya rweCOPD (Chronic Obstructive Pulmonary Disease). Asi usazvidya moyo, kune mishonga yemazuva ano inogona kukubatsira kugadzirisa dambudziko iri. Nhasi, tichataura nezveimwe yemishonga yakakosha yakadaro.
Chii chinonzi BLVR? Ngatinzwisise zviri nyore.
BLVR, iyo inomiririra Bronchoscopic Lung Volume Reduction , mushonga unobvumira, muchidimbu, mhepo yakavharirwa mumapapu ako kuti ibude.
Funga nezvemapapu ako semabharumu maviri. Pakurwara ne emphysema, mweya unogona kupinda mune dzimwe nzvimbo dzemapapu ako asi haugone kubuda zvachose. Zvikamu zvakakuvara zvinobva zvafuridzirwa, zvichiita kuti nzvimbo iripo yemapapu ako ine hutano ishande. Izvi zvinoita kuti zviome kufema, uye unonzwa kuneta uye kushaya mweya.
Saka mukurapa uku kweBLVR, vanachiremba vanoisa bronchoscope , chubhu diki ine kamera yakabatanidzwa, pasi pehuro mako uye mumapapu ako. Zvadaro, vanoisa mavharuvhu madiki akatevedzana munzvimbo dzemapapu dzakakura zvisina kujairika.
Mavharuvhu aya anobvumira mweya wakabatwa kuti ubude paunoburitsa mweya, asi paunofema zvakare, anodzivisa mhepo kupinda munzvimbo dzakakuvara.
Nekufamba kwenguva, izvi zvinoderedza huwandu hwemhepo inovharirwa mumapapu ako, zvinoita kuti mapapu ako aderere zvishoma, uye otanga kushanda zvakanaka. Izvi zvinoderedza zvakanyanya kushaya mweya uye kuneta.
Chinhu chakakosha ndechekuti BLVR haisi mushonga we emphysema kana mushonga unorebesa hupenyu. Chinangwa chikuru ndechekudzora zviratidzo uye kuvandudza hupenyu hwako.
Kurapa uku kwakakodzera ani chaizvo?
Kurapwa kweBLVR hakusi kwemunhu wese. Kune zvimwe zvinodiwa pakurapa uku. Chiremba wako achakunyatsoongorora kuti aone kana uchikwanisa kuita izvi.
| Kufunga nezvako | Tsananguro |
|---|---|
| Zera | Kazhinji, unofanira kunge uri pasi pemakore makumi manomwe nemashanu. |
| Kuoma kwezviratidzo | Kushaya simba kwakanyanya uye kuneta zvinoramba zviripo pasinei nemishonga yakakodzera uye kurapwa kwemapapu. |
| Dambudziko remapapu | Mapapu anofanira kuzara mweya zvakanyanya uye mweya unovharirwa. Uyewo, mweya haufanirwe kufamba nenzira dzisina kujairika mumapapu (hapafanirwe kunge paine mhepo inofefetera). |
| Kusvuta | Haufanire kusvuta parizvino, uye unofanira kurega kusvuta kwemwedzi mina kana kupfuura. |
| Zvirongwa zvekugadzirisa | Anofanira kukwanisa kutora chikamu muzvirongwa zvekurapa mapapu zvakarongwa usati warapwa uye mushure mekurapwa. |
Ndedzipi bvunzo dzinoitwa vasati varapwa?
Kuti vaone kana muri munhu akakodzera kurapwa uku, chiremba wenyu achaita ongororo yakakwana yemuviri wenyu uye achaita bvunzo dzinoverengeka. Mimwe yacho ndeiyi:
- Kuongororwa kweropa
- X-ray yechipfuva
- Kuongororwa kweCT kwepamusoro-soro
- Miedzo yekushanda kwemapupa
- Kuongororwa kwegasi reropa re arterial
- Kuongororwa kweEchocardiogram kunoongorora mashandiro emoyo
- Kuedza kufamba kwemaminitsi matanhatu - Izvi zvinoyera mashandiro emwoyo nemapapu ako.
Unogadzirira sei kurapwa?
Chiremba wako achakupa mirairo yekuti ungagadzirira sei kurapwa kwako. Zvakakosha kutevedzera mirairo iyi nemazvo kuti uderedze matambudziko.
- Dzivisa kudya kana kunwa chero chinhu kwemaawa masere usati warapwa (kutsanya).
- Ungangoda kurega kushandisa mimwe mishonga kana kuchinja nguva yekutora mishonga. Taura nachiremba wako nezvenyaya iyi.
- Sezvo uchange uri muchipatara kwemazuva mashoma mushure mekurapwa, ronga pachine nguva kuti mumwe munhu akuendese kumba.
Kurapwa kunoitwa sei uye zvakanakira nekuipira kwacho
Uku hakusi kuvhiyiwa kukuru. Hapana mavanga anochekwa. Unorapwa nehope. Chiremba anoisa bronchoscope pasi pehuro pako, oisa mavharuvhu mana mumapapu akakuvara, obva abvisa bronchoscope. Maitiro ese anotora maminetsi makumi matatu kusvika makumi matanhatu chete.
| Zvakanakira | Njodzi |
|---|---|
| Hapana mavanga pamuviri. | Zvinogona kuitika kana munhu akanzwa anesthesia. |
| Nguva pfupi yekupora. | Pneumothorax . (Chirwere chepfungwa chinonzi pneumothorax). |
| Kukwanisa kubvisa kana kutsiva mavharuvhu kana zvichidikanwa. | Utachiona hwakadai sepneumonia . |
| Matambudziko mashoma kupfuura kuvhiyiwa kwechinyakare. | Kukura kweCOPD. |
| Hupenyu hwavandudzika zvakanyanya. | Matambudziko akakomba akadai sekubuda ropa, sitiroko , uye myocardial infarction (kazhinji kashoma). |
Chii chinoitika mushure mekurapwa?
Mushure mekurapwa, uchafanira kugara muchipatara kwemazuva matatu. Chikwata chevanachiremba chichakutarisa zvakanyanya. Mushure mekunge waenda kumba, uchakumbirwa kutanga chirongwa chekurapa mapapu mukati memavhiki mana kusvika matanhatu. Izvi zvichabatsira zvikuru mukutarisira hutano hwako.
Ndinofanira kuona chiremba rini?
Kana muine mibvunzo kana zvinokunetsai musati matora kana kuti mushure mekurapwa kwenyu, musanonoka kutaura nachiremba wenyu. Uyewo, kana mukaona chimwe chezviratidzo zvinotevera, endai kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika.
- Fivha isina chikonzero.
- Kurwadziwa kwakanyanya pachipfuva.
- Kunetseka zvakanyanya kufema.
- Kuchinja ruvara rwebhuruu rweganda, miromo, kana nzara (Cyanosis) .
Hakuna mushonga we emphysema, asi mishonga yakaita seBLVR inogona kukubatsira kufema zviri nyore uye kurarama zvakanaka. Taura nachiremba wako kuti usarudze kana iyi iriyo nzira yakakodzera yekurapa.
Mharidzo Yekuenda Nayo Kumba
- BLVR mushonga wemazuva ano, usingapindi mishonga yekudzivirira emphysema yakanyanya.
- Kunyangwe izvi zvisingarapi chirwere ichi, zvinovandudza hupenyu zvakanyanya nekuita kuti kufema kuve nyore.
- Kurapwa uku hakuna kukodzera munhu wese uye kunoda hunyanzvi hwakakosha.
- Sezvinoitwa nemishonga yese, kune dzimwe njodzi, asi dzakaderera pane kuvhiyiwa kwechinyakare.
- Kurukurai nachiremba wezvekufema kana kurapwa uku kwakakunakirai uye kuti zvakanakira nekuipira kwacho ndezvipi.
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