Pane chimwe chinhu chinoshamisa chakaitika kumapapu ako here? Ngatitaurei nezveCryptogenic Organizing Pneumonia (COP)!

Dzimwe nguva unonzwa sekuti une dzihwa rinotanga sefivha risingapore mumazuva mashoma here? Wobva watanga kukosora woona zvichikuomera kufema kana waneta zvishoma? Ungafunga kuti ihutachiona chete. Asi, handizvo zvinoitika nguva dzose. Nhasi tichataura nezvechirwere chemapapu chisingawanzoitika chatinofanira kuziva tese. Chinonzi Cryptogenic Organizing Pneumonia , kana kuti COP muchidimbu.

Chii chinonzi Cryptogenic Organizing Pneumonia (COP)? Ngatizvinzwisise zviri nyore!

Zvakanaka, ngatitarisei kuti chirwere ichi chemapapu chinonzi COPD chii chaizvo. Zvichitaurwa zviri nyore, chirwere chinokanganisa tumasagi tudiki twemhepo (alveoli) mumapapu edu - zvivako zvidiki zvakaita sebharumu zvinopinda okisijeni uye carbon dioxide patinofema - uye nzira diki dzekufema (bronchioles) dzinobatana nadzo.

Chinoitika mumamiriro ezvinhu aya (COP) ndechekuti mabhegi emhepo aya nemigwagwa midiki yekufema zvinozvimba . Kungofanana nepatinenge tine ronda pane imwe nzvimbo mumuviri wedu, rinozvimba, ritsvukira, uye rinorwadza, chinhu chimwe chete chinoitika mumapapu. Asi ichi hachisi chinhu chinokonzerwa nemabhakitiriya kana mavhairasi akaita sepneumonia yenguva dzose. Izvi zvakasiyana.

Nekufamba kwenguva, kuzvimba uku kunoramba kuripo kunogona kukonzera mavanga mumapapu, zvinoreva kuti mapapu haachanyatsochinjika uye haachakwanisi kushanda zvakanaka.

Izwi rekuti "cryptogenic" rinoreva "chikonzero chisingazivikanwe." Izvi zvinoreva kuti vanachiremba havasati vaziva chikonzero chaicho chechirwere ichi (COP). Ndosaka izwi rekuti "idiopathic" dzimwe nguva richishandiswa pachirwere ichi, chine chirevo chimwe chete.

Ndiani ane mukana mukuru wekuva nechirwere ichi (COP)?

Chirwere ichi chinonzi (COP) chinogona kuitika mune chero munhu. Zvinhu zvakaita sekuti murume kana mukadzi, rudzi, uye ruvara hazvichikanganisi. Zvisinei, chinowanzoonekwa nevanhu vari pakati pemakore makumi mana nemakumi matanhatu. Chimwezve ndechekuti vanhu vazhinji vanowana chirwere ichi (COP) havasi kusvuta .

Uyewo, kana uine zvimwe zvirwere zvekuzvimba, njodzi yako yekubatwa neCOP inogona kuwedzera zvishoma. Semuenzaniso:

• Lupus
• Arthritis ine rheumatoid
• Scleroderma
• Multiple sclerosis
• Zvirwere zvemudumbu zvinozvimba - zvirwere zvakaita sechirwere cheCrohn kana ulcerative colitis.

Asi hazvisi zvechokwadi kuti munhu wese ane zvirwere izvi achabatwa nechirwere cheCOP. Izvi zvinongova zvinhu zvine njodzi.

Mamiriro ezvinhu aya akajairika zvakadii?

Kutaura zvazviri, COP chirwere chisingawanzoitiki.Izvi zvinoonekwa muvanhu vanosvika 1 pavanhu vatatu pavanhu 100,000 vari muchipatara muUnited States, saka hazvishamisi kunzwa nezvazvo.

Chii chakaita kuti pave nekuumbwa kwe (COP)?

Sezvatakambotaura, COP chirwere chinonzi "cryptogenic" kana "idiopathic." Izvi zvinoreva kuti hapana chikonzero chaicho chakawanikwa . Vanachiremba vasati vaongorora COP, vanoongorora nokungwarira kana zvimwe zvikonzero zvezviratidzo zviri kukonzera zviratidzo. Semuenzaniso, vanoongorora hutachiona hwakadai semabhakitiriya, mavhairasi, fungi, kana mishonga. Kana zvese izvi zvabviswa, ndipo pavanozofunga kuti COP ndiyo inogona kukonzera.

Kune mamwe mamiriro ehutano anogona kusanganiswa nemamiriro e (COP). Izvi zvinoreva kuti vanhu vane mamiriro aya vane mukana mudiki wekuwana chirwere ichi (COP).

• Lymphoma
• Matumbu emapapu
• Kenza yemapapu
• Kenza dzeropa - kureva kenza dzine chekuita nemasero machena eropa kana masero matsvuku eropa.

Ndezvipi zviratidzo zvechirwere che (COP)?

Vanhu vanosvika hafu yeCOPD vanotanga kuona zviratidzo zvakaita sefuruu , izvo zvinogona kugara kwemavhiki akati wandei.

• Kutonhora
• Kukosora kwakaoma (kukosora kusingaburitse zvibereko)
• Kuneta / kusagadzikana
• Kurasikirwa nechido chekudya
• Kupindwa nechando
• Kuderedza uremu kusingatsananguriki
• Kudikitira husiku

Mushure meizvozvo, vanhu vanosvika 75% vanotanga kuona zviratidzo zvinotevera :

• Kukosora kusingaperi
• Kushaya mweya wekufema / kushaya mweya nekuda kwekushanda nesimba . Fungidzira, haugone kukwira masitepisi sezvawaiita kare, uye unonzwa kushaya mweya kunyangwe uchifamba chinhambwe chipfupi.

Kashoma, zviratidzo izvi zvinogona kuonekwawo:

• Kurwadziwa kwechipfuva
• Mapapu akadonha / pneumothorax
• Kukosora ropa
• Kurwadziwa kwemajoini
• Mwero weokisijeni wakaderera muropa rako / hypoxemia

Chinhu chinonyanya kukosha ndechekuti, kana uine zviratidzo izvi, kunyanya kukosora kwakaoma uye kufema kwakaoma kwemavhiki akati wandei, edza kuona chiremba . Usangogara kumba.

Cryptogenic Organizing Pneumonia (COP) inoonekwa sei?

Paunoenda kuna chiremba, iye achatanga nekukubvunza nezvezviratidzo zvako uye nhoroondo yako yehutano. Zvadaro vachakuongororwa muviri. Zvakakosha kuteerera mapapu ne stethoscope. Paunoteerera mapapu emunhu ane COPD, unogona kunzwa ruzha rwekuti "kutsemuka", rwakaita seshizha rakaoma richitsemuka, kana ruzha rwekuti "kutsemuka" kwakaderera paunofema.

Tevere, chiremba achafanira kubvisa zvimwe zvirwere zvinogona kukonzera zviratidzo izvi. Nekuti zviratidzo izvi hazvisi zveCOP chete, zvinofanira kubviswa pazvirwere zvakaita se:

• Mapundu echipiri anoronga - Izvi zvinogona kukonzerwa nehutachiona, mishonga, kana matambudziko ekudzivirira muviri.
• Mabayo ane utachiona, fungus, kana viral pneumonia.
• Mapundu epamu anouraya mapapu kwenguva refu - Uku kuwedzera kwerudzi rwesero rinonzi eosinophilia mumapapu.
• Kunzwa kwakanyanya kwemapapu - Kuzvimba kwemapapu kunokonzerwa nekusawirirana nechimwe chinhu chiri munharaunda.
• Zvimwe zvirwere zvemapapu zvisingaperi.
• Chirwere chepakutanga chemapapu chinonzi lymphoma.

Ndeupi musiyano uripo pakati peCryptogenic Organizing Pneumonia (COP) neOrdinary Organizing Pneumonia (OP)?

Izvi zvinodawo kutsanangurwa zvishoma. Chimwe chirwere chine zviratidzo zvakafanana ne (COP) chinonzi Secondary Organizing Pneumonia (OP) . Zvisinei, kusiyana ne (COP), chirwere ichi (Secondary OP) chinogona kukonzerwa nehutachiona, mushonga, kenza, kana chimwe chirwere che autoimmune mumuviri. Pamusoro pezvo, chirwere ichi (Secondary OP) chave chichibatanidzwa nechirwere cheropa, kusangana nemishonga yakasiyana-siyana, uye kusangana nemwaranzi mumapapu.

Vanachiremba vasati vatanga kurapa (COP), vanoedza kuva nechokwadi chekuti ichi hachisi chirwere che (Secondary OP). Izvi zvinodaro nekuti kurapwa kwezvose zvinogona kusiyana. Uyewo, mhedzisiro yekupora kwevanhu vane (Secondary OP) inogona kunge yakaipa zvishoma pane yevanhu vane (COP).

(COP) Ndedzipi bvunzo dzinobatsira kuona chirwere ichi?

Kana chiremba akafungidzira kuti une chirwere cheCOP mushure mekukuongorora, achakupa mimwe miedzo yakati wandei.

• X-ray yechipfuva: Izvi zvinotora mufananidzo wemapapu. Kana uine COPD, unogona kuona mavanga machena mune dzimwe nzvimbo dzemapapu.
• Kuongororwa kweCT (HRCT): Iyi bvunzo inogona kuona mukati memapapu zvakajeka kupfuura X-ray. Inogona kubatsira kuona zvinhu zvakaita sekuzvimba uye kubatana kwemapapu kunokonzerwa neCOPD.
• Kuvhiyiwa kwebronchoscopy ne bronchoalveolar wavage (BAL):Izvi zvinosanganisira kuisa chubhu yakatetepa, inochinjika (bronchoscope) ine kamera diki uye chiedza kuburikidza nemhino kana muromo woipfuudza nepanzira dzekufema dzemapapu. Panguva iyi, mvura shoma inoiswa mumapapu, uye mvura yacho inobva yafefeterwa (BAL) yotumirwa kurabhoritari kuti iongororwe. Munhu ane COPD anogona kunge aine huwandu hwakawanda hwemasero machena eropa (kunyanya ma lymphocytes) mumuenzaniso uyu wemvura. Asi chinonyanya kukosha, inogona kubatsira kudzivirira hutachiona.
• Kuongororwa kwemapapu: Dzimwe nguva, chidimbu chenyama yemapapu chinofanira kutorwa uye kuongororwa pasi pemaikorosikopu kuti zvionekwe kuti chirwere chacho chabuda here. Izvi zvinogona kuitwa nenzira dzakasiyana-siyana. Imwe ndeyekutora chidimbu chidiki chenyama panguva yekuongorora bronchoscopy (transbronchial lung biopsy). Zvisinei, dzimwe nguva, kana paine sampuli yakakura yenyama, kuvhiyiwa kwemapapu kunogona kuitwa. Kuongororwa uku ndiyo chete nzira yekuongorora COPD kwete zvimwe zvirwere.
• Kuongororwa kwebasa remapapu (PFTs): Kuongororwa uku kunoyera kuti mapapu ako anoshanda zvakanaka sei, kuti mweya wakawanda sei waunogona kuchengeta mumapapu ako, uye kuti unogona sei kuisa okisijeni muropa rako zvinobudirira. Munhu ane COPD anogona kunge aine maitiro anomuganhurira ekuti anogona kuchengeta mweya mushoma pane munhuwo zvake. Anogonawo kuva neropa rakaderera, panguva yekuzorora uye panguva yekurovedza muviri.

Cryptogenic Organizing Pneumonia (COP) inorapwa sei?

Mashoko akanaka ndeekuti kune mishonga inoshanda yechirwere chinonzi (COP). Vanachiremba vanowanzo rapa nerudzi rwemishonga inonzi corticosteroids . Semuenzaniso, mushonga unonzi prednisone unowanzo shandiswa.

Mushonga uyu unowanzo torwa nguva dzose kwemwedzi mitatu kusvika mitanhatu . Mushonga wacho unotanga wawedzerwa wozodzikira zvishoma nezvishoma. Kana mushonga ukamiswa kamwe kamwe kana kuti mushonga wacho ukaderedzwa nekukurumidza, zviratidzo zvinogona kudzoka. Izvi zvinonyanya kuitika kana mushonga weprednisone ukaderedzwa kusvika pasi pe20 milligrams pazuva.

Mune zvimwe zviitiko zvisina kunyanya kuoma (COP), chirwere ichi chinogona kupera pasina mushonga .

Zvisinei, kana zviratidzo zveCOPD zvikaramba zviripo, kana kuti kana migumisiro yemishonga yecorticosteroid yakaoma kutsungirira, chiremba wako anogona kukupa mamwe marapirwo. Semuenzaniso, mishonga inochengetedza steroid yakaita seazathioprine kana mishonga ine chepfu yakaita secyclophosphamide inogona kupihwa kwenguva pfupi.

Njodzi yekurwara (COP) inogona kuderedzwa here?

Hapana chatingaita kuderedza njodzi yekubatwa neCOPD. Nekuti chikonzero chaicho hachizivikanwe, hapana nzira yekudzivirira. Zvisinei, unogona kuziva nezvezviratidzo izvi. Kana zviratidzo zvikaonekwa, unogona kutsvaga rubatsiro rwechiremba nekukurumidza uye kutanga kurapwa kana zvichidikanwa . Zvakakosha zvikuru kuongorora chirwere uye kutanga kurapwa nekukurumidza.

Chii chinoitika kana (COP) ikasarapwa?

Kana chirwere cheCOPD chikasarapwa, chinogona kukonzera kukuvara kukuru kumapapu . Kuzvimba kuri kuramba kuripo kunogona kukonzera mavanga emapapu, izvo zvinogona kukanganisa mashandiro emapapu zvachose. Saka, zvakakosha kutsvaga kurapwa kana uine zviratidzo.

Chii chiri tarisiro yemunhu ane chirwere (COP)?

Musazvidya moyo. Vanhu vazhinji vane Cryptogenic Organizing Pneumonia (COP) vanopora nekukurumidza uye zvachose . Vanhu vanosvika 50% vane zvirwere zvishoma vanopora vasina kurapwa. Vanhu vanosvika 80% vanorapwa nemishonga yecorticosteroid vanopora zvachose .

Zvisinei, dzimwe nguva zviratidzo zveCOPD zvinogona kudzoka (kudzokera shure) . Kunyangwe zvakadaro, hapana chekunetseka nazvo. Zviratidzo zvinowanzo dzorwa uye zvinorapwa kana corticosteroids yatangazve. Vanhu vanopora kubva kuCOPD vanowanzo rarama hupenyu hurefu, hwakazara.

Ndingazvitarisira sei kana ndine chirwere (COP)?

Kana uchifunga kuti une zviratidzo zveCOPD, enda kuna chiremba nekukurumidza . Kutanga kurapwa nekukurumidza kunogona kuderedza mikana yekuti chirwere ichi chidzoke zvakare mune ramangwana uye kuderedza kukuvara kwemapapu ako.

Kana chiremba wako akakupa mishonga ye corticosteroid yekurapa COPD yako, iva nechokwadi chekuzivisa chiremba wako kana ukasangana nemigumisiro yakaipa. Anogona kugadzirisa dose kana kupa imwe nzira. Zvakakosha kutora mushonga wako sezvawakaudzwa nachiremba wako uye kutevera nenguva.

Mharidzo Yekuenda Nayo Kumba

Cryptogenic Organizing Pneumonia (COP) chirwere chisingawanzoitiki chemapapu chinogona kukonzera kuzvimba uye mavanga mumapapu. Zviratidzo zvikuru kukosora uye kuoma kufema. Yeuka, ichi hachisi chirwere chinowanzo pararira chepneumonia.

• Nyatsocherechedza zviratidzo: Iva nechokwadi chekuona chiremba, kunyanya kana uine chikosoro chakaoma chinogara kwemavhiki kana pahuro panorwadza kana wakaneta.
• Kune mishonga: Izvi zvinonyanya kurapwa nemushonga unonzi corticosteroids. Dzimwe nyaya dzisina kunyanya kuoma dzinogona kutopora pasina mushonga.
• Kupora kwakanyanya: Vanhu vazhinji vanopora zvachose kubva mudambudziko iri. Zvisinei, dzimwe nguva zviratidzo zvinogona kudzoka. Kunyangwe zvakadaro, zvinogona kudzorwa nekurapwa.

Saka, ndinovimba ruzivo urwu ruchakubatsira. Chinhu chakakosha ndechekuziva nezvemuviri wako nehutano hwako.

Cryptogenic Kuronga Pneumonia, COP, chirwere chemapapu, chirwere chekufema, kukosora, kupfupika kwemweya, corticosteroids, pneumonia