Dzimwe nguva unongonzwa dzihwa, kukosora, uye kuoma kufema, handiti? Zvinova nani mumazuva maviri kana matatu. Asi kana izvi zvikaramba zvichiitika, kunyanya kana zviratidzo izvi zvikawedzera paunoenda kumba kwako kana kubasa, zvingasava zvakajairika. Nhasi tiri kutaura nezvechirwere chinogona kunge chakakomba zvishoma, asi chisingazivikanwe nevanhu vazhinji. Icho chinonzi Hypersensitivity Pneumonitis, kana kuti HP muchidimbu.
Zvichitaurwa zviri nyore, chii chinonzi Hypersensitivity Pneumonitis (HP)?
Hypersensitivity Pneumonitis (HP), kutaura chokwadi, iallergy inokanganisa mapapu edu. Asi izvi hazvina kufanana neallergy yatinowanzoziva kune mukume kana guruva. Chinoitika apa ndechekuti tumasagi tudiki twemhepo (alveoli) mumapapu edu tunobatwa zvakanyanya netunhu tudiki (twatinoti allergens) twatinofema. Izvi zvinokonzera kuzvimba, kana kuzvimba , mumasagi iwayo emhepo.
Zviratidzo izvi zvinogona kungoerekana zvaitika (zvakakomba) zvopera nekukurumidza, kana kuti zvinogona kuwedzera zvishoma nezvishoma nekufamba kwenguva zvoramba zviripo (zvisingaperi).
Izvi zvakasiyana sei nechirwere che allergy chakajairika?
Fungidzira, kana uine allergy nekuda kweguruva, unowana mhino inoyerera uye kuhotsira. Asi neHP, zvakasiyana. Patinoramba tichisangana nezvinhu zvinokonzera izvi, ndiko kuti, patinozvifema, mapapu edu anogona kukuvara zvachose . Nekufamba kwenguva, mavanga anogona kutoitika mumapapu. Tinodaidza chirwere ichi kuti ' interstitial lung disease '. Saka hazvina kunaka kufunga nezvazvo seallergy yakajairika.
Ndiani ari panjodzi huru yekubatwa nechirwere chepfungwa chinonzi Hypersensitivity Pneumonitis?
Kunyangwe chirwere ichi chichigona kubata chero munhu, vanhu vanoshanda mune mamwe mabasa uye vanogara munzvimbo dzakasiyana-siyana vari panjodzi huru nekuti vanogara vachifema tunhu tunokonzera chirwere ichi. Ngationei kuti ndivanaani.
| Boka renjodzi | Tsananguro iri nyore |
|---|---|
| Vanhu vanoshanda mumapurazi | Vanhu vanogara vachisangana nezvinhu zvakaita semombe, miriwo, huswa, nezviyo vanogona kufema chakuvhuvhu nemabhakitiriya. |
| Vanhu vanoshanda nemhuka | Vanachiremba vemhuka, vanhu vanochengeta shiri kana huku, uye vanhu vanochenesa matanga eshiri vanogona kufema zvidimbu zvinobva mumarara eshiri neminhenga. |
| Vagadziri vematanda nevehuni | Kufema guruva rehuni nezvinomera pahuni. |
| Vanhu vanoshanda muindasitiri yesimbi | Kufema zvidimbu zvidiki zvemakemikari zvinoburitswa panguva yekugadzirisa simbi. |
| Nzvimbo yemukati | Kufema chakuvhuvhu nemabhakitiriya kubva kuma humidifiers asina kuchengetwa zvakanaka, masisitimu eAC, ma hot tubs, nezvimwewo. Kushandisa mapillow nematiresi akagadzirwa neminhenga yeshiri kunewo njodzi. |
| Zera | Kazhinji kacho chinowanzoitika kuvanhu vane makore ari pakati pe50 ne70. |
Chinhu chakakosha ndechekuti, chirwere ichi chinoitika kana masoja emuviri wako akanyanya "kunzwa" chimwe chinhu. Havasi murimi wese kana murimi weshiri anova nechirwere ichi.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zvechirwere cheHP zvinogona kuuya nenzira mbiri huru. Chimwe zviratidzo zvinokurumidza uye chimwe zviratidzo zvenguva refu .
| HP yakasimba | HP Isingaperi |
|---|---|
| Zviratidzo izvi zvinoonekwa mumaawa mashoma mushure mekusangana nechinhu chinokanganisa muviri uye zvinopera mukati memazuva mashoma. Zvinogona kunzwa sedzihwa. | |
| - Kutadza kufema zvakanaka (dyspnea) | - Kushaya mweya wekufema kana uchirovedza muviri kana kuti uchiita maekisesaizi |
| - Kukosora kwakaoma | - Kukosora kunogara kwenguva refu |
| - Kunzwa kubatwa muchipfuva | - Kuneta kwakanyanya |
| - Kunzwa kutonhorera, kudedera | - Kuderedza uremu pasina chikonzero |
| - Kupindwa nechando | - Kurova minwe |
| - Kurwadziwa kwemuviri | |
Chirwere cheHP chisingaperi chinokura zvishoma nezvishoma, saka ungasakwanisa kuchiona pakutanga. Chinhu chekutanga chaungaona ndechekuti "Ndinonzwa kuneta pandinokwira masitepisi mashoma ikozvino kupfuura kare."
Nzira yekuziva sei chirwere ichi?
Kana uine zviratidzo izvi, chiremba wako achatanga akubvunza nezvebasa rako, zvinhu zvaunofarira,, ichakubvunza mibvunzo yakawanda nezvenzvimbo yako yekumba. Izvi zvichakupa pfungwa yezvaungave uine allergy nazvo. Zvadaro, chiremba achateerera mapapu ako ne stethoscope uye achatarisa huwandu hweokisijeni yako nekubatanidza mudziyo wakaita se clip pamunwe wako ('pulse oximeter').
Pamusoro pezvo, bvunzo dzakadai dzinogona kuitwa kuti dzisimbise chirwere nemazvo.
- Kuongororwa kweropa rine allergy: Kuongororwa kwakakosha ('hypersensitivity pneumonitis panel') kunogona kuitwa kuti kuonekwe kana paine ma antibodies ane chekuita neallergy iyi muropa rako.
- X-ray yechipfuva kana CT scan: Izvi zvinogona kuona zvakajeka kana paine kuzvimba, mavanga (fibrosis), kana kumwe kukuvara kumapapu.
- Kuongororwa kwebasa remapapu: Izvi zvinosanganisira bvunzo dzakasiyana-siyana dzinoyera kuti mapapu ako ari kushanda zvakanaka sei uye kuti mweya wakawanda sei waunogona kufema nekubudisa mweya.
- Bronchoscopy: Muizvi, chubhu ine kamera diki inopfuudzwa nemumhino kana mumuromo ichipinda mumapapu, uko mukati munoongororwa uye, kana zvichidikanwa, sampuli diki yenyama inotorwa kuti iongororwe.
Inorapwa sei?
Danho rekutanga uye rinokosha pakurapa chirwere ichi nderekuona zvinhu zvinokonzera chirwere ichi uye kudzivirira zvachose.
Kana ukaramba uchibatwa nacho, zvisinei kuti unotora mishonga ipi, chirwere chacho hachizorapiki zvachose. Muzviitiko zveChronic HP, kunyangwe ukasaita allergen, kukuvara kwemapapu kunogona kuramba kuchiwedzera.
Pamusoro pekudzivirira allergen, chiremba wako anogona kukupa mishonga yakaita seiyi.
| Nzira yekurapa | Tsananguro |
|---|---|
| Corticosteroids kana mishonga inodzvinyirira immune | Mishonga iyi inobatsira kuderedza kuzvimba mumapapu. Mienzaniso: `prednisone`, `mycophenolate`, `azathioprine`. |
| Mishonga inorwisa fibrosis | Izvi zvinobatsira kuderedza mwero wemavanga mumapapu. Mienzaniso: `pirfenidone`, `nintedanib`. |
| Kugadziriswa kwemapapu | Kurovedza muviri nekurovedza muviri zvinogona kubatsira kufema zviri nyore. |
| Kurapa neokisijeni | Kana chirwere chacho chakanyanya, okisijeni yekunze inopihwa kuti muviri uwane okisijeni inodiwa. |
| Kuisirwa mapapu | Kana chirwere chikanyanya kuipa uye mapapu akarega kushanda zvachose, kuisirwa mapapu kungava sarudzo yekupedzisira. |
Ungazvidzivirira sei kubva kuchirwere ichi?
Kukuvadzwa kwemapapu muchirwere cheHP chisingarapiki hakugadzirisiki, saka chinhu chakanakisa chekuita ndechekugara kure nezvinhu zvinokonzera allergy sezvinobvira.
- Kana ukaita mabasa ane njodzi (semuenzaniso kurima, kuveza matanda, kushanda neshiri), iva nechokwadi chekupfeka midziyo yekudzivirira (PPE) .
- Gara uchichengetedza humidifiers nemaAC system mumba mako zvakachena uye zviri mumamiriro akanaka.
- Dzivisa kushandisa mapillow, matiresi, uye magumbeze akagadzirwa neminhenga.
- Kana uine mhuka dzinovaraidza, kunyanya shiri, chengeta makeji adzo akachena. Pfeka chifukidziro chemaziso paunenge uchichenesa.
Kana wakatoonekwa uine HP, taura nachiremba wako uye ronga hurongwa hwekudzivirira kukuvara kwakanyanya kumapapu ako. Inwa mishonga yako nenguva. Bvunza nezvemaekisesaizi ekufema aunogona kuita kumba.
Mharidzo Yekuenda Nayo Kumba
- Kunzwa kwakanyanya kwechirwere chePneumonitis (HP) hachisi chirwere chinowanzoitika cheallergy. Chinogona kukonzera kukuvara kwemapapu ako zvachose .
- Chikonzero chikuru cheizvi kufema zvinhu zvakaita sechakuvhuvhu, mabhakitiriya, uye makemikari anobva kubasa kwako kana kumba.
- Kana uine zviratidzo zvakaita sekukosora kunogara kwenguva refu, kufema zvakaoma, kana kuneta, usazviregeredza wobva waona chiremba nekukasika .
- Mushonga wakanakisisa wechirwere ichi ndewekudzivirira zvachose chinokonzera chirwere chacho. Zvakaoma kuwana mushonga wakakwana nemishonga chete.
- Kana chirwere ichi chikaonekwa nekukurumidza, chinogona kudzorwa chisati chakuvadzwa zvakanyanya mumapapu.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga