Mapapu ako anonzwawo here kana paine allergies? Ngatitaurei nezve (Hypersensitivity Pneumonitis)!

Dzimwe nguva unombonetseka kufema here, kana kungokosora? Pamwe mapapu ako anonzwa guruva kana chakuvhuvhu kubasa kwako kana kumba. Ndiyo mhando yedambudziko ratiri kuda kutaura nezvaro nhasi, rinonzi "Hypersensitivity Pneumonitis". Usazvidya moyo, ngatitaurei nezvazvo zviri nyore.

Chii ichi chinonzi `(Hypersensitivity Pneumonitis)`? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, Hypersensitivity Pneumonitis idambudziko rinokonzerwa ne allergy kune tunhu tudiki twemhepo mumapapu ako (tunonziwo alveoli). Sezvo miviri yedu dzimwe nguva ichipindura kune chimwe chinhu chinotikuvadza, mapapu edu anopindurawo kune zvimwe zvinhu. Zviratidzo izvi zvinogona kungoerekana zvaitika (zvakanyanya) zvobva zvapera nekukurumidza, kana kuti zvinogona kukura nekufamba kwenguva zvova zvisingaperi .

Iye zvino wava kufunga kuti, "Oh... izvi zvakafanana here neallergy kune guruva kana pollen?" Kwete chaizvo. Hypersensitivity pneumonitis rudzi rwakasiyana rwemhinduro yekudzivirira muviri pane allergy yakajairika. Kusiyana neallergy yakajairika inokonzera mhino dzinoyerera, maziso anokwenya, uye asthma, iyi inyaya apo kugara uchiona allergen kakawanda kunogona kukonzera kukuvara kwemapapu zvachose. Saka ichi chinhu chekungwarira.

Chirwere chepfungwa chinogara kwenguva refu chinonzi Chronic Hypersensitivity ( chirwere chemapapu chinopararira kuburikidza nemapapu ). Nekufamba kwenguva, izvi zvinogona kukonzera mavanga mumapapu.

Ndiani ane mukana mukuru wekuwana chirwere chePneumonitis chinonzi Hypersensitivity?

Kunyangwe chirwere ichi chichigona kuitika kune chero munhu, vanhu vanoshanda mune mamwe mabasa uye vanowanzosangana nezvinhu zvinokonzera allergies vari panjodzi yakakura zvishoma. Ona kana uri panjodzi:

• Vanhu vanoshanda mumapurazi: sevaya vanochengeta mombe nekurima miriwo. Dzimwe nguva nekuti vanogara vachisangana nezvinhu zvakaita sehuswa neguruva.
• Vanhu vanoshanda nemhuka: Vanachiremba vemhuka, vanhu vanorera mhuka dzakadai seshiri, huku, nezvimwewo. Nekuda kwezvinhu zvakaita seminhenga yeshiri neminhenga.
• Vanhu vanoshanda munzvimbo dzinogayiwa kana kugayiwa hupfu: munzvimbo dzakaita semigodhi yemupunga munyika medu.
• Vanhu vanoshanda mumafekitori ekucheka matanda nekucheka matanda.
• Vanhu vari munzvimbo dzinogadzira madziro nepepa.
• Vashandi vesimbi.
• Vanhu vanobatwa netsvina yeshiri neminhenga: Kushandisa mapillow nematiresi ane minhenga kunogonawo kuva chikonzero cheizvi.
• Vanhu vanofema zvinhu zvinokonzera allergies kubva kuma humidifiers asina kuchengetwa zvakanaka, masisitimu ekudziyisa ne air conditioning, kana ma hot tubs.
• Kazhinji pakati pemakore makumi mashanu nemakumi manomwe.

Fungidzira, mune dzimwe dzimba, shiri dzakadai semaparrot dzinovaka matendere. Kana matendere iwayo asina kucheneswa zvakanaka, dambudziko iri rinogonawo kukonzerwa nekufema guruva nemupunga unobuda maari.

Hypersensitivity Pneumonitis chirwere chakakomba here?

Ehe, `(Hypersensitivity Pneumonitis)` chirwere chinogona dzimwe nguva kuva chakakomba . Nekuti, kana ukaramba uchisangana neallergen, kuzvimba mumapapu kunogona kukonzera kukuvara zvachose. Saka, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika kana uine zviratidzo.

Izvi zvinokanganisa sei muviri wedu? (Hypersensitivity Pneumonitis)

Kana uine ``Hypersensitivity Pneumonitis'', muviri wako unopindura zvakanyanya kune zvimwe zvidimbu zvidiki (zvatinoti izvi ``allergens'') zvaunofema. Zvirwere izvi zvinowanzobva kubasa kwako kana kumba kwako. Zvikamu izvi zvidiki zvekuti zvinogona kupinda mumasagi madiki emhepo (alveoli) mumapapu ako zvokonzera kuzvimba ikoko.

Paunotanga kupindura kune allergen, masoja emuviri wako anogadzira makemikari anozviziva. Zvadaro, paunosangana neallergen kakawanda, muviri wako unova nehanya zvakanyanya uye unotanga kuita zvakanyanya. Nekufamba kwenguva, izvi zvinokuvadza ma air sacs (alveoli) netunzira tudiki twemhepo tunobatanidza maari. Ndizvo zvinokonzera zviratidzo zvakaita sekuoma kufema nekukosora.

Ndezvipi zviratidzo zve `(Hypersensitivity Pneumonitis)`?

Zviratidzo izvi zvinogona kuva zvekukurumidza kana zvenguva refu.

Zviratidzo zve "acute `(Hypersensitivity Pneumonitis)`:

Zviratidzo izvi zvinowanzoonekwa mukati memaawa mashoma mushure mekusangana neallergen uye zvinogona kugara kwemaawa akati wandei kana mazuva.

• Kuoma kufema (dyspnea)
• Kukosora kwakaoma
• Kubata chifuva, kunzwa sekunge chakavharika
• Kutonhora
• Kuneta kwakanyanya
• Kupindwa nechando
• Kurwadziwa kwemuviri, kurwadziwa kwemhasuru

Zvinoita sekunge ndine fivha. Muviri wangu unobva watanga kurema.

Zviratidzo zveChronic Hypersensitivity Pneumonitis:

Zviratidzo izvi zvinoonekwa zvishoma nezvishoma, zvichiwedzera zvishoma nezvishoma nekufamba kwenguva.

• Kuoma kufema, kunyanya kana wakaneta kana kurovedza muviri
• Kukosora (zvichida nephlegm)
• Kuneta
• Kuderedza huremu
• Zvigunwe kana zvigunwe zvakakura (Clubbing) - Izvi hazviitiki kune wese munhu.

Unonzwa sei kana uine `(Hypersensitivity Pneumonitis)`?

Chirwere che "Acute `(Hypersensitivity Pneumonitis)` chinganzwa sechikosoro. Chirwere che "(Hypersensitivity Pneumonitis)" chisingarapiki chinogona kuoma kuziva nekuti chinokura zvishoma nezvishoma. Ungangoona kuti, "Zvinoita sekunge ndiri kunetseka kufema kupfuura kare," "Kukosora kwangu nekuneta zviri kuwedzera."

Chii chinokonzera hypersensitivity pneumonitis?

Chikonzero chikuru chechirwere chepneumonia kushushikana kufema zvinhu (allergens) zvinokonzera allergy mumapapu. Nekufamba kwenguva, izvi zvinogona kukuvadza mapapu uye kuita kuti zviratidzo zviwedzere kuipa. Zvinhu zvinopfuura mazana matatu zvakaonekwa kuti zvinokonzera allergy pneumonitis. Izvi zvinosanganisira:

• Mabhakitiriya
• Mafuru nefungus: Izvi zvinowanikwa pamadziro ekare, mudzimba dzekugezera, uye mumakamuri eAC asina kucheneswa zvakanaka.
• Mamwe makemikari nesimbi.
• Mapuroteni emhuka nemiti: Semuenzaniso, mapuroteni anowanikwa muminhenga yeshiri netsvina yemhuka.

Mimwe mienzaniso ye `(Hypersensitivity Pneumonitis)`:

Kune mazita akasiyana emhando dze "Hypersensitivity Pneumonitis" inokonzerwa nezvinhu zvakasiyana-siyana zvinokonzera allergy. Semuenzaniso:

• Mapapu emurimi: Anokonzerwa nefungus inowanikwa muzvinhu zvakaita sehuswa nezviyo.
• Mapapu eBird Fancier: Anokonzerwa nemapuroteni anowanikwa muminhenga yeshiri neminhenga.
• Humidifier Lung: Inokonzerwa nemabhakitiriya nefungi zvinoburitswa kubva muhumidifiers dzisina kucheneswa zvakanaka uye mayuniti eAC.

Ko COVID-19 inokonzera Hypersensitivity Pneumonitis here?

Zvinoenderana neruzivo rwuripo, `(COVID-19)` haisiriyo chikonzero chakananga che`(Hypersensitivity Pneumonitis)`. Zvisinei, `(COVID-19)` inogona kukonzera kuzvimba kwemapapu, izvo dzimwe nguva zvinogona kutaridzika se`(Hypersensitivity Pneumonitis)`. Panewo humbowo hwekuti kana munhu ane `(Hypersensitivity Pneumonitis)` atova ne`(COVID-19)`, chirwere ichocho chingave chakanyanya kuipa.

Hypersensitivity Pneumonitis inoonekwa sei?

Chiremba achaongorora chirwere cheHypersensitivity Pneumonitis zvichienderana nezviratidzo zvako, ruzivo nezvebasa rako, nzvimbo yaunogara, bvunzo yemuviri, uye mimwe miedzo yakati wandei. Chiremba achakubvunza mibvunzo kuti anzwisise kuti ndeapi maallergens aunosangana nawo.

Chiremba achateerera mapapu ako achishandisa stethoscope, achatarisa huwandu hweokisijeni yako nechinhu chidiki ('pulse oximeter') chinoiswa pamunwe wako, uye anogonawo kuita bvunzo dzekushanda kwemapapu, bvunzo dzeropa, kana bvunzo dzemifananidzo.

Ndezvipi zviedzo zvinoshandiswa kuongorora `(Hypersensitivity Pneumonitis)`?

Kuti asimbise chirwere ichi, chiremba anogona kuita bvunzo dzinotevera:

• Kuongororwa kweropa rine allergy: Ropa diki rinotorwa kubva paruoko rwako kuti uone kana muviri wako une allergy inokonzera Hypersensitivity Pneumonitis. Izvi dzimwe nguva zvinonzi Hypersensitivity Pneumonitis panel.
• Kuongororwa kwemifananidzo: Kuongororwa kwechipfuva neCT scan kunotora mifananidzo yemapapu kuti vaone kana paine kukuvara.
• Kuongororwa kwebasa remapapu: Izvi zvinowanzo sanganisira kufema mukati nekubuda nepachubhu yakabatana nemuchina. Zvinogona kuyera kuti mapapu ako ari kushanda zvakanaka sei. Zvinogonawo kusanganisira kuongororwa kweropa uye bvunzo dzekurovedza muviri.
• Bronchoscopy: Mubvunzo uyu, chubhu diki, inochinjika (ine kamera) inopinzwa nepamhino kana muromo kuti ione mukati memapapu. Kana zvichidikanwa, sampuro dzinogona kutorwa kuti dziongororwe.

Hypersensitivity Pneumonitis inorapwa sei?

Kuti ubudirire kurapa Hypersensitivity Pneumonitis, chinhu chakakosha ndechekudzivisa zvachose allergy yauri kurwara nayo.

Kunyangwe nemishonga, kana ukaramba uchisangana neallergen, chirwere hachizorapiki zvachose. Kukuvadzwa kunokonzerwa ne "Hypersensitivity Pneumonitis" yenguva refu kunogona kuramba kuchiwedzera, kunyangwe ukasasangana neallergen.

Chiremba wako anogona kukupa mishonga yekuderedza kuzvimba mumapapu ako, kuvhura nzira dzekufema, kana kuwedzera mwero weokisijeni mumuviri wako.

Ndeipi mishonga/mishonga inoshandiswa pakurapa `(Hypersensitivity Pneumonitis)`?

• Corticosteroids kana mishonga inodzvinyirira immune system: Iyi inoderedza kuzvimba. Semuenzaniso, mishonga yakaita seprednisone, mycophenolate, kana azathioprine inogona kupihwa.
• Mishonga inorwisa fibrosis: Semuenzaniso, pirfenidone nenintedanib. Iyi inoderedza mwero wemavanga emapapu.
• Kurapwa kwemapapu: Kurovedza muviri nekurovedza muviri zvinobatsira kuti kufema kuve nyore.
• Kurapa neokisijeni: Kana uine chirwere chepneumonia chinokonzerwa nekusagadzikana kwakanyanya, ungangoda kupihwa okisijeni yekuwedzera kuti ropa rako nenyama yako zviwane okisijeni yakakwana. Izvi zvinogona kupihwa kuburikidza nemasiki inoiswa pamusoro pechiso chako kana chubhu inoiswa mumhino dzako.
• Kuisirwa mapapu: Kana chirwere chako chePneumonitis chikawedzera kuita pulmonary fibrosis , ungangoda kuisirwa mapapu.

Ndichanzwa zviri nani kwenguva yakareba sei mushure mekurapwa?

Kuzvimba kunokonzerwa neHypersensitivity Pneumonitis kunogona kutora mwedzi yakati wandei kuti mapapu apore. Kumwe kukuvara kunogona kuva kwechigarire.

Ko Hypersensitivity Pneumonitis inogona kurapwa zvizere here?

Chirwere chepneumonia chisingaperi chinowanzova chakaoma kurapa zvachose. Zvisinei, chirwere chepneumonia chinokurumidza uye chenguva pfupi (chenguva pfupi) chinogona kurapwa nemishonga kana pasina kana ukadzivisa zvachose allergen.

Ungazvidzivirira sei kubva ku `(Hypersensitivity Pneumonitis)`?

Kukuvadzwa kunokonzerwa nechirwere chepfungwa chinonzi `(Hypersensitivity Pneumonitis)` hakugone kuchinjwa. Saka, chinhu chakanakisa chekuita ndechekugara kure nezvinhu zvinokonzera kuzvimba mumapapu. Kana uchifanira kuva munzvimbo yakadaro, unogona kuita zvinhu izvi kuderedza njodzi yako:

• Kana uchishanda mubasa rine njodzi (kushanda nesimbi, kushanda neshiri kana dzimwe mhuka, kushanda nematanda, bepa, zviyo, nezvimwewo), pfeka zvishandiso zvekudzivirira muviri (PPE) paunenge uchishanda. Kunyanya shandisa mask inosefa zvidimbu zvidiki.
• Chengeta zvinhu zvinonyorovesa humidifiers, ma hot tub, ma heating uye ma cooler systems zvakachena uye zviri mumamiriro akanaka.
• Dzivisa kushandisa mapillow nematiresi ane minhenga.
• Chengeta nzvimbo dzezvipfuyo zvako (kunyanya makeji eshiri) dzakachena. Pfeka chifukidziro chemaziso paunenge uchichichenesa.

Chii chaungatarisira kana uine `(Hypersensitivity Pneumonitis)`?

Zvaungatarisira zvinoenderana nekuti wava nenguva yakareba sei uine chirwere chePneumonitis chinonzi Hypersensitivity uye kuti chakanyanya sei.

• "Hypersensitivity Pneumonitis" inowanzopera mukati memazuva mashoma, kunze kwekunge munhu wacho asangana neallergen zvakare.
• Subacute ``Hypersensitivity Pneumonitis`` (inokonzerwa nekugara uchisangana neallergen) inogona kugara kwemwedzi yakati wandei uye inowanzo rapwa nemishonga.
• Chirwere chepfungwa chisingaperi (Chronic Hypersensitivity) kazhinji hachipore zvachose, asi zviratidzo zvinogona kudzorwa nemishonga.

Matambudziko e `(Hypersensitivity Pneumonitis)`

Kuramba uchisangana neallergen inokonzera Hypersensitivity Pneumonitis kunogona kukonzera matambudziko akakomba, anosanganisira:

• Mavanga mumapapu (pulmonary fibrosis)
• Kukwira kweropa pakati pemwoyo nemapapu (pulmonary BP)

Chii chiri kutarisira chirwere ichi chinonzi `(Hypersensitivity Pneumonitis)`?

Maonero echirwere chepneumonia chisingaperi chinoenderana nekukura kwekukuvara kwemapapu ako. Tsvagiridzo inoratidza kuti kana mapapu ako asina mavanga, unogona kufambira mberi zvakanyanya mukati megore rekuongororwa. Vanhu vane mavanga mumapapu avo vari panjodzi yekufa nechirwere chepneumonia chinokonzerwa nehypersensitivity mukati memakore mashoma kana vakasaisirwa mapapu. Izvi zvinganzwika zvinotyisa, asi zvakakosha kuziva ruzivo urwu.

Munhu ane `(Hypersensitivity Pneumonitis)` anotarisirwa kurarama kwenguva yakareba sei?

Izvi zvinoenderanawo nekuoma kwekukuvara kwemapapu. Kuisirwa mapapu kunogona kuwedzera nguva idzi.

• Kune munhu asina mavanga (asina fibrosis): Anotarisira kurarama kwemakore anopfuura gumi nemashanu mushure mekuonekwa kuti ane chirwere ichi.
• Kune munhu ane mavanga asi asina kumwe kukuvara kwemapapu (semuenzaniso, kugadzira uchi):Makore angangoita masere mushure mekuongororwa chirwere ichi.
• Kune munhu akakuvara zvakanyanya - mavanga uye `kukwenya huchi`: makore angangoita matatu mushure mekuonekwa kuti ane chirwere ichi.

Usavhunduke nenhamba idzi. Aya ndiwo mamiriro ezvinhu akajairika. Izvi zvinogona kusiyana kubva pamunhu kusvika pamunhu. Chinhu chakakosha kutevedzera mazano echiremba.

Ndingazvitarisira sei ne `(Hypersensitivity Pneumonitis)`?

Kana wakamboonekwa uine chirwere cheHypersensitivity Pneumonitis, shanda nachiremba wako kuti mugadzire hurongwa hwekuderedza kukuvara kwakanyanya kumapapu ako. Tora mishonga yese sezvawakarairwa. Bvunza chiremba wako nezvemaekisesaizi nemaekisesaizi ekufema aunogona kuita kumba kuti uvandudze mashandiro emapapu ako.

Ndirini pandinofanira kuona chiremba nezve `(Hypersensitivity Pneumonitis)`?

Kana uine zviratidzo zve `(Hypersensitivity Pneumonitis)`, enda kuna chiremba nekukasika. Kana watova ne `(Hypersensitivity Pneumonitis)`, enda kuna chiremba kana ukatanga zviratidzo zvitsva kana kana zviratidzo zvako zvikawedzera.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

• Chii chakakonzera kuti ndive ne `(Hypersensitivity Pneumonitis)`?
• Ndingadzivisa sei zvinhu zvinokonzera allergy mumuviri wangu?
• Mapapu angu akakuvara here? Akaipa zvakadii?
• Mamiriro ezvinhu aya anogona kugadziriswa here?
• Ndinofanira kushandisa mushonga uyu sei?
• Zvichatora nguva yakareba sei kuti ndipore?
• Ndinofanira kuuya kuzokuonai zvakare riini?

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Hypersensitivity pneumonitis chirwere chinogona kukonzera kukuvara kukuru kumapapu mushure mekusangana neallergen kakawanda. Zvisinei, kana chikaonekwa nekukurumidza, kutenderera uku kunogona kumiswa kukuvara kusati kwaitika. Kana uine zviratidzo zvemapapu zvinoramba zviripo, zvakakosha kuona chiremba nekukasika.

Kana wakamboonekwa uine chirwere cheHypersensitivity Pneumonitis, taura nachiremba wako chokwadi nezvekukomba kwechirwere chako. Izvi zvichakubatsira kugadzira hurongwa hwezvaunotarisira uye maitiro ekuvandudza kufema kwako uye mararamiro ako. Usanetseke, chirwere ichi chinogona kugadziriswa nekurapwa kwakakodzera uye shanduko dzemararamiro.

Kunzwa kwakanyanya kwechirwere chepneumonia, allergy yemapapu, chirwere chekufema, kukosora kusingaperi, kunetseka kufema, allergy, pneumonia