Une kukosora kwakaoma kunogara kwenguva refu kwave kuchiitika kwemazuva, pamwe mavhiki? Unowana zvakaoma kufema here, kunyangwe uchifamba daro diki, uchiita mabasa epamba, kana kukwira masitepisi? Kazhinji, tinoramba zvinhu izvi tichiti "idzihwa chete." Asi dzimwe nguva, shure kwezviratidzo izvi, panogona kunge paine chirwere chemapapu chatisati tanzwa zvakawanda nezvacho, asi chatinofanira kunetseka nacho. Nhasi, tiri kutaura nezvechimwe chirwere chakadai, NSIP, kana Nonspecific Interstitial Pneumonia.
Zvichitaurwa zviri nyore, chii chinonzi NSIP (Nonspecific Interstitial Pneumonia)?
Kunyange zvazvo zita racho ringaita serakaoma zvishoma, ngatirichengetedzei riri nyore. NSIP kuzvimbawo kwemapapu. Asi zvakasiyana zvishoma nepneumonia yatinowanzo kunzwa nezvayo.
Funga nezvemapapu ako senhengo inoumbwa nemamiriyoni ezvikwama zvidiki zvemhepo zvakaita semazambiringa (alveoli). Patinofema, okisijeni inopinda mumapapu uye inopinda muropa kuburikidza neaya maalveoli. MuNSIP, kuzvimba hakuitiki mualveoli pachayo, asi munzvimbo dziri pakati pawo nematishu akakomberedza mitsipa yeropa . Izvi ndizvo zvatinodaidza kuti "interstitial lung disease".
Dambudziko iri rinowanzoonekwa kuvanhu vane chirwere che connective tissue disease (CTD). Rinogonawo kusanganiswa nedzimwe zvirwere. Kusiyana ne pneumonia, iyo inowanzopera mumazuva mashoma, rinogona kugara kwenguva yakareba uye dzimwe nguva rinogona kukonzera mavanga ekusingaperi mumapapu.
Kune mhando mbiri huru dzeNSIPs.
Vanachiremba vanopatsanura NSIP mumhando mbiri huru, zvichienderana nerudzi rwekukuvara kwemapapu. Zvakakosha kuti uzive mhando mbiri idzi, nekuti kurapwa uye kufanotaura chirwere kunoenderana nerudzi rwechirwere.
| Rudzi rweNSIP | Tsananguro iri nyore |
|---|---|
| NSIP yenharembozha | Chinoitika apa ndechekuti masero ari pakati pemasagi emhepo atataura kare anozvimba. Izvi zvinoreva kuti masero iwayo anozvimba. Urwu ndirwo rudzi rwuri nani pane marudzi maviri eNSIP, uye runopindura zvakanaka pakurapwa.Inogona kurapwa zvizere nekurapwa kwakakodzera. |
| NSIP yeFibrotic | Muizvi, nyama yemapapu inokora, yakaoma, uye ine mavanga. Tinoidaidza kuti fibrosis . Ichi chirwere chakakomba , nekuti mavanga anoitika haagone kuchinjwa. Zvisinei, nekurapwa, mwero wekuitika kwemavanga aya unogona kudzorwa. |
Izvi zvakasiyana here nepneumonia yenguva dzose?
Ehe, zvechokwadi. Zvakakosha zvikuru kunzwisisa musiyano uyu.
- Pneumonia: Uku kuzvimba kwemasagi emhepo (masagi akaita semazambiringa) mumapapu . Anogona kuzadza neuturu kana mvura. Izvi zvinowanzokonzerwa nehutachiona hwebhakitiriya kana hwehutachiona.
- Mapundu emukati memapapu (seNSIP): Muizvi, kuzvimba kunoitika munzvimbo dziri pakati pemasagi emhepo. Izvi zvinoreva kuti chimiro nechimiro chemapapu zvinokuvadzwa. Kazhinji, chikonzero chaicho cheNSIP hachiwanikwe.
Chimwe chinhu ndechekuti, `Usual Interstitial Pneumonia (UIP)` izita rinoshandiswa pachirwere ichi `Idiopathic Pulmonary Fibrosis (IPF).` IPF chirwere chisingadzoreki, chakakomba chinokonzera mavanga mumapapu. Zvisinei, NSIP, kunyanya Cellular NSIP, inogona kurapwa nekurapwa. Saka, musavhiringidza zvinhu zviviri izvi.
Ndezvipi zviratidzo zveNSIP?
Zviratidzo zveNSIP zvingasanyanya kuonekwa pakutanga uye zvinogona kuwedzera zvishoma nezvishoma nekufamba kwenguva. Zvakakosha kuti uzive nezvezviratidzo izvi.
- Kukosora kwakaoma: Ichi ndicho chiratidzo chikuru uye chinowanzoonekwa. Kukosora kunoramba kuchiitika uye kusina manyoka.
- Kushaya mweya: Pakutanga, zvinogona kunzwika panguva yekurovedza muviri kana kufamba nekukurumidza. Zvisinei, sezvo chirwere ichi chichienderera mberi, zvinogona kuoma kufema kunyangwe kana wangomira wakamira.
- Kufema zvine simba: Kunzwa sekunge unofanira kushanda nesimba kuti ufeme.
- Kuneta: Kunzwa kuneta uye kuneta kunyangwe usina kuita basa.
- Zvigunwe zvakakomberedzwa: Izvi hazviwanzoitiki, asi vamwe vanhu vanogona kunge vaine zvigunwe zvakatenderera uye kuzvimba zvakakomberedza nzara.
Kana uine zviratidzo izvi, kunyanya kukosora kwakaoma uye kushaya mweya, kwemavhiki akati wandei kana zvichiwedzera kuipa, ndapota usazviregeredza woona chiremba.
Chii chinokonzera NSIP? Ndezvipi zvinhu zvinokonzera njodzi?
Kutaura chokwadi, nyanzvi hadzisati dzaziva kuti chii chinokonzera NSIP. Asi kana ukatarisa vanhu vane chirwere ichi, vanoona kuti vane zvimwe zvirwere. Izvi zvinoreva kuti kunyange zvisiri zvechokwadi kuti zvirwere izvi zvinokonzera NSIP, pane hukama hwakasimba pakati pavo.
Zvinhu zvinotevera zvinowedzera njodzi yekubatwa neNSIP.
| Chinhu chine njodzi | Tsananguro |
|---|---|
| Murume kana Mukadzi uye zera | Chirwere ichi chinowanzoonekwa pakati pevakadzi vane makore ari pakati pe40 ne50 . |
| Matambudziko ekubatana kwetishu | Iyi ndiyo link huru neNSIP. Idzi izvirwere zve autoimmune umo masoja emuviri anorwisa nhengo dzawo. Mienzaniso inosanganisira Rheumatoid Arthritis , Lupus , uye Scleroderma (chirwere chinoita kuti ganda rikure). |
| Utachiona hwehutachiona | Zvimwe zvirwere zvehutachiona zvinogonawo kusanganisirwa. Mienzaniso: HIV neHepatitis . |
| Maitiro kune mimwe mishonga | Mimwe mishonga inogona kukonzerawo kukuvara kwemapapu semhedzisiro. Izvi zvinonzi "drug-induced interstitial pneumonia". Mienzaniso inosanganisira chemotherapy yekenza, radiation therapy, uye mimwe mishonga yezvirwere zvemwoyo. |
Chiremba anoongorora sei chirwere ichi?
Paunoenda kuna chiremba, anotanga anyatsoteerera zviratidzo zvako. Unofanirawo kuudza chiremba nezvezvimwe zvirwere zvaunazvo nemishonga yauri kutora. Zvadaro, acharaira bvunzo dzinoverengeka kuti aone kana chirwere chacho chiripo.
- Kuongororwa kwebasa remapapu: Izvi zvinosanganisira kukuisa muchina unoyera kuti mapapu ako anogona kutora mweya wakawanda sei uye kuti unogona kufema nekukurumidza sei.
- X-ray yechipfuva: Izvi zvinobatsira kunzwisisa kana paine zvinhu zvisina kumira zvakanaka mumapapu.
- Kuongororwa kweCT (Computed Tomography scan): Izvi zvinogona kuburitsa mifananidzo yakajeka, ine mativi matatu kupfuura X-ray. Kuongororwa kweCT scan kwakakosha kuti uone nemazvo huwandu hwekukuvara kwemapapu uye hunhu hwawo (sero kana kuti fibrotic).
- Bronchoscopy: Chubhu diki ine chiedza ine kamera inopfuudzwa nemumuromo kana mumhino ichipinda mumapapu kuti iongorore mukati menzira dzekufema. Kana zvichidikanwa, sampuli yemasero inogona kutorwa kuti iongororwe.
- Kuongororwa kwemuviri: Iyi ndiyo nzira yakanakisisa yekusimbisa chirwere ichi 100%. Muizvi, kanyama kadiki kanobviswa mumapapu kachiongororwa nemaikorosikopu.
Ndeapi marapirwo eNSIP?
Vanachiremba vane zvinangwa zviviri zvikuru pakurapa NSIP: Chimwe ndechekuderedza kuzvimba mumapapu. Chimwe ndechekudzora chero zvirwere (zvakaita searthritis) zvinogona kukonzera NSIP.
Muzviitiko zvakakomba, mamwe marapirwo anoshandiswawo kusimbisa mapapu uye kupa muviri mweya unodiwa.
- Mishonga:
- Corticosteroids dzakadai sePrednisolone: Iyi mishonga yemhando yesteroid inoderedza kuzvimba nekukurumidza.
- Mishonga inodzvinyirira masoja emuviri: Mishonga yakaita se `Azathioprine`, `Cyclophosphamide`, uye `Mycophenolate` inoshanda nekudzora mashandiro emasoja emuviri uye kumisa kukuvadza mapapu awo.
- Mishonga inorwisa maronda emudumbu: Mishonga yakaita se'Pirfenidone' ne'Nintedanib' inoshandiswa kuvanhu vane Fibrotic NSIP. Iyi inoderedza maronda mumapapu.
- Rituximab: Uyu mushonga we "biologic" unoshandiswa pakurapa zvirwere zve connective tishu.
- Mamwe Marapirwo:
- Kugadziriswa kwemapapu: Iyi ipurogiramu yakakosha yekurovedza muviri uye yekupa mazano inobatsira kugadzirisa matambudziko ekufema nekusimbisa muviri.
- Kurapa neokisijeni: Okisijeni inopiwa kuburikidza nechubhu kune avo vane okisijeni shoma muropa.
- Kuisirwa mapapu: Iyi ndiyo sarudzo yekupedzisira inofungwa nezvevaya vane chirwere chakanyanya kushata vakakundikana mimwe mishonga yese.
Hupenyu huchava hwakaita sei nechirwere ichi?
Mhinduro yemubvunzo uyu inoenderana zvakananga nerudzi rweNSIP yaunayo.
Tariro yemunhu ane cellular NSIP yakanaka kwazvo . Kana akarapwa zvakanaka, anogona kupora zvizere. Mwero wekurarama kwemakore mashanu ungangoita 100%. Zvisinei, uchafanirwa kutora mishonga uchitarisirwa nachiremba kwemwedzi yakati wandei.
Mu fibrotic NSIP , kukuvara kwemapapu hakugadzirisiki . Mavanga acho anogara aripo. Saka izvi zvakakomba. Asi musazvidya mwoyo. Kurapwa kunogona kunonotsa kufambira mberi kwechirwere uye kuramba uchirarama. Zvidzidzo zvinoratidza kuti vanhu vanogona kurarama avhareji yemakore matanhatu kusvika gumi nemana mushure mekuonekwa kuti vane chirwere ichi.
Mibvunzo ipi yandinofanira kubvunza chiremba?
Kana wakamboonekwa uine NSIP, zvakajairika kuva nemibvunzo yakawanda mupfungwa dzako. Paunoenda kunoona chiremba wako, usakanganwa kubvunza mibvunzo iyi.
- Pane chikonzero chaicho here chinoita kuti ndive nechirwere ichi?
- Ndine rudzii rwezvirwere zveCellular kana Fibrotic?
- Ndezvipi zvirongwa zvekurapa zvakandinakira?
- Pane migumisiro yakaipa here pakurapa uku?
- Pane mukana wakadini wekuti chirwere ichi chiwedzere kuipa nekufamba kwenguva?
- Ndingaderedza here kukuvara kwemapapu?
- Ndezvipi zvinhu zvandinofanira kungwarira zvakanyanya muhupenyu hwangu hwezuva nezuva uye zvekudya nekunwa?
- Ndinofanira kuona chiremba zvakare rini?
Kubvunza mibvunzo yakaita seiyi uye kunzwisisa mamiriro ako ezvinhu kuchakubatsira zvikuru kutsigira kurapwa kwako.
Mharidzo Yekuenda Nayo Kumba
- NSIP haisi pneumonia yakajairika chete. Idambudziko rinokanganisa nyama iri pakati pemabhegi emhepo emapapu.
- Kukosora kwakaoma nguva dzose uye kushaya mweya panguva yekurovedza muviri ndizvo zviratidzo zvikuru. Usazvifuratira.
- Kune mhando mbiri huru dzeNSIP: Cellular (inorapika) uye Fibrotic (yakakomba, asi inogoneka).
- Kana uine chirwere che connective tissue (semuenzaniso arthritis), nyatso cherechedza zviratidzo zvine chekuita nemapapu ako.
- Zvakakosha kuona chiremba ane hunyanzvi nekukurumidza kuti unyatsoongororwa uye kurapwa. Tevedzera mirairo yachiremba nemazvo.
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