Utachiona uhu husinganzwisisike hunokanganisawo mapapu ako here? (NTM Lung Disease) Ngatikurukurei zvakadzama!

Wakambonzwa nezverudzi rwebhakitiriya rinonzi `Nontuberculous Mycobacteria` (NTM) rinokonzera chirwere chemapapu here? Izvi hazviwanzoitiki, zvichireva kuti harisi chirwere chinowanikwa nemunhu wese. Zvichitaurwa zviri nyore, chirwere ichi chinonzi NTM lung disease chinoitika kana utachiona uhu hunonzi NTM hukapinda mumapapu edu huchikonzera hutachiona ipapo. Pamwe zita iri inyaya itsva kwauri, asi usazvidya mwoyo, tichataura nezvazvo zvakadzama nhasi, muchiSinhala chaunogona kunzwisisa.

Chii chinonzi chirwere ichi chemapapu cheNTM? Pane mhando dzacho here?

Zvakanaka, ngationei kuti chirwere ichi chemapapu cheNTM chii, uye kana paine mhando dzakasiyana dzacho. Ichi chirwere chinongobata mapapu chete. Tinoona mhando mbiri huru dzeizvi:

1. Nodular bronchiectasis: Iyi ndiyo mhando yechirwere ichi inonyanya kuzivikanwa uye haina kunyanya kuomarara . Kunyanya, inyaya yekuti mapundu madiki (zvipundu zvidiki) anokura mumapapu, zvichiita kuti bronchi ikure (bronchiectasis). Dambudziko iri rinowanzoitika kuvakadzi vapedza kuenda kumwedzi (kureva, avo vakarega kuenda kumwedzi) nevasingasvuti . Kunyangwe iri diki, inogona kukonzera matambudziko kana ikasarapwa.

2. Chirwere chemapapu cheCavitary NTM: Ichi chirwere chakakomba kupfuura cherudzi rwekare. Chinoratidzwa nekukura zvishoma nezvishoma kwemakomba, kana maburi, munyama yemapapu ako. Funga nezvacho senzvimbo diki, dzisina chinhu mumapapu ako. Sezvo izvi zvichienderera mberi, kufema kunowedzera kuoma uye kunogona kutungamira kukundikana kufema . Rudzi urwu rwakajairika muvanoputa fodya, avo vakamboputa fodya kwemakore mazhinji, kana avo vane zvimwe zvirwere zvemapapu, zvakaita se emphysema .

Saka chii ichi chinonzi NTM?

Zvino ungave uchishamisika kuti rudzii rwebhakitiriya reNTM. `Nontuberculous mycobacteria` (NTM) imhuri yemabhakitiriya anokura zvishoma nezvishoma, zvichireva kuti haawande uye haakurumidze kukura. Anowanikwa munzvimbo yedu zvinoshamisa. Semuenzaniso, mabhakitiriya aya anogona kuwanikwa muvhu, mumvura (nzizi, nzizi, kunyangwe mumvura yepombi), uye muguruva . ​​Saka, hazvigoneke kuti tisunungurwe zvachose kubva maari.

Chimwe chinhu chakakosha nezvemabhakitiriya aya eNTM ndechekuti haapindi mishonga inouraya utachiona . Pamusoro pezvo, mabhakitiriya aya eNTM ane kugona kukuru kwekutsungirira kupisa kwakanyanya kunouraya mamwe marudzi emabhakitiriya. Izvi zvinoreva kuti haafe kunyangwe ukangoageza mumvura inopisa.

Kukomba kwehutachiona uhwu, kurapwa kwahwo, uye mwero wekupora zvinotsanangurwa nezvinhu zviviri zvikuru. Chimwe ndechekuti,Nderupi rudzi rwebhakitiriya (`strain`) rinokonzera hutachiona? Chimwe ndechekuti chirwere ichi ndeche `nodular bronchiectatic` yambotaurwa kana kuti `cavitary` . Kunyangwe paine mhando dzakawanda dzebhakitiriya mumhuri yeNTM, kune mhando dzakawanda dzinokonzera hutachiona hwemapapu muvanhu:

• Mycobacterium avium complex (MAC): Munyika dzakadai seUnited States, zvirwere zvemapapu zveNTM zvinowanzokonzerwa neboka iri remabhakitiriya.
• Mycobacterium abscessus: Iyi imhando yebhakitiriya yakaoma uye yakaoma kurapa.
• `Mycobacterium kansasii`: Iyi imwe mhando.

Ndiani ane mukana mukuru wekuwana chirwere chemapapu cheNTM?

Havasi vanhu vese vanorwara nehutachiona hweNTM. Zvisinei, vamwe vanhu vane mukana mukuru wekuwana chirwere ichi, kana kuti vari panjodzi huru . Kureva kuti, vanhu vane zvimwe zvirwere zvinogona kukonzera chirwere ichi vanogona kuchibatwa. Kunyanya, kana uine zvimwe zvirwere zvemapapu, une mukana mukuru wekuwana hutachiona hweNTM mumapapu. Heano mamwe maitiro ekufunga nezvawo:

• Mapundu anodzokororwa: Vamwe vanhu vanobatwa nezvirwere zvemapapu nguva nenguva. Izvi zvinonyanya kuitika kune vanhu vane zvirwere zvakaita se 'aspirate pneumonia', apo zvinhu zvatinofema (sechikafu nechinwiwa) zvinogona kupinda mumapapu edu zvotapukirwa .
• Asthma: Ichi chirwere chinowanzoitikawo kuvanhu vazhinji. Asthma inoita kuti nzira dzekufema dziri mumapapu dzive nyore, zvichiita kuti dzibatwe nezvirwere zveNTM.
• Bronchiectasis: Izvi zvinonzi ndizvo zvinonyanya kukonzera chirwere chemapapu cheNTM. Muizvi, bronchi ( nzira dzekufema) mumapapu dzinowedzera kukura, dzakakura, uye madziro awo anoshaya simba. Izvi zvinoita kuti zvive nyore kuti madzihwa abatirire, zvichiita kuti mabhakitiriya akure zvakanaka.
• Chirwere chemapapu chinogara kwenguva refu (COPD): Ichi chirwere chemapapu chisingaperi chinowanzoonekwa nevanhu vanosvuta.
• Cystic fibrosis: Ichi chirwere chinokonzerwa nemajini. Chinokonzerawo kuti madzihwa aungane mumapapu, zvichikonzera hutachiona.
• Kenza yemapapu: Nekuti mapapu emunhu ane kenza yemapapu haana simba, hutachiona hwakaita seNTM hunogona kukura zviri nyore.
• Chifuva (TB): Vanhu vakamborwara nechirwere cheTB uye vakakuvara mapapu avo vari panjodzi yekubatwa nechirwere cheNTM.

Pamusoro pezvo, kana uine makore anopfuura makumi matanhatu nemashanu ekuberekwa , kana uine chero chirwere chinopedza simba remuviri wako (semuenzaniso, hutachiona hweHIV / AIDS , rheumatoid arthritis - chirwere chinokonzera kuzvimba kwemajoini,Kana uine chirwere cheSjögren's (chinokonzera zviratidzo zvakaita semaziso akaoma nemuromo), kana kuti kana ukatora mishonga inodzvinyirira masoja emuviri (semuenzaniso, chemotherapy , mishonga inofema yecorticosteroids yezvirwere zvakaita seasthma), uri panjodzi yakakura yekuva nechirwere chemapapu cheNTM.

Ndezvipi zviratidzo zvechirwere chemapapu cheNTM?

Zvakanaka, ngationei zviratidzo zvinoonekwa kana chirwere ichi chemapapu cheNTM chikatanga. Chiratidzo chikuru chinowanzoonekwa kukosora . Kukosora uku hakusi kungofanana nekukosora kunouya nedzihwa. Ndekwekuti:

• Zvinogona kugara kwenguva refu . Izvi zvinoreva kuti zvinogona kugara kwemavhiki kana mwedzi.
• Dzimwe nguva, kana uchikosora, unogona kutoburitsa ropa shoma pamwe chete nemadzihwa . Izvi zvinonzi `hemoptysis' mukurapa.
• Kukosora kunogona kukura zvekuti haugone kurara husiku. Unogona kumuka uine kukosora wakarara.
• Matehwe akakora, pamwe ane ruvara rutsvuku anogona kubuda .

Pamusoro pekukosora uku, pane zvimwe zviratidzo zvinogona kuitika. Haasi munhu wese achava nezviratidzo izvi zvese, asi unogona kunge uine zvimwe zvezvi:

• Kurwadziwa pachipfuva: Unganzwa kurwadziwa pachipfuva chako paunofema kana kukosora.
• Kuneta/kuneta zvakanyanya: Kwete kuneta chete, asi kunzwa seusingabatsiri zvisinei nezvaunoita.
• Kushaya chido chekudya: Kurasikirwa nechido chekudya.
• Fivha yakaderera ine kusagadzikana: Haisi fivha yakanyanya, asi tembiricha yemuviri inoramba yakakwira.
• Kudikitira husiku: Unomuka uchidikitira muviri wese paunenge wakarara.
• Zvirwere zvekufema zvinowanzoitika: Zvirwere zvakaita sepneumonia zvinoitika mwedzi mishoma yega yega.
• Kutadza kufema zvakanaka (dyspnea): Kutadza kufema zvakanaka kunyangwe uchiita basa zvishoma kana kukwira masitepisi.
• Kudzikira uremu kusingatsananguriki: Kudzikira uremu kamwe kamwe pasina kudya zvishoma.
• Kurira kwekufema kana uchifema: Kurira kwemuridzo kunonzwika kubva pachipfuva.

Chinhu chakakosha ndechekuona chiremba kana uine zviratidzo izvi, kunyanya kukosora kusingaperi.

Chirwere chemapapu cheNTM chinotapukira here?

Uyu mubvunzo unobvunzwa nevanhu vazhinji uye vanoda kuziva. Kutaura zvazviri, mabhakitiriya eNTM haawanzo kutapuriranwa kubva kune mumwe munhu kuenda kune mumwe. Izvi zvinoreva kuti kana ukataura nemunhu ane NTM pneumonia kana kunwa kubva mukapu yaakanwa, hauzoibatwe nayo. Saka, parizvino zvinogamuchirwa kuti ichi hachisi chirwere chinotapuriranwa .

Zvisinei, pane chimwe chinhu. Pakati pevanhu vane chirwere chemajini chinonzi "cystic fibrosis", mamwe hutachiona (vaongorori vachiri kuongorora kana hutachiona hweNTM huri pakati pavo) hahuna kupararira zvakanyanya. Zvisinei, pakati pevanhuwo zvavo, hapana chikonzero chekutya kupararira kwechirwere chemapapu cheNTM.

Chirwere chemapapu cheNTM chinoonekwa sei nemazvo?

Sezvatakambotaura, kuongorora chirwere chemapapu cheNTM kunogona kuoma nekuti zviratidzo zvacho hazvisi zvega. Kureva kuti, zvakafanana zvikuru nezvimwe zvirwere zvemapapu zvakajairika (semuenzaniso, pneumonia, TB, bronchitis).

Kuti uongorore chirwere ichi, zvinhu zvitatu zvinofanira kuzadzikiswa:

1. Kuvapo kwezviratidzo: Zviratidzo zvakaita sekukosora kwambotaurwa uye kufema zvakaoma.

2. Kuchinja kweX-ray yechipfuva kana CT scan: Kuongororwa uku kunotsvaga mapundu, maburi, kana bronchiectasis mumapapu.

3. Kukura kwebhakitiriya reNTM mumuenzaniso wesputum: Sputum yaunokosora (inogona kusanganiswa nemate) inotorwa yoedzwa murabhoritari kuti ione kana mabhakitiriya eNTM aripo uye achikura mairi.

Kana uine hutachiona, kuziva kuti rudzii rwebhakitiriya reNTM riri kukonzera chirwere ichi kwakakosha pakurapwa.

Mimwe yemiedzo yakaitwa pakuita izvi ndeiyi:

• Kuongororwa kwemuviri: Chiremba achakubvunza nezvezviratidzo zvako uye achateerera chipfuva chako ne stethoscope.
• Zvidzidzo zvemifananidzo: X-ray yechipfuva kana CT scan yekuongorora shanduko munyama yemapapu. CT scan inogona kupa mufananidzo wakajeka kupfuura X-ray.
• Kukura kwemapute: Iyi ndiyo bvunzo inonyanya kukosha. Chekutanga mangwanani, usati wakwesha mazino ako, uchafanirwa kukosora mapute akawanda woaisa mubhodhoro rakakosha. Kuti uwedzere kururama kwebvunzo, uchafanirwa kupa sampuro kwemazuva akati wandei (kazhinji kwemazuva matatu). Dzimwe nguva, kana usingakwanise kukosora mapute zvakanaka, chiremba wako anogona kutora sampuro kubva munzira diki dzemhepo dziri mumapapu ako achishandisa nzira inonzi bronchoscopy . Nyanzvi yacho ichaongorora sampuro yacho pasi pemaikorosikopu uye ichaona mabhakitiriya.
• Kuongororwa kwemapapu: Izvi hazviitwe nemunhu wese. Kana pasina mhedziso yakajeka kubva pakuongororwa kwemapute kana mimwe miedzo, kana paine fungidziro yechimwe chirwere, kanyama kadiki kanotorwa kubva mumapapu koongororwa.

Ndezvipi zvimwe zvaunofanira kuziva nezvebvunzo dzeNTM?

Pane chimwe chinhu chakakosha chekuziva nezvekuongororwa kweNTM. Vanhu vazhinji vane chirwere ichi kwemakore vasati vaonekwa kuti vane chirwere ichi.Chirwere ichi chemapapu cheNTM chinogona kuvapo. Nekuti zviratidzo zvinoonekwa zvishoma nezvishoma, vamwe vanhu havachiteereri. Kana uine chirwere ichi kwenguva yakareba, kukuvara kwakawanda kumapapu ako uye njodzi yako yekusangana nematambudziko inowedzera.

Kana uri kutorapwa chimwe chirwere chemapapu (semuenzaniso asthma, COPD), asi zviratidzo zvako (zvakadai sekukosora, kushaya mweya) zviri kuramba zvichiwedzera, unogona kubatsirwa nekuongororwa hutachiona hweNTM. Iva nechokwadi chekuudza chiremba wako nezvazvo.

Kutarisirwa kwakanakisisa kwechirwere ichi kunobva kuna vanachiremba vane ruzivo rwakasiyana-siyana uye vane ruzivo rwakadzama muchirwere ichi. Semuenzaniso , vanachiremba vemapapu uye vanachiremba vezvirwere zvinotapukira .

Chirwere chemapapu cheNTM chinorapwa sei?

Zvakanaka, ngatitaurei nezvekurapa kweizvi. Kurapa kwakakunakira kunoenderana nezvinhu zvishoma. Izvi zvinosanganisira rudzi rwebhakitiriya reNTM riri kukonzera hutachiona hwako, rudzi rwechirwere chemapapu cheNTM chaunacho (nodular bronchiectatic kana cavitary) , uye nhoroondo yehutano hwako hwese uye mamiriro ehutano hwako pari zvino .

Kazhinji, mushonga mukuru weizvi mishonga inorwisa mabhakitiriya . Asi uyu hausi mushonga waunotora kwemazuva manomwe kana masere wozorega. Mishonga iyi inorwisa mabhakitiriya inofanira kutorwa nguva dzose kwemwedzi yakati wandei, dzimwe nguva gore kana kupfuura . Kazhinji, haisi mushonga mumwe chete unorwisa mabhakitiriya, asi mhando mbiri kana nhatu dzemishonga inorwisa mabhakitiriya dzinofanira kutorwa pamwe chete .

Muzviitiko zvakakomba zvechirwere ichi, zvichireva kuti mapapu akakuvara zvakanyanya uye maburi aita maburi, dzimwe nguva kuvhiyiwa kunogona kudiwa kubvisa tishu yemapapu ine hutachiona. Zvisinei, izvi hazviitwe kune wese munhu. Kana mishonga inorwisa mabhakitiriya isingadzore chirwere chako zvakanaka, kana kuti kana usingakwanise kutsungirira migumisiro yemishonga inorwisa mabhakitiriya, vanachiremba vanowanzofunga nezvekuvhiyiwa. Vanhu vane hutachiona hweMycobacterium avium complex (MAC) dzimwe nguva vanogona kubuda ropa mumapapu nekuda kwehutachiona uhwu. Muzviitiko zvakadaro, kuvhiyiwa kunogona kudiwa kuti ropa rimire kubuda.

Pane migumisiro yakaipa here yekurapwa neNTM?

Ehe, uyu mubvunzo unokoshawo. Kutora mishonga inorwisa mabhakitiriya kwenguva yakareba, kureva kuti, kwemwedzi yakati wandei, kunogona kukonzera mimwe migumisiro yakaipa . Migumisiro yakaipa inowanzoonekwa ndeiyi:

• Kurutsa uye kuda kurutsa
• Manyoka (kurwadziwa kwemudumbu)
• Kuda kudya
• Marwadzo emudumbu

Pamusoro pezvo, mamwe maantibiotic (haasi ese) anogona kukonzera shanduko dzekunzwa (senge kusanzwa zvakanaka), shanduko dzekuona (senge kusaona zvakanaka), kukuvara kwechiropa, uye mapundu eganda.Zvinhu zvakadaro hazviwanzoitika.

Usazvidya moyo! Chiremba wako achakuzivisa nezvemigumisiro iyi. Uyewo, panguva yekurapwa, kuongororwa kweropa rako, kuongororwa kwemaziso, uye kuongororwa kwekunzwa zvichaitwa nguva nenguva kuti zvionekwe kana paine migumisiro iyi.

Matambudziko aya anogona kuita kuti zviomere kuita mabasa ezuva nezuva. Zvisinei, kana uchiomerwa nekuramba uchirapwa, iva nechokwadi chekuudza chiremba wako. Chiremba wako anogona kukwanisa kuchinja dose, kunyora mushonga wakasiyana, kana kushandisa dzimwe nzira dzekugadzirisa migumisiro yakaipa. Usamborega kutora mishonga inorwisa mabhakitiriya usina kutaura nachiremba wako. Kuita izvi kunogona kukonzera kuti mabhakitiriya asarambe achirapwa nemishonga, izvo zvinogona kuita kuti mamiriro ako ezvinhu awedzere kuipa.

Chirwere chemapapu cheNTM chinogona kudzivirirwa here?

Sezvatakambotaura, zvakaoma kudzivirira zvachose kusangana nemabhakitiriya eNTM nekuti aripo munzvimbo yedu. Zvisinei, pane zvimwe zvinhu zviri nyore zvaunogona kuita kuderedza njodzi yako yekubatwa nehutachiona hweNTM mumapapu:

• Gara uine hutsanana hwakanaka: Kugeza maoko ako zvakanaka nesipo nemvura nguva dzose kunogona kubatsira kudzora kupararira kwehutachiona hwakaita semabhakitiriya eNTM. Zvinoderedzawo mukana wekuva nehutachiona kana ukange wabatwa nehutachiona.
• Baiwa majekiseni: Zvakakosha kuti uwane jekiseni refuruu gore rega rega uye jekiseni repneumonia sezvakarairwa nachiremba wako. Nekuti kana ukawana furuu kana pneumonia, kupora kubva kuchirwere chemapapu cheNTM kunogona kuoma uye mapapu ako anogona kutopera simba.
• Rega kusvuta fodya zvachose: Kusvuta fodya kunokuvadza mapapu zvakanyanya. Kunowedzera njodzi yezvirwere zvemapapu nehutachiona hwakaita seNTM. Kana uri munhu anosvuta fodya, kurega fodya ndicho chinhu chakanakisa chaunogona kuitira mapapu ako. Kana uchida rubatsiro neizvi, taura nachiremba.

Ramangwana revanhu vane chirwere chemapapu cheNTM rakaita sei?

Izvi zvinonyanya kuenderana nemamiriro emunhu wacho. Zvisinei, vanhu vazhinji, kunyanya avo vane chirwere che "non-cavitary" (chinoreva kuti chisina maburi mumapapu), vanopora zvachose. Mikana yako nekukurumidza kwekupora zvinoenderana nezvinhu zvakaita se:

• Rudzi rwechirwere chemapapu cheNTM chaunacho (semuenzaniso, nodular bronchiectasis kana cavitary?).
• Ndeupi rudzi rwebhakitiriya reNTM rakakonzera chirwere ichi? (Mamwe marudzi anopindura zviri nani kana akarapwa kupfuura mamwe.)
• Nhoroondo yako yehutano (yakadai sezvimwe zvirwere, masoja emuviri, nezvimwewo).
• Kana uchigona kushivirira kurapwa kwenguva refu kwemishonga inorwisa mabhakitiriya (dambudziko kana uchifanira kurega mushonga nekuda kwemigumisiro yakaipa).
• Uchawanawo mishonga chaiyo inorwisa mabhakitiriya, yakakodzera chirwere chako uye rudzi rwebhakitiriya.
• Kana uine bronchiectasis, kugona kwako uye kuda kwako kuita mishonga yekubvisa mweya (sekuita maekisesaizi ekubvisa madzihwa) zvakakosha.

Zvakakosha: Kunyangwe kurapwa kukabudirira, vamwe vanhu vanogona kudzoka kwechirwere chemapapu cheNTM kamwe chete kana kupfuura . Saka, zvakakosha kuziva zviratidzo uye kutevedzera mirairo yachiremba wako.

Chii chakakosha kana uchirarama nechirwere chemapapu cheNTM?

Kurarama nehutachiona hwemapapu hunokonzerwa nebhakitiriya reNTM dzimwe nguva kunogona kuoma. Zvisinei, kune zvimwe zvinhu zviri nyore uye zvinoshanda zvaunogona kuita kuti urambe uine hutano hwakanaka uye wakasununguka sezvinobvira:

• Dzivisa hunyoro nemhepo inopisa: Mabhakitiriya eNTM anokura munzvimbo dzine hunyoro. Saka, dzivisa kushandisa machubhu anopisa, maspa, uye masauna zvakanyanya sezvinobvira. Kana uri mukicheni kana muimba yekugezera, kana mhepo inopisa ikawanda, vhura feni yekufema / feni yekubudisa mweya. Paunenge uchigeza, usasiye mvura ichiyerera kwenguva yakareba uye zadza imba yekugezera nemhepo inopisa.
• Idya chikafu chine hutano: Kudya kwako kwakaringana uye kune hutano kuchapa muviri wako simba nezvinovaka muviri zvinodiwa kurwisa hutachiona. Isa mapuroteni akawanda (hove, nyama, mazai, mukaka, nzungu), zvinwiwa (mvura, soup, muto wemichero), uye miriwo nemichero mukudya kwako.
• Ita maekisesaizi anokurudzirwa nachiremba wako: Mabasa emuviri akareruka (akadai sekufamba netsoka) anogona kusunungura madzihwa mumapapu ako uye kuita kuti zvive nyore kukosora. Anogonawo kuvandudza simba rako nekutsungirira. Zvisinei, bvunza chiremba wako kana nyanzvi yezvekurovedza muviri nezvemaekisesaizi akakunakira.
• Pfeka chifukidziro chechiso kana zvichidikanwa: Sezvo mabhakitiriya eNTM achigona kugara muguruva nevhu, kupfeka chifukidziro chechiso paunenge uchishanyira nzvimbo dzakadai semakwenzi matsva akachekwa, nzvimbo dzichangogadzirwa, mapurazi, nenzvimbo dzine guruva kunogona kubatsira kuderedza kusangana neNTM kusvika pamwero wakati.

Ngatiendesei meseji iyi kumba.

Zvakanaka, saka tataura zvakawanda nezvechirwere chemapapu cheNTM. Mukupedzisa, hezvino zvimwe zvezvinhu zvakakosha zvaunofanira kurangarira:

Chirwere chemapapu cheNTM chirwere chemapapu chinokonzerwa nerudzi rwebhakitiriya (`Nontuberculous Mycobacteria`) rinokura zvishoma nezvishoma munzvimbo yatinogara, senge ivhu nemvura. Vanhu vane zvimwe zvirwere zvemapapu (kunyanya `Bronchiectasis`) nevaya vane masoja ekudzivirira muviri asina simba vane mukana wekuwana chirwere ichi.

Zvinogona kuoma kuongorora nekurapa, sezvo zviratidzo zvakafanana nezvimwe zvirwere zvemapapu uye kurapwa kunogona kutora nguva yakareba. Zvisinei,Vanhu vazhinji vanopora zvizere kana vakarapwa zvakanaka uye vachipiwa mazano.

Kana uine chirwere ichi, kana kuti uchifunga kuti uri panjodzi yekuchibata, kudzivirira hunyoro, kuchengetedza hutsanana hwakanaka, uye, kana zvichidikanwa, kupfeka chifukidziro chemaziso paunenge uchienda panze munzvimbo dzine guruva kunogona kubatsira zvikuru.

Chinhu chinonyanya kukosha ndechekuti kana uine zviratidzo zvakaita sekukosora kusingaperi, manyoka ane ropa, kufema kushoma, kana kudzikira uremu zvisina tsarukano, usangozvitora sezvinhu zvisina tsarukano, asi enda kuna chiremba ane hunyanzvi nekukurumidza kuti akupe mazano. Usazvidya moyo, kana ukaongororwa zvakanaka uye kurapwa, chirwere ichi chinogona kudzorwa zvakanaka. Hausi wega, uye vanachiremba varipo kuti vakubatsire.

Chirwere chemapapu cheNTM , Nontuberculous mycobacteria, hutachiona hwemapapu, mabhakitiriya, chirwere chekufema, kukosora, mishonga inorwisa mabhakitiriya