Masifunde nge-pneumonia enzima echaphazela imiphunga yomibini (Bilateral Interstitial Pneumonia).

Ngaba wakha waba nomkhuhlane obangela ukuphefumla okunzima, ukukhwehlela okomileyo okungavelisi mngundo? Ngamanye amaxesha sicinga ukuba ngumkhuhlane nje oqhelekileyo okanye umkhuhlane, kodwa unokuba yinto enzulu ngakumbi. Namhlanje sithetha ngemeko ebizwa ngokuba yi-'Bilateral Interstitial Pneumonia ', echaphazela imiphunga yethu yomibini ngaxeshanye, ngakumbi xa kukho ubhubhane we-COVID-19 . Ungakhathazeki, masiyichaze ngokulula.

Kalula nje, iyintoni le meko?

Khawuthelekelele imiphunga yakho njengelungu elizele zizigidi zeengxowa zomoya ezincinci, ezinobukhulu beediliya ezincinci. Xa siphefumla, umoya uzalisa ezi ngxowa zomoya. Uthungelwano oluthambileyo lwezicubu ezijikeleze ezi ngxowa zomoya lubizwa ngokuba yi -interstitial tissue .

Ngoku, xa esi sicwili se-interstitial sidumba, sisulelekile , size sizaliswe lulwelo olufana nolwelo ngenxa yosulelo lwebhaktheriya okanye lwentsholongwane, silubiza ngokuba yi-'Interstitial Pneumonia. ' Igama elithi 'bilateral' lithetha 'kumacala omabini.' Oko kuthetha ukuba le meko ichaphazela imiphunga yakho yomibini ngaxeshanye .

Isizathu sokuba oku kube nzima kancinci kukuba xa izicubu ziqhubeka zisuleleka ngale ndlela, ngokuhamba kwexesha, amanxeba angapheliyo anokuvela kuloo zicubu. Kanye njengokuba inxeba eluswini lwethu liphola, kuvela amanxeba. Le manxeba abangela ukuba imiphunga ilahlekelwe bukuguquguquka kwayo, ityebe, kwaye yenze kube nzima kakhulu ukuphefumla ngokufanelekileyo. Ngamanye amaxesha le meko inokuba nzima ngokukhawuleza kwaye ikhokelele ekungakwazini ukuphefumla.

Unxibelelwano phakathi kwe-COVID-19 nesi sifo

Intsholongwane ye-COVID-19 ikwasasazeka ngamathontsi angena emoyeni xa umntu osulelekileyo ekhohlela okanye ethimla. Ngelixa uninzi lwabantu abafumana i-COVID-19 befumana iimpawu ezincinci ezifana nomkhuhlane oqhelekileyo, abanye abantu banokuba nengxaki enzima, enokuba yingozi ebizwa ngokuba yi-bilateral interstitial pneumonia.

Ziziphi iimpawu eziphambili zoku?

Iimpawu zesi sifo zifana kakhulu neempawu zesifo esibi se-COVID-19. Jonga ukuba unazo na ezi mpawu.

Ugqirha uyifumana njani kanye kanye le nto?

Xa usiya kugqirha, uza kukuhlola, akubuze ngeempawu zakho, aze akuyalele iimvavanyo ezininzi ukuze aqinisekise ukuba le meko ayibonakali.

• I-CT Scan: Olu luhlobo olunamandla lwe-X-ray. Ingathatha imifanekiso ecacileyo yemiphunga. Kwi-CT scans yabantu abanesifo, oogqirha banokubona amabala amhlophe emiphungeni abizwa ngokuba yi-"ground glass," abonakala njengeglasi enothuli. La mabala abonisa umonakalo kwizicubu zemiphunga.

• Uvavanyo Lokusebenza Kwemiphunga: Olu vavanyo lulinganisa indlela imiphunga yakho esebenza ngayo kunye nokuba ungakanani umoya onokuwuthatha nowukhuphayo. Usenokucelwa ukuba wenze izinto ezifana nokuvuthela umoya kwityhubhu ngokukhawuleza.

• I-Bronchoscopy: Kule nto, ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelweyo idluliselwa kwimiphunga yakho ngempumlo okanye emlonyeni, iindlela zomoya zihlanjwa ngesixa esincinci sesisombululo se-saline, kwaye ulwelo luyakhutshwa luze luhlolwe. Ulwelo luyajongwa ukuba luphezulu na inani leeseli ezimhlophe zegazi.

• I-Biopsy: Oku akuyomfuneko kuye wonke umntu. Nangona kunjalo, kwezinye iimeko, ngexesha lenkqubo ye-bronchoscopy ekhankanyiweyo apha ngasentla, iqhekeza elincinci kakhulu lesicubu semiphunga liyathathwa lize lihlolwe phantsi kwemakroskopu ukuqinisekisa ngakumbi ubungakanani bomonakalo wesicubu.

Zithini iindlela zonyango zoku?

Iindlela zonyango ziyahluka ngokuxhomekeke kwisizathu kunye nobunzima bemeko. Zonke ezi ndlela zonyango zimiselwa ngugqirha wakho.

• Amayeza okulwa neentsholongwane: Ukuba imeko ibangelwa lusulelo lwentsholongwane olufana ne-COVID-19, amayeza okulwa neentsholongwane anokunikwa ukuthintela ukuba isifo singabi mandundu. Umzekelo, amayeza afana ne- 'Paxlovid' okanye i-'Remdesivir' anikwa ngemithambo yegazi ayasetyenziswa.

• Unyango lwe-oksijini: Ukuba ukuphefumla kunzima, i-oksijini inikwa ngetyhubhu yempumlo okanye imaski. Ukuba imeko imbi kakhulu, ungangeniswa kwiYunithi yoNyango oluNgxamisekileyo (ETU) kwaye uqhagamshelwe kwi-ventilator .

• IiCorticosteroids: Amayeza e-steroid , anjenge-prednisone, anokunceda ukulawula ukudumba kunye nosulelo emiphungeni. Nangona kunjalo, awasebenzi kuwo wonke umntu, kwaye anokubangela iziphumo ebezingalindelekanga.

• Amayeza okuthintela amajoni omzimba: Ngamanye amaxesha kusetyenziswa amayeza athintela amajoni omzimba, anjenge- 'Azathioprine' kunye ne-'Mycophenolate mofetil'.

• Amayeza okulwa ne-fibrotic: Uyakhumbula xa sasisithi kukho amanxeba angapheliyo emiphungeni? Olu nxeba alunakuguqulwa. Nangona kunjalo, amayeza afana ne-`nintedanib (Ofev)` kunye ne-`pirfenidone (Esbriet)` anokunciphisa isantya apho la manxeba esenzeka khona kwaye ancede ukulawula ukuqhubela phambili kwesi sifo.

• Ezinye iindlela zonyango: Ukongeza koku, ukuvuselelwa kwemiphunga, okubandakanya ukuzilolonga ukuphefumla ukuze komelezwe imiphunga, kwaye ukuba akukho zinye iindlela zonyango eziphumelelayo, ukufakelwa imiphunga kunokuthathwa njengenyathelo lokugqibela.

Singazikhusela njani kwiimeko ezinje?

Sonke siyazi ukuba "kungcono ukuthintela isifo kunokusinyanga emva kokuba siphuhlile." Ngoko ke, qiniseka ukuba uyazilandela ezi zinto ukuze ugcine imiphunga yakho isempilweni.

• Kuphephe ukutshaya ngokupheleleyo. Ukuba uyatshaya, yeka namhlanje. Yeyona nto ilungileyo onokuyenza kwimiphunga yakho.
• Ukuthintela usulelo, hlamba izandla zakho kakuhle ngesepha namanzi ubuncinane imizuzwana engama-20.
• Gonyelwa i-COVID-19 kunye nezinye izifo ezinokuthintelwa ngugonyo ngexesha elifanelekileyo.
• Kuphephe ukuchukumisa amehlo, impumlo, nomlomo ngaphandle kokuhlamba izandla zakho.
• Xa kungekho ndlela yokuhlamba izandla, sebenzisa isicoci sezandla esine-60% yotywala ubuncinane.
• Hlala kude nabantu abagulayo.
• Ukuba uyagula, hlala ekhaya kangangoko unako kwaye ukhusele abanye, ngaphandle kokuba uye kubona ugqirha.