Ngaba kukho into engaqhelekanga eyenzekileyo emiphungeni yakho? Masithethe nge-Cryptogenic Organizing Pneumonia (COP)!

Ngaba ngamanye amaxesha uziva ngathi unomkhuhlane oqala njengomkhuhlane kwaye ungapholi kwiintsuku ezimbalwa? Emva koko uqala ukukhohlela kwaye ufumane kunzima ukuphefumla xa udiniwe kancinci? Usenokucinga ukuba lusulelo nje lwentsholongwane. Kodwa, oko akusoloko kunjalo. Namhlanje siza kuthetha ngemeko engaqhelekanga yemiphunga ekufuneka sonke siyiqaphele. Ibizwa ngokuba yiCryptogenic Organizing Pneumonia , okanye i-COP ngamafutshane.

Yintoni i-Cryptogenic Organizing Pneumonia (COP)? Masiyiqonde ngokulula!

Kulungile, ngoku makhe sijonge ukuba yintoni kanye kanye le meko yemiphunga ebizwa ngokuba yiCOPD. Ngamafutshane, yimeko echaphazela iingxowa zomoya ezincinci (i-alveoli) emiphungeni yethu - izakhiwo ezincinci ezifana nebhaluni apho ioksijini ingena khona kwaye i-carbon dioxide iphuma xa siphefumla - kunye neendlela zomoya ezincinci (iibronchioles) ezidibana nazo.

Okwenzekayo kule meko (COP) kukuba ezi ngxowa zomoya kunye neendlela zomoya ezincinci ziyavuvukala . Njengokuba xa sinenxeba kwindawo ethile emzimbeni wethu, liyavuvukala, libomvu, kwaye libuhlungu, kwenzeka into efanayo ngaphakathi emiphungeni. Kodwa oku akubangelwa ziintsholongwane okanye iintsholongwane ezifana ne-pneumonia eqhelekileyo. Oku kwahlukile.

Ekuhambeni kwexesha, oku kuqhubeka kokudumba kunokukhokelela ekuqhekekeni kwezicubu zemiphunga, nto leyo ethetha ukuba imiphunga ayiguquguquki kangako kwaye ayikwazi ukusebenza kakuhle.

Igama elithi "cryptogenic" lithetha "isizathu esingaziwayo." Oku kuthetha ukuba oogqirha abakayazi eyona nto ibangela le meko (COP). Yiyo loo nto igama elithi "idiopathic" ngamanye amaxesha lisetyenziswa kule meko, enentsingiselo efanayo.

Ngubani onokuba nethuba elingcono lokufumana le meko (COP)?

Le meko ibizwa ngokuba yi-(COP) inokukhula nakubani na. Izinto ezifana nesini, uhlanga, kunye nombala aziyichaphazeli. Nangona kunjalo, idla ngokubonakala kakhulu phakathi kwabantu abaneminyaka ephakathi kwama-40 nama-60. Enye into kukuba abantu abaninzi abafumana le meko (COP) abatshayi .

Kwakhona, ukuba unezifo ezithile zokudumba, umngcipheko wakho wokuba ne-COP unokwanda kancinci. Umzekelo:

• I-Lupus
• Irheumatoid arthritis
• I-Scleroderma
• Isifo sokugubhuka
• Isifo samathumbu esidumbileyo - iimeko ezifana nesifo sikaCrohn okanye i-ulcerative colitis.

Kodwa akuyonyani ukuba wonke umntu onesi sifo uza kuba ne-COP. Ezi zizinto ezinobungozi nje.

Ixhaphake kangakanani le meko?

Enyanisweni, i-COP yimeko engaqhelekanga kakhulu.Oku kuxelwa malunga nomntu omnye kwabathathu kwabayi-100,000 abalaliswe esibhedlele eMelika, ngoko ke akuqhelekanga ukuva ngako.

Yintoni isizathu sokusekwa kwe (COP)?

Njengoko besitshilo ngaphambili, i-COP yimeko ebizwa ngokuba yi-"cryptogenic" okanye "idiopathic." Oku kuthetha ukuba akukho sizathu sithile sifunyenweyo . Ngaphambi kokuba oogqirha baxilonge i-COP, baya kuhlola ngononophelo ukuba ezinye izizathu zeempawu zibangela iimpawu. Umzekelo, baya kujonga usulelo olufana neebhaktheriya, iintsholongwane, ifungi, okanye amayeza. Kuphela emva kokuba zonke ezi zinto zisusiwe apho baya kuyijonga i-COP njengesizathu esinokwenzeka.

Kukho ezinye iimeko zempilo ezinokunxulunyaniswa nesifo (COP). Oku kuthetha ukuba abantu abanezi meko banethuba eliphantsi lokukhula (COP).

• I-Lymphoma
• Amathumba emiphungeni
• Umhlaza wemiphunga
• Umhlaza wegazi - oko kukuthi, umhlaza onxulumene neeseli ezimhlophe zegazi okanye iiseli ezibomvu zegazi.

Zithini iimpawu zesifo (COP)?

Malunga nesiqingatha sabantu abane-COPD baqala ukuba neempawu ezifana nomkhuhlane , ezinokuhlala iiveki ezininzi.

• Ukugodola
• Ukukhwehlela okomileyo (ukukhwehlela okungenamveliso)
• Ukudinwa/ukungabi namandla
• Ukulahlekelwa ngumdla wokutya
• Ifiva
• Ukunciphisa umzimba ngendlela engachazekiyo
• Ukubila ebusuku

Emva koko, malunga ne-75% yabantu baqala ukuba nezi mpawu zilandelayo :

• Ukukhwehlela okungapheliyo
• Ukuphefumla kancinci/ukuphelelwa ngamandla ngenxa yokuzibhokoxa . Khawuthelekelele, awukwazi ukunyuka izinyuko njengoko ubusenza ngaphambili, kwaye uzive uphelelwa ngumphefumlo nokuba uhamba umgama omfutshane.

Kunqabile kakhulu, ezi mpawu zinokubonwa:

• Iintlungu zesifuba
• Imiphunga ewileyo / i-pneumothorax
• Ukukhohlela igazi
• Intlungu yamalungu
• Amanqanaba aphantsi eoksijini egazini lakho / kwi-hypoxemia

Eyona nto ibalulekileyo kukuba, ukuba unezi mpawu, ingakumbi ukukhwehlela okomileyo kunye nobunzima bokuphefumla obuhlala iiveki ezininzi, qiniseka ukuba ubonana nogqirha . Musa ukuhlala ekhaya nje kuphela.

Ifunyanwa njani i-Cryptogenic Organizing Pneumonia (COP)?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho kunye nembali yakho yezonyango. Emva koko baza kwenza uvavanyo lomzimba. Kubaluleke kakhulu ukumamela imiphunga nge-stethoscope. Xa umamela imiphunga yomntu one-COPD, unokuva isandi "esiqhekekayo", esifana nokuqhekeka kwegqabi elomileyo, okanye isandi "esivakala kancinci" xa uphefumla.

Okulandelayo, ugqirha kuya kufuneka akhuphe ezinye iimeko ezinokubangela ezi mpawu. Ngenxa yokuba ezi mpawu azikho kwi-COP, kufuneka zikhutshwe kwiimeko ezifana nezi:

• I-pneumonia eququzelelayo yesibini - Oku kunokubangelwa zizifo, amayeza, okanye iingxaki zokuzikhusela komzimba.
• I-pneumonia yebhaktiriya, ifungal, okanye intsholongwane.
• I-pneumonia engapheliyo ye-eosinophilic - Oku kukwanda kohlobo lweseli olubizwa ngokuba yi-eosinophilia emiphungeni.
• I-hypersensitivity pneumonitis – Ukudumba kwemiphunga okubangelwa kukunganyamezelani nento ethile ekwindawo engqongileyo.
• Ezinye izifo zemiphunga ezingapheliyo.
• I-lymphoma yemiphunga ephambili.

Yintoni umahluko phakathi kwe-Cryptogenic Organizing Pneumonia (COP) kunye ne-Ordinary Organizing Pneumonia (OP)?

Oku kukwayinto ekufuneka ichazwe kancinci. Enye imeko eneempawu ezifana ne-(COP) ibizwa ngokuba yi -Secondary Organizing Pneumonia (OP) . Nangona kunjalo, ngokungafaniyo ne-(COP), le meko (Secondary OP) inokubangelwa lusulelo, amayeza, umhlaza, okanye enye ingxaki yokuzikhusela emzimbeni. Ukongeza, le meko (Secondary OP) inxulunyaniswa nomhlaza wegazi, ukuvezwa kumayeza ahlukeneyo, kunye nokuvezwa kwimitha emiphungeni.

Ngaphambi kokuba oogqirha baqale ukunyanga (COP), bazama ukuqinisekisa ukuba le ayisiyongxaki (ye-Secondary OP). Oku kungenxa yokuba unyango lwazo zombini lunokwahluka. Kwakhona, iziphumo zokuchacha kubantu abane-(Secondary OP) zinokuba mbi kancinci kunezabantu abane-(COP).

(COP) Zeziphi iimvavanyo ezinceda ekuxilongeni isifo?

Ukuba ugqirha urhanela ukuba une-COP emva kokukuxilonga, uza kucebisa ezinye iimvavanyo ezininzi.

• I-X-reyi yesifuba: Oku kuthatha umfanekiso wemiphunga. Ukuba une-COPD, ungabona amabala amhlophe kwezinye iindawo zemiphunga.
• I-CT scan enesisombululo esiphezulu (HRCT): Olu luvavanyo olunokubona ingaphakathi lemiphunga ngokucacileyo ngakumbi kune-X-ray. Lunokunceda ekufumaneni izinto ezifana nokudumba kunye nokuqina kwemiphunga okubangelwa yi-COPD.
• I-Bronchoscopy ene-bronchoalveolar lavage (BAL):Oku kuquka ukufaka ityhubhu encinci neguquguqukayo (i-bronchoscope) enekhamera encinci kunye nokukhanya ngempumlo okanye emlonyeni uze uyidlulisele kwimiphunga yemiphunga. Ngeli xesha, kufakwa isixa esincinci sesisombululo setyuwa emiphungeni, kwaye ulwelo luyafuthwa (i-BAL) luze luthunyelwe kwilebhu ukuze luvavanywe. Umntu one-COPD unokuba nenani elandayo leeseli ezimhlophe zegazi (ingakumbi ii-lymphocytes) kule sampuli yolwelo. Kodwa okubaluleke ngakumbi, inokunceda ekuthinteleni usulelo.
• I-biopsy yemiphunga: Ngamanye amaxesha, isiqwenga sethishu yemiphunga kufuneka sithathwe size sihlolwe phantsi kwe-microscope ukuqinisekisa ukuxilongwa. Oku kungenziwa ngeendlela ezahlukeneyo. Enye kukuthatha isiqwenga esincinci sethishu ngexesha le-bronchoscopy (i-transbronchial lung biopsy). Nangona kunjalo, ngamanye amaxesha, ukuba kufuneka isampuli enkulu yethishu, i-biopsy yemiphunga yotyando inokwenziwa. Le biopsy yeyona ndlela yokuchonga ngokuqinisekileyo i-COPD kungekhona ezinye iimeko.
• Uvavanyo lomsebenzi wemiphunga (ii-PFT): Olu vavanyo lulinganisa indlela esebenza kakuhle ngayo imiphunga yakho, ukuba ingakanani na umoya onokuwubamba kwimiphunga yakho, kunye nokuba ungawufaka njani umoya-mpilo egazini lakho ngokufanelekileyo. Umntu one-COPD unokuba nepatheni ethintelayo apho anokugcina umoya omncinci kunomntu oqhelekileyo. Banokuba namanqanaba aphantsi eoksijini egazini, kokubini xa bephumle nangexesha lokuzilolonga.

Iphathwa njani i-Cryptogenic Organizing Pneumonia (COP)?

Iindaba ezimnandi zezokuba kukho unyango olusebenzayo lwesifo esibizwa ngokuba yi-(COP). Oogqirha badla ngokusinyanga ngodidi lwamayeza abizwa ngokuba yi -corticosteroids . Umzekelo, iyeza elibizwa ngokuba yi-prednisone lidla ngokusetyenziswa.

Eli yeza lidla ngokuthathwa rhoqo kangangeenyanga ezi-3 ukuya kwezi-6 . Idosi inyuswa ekuqaleni ize inciphe kancinci kancinci. Ukuba iyeza liyekwa ngequbuliso okanye idosi incitshiswe ngokukhawuleza, iimpawu zinokubuya. Oku kuyinyani ngakumbi xa idosi ye-prednisone incitshisiwe ukuya ngaphantsi kwama-20 milligrams ngosuku.

Kwezinye iimeko ezingenzima kangako (COP), esi sifo sinokuphela ngaphandle kwamayeza .

Nangona kunjalo, ukuba iimpawu zeCOPD ziyaqhubeka, okanye ukuba iziphumo ebezingalindelekanga ze-corticosteroids kunzima ukuzinyamezela, ugqirha wakho angacebisa ezinye iindlela zonyango. Umzekelo, ii-steroid-sparing agents ezifana ne-azathioprine okanye amayeza e-cytotoxic afana ne-cyclophosphamide zinokunikwa okwethutyana.

Ngaba umngcipheko wokukhula (i-COP) ungancitshiswa?

Akukho nto sinokuyenza ukunciphisa umngcipheko wokuba ne-COPD. Ngenxa yokuba unobangela ochanekileyo awaziwa, akukho ndlela yokuyithintela. Nangona kunjalo, ungazazi ezi mpawu. Emva koko, ukuba iimpawu ziyavela, ungafuna ingcebiso yezonyango ngokukhawuleza kwaye uqale unyango ukuba kuyimfuneko . Kubaluleke kakhulu ukufumanisa isifo kwaye uqale unyango kwangethuba.

Kwenzeka ntoni ukuba (i-COP) ayinyangwa?

Ukuba i-COPD ayinyangwa, inokubangela umonakalo omkhulu emiphungeni . Ukudumba okuqhubekayo kunokukhokelela ekuqhekekeni kwemiphunga, nto leyo enokubangela ukuba imiphunga ingasebenzi kakuhle. Ke ngoko, kubalulekile ukufuna unyango ukuba uneempawu.

Iyintoni imbono yomntu one-(COP)?

Musa ukukhathazeka. Uninzi lwabantu abane-Cryptogenic Organizing Pneumonia (COP) baphila ngokukhawuleza nangokupheleleyo . Malunga nama-50% abantu abaneengxaki ezincinci bayaphila ngaphandle konyango. Malunga nama-80% abantu abanyangwa nge-corticosteroids bayaphila ngokupheleleyo .

Nangona kunjalo, ngamanye amaxesha iimpawu ze-COPD zinokuphinda zibuye (ziphinde zibuye) . Nangona kunjalo, akukho nto ixhalabisayo. Iimpawu zihlala zilawulwa kwaye zinyangeke xa sele ziqaliswe kwakhona ii-corticosteroids. Abantu abachachayo kwi-COPD badla ngokuphila ubomi obude, obupheleleyo.

Ndingazinyamekela njani xa ndinesimo (COP)?

Ukuba ucinga ukuba uneempawu zeCOPD, bonana nogqirha ngokukhawuleza . Ukuqala unyango kwangethuba kunokunciphisa amathuba okuba isifo siphinde sivele kwixesha elizayo kwaye kunciphise umonakalo kwimiphunga yakho.

Ukuba ugqirha wakho unika ii-corticosteroids ukunyanga i-COPD yakho, qiniseka ukuba wazise ugqirha wakho ukuba ufumana naziphi na iziphumo ebezingalindelekanga. Angalungisa umthamo okanye acebise enye indlela. Kubalulekile ukuthatha amayeza akho kanye njengoko ugqirha wakho ekuxelela kwaye ulandelele ngexesha.

Umyalezo Wokuya Ekhaya

I-Cryptogenic Organizing Pneumonia (COP) sisifo esingaqhelekanga semiphunga esinokubangela ukudumba kunye nokulimala kwemiphunga. Iimpawu eziphambili kukukhwehlela kunye nobunzima bokuphefumla. Khumbula, esi asisosifo semiphunga esiqhelekileyo.

• Nika ingqalelo kwiimpawu: Qiniseka ukuba ubona ugqirha, ingakumbi ukuba unesikhwehlela esomileyo esihlala iiveki okanye umphimbo obuhlungu oqala xa udiniwe.
• Kukho unyango: Oku kunyangwa ikakhulu ngohlobo lwamayeza abizwa ngokuba yi-corticosteroids. Ezinye iimeko ezincinci zinokuba ngcono ngaphandle kwamayeza.
• Ukuchacha kuphezulu: Uninzi lwabantu luyachacha ngokupheleleyo kule meko. Nangona kunjalo, ngamanye amaxesha iimpawu zinokubuya. Nangona kunjalo, zinokulawulwa ngonyango.

Ngoko ke, ndiyathemba ukuba olu lwazi luza kuba luncedo kuwe. Eyona nto ibalulekileyo kukwazi umzimba wakho kunye nempilo yakho.

` I-Cryptogenic Organizing Pneumonia, i-COP, isifo semiphunga, isifo sokuphefumla, ukukhohlela, ukuphefumla kancinci, ii-corticosteroids, i-pneumonia