Awudinwanga njengoko ubunjalo ngaphambili, xa uhamba kancinci, xa unyuka izinyuko? Ngaba uziva uphelelwa ngumphefumlo? Mhlawumbi ucinga, 'Oku kwenzeka xa ukhula.' Kodwa akusikho konke ukukhwehlela, akusikho konke ukukhwehlela okuqhelekileyo. Namhlanje sithetha ngesifo esinokubangela iimpawu ezinjalo, esibi kancinci, kodwa kubaluleke kakhulu ukuba siqaphele. Yiyo leyo i-Pulmonary Fibrosis .
Yintoni kanye kanye i-Pulmonary Fibrosis (PF)?
Ngamafutshane, oku kwenzeka xa izicubu ezithambileyo ngaphakathi emiphungeni yakho ziqina kancinci kancinci, zenze isilonda. Kanye njengokuba isilonda senzeka eluswini lwethu xa sifumana isilonda, kwenzeka into efanayo nangaphakathi emiphungeni yethu. Olu silonda lubangela ukuba imiphunga iphelelwe bubuthambile bayo , nto leyo ebangela ukuba ingakwazi ukufutha okanye ukuphefumla kakuhle.
Xa siphefumla, ioksijini ifunxwa kwiingxowa zomoya ezincinci (i-alveoli) ezikwimiphunga. Xa izicubu ezijikeleze ezi ngxowa zomoya ziqina, ioksijini ayifunxwa egazini ngokufanelekileyo. Oku kwenza kube nzima ngathi ukuphefumla ngokufanelekileyo kwaye siphelelwa kukuphefumla. Esi sifo sidla ngokuba yimeko eqhubekayo eba mandundu ngokuhamba kwexesha.
Yintoni i-idiopathic pulmonary fibrosis (PF)?
Ngamanye amaxesha oogqirha abakwazi ukufumana unobangela othile wokuqina nokuqhekeka kwemiphunga. Yiloo nto siyibiza ngokuba yi-Idiopathic Pulmonary Fibrosis . Igama elithi "idiopathic" lithetha 'isizathu esingaziwayo.' Enyanisweni, uninzi lwezigulane zePulmonary Fibrosis zinolu hlobo lwe-idiopathic.
Zithini iimpawu zesi sifo? Uzibona njani?
Ezi mpawu zisenokungabonakali ekuqaleni, kodwa ziyanda kancinci kancinci ngokuhamba kwexesha. Usenokucinga ukuba ezi ziinguqu nje eziqhelekileyo eziza nokwaluphala. Kodwa kubalulekile ukuzinika ingqalelo ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Ukuqhawukelwa ngumphefumlo | Usenokuziva uphelelwa ngumphefumlo, ingakumbi xa uhamba okanye usenza imisebenzi elula efana nokunyuka izinyuko. Njengoko isifo siqhubeka, unokufumana kunzima ukuphefumla nokuba ume nkqo. |
| Ukukhwehlela okomileyo okungapheliyo | Ukukhohlela okungapheliyo, okucaphukisayo nokomileyo kwenzeka ngaphandle kwencindi. |
| Ukudinwa | Nokuba awuwenzi msebenzi, uhlala uziva udiniwe kwaye udiniwe. |
| Ukunciphisa umzimba ngequbuliso | Unciphisa umzimba ngaphandle kokuzama, ngaphandle kwesizathu esicacileyo. |
| Iminwe eneeklabhu | Iincam zeminwe neenzwane ziba zingqukuva, kwaye ulusu olujikeleze iinzipho luyavuvukala. |
| Ulusu oluluhlaza okwesibhakabhaka/olungwevu (iCyanosis) | Njengoko inqanaba leoksijini egazini lincipha, imilebe, ejikeleze amehlo, okanye iinzipho zijika zibe luhlaza okwesibhakabhaka, ngwevu, okanye zibe mhlophe. |
Kutheni olu hlobo lwesifo lusenzeka? Zithini izizathu?
Oogqirha bakholelwa ukuba la manxeba abangelwa kukonakala okanye ukudumba kwemiphunga okungaphili kakuhle. Zininzi izizathu ezinokubakho.
| Isizathu | Imizekelo kunye nengcaciso |
|---|---|
| Isifo sezicubu ezidityanisiweyo | Izifo ezifana neRheumatoid Arthritis (RA ), iLupus , kunye neScleroderma nazo zinokuchaphazela imiphunga. |
| Ukuchanabeka kwizinto ezikwindalo esingqongileyo | Ukuvezwa ixesha elide kuthuli olufana ne-asbestos kunye ne-silica. Ingabangelwa nayi-allergy ( i-Hypersensitivity Pneumonitis ) kwiintlobo ezithile zesikhunta, iibhaktheriya, indle yeentaka, okanye i-dander. |
| Amanye amayeza kunye nonyango | Amanye amayeza afana ne -Amiodarone , esetyenziselwa isifo sentliziyo, i-Nitrofurantoin , esetyenziselwa usulelo, i-Methotrexate , esetyenziselwa umhlaza, kunye nonyango lwemitha nazo zingonakalisa imiphunga. |
| Ukutshaya | Ukutshaya yingxaki enkulu yokuphuhlisa esi sifo. |
Ngubani osengozini enkulu yokuhlaselwa sesi sifo?
Ukongeza kwezi zizathu zingasentla, kukho nezinye izinto ezinokunyusa umngcipheko wokufumana esi sifo:
- Ukuba uneminyaka engaphezu kwama-65 ubudala.
- Ukuba yindoda.
- Ukuba nelungu losapho elisondeleyo (abazali, abantakwabo noodadewabo) elinesifo.
- Ukuba nezifo ezithile ezibangelwa lutshintsho lwemfuza ( i-DNA ).
Ziziphi iingxaki ezinokubakho ze-Pulmonary Fibrosis?
Xa imiphunga ingasebenzi kakuhle, ichaphazela umzimba wonke. Intliziyo kufuneka isebenze nzima ngakumbi. Oku kunokukhokelela kwiingxaki ezahlukeneyo.
Eyona nto ibalulekileyo kukufumanisa isifo kwangethuba uze uqale unyango. Oku kunokunciphisa umngcipheko wezi ngxaki.
- I-Hypoxemia: Izicubu zomzimba azifumani umlinganiselo ofunekayo weoksijini.
- Uxinzelelo lwegazi oluphezulu kwimiphunga : Uxinzelelo olukwimithambo yegazi ethwala igazi ukuya emiphungeni luyanda. Oku kubeka umthwalo onzima entliziyweni.
- Usulelo lwemiphunga kunye nokuwa kwemiphunga.
- Inkqubo yokuphefumlaUkungasebenzi kakuhle kokuphefumla: Imiphunga ayisakwazi ukunika umzimba ioksijini oyifunayo.
- Ukusilela kwentliziyo: Ukusilela kwentliziyo kwenzeka xa intliziyo iphoqeleka ukuba isebenze nzima kakhulu ixesha elide.
Indlela yokuxilonga ngokuchanekileyo isifo? (Ukuxilongwa)
Esi asisosifo esinokufunyaniswa ngovavanyo olunye. Ugqirha wakho uza kumamela ngononophelo iimpawu zakho, amamele isifuba sakho nge-stethoscope, aze emva koko acebise uvavanyo oluninzi.
Iimvavanyo eziphambili ezenziweyo zezi:
- I-X-ray yesifuba: Uvavanyo lwe-X-ray yesifuba.
- Iskeni ye-CT (HRCT) enesisombululo esiphezulu: Esi siskeni esikhethekileyo esibonisa iinkcukacha ezincinci zemiphunga kuneskeni ye-CT eqhelekileyo.
- Uvavanyo lokusebenza kwemiphunga: Oku kubandakanya ukuvuthela umatshini, olinganisa ukuba imiphunga yakho inokungenisa umoya ongakanani na kwaye ungawukhupha ngokukhawuleza kangakanani.
- Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukujonga izinto ezifana namanqanaba eoksijini egazini.
- I-Bronchoscopy: Inkqubo apho kufakwa khona ityhubhu encinci enekhamera ngempumlo okanye ngomlomo ukuze kuhlolwe ingaphakathi lemiphunga.
- I-Biopsy: Ngamanye amaxesha, iqhekeza elincinci kakhulu lesicubu lithathwa emphungeni lize lihlolwe ukuqinisekisa isifo.
Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa ngokupheleleyo?
Umbuzo abantu abaninzi abawubuzayo kukuba ingaba inganyangeka ngokupheleleyo na. Inyaniso kukuba, amanxeba abangelwa sesi sifo emiphungeni awanakujikwa.
Kodwa ungakhathazeki. Unyango lunokucothisa ukuqhubela phambili kwesi sifo, lulawule iimpawu, kwaye luphucule umgangatho wobomi bakho .
| Indlela yonyango | Kwenzekani? |
|---|---|
| Amayeza okubulala iintsholongwane | Amayeza afana neNintedanib kunye nePirfenidone ayanciphisa izinga lokulimala kwemiphunga. |
| Ii-Corticosteroids | Ngamanye amaxesha ezi zisetyenziselwa ukunciphisa ukudumba emiphungeni. |
| Unyango lweoksijini | Ukuba inqanaba leoksijini egazini liphantsi, ioksijini eyongezelelweyo inikwa ngetyhubhu encinci efakwe empumlweni. |
| Ukuvuselelwa kweMiphunga | Le yinkqubo ekhethekileyo ephucula amandla akho kunye nomgangatho wobomi bakho ngokuzilolonga ngokuphefumla, ukuzilolonga ngokwasemzimbeni, kunye nokuqonda ngezifo. |
| Ukufakelwa kweMiphunga | Ezinye izigulane ezinesifo esibi kakhulu zinokufanelekela ukufakelwa imiphunga ukuba ziyahlangabezana neemfuno. |
Ufanele uye nini kugqirha? Ufanele uye nini kwiSebe leeNgxamiseko (ETU)?
Ukucacisa oku kunokukunceda usindise ubomi bakho.
Bona ugqirha rhoqo.
Ukuba ufumana naziphi na iimpawu ezikhankanyiweyo apha ngasentla, ezinje ngokuphefumla kancinci, ukukhohlela okungapheliyo, okanye ubunzima bokwenza imisebenzi elula, nceda ungaze uyityeshele . Bona ugqirha wakho ngokukhawuleza kwaye uxoxe ngale nto. Okukhona isifo sifunyanwa ngokukhawuleza, kokukhona kulula ukunyanga.
Xa kufuneka uye kwi-ETU ngoko nangoko
Ukuba unayo nayiphi na kwezi mpawu, musa ukuchitha ixesha kwaye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko okanye utsalele umnxeba ku-1990.
| Ingxamiseko! Yiya esibhedlele ngokukhawuleza. | |
|---|---|
| 🚨 Ubunzima obukhulu okanye obukhawulezileyo bokuphefumla | |
| 🚨 Intlungu yesifuba | |
| 🚨 Ukudideka okanye ukutshintsha ingqondo | |
| 🚨 Ukutshintsha kombala oluhlaza okwesibhakabhaka kolusu, imilebe, okanye iinzipho | |
Liza kuba njani ikamva ngesi sifo?
Kuqhelekile ukuziva usoyika kwaye ungaqinisekanga ngekamva xa ufunyaniswa ukuba unesi sifo. Kuqhelekile nokuzibuza, 'Ndiza kuphila ixesha elingakanani?'
Kodwa khumbula, ayizizo zonke izigulana ezifanayo. Kwabanye, esi sifo siqhubeka kancinci, ngokuhamba kweminyaka. Kwabanye, sinokuqhubeka ngokukhawuleza, kwiinyanga ezimbalwa. Akukho mntu unokuqiniseka.
Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho, ufumane unyango olufanelekileyo, kwaye ujongane nalo ngamandla nenkxaso evela kusapho lwakho. Unyango lwanamhlanje luye lwaphucula kakhulu ixesha lokuphila kunye nomgangatho wobomi bezigulane.
Ungajoyina amaqela enkxaso ukuze ufumane amandla kumava abanye abaphila nesi sifo.
Umyalezo Wokuya Ekhaya
- I-Pulmonary Fibrosis sisifo apho izicubu zemiphunga ziba lukhuni kwaye zibe namanxeba, nto leyo eyenza kube nzima ukuphefumla.
- Ubunzima bokuphefumla, ukukhohlela okomileyo okungapheliyo, kunye nokudinwa kakhulu zezona mpawu ziphambili. Musa ukuzityeshela ezi.
- Nangona esi sifo singenakunyangwa ngokupheleleyo, unyango olusebenzayo lunokulawula ukuqhubela phambili kwesi sifo kwaye lukuvumele ukuba uphile ubomi obuhle.
- Ukuba uyatshaya, kubalulekile ukuyeka ngoko nangoko . Kubaluleke kakhulu nokuzikhusela eluthulini nakwiikhemikhali eziyingozi emiphungeni.
- Ukuba wena okanye umntu omaziyo unale mpawu, funa ingcebiso kugqirha ngokukhawuleza . Ukuxilongwa kwangoko kubalulekile ukuze ufumane unyango.
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