Ake sifunde nge-pneumonia enzima ethinta womabili amaphaphu (Bilateral Interstitial Pneumonia).

Wake waba nomkhuhlane ohambisana nokuphelelwa umoya okukhulu, ukukhwehlela okomile okungakhiqizi noma yikuphi ukukhwehlela? Ngezinye izikhathi sicabanga ukuthi umkhuhlane noma umkhuhlane ovamile, kodwa kungaba yinto engathi sína kakhulu. Namuhla sikhuluma ngesimo esibizwa ngokuthi 'i-Bilateral Interstitial Pneumonia ', esithinta amaphaphu ethu womabili ngesikhathi esisodwa, ikakhulukazi ngobhubhane lwe-COVID-19 . Ungakhathazeki, ake sikuchaze kalula.

Kalula nje, siyini lesi simo?

Cabanga ngamaphaphu akho njengesitho esigcwele izigidi zamasaka amancane omoya, alingana namagilebhisi amancane. Uma siphefumula, umoya ugcwalisa lawa saka omoya. Inethiwekhi ethambile yezicubu ezizungezile lawa saka omoya ibizwa ngokuthi izicubu eziphakathi nendawo .

Manje, lapho lesi zicubu zangaphakathi zivuvukala, zitheleleke , futhi zigcwele uketshezi olufana nolwembu ngenxa yokutheleleka ngamagciwane noma ngegciwane, sikubiza ngokuthi 'i-Interstitial Pneumonia. ' Igama elithi 'izinhlangothi zombili' lisho 'ezinhlangothini zombili.' Lokho kusho ukuthi lesi simo sithinta amaphaphu akho womabili ngesikhathi esisodwa .

Isizathu sokuthi lokhu kube kubi kakhulu ukuthi uma izicubu zitheleleka ngale ndlela njalo, ngokuhamba kwesikhathi, kungase kube nezibazi ezihlala njalo kulezo zicubu. Njengoba nje lapho inxeba esikhumbeni sethu liphola, kwakheka isibazi. Lokhu kuzibazi kubangela ukuthi amaphaphu alahlekelwe ukuguquguquka kwawo, aqine, futhi kwenze kube nzima kakhulu ukuphefumula kahle. Ngezinye izikhathi lesi simo singaba sibi kakhulu ngokushesha futhi siholele nasekuhlulekeni kokuphefumula.

Ukuxhumana phakathi kwe-COVID-19 nalesi sifo

Igciwane le-COVID-19 lisakazeka ngamaconsi angena emoyeni lapho umuntu onegciwane ekhwehlela noma ethimula. Nakuba abantu abaningi abathola i-COVID-19 bezwa izimpawu ezincane ezifana nomkhuhlane ovamile, abanye abantu bangaba nenkinga enkulu, engaba yingozi ebizwa ngokuthi i-bilateral interstitial pneumonia.

Yiziphi izimpawu eziyinhloko zalokhu?

Izimpawu zalesi sifo zifana kakhulu nezimpawu zesimo esibi se-COVID-19. Bheka ukuthi unazo yini lezi zimpawu.

Udokotela ukuthole kanjani lokhu ngempela?

Uma uya kudokotela, uzokuhlola, akubuze ngezimpawu zakho, futhi angase akucele ukuthi uhlolwe kaningana ukuze kunqunywe lesi simo.

• I-CT Scan: Lolu uhlobo olunamandla lwe-X-ray. Lungathatha izithombe ezicacile zamaphaphu. Kuma-CT scan abantu abanalesi sifo, odokotela bangabona amabala amhlophe emaphashini abizwa ngokuthi "ingilazi egayiwe," abukeka njengengilazi enothuli. Lokhu kubonisa umonakalo ezicutshini zamaphaphu.

• Ukuhlolwa Kokusebenza Kwamaphaphu: Lokhu kulinganisa ukuthi amaphaphu akho asebenza kahle kangakanani nokuthi ungawuthatha futhi uwukhiphe umoya ongakanani. Ungase ucelwe ukuba wenze izinto ezifana nokufutha umoya ungene epayipini ngokushesha.

• I-Bronchoscopy: Kulokhu, ipayipi elincane, eliguquguqukayo elinekhamera enamathiselwe lidluliselwa emaphashini akho, imigudu yomoya ihlanzwa ngesisombululo esincane se-saline, bese kuthi uketshezi lukhishwe bese luhlolwa. Uketshezi luhlolwa ukuthi lunenani eliphezulu lamaseli amhlophe egazi.

• I-Biopsy: Lokhu akudingekile kuwo wonke umuntu. Kodwa-ke, kwezinye izimo, ngesikhathi senqubo ye-bronchoscopy okukhulunywe ngayo ngenhla, kuthathwa ingxenye encane kakhulu yezicubu zamaphaphu bese ihlolwa ngaphansi kwe-microscope ukuqinisekisa ukuthi izicubu zonakele kangakanani.

Yiziphi izindlela zokwelapha lokhu?

Izinketho zokwelapha ziyahlukahluka kuye ngembangela kanye nobunzima besimo. Zonke lezi zindlela zokwelapha zinqunywa udokotela wakho.

• Imithi yokulwa namagciwane: Uma lesi simo sibangelwa ukutheleleka ngegciwane njenge-COVID-19, imithi yokulwa namagciwane inganikezwa ukuvimbela lesi sifo ukuthi singabi sibi kakhulu. Isibonelo, imithi efana ne- 'Paxlovid' noma i-'Remdesivir' enikezwa ngemithambo isetshenziswa.

• Ukwelashwa Nge-Oxygen: Uma ukuphefumula kunzima, i-oxygen inikezwa ngepayipi lamakhala noma imaski. Uma isimo sibi kakhulu, ungangeniswa e-Emergency Treatment Unit (ETU) bese uxhunywa kumshini wokuphefumula .

• Ama-Corticosteroids: Imithi yama-steroid , njenge-prednisone, ingasiza ekulawuleni ukuvuvukala kanye nokutheleleka emaphashini. Kodwa-ke, ayisebenzi kuwo wonke umuntu, futhi ingabangela imiphumela emibi.

• Imithi yokucindezela amasosha omzimba: Ngezinye izikhathi kusetshenziswa imithi ecindezela amasosha omzimba, njenge- 'Azathioprine' kanye ne-'Mycophenolate mofetil'.

• Imithi yokulwa ne-fibrotic: Uyakhumbula lapho sithi kuvela izibazi ezihlala njalo emaphashini? Lokhu kuzibazi akunakuguqulwa. Kodwa-ke, imithi efana ne-`nintedanib (Ofev)` kanye ne-`pirfenidone (Esbriet)` inganciphisa izinga okwenzeka ngalo lokhu kuzibazi futhi isize ekulawuleni ukuqhubeka kwesifo.

• Ezinye izindlela zokwelapha: Ngaphezu kwalokhu, ukuvuselelwa kwamaphaphu, okuhlanganisa ukuzivocavoca kokuphefumula ukuze kuqiniswe amaphaphu, futhi uma kungekho okunye ukwelashwa okuphumelelayo, ukufakelwa amaphaphu kungabhekwa njengesinyathelo sokugcina.

Singazivikela kanjani ezimweni ezinjengalezi?

Sonke siyazi ukuthi "kungcono ukuvimbela isifo kunokuselapha ngemva kokuba sesiqalile." Ngakho-ke, qiniseka ukuthi ulandela lezi zinto ukuze ugcine amaphaphu akho ephilile.

• Gwema ukubhema ngokuphelele. Uma ubhema, yeka namuhla. Kuyinto engcono kakhulu ongayenza ngamaphaphu akho.
• Ukuze uvimbele ukutheleleka, geza izandla zakho kahle ngensipho namanzi okungenani imizuzwana engama-20.
• Thola umuthi wokugomela i-COVID-19 kanye nezinye izifo ezingavinjelwa ngomuthi wokugomela ngesikhathi.
• Gwema ukuthinta amehlo akho, impumulo, nomlomo ngaphandle kokugeza izandla zakho.
• Uma ukugeza izandla kungatholakali, sebenzisa isihlanzi sezandla esiqukethe okungenani u-60% wotshwala.
• Hlala kude nabantu abagulayo.
• Uma ugula, hlala ekhaya ngangokunokwenzeka futhi uvikele abanye, ngaphandle kokuya kudokotela.