Awukhathele njengoba wawunjalo ngaphambili, uma uhamba kancane, uma ukhuphuka izitebhisi? Ingabe uzizwa uphelelwa umoya? Mhlawumbe ucabanga ukuthi, 'Yilokhu okwenzekayo uma usukhulile.' Kodwa akuwona wonke ukukhwehlela, akuwona wonke ukukhwehlela okuvamile. Namuhla sikhuluma ngesifo esingadala izimpawu ezinjalo, okuyinto embi kancane, kodwa kubaluleke kakhulu ukuqaphela. Leyo yi -Pulmonary Fibrosis .
Iyini ngempela i-Pulmonary Fibrosis (PF)?
Kalula nje, lokhu kwenzeka lapho izicubu ezithambile ngaphakathi kwamaphaphu akho ziqina kancane kancane, zakhe isibazi. Njengoba nje isibazi sakheka esikhumbeni sethu lapho sithola isilonda, kwenzeka into efanayo emaphashini ethu. Lokhu kusibazi kubangela ukuthi amaphaphu alahlekelwe ukuqina kwawo , okwenza angakwazi ukufutha noma ukuvuza kahle.
Uma siphefumula, umoya-mpilo ungena ezikhwameni ezincane zomoya (i-alveoli) emaphashini. Lapho izicubu ezizungeze lezi zikhwameni zomoya ziqina, umoya-mpilo awungeni egazini kahle. Lokhu kwenza kube nzima ngathi ukuphefumula kahle futhi siphelelwa umoya. Lesi sifo ngokuvamile siyisimo esiqhubekayo esiba sibi ngokuhamba kwesikhathi.
Kuyini i-idiopathic pulmonary fibrosis (PF)?
Ngezinye izikhathi odokotela abakwazi ukuthola imbangela ethile yokuqina nokuqina kwamaphaphu. Yilokho esikubiza ngokuthi i-Idiopathic Pulmonary Fibrosis . Igama elithi "idiopathic" lisho 'imbangela engaziwa.' Eqinisweni, iningi leziguli ze-Pulmonary Fibrosis zinalolu hlobo lwe-idiopathic.
Ziyini izimpawu zalesi sifo? Uzibona kanjani?
Lezi zimpawu zingase zingabonakali ekuqaleni, kodwa ziyanda kancane kancane ngokuhamba kwesikhathi. Ungase ucabange ukuthi lezi yizinguquko ezivamile ezihambisana nokuguga. Kodwa kubalulekile ukunaka lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuphelelwa umoya | Ungase uzizwe uphelelwa umoya, ikakhulukazi uma uhamba noma wenza imisebenzi elula njengokukhuphuka izitebhisi. Njengoba lesi sifo siqhubeka, ungase ukuthole kunzima ukuphefumula ngisho noma umile. |
| Ukukhwehlela okomile okuqhubekayo | Ukukhwehlela okungapheli, okucasulayo, nokomile kwenzeka ngaphandle koketshezi. |
| Ukukhathala | Ngisho noma ungenzi msebenzi, uhlala uzizwa ukhathele futhi ukhathele. |
| Ukwehla kwesisindo ngokuzumayo | Unciphisa isisindo ngaphandle kokuzama, ngaphandle kwesizathu esibonakalayo. |
| Iminwe eboshwe nge-clubbed | Izihloko zeminwe nezinzwane ziba yindilinga, kanti isikhumba esizungeze izinzipho siyavuvukala. |
| Isikhumba esiluhlaza okwesibhakabhaka/esimpunga (i-Cyanosis) | Njengoba izinga lomoya-mpilo egazini lehla, izindebe, ezizungeze amehlo, noma izinzipho ziphenduka zibe luhlaza okwesibhakabhaka, zimpunga, noma zibe mhlophe. |
Kungani lolu hlobo lwesifo luvela? Ziyini izimbangela?
Odokotela bakholelwa ukuthi lezi zibazi zibangelwa umonakalo noma ukuvuvukala kwamaphaphu okungapholi kahle. Kunezimbangela eziningana ezingaba khona.
| Isizathu | Izibonelo kanye nencazelo |
|---|---|
| Isifo sezicubu ezixhumene | Izifo ezifana ne -Rheumatoid Arthritis (RA ), i-Lupus , kanye ne -Scleroderma nazo zingathinta amaphaphu. |
| Ukuchayeka ezintweni ezikuyo imvelo | Ukuchayeka isikhathi eside othulini olufana ne-asbestos ne-silica. Kungabangelwa futhi ukungezwani komzimba ( i-Hypersensitivity Pneumonitis ) ezinhlotsheni ezithile zesikhunta, amabhaktheriya, amaconsi ezinyoni, noma i-dander. |
| Eminye imithi kanye nokwelashwa | Eminye imithi efana ne -Amiodarone , esetshenziselwa izifo zenhliziyo, i-Nitrofurantoin , esetshenziselwa izifo, i-Methotrexate , esetshenziselwa umdlavuza, kanye nokwelashwa ngemisebe nakho kungalimaza amaphaphu. |
| Ukubhema | Ukubhema kuyisici esiyinhloko esibangela lesi sifo. |
Ubani osengozini enkulu yokuthola lesi sifo?
Ngaphezu kwezizathu ezingenhla, ezinye izici zingandisa ingozi yokuthola lesi sifo:
- Ukuba neminyaka engaphezu kwengu-65 ubudala.
- Ukuba yindoda.
- Ukuba nelungu lomndeni eliseduze (abazali, izingane zakubo) elinalesi sifo.
- Ukuba nezifo ezithile ezibangelwa izinguquko zofuzo ( i-DNA ).
Yiziphi izinkinga ezingaba khona ze-Pulmonary Fibrosis?
Uma amaphaphu engasebenzi kahle, kuthinta umzimba wonke. Inhliziyo ikakhulukazi kufanele isebenze kanzima. Lokhu kungaholela ezinkingeni ezahlukahlukene.
Into ebaluleke kakhulu ukuxilonga lesi sifo kusenesikhathi bese uqala ukwelashwa. Lokhu kunganciphisa ingozi yalezi zinkinga.
- I-Hypoxemia: Izicubu zomzimba azitholi inani elidingekayo lomoya-mpilo.
- Umfutho Wegazi Ophakeme Emaphashini : Umfutho wegazi ophakeme emithanjeni yegazi ethwala igazi emaphashini uyakhula. Lokhu kubeka umthwalo osindayo enhliziyweni.
- Ukutheleleka kwamaphaphu kanye namaphaphu awile.
- Uhlelo lokuphefumulaUkwehluleka Kokuphefumula: Amaphaphu awasakwazi ukunikeza umzimba umoya-mpilo owudingayo.
- Ukwehluleka Kwenhliziyo: Ukwehluleka kwenhliziyo kwenzeka lapho inhliziyo iphoqeleka ukusebenza kanzima isikhathi eside.
Ungasithola kanjani lesi sifo ngokunembile? (Ukuxilongwa)
Lesi akusona isifo esingatholakala ngokuhlolwa okukodwa. Udokotela wakho uzolalela ngokucophelela izimpawu zakho, alalele isifuba sakho nge-stethoscope, bese encoma ukuhlolwa okuningana.
Ukuhlolwa okuyinhloko okwenziwe yile:
- I-X-ray yesifuba: Ukuhlolwa kwe-X-ray yesifuba.
- Ukuskena kwe-CT (HRCT) okunekhwalithi ephezulu: Lokhu ukuskena okukhethekile okubonisa imininingwane emincane yamaphaphu kune-CT scan evamile.
- Ukuhlolwa kokusebenza kwamaphaphu: Lokhu kuhilela ukufutha emshinini, olinganisa ukuthi amaphaphu akho angawuthatha umoya ongakanani nokuthi ungawukhipha ngokushesha kangakanani.
- Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kwenziwa ukuhlola izinto ezifana namazinga omoya-mpilo egazini.
- I-Bronchoscopy: Inqubo lapho kufakwa khona ipayipi elincane elinekhamera ngekhala noma ngomlomo ukuze kuhlolwe ingaphakathi lamaphaphu.
- I-Biopsy: Ngezinye izikhathi, kuthathwa ingxenye encane kakhulu yezicubu emaphashini bese ihlolwa ukuqinisekisa isifo.
Yiziphi izindlela zokwelapha lokhu? Ingabe kungalapheka ngokuphelele?
Umbuzo abantu abaningi abawubuzayo ukuthi ingabe ingelapheka ngokuphelele yini. Uma sikhuluma iqiniso, izibazi ezibangelwa yilesi sifo emaphashini azikwazi ukuguqulwa.
Kodwa ungakhathazeki. Ukwelashwa kunganciphisa ukuqhubeka kwesifo, kulawule izimpawu, futhi kuthuthukise ikhwalithi yokuphila kwakho .
| Indlela yokwelapha | Kwenzakalani? |
|---|---|
| Imithi yokulwa ne-fibrotic | Imithi efana ne-Nintedanib kanye ne -Pirfenidone yehlisa izinga lokulimala kwamaphaphu. |
| Ama-Corticosteroids | Lezi ngezinye izikhathi zisetshenziselwa ukunciphisa ukuvuvukala emaphashini. |
| Ukwelashwa Nge-Oxygen | Uma izinga lomoya-mpilo egazini liphansi, umoya-mpilo owengeziwe unikezwa ngepayipi elincane elifakwa ekhaleni. |
| Ukuvuselelwa Kwemiphunga | Lolu uhlelo olukhethekile oluthuthukisa amandla akho kanye nekhwalithi yempilo yakho ngokuzivocavoca kokuphefumula, ukuzivocavoca umzimba, kanye nokuqwashisa ngezifo. |
| Ukufakelwa Kwamaphaphu | Ezinye iziguli ezinesifo esibi kakhulu zingase zifanelekele ukufakelwa amaphaphu uma zihlangabezana nezindinganiso. |
Kufanele uye nini kudokotela? Kufanele uye nini eMnyangweni Wezimo Eziphuthumayo (ETU)?
Ukucaca ngalokhu kungasiza ekusindiseni impilo yakho.
Bona udokotela njalo.
Uma uhlangabezana nanoma yiziphi izimpawu ezishiwo ngenhla, njengokuphelelwa umoya, ukukhwehlela okuqhubekayo, noma ubunzima bokwenza ngisho nemisebenzi elula, sicela ungakushayi indiva . Bona udokotela wakho ngokushesha okukhulu bese uxoxa ngalokhu. Uma lesi sifo sitholakala ngokushesha, kuba lula ukwelapha.
Uma udinga ukuya e-ETU ngokushesha
Uma unezinye zalezi zimpawu, ungachithi isikhathi uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha noma ushayele ku-1990.
| Isimo Esiphuthumayo! Yiya esibhedlela ngokushesha. | |
|---|---|
| 🚨 Ukuphefumula okunzima noma okungazelelwe | |
| 🚨 Ubuhlungu besifuba | |
| 🚨 Ukudideka noma ukushintsha kwengqondo | |
| 🚨 Ukushintsha kombala wesikhumba, izindebe, noma izinzipho kube luhlaza okwesibhakabhaka | |
Lizoba yini ikusasa ngalesi sifo?
Kuvamile ukuzizwa wesaba futhi ungaqiniseki ngekusasa uma utholakala unalesi sifo. Kuvamile futhi ukuzibuza ukuthi, 'Ngizophila isikhathi esingakanani?'
Kodwa khumbula, akuzona zonke iziguli ezifanayo. Kwabanye, lesi sifo siqhubeka kancane kakhulu, eminyakeni edlule. Kwabanye, singaqhubeka ngokushesha, ezinyangeni ezimbalwa. Akekho ongasho ngokuqinisekile.
Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho, uthole ukwelashwa okufanele, futhi ubhekane nalokhu ngamandla nokusekelwa ngumndeni wakho. Ukwelashwa kwanamuhla kuthuthukise kakhulu isikhathi sokuphila kanye nekhwalithi yokuphila kweziguli.
Ungajoyina amaqembu okusekelana ukuze uthole amandla kokuhlangenwe nakho kwabanye abaphila nalesi sifo.
Umlayezo Wokuya Nawe Ekhaya
- I-Pulmonary Fibrosis yisifo lapho izicubu zamaphaphu ziba lukhuni futhi zibe nezibazi, okwenza kube nzima ukuphefumula.
- Ubunzima bokuphefumula, ukukhwehlela okomile okuqhubekayo, kanye nokukhathala okukhulu yizimpawu eziyinhloko. Ungazinaki lezi.
- Nakuba lesi sifo singelapheki ngokuphelele, ukwelashwa okuphumelelayo kungalawula ukuqhubeka kwalesi sifo futhi kukuvumele ukuthi uphile impilo enhle.
- Uma ubhema, kubalulekile ukuyeka ngokushesha . Kubaluleke kakhulu futhi ukuzivikela othulini nakumakhemikhali ayingozi emaphashini.
- Uma wena noma othile omaziyo enalezi zimpawu, funa iseluleko sezokwelapha ngokushesha . Ukuxilongwa ngokushesha kubalulekile ekwelapheni.
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