Matenda am'mapapo

Matenda am'mapapo mwanga omwe amabwera chifukwa cha mankhwala osokoneza bongo ndi matenda am'mapapo omwe amabwera chifukwa chamankhwala. Njira zamapapu zokhudzana ndi mapapu.

Mitundu yambiri yovulala m'mapapo imatha kubwera chifukwa cha mankhwala. Nthawi zambiri zimakhala zosatheka kuneneratu yemwe angadwale matenda am'mapapo kuchokera kumankhwala.

Mitundu yamavuto am'mapapo kapena matenda omwe angayambitsidwe ndi mankhwala ndi awa:

• Thupi lawo siligwirizana - mphumu, hypersensitivity pneumonitis, kapena eosinophilic chibayo
• Kuthira magazi m'mapapu am'mapapu, otchedwa alveoli (kutuluka kwa magazi m'mapapo mwanga)
• Kutupa ndi minofu yotupa m'magawo akulu omwe amatengera mpweya m'mapapu (bronchitis)
• Kuwonongeka kwa minofu yamapapu (interstitial fibrosis)
• Mankhwala omwe amachititsa chitetezo chamthupi molakwika kuwononga ndikuwononga minofu yabwinobwino, monga lupus erythematosus
• Matenda am'mapapo a Granulomatous - mtundu wa kutupa m'mapapu
• Kutupa kwamapapu am'mapapu (pneumonitis kapena kulowa mkati)
• Lung vasculitis (kutupa kwamitsempha yamagazi yamapapu)
• Matenda am'mimba amatupa
• Kutupa ndi kukwiya (kutupa) kwa chifuwa pakati pa mapapo (mediastinitis)
• Kuchuluka kwamadzimadzi m'mapapu (pulmonary edema)
• Kuchuluka kwa madzimadzi pakati pa zigawo za minofu yomwe imayendetsa mapapo ndi chifuwa (pleural effusion)

Mankhwala ndi zinthu zambiri zimadziwika kuti zimayambitsa matenda am'mapapo mwa anthu ena. Izi zikuphatikiza:

• Maantibayotiki, monga nitrofurantoin ndi mankhwala a sulfa
• Mankhwala amtima, monga amiodarone
• Mankhwala a Chemotherapy monga bleomycin, cyclophosphamide, ndi methotrexate
• Mankhwala osokoneza bongo

Zizindikiro zimatha kuphatikizira izi:

• Sputum yamagazi
• Kupweteka pachifuwa
• Tsokomola
• Malungo
• Kupuma pang'ono
• Kutentha

Wothandizira zaumoyo adzakuyesani ndikumvetsera pachifuwa ndi m'mapapu ndi stethoscope. Phokoso lachilendo limamveka.

Mayeso omwe angachitike ndi awa:

• Mitsempha yamagazi yamagazi
• Kuyezetsa magazi kuti muwone ngati muli ndi vuto lodzitchinjiriza
• Magazi amadzimadzi
• Bronchoscopy
• Kuwerengera kwathunthu kwamagazi ndikusiyanitsa magazi
• Chifuwa cha CT
• X-ray pachifuwa
• Kupopa kwa mapapo (nthawi zambiri)
• Kuyesa kwa mapapo
• Thoracentesis (ngati kupembedzera kuli)

Gawo loyamba ndikusiya mankhwala omwe akuyambitsa vutoli. Mankhwala ena amadalira zizindikiro zanu. Mwachitsanzo, mungafunike mpweya mpaka matenda am'mapapo omwe amayamba chifukwa cha mankhwalawa atakula. Mankhwala odana ndi zotupa otchedwa corticosteroids amagwiritsidwa ntchito nthawi zambiri kuthana ndi kutupa kwamapapo.

Magawo oopsa nthawi zambiri amatha mkati mwa maola 48 mpaka 72 mankhwala atayimitsidwa. Zizindikiro zanthawi yayitali zimatha kutenga nthawi kuti zisinthe.

Matenda ena am'mapapo omwe amayamba chifukwa cha mankhwala, monga pulmonary fibrosis, satha kutha ndipo amatha kukulira, ngakhale mankhwalawo atayimitsidwa ndipo atha kubweretsa matenda am'mapapo akulu ndi imfa.

Zovuta zomwe zingachitike zingaphatikizepo:

• Zovuta zamkati zam'mapapu zam'mimba
• Hypoxemia (magazi otsika magazi)
• Kulephera kupuma

Itanani omwe akukuthandizani ngati mukukula ndi matendawa.

Onani zomwe mudachita kale mukamamwa mankhwala, kuti muthe kupewa mankhwalawa mtsogolo. Valani chibangili chodziwitsa zachipatala ngati mukudziwa zomwe zimachitika chifukwa cha mankhwala. Khalani kutali ndi mankhwala osokoneza bongo.

Matenda am'mapapo - mankhwala osokoneza bongo

• Matenda am'mapapo - akulu - amatulutsa

• Dongosolo kupuma

Dulohery MM, Maldonado F, Wopanda AH. Matenda am'mapapo. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 71.

Kurian ST, Walker CM, Chung JH. Matenda am'mapapo. Mu: Walker CM, Chung JH, eds. Kujambula kwa chifuwa cha Muller. Wachiwiri ed. Philadelphia, PA: Elsevier Saunders; 2019: chap 65.

Taylor AC, Verma N, Slater R, Mohammed TL. (Adasankhidwa) Choipa pakupuma: chithunzi cha matenda am'mapapo. Curr Probl Digan Radiol. 2016; 45 (6): 429-432. PMID: 26717864 www.ncbi.nlm.nih.gov/pubmed/26717864.