Matenda a m'mapapo

Matenda a m'mapapo ndi gulu la mavuto am'mapapo okhudzana ndi nyamakazi. Vutoli lingaphatikizepo:

• Kutsekedwa kwa mayendedwe ang'onoang'ono (bronchiolitis obliterans)
• Zamadzimadzi m'chifuwa (zopempherera)
• Kuthamanga kwa magazi m'mapapu (kuthamanga kwa magazi)
• Ziphuphu m'mapapu (mitsempha)
• Kusokoneza (pulmonary fibrosis)

Matenda a m'mapapo amapezeka m'matenda a nyamakazi. Nthawi zambiri samayambitsa zisonyezo.

Zomwe zimayambitsa matenda am'mapapo zomwe zimakhudzana ndi nyamakazi sizodziwika. Nthawi zina, mankhwala omwe amagwiritsidwa ntchito pochiza nyamakazi, makamaka methotrexate, amatha kudwala matenda am'mapapo.

Zizindikiro zimatha kuphatikizira izi:

• Kupweteka pachifuwa
• Tsokomola
• Malungo
• Kupuma pang'ono
• Ululu wophatikizana, kuuma, kutupa
• Mitsempha yama khungu

Wothandizira zaumoyo adzakufufuza ndikufunsa za zizindikiro zanu.

Zizindikiro zimadalira mtundu wamatenda am'mapapo am'mapapo.

Woperekayo amatha kumva maphokoso akamamvera mapapu ndi stethoscope. Kapenanso, pakhoza kukhala kuchepa kwa mawu, kupuma, phokoso lopaka, kapena mpweya wabwinobwino. Mukamamvetsera pamtima, pangakhale phokoso lachilendo pamtima.

Mayesero otsatirawa angasonyeze zizindikiro za matenda a m'mapapo:

• X-ray pachifuwa
• Kujambula kwa CT pachifuwa
• Echocardiogram (itha kuwonetsa kuthamanga kwa magazi m'mapapo)
• Lung biopsy (bronchoscopic, kuthandizira makanema, kapena kutseguka)
• Kuyesa kwa mapapo
• Singano imayikidwa mumadzimadzi ozungulira mapapo (thoracentesis)
• Kuyezetsa magazi kwa nyamakazi ya nyamakazi
  

Anthu ambiri omwe ali ndi vutoli alibe zisonyezo. Chithandizochi chimalimbana ndi mavuto azaumoyo omwe amayambitsa vuto la m'mapapo komanso zovuta zomwe zimayambitsidwa ndi matendawa. Corticosteroids kapena mankhwala ena omwe amaletsa chitetezo cha mthupi nthawi zina amakhala othandiza.

Zotsatira zake ndizokhudzana ndi vuto lomwe limayambitsa matendawa komanso mtundu wa matenda am'mapapo. Zikakhala zovuta kwambiri, kupatsira m'mapapo kumatha kuganiziridwa. Izi ndizofala kwambiri pakakhala bronchiolitis obliterans, pulmonary fibrosis, kapena pulmonary hypertension.

Matenda a m'mapapo angayambitse:

• Mapapu otayika (pneumothorax)
• Matenda oopsa

Itanani omwe akukuthandizani nthawi yomweyo ngati muli ndi nyamakazi ndipo mukukhala ndi mavuto osapumira.

Matenda am'mapapo - nyamakazi; Mitsempha yamagazi; Chifuwa cha m'mapapo

• Matenda am'mapapo - akulu - amatulutsa

• Bronchoscopy
• Dongosolo kupuma

Corte TJ, Du Bois RM, Wells AU (Adasankhidwa) Matenda othandizira. 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 65.

Yunt ZX, Solomon JJ. Matenda am'mimba mu nyamakazi ya nyamakazi. Rheum Dis Clin Kumpoto Am. 2015; 41 (2): 225-236. PMID: PMC4415514 www.ncbi.nlm.nih.gov/pmc/articles/PMC4415514.