Kodi m'mapapo mwanga fibrosis, zizindikiro zazikulu ndi mankhwala

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira
• Zomwe zimayambitsa pulmonary fibrosis

Pulmonary fibrosis ndi matenda omwe amadziwika ndi kuwonekera kwa zipsera m'mapapo, zotchedwa fibrosis. Popita nthawi, mapapo amatha kukhala olimba, zomwe zimapangitsa kuti munthu azipuma movutikira kwambiri, zomwe zimapangitsa kuti zizindikilo zina zizioneka monga kupuma movutikira, chifuwa chouma komanso kutopa kwambiri.

Izi zimachitika chifukwa chokhala ndi fumbi lalitali pantchito, monga silika ndi asibesitosi, mwachitsanzo, kapena chifukwa cha kusuta, matenda omwe amadzitchinjiriza kapena zotsatira zoyipa zogwiritsa ntchito mankhwala ena. Komabe, nthawi zina chifukwa cha pulmonary fibrosis sichingadziwike, ndipo tsopano chimatchedwa idiopathic pulmonary fibrosis.

Pulmonary fibrosis siyingachiritsidwe chifukwa zomwe zawonongeka m'mapapo sizingakonzedwe, komabe matendawa amatha kuwongoleredwa ndipo zizindikilozo zimakhazikika pochita kupuma kwa thupi komanso mankhwala omwe atha kuwonetsedwa ndi pulmonologist.

Zizindikiro zazikulu

Poyamba, pulmonary fibrosis siyimayambitsa kuwonekera kwa zizindikilo, komabe matendawa akamakula zizindikiro zina zitha kuzindikirika, zazikulu ndizo:

• Kupuma pang'ono;
• Chifuwa chowuma kapena katulutsidwe kakang'ono;
• Kutopa kwambiri;
• Kusowa kwa njala ndi kuwonda popanda chifukwa chilichonse;
• Kupweteka kwa minofu ndi mafupa;
• Zala zabuluu kapena zofiirira;
• Kupunduka m'zala mawonekedwe akusowa mpweya m'thupi, wotchedwa "ng'oma ndodo zala".

Kukula ndi kuthamanga kwa kuyambika kwa zizindikilo kumatha kusiyanasiyana pakati pa munthu ndi munthu, makamaka malinga ndi zomwe zimayambitsa, ndipo zambiri, zimasintha pakapita miyezi mpaka zaka.

Akayikira pulmonary fibrosis, pulmonologist amayitanitsa mayesero monga computed tomography, omwe amawunika kukhalapo kwa kusintha kwa minofu yamapapu, spirometry, yomwe imayesa magwiridwe antchito am'mapapo ndi mayeso ena, monga kuyesa magazi, komwe kumayambitsa matenda ena , monga chibayo. Ngati mukukayika, mapapu a mapapu amathanso kuchitidwa.

Ndikofunikira kuti musasokoneze pulmonary fibrosis ndi cystic fibrosis, yomwe ndi matenda obadwa nawo, omwe amapezeka mwa ana, momwe tiziwalo tina timatulutsa zotulutsa zosazolowereka zomwe zimakhudza kwambiri mathirakiti am'mimba ndi kupuma. Onani momwe mungadziwire ndikuchizira cystic fibrosis.

Momwe mankhwalawa amachitikira

Chithandizo cha pulmonary fibrosis chikuyenera kutsogozedwa ndi pulmonologist ndipo nthawi zambiri chimakhala ndi mankhwala okhala ndi anti-fibrotic, monga Pirfenidone kapena Nintedanib, mankhwala a corticosteroid, monga Prednisone, ndi mankhwala omwe amachepetsa chitetezo cha mthupi, monga Cyclosporine kapena Methotrexate, mwina kuthetsa zizindikiro zina kapena kuchepetsa kukula kwa matendawa.

Physiotherapy ndiyofunikira kuti ikonzenso kukonzanso m'mapapo mwanga, momwe machitidwe olinganizidwa amachitidwira ndi cholinga chowongolera kupuma kwa munthu, yemwe amakhala wolimbikira kwambiri ndipo alibe zisonyezo zochepa.

Kuphatikiza apo, pamavuto akulu kwambiri, adotolo amalimbikitsanso kugwiritsa ntchito mpweya kunyumba ngati njira yothandizira kuwonjezera mpweya wa magazi. Matendawa amatha kukhala ovuta kwambiri kwa anthu ena, ndipo pakadali pano, kuwunika m'mapapo kungasonyezedwe.

Onani zambiri zamankhwala am'mapapo mwanga fibrosis.

Zomwe zimayambitsa pulmonary fibrosis

Ngakhale chomwe chimayambitsa pulmonary fibrosis sichidziwika, chiopsezo chokhala ndi matendawa ndi chachikulu kwa anthu omwe:

• Iwo ndi osuta;
• Amagwira ntchito m'malo okhala ndi poizoni wambiri, monga fumbi la silika kapena asibesitosi, mwachitsanzo;
• Ali ndi radiotherapy kapena chemotherapy ya khansa, monga khansa ya m'mapapo kapena m'mawere;
• Amagwiritsa ntchito mankhwala ena omwe ali pachiwopsezo choyambitsa izi, monga Amiodarone Hydrochloride kapena Propranolol, kapena maantibayotiki, monga Sulfasalazine kapena Nitrofurantoin, mwachitsanzo;
• Anali ndi matenda am'mapapo, monga chifuwa chachikulu kapena chibayo;
• Ali ndi matenda omwe amadzichotsera okha, monga Lupus, Rheumatoid Arthritis kapena Scleroderma.

Kuphatikiza apo, idiopathic pulmonary fibrosis itha kuperekedwa kuchokera kwa makolo kupita kwa ana, ndipo tikulimbikitsidwa kuti tikhale ndi upangiri wa majini ngati pali zovuta zambiri zamatendawa m'banjamo.