Fibrosis yamapapo

Zamkati

• Kodi zizindikiro za pulmonary fibrosis ndi ziti?
• Nchiyani chimayambitsa pulmonary fibrosis?
• Matenda osokoneza bongo
• Matenda
• Kuwonetsedwa kwachilengedwe
• Mankhwala
• Idiopathic
• Chibadwa
• Ndani ali pachiwopsezo cha pulmonary fibrosis?
• Kodi matenda am'mapapo mwanga amapezeka bwanji?
• Kodi matenda am'mapapo amathandizidwa bwanji?
• Kodi anthu omwe ali ndi pulmonary fibrosis ali ndi malingaliro otani?
• Malangizo popewa

Pulmonary fibrosis ndimavuto am'mapapo komanso kuuma. Izi zimapangitsa kuti zikhale zovuta kupuma. Ikhoza kuteteza thupi lanu kuti lisapeze mpweya wokwanira ndipo pamapeto pake limadzetsa kupuma, kulephera kwa mtima, kapena zovuta zina.

Ofufuzawa akukhulupirira kuti kuphatikiza kukhudzana ndi zotupa m'mapapo monga mankhwala ena, kusuta, ndi matenda, komanso ma genetics ndi chitetezo cha mthupi, zimagwira ntchito yayikulu mu pulmonary fibrosis.

Poyamba anthu ankaganiza kuti vutoli limayamba chifukwa cha kutupa. Tsopano asayansi akukhulupirira kuti pali njira yachilendo yochiritsira m'mapapu yomwe imabweretsa mabala. Kapangidwe kaziphuphu zazikulu pamapeto pake kamakhala m'mapapo mwanga fibrosis.

Kodi zizindikiro za pulmonary fibrosis ndi ziti?

Mutha kukhala ndi pulmonary fibrosis kwakanthawi kopanda zisonyezo. Kupuma pang'ono ndiye chizindikiro choyamba chomwe chimayamba.

Zizindikiro zina zitha kuphatikiza:

• youma, kutsokomola chifuwa chomwe sichitha (nthawi yayitali)
• kufooka
• kutopa
• kupindika kwa zikhadabo, komwe kumatchedwa kukalipa
• kuonda
• kusapeza bwino pachifuwa

Popeza vutoli limakhudza anthu okalamba, nthawi zambiri zizindikiro zoyambirira zimaperekedwa chifukwa cha ukalamba kapena kusachita masewera olimbitsa thupi.

Zizindikiro zanu zingawoneke zazing'ono poyamba ndikupita patsogolo pakapita nthawi. Zizindikiro zimatha kusiyanasiyana pakati pa anthu osiyanasiyana. Anthu ena omwe ali ndi pulmonary fibrosis amadwala mwachangu kwambiri.

Nchiyani chimayambitsa pulmonary fibrosis?

Zomwe zimayambitsa pulmonary fibrosis zitha kugawidwa m'magulu angapo:

• Matenda osokoneza bongo
• matenda
• kuwonetseredwa kwachilengedwe
• mankhwala
• idiopathic (osadziwika)
• chibadwa

Matenda osokoneza bongo

Matenda omwe amadzimitsa okha amachititsa kuti chitetezo cha mthupi lanu chizidziukira. Zomwe zimadzetsa zokha zomwe zingayambitse pulmonary fibrosis ndi izi:

• nyamakazi
• lupus erythematosus, yomwe imadziwika kuti lupus
• scleroderma
• polymyositis
• dermatomyositis
• vasculitis

Matenda

Mitundu yotsatirayi ingayambitse pulmonary fibrosis:

• matenda a bakiteriya
• matenda opatsirana, omwe amayamba chifukwa cha hepatitis C, adenovirus, herpes virus, ndi ma virus ena

Kuwonetsedwa kwachilengedwe

Kuwonetsedwa pazinthu zachilengedwe kapena kuntchito kungathandizenso ku pulmonary fibrosis. Mwachitsanzo, utsi wa ndudu uli ndi mankhwala ambiri omwe angawononge mapapu anu ndikupangitsa kuti mukhale ndi vutoli.

Zinthu zina zomwe zingawononge mapapu anu ndi monga:

• ulusi wa asbestosi
• fumbi lambewu
• fumbi la silika
• mpweya winawake
• cheza

Mankhwala

Mankhwala ena amathanso kukulitsa chiopsezo chotenga pulmonary fibrosis. Ngati mumamwa mankhwalawa pafupipafupi, mungafune kuyang'aniridwa ndi dokotala wanu.

• mankhwala a chemotherapy, monga cyclophosphamide
• maantibayotiki, monga nitrofurantoin (Macrobid) ndi sulfasalazine (Azulfidine)
• mankhwala amtima, monga amiodarone (Nexterone)
• mankhwala a biologic monga adalimumab (Humira) kapena etanercept (Enbrel)

Idiopathic

Nthawi zambiri, chifukwa chenicheni cha pulmonary fibrosis sichidziwika. Izi zili choncho, vutoli limatchedwa idiopathic pulmonary fibrosis (IPF).

Malinga ndi American Lung Association, anthu ambiri omwe ali ndi pulmonary fibrosis ali ndi IPF.

Chibadwa

Malinga ndi Pulmonary Fibrosis Foundation, pafupifupi 3 mpaka 20 peresenti ya anthu omwe ali ndi IPF ali ndi achibale ena omwe ali ndi pulmonary fibrosis. Zikatero, amadziwika kuti banja pulmonary fibrosis kapena banja interstitial chibayo.

Ochita kafukufuku agwirizanitsa majini ena ndi vutoli, ndipo kafukufuku wokhudza zomwe ma genetiki amasewera akupitilira.

Ndani ali pachiwopsezo cha pulmonary fibrosis?

Mutha kupezeka kuti muli ndi pulmonary fibrosis ngati:

• ndi amuna
• ali pakati pa zaka 40 ndi 70
• kukhala ndi mbiri yosuta
• khalani ndi mbiriyakale yabanja ya vutoli
• ali ndi vuto lodziyimira palokha lokhudzana ndi vutoli
• amamwa mankhwala ena okhudzana ndi matendawa
• adalandira chithandizo cha khansa, makamaka ma radiation
• kugwira ntchito yokhudzana ndi chiopsezo chowonjezeka, monga migodi, ulimi, kapena zomangamanga

Kodi matenda am'mapapo mwanga amapezeka bwanji?

Pulmonary fibrosis ndi imodzi mwamagulu opitilira 200 a matenda am'mapapo omwe alipo. Chifukwa pali mitundu yosiyanasiyana yamatenda am'mapapo, dokotala wanu atha kukhala ndi vuto lakuzindikira kuti pulmonary fibrosis ndiye chifukwa cha matenda anu.

Pakafukufuku wa Pulmonary Fibrosis Foundation, 55% ya omwe anafunsidwa adanena kuti adazindikiridwa molakwika nthawi ina. Matenda omwe amapezeka kwambiri ndi asthma, chibayo, ndi bronchitis.

Pogwiritsa ntchito malangizo aposachedwa kwambiri, akuti odwala awiri mwa atatu aliwonse omwe ali ndi pulmonary fibrosis atha kupezeka bwino popanda biopsy.

Pogwirizanitsa chidziwitso chanu chachipatala ndi zotsatira za mtundu wina wa CT scan pachifuwa, dokotala wanu adzakudziwitsani bwinobwino.

Nthawi yomwe matendawa sadziwika bwinobwino, mtundu wa minofu, kapena biopsy, ungafunike.

Pali njira zingapo zopangira opaleshoni ya m'mapapo, kotero dokotala akukulangizani njira yomwe ingakuthandizeni.

Dokotala wanu angagwiritsenso ntchito zida zosiyanasiyana kuti azindikire pulmonary fibrosis kapena kutulutsa zina. Izi zingaphatikizepo:

• kuthamanga kwa oximetry, kuyesa kosafunikira kwamwazi wamagazi anu
• kuyezetsa magazi kuti ayang'ane matenda amthupi okha, matenda, ndi kuchepa kwa magazi
• kuyezetsa magazi pang'ono kuti muwone bwino kuchuluka kwa mpweya m'magazi anu
• chitsanzo cha sputum kuti muwone ngati pali matenda
• kuyesa kwa m'mapapo kuti muyese mphamvu yanu yamapapu
• Echocardiogram kapena kuyesa kwa mtima kuti muwone ngati vuto la mtima likuyambitsa zizindikilo zanu

Kodi matenda am'mapapo amathandizidwa bwanji?

Dokotala wanu sangasinthe chilonda cha m'mapapo, koma atha kukupatsirani mankhwala othandizira kupuma kwanu komanso kuti muchepetse kukula kwa matendawa.

Mankhwalawa pansipa ndi zitsanzo za zosankha zomwe zingagwiritsidwe ntchito poyang'anira pulmonary fibrosis:

• mpweya wowonjezera
• prednisone kupondereza chitetezo cha mthupi ndikuchepetsa kutupa
• azathioprine (Imuran) kapena mycophenolate (CellCept) kupondereza chitetezo cha mthupi lanu
• pirfenidone (Esbriet) kapena nintedanib (Ofev), mankhwala osokoneza bongo omwe amalepheretsa mapapo m'mapapu

Dokotala wanu angakulimbikitseni kukonzanso mapapu. Chithandizochi chimaphatikizapo pulogalamu yolimbitsa thupi, maphunziro, ndi chithandizo kukuthandizani kuphunzira kupuma mosavuta.

Dokotala wanu angakulimbikitseninso kuti musinthe moyo wanu. Kusintha kumeneku kungaphatikizepo izi:

• Muyenera kupewa utsi womwe umasuta fodya ndipo chitani zomwe mukufuna kuti musiye mukasuta. Izi zitha kuthandiza kuchepetsa kukula kwa matenda ndikuchepetsa kupuma kwanu.
• Idyani chakudya choyenera.
• Tsatirani dongosolo lochita masewera olimbitsa thupi lomwe lakonzedwa ndi chitsogozo cha dokotala wanu.
• Pumulani mokwanira ndikupewa kupsinjika.

Angathe kulangiza m'mapapo kwa omwe sanakwanitse zaka 65 ali ndi matenda akulu.

Kodi anthu omwe ali ndi pulmonary fibrosis ali ndi malingaliro otani?

Mlingo womwe ma fibrosis am'mapapo amawonongera mapapu a anthu umasiyana. Zipsera sizingasinthe, koma dokotala akhoza kukulangizani zamankhwala kuti muchepetse momwe matenda anu akuyendera.

Vutoli limatha kubweretsa zovuta zingapo, kuphatikiza kupuma. Izi zimachitika mapapu anu sagwira ntchito moyenera ndipo sangapeze mpweya wokwanira wamagazi anu.

Pulmonary fibrosis imakwezanso chiopsezo cha khansa yamapapo.

Malangizo popewa

Matenda ena a pulmonary fibrosis sangakhale otetezedwa. Milandu ina imalumikizidwa ndi zoopsa zachilengedwe komanso zikhalidwe zomwe zitha kuwongoleredwa. Tsatirani malangizo awa kuti muchepetse chiopsezo chotenga matendawa:

• Pewani kusuta.
• Peŵani utsi wa fodya amene munthu wina akusuta.
• Valani chophimba kumaso kapena chida china chopuma ngati mutagwira ntchito pamalo okhala ndi mankhwala owopsa.

Ngati mukuvutika kupuma, pangani msonkhano ndi dokotala wanu. Kuzindikira koyambirira ndikuchiritsidwa kumatha kusintha malingaliro a nthawi yayitali kwa anthu omwe ali ndi matenda ambiri am'mapapo, kuphatikiza pulmonary fibrosis.