Kodi Fibrosis ya Pulmonary ndi RA Imayenderana Bwanji?

Zamkati

• Kuzindikira pulmonary fibrosis
• Kodi RA imagwirizana bwanji ndi pulmonary fibrosis?
• Nthawi yoti muwonane ndi dokotala
• Zovuta za pulmonary fibrosis
• Chithandizo ndi kasamalidwe ka pulmonary fibrosis
• Kudzisamalira
• Gulu lothandizira
• Chiyembekezo cha pulmonary fibrosis

Chidule

Pulmonary fibrosis ndi matenda omwe amayambitsa zipsera ndi kuwonongeka kwa minofu yamapapu. Popita nthawi, kuwonongeka kumeneku kumapangitsa kupuma movutikira.

Matenda ambiri amatha kuyambitsa pulmonary fibrosis. Chimodzi mwa izo ndi nyamakazi (RA). RA imayambitsa kutupa ndi kupweteka komwe kumakhudza mafupa, koma kumathanso kukhudza ziwalo zina, monga mapapu anu.

Kufikira 40 peresenti ya anthu omwe ali ndi RA ali ndi pulmonary fibrosis. M'malo mwake, mavuto ampweya ndi omwe amatsogolera kufa kwa anthu omwe ali ndi RA. Koma akatswiri samamvetsetsabe mgwirizano pakati pa RA ndi pulmonary fibrosis.

Nthawi zonse muzitchula dokotala zakusokonekera, ngakhale kupuma kumachitika panthawi yochita masewera olimbitsa thupi. Malinga ndi Arthritis Center, anthu omwe ali ndi RA nthawi zambiri amafotokoza mavuto opuma. Izi ndichifukwa choti anthu omwe ali ndi RA sachita masewera olimbitsa thupi chifukwa chakumva kuwawa.

Ngakhale chithandizo cha RA chasintha, chithandizo cha matenda am'mapapo sichinachitike. Cholinga cha chithandizo ndikulowererapo koyambirira kuti muchepetse kukula kwa matendawa ndikusintha moyo.

Kuzindikira pulmonary fibrosis

Chizindikiro chodziwika kwambiri cha pulmonary fibrosis ndikufupika kwa mpweya. Koma chizindikirochi sichimawoneka kawirikawiri mpaka matendawa atakula.

Zizindikiro zina za pulmonary fibrosis ndi izi:

• chifuwa chowuma, chodula
• kuonda mwangozi
• kukulitsa ndi kuzungulira nsonga zala kapena zala zakumapazi
• kumva kutopa

Kupuma pang'ono kumatha kukhala kofatsa poyamba ndipo kumangochitika pakulimbitsa thupi. Mavuto opumira amayamba kuchepa pang'onopang'ono pakapita nthawi.

Kodi RA imagwirizana bwanji ndi pulmonary fibrosis?

Zomwe zimayambitsa pulmonary fibrosis sizidziwika, koma RA imatha kuwonjezera chiopsezo chanu chifukwa cha kutupa. Kafukufuku akuwonetsanso kuti kuchuluka kwa ma antibodies a RA kumalumikizidwa ndikukula kwa matenda am'mapapo am'mapapo (ILD).

ILD ndimatenda ofala kwambiri am'mapapo omwe amagwirizanitsidwa ndi RA. Ndimkhalidwe woopsa komanso wowopsa womwe ungakhale pulmonary fibrosis.

Zinthu zina zitha kukulitsa chiopsezo cha pulmonary fibrosis, kuphatikiza:

• kusuta ndudu ndikuwonetsedwa ndi zoipitsa zachilengedwe
• matenda opatsirana
• kugwiritsa ntchito mankhwala omwe amawononga mapapo (chemotherapy mankhwala, mankhwala amtima, ndi mankhwala ena otsutsa-yotupa)
• Mbiri ya banja ya pulmonary fibrosis
• mbiri ya matenda a reflux a gastroesophageal

Muthanso kukhala ndi pulmonary fibrosis ngati muli ndi matenda omwe amawononga mapapu anu, monga polymyositis, sarcoidosis, ndi chibayo.

Nthawi yoti muwonane ndi dokotala

Mukamachezera, adokotala amakufunsani za zizindikilo zanu, akuwunikiraninso mbiri yazachipatala ndi banja lanu, ndikuyesani kuti mumvetsere kupuma kwanu. Palinso mayesero angapo omwe angachite kuti awone ngati muli ndi pulmonary fibrosis. Mayesowa akuphatikizapo:

• Kuyesa mayeso. Kujambula X-ray pachifuwa ndi CT kumatha kuwonetsa minofu yam'mapapo. Echocardiogram itha kugwiritsidwa ntchito kuti ifufuze zovuta zomwe zili mumtima zomwe zimayambitsidwa ndi pulmonary fibrosis.
• Kuyesedwa kwa ntchito yamapapo Kuyesa kwa spirometry kumawonetsa dokotala wanu kuchuluka kwa mpweya womwe mungasunge m'mapapu anu komanso momwe mpweya umalowera ndi kutuluka m'mapapu anu.
• Kutulutsa oximetry. Kutulutsa oximetry ndi kuyesa kosavuta komwe kumayeza kuchuluka kwa mpweya m'magazi anu.
• Kuyesa magazi kwamagazi ochepa. Kuyesaku kumagwiritsa ntchito gawo la magazi anu kuyeza kuchuluka kwa oxygen ndi kaboni dayokisaidi.
• Chisokonezo. Dokotala wanu angafunike kuchotsa pang'ono minofu yamapapu kuti mupeze pulmonary fibrosis. Izi zitha kuchitika kudzera mu bronchoscopy kapena biopsy ya opaleshoni. Bronchoscopy imakhala yovuta kwambiri kuposa njira yopangira opaleshoni, yomwe nthawi zina ndiyo njira yokhayo yopezera minofu yokwanira yokwanira.
• Kuyesa magazi. Dokotala wanu amatha kugwiritsa ntchito mayeso a magazi kuti awone momwe chiwindi ndi impso zanu zikugwirira ntchito. Izi zimathandizanso kuthana ndi zovuta zina zokhudzana ndi matenda am'mapapo.

Zovuta za pulmonary fibrosis

Kuzindikira ndikuchiza pulmonary fibrosis koyambirira ndikofunikira chifukwa cha zoopsa komanso zovuta. Pulmonary fibrosis itha kuyambitsa:

• mapapo atagwa
• kulephera kwamtima kumanja
• kupuma kulephera
• kuthamanga kwa magazi m'mapapu anu

Kupitilira kwa pulmonary fibrosis kumawonjezeranso chiopsezo chanu cha khansa yamapapo ndi matenda am'mapapo.

Chithandizo ndi kasamalidwe ka pulmonary fibrosis

Kupunduka kwa mapapo kuchokera ku pulmonary fibrosis sikungasinthe. Njira yabwino kwambiri yochizira ndikuchiza matendawa RA ndikuchepetsa kukula kwa matendawa. Chithandizo chomwe mungachite kuti mukhale ndi moyo wabwino ndi monga:

• mankhwala monga corticosteroids ndi immunosuppressants
• mankhwala a oxygen kuti apumitse kupuma ndikuchepetsa chiopsezo cha zovuta
• kukonzanso kwamapapu kulimbitsa mapapo ndikusintha zizindikiritso

Ngati matenda anu ali ovuta, dokotala wanu angakulimbikitseni kuti muyesedwe mtima ndi mapapo kuti mutenge mapapu anu ndi mtima wanu wowonongeka ndi omwe amachokera kwa wopereka wathanzi. Njirayi imatha kupuma bwino komanso moyo wanu, koma pali zoopsa ndikukula.

Thupi lanu limakana chiwalo, kapena mutha kukhala ndi matenda chifukwa cha mankhwala opatsirana ndi immunosuppresant. Muyenera kumwa mankhwalawa kwa moyo wanu wonse kuti muchepetse kukanidwa.

Kudzisamalira

Kuphatikiza pa njira zamankhwala izi, mudzafunika kuti mapapu anu akhale athanzi momwe mungathere. Kuti muchepetse kukula kwa matendawa, ndikofunikira kuti musiye kusuta ndikupewa utsi wa fodya kapena zoipitsa zilizonse zomwe zimasokoneza mapapu anu.

Kuchita masewera olimbitsa thupi nthawi zonse kumathandizanso kuti mapapu agwire bwino ntchito. Funsani dokotala wanu za masewera olimbitsa thupi otetezeka, monga kuyenda, kusambira, kapena kupalasa njinga.

Muyenera kulandira katemera wa chibayo pachaka ndi chimfine kuti muchepetse chiopsezo cha matenda. Mukawona kuti kupuma kumakulirakulira mukatha kudya, idyani pang'ono, komanso pafupipafupi. Kupuma nthawi zambiri kumakhala kosavuta m'mimba mukakhala osakwanira.

Gulu lothandizira

Matenda apakhungu a fibrosis amatha kubweretsa kukhumudwa komanso kuda nkhawa. Funsani dokotala wanu za magulu othandizira.

Kugawana nkhani yanu ndi anthu omwe amamvetsetsa zomwe zachitikazi kungathandize. Magulu othandizira ndi malo abwino kuphunzira zamankhwala atsopano kapena njira zothanirana ndi nkhawa.

Chiyembekezo cha pulmonary fibrosis

Maonekedwe ndi kuchuluka kwa kukula kwa pulmonary fibrosis ndi RA zimasiyanasiyana kwa munthu aliyense. Ngakhale atalandira chithandizo, pulmonary fibrosis imakulirakulirabe pakapita nthawi.

Pafupifupi kuchuluka kwa anthu omwe ali ndi RA omwe amakhala ndi ILD ndi zaka 2.6, malinga ndi Arthritis ndi Rheumatism. Izi zitha kukhalanso chifukwa chakuti zizindikilo za ILD sizimawoneka mpaka matenda atakula kwambiri.

Palibe njira yodziwira motsimikiza kuti matendawa adzapitilira bwanji. Anthu ena amakhala ndi zizindikilo zochepa kapena zazing'ono kwa zaka zambiri ndipo amakhala osangalala. Onetsetsani kuti mumvera dokotala wanu ndikutsatira dongosolo lamankhwala.

Kumbukirani kutchula chifuwa chowuma kapena kupuma movutikira kwa dokotala wanu. Mukamachiza ILD koyambirira, ndizosavuta kuchepetsa kukula kwa matendawa.