Matenda a Nyamakazi ndi Mapapo: Zomwe Muyenera Kudziwa

Zamkati

• Zilonda zam'mapapo
• Mitundu yamagulu
• Matenda a Pleural
• Kutsekeka kwapansi panjira
• Zowopsa
• Kodi izi zimakhudza kutalika kwa moyo?
• Nthawi yoti muwonane ndi dokotala
• Mfundo yofunika

Matenda a nyamakazi (RA) ndi matenda otupa mthupi omwe samangokhudza ziwalo zanu zokha, komanso ziwalo zina za thupi. Matendawa akamakula, amathanso kukhudza ziwalo zanu - kuphatikizapo mapapu anu.

Tidzafufuza njira zomwe RA angagwiritsire ntchito m'mapapu anu kuti muthe kukambirana ndi adotolo za mapulani anu.

Zilonda zam'mapapo

Matenda am'mapapo am'mapapo (mapapo am'mapapo) amapezeka pafupifupi 1 mwa anthu 10 omwe ali ndi RA, malinga ndi Arthritis Foundation.

Zofufuzazi zimatanthawuza zotupa zam'mapapo zowonongeka, zomwe zimatha kuchitika pakapita nthawi kuchokera ku kutupa komwe kumayambitsa RA. Kutupa kumayamba, thupi limayamba kuwononga maselo am'mapapu, zomwe zimapangitsa kuti kuwonongeka kotere kufalikira.

Kuchepetsa m'mapapo kumatha kubweretsa kupuma ndi zovuta zina. Izi zikuphatikiza:

• kupuma movutikira
• chifuwa chowuma
• kutopa kwambiri
• kufooka
• kuchepetsa kudya
• kuonda mwangozi

Ndizotheka kuti mukayamba kukumana ndi zizindikilo, mapapu anu amakhala ndi zotupa zambiri.

Komabe, mukayamba kupezeka ndi matendawa, posachedwa mutha kuyamba chithandizo chamankhwala kuti muchepetse kukula kwa matenda ndikupewa zipsera. Kuti adziwe, dokotala wanu angayitanitse kuyesa kwa mapapu, komanso X-ray kapena CT scan ya mapapu.

Njira yabwino yothanirana ndi zotupa m'mapapo kuchokera ku RA ndikuwonetsetsa kuti chithandizo chanu cha RA chikufunika. Pochiza kutupa komwe kumachitika bwino, pali mwayi waukulu kuti maselo anu am'mapapo athanzi sangakhudzidwe.

Nthawi zina, chithandizo cha oxygen chimatha kuthandizira ngati mukulimbana ndi zofooka zambiri ndikuchepetsa moyo. Kuika m'mapapo kumatha kulimbikitsidwa pamilandu yayikulu ngati njira yomaliza.

Popanda chithandizo, kupweteka m'mapapo kumatha kuopseza moyo.

Mitundu yamagulu

Ma nodule ndi olimba, osakhala ndi khansa omwe nthawi zina amatuluka m'ziwalo ndi ziwalo zina za thupi. Kukhala ndi ma nodule am'mapapu (pulmonary) sizitanthauza kuti muli ndi khansa yamapapo.

Tinthu tina tating'onoting'ono ta mapapo ndi tating'onoting'ono, choncho simaonekera kwambiri. M'malo mwake, Cleveland Clinic imaganiza kuti ma nodule amakhala pafupifupi mainchesi 1.2. Amakhalanso ofala kwambiri, mosasamala kanthu kuti RA alipo.

Mitsempha yamagulu samapereka zizindikiro zilizonse zowonekera. Nthawi zambiri amapezeka akamayesa kujambula pazinthu zina. Misa yayikulu kapena misa yokhala ndi m'mbali mosakhazikika ikhoza kukhala chizindikiro cha khansa yamapapo.

Mitsempha yamagulu samafuna kuchotsedwa pokhapokha ngati pali kukayikira za khansa.

Monga momwe zilili ndi zotupa m'mapapo, njira yothandiza kwambiri yopewera tinthu tina tating'onoting'ono ta m'mapapo tomwe timayambitsa matendawa ndi RA ndikuthana ndi zotupa zomwe zimabweretsa izi.

Matenda a Pleural

Matenda a Pleural (kuphulika) amapezeka pakakhala phulusa, kapena khungu lofewa lomwe limazungulira mapapu anu. Nthawi zambiri, kutupa kwamapapu kwamtunduwu kumachitika pambali pamapangidwe amadzimadzi pakati pazolumikizana mozungulira minofu yam'mapapo ndi khoma lachifuwa (lotchedwa pleural space).

M'milingo ing'onoing'ono, matenda am'mapapo amthupi samakhala ovuta mokwanira kupangitsa zizindikilo zilizonse. M'malo mwake, kamangidwe kakang'ono kamadzimadzi kamatha paokha. Koma ngati pali kuchuluka kokwanira kokwanira, mutha kuyamba kupuma movutikira kapena kupweteka mukamapuma ndikusowa chithandizo.

Nthawi zina matenda opatsirana amayambitsanso malungo.

Kutulutsa kwamadzimadzi kwakukulu kuchokera ku matenda am'mapapo kumafunikira chithandizo kuti athetse madzi ambiri. Izi zimachitika ndi chubu pachifuwa kapena singano, yomwe imachotsa madzi kuchokera pamalo opumira.

Chithandizo chitha kubwerezedwa momwe zingafunikire ngati matenda am'mapapo mwathu angadzayambitsenso madzi mtsogolo.

Kutsekeka kwapansi panjira

RA amathanso kuyambitsa kutupa mkati mwanjira zazing'ono zam'mapapu anu. Popita nthawi, kutupa kwakanthawi m'derali kumatha kuyambitsa kuwundana m'mayendedwe am'mlengalenga ndipo kumadzetsa zotupa m'mapapu anu. Izi zimadziwika ngati kutsekereza kwakung'ono kwakapandege.

Zizindikiro zina za kutsekeka kwapansi panjira zimatha kukhala chifuwa chouma, kupuma pang'ono, komanso kutopa.

Ngakhale kuti chithandizo cha RA chingalepheretse kutsekereza kwakung'ono kwakapandege, sizimapereka mpumulo mwachangu pamatendawa. Lankhulani ndi dokotala wanu za opulumutsa inhalers kapena bronchodilators omwe angakuthandizeni kutsegula njira zowuluka ndikuwonetsetsa kuti kupuma bwino.

Zowopsa

Ngakhale RA ndi amene amathandizira kwambiri, zovuta zina zimatha kukulitsa mwayi wanu wamatenda am'mapapo okhudzana ndi RA. Izi zikuphatikiza:

• kusuta
• kukhala wamwamuna
• kukhala azaka 50 mpaka 60 zakubadwa
• kukhala ndi RA yogwira ntchito kwambiri

Kodi izi zimakhudza kutalika kwa moyo?

RA palokha imatha kufupikitsa chiyembekezo cha moyo wanu chifukwa cha zovuta zakufalikira kwa kutupa.

Malinga ndi magaziniyo, chiyembekezo cha moyo wapakatikati chimachepa ndi zaka 10 mpaka 11 poyerekeza ndi omwe alibe RA ngati matendawa sakuchiritsidwa bwino.

Zovuta zochokera ku RA ngati matenda am'mapapo ndi njira imodzi yokha RA angachepetsere moyo wanu wonse.

Matenda am'mapapo okha angachepetse moyo wanu chifukwa amatha kuletsa mpweya wabwino ku ziwalo zonse ndi ziwalo za thupi. Malinga ndi National Rheumatoid Arthritis Society, matenda am'mapapo amakhala wachiwiri pambuyo pa matenda amtima pazomwe zimayambitsa kufa kwa RA.

Kusamalira RA yanu ndi njira imodzi yokha yochepetsera chiopsezo cha matenda am'mapapo okhudzana. Muthanso kuthandiza kuti mapapu anu akhale athanzi mwa kusiya kusuta, kupewa mankhwala ndi utsi wakupha, komanso kuchita masewera olimbitsa thupi pafupipafupi.

Nthawi yoti muwonane ndi dokotala

Ndikofunika kukawona dokotala wanu kuti azikacheza pafupipafupi. Komabe, simukufuna kudikirira kubwera kwanu kawirikawiri ngati mukukumana ndi zachilendo kapena zachilendo. Onani dokotala wanu zamatenda am'mapapo ochokera ku RA ngati mukukumana ndi zizindikiro monga:

• kupweteka kupuma
• kupuma movutikira
• kupuma movutikira, makamaka atachita masewera olimbitsa thupi
• chifuwa chachikulu
• kuchuluka kufooka ndi kutopa
• chilakolako kusintha
• kuwonda mwadzidzidzi
• malungo aakulu

Dokotala wanu atangodziwa msanga za zomwe mukukumana nazo, azitha kukupatsani matenda am'mapapo.

Mfundo yofunika

RA imakhudza kwambiri malo, koma imatha kubweretsa zovuta zina zotupa mthupi lanu lonse, kuphatikizapo mapapu anu.

Kukhala ndi matenda am'mapapo kumachepetsa moyo wanu ndipo mwina kungafupikitse moyo wanu. Mavuto aliwonse opumira ayenera kuuzidwa ndi dokotala nthawi yomweyo kuti mupewe zovuta zokhudzana ndi mapapu.