Njira Zothandizira Kuchiza Idiopathic Pulmonary Fibrosis (IPF)

Zamkati

• Chithandizo choyambirira cha idiopathic pulmonary fibrosis (IPF)
• Kodi ndi mankhwala amtundu wanji omwe alipo?
• Pirfenidone
• Nintedanib
• Mapiritsi a Corticosteroid
• N-Acetylcysteine ​​(m'kamwa kapena aerosolized)
• Thandizo la oxygen la IPF
• Kusintha kwa mapapo kwa IPF
• Mankhwala oyesera
• Ndi mitundu iti yazithandizo zomwe sizingachitike?
• Kuchepetsa thupi kapena kukhala wathanzi
• Lekani kusuta
• Pezani katemera wapachaka
• Onetsetsani mpweya wanu
• Nawo nawo kukonzanso kwamapapu
• Ndi magulu ati othandizira omwe amapezeka?
• Kodi anthu omwe ali ndi IPF ali ndi malingaliro otani?

Idiopathic pulmonary fibrosis (IPF) ndi matenda am'mapapo omwe amabwera chifukwa chokhazikitsidwa ndi zilonda zamkati mkati mwa mapapo.

Zilondazo zikuwonjezeka pang'onopang'ono. Izi zimapangitsa kuti zikhale zovuta kupuma ndikusunga mpweya wokwanira m'magazi.

Kuchuluka kwa mpweya wocheperako kumabweretsa zovuta zosiyanasiyana mthupi lonse. Chizindikiro chachikulu ndikupuma pang'ono, komwe kumatha kubweretsa kutopa ndi mavuto ena.

Chithandizo choyambirira cha idiopathic pulmonary fibrosis (IPF)

IPF ndi matenda opita patsogolo, omwe amatanthauza kuti matenda amakula pakapita nthawi, ndipo chithandizo choyambirira ndichofunikira. Pakadali pano palibe mankhwala a IPF, ndipo zipsera sizingasinthidwe kapena kuchotsedwa.

Komabe, mankhwala alipo omwe amathandiza:

• kuthandizira kukhala ndi moyo wathanzi
• sungani zizindikiro
• kukula kwa matenda pang'onopang'ono
• sungani moyo wabwino

Kodi ndi mankhwala amtundu wanji omwe alipo?

Zosankha zamankhwala zimaphatikizapo mankhwala awiri ovomerezeka antifibrotic (anti-scarring).

Pirfenidone

Pirfenidone ndi mankhwala oletsa antibibrotic omwe amatha kuchepetsa kukula kwa minofu yamapapo. Ili ndi antifibrotic, anti-inflammatory, ndi antioxidant.

Pirfenidone yakhala ikugwirizana ndi:

• mitengo yopulumuka bwino

Nintedanib

Nintedanib ndi mankhwala ena oletsa antibibrotic ofanana ndi pirfenidone omwe awonetsedwa m'mayesero azachipatala kuti achepetse kupita patsogolo kwa IPF.

Kwa anthu ambiri omwe ali ndi IPF omwe alibe matenda a chiwindi, pirfenidone kapena nintedanib ndi mankhwala ovomerezeka.

Zambiri pakadali pano ndizosakwanira kusankha pakati pa pirfenidone ndi nintedanib.

Mukamasankha pakati pa ziwirizi, zomwe mumakonda komanso kulolerana ziyenera kuganiziridwa, makamaka pazovuta zomwe zingachitike.

Izi zikuphatikiza kutsekula m'mimba ndi kuyesayesa kovuta kwa chiwindi ndi nintedanib ndi nseru komanso zotupa ndi pirfenidone.

Mapiritsi a Corticosteroid

Corticosteroids, monga prednisone, imatha kuchepetsa kutupa m'mapapu koma salinso gawo wamba lokonzanso zochitika za anthu omwe ali ndi IPF popeza sanatsimikizidwe kuti ndi othandiza kapena otetezeka.

N-Acetylcysteine ​​(m'kamwa kapena aerosolized)

N-Acetylcysteine ​​ndi antioxidant yomwe yaphunziridwa kuti igwiritsidwe ntchito mwa anthu omwe amapezeka ndi IPF. Zotsatira zamayesero azachipatala zasakanikirana.

Mofanana ndi corticosteroids, N-Acetylcysteine ​​sagwiritsidwanso ntchito ngati gawo lokonzanso.

Mankhwala ena omwe angakhalepo ndi awa:

• proton pump pump inhibitors, zomwe zimalepheretsa m'mimba kutulutsa asidi (kupumira kwa asidi owonjezera m'mimba kulumikizidwa ndipo kumatha kuthandizira IPF)
• opondereza chitetezo cha mthupi, monga mycophenolate ndi azathioprine, yomwe imatha kuthana ndi zovuta zama autoimmune ndikuthandizira kupewa kukana kwa mapapo omwe adaikidwa

Thandizo la oxygen la IPF

Dokotala wanu angalimbikitsenso njira zina zamankhwala. Chithandizo cha oxygen chingakuthandizeni kupuma mosavuta, makamaka panthawi yochita masewera olimbitsa thupi komanso zina.

Oxygen owonjezera amatha kuchepetsa mavuto okhudzana ndi kuchepa kwa mpweya m'magazi monga kutopa kwakanthawi kochepa.

Maubwino ena akuwerengedwabe.

Kusintha kwa mapapo kwa IPF

Mutha kukhala woyenera kupanga mapapu. Kusintha kwamapapu nthawi ina kumangosungidwa kwa achichepere omwe amalandira. Koma tsopano amaperekedwa kwa anthu azaka zopitilira 65 omwe ali athanzi.

Mankhwala oyesera

Pali njira zingapo zatsopano zothandizira IPF yomwe ikufufuzidwa.

Muli ndi mwayi wosankha mayesero osiyanasiyana azachipatala omwe akuyang'ana njira zatsopano zopewera, kuzindikira, ndikuchizira matenda am'mapapo osiyanasiyana, kuphatikiza IPF.

Mutha kupeza mayesero azachipatala ku CenterWatch, yomwe imafufuza kafukufuku wamkulu pamitu yosaka.

Izi zimapereka chidziwitso cha momwe mayesedwe azachipatala amagwirira ntchito, zoopsa ndi maubwino, ndi zina zambiri.

Ndi mitundu iti yazithandizo zomwe sizingachitike?

Kusintha kwa moyo wanu komanso mankhwala ena osagwiritsa ntchito mankhwala kungakuthandizeni kukhala athanzi ndikusintha moyo wanu.

Nawa malingaliro.

Kuchepetsa thupi kapena kukhala wathanzi

Lankhulani ndi dokotala wanu za njira zabwino zochepetsera kapena kuchepetsa kulemera kwanu. Kulemera kwambiri nthawi zina kumathandizira kupuma movutikira.

Lekani kusuta

Kusuta ndichimodzi mwazinthu zoyipa kwambiri zomwe mungachite m'mapapu anu. Tsopano, kuposa kale lonse, ndikofunikira kuti tileke chizolowezi ichi kuti chiwonongeke kwambiri.

Pezani katemera wapachaka

Lankhulani ndi dokotala wanu za katemera wa chimfine chaka ndi chaka komanso katemera wa chifuwa chachikulu (pertussis). Izi zitha kuteteza mapapu anu ku matenda komanso kuwonongeka kwina.

Onetsetsani mpweya wanu

Gwiritsani ntchito oximeter yakunyumba kuti muwone momwe mpweya wanu ulili wokwanira. Kawirikawiri cholinga chake ndi kukhala ndi mpweya wokwanira kapena kupitirira 90 peresenti.

Nawo nawo kukonzanso kwamapapu

Kukonzanso kwa pulmonary ndi pulogalamu yambirimbiri yomwe yakhala chinthu chofunikira kwambiri cha chithandizo cha IPF. Cholinga chake ndi kukonza moyo watsiku ndi tsiku kwa anthu omwe ali ndi IPF komanso kuchepetsa kupuma pang'ono panthawi yopuma komanso kuchita masewera olimbitsa thupi.

Zinthu zazikulu ndi monga:

• kupuma ndi zolimbitsa thupi
• kupsinjika ndi nkhawa
• kuthandizidwa m'maganizo
• uphungu wathanzi
• maphunziro oleza mtima

Ndi magulu ati othandizira omwe amapezeka?

Palinso machitidwe othandizira. Izi zitha kupanga kusiyana kwakukulu pamtundu wamoyo wanu komanso malingaliro anu okhudzana ndi IPF.

Pulmonary Fibrosis Foundation ili ndi nkhokwe yosaka yamagulu othandizira mderalo komanso magulu angapo paintaneti.

Izi ndizofunikira kwambiri mukamazindikira za matenda anu komanso kusintha komwe kungabweretse m'moyo wanu.

Kodi anthu omwe ali ndi IPF ali ndi malingaliro otani?

Ngakhale kulibe mankhwala a IPF, pali njira zamankhwala zothetsera zizindikilo zanu ndikukhalitsa moyo wabwino. Izi zikuphatikiza:

• mankhwala osokoneza bongo
• njira zamankhwala
• zosintha m'moyo