Kodi tanthauzo la bronchorrhea ndi chiyani chomwe chimayambitsa? Pamene bronchorrhea imapezeka ndi khansara yamapapu kapena ma mapapo ena, kodi mankhwala abwino ndi otani ndipo zizindikiro zingatheke bwanji?
Bronchorrhea imatanthauzidwa ngati kutaya kwa madzi mowa kwambiri kuchokera m'mapapo, zomwe zimabweretsa chifuwa chopindulitsa. Kutulutsa uku ndi kovuta kwambiri kusiyana ndi kachitidwe kawirikawiri, ndipo kutanthauzira kumachitika pokhapokha ngati munthu akutsokomola pafupifupi makapuni 20 a mucus tsiku ndi tsiku kuchokera m'mapapu awo.
Zizindikiro
Bronchorrhea ndi chizindikiro chimene chimbudzi chochepa chimachotsedwa m'mapapo a munthu tsiku ndi tsiku. Izi sizongotengera pang'ono ndipo zingakhale chizindikiro chokhumudwitsa kwambiri. Chizindikiro ichi chimakhala chovuta kwambiri m'mawa ndipo nthawi zambiri chimakhala bwino kupyola tsikulo.
Chizindikiro ichi chingayambitse chifuwa (kuchotsa madzi) ndi kupuma pang'ono. Popeza kuti zinthu zambiri zomwe zimayambitsa bronchorrhea zingapangitse chifuwa komanso kupuma, mpweya wa bronchorrhea ukhoza kuwonjezera zizindikirozi mozama.
Bronchorrhea ndi yosiyana ndi kukhwimitsa phlegm kapena sputum. Zimaganiziridwa kuti zimakhala chifukwa cha mpweya wozungulira "kukhala wodetsa nkhawa" kuvutoli. Mosiyana ndi kugwedezeka kwapansi pamsewu komwe kumachitika ndi mpweya wa mpweya monga mphumu, chikhalidwe ichi chimayambitsa "kulemba molakwika."
Kudziwa
Matendawa a bronchorrhea ndi matenda opatsirana (amapangidwa ndi mbiri ndi thupi lokha) ndipo amatanthauzidwa ngati kupanga makapu oposa 100 (masupuni oposa 20) a mucus tsiku ndi tsiku.
Zimayambitsa
Pali zifukwa zingapo zomwe zimayambitsa bronchorrhea, ngakhale ndikuthokoza kuti ndizosazolowereka. Zovuta zowonjezera ndizo:
- Khansa ya m'magazi: Khansa ya m'mapapo yomwe kale idatchedwa mucinous bronchioloalveolar carcinoma (BAC) , ndilo vuto lalikulu la bronchorrhea. BAC tsopano yasinthidwa monga mtundu wa mapapu adenocarcinoma , komabe imayambitsa madzi osokoneza bongo kwa anthu omwe ali ndi matenda atsopano.
- Matenda a bronchitis: Matenda otchedwa bronchitis ndi achilendo oopsa kwambiri (COPD) omwe amadziwika ndi kutupa kwa bronchi.
- Nthenda ya mphumu, makamaka chifuwa chachikulu-mphumu ya mphumu: Chifuwa cha mtundu wa mphumu ndi mphumu ya mphumu yomwe imakhala ndi chifuwa chokha.
- Ziphuphu zina: Poizoni ndi mankhwala omwe amadziwika organophosphates (anticholinesterase pesticides) ndi chifukwa chachikulu cha bronchorrhea.
- Chifuwa chachikulu
- Bronchiectasis: Bronchiectasis ndi mawonekedwe a COPD kaŵirikaŵiri amayamba chifukwa cha matenda opuma opuma, zomwe zimabweretsa kusonkhanitsa pamasisitima pamtunda chifukwa cha kukulitsa ndi kuyendetsa ndege.
Mavuto
Ngakhale kuti bronchorrhea ndizovuta kwambiri (ngakhale nthawi zambiri zimakhala zovuta kwambiri), zikhoza kuwonongeka mu electrolyte ya thupi. Pamene ndizowopsa, zingayambitsenso kuthamanga kwa mpweya ndi kupuma.
Mankhwala Ogwirizana ndi Khansa Yam'mimba
Chithandizo chabwino cha bronchorrhea ndicho kupeza ndi kuthana ndi chifukwa chachikulu, makamaka ndi khansara yamapapo.
Kwa anthu omwe ali ndi mapapu adenocarcinoma ndi bronchorrhea, nthawi zina zowoneka bwino komanso zowonjezereka bwino zakhala zikugwiritsidwa ntchito pogwiritsa ntchito mankhwala Tarceva (erlotinib) ndi Iressa (gefitinib). Mankhwalawa amayambitsa kusintha kwa EGFR m'magazi ena a khansa, makamaka m'mapapo adenocarcinomas, mtundu wa khansa yaing'ono yopanda maselo.
Tsopano akuganiza kuti aliyense amene amapezeka ndi mapapo adenocarcinoma (komanso khansa yaing'ono ya m'mapapo ya khansa) ayenera kuyesedwa kuti azitha kusintha mavitamini monga kusintha kwa EGFR , ALK rearrangements , ROS1 rearrangements , ndi ena.
Pamene bronchorrhea imachitika pogwirizana ndi poizoni (kawirikawiri mankhwala ophera tizilombo) mankhwala a poizoni ndi ofunika kwambiri.
Njira zosiyanasiyana zochiritsira zakhala zikuyesedwa pofuna kuchepetsa zizindikiro za bronchorrhea. Ngakhale kuti izi zikuwoneka kuti zimapereka mpumulo wokhazikika, steroids ndi osachiritsika omwe amadana ndi zotupa mu inhalers kapena gulu la mankhwala opha tizilombo omwe amadziwika kuti macrolide antibiotics angakhale opindulitsa.
Octreotide ya opangidwa ndi opangidwa ndi anthu ingathandizenso anthu ena.
Pansi
Bronchorrhea ndi chizindikiro chachilendo chomwe madzi ochuluka amachokera m'mapapu. Zitha kuchitika ndi khansara yamapapu, makamaka mitundu ina, komanso matenda ena. Popeza kuti mapapu adenocarcinoma akuwoneka akuwonjezeka, makamaka achinyamata omwe ali ndi khansa ya m'mapapo ndi anthu omwe sanasutepo, mwina chizindikiro ichi chidzakula.
Chizindikirochi chingachiritsidwe mozizwitsa ndi steroid kapena NSAID inhalers, koma phindu lalikulu likupezeka pa matenda a kansa.
> Zotsatira:
> Popat, N., Raghavan, N., ndi R. McIvor. Bronchorrhea wolimba mwa wodwala ndi bronchioloalveolar carcinoma. Chifuwa . 2012. 141 (2): 513-4.
> Remi, C., Remi, J., ndi C. Bausewein. Kusamalira Mankhwala a Bronchorrhea mu Matenda Oopsa: Kukonzekera Kwadongosolo Kwambiri. Journal of Pain and Symptom Management . 2016. 51 (5): 916-25.
> Rubin, B., Priftis, K., Schmidt, H., ndi M. Henke. Chinsinsi chokhalira moyerekeza ndi pulmonary mucus hypersecretion. Chifuwa . 2014. 146 (2): 496-507.
> Rogers, D. Physiology ya kusungunuka kwa mpweya wozizira komanso kugwiritsidwa ntchito kwa matenda a hypersecretion. Care of Respiratory Care . 2007. 52 (9): 1134-46.
> Thotahil, Z., ndi J. Long. Erlotinib amagwira ntchito motsutsana ndi khansa ya khansa yowonongeka kuchokera ku khansara yopanda khansa yapakhungu. Journal of Thoracic Oncology . 2007. 2 (9): 881-2.