Zovuta Zing'onoting'ono Zitha Kupezeka ndi Matenda a Matenda a Khunyu
Matenda a chifuwa chachikulu, monga momwe dzina lake limasonyezera, akugwirizanitsidwa ndi nyamakazi ya nyamakazi . Mwa anthu 1,5 miliyoni a ku America omwe ali ndi nyamakazi ya mafupa, pafupifupi theka ali ndi mapapo osapsa kanthu. Pakati pa gawo limodzi mwa magawo anayi a iwo akhoza kukhala ndi matenda a chifuwa chachikulu.
Zizindikiro za Matenda a Mitsempha Yachifuwa
Zizindikiro za nyamakazi zimaphatikizapo kupweteka kwapakati , kutupa palimodzi, kuuma , pamodzi ndi mitsempha .
Zizindikiro zina zokhudzana ndi matenda a chifuwa chachikulu ndi:
- Kupuma pang'ono
- Kukuda
- Kupweteka pachifuwa
- Fever
- Mphuno imamveka pakumvetsera mapapu ndi stethoscope (kuchepa kwa mpweya kapena kutuluka kwa mpweya kumakhala kotheka)
Kuzindikira ndi Chithandizo cha Matenda a Matenda a Chifuwa
Ndondomeko zomwe zimagwiritsidwa ntchito kuthandizira kudziwa matendawa zikuphatikizapo:
- Chifuwa X-ray
- Chithunzi cha computed tomography (CT) cha chifuwa
- Echocardiogram
- Thoracentesis
- Bronchoscopy
Mu matenda a chifuwa cha mpweya, mapepala a mpweya kapena alveoli m'mapapu ndi zowonjezera zawo zimakhala zowawa chifukwa cha kutupa , zomwe zimapangitsa kuti mapaipi asagwire ntchito. Pakalipano, palibe chithandizo chovomerezeka cha matenda a chifuwa cha mphumu, koma corticosteroids ndi ma immunosuppressants nthawi zambiri amalimbikitsidwa.
Zovuta Zachilendo ndi Zachilombo Zomwe Zimayambitsa Matenda a Chifuwa
Matenda osokoneza bongo omwe amapezeka ndi matenda a chifuwa chachikulu ndi:
- Pleural effusion
- Pleural thickening
- Pulmonary fibrosis
- Necrobiotic nodules
- Bronchiolitis obliterans akukonza chibayo (BOOP)
- Bronchiectasis
- Bronchiolitis obliterans
- Matenda a pneumonitis
- Kupweteka kwambiri kwa magazi
Matenda a Mitsempha ndi Matenda a Chifuwa
Matenda omwe amapezeka m'magazi amayamba chifukwa cha matenda a m'mapapo.
Odwala omwe ali ndi nyamakazi yoopsa kwambiri amayamba kukhala ndi matenda a mphuno a m'magazi. Lipoti la Dr. Jeffrey T. Chapman wochokera ku Cleveland Clinic Foundation limafotokoza za kuchuluka kwa zizindikiro, zizindikiro, matenda, komanso chithandizo cha matenda a m'mapapo.
Ofufuza a Clinic a Mayo ankanena kuti matenda a chifuwa cha mphuno angakhale osiyana kwambiri ndi mitundu ina ya matenda a m'mapapo ndipo mwina ayenera kuchiritsidwa mosiyana. Kupititsa patsogolo kusanthula mafano a pakompyuta kwachititsa kuti athe kupeza matenda a chifuwa chachikulu cha matenda a chifuwa kale ndikuchizunza ngati matenda a chitetezo cha mthupi. Komanso, kufufuza kwa Mayo Clinic kunavumbula mtundu wambiri wa mtundu wa T, wotchedwa CD4 T cell, mu zitsanzo za rheumatoid lung disease tissue samples.
Mitundu ya m'mapapo ya m'mapapo yambiri imakhala ndi chibayo komanso chibayo chapakati. Chitsanzo china chimaphatikizapo pulmonary fibrosis ndi emphysema.
Kusuta fodya, yomwe imadziwika kuti ingathe kudwala matenda a nyamakazi, imathandizanso kuti matenda a mafupa a m'magazi amphatikizidwe, kuphatikizapo njira zamaginito komanso za thupi. Zanenanso kuti mankhwala odwala nyamakazi angayambitse matenda opatsirana pogwiritsa ntchito mankhwala osokoneza bongo, nthawi zina.
Matenda a Matenda a Nyamakazi ndi Matenda a M'mapapo
Methotrexate ndi mankhwala omwe amachitidwa ndi golide a nyamakazi. Koma, methotrexate inanenedwa kuti ndi wothandizira pa matenda a m'mapapo. Ochita kafukufuku anazindikira kuti matenda omwe amapezeka m'magazi amatha kukhala ndi methotrexate. Kafukufuku wapita kuti pali chiŵerengero chaching'ono koma chofunika kwambiri pa chiopsezo cha matenda a m'mapapo mwa odwala nyamakazi omwe amachiritsidwa ndi methotrexate poyerekeza ndi mankhwala ena okhudzana ndi nthendayi (DMARD) ndi mankhwala a biologic .
Mu Januwale 2016, zotsatira zafukufuku zinasindikizidwa mu Journal of Rheumatology yomwe inayesa kuopsa kwa matenda a pulmonary pakati pa odwala matenda a nyamakazi omwe amachitira ndi Arava (leflunomide) .
Palibe umboni wochulukitsa kupuma kwa zochitika zinawoneka mu mayesero osadziwika, olamulidwa a nyamakazi ya nyamakazi odwala nyamakazi.
> Zotsatira:
> Conway R. et al. Kugwiritsa ntchito Leflunomide ndi Kuopsa kwa Matenda a Mitsempha M'chifuwa Chopachika Nyamakazi: Maganizo Otsindika Mapulogalamu ndi Metaanalysis ya Zosintha Zowonongeka. Journal of Rheumatology . March 15, 2016. Epub patsogolo kusindikiza.
> Conway R. et al. Matenda a methotrexate ndi mapapu mu nyamakazi ya nyamakazi: meta-kufufuza mayesero olamuliridwa mosavuta. Arthritis & Rheumatology . 2014 Apr; 66 (4): 803-12.
> Froidevaux-Janin S. ndi al. Matenda a m'mapapo mumatenda a nyamakazi. Revue Medicale Suisse . 2011 Nov 23; 7 (318): 2272-7.
> Kim EJ, Collard HR, Mfumu TE. Matenda a Matenda a Matenda a Nyamakazi. Chifuwa . 2009; 136 (5): 1397-1405. lembani: 10.1378 / chest.09-0444.