Chifuwa cha mphumu ndichizoloŵezi chachikulu cha mapapu chomwe chimakhudza anthu oposa 25 miliyoni ku United States. Zizindikiro zikhoza kuphatikizapo kutsokomola, kupuma, kupuma, ndi chifuwa. Zigawo za zizindikiro zimachitika chifukwa cha masewera olimbitsa thupi, matenda opuma opuma monga chimfine, kutentha kwa mpweya wozizira ndi reflux ya asidi, kuwonongeka kwa mitundu yosiyanasiyana monga mungu ndi pet dander, komanso chifukwa cha nkhawa.
Kawirikawiri, mphumu ndi yofatsa ndipo nthawi zambiri imatha kuyendetsedwa ndi mankhwala monga Singulair kapena mankhwala ochepa otsekemera otchedwa steroids , komanso kugwiritsa ntchito mankhwala osokoneza bongo omwe amatha kuchepetsa (monga albuterol ) kuti athetse zizindikiro zam'tsogolo.
Mafupa angathe kukhala ovuta komanso ovuta kuchiza, ngakhale kuti akugwiritsa ntchito mankhwala amphamvu kwambiri, monga mankhwala opatsirana kwambiri omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda komanso mankhwala osokoneza bongo monga Advair , komanso ngakhale mankhwala ojambulidwa monga Xolair kapena systemic steroids monga prednisone. Mphungu ya mphumu yambiri imatha kuyendetsa maulendo obwera mwadzidzidzi, kuchipatala, komanso kuchepa kwa moyo wa anthu omwe akudwala matendawa. Ndalama zomwe zimayambitsa mphumu yoopsa ku United States ndi yaikulu kwambiri ndipo imakhala madola $ 50 biliyoni pachaka.
Kwa anthuwa omwe ali ndi mphumu yambiri, amafunika kukhala ndi mtundu wina wa mankhwala kwa iwo omwe amawoneka kuti sakuvomereza mankhwala.
Bronchial thermoplasty (BT) ndi mankhwala osagwiritsa ntchito mankhwala omwe amasonyeza kuti amatha kuchiza mphumu yambiri kwa anthu omwe samayankha bwino mankhwala omwe amapezeka nthawi zonse. BT inavomerezedwa ndi US Food and Drug Administration mu 2010 kuti athe kuchiza matenda a mphumu yambiri kwa odwala zaka 18 kapena kupitirira omwe zizindikiro zawo sizinayendedwe ngakhale kuti nthawi zambiri amatha kuchira.
Bronchial Thermoplasty Basics
BT imagwiritsira ntchito mphamvu zamatenthe (kutentha) pa minofu yosalala mkati mwa airways m'mapapu. Ndi minofu yosalala yomwe imakula (hypertrophy) ndi zambiri (hyperplasia) m'mapapu a asthmatics. Kuphwanya kwa minofu imeneyi ndiyomwe imayambitsa zizindikiro za asthma, ndipo zomwe zimayambitsa mankhwala a mphumu zimayenera kupumula (bronchodilators) ndi kupewa zizindikiro zina (kutulutsa steroids). BT imagwiritsidwa ntchito pogwiritsa ntchito catheter yapadera yomwe imaikidwa m'mapapo airways pa bronchoscopy . Catheter imalowetsedwera mumtunda wamkati wamakono m'mapapo, ndipo mphamvu yotentha imatulutsidwa. Mbali zosiyana za m'mapapu amachiritsidwa masiku osiyanasiyana, ndipo gawo lililonse la mankhwala limakhala pansi pa ola limodzi.
Ntchito Yamakono Yotchedwa Bronchial Thermoplasty?
Sidziŵika bwino momwe BT imagwirira ntchito pochizira mphumu, koma malingaliro akuphatikizapo kuchepa kwa mitsempha m'mapapu, kuchepetsa kupweteka kwa minofu ya minofu yosalala m'mapapu, ndi / kapena kuchepetsa kutsekemera kwa mankhwala opweteka kuchokera ku maselo osakanikirana m'mapapo.
Odwala ambiri adalandira mankhwala a BT, ndi zotsatira zawo zofalitsidwa mu maphunziro osiyanasiyana a sayansi. Odwala ambiri amachepetsa kuchepa kwa mpweya wathanzi chifukwa cha vuto la mankhwala ochepa, kuchepa kwa zizindikiro za mphumu, komanso kuchepetsa chifuwa cha mphumu chomwe chimafuna kupita kuchipatala mofulumira kapena kuchipatala.
Nthawi zina, ubwino wa BT unalipo kwa zaka zambiri atalandira mankhwala.
Zotsatira Zotsatira
Kawirikawiri, BT ndizovomerezeka bwino ndi zovuta zochepa. Zovuta zambiri zimakhala zochepa ndipo sizikusowa mankhwala amwano. Zovuta zambiri zimaphatikizapo kuwonjezereka kwa zizindikiro za mphumu, kukula kwa matenda opatsirana, kupweteka kwapulogm, ndi kupwetekedwa mtima. Zambiri mwa zotsatira zofananazi ndizo zomwe zimachitika pambuyo pa nthawi zonse. Zambiri mwa zotsatirazi zimayambitsanso patapita masiku angapo mpaka masabata pambuyo pa BT.
Kuzindikira Ngati Bronchial Thermoplasty Ndi Yoyenera Kwa Inu
BT iyenera kusungidwa kwa anthu omwe ali ndi mphumu yambiri yomwe samayankha ma ARV, monga shalaids, Singulair, theophylline komanso zinthu zina monga Advair kapena Symbicort.
Zotsatira za mayiko ochokera mu 2014 kuti chithandizo cha nthawi yaitali cha malo a asthma a BT chikhale chimodzimodzi monga Xolair kapena prednisone. Choncho, BT iyenera kuganiziridwa kwa anthu omwe ali ndi mphumu yambiri ngakhale kuti akugwiritsa ntchito mankhwala opatsirana a mphumu.
Chitsime:
> Wilhelm CP, Chipps BE. Kutentha kwa Bronchial Thermoplasty: Kubwereza za Umboni. Ann Zozizira Nthenda Immunol. 2016; 116: 92-98.