Kuzindikira Fibrosisoni Yamadzimadzi Idiopathic: Zimene Tiyenera Kuyembekezera

Mayesero Odziwika Omwe Amagwiritsidwa Ntchito Ndiponso Chifukwa Chakumudziwa N'kovuta

Popeza zizindikiro za idiopathic pulmonary fibrosis ( IPF ) zimatsanzira za mtima ndi mapapu angapo, nthawi zambiri zimatenga nthawi yaitali kuti adziwe matenda. Panthawi imeneyi, kawirikawiri pachaka kapena ziwiri, odwala nthawi zambiri amawona madokotala angapo pofuna kuyesa kupeza chifukwa cha zizindikiro zawo.

Zizindikiro zambiri za IPF

Monga matenda ena a m'mapapo, monga COPD, nthawi zambiri zimakhala zoopsa m'mapapu musanafike zizindikiro.

Zizindikiro izi zingaphatikizepo izi:

• Kupuma pang'ono , makamaka ndi ntchito, kawirikawiri ndi chizindikiro choyamba. Pakapita nthawi kupuma uku kumavuta kotero kuti mpweya wochepa umapezeka ngakhale kupumula.
• Chifuwa chosatha chomwe nthawi zambiri chimakhala chouma (chosapindulitsa)
• Kupuma pang'ono, kupuma mofulumira
• Kutopa
• Kutaya thupi popanda kuyesera ( osadziwika kulemera )
• Clubbing - Clubbing ndizolala zala ndi zala zakuthandizidwe kumapeto, zomwe zikufanana ndi supuni yotsitsa.
• Minofu ndi mgwirizano

Kufufuza kwa IPF

Pakalipano, palibe kuyesa kwa IPF, ndipo matendawa amachokera kwa anthu omwe akuonetsa zizindikiro. Njira yothandizira khansa ya m'mapapo , komabe ingatenge IPF kwa anthu omwe akuyesa kuvomerezedwa ndikuvomerezedwa.

Kusanthula ndi Kusinthana

Kafukufuku wa IPF kawirikawiri amatenga nthawi, ndipo anthu ambiri amapita chaka chimodzi kapena awiri ndikuwona madokotala ambiri asanatengedwe.

Chifukwa cha ichi ndi chakuti zizindikiro zoyambirira za IPF zimatsanzira kwambiri pazinthu zina zambiri, kuphatikizapo matenda a mtima. Anthu ambiri amadwala matenda ambirimbiri asanayambe kupezeka chifukwa cha zizindikiro zoyamba.

Ena amayesa dokotala wanu akhoza kulamula akuphatikizapo:

• Kuthamanga kwapamwamba CT Scan: IPF kaŵirikaŵiri imapezeka kuti imachokera pa zomwe zimawoneka pa khungu la CT. Pa scan scan ya CT, fibrosis imawonekera pa zomwe akatswiri a sayansi ya zakuthambo amanena kuti ndizomwe zimayambitsa uchi.

• Kulimbitsa thupi: Pali nthawi pamene CT yodwala yokha ingavomereze kuti matenda a IPF ndi otani, koma ngati matendawa akutsutsana ndi mapaipi angapangidwe. Izi zikhoza kuchitika monga gawo la bronchoscopy, kudzera mu kapangidwe kakang'ono mu chifuwa (thoracoscopy) kapena ndi thoracotomy. Chinthuchi chimapangidwa makamaka pofuna kuthetsa zina zomwe zingayambitse matenda a m'mapapo monga khansara yamapapo kapena sarcoidosis.
• Zoyezetsa zina zomwe zimathandiza pakufufuza ndi kuyeza: Kuphatikizidwa kwa mayeso ndi mayesero ena kawirikawiri kumachitidwa kuti athandizidwe, kudziwa momwe mapapu akugwiritsira ntchito bwino, ndi kudziwa momwe matendawa apitira kale. Ena mwa awa ndi awa:
  • Mbiri ndi thupi.
  • Spirometry - Spirometry ndiyeso yowona momwe mpweya umatulutsira mwamphamvu pa nthawi ya mphindi imodzi, ndipo ndi chizindikiro cha mapapo.
  • Zoyezetsa zina zapoponomu
  • Oximetry
  • Magetsi a m'magazi - Onse oximetry ndi ABG achitidwa kuti aone ngati magazi ali ndi magazi otani.
  • Kuyesa TB
  • Mayesero a magazi - Kafufuzidwe ndikuyang'ana pa zida zomwe zingathandize kuti adziwe kuti matendawa ndi amtsogolo.

• Zosokoneza Zachibadwa: Idiopathic pulmonary fibrosis ikhoza kuyenda m'mabanja ndi kusintha kwasintha (pa chromosome 11) zakhala zikupezeka mu IPF ya banja.

Mawu Ochokera

Kaya mukudziwa kuti IPF ikupeza nthawi yanji kuti mudziwe, mutapezeka kuti mukudziwa kuti muli ndi njira zothetsera matenda , ndipo zambiri zikufufuzidwa ndikupangidwa . Kuphatikizapo kuthetsa zifukwa zina za moyo, mukhoza kupitirizabe kukhala ndi moyo wabwino ndi mankhwala opatsirana pogonana .

> Zotsatira:

_{Antoniou, K., Tomassetti, S., Tsitoura, E., ndi C. Vancheri. Khansara ya Idiopathic pulmonary fibrosis ndi mapapo: kachipatala ndi ma pathogenesis. Malingaliro enieni mu Pulmonary Medicine . 2015 Sep 18. (Epub patsogolo pa kusindikiza).}

_{de Boer, K., ndi J. Lee. Zomwe zimadziwika kuti zimakhala zovuta kwambiri m'maganizo a pulmonary fibrosis: ndemanga. Respirology . 2015 Sep 13. (Epub patsogolo pa kusindikiza).}

_{Oldham, J. et al. TOLLIP, MUC5B ndi yankho la N-acetylcystein pakati pa anthu omwe ali ndi Idiopathic Pulmonary Fibrosis. American Journal of Respiratory and Critical Care Medicine . 2015 Sep 2. (Epub patsogolo pa kusindikiza).}

_{O'Riordan, T., Smith, V., ndi G. Raghu. Kukula kwa Novel Agents kwa Idiopathic Pulmonary Fibrosis: Kupititsa patsogolo pakufuna kusankha ndi kuyerekezera mayeso. Chifuwa . 2015 May 8. (Epub patsogolo pa kusindikiza).}

_{Raghu, G. et al. Kuzindikira matenda a mpweya woipa wa mankhwala odwala matenda oopsa ndi odwala omwe ali ndi kachilombo kochepa kapena kosatsimikiziridwa kowonjezereka kowonongeka: kuyesedwa kwachiwiri kwa mayesero osasinthika ndi olamulidwa. Lancet Respiratory Medicine . 2014. 2 (4): 277-84.}