Mwachidule
Maizoni a pneumonitis ndi kutupa kwa mapapo chifukwa cha mankhwala opatsirana pogwiritsa ntchito mankhwala kapena poizoni wa radiotherapy ( SBRT ) ya khansa. Kuchokera kumbaliyi kwa mankhwalawa kumapezeka pafupifupi anthu anayi omwe amapita ku matenda a khansa ya m'mapapo, koma amatha kupatsirana pogwiritsidwa ntchito poizonika mpaka pachifuwa cha khansa ya m'mawere , maselo a mitsempha, kapena khansa zina.
Zizindikiro zambiri zimachitika pakati pa imodzi ndipo patatha miyezi isanu ndi umodzi atatha mankhwala odzola. Ndi mankhwala (ndipo izi ndi zofunika), anthu ambiri amachira popanda zotsatira zake.
Zizindikiro
Ndikofunika kudziwa za radiation pneumonitis, chifukwa zizindikiro zikhoza kukhala zofanana ndi zomwe zimayambitsa kansa ya m'mapapo yokha, kapena zingatheke chifukwa cha matenda monga chibayo. Anthu ambiri amangokhalira kulekerera zizindikiro izi monga momwe zikuyembekezeredwa, komabe ma radiation pneumonitis ndi chikumbutso chabwino kuti muyankhule ndi a oncologist anu za zizindikiro zilizonse zomwe mumaziwona: Zizindikiro zofala zimaphatikizapo:
- Kupuma pang'ono komwe kumakhala kotchuka kwambiri ndi maseĊµera olimbitsa thupi.
- Kupweteka kwa chifuwa, makamaka kupweteka kwa chifuwa komwe kumafalikira ndi kupuma ( kupweteka kwa chifuwa cha pachifuwa .)
- Mkate umene ukhoza kukhala wouma kapena kubala ntchentche. Popeza anthu ambiri omwe ali ndi kansa ya m'mapapo ali ndi chifuwa nthawi zina, ndizofunikira kuzindikira kusintha kulikonse kwa chifuwa chanu, kaya nthawi zambiri, zovuta, kapena zosavuta.
- Kutentha thupi kwambiri.
Nthawi zina, palibe zizindikiro, ndipo matendawa amatengedwa ndi maonekedwe a kutupa x-ray okha.
Ndani Ali Pangozi?
Anthu ena ali pachiopsezo kuposa ena omwe amapanga ma radiation pneumonitis. Zinthu zomwe zimawonjezera chiopsezo ndi izi:
- Momwemo (kutanthauza pa nthawi imodzi) mankhwala ochizira matenda ndi chemotherapy. Mazira a pneumonitis (RP) amavomereza kwambiri anthu omwe amalandira mazira ndi ma chemotherapy amodzimodzi kuposa omwe amalandira mankhwala osokoneza bongo (pa nthawi zosiyana) ma radiation ndi chemotherapy. Ngati izi zikuwopsya ndizofunikira kuyang'ana zinthu zina osati vutoli. Mu kafukufuku wa 2009, ofufuza adapeza kuti anthu omwe ali ndi khansa ya m'mapapo 3 yapamtunda omwe adalandira maimidwe ochepa omwe amakhala nawo nthawi imodzi komanso mankhwala a chemotherapy amakhala ndi moyo wapawiri pambuyo pa zaka zisanu. Maphunziro ena awonetsanso kuti kupulumuka kwapadera kumagwiritsidwa ntchito palimodzi.
- Anthu omwe ali ndi matenda ena a m'mapapo, monga COPD, ali pangozi yaikulu.
- Odwala achikulire amatha kukhala ndi pneumonitis yapamwamba kuposa odwala ambiri.
- Kuchuluka kwa minofu yachitidwa. Kuopsa kwa ma radiation pneumonitis kumawonjezeka ndi chigawo cha chifuwa chomwe chimachiritsidwa. Zimakhalanso zofala kwambiri pamene mapepa apakati ndi apansi amachiritsidwa kusiyana ndi mankhwala a khansa ya m'mapapo ya m'mapapo.
- Anthu omwe amalandira mankhwala a chemotherapy Paraplatin (carboplatin) ndi Taxol (paclitaxel.)
Chifukwa
Mafunde amachititsa mapapu kukhala osakaniza mankhwala ochepa kwambiri. Wokongola kwambiri amagwira ntchito kuti mapapu azifutukula tikamapuma ndikuwonjezereka m'mapapu omwe angapezeke kuti asinthe mpweya ndi carbon dioxide. Ndi kusowa kwa mwana wathanzi m'mimba yoberekera msanga yomwe nthawi zambiri imayambitsa kupweteka.
Kudziwa
Mayeso a ma laboni angasonyeze zizindikiro za kutupa, monga kuchuluka kwa maselo oyera a magazi. Zotsatira za mayesero omwe amawoneka ngati kutupa, otchedwa sed sed-rate, angasonyeze mapamwamba osadziwika pamwambapa. Chifuwa cha x-ray chingasonyeze kuti maonekedwe a radiation pneumonitis ndi otani ndipo akhoza kukupatsani chithandizo, ngakhale kuti mulibe zizindikiro.
Chithandizo
Chithandizo chikufuna kuchepetsa kutupa. Corticosteroids, monga prednisone, amaperekedwa mpaka kutupa kutaya ndipo pang'onopang'ono kutsika pakapita nthawi. Mankhwala ena angagwiritsidwe ntchito malingana ndi malo. Mwachitsanzo, pogwiritsa ntchito ma radiation poophagitis, mankhwala monga proton pump inhibitors , kusintha kwa zakudya, ndi anesthetics kumalo komwe angakuthandizeni ndi ululu angagwiritsidwe ntchito.
Kuthamangitsani
Mazira a pneumonitis amatha kutsata ndi mankhwala ndipo nthawi zambiri samapha. Ngati sichidzapitilizidwa kapena kupitilira, ikhoza kuwonetsa pulmonary fibrosis (kupweteka kwa mapapo), imodzi mwa zotsatira zowonjezereka za mankhwala odzola .
Kupewa
Kafukufuku akupitiriza kufunafuna njira zochepetsera chiopsezo cha pneumonitis pakati pa anthu omwe amadwala khansa ya m'mapapo. Pakali pano zikuwoneka kuti kudya kwa soy isoflavone (kudya zakudya za soya monga tofu) kungachepetse chiopsezo chotchedwa radiation pneumonitis. Mmene njirayi imakhalira ndi kupwetekedwa, kotero sizingatheke kuti kudya zakudya za soya kungasokoneze cholinga cha mankhwala opatsirana pogwiritsa ntchito mankhwalawa - kuthetsa maselo a khansa. mukhoza kukhala ndi kuchepetsa chiopsezo chanu.
Pansi
Mazira a pneumonitis ndi ofala kwambiri kwa anthu omwe amachiza khansa ya khansa ndi khansa ya m'mawere. Mwamwayi, ndi chithandizo, mkhalidwewo umathetsa kawirikawiri popanda kuyambitsa radiation fibrosis. Chinthu chofunika kwambiri chomwe mungachite ndicho kudziwa zizindikiro zomwe zingatheke, ndipo kambiranani ndi dokotala ngati mutakumana ndi izi. Monga chitsimikiziro chomaliza, zizindikiro zambiri zikhoza kukhala ndi zizindikiro za khansa kapena zotsatira za mankhwala ena. Nthawi zonse muzilankhulana ndi dokotala wanu za zizindikiro zilizonse ndipo khalani ovomerezeka anu pa chisamaliro chanu cha khansa . Simukukhala whiner kapena wodwala vuto kuti mubweretse mavutowa, ndipo dokotala wanu adzazindikira, m'malo mwake, kuti mukugwira ntchito mwakhama komanso mukukhudzidwa nawo.
> Zotsatira:
> Abernathy, L. et al. Soy Isoflavones Amalimbikitsa Kuteteza kwa Radioprotection ya Matenda Achilendo Okhazikika mwa Kuletsedwa kwa Mazira-Kutsegulira Kwambiri kwa Macrophages ndi Neutrophils. Journal of Thoracic Oncology . 2015. 10 (12): 1703-12.
> Hillman, G. et al. Kuwombera khungu kwa minofu ndi mapuloteni a soya. Journal of Thoracic Oncology . 2013. 8 (11): 1356-64.
> Kong, F. et al. Kachilombo kakang'ono kamene kampupa kamene imayambitsa matenda oopsa a mitsempha yam'mimba: kusintha kwa ma radiation pneumonitis ndi pulmonary fibrosis. Masemina a Oncology . 2005. 32 (2 Suppl 3): S42-54.
> Okubo, M., Itonaga, T., Saito, T. et al. Kufotokozera Zowopsa za Mvula Yamkuntho ya Pneumonitis Pambuyo pa Mitsempha Yopanda Thupi Yamtundu wa Matenda Opangira Matenda Oyambirira Kapena Amtestanti. British Journal of Radiology . 2017 Feb 14. (Epub patsogolo pa kusindikiza).
> Palma, D. et al. Kulosera za matenda opatsirana pogwiritsa ntchito mankhwala a khansa yaing'ono ya m'mapapo. International Journal of Radiation Oncology, Biology, ndi Physics . 2013. 87 (4): 690-6.
> Palma, D. et al. Kulosera za radiation pneumonitis pambuyo pa mankhwala ochizira matenda a khansa ya m'mapapo: mayiko a m'mayiko osiyanasiyana omwe akudwala matendawa. International Journal of Radiation Oncology, Biology, ndi Physics . 2013. 85 (2): 444-50.
> Yazbeck, V. et al. Kusamalira maonekedwe oyenera a minofu okhudzana ndi chemoradiation (khungu loyamba, chifuwa, ndi mapapo). Cancer Journal (Sudbury, Mass) . 2013. 19 (3): 231-7.