Kuyini i-bronchiolitis obliterans, izimpawu, izimbangela nokuthi ungaphatha kanjani

-Delile

• Izimpawu ze-bronchitis obliterans
• Izimbangela eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani

I-bronchiolitis obliterans uhlobo lwesifo samaphaphu esingapheli lapho amangqamuzana amaphaphu engakwazi ukululama ngemuva kokuvuvukala noma ukutheleleka, ngokuvinjelwa kwemigwaqo yomoya futhi kubangele ubunzima ekuphefumuleni, ukukhwehlela okungapheli nokuphefumula okuncane, ngokwesibonelo.

Kulezi zimo, amangqamuzana avuthayo amaphaphu, esikhundleni sokushintshwa ngamaseli amasha, ayafa futhi akhe isibazi, esivimbela ukuhamba komoya. Ngakho-ke, uma kukhona ukuvuvukala okuningi emaphashini ngokuhamba kwesikhathi, inani lezibazi liyakhula futhi imigudu emincane yamaphaphu, eyaziwa ngokuthi i-bronchioles, iyaqothuka, okwenza kube nzima ukuphefumula.

Kubalulekile ukuthi i-bronchiolitis obliterans ihlonzwe futhi yelashwe ngokwesincomo sikadokotela, ngoba ngale ndlela kungenzeka ukugwema izinkinga nokukhuthaza izinga lempilo.

Izimpawu ze-bronchitis obliterans

Isikhathi esiningi izimpawu zokuqala ze-bronchiolitis obliterans ziyefana nanoma iyiphi enye inkinga yamaphaphu, kufaka phakathi:

• Ukushaya lapho uphefumula;
• Ukuzwa ukuphefumula okuncane nokuphefumula kanzima;
• Ukukhwehlela okuqhubekayo;
• Izikhathi zomkhuhlane ophansi kuze kufike ku-38ºC;
• Ukukhathala;
• Ukudla okunzima, esimweni sezinsana.

Lezi zimpawu zivame ukuvela futhi zinyamalale ngezikhathi eziningana ezingathatha amasonto noma izinyanga.

Izimbangela eziyinhloko

I-bronchiolitis obliterans yenzeka lapho, ngenxa yesimo esithile, kukhona ukusabela kokuvuvukala okuholela ekungeneni ku-bronchioles ne-alveoli, okukhuthaza ukuvinjelwa okungaphenduki komoya. Ezimweni eziningi, lolu hlobo lwe-bronchitis luhlotshaniswa nezifo, ikakhulukazi i-adenovirus. Kodwa-ke, kungenzeka futhi njengomphumela wokutheleleka ngezinye izinhlobo zamagciwane, njengengxibongo yenkukhu noma igciwane lesimungumungwane, noma amagciwane afana I-Mycoplasma pneumoniae, I-Legionella pneumophilia futhi I-Bordetella pertussis.

Yize izimo eziningi zibangelwa ukutheleleka ngama-microorganisms, i-bronchiolitis obliterans nayo ingavela ngenxa yezifo zezicubu ezixhumene, njengomphumela wokuhogela izinto ezinobuthi noma zenzeke ngemuva komnkantsha wethambo noma ukufakelwa kwamaphaphu.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-bronchiolitis obliterans kufanele kwenziwe i-pulmonologist yezingane ngokusho kwezimpawu nezimpawu ezivezwa yingane, ngaphezu kwezivivinyo ezisiza ukukhomba imbangela ye-bronchitis nobukhulu bayo.

Ngakho-ke, udokotela angancoma ama-X-ray esifubeni, i-computed tomography ne-lung scintigraphy, okusiza ukuhlukanisa ama-bronchiolitis obliterans kwezinye izifo ezivamile zamaphaphu. Kodwa-ke, ukuxilongwa okucacile kungaqinisekiswa kuphela yi-lung biopsy.

Yelashwa kanjani

Ukwelashwa kuhlose ukuthuthukisa amandla okuphefumula kwengane futhi, ngalokhu, udokotela angancoma ukusetshenziswa kwama-anti-inflammatories omlomo noma okuhogelwayo kanye nama-bronchodilators, okunciphisa ukuvuvukala emaphashini futhi kunciphise inani le-mucus, kunciphise amathuba okubonakala ngezibazi ezintsha nokwenza lula ukudlula komoya, ngaphezu kokunconywa komoya-mpilo.

I-physiotherapy yokuphefumula nayo inganconywa ukuze kuhlanganiswe futhi kwenziwe lula ukuqedwa kwezimfihlo, ukuvimbela ukuvela kwezinye izifo zokuphefumula. Qonda ukuthi i-physiotherapy yokuphefumula yenziwa kanjani.

Esimweni seziguli ezine-bronchiolitis obliterans ziba nezifo phakathi nalesi sifo, udokotela angancoma ukusetshenziswa kwama-antibiotic ngokusho komenzeli othathelanayo obhekene nezinkinga nokwanda