Yini i-pulmonary fibrosis, izimpawu eziyinhloko nokwelashwa
-Delile
I-pulmonary fibrosis isifo esibonakala ngokuvela kwezibazi emaphashini, esibizwa nge-fibrosis. Ngokuhamba kwesikhathi, amaphaphu angaba lukhuni ngokwengeziwe, okuholela ekubeni nobunzima obukhulu ekuphefumuleni, okuholela ekubonakaleni kwezinye zezimpawu ezinjengokuphefumula, ukukhwehlela owomile nokukhathala ngokweqile.
Lesi simo sivame ukwenzeka ngenxa yokuchayeka isikhathi eside othulini lomsebenzi, njenge-silica ne-asbestos, ngokwesibonelo, noma ngenxa yokubhema, izifo ezizimele noma imiphumela emibi yokusebenzisa isikhathi eside kwemithi ethile. Kodwa-ke, kwezinye izimo imbangela ye-pulmonary fibrosis ayikwazi ukubonwa, futhi manje ibizwa nge-idiopathic pulmonary fibrosis.
I-pulmonary fibrosis ayinakulapheka ngoba lokhu kulimala okubangelwe yiphaphu akukwazi ukulungiswa, noma kunjalo isifo singalawulwa futhi izimpawu zikhululeke ngokwenza i-physiotherapy yokuphefumula nemithi engakhonjiswa ngudonologist.
Izimpawu eziyinhloko
Ekuqaleni, i-pulmonary fibrosis ayiholeli ekubonakaleni kwezimpawu noma izimpawu, kepha njengoba isifo siqhubeka ezinye izimpawu zingaqashelwa, okuyizona eziyinhloko:
- Ukuphefumula okufishane;
- Ukukhwehlela okomile noma uketshezi oluncane;
- Ukukhathala ngokweqile;
- Ukuntuleka kwesifiso sokudla kanye nokwehlisa isisindo ngaphandle kwesizathu;
- Ubuhlungu bemisipha namalunga;
- Iminwe eluhlaza okwesibhakabhaka noma nsomi;
- Ukukhubazeka eminweni okuyisici sokushoda komoya-mpilo emzimbeni, obizwa nge- "drum stick stick".
Ubukhulu nokushesha kokuqala kwezimpawu kungahluka kuye ngomuntu, ikakhulukazi ngokusho kwembangela, futhi ngokujwayelekile, kuguquka izinyanga nezinsuku.
Lapho kusolwa i-pulmonary fibrosis, udokotela wamaphaphu uzo-oda izivivinyo ezifana ne-computed tomography, ehlola ubukhona bezinguquko ezicutshini zamaphaphu, i-spirometry, ekala amandla okusebenza kwamaphaphu nezinye izivivinyo, njengokuhlolwa kwegazi, okulawula ezinye izifo , njenge-pneumonia. Uma kwenzeka ungabaza, i-biopsy yamaphaphu nayo ingenziwa.
Kubalulekile ukuthi ungadidanisi i-pulmonary fibrosis ne-cystic fibrosis, okuyisifo esizalwa njengefa, esivela ezinganeni, lapho ezinye izindlala zikhiqiza uketshezi olungajwayelekile oluthinta kakhulu amapheshana okugaya nokuphefumula. Bheka ukuthi ungayibona kanjani futhi uyiphathe kanjani i-cystic fibrosis.
Yelashwa kanjani
Ukwelashwa kwe-pulmonary fibrosis kufanele kuqondiswe yi-pulmonologist futhi imvamisa kufaka nezidakamizwa ezinezakhi ezilwa ne-fibrotic, njengePirfenidone noma iNintedanib, izidakamizwa ze-corticosteroid, njengePrednisone, kanye nezidakamizwa ezinciphisa impendulo yesistimu yomzimba, njengeCyclosporine noma iMethotrexate, ukunciphisa izimpawu ezithile noma ukubambezela ukuqhubeka kwesifo.
I-Physiotherapy ibalulekile ukwenza ukuvuselelwa kwamaphaphu, lapho kwenziwa khona izivivinyo ezihleliwe ngenhloso yokuthuthukisa amandla okuphefumula komuntu, ohlala esebenza kakhulu futhi onezimpawu ezimbalwa.
Ngaphezu kwalokho, ezimweni ezinzima kakhulu, udokotela futhi angancoma ukusetshenziswa komoya-mpilo ekhaya njengendlela yokusiza ukukhuphula umoya-mpilo wegazi. Lesi sifo singaba sibi kakhulu kwabanye abantu, futhi kulezi zimo, kungakhonjiswa ukufakelwa kwamaphaphu.
Bheka imininingwane eminingi mayelana nokwelashwa kwe-pulmonary fibrosis.
Yini ebangela i-pulmonary fibrosis
Yize kunganqunywa imbangela ethile ye-pulmonary fibrosis, ingozi yokuthuthukisa lesi sifo inkulu kubantu:
- Bayabhema;
- Basebenza ezindaweni ezinobuthi obuningi, njengothuli lwe-silica noma i-asbestos, isibonelo;
- Bane-radiotherapy noma i-chemotherapy yomdlavuza, njengomdlavuza wamaphaphu noma webele;
- Basebenzisa imishanguzo ethile enobungozi bokubangela lo mphumela, njenge-Amiodarone Hydrochloride noma iPropranolol, noma ama-antibiotic, njengeSulfasalazine noma iNitrofurantoin, isibonelo;
- Babenezifo zamaphaphu, ezinjengesifo sofuba noma inyumoniya;
- Banezifo ezizimele, njengeLupus, Rheumatoid Arthritis noma iScleroderma.
Ngaphezu kwalokho, i-idiopathic pulmonary fibrosis ingadluliselwa isuka kubazali iye ezinganeni, futhi kunconywa ukuthi kube nokwelulekwa ngezakhi zofuzo uma kunezimo eziningi zesifo emndenini.