Ngabe i-Pulmonary Fibrosis ne-RA zihlobana kanjani?

-Delile

• Ukuqaphela i-pulmonary fibrosis
• I-RA ihlangana kanjani ne-pulmonary fibrosis?
• Ukubonana nodokotela nini
• Izinkinga ze-pulmonary fibrosis
• Ukwelashwa nokuphathwa kwe-pulmonary fibrosis
• Ukuzinakekela
• Iqembu lokusekela
• Umbono we-pulmonary fibrosis

Ukubuka konke

I-pulmonary fibrosis yisifo esibangela ukusha nokulimala kwezicubu zamaphaphu. Ngokuhamba kwesikhathi, lo monakalo ubangela ubunzima bokuphefumula.

Izimo eziningi zezempilo zingadala i-pulmonary fibrosis. Esinye sazo yisifo samathambo (RA). I-RA ibangela ukuvuvukala nobuhlungu obuthinta amalunga, kepha ingathinta nezinye izitho, njengamaphaphu akho.

Kuze kube ngamaphesenti angama-40 abantu abane-RA abane-pulmonary fibrosis. Eqinisweni, izinkinga zokuphefumula ziyimbangela yesibili ehamba phambili yokufa kubantu abane-RA. Kodwa ochwepheshe abakaqondi kahle ukuxhumana phakathi kwe-RA ne-pulmonary fibrosis.

Hlala ukhuluma ngezimpawu zokungaphatheki kahle kudokotela wakho, noma ngabe izinkinga zokuphefumula zenzeka kuphela ngesikhathi sokuvivinya umzimba. Ngokusho kwesikhungo samathambo, abantu abaneRA bavame ukubika izinkinga zokuphefumula. Lokhu kuvame ukuthi ngenxa yokuthi abantu abane-RA abakhuthele ngokomzimba ngenxa yobuhlungu obuhlangene.

Ngenkathi ukwelashwa kwe-RA sekuthuthukile, ukwelashwa kwesifo samaphaphu akukenzeki. Inhloso yokwelashwa ukungenelela kwasekuqaleni ukuze kunciphise ukuqhubeka kwesifo futhi kuthuthukise ikhwalithi yempilo.

Ukuqaphela i-pulmonary fibrosis

Uphawu oluphawuleka kakhulu lwe-pulmonary fibrosis ukuphefumula okuncane. Kodwa lesi sibonakaliso asivame ukuvela kuze kube yilapho isifo sesithuthukile.

Ezinye izimpawu ze-pulmonary fibrosis zifaka:

• ukukhwehlela okumile nokugenca
• ukuncipha kwesisindo ngokungenhloso
• ukunweba nokugoqa izeluleko zeminwe noma izinzwane
• ngizizwe ngikhathele

Ukuphefumula okuncane kungaba mnene ekuqaleni futhi kwenzeka kuphela ngesikhathi somsebenzi womzimba. Izinkinga zokuphefumula zizoya ngokuya ziba zimbi ngokuhamba kwesikhathi.

I-RA ihlangana kanjani ne-pulmonary fibrosis?

Imbangela ye-pulmonary fibrosis ayaziwa, kepha i-RA ingakhuphula ubungozi bakho ngenxa yokuvuvukala. Ucwaningo lukhombisa nokuthi ukubalwa okuphezulu kwama-antibodies e-RA kuxhumene nokwakhiwa kwesifo samaphaphu esiphakathi nendawo (i-ILD).

I-ILD yisifo samaphaphu esivame kakhulu esihlotshaniswa ne-RA. Isimo esibi futhi esisongela impilo esingakhula sibe yi-pulmonary fibrosis.

Ezinye izinto zingakhuphula ubungozi bakho be-pulmonary fibrosis, kufaka phakathi:

• ukubhema ugwayi nokuchayeka kokungcola kwemvelo
• ukutheleleka ngegciwane
• ukusetshenziswa kwemithi elimaza amaphaphu (izidakamizwa zamakhemikhali, imithi yenhliziyo, kanye nemithi ethile elwa nokuvuvukala)
• umlando womndeni we-pulmonary fibrosis
• umlando wesifo se-reflux se-gastroesophageal

Ungase futhi uthuthukise i-pulmonary fibrosis uma unesimo sezokwelapha esilimaza amaphaphu akho, njenge-polymyositis, i-sarcoidosis, ne-pneumonia.

Ukubonana nodokotela nini

Ngesikhathi sokuvakasha kwakho, udokotela wakho uzokubuza ngezimpawu zakho, abukeze umlando wakho wezokwelapha nowomndeni, bese enza ukuhlolwa komzimba ukulalela ukuphefumula kwakho. Kukhona nokuhlolwa okuningana abangakwenza ukubona ukuthi unayo i-pulmonary fibrosis. Lezi zivivinyo zifaka:

• Ukuhlola ukuhlolwa. I-X-ray yesifuba ne-CT scan ingabonisa izicubu zamaphaphu ezinesibazi. I-echocardiogram ingasetshenziselwa ukuhlola izingcindezi ezingavamile enhliziyweni ezibangelwa i-pulmonary fibrosis.
• Ukuhlolwa komsebenzi wePulmonary. Ukuhlolwa kwe-spirometry kukhombisa udokotela wakho inani lomoya ongawubamba emaphashini akho kanye nendlela umoya ongena futhi uphume ngayo emaphashini akho.
• Pulse oximetry. Pulse oximetry kuyinto isivivinyo esilula esilinganisa inani le-oxygen egazini lakho.
• Ukuhlolwa kwegesi yegazi. Lokhu kuhlolwa kusebenzisa isampula yegazi lakho ukukala amazinga e-oxygen nawomoya omubi.
• Isidumbu. Udokotela wakho angadinga ukususa inani elincane lezicubu zamaphaphu ukuthola i-pulmonary fibrosis. Lokhu kungenziwa nge-bronchoscopy noma nge-biopsy yokuhlinzwa. I-bronchoscopy ayihlaseli kangako kune-biopsy yokuhlinzwa, kwesinye isikhathi okuwukuphela kwendlela yokuthola isampula enkulu ngokwanele yezicubu.
• Ukuhlolwa kwegazi. Udokotela wakho angasebenzisa ukuhlolwa kwegazi ukubona ukuthi isibindi nezinso zakho zisebenza kanjani. Lokhu futhi kusiza ukukhipha ezinye izimo ezingaba khona ezihambisana nesifo samaphaphu.

Izinkinga ze-pulmonary fibrosis

Ukuhlonza nokwelapha i-pulmonary fibrosis kusenesikhathi kubalulekile ngenxa yezingozi nezinkinga. I-pulmonary fibrosis ingadala:

• iphaphu eliwile
• ukwehluleka kwenhliziyo emaceleni
• ukwehluleka ukuphefumula
• umfutho wegazi ophezulu emaphashini akho

I-fibrosis eqhubekayo yamaphaphu nayo ingakhuphula ingozi yokuba nomdlavuza wamaphaphu nokutheleleka kwamaphaphu.

Ukwelashwa nokuphathwa kwe-pulmonary fibrosis

Isibazi samaphaphu esivela ku-pulmonary fibrosis asibuyiseki. Ukwelashwa okungcono kakhulu ukwelapha i-RA eyisisekelo futhi kunciphise ukuqhubeka kwesifo. Izinketho zokwelashwa zokuthuthukisa ikhwalithi yempilo yakho zifaka:

• imithi efana ne-corticosteroids kanye ne-immunosuppressants
• ukwelashwa kwe-oxygen ukwenza ngcono ukuphefumula nokunciphisa ubungozi bezinkinga
• ukuvuselelwa kwamaphaphu ukuqinisa amaphaphu nokwenza ngcono izimpawu

Uma isimo sakho sinzima, udokotela wakho angancoma ukuthi kuhlolwe ukufakelwa inhliziyo namaphaphu ukuze kushintshwe amaphaphu nenhliziyo yakho eyonakele kunaleyo evela kumnikeli onempilo. Le nqubo ingathuthukisa ukuphefumula nekhwalithi yakho yempilo, kepha kukhona izingozi ngokufakelwa kabusha.

Umzimba wakho ungasenqaba isitho, noma ungathola igciwane ngenxa yemithi yokuzivikela emzimbeni. Kuzofanele uphuze le mishanguzo impilo yakho yonke ukunciphisa ubungozi bokwaliwa.

Ukuzinakekela

Ngaphezu kwalezi zinketho zokwelashwa, uzofuna ukugcina amaphaphu akho enempilo ngangokunokwenzeka. Ukwehlisa ukukhula kwesifo, kubalulekile ukuyeka ukubhema ugweme intuthu kagwayi noma yikuphi ukungcola okucasula amaphaphu akho.

Ukuvivinya umzimba njalo nakho kungathuthukisa ukusebenza kwamaphaphu. Buza udokotela wakho ngokuzivocavoca okuphephile, njengokuhamba, ukubhukuda, noma ukuhamba ngebhayisikili.

Kufanele uthole umuthi wokugomela i-pneumonia wonyaka nomkhuhlane ukuze wehlise ubungozi bokutheleleka. Uma uthola ukuthi izinkinga zokuphefumula ziba zimbi kakhulu ngemuva kokudla, yidla ukudla okuncane, okuvame kakhulu. Ukuphefumula kuvame ukuba lula lapho isisu sakho singasuthi.

Iqembu lokusekela

Ukuxilongwa kwe-pulmonary fibrosis kungaletha imizwa yokudangala nokukhathazeka. Buza udokotela wakho ngamaqembu okusekela asendaweni.

Ukwabelana ngendaba yakho nabantu abakuqondayo okwenziwayo kungasiza. Amaqembu okusekela ayizindawo ezinhle zokufunda ngezindlela zokwelashwa ezintsha noma izindlela zokubhekana nazo ukuphatha ingcindezi.

Umbono we-pulmonary fibrosis

Umbono nesilinganiso sokuqhubeka kwe-pulmonary fibrosis ne-RA kuyehluka kumuntu ngamunye. Ngisho nangokwelashwa, i-pulmonary fibrosis iyaqhubeka iba yimbi ngokuhamba kwesikhathi.

Izinga lokusinda elijwayelekile labantu abane-RA abathuthukisa i-ILD yiminyaka engu-2.6, ngokusho kwe-Arthritis neRheumatism. Lokhu kungenzeka futhi ngoba izimpawu ze-ILD aziveli kuze kube yilapho lesi sifo sesidlulele esigabeni esibi.

Ayikho indlela yokwazi ngokuqiniseka ukuthi isifo sizothuthuka ngokushesha kangakanani. Abanye abantu banezimpawu ezimnene noma ezilinganiselayo iminyaka eminingi futhi bajabulela impilo esebenzayo. Qiniseka ukuthi ulalela udokotela wakho bese unamathela kuhlelo lokwelashwa.

Khumbula ukusho ukukhwehlela okomile noma ubunzima bokuphefumula kudokotela wakho. Uma usheshe welapha i-ILD, kuba lula kakhulu ukubambezela ukuqhubeka kwesifo.