Chii chinonzi bronchorrhea uye ndezvipi zvimwe zvinokonzera? Apo bronchorrhea inowanikwa nemukenza wemapapu kana mamwe mamiriro emapapu, ndeipi kurapwa kwakanakisisa uye zviratidzo zvinogona kugadziriswa sei?
Bronchorrhea inotsanangurwa sekunyanyisa kukurukura kwemvura inobva pamapapu, izvo zvinoguma nekukanganiswa kunobudirira. Izvo zvinopera zvinonyanya kudarika zvinowanzoitwa phlegm, uye netsanangudzo inowanzoitika kana munhu achikwevera zvishoma zvakaenzana nemaspuni makumi maviri emascus zuva rimwe nerimwe kubva pamapapu avo.
Zviratidzo
Bronchorrhea chiratidzo umo huwandu hwakawanda hwomukati hwakapetwa hunokwidzwa kubva pamapapu emunhu zuva rega rega. Iyi haisi kungoita mvura shomanana uye inogona kuva chiratidzo chinosuruvarisa. Chiratidzo ichi chinowanzova chakaipa kwazvo mangwanani uye kazhinji chinowedzera kuburikidza nezuva.
Chiratidzo ichi chinogona kuguma mukukanganiswa (kubvisa kusviba) uye kupera kwekufema. Sezvo dzakawanda zvezviitiko zvinokonzera bronchorrhea zvinogonawo kukonzera kuora uye kupera kwekufema, maronchorrhea inogona kuwedzera zviratidzo izvozvo zvakanyanya.
Bronchorrhea yakasiyana nekukwirira kumusoro phlegm kana sputum. Inofungidzirwa kuti inokonzerwa nemhepo inenge iri "hyperresponsive" kune dambudziko. Kusiyana nemhepo inotendesa mweya iyo inowanikwa nemhepo inoputika semhepo yakadai seyo asthma, ichi chiitiko chinokonzera "zvakavanzika hyperresponsiveness."
Kuziva
Kuongororwa kweBrrrrrrhea inorwara inorwara (inogadzirwa nenhau uye yega pachake) uye inotsanangurwa sekubudiswa kwemasvondo anopfuura 100 (zvinopfuura makumi mashizha makumi maviri) emascus zuva rimwe nerimwe.
Zvinokonzera
Pane zvinokonzera kukonzera bronchorrhea, kunyange tichionga kuti hazvina kufanana nemamiriro ezvinhu. Zvimwe zvinokonzera zvinosanganisira:
- Kenza yemaperembudzi: Mhando yemukenza wemapapu iyo munguva yakapfuura yainzi mucinous bronchioloalveolar carcinoma (BAC) , ndicho chinowanzokonzera bronchorrhea. BAC iko zvino yakagadziriswa sechimiro chemapapu adenocarcinoma , asi ichiri kukonzera izvi zvinotyisa zvinodhaka kune vanhu vanogara nehutachiwana hutsva.
- Chronic bronchitis: Chronic chronic bronchitis chirwere chechirwere chisingaperi cheplmonchi (COPD) inoratidzwa nekuputika kwebronchi.
- Chirwere cheputi, kunyanya chifufu-chinokanganisa asthma: Chirwere-chinokanganisa asthma ndiyo inypical form of asthma umo chiratidzo bedzi panguva yekuongororwa ndiko kukwezva.
- Zvimwe zvinonyangadza: Kutyisa nemakemikari anozivikanwa organophosphates (anticholinesterase pesticidesi) inokonzera kukonzera bororrhea.
- Tuberculosis
- Bronchiectasis: Bronchiectasis inzira yeCOPD kazhinji inokonzerwa nehutachiona hwehutano hwehutano, izvo zvinoguma mumusanganisi wekusangana mumhepo inoenderana nekuwedzera uye kuputika kwemhepo.
Matambudziko
Kunyange zvazvo bronchorrhea inowanzova nhungamiro (kunyange kazhinji inoshamisa kwazvo), inogona kukonzera kusakosha mu electrolytes mumuviri. Kana zvakanyanya, zvinogonawo kuita kuti kusagadzikana kwemhepo uye kufema kunetseka.
Mishonga Yakabatana neLung Cancer
Iyo yakanakisisa kurapwa kwebronchorrhea ndeyokuwana uye kubata chirwere chinokonzera, kunyanya nemukenza wemapapu.
Kune avo vane mapapu adenocarcinoma vane bronchorrhea, dzimwe nguva kukosha uye kuwedzera kunoshamisa kwave kuchionekwa nekushandisa mishonga Tarceva (erlotinib) uye Iressa (gefitinib). Iyi mishonga inotarisa kuchinja kwe EGFR mune mamwe mapepa emapapu, kunyanya mapapu adenocarcinomas, rudzi rwemweya isiri duku rekenza yemapapu.
Iko zvino inonzwa kuti munhu wose anonzi ane lungapu adenocarcinoma (uye kwete chediki chekenza yemapapu emapapu muzhinji) inofanira kuongororwa maitiro e (genetic profiling) kutarisa kuvepo kwezvinhu zvinotapurika (zvinotarisirwa) kuchinja kunoitwa EGFR mutations , rearrangements ALK, rearrangements ROS1 , uye vamwe.
Apo bronchorrhea inowanzobatanidzwa nechepfu (kazhinji inouraya mishonga) kurapa kwehupfu hunokosha zvikuru.
Zvimwe zvisarudzo zvakasiyana zvakasiyana-siyana zvekurapa zvakaedzwa mukuedza kuderedza zviratidzo zve bronchorrhea. Kunyange zvazvo izvi zvichiita sokuti zvinopa rubatsiro rwakakwana, steroid uye kwete-steroidal anti-inflammatory inhalers kana kirasi remishonga inorwisa mabhakitiriya inonzi macrolide antibiotics inogona kuva yeimwe rubatsiro.
Munhu anonzi hormone octreotide anogonawo kubatsira vamwe vanhu.
Pasi Pasi
Bronchorrhea chiratidzo chisingawanzogadziriswa umo mvura yakawanda yemvura yakasununguka yakavharwa kubva kumapapu. Zvinogona kuitika nemukenza wemapapu, zvikurukuru mamwe marudzi, uyewo mamwe mamiriro emapapu. Sezvo mapapu adenocarcinoma inoratidzika kuwedzera, kunyanya kune vechidiki vechidiki vane kenza yemapapu uye vanhu vasina kumboputa, zvinenge zvichiitika kuti chiratidzo ichi chichave chichiwedzera.
Chiratidzo chacho chinogona kurapwa zviratidzo ne steroid kana NSAID inhalers, asi ruzivo rwakanyanya rwuri mukurapa pasi pekenza.
> Sources:
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