Kuongorora Kujairika Kunowanzoitwa uye nei Kuongororwa Kunonetsa
Sezvo zviratidzo zveIdiopathic pulmonary fibrosis ( IPF ) inofanidza iyo yemoyo nemapapu akawanda, zvinowanzoita nguva yakareba yekuongorora chirwere chacho. Munguva iyi yenguva, kazhinji gore kana maviri, varwere vanowanzoona vanachiremba vakawanda mukuedza kuwana chikonzero chezviratidzo zvavo.
Kazhinji IPF Symptoms
Kufanana nedzimwe zvirwere zvepapupa, zvakadai seCOPD, pane kazhinji kunokanganisa mapapu zvisati zvaonekwa zviratidzo.
Zviratidzo izvi zvinogona kusanganisira:
- Kupfupika kwemhepo , kunyanya nebasa, kazhinji chiratidzo chekutanga. Nokufamba kwenguva uku kufema kunonetsa kunowedzera kuitira kuti kupfupika kwefema kunoitika kunyange pazororo.
- Chirwere chinopfuurira chinowanzooma (kwete chekubereka)
- Kupera zvishoma, kukurumidza kufema
- Kuneta
- Kurasikirwa uremu pasina kuedza ( asina kutsananguka kuora kura )
- Kubhabhatidza - Clubbing ndiyo mamiriro ekuti minwe nezvigunwe zviwedzere pakupedzisira, zvakafanana nekapu inopera-pasi.
- Tsvina uye kubatana aches
Kuongorora IPF
Parizvino, hapana kuongorora kuongorora IPF, uye kuongororwa kunobva kuvanhu vanouya nezviratidzo. Iyo nzira yekuongorora mishonga yemapapu , zvisinei, inogona kutora IPF kuvanhu kuti avo vanoongorora vanobvumirwa uye vanokurudzirwa.
Kuongororwa uye Kushambadzira
Kuonekwa kwe IPF kazhinji kunotora nguva, uye vanhu vakawanda vanoenda gore kana maviri uye vachiona vanachiremba vakawanda vasati vatariswa.
Chikonzero cheizvi ndechekuti zviratidzo zvepakutanga zve IPF zvakanyatsofananidza ivo kune mamwe mimwe mitemo, kusanganisira chirwere chemwoyo. Vanhu vazhinji vanowedzera kushanda kwepfungwa musati vasati vaongororwa zvichibva pane zviratidzo zvinowanzoonekwa.
Mamwe anoedzwa chiremba wako anogona kuraira anosanganisira:
- High-resolution CT Scan: IPF inowanzoongororwa inobva pane zvakafanana zvinowanikwa pane zvakagadziriswa CT scan of the chest. Pamusoro peT CT scan, fibrosis inowanikwa muneiyo radiologist inotaridzika seyakasanganiswa neuchi.
- Mhembera yenyuchi: Pane dzimwe nguva apo CT scan chete inogona kusimbisa kuongororwa kwePF, asi kana kuongororwa kuri kubvunzwa chirwere chepapu chinogona kukurudzirwa. Izvi zvinogona kuitwa sechikamu chebhanoscopi, kuburikidza nekodhi kadiki (thoracoscopy) kana ne thoracotomy. Nyaya iyi inonyanya kuitwa kutonga zvimwe zvinokonzera zvirwere zvemapapu zvakadai semukenza wemapapu kana sarcoidosis.
- Dzimwe mimwe miedzo inobatsira pakuongororwa nekugadzirisa: Kubatanidzwa kwekuongorora uye dzimwe mimwe miedzo inowanzoitwa zvose kuti ibatsire pakuongorora, tsanangura kuti mapapu ari kushanda zvakadini, uye kuti aone kuti chirwere ichi chave chakakura zvakadini. Zvimwe zvezvi zvinosanganisira:
- Nhoroondo uye muviri kuongorora.
- Spirometry - Spirometry chiratidzo chakaitwa chakatarisa kuti mweya yakawanda inopedzwa sei nesimba kwenguva imwechete yechipiri, uye chiratidzo chemapapu.
- Mamwe mapirmita mabasa ekuedza
- Oximetry
- Arterial blood gases - Zvose oximetry uye ABG zvakaitwa kuongororodza zvinoitika mukati meropa.
- Kuedzwa kwechifuva
- Ropa rekuongorora - Tsvakurudzo inotarisa muzviomarker iyo inobatsira kuti iongorore chirwere munguva yemberi.
Genetic Predisposition: Idiopathic pulmonary fibrosis inogona kufamba mumhuri uye dzimwe shanduko (pamusoro pekromosome 11) yakawanikwa yakajairika mumhuri ye IPF.
Shoko Rinobva
Zvichida kana kwete iyo yako ye IPF inotora nguva kuti uongorore, kana iwe uongororwa ukaziva kuti une mishonga yekurapa inowanika, uye zvimwe zviri kuongororwa uye zvakagadzirwa . Pamwe nekudzora dzimwe nzira dzoupenyu, unogona kuramba uchirarama zvakanaka ne idiopathic pulmonary fibrosis .
> Sources:
Antoniou, K., Tomassetti, S., Tsitoura, E., naC. Vancheri. Idiopathic pulmonary fibrosis nemukenza wemapapu: kliniki uye pathogenesis update. Nhasi Maonero muPulmonary Medicine . 2015 Sep 18. (Epub mberi kwekudhinda).
de Boer, K., naJo Lee. Zvinonzwisisika zvinowanikwa mumiti in idiopathic pulmonary fibrosis: kuongorora. Respirology . 2015 Sep 13. (Epub mberi kwekudhinda).
Oldham, J. et al. TOLLIP, MUC5B uye Mhinduro kune N-acetylcystein pakati pevanhu vane Idiopathic Pulmonary Fibrosis. American Journal of Respiratory and Critical Care Medicine . 2015 Sep 2. (Epub mberi kwekudhinda).
O'Riordan, T., Smith, V., naG. Raghu. Kuvandudza Novel Agents yeIdiopathic Pulmonary Fibrosis: kufambira mberi pakutsvaga kutsva uye kliniki yekuongorora. Chest . 2015 May 8. (Epub mberi kwekudhinda).
Raghu, G. et al. Kuongororwa kweIdiopathic pulmonary fibrosis ne-high-resolution CT mune varwere vane zvishoma kana kuti hapana zvehurogiological uchapupu hwokuti uchikanganiswa: kuongorora kwechipiri chekuongorora kwakarongeka, kutongwa. Lancet Respiratory Medicine . 2014. 2 (4): 277-84.