Wakamboedza mishonga yakasiyana-siyana yekuderedza zviratidzo zvako zveCOPD uye hapana chinoratidzika sechishanda? Kana miitiro yeCOPD yakakundikana iwe uye iwe unoramba uchirwadziwa kufema, ipapo kurapwa kweCOPD kunogona kuva chimwe chinhu chaunofanira kukurukura nemukuru wako wekuchengeta.
Nzira dzeKupindira Intervention
Kune mhando mitatu yekuvhiya iyo inogona kusarudzwa kune murwere ane gumo-gadziriro COPD, uyo ari kutambura nezviratidzo zvakakomba.
Bullectomy
Bullae yakawedzerwa (yakakura kupfuura 1 cm) nzvimbo dzomumhepo mukati memapapu ayo dzimwe nguva ari pasi peCOPD. Icho chikonzero chekudzivirira mukati mebronchiole tubes kana bronchus. Chirwere chinopisa chinokonzera kukanganisa kwakanyanya pamusana pacho, mishonga yemapapu ine utano iyo inobatsirawo kuderedza ropa nekuyerera kumapapu. Izvi zvinokonzera kuwedzera kukurumidza kufema.
Kamwe chidhae ichibviswa nenzira yekuvhiya inonzi bullectomy , mishonga yakanaka yemapapu mumapapu inogona kuwedzera nekufema ichava nyore.
Izvo zvinowanzoitwa mubhadhadziri wevarlectomy zvinosanganisira varwere vanotambura nehosha dyspnea, hemoptysis kana kuti vanodzokorora bullae zvirwere. Chiremba wako anogona kupa mitsva inotevera miedzo seyo nzira yekuongorora mapapu ako basa musati mavhiya:
- Chifu x-ray
- Chest CT
- Pulmonary function tests
- Ventilation / perfusion (VQ) scan
- Angiography yemapapu (kune vamwe varwere)
Zvimwe zvinogona kupesana nekuva bullectomy zvinosanganisira:
- Kuvapo kwezvizhinji, zviduku
- Mushonga wepamusoro wakagadziriswa mune zvisiri-bullous pedyo nemapapu
- Hypercapnia
- Cor pulmonale
- Apo FEV1 iri pasi pe40% inofanotaurwa kana 500 ml
Kunyange zvazvo iyi nzira inobvira, bullectomy inowanzoitwa, sechikamu chiduku zvikuru chevarwere vane emphysema vane giant bullae.
Maererano neChest , njodzi yekufa munguva kana kuti mushure mekuvhiyiwa ndeye 0-22% mumasangano akabudiswa. Zvimwe zvinetso zvinosanganisira kureba kwenguva refu mumhepo, utachiona hwemapapu uye kushaya kuputika .
Chiremera Chinobvira Kupora Chirwere (LVRS)
LVRS inosanganisira kubvisa anenge 30% emapfupa ane chirwere chemapfupa kuitira kuti mishonga yemapapu ine utano inogona kushanda zvakajeka. Ndiyo nzira inobatsira vanhu vane emphysema yakasimba kufema zvakanaka kuti vawane hupenyu huri nani.
Varwere vanozobatsirwa zvikuru kubva pane iyi nzira ndevaya vane emphysema yakasimba mumakumbo ekumusoro emapapu, avo vari pangozi yekuvhiyiwa uye vasina kupindura zvakanaka kumapurmari kugadziriswa vasati vavhiyiwa. Kubudirira kweLVRS kwakabatana zvakananga nekunyatsosarudzwa kusarudzwa kwevarwere vanoita izvi.
Chidzidzo chikuru chakagumisa kuti avo vane emphysema yakasimba mumakumbo ekumusoro emapapu uye pangozi yepamusoro yekuvhiyiwa, asi avo vasingateereri kugadziriswa vasati vavhiyiwa, vangabatsirwa zvikuru kubva kuLVRS. Chidzidzo chacho chakaratidza zvakare kuti varwere vari pangozi yekuvhiya uye avo vane emphysema mune dzimwe nzvimbo dzepapu vaizove vasina ruzivo uye vaizogona kukuvadzwa (NETT zvidzidzo).
Kuti iongororwa seLVRS, varwere vanofanira kuzadzisa zvinotevera:
- Kuva nenhoroondo ye emphysema
- Kusasvuta kwemwedzi mina isati yasvika uye munguva yose yekuongorora
- Kwete kuva neLVRS yapfuura
- Kusina kumbove nemasitoriro emapuraneti asati apfuura kana mamwe maitiro emwoyo
Mukuwedzera, murwere anofanirwa kupinda mushonga wepermonary before uye mushure mekuvhiyiwa.
Inofanira kujekeswa kuti kunyange chirwere cheLVRS chave chichiratidzwa kubatsira kubatsiridza kufema, simba remapapu, uye hutano hwehupenyu hwose. Hazviregi kupona.
Lung Transplantation
Kuputika kwemapapiro kunoitwa senzira yekuvhiya kwezvirwere zvakasiyana-siyana zvepapupa kusanganisira pulmonary fibrosis uye mishonga yeupemenia.
COPD, zvisinei, iyo ndiyo inonyanya kukosha yekuputira mapapu.
Varwere vasiri pasi pemakore makumi matanhatu nemapfumbamwe vane chirwere chekupedzisira COPD mukusavapo kwemamwe zvirwere zvakakosha kunofanira kufungidzirwa pamapapu ekugadzirisa kuongorora uye kutumirwa. Mamwe mapurogiramu achaongorora varwere vakura kune makore makumi matanhatu, asi mitemo yakasimba inofanira kusangana nokuda kwekufungisisa.
Vaya vanozokohwa mubayiro wepamusoro kubva kumapapu ekugadzirwa kwemapapiro vanosanganisira varwere vanoratidza zvinotevera:
- An FEV1 ye20% kana pasi pezvakafanotaurwa
- Hypercapnia
- Vaya vane chirwere chinokonzerwa nehupachipira chepamusoro
- Vaya vane mukana wekupona vaizova mukuru kana vaine mapapu ekuisa kune mapapfu kunze kwekuti vasina
Kuwedzerwa, vanogona kugadziriswa kunyoresa vanofanira kunge vakavhiringidzika, kuyerwa kwakakodzera, uye vakakurudzirwa nehutano hwakakwana.
Zvinonakidza kuziva kuti yekare bullectomy kana kuti LVRS haisi kupesana kwemukati wekupempa. Aya maitiro anogona chaizvo kubatsira kubatsira sebhiriji kumapapu ekugadzirisa kune vamwe varwere.
Kunyange zvazvo kuiswa kwemapapu hakuiti kuwedzera kuponeswa nevarwere veCOPD, zvikomborero zvekugadzirwa kwemapapu zvinofanira kutaridzirwa maererano nehutano uye hunhu hwehupenyu hunobatsira.
The Bottom Line
Mutoro uyo COPD inogara kune murwere unogona kukanganisa hupenyu hwavo. Kune avo vane gadziriro yekupedzisira-COPD iyo isingabvunzi zvakanaka kumishonga, kupindira kwepurojekiti kunogona kunge kusarudzo. Ndiwe chete wekutarisira kwako mukuru anogona kugona kana iwe ungaita mukana wakanaka wekuvhiya uku.
Sources
American Lung Association. LVRS Fact Sheet. August 2005.
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