Zvinodhaka-zvinokonzeresa pulmonary chirwere

Zvinodhaka-zvinokonzeresa pulmonary chirwere chirwere chemapapu chinounzwa neyakaipa maitiro kumushonga. Pulmonary zvinoreva zvine chekuita nemapapu.

Mhando dzakawanda dzekukuvara kwemapapu dzinogona kukonzerwa nemishonga. Kazhinji hazvigoneke kufanotaura kuti ndiani achakura chirwere chemapapu kubva kumushonga.

Mhando dzematambudziko emapapu kana hosha dzinogona kukonzerwa nemishonga dzinosanganisira:

• Allergic reaction - asthma, hypersensitivity pneumonitis, kana eosinophilic pneumonia
• Kubuda ropa mumapapu emhepo emapapu, anonzi alveoli (alveolar hemorrhage)
• Kuzvimba uye kuputira nyama muzvikamu zvikuru zvinotakura mweya kumapapu (bronchitis)
• Kukuvadza kumapapu emapapu (interstitial fibrosis)
• Zvinodhaka zvinoita kuti immune system irwisane nekukanganisa uye nekuparadza hutano hwemaviri, senge zvinodhaka-zvinokonzereswa lupus erythematosus
• Granulomatous lung chirwere - mhando yekuzvimba mumapapu
• Kuzvimba kwemapapu emhepo masaga (pneumonitis kana infiltration)
• Lung vasculitis (kuzvimba kwemapapu eropa mitsipa)
• Lymph node kuzvimba
• Kuzvimba uye kutsamwa (kuzvimba) kwenzvimbo yechipfuva pakati pemapapu (mediastinitis)
• Asina kujairika anovakwa emvura mumapapu (pulmonary edema)
• Kuvaka kwemvura pakati pezvikamu zvezvinyama zvinoisa mapapu uye chipfuva (pleural effusion)

Mishonga yakawanda uye zvinhu zvinozivikanwa kukonzera chirwere chemapapu mune vamwe vanhu. Izvi zvinosanganisira:

• Mishonga inorwisa mabhakitiriya, yakadai senitrofurantoin uye sulfa zvinodhaka
• Mishonga yemwoyo, senge amiodarone
• Chemotherapy zvinodhaka zvakadai seBleomycin, cyclophosphamide, uye methotrexate
• Mishonga yemumugwagwa

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Sputum yeropa
• Kurwadziwa pachifuva
• Kukosora
• Kupindwa nechando
• Kufema kwekufema
• Kushungurudza

Anopa hutano anoita bvunzo dzepanyama uye anoteerera chipfuva nemapapu ane stethoscope. Kufema kusina kujairika kurira kunogona kunzwika.

Miedzo inogona kuitwa inosanganisira:

• Arterial eropa magasi
• Ropa bvunzo kuongorora autoimmune kusagadzikana
• Ropa kemisitiri
• Bronchoscopy
• Pedzisa kuwanda kweropa nemusiyano weropa
• Chest CT scan
• Chest x-ray
• Lung biopsy (mune zvisingawanzoitika zviitiko)
• Lung basa bvunzo
• Thoracentesis (kana pleural effusion iripo)

Nhanho yekutanga ndeyekumisa mushonga uri kukonzera dambudziko. Kumwe kurapwa kunoenderana nezvako zviratidzo. Semuenzaniso, iwe ungangoda okisijeni kudzamara chirwere-chinokonzerwa nemapapu chirwere ichivandudza. Mishonga inorwisa-kupisa inonzi corticosteroids inowanzo shandiswa kudzora kuputika kwemapapu.

Zvikamu zvakanyanya zvinowanzoenda mukati maawa makumi mana nemasere kusvika makumi manomwe mushure mekumiswa kwemushonga. Zviratidzo zvisingaperi zvinogona kutora nguva yakareba kuti zviwedzere.

Zvimwe zvirwere zvemapapu zvinokonzerwa nezvinodhaka, senge pulmonary fibrosis, zvinogona kusazomboenda uye zvinogona kuwedzera, kunyangwe mushure mekunge mushonga kana chinhu chamiswa uye zvinogona kutungamira kuchirwere chakakomba chemapapu nekufa.

Zvinetso zvinogona kukura zvinosanganisira:

• Kuparadzanisa kwemukati pulmonary fibrosis
• Hypoxemia (yakaderera ropa okisijeni)
• Kukundikana kwekufema

Fonera mupiki wako kana iwe ukava nezviratidzo zvechirwere ichi.

Cherekedza chero yapfuura maitiro awakave nawo kumushonga, kuti iwe ugone kunzvesa mushonga mune ramangwana. Pfeka bracelet yekurapa yekurapa kana iwe uchiziva maitiro emushonga. Gara kure nezvinodhaka zvemumugwagwa.

Chirwere chemapapu chemukati - chinodhaka chakakonzerwa

• Chirwere chemukati chemapapu - vanhu vakuru - kubuda

• Kufuridzira system

Dulohery MM, Maldonado F, Limper AH. Zvinodhaka-zvinokonzeresa pulmonary chirwere. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 71.

Kurian ST, Walker CM, Chung JH. Zvinodhaka-Zvinokonzera chirwere chemapapu. Mune: Walker CM, Chung JH, eds. Kufungidzira kwaMuller kweChipfuva. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2019: chits. 65.

Taylor AC, Verma N, Slater R, Mohammed TL. Zvakaipa pakufema: mufananidzo wechirwere chinokonzerwa nezvinodhaka. Curr Pamwe Digan Radiol. 2016; 45 (6): 429-432. PMID: 26717864 www.ncbi.nlm.nih.gov/pubmed/26717864.