Rheumatoid lung chirwere

Rheumatoid lung chirwere iboka rematambudziko emapapu ane chekuita nerheumatoid arthritis. Mamiriro acho anogona kusanganisira:

• Kuvharirwa kwediki mhepo nzira (bronchiolitis obliterans)
• Fluid mubhokisi (pleural effusions)
• Kuwedzera kweropa mumapapu (pulmonary hypertension)
• Mapundu mumapapu (nodules)
• Kupenga (pulmonary fibrosis)

Matambudziko emapapu anowanzo mu rheumatoid arthritis. Zvinowanzo kukonzera zviratidzo.

Icho chinokonzera chirwere chemapapu chakabatana nerheumatoid arthritis hachizivikanwe. Dzimwe nguva, iyo mishonga inoshandiswa kurapa rheumatoid arthritis, kunyanya methotrexate, inogona kukonzera chirwere chemapapu.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kurwadziwa pachifuva
• Kukosora
• Kupindwa nechando
• Kufema kwekufema
• Joint kurwadziwa, kuomarara, kuzvimba
• Zvidimbu zveganda

Anopa hutano anozoongorora muviri uye obvunza nezve zviratidzo zvako.

Zviratidzo zvinoenderana nerudzi rwechirwere chemapapu rheumatoid arthritis iri kukonzera mumapapu.

Mupiro anogona kunzwa kutsemuka (rales) kana achiteerera kumapapu ane stethoscope. Kana, panogona kunge paine kudzikira kwekufema kurira, kurira, kurira kwezwi, kana yakajairwa mweya mweya. Kana uchiteerera kumoyo, pangave nemanzwiro emoyo asina kujairika.

Iyi bvunzo inotevera inogona kuratidza zviratidzo zve rheumatoid lung chirwere:

• Chest x-ray
• CT scan yechifuva
• Echocardiogram (inogona kuratidza pulmonary hypertension)
• Lung biopsy (bronchoscopic, vhidhiyo-yakabatsirwa, kana kuvhura)
• Lung basa bvunzo
• Tsono yakaiswa mukati memvura inotenderera mapapu (thoracentesis)
• Ropa bvunzo yerheumatoid arthritis
  

Vanhu vazhinji vane chirwere ichi havana zviratidzo. Kurapa kunoitirwa matambudziko ehutano anokonzera dambudziko remapapu uye matambudziko anokonzerwa nedambudziko. Corticosteroids kana mimwe mishonga inodzvinyirira immune system dzimwe nguva inobatsira.

Mhedzisiro inoenderana nechakakonzera kusagadzikana uye mhando uye kuomarara kwechirwere chemapapu. Muzviitiko zvakakomba, kupinza kwemapapu kunogona kutariswa. Izvi zvinowanzoitika mune bronchiolitis obliterans, pulmonary fibrosis, kana pulmonary hypertension.

Rheumatoid lung chirwere chinogona kutungamira ku:

• Yakapunzika mapapu (pneumothorax)
• Pulmonary hypertension

Fonera mupiki wako ipapo ipapo kana uine rheumatoid arthritis uye iwe unowana kusajeka kutsanangudza kufema.

Chirwere chemapapu - rheumatoid arthritis; Rheumatoid nodules; Rheumatoid lung

• Chirwere chemukati chemapapu - vanhu vakuru - kubuda

• Bronchoscopy
• Kufuridzira system

Corte TJ, Du Bois RM, Wells AU. Zvinobatanidza zvinyama zvirwere. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 65.

Amainini ZX, Solomon JJ. Chirwere chemapapu mu rheumatoid arthritis. Rheum Dis Clin North Am. 2015; 41 (2): 225-236. PMID: PMC4415514 www.ncbi.nlm.nih.gov/pmc/articles/PMC4415514.