Bronchiectasis

Zvemukati

• Chii chinonzi bronchiectasis?
• Ndezvipi zvikonzero zvebronchiectasis?
• Ndezvipi zviratidzo zvebronchiectasis?
• Bronchiectasis inoonekwa sei?
• Kurapa sarudzo dzebronchiectasis
• Bronchiectasis inogona kudzivirirwa here?

Chii chinonzi bronchiectasis?

Bronchiectasis ndiyo mamiriro apo mabronchial machubhu emapapu ako akakuvara zvachose, akawedzeredzwa uye akawedzeredzwa.

Idzi nzira dzemweya dzakakuvadzwa dzinobvumira mabhakitiriya nemamota kuvaka nekupinza mumapapu ako. Izvi zvinoguma nezvirwere zvinowanzoitika uye mabhurugwa emafafitera.

Iko hakuna mushonga webronchiectasis, asi inokwanisika. Nokurapwa, iwe unogona kazhinji kurarama hwakajairika hupenyu.

Zvisinei, kuputika kunofanira kurapwa nekukurumidza kuchengetedza okisijeni kuyerera kune imwe muviri wako uye kudzivirira kumwe kukuvara kwemapapu.

Ndezvipi zvikonzero zvebronchiectasis?

Chero kukuvara kwemapapu kunogona kukonzera bronchiectasis. Pane zvikamu zviviri zvakakosha zveichi chiitiko.

Imwe inoenderana nekuve necystic fibrosis (CF) uye inozivikanwa seCF bronchiectasis. CF chiitiko chemajini chinokonzeresa kugadzirwa kwemarozi.

Chimwe chikamu hachisi cheCF bronchiectasis, iyo isina hukama neCF. Mamiriro akajairika anozivikanwa anogona kutungamira kune asiri-CF bronchiectasis anosanganisira:

• immune system isingaite
• chirwere chinoputira chirwere
• autoimmune hosha
• chisingaperi obstructive pulmonary chirwere (COPD)
• alpha 1-antitrypsin kushomeka (chikonzero chinogarwa nhaka cheCOPD)
• HIV
• allergic aspergillosis (an allergic lung reaction to fungus)
• zvirwere zvemapapu, zvakadai sekukosora uye tibhii

CF inokanganisa mapapu uye dzimwe nhengo senge chirwatata nechiropa. Mumapapu, izvi zvinoguma nezvirwere zvinodzokororwa. Mune dzimwe nhengo, zvinokonzeresa kushanda zvakanaka.

Ndezvipi zviratidzo zvebronchiectasis?

Zviratidzo zvebronchiectasis zvinogona kutora mwedzi kana kunyange makore kukura. Zvimwe zvinoratidza zviratidzo zvinosanganisira:

• chisingaperi chezuva kukosora
• kukosora ropa
• manzwi asina kujairika kana kufema muchipfuva nekufema
• mweya wekufema
• kurwadziwa pachipfuva
• kukosora huwandu hwakawanda hwenzara mazuva ese
• kuonda
• kuneta
• shanduko mukuumbwa kwenzara nezvigunwe, zvinozivikanwa sekukirabhu
• kazhinji kutapukirwa noutachiona

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchisangana nazvo chero zveizvi zviratidzo, iwe unofanirwa kuona chiremba wako nekukasira kuongororwa uye kurapwa

Bronchiectasis inoonekwa sei?

A chest computed tomography scan, kana chest CT scan, ndiyo bvunzo yakajairika yekuongorora bronchiectasis, sezvo chipfuva X-ray isingape zvakakwana ruzivo.

Uyu muedzo usingarwadzi unogadzira chaiwo mifananidzo yemafambiro ako emhepo uye zvimwe zvivakwa mubhokisi rako. Chipfuva CT scan inogona kuratidza kukura uye nzvimbo yekukuvara kwemapapu.

Mushure mekunge bronchiectasis yasimbiswa nechipfuva CT scan, chiremba wako anoedza kuyedza chikonzero chebronchiectasis zvichibva pane yako nhoroondo uye bvunzo dzepanyama dzakawanikwa.

Zvakakosha kuti uone chikonzero chaicho kuitira kuti chiremba arape chirwere chepasi kudzivirira bronchiectasis kubva pakuwedzera. Kune zvikonzero zvakawanda zvinogona kukurudzira kana kupa kune iyo bronchiectasis.

Kuongororwa kwechikonzero chinonyanya kukonzera marabhoritari uye microbiologic kuyedza uye pulmonary basa rekuyedza.

Ongororo yako yekutanga ingangosanganisira:

• zadzisa kuwanda kweropa nemusiyano
• immunoglobulin mazinga (IgG, IgM, uye IgA)
• sputum tsika yekutarisa mabhakitiriya, mycobacteria, uye fungi

Kana chiremba wako achifungidzira CF, ivo vanozohodha sweat chloride test kana genetiki bvunzo.

Kurapa sarudzo dzebronchiectasis

Mishonga chaiyo inogona kudzora kufambira mberi kwebronchiectasis inoenderana nemamiriro ezvinhu anotevera:

• mycobacterial zvirwere
• mamwe majekiseni ekudzivirira muviri
• cystic fibrosis
• kudzokorora chishuwo
• sema chirwere aspergillosis
• pamwe autoimmune hosha

Iko hakuna kurapwa kwebronchiectasis kazhinji, asi kurapwa kwakakosha kukubatsira iwe kubata mamiriro acho. Chinangwa chikuru chekurapa ndechekuchengetedza hutachiona uye zvakavanzika zvebronchial zvichidzora.

Izvo zvakakoshawo kudzivirira kumwe kutadziswa kwenzira dzemumhepo uye kudzikisira kukuvara kwemapapu. Maitiro akajairika ekurapa bronchiectasis anosanganisira:

• kuchenesa nzira dzekufema nemweya wekufema uye chest physiotherapy
• vachiitwa pulmonary rehabilitation
• kutora mishonga inorwisa mabhakitiriya kudzivirira uye kurapa hutachiona (zvidzidzo zvirikuitwa parizvino mafomu matsva emishonga inorwisa mabhakitiriya)
• kutora bronchodilators senge albuterol (Proventil) uye tiotropium (Spiriva) kuvhura mweya
• kutora mishonga kune mutete mutete
• kutora expectorants kubatsira mukukosora mamasi
• kurapwa oxygen
• kuwana majekiseni ekudzivirira zvirwere zvekufema

Iwe ungangoda rubatsiro rwechifuva physiotherapy. Imwe fomu ndeye yakakwira-frequency chifuva madziro oscillation vest yekubatsira kujekesa mapapu ako emamota. Vheti iyi inodzikamisa zvinyoronyoro uye inosunungura chipfuva chako, ichigadzira mhedzisiro yakafanana nekukosora. Izvi zvinodzinga mamasi kubva pamadziro ebronchial machubhu.

Kana paine kubuda ropa mumapapu, kana kana bronchiectasis iri muchikamu chimwe chete chemapapu ako, ungangoda kuvhiyiwa kuti ubvise nzvimbo yakakanganiswa.

Chimwe chikamu chekurapwa kwezuva nezuva chinosanganisira kudonhedza zvinyoro zvebronchi, zvichibatsirwa negiravhiti. Chiremba wekufema anogona kukudzidzisa iwe matekinoroji ekubatsira mukukosora iyo yakanyanyisa mamasi.

Kana mamiriro akaita sekusagadzikana kwe immune kana COPD ari kukonzera bronchiectasis yako, chiremba wako anozo batawo iwo mamiriro.

Bronchiectasis inogona kudzivirirwa here?

Chikonzero chaicho chebronchiectasis hachizivikanwe mune dzenyaya dzisiri-CF bronchiectasis.

Kune vamwe, zvine chekuita nekusagadzikana kwemajini uye mamwe mamiriro ekurapa anokanganisa mapapu. Kudzivisa kuputa, mweya wakasviba, kufema utsi, uye makemikari zvinogona kubatsira kudzivirira mapapu ako uye kuchengetedza hutano hwemapapu.

Iwe nevana vako munofanirwa kubayiwa jekiseni nefuruwenza, chikosoro, uye gwirikwiti, sezvo aya mamiriro akasunganidzwa nemamiriro ezvinhu mukukura.

Asi kazhinji kana chikonzero chisingazivikanwe, kudzivirira kunonetsa. Kuziva kwekutanga bronchiectasis kwakakosha kuitira kuti iwe ugone kurapwa musati waitika kukuvara kwemapapu.