Kurapa Sarudzo dzeIdiopathic Pulmonary Fibrosis (IPF)
Zvemukati
- Kurapa kwekutanga kune idiopathic pulmonary fibrosis (IPF)
- Ndeapi marudzi emishonga aripo?
- Pirfenidone
- Nintedanib
- Corticosteroid mapiritsi
- N-Acetylcysteine (muromo kana aerosolized)
- Oxygen kurapa kweIPF
- Lung inoiswa yeIPF
- Ongororo dzekurapa
- Ndedzipi nzira dzekupindira dzisina kurapwa dzinogona kubatsira?
- Deredza uremu kana kuchengetedza huremu hune hutano
- Rega kusvuta
- Wana majekiseni epagore
- Tarisa yako oxygen mazinga
- Shingairira mukugadzirisa kwemapapu
- Ndeapi marudzi emapoka ekutsigira aripo?
- Ndeapi maonero evanhu vane IPF?
Idiopathic pulmonary fibrosis (IPF) chirwere chemapapu chinoguma nekuumbwa kweturu turu mukati memapapu.
Iyo vanga inowedzera zvishoma nezvishoma. Izvi zvinoita kuti zvinyanye kuoma kufema uye nekuchengetedza huwandu hwakakwana hweoksijeni muropa.
Inoenderera yakaderera oxygen mazinga anokonzeresa akasiyana siyana matambudziko mumuviri wese. Chiratidzo chikuru kupfupika kwemweya wekufema, izvo zvinogona kukonzera kuneta uye mamwe matambudziko.
Kurapa kwekutanga kune idiopathic pulmonary fibrosis (IPF)
IPF chirwere chinofambira mberi, zvinoreva kuti zviratidzo zvinowedzera nekufamba kwenguva, uye kurapwa kwekutanga kwakakosha. Parizvino hapana mushonga weIPF, uye vanga harigone kudzoserwa kana kubviswa.
Zvisinei, kurapwa kunowanikwa kunobatsira ku:
- tsigira mararamiro ane hutano
- gadzirisa zviratidzo
- kunonoka chirwere kufambira mberi
- chengetedza hupenyu hwehupenyu
Ndeapi marudzi emishonga aripo?
Sarudzo dzekurapwa dzinosanganisira maviri anotenderwa antifibrotic (anti-scarring) zvinodhaka.
Pirfenidone
Pirfenidone chinhu antifibrotic chinodhaka chinogona kudzora kufambira mberi kwekukuvara kwemapapu emapapu. Iyo ine antifibrotic, anti-kupisa, uye antioxidant zvivakwa.
Pirfenidone yakabatanidzwa kune:
- kunatsiridza kurarama kwehuwandu
Nintedanib
Nintedanib ndeimwe antifibrotic chinodhaka chakafanana nepirfenidone iyo yakaratidzirwa mumakiriniki ekuedzwa kudzora kufambira mberi kweIPF.
Kune vanhu vazhinji vane IPF vasina chirwere chechiropa, pirfenidone kana nintedanib ndiwo marapirwo anotenderwa.
Parizvino dhata haina kukwana kusarudza pakati pirfenidone uye nintedanib.
Paunenge uchisarudza pakati pezviviri, zvaunofarira uye kushivirira kunofanirwa kutariswa, kunyanya zvine chekuita nemhedzisiro.
Izvi zvinosanganisira manyoka uye chiropa basa bvunzo zvisina kujairika ne nintedanib uye kuda kurutsa uye mapundu ane pirfenidone.
Corticosteroid mapiritsi
Corticosteroids, senge prednisone, inogona kudzora kuzvimba mumapapu asi haisisiri chikamu chakajairika chekuchengetedza kwevanhu vane IPF sezvo vasina kuratidzwa kuti vanoshanda kana vakachengeteka.
N-Acetylcysteine (muromo kana aerosolized)
N-Acetylcysteine is antioxidant iyo yakadzidzwa kushandiswa muvanhu vanoonekwa vane IPF. Mhedzisiro kubva kumakiriniki ekuedzwa yakave yakasanganiswa.
Zvakafanana necorticosteroids, N-Acetylcysteine haichawanzoshandiswa sechikamu chenguva dzose yekugadzirisa.
Zvimwe zvinogona kurapwa mishonga zvinosanganisira:
- proton pump inhibitors, iyo inovharira dumbu kubva mukugadzira asidhi (inhalation yeakawandisa mudumbu acid yakabatana uye inogona kubatsira kune IPF)
- immune suppressants, senge mycophenolate uye azathioprine, iyo inogona kurapa autoimmune kusagadzikana uye kubatsira kudzivirira kurambwa kwemapapu akaiswazve
Oxygen kurapa kweIPF
Chiremba wako anogonawo kukurudzira dzimwe nzira dzokurapa. Oxygen kurapwa kunogona kubatsira iwe kufema nyore, kunyanya panguva yekurovedza muviri uye zvimwe zviitiko.
Kuwedzera okisijeni kunogona kudzikisa matambudziko ane hukama nemazinga akaderera eoksijeni muropa senge kuneta munguva pfupi.
Dzimwe bhenefiti dzichiri kuongororwa.
Lung inoiswa yeIPF
Iwe unogona kuve mukwikwidzi wekumhanyisa kwemapapu. Kuiswa kwemapapu kwaimbochengeterwa vadiki vanogamuchira. Asi ikozvino izvo zvinowanzo kupihwa kune vanhu vanopfuura makore makumi matanhatu nemashanu vane hutano hwakanaka.
Ongororo dzekurapa
Kune akawanda matsva angangoita marapirwo eIPF iri kuongororwa.
Iwe une sarudzo yekushandisa kumhando dzakasiyana dzemakiriniki ekuedzwa ari kutsvaga kutsvaga nzira nyowani dzekudzivirira, kuongorora, uye kubata dzakasiyana siyana dzezvirwere zvemapapu, kusanganisira IPF.
Unogona kuwana zvekuedzwa zvekiriniki kuCentreWatch, iyo inoteedzera kutsvagisa kukuru pazvinhu zvinotsvaga.
Iyo inopa ruzivo nezve mashandiro emakiriniki anoshanda, njodzi uye mabhenefiti, nezvimwe.
Ndedzipi nzira dzekupindira dzisina kurapwa dzinogona kubatsira?
Hupenyu mararamiro uye mamwe marapirwo asiri ekurapa anogona kukubatsira kuti ugare uine hutano uye uvandudze hupenyu hwako.
Heano mamwe mazano.
Deredza uremu kana kuchengetedza huremu hune hutano
Taura nachiremba wako nezvenzira dzakanaka dzokuderedza kana kugadzirisa huremu hwako. Kuva wakafuta zvakanyanya dzimwe nguva kunobatsira pakufema kunetseka.
Rega kusvuta
Kusvuta ndechimwe chezvinhu zvakaipisisa zvaunogona kuita kumapapu ako. Zvino, kupfuura nakare kose, zvakakosha kuti umise tsika iyi kubva mukukonzera kukuvara kwakawanda.
Wana majekiseni epagore
Taura nachiremba wako nezvegore rose furu uye yakagadziriswa pneumonia uye yekukosora (pertussis) majekiseni. Izvi zvinogona kubatsira kudzivirira mapapu ako kubva kuhutachiona nekumwe kukuvara.
Tarisa yako oxygen mazinga
Shandisa kumba-kupomba oximeter kuti utarise yako oxygen saturation. Kazhinji chinangwa ndechekuve nemazinga eoksijeni pane kana pamusoro pe90 muzana.
Shingairira mukugadzirisa kwemapapu
Kugadziriswa kwepulmonary chirongwa chakasiyana-siyana icho chave chikafu chekurapa kweIPF. Inovavarira kuvandudza hupenyu hwezuva nezuva hwevanhu vane IPF pamwe nekuderedza kupfupika kwemweya vese pazororo uye nekurovedza muviri.
Zvinhu zvakakosha zvinosanganisira:
- kufema uye kugadzirisa maitiro
- kushushikana uye manejimendi manejimendi
- kutsigirwa mupfungwa
- kurairwa kwekuvaka
- dzidzo yevarwere
Ndeapi marudzi emapoka ekutsigira aripo?
Kune zvakare masisitimu ekutsigira. Izvi zvinogona kuita mutsauko mukuru muhupenyu hwako uye maonero maererano nekugara neIPF.
Iyo Pulmonary Fibrosis Foundation ine yekutsvaga dhatabhesi yemapoka emunharaunda ekutsigira pamwe nenharaunda dzinoverengeka dzepamhepo.
Izvi zviwanikwa zvakakosha sezvo iwe uchiuya kuzowirirana neako kuongororwa uye neshanduko dzainogona kuunza kuhupenyu hwako.
Ndeapi maonero evanhu vane IPF?
Kunyangwe pasina mushonga weIPF, pane nzira dzekurapa kugadzirisa zviratidzo zvako uye nekuvandudza hupenyu hwako. Izvi zvinosanganisira:
- zvinodhaka
- kupindira kwekurapa
- mararamiro anochinja