Idiopathic pulmonary fibrosis - Mushonga uye vanorumbidza

To musi, vanhu kazhinji kutambura chero zvemapapu chirwere. Izvi imhaka murombo ezvinhu zvemhoteredzo, kupindwa muropa, basa iri ngozi runyararo, nhodzera, mupfungwa.

Vamwe zvirwere zvinogona kurapwa nyore - Zvaringana kuchinja mararamiro uye achiona kurapa. Asi kunewo avo umo kupora yakazara chakaoma. Ekupedzisira zvinosanganisira pulmonary fibrosis. Tichaongorora munyaya ino zviratidzo chirwere ichi, uyewo huru vanorumbidza navanachiremba.

Chii chinonzi chirwere ichi?

Idiopathic pulmonary fibrosis (ICD-10), rinonziwo idiopathic fibrosing alveolitis - chirwere rinowanikwa kakawanda nevanhu makore 50. Chikonzero chikuru kuti parinowanika anoonekwa kuti kuputa, kunyanya kana munhu ane tsika kweinopfuura makore makumi maviri. Asi uyewo asingatani fibrosis uye vaya vane mweya refu kwemishonga yezvipembenene. Organic uye inorganic guruva (furawa, fetiraiza) rinogonawo kuva chinokonzera chirwere. Dziripowo uye chinhu nenhaka kubatwa.

Chimwe dzinonakidza ndechokuti pulmonary fibrosis inogona kukonzerwa kwomuzvarirwo chirungurira uye gastroesophageal reflux, kureva, reflux pamusoro gastric muto kupinda yegurokuro. The asidhi kubva huro anogona kupinda trachea, achiita kukura zvokurwara.

Idiopathic pulmonary fibrosis kunoitika kakawanda tibhii. At paro, ndizvo chaizvo chimiro nemabayo, uye refu. Zvinokanganisawo mumapapu kunyanya vakwegura, uye etiology chirwere harizivikanwi.

zviratidzo

Zvazvakadaro, zviratidzo idiopathic pulmonary fibrosis haasi. Iye haakonzeri nefivha yakaderera-mugiredhi kana myalgia. Asi kana kuteerera mapapu yakaratidza wheezing apo Kufema, kufanana kwomurazvo cellophane. Uyezve, munhu anogona kutambura kupfupika kufema kwenguva yakareba, uye chinoratidza pacharo panguva yechiitwa uye nguva mberi. Uyewo kuvapo pakaoma chikosoro vanowanzochema chiratidzo, asi anogona kuva chikosoro uye sputum kugadzirwa. Zvinochinja pakuonekwa chipikiri ndiro. In matanho akazotevera mune kuzvimba, vari zviratidzo chisingaperi pulmonary mwoyo chirwere.

nzira nechirwere

How kuziva idiopathic pulmonary fibrosis? Kuti asimbise pamberi chirwere zvinokosha kushandisa kuti zvemapapu. Iye achagadza zvinotevera marudzi Analyses:

1. Complete count ropa. Somunhu chaiye muedzo idiopathic pulmonary fibrosis hakusi, chiremba achaita vanonyorera kunopindirana kuongorora. Izvi zvakakodzera kutonga vamwe zvirwere kuti pamwe chete zviratidzo.
2. Kuitisa uye kufema shanda nemiedzo. Ivo chaitarisirwa kusiyanisa kubva pulmonary fibrosis, pulmonary emphysema, uye zvimwe zvirwere.
3. Kuvhiya zvemapapu biopsy. It rinoitwa kana nokusavimbana kuvapo kenza.
4. Computed tomography. Fibrotic kuchinja mumapapu hazvo aonekwa mifananidzo.

mataridzikiro

Zvinosuruvarisa kuti fungidziro mu idiopathic pulmonary fibrosis mwoyo. The hunotarisira varwere nechirwere ichi upenyu makore matatu. Uye chii chinoitika kana zvose kunenge navanachiremba uye kuitisa zviyero vanotsigirana. Tichakurukura navo pasi.

The chirwere haisi kupera zvachose. Zvishoma nezvishoma mberi zvisingadzivisiki kudzikira. Kuti, chokwadi, ngozi uye idiopathic pulmonary fibrosis. Zvinotarisirwa kunofanira kuitwa haambokundikani. Zvinofanira kurangarirwa:

• Kuti zviratidzo zvakanga zvishoma kwazvo, zvinokosha kurega nokukurumidza uye pasina kukundikana.
• Kuti kutowedzera chirwere anogona kukonzera chero chirwere, thromboembolism, mwoyo kukundikana, pneumothorax.
• Pulmonary fibrosis kazhinji anoenda oncology. Inouraya Mugumisiro kufema kukundikana, zvirwere kufema, mwoyo kukundikana, panyaya myocardial ischemia uye cardiac arrhythmias.

mabatiro

Sezvambotaurwa, idiopathic pulmonary fibrosis haisi kurapwa. Possible rutsigiro kurapa chete. Sezvo kuchirapa matanho rikashandiswa:

1. Okisijeni mushonga. It zvinobudirira akazoita nokuratidzwa dyspnea. Varwere fema kushandisa okisijeni concentrators. Hazvina zvakafanira kushanyira vanachiremba jeri. Zvakafanira zviridzwa anowanikwa Sale Pharmacies. Nzira iyi zvinoshandawo yokuzvigadzirisa mishonga.
2. pulmonary vapore. Varwere vari varumbidzwa kudzidza uye kushandisa zviri kuita chaiyo kufema nzira kuti zviite kufema.
3. Corticosteroids uye cytostatics. Akasarudzwa sezvo mishonga zvinokosha. Uyezve, kushandisa mishonga kana murwere yakatanga nemabayo.
4. Kana murwere pasi makore 50, ndiko zvemapapu nokuisazve.

Sezvaunogona kuona, mune chirwere che "idiopathic pulmonary fibrosis" kurapwa kunofanira kuva dzakaoma.

Zvakakosha kuziva kuti vamwe varwere havasi kwazvo akashivirira kurapa pamwe corticosteroids uye zvinodhaka cytotoxic. Dzimwe Chinokonzera zvinotevera nemishonga:

• peptic urikanwi mudumbu;
• tsanga;
• yakakwirira intraocular kumanikidzwa;
• neBP;
• kufutisa;
• hormone zvirwere;
• atadze kushanda zvakanaka pamusoro adrenal mumasero.

Nechimwe yakasiyana, saka chete chiremba vanofanira kusarudza kupfuura Zvakanyanya Kunaka Panguva Yepamuviri kurapwa kuti anogona kumisa idiopathic pulmonary fibrosis.