I-Pulmonary Fibrosis kunye ne-RA zihambelana njani?

Umxholo

• Ukuqaphela i-pulmonary fibrosis
• I-RA idibana njani ne-pulmonary fibrosis?
• Nini ukubona ugqirha
• Iingxaki ze-pulmonary fibrosis
• Unyango kunye nolawulo lwe-pulmonary fibrosis
• Ukuzikhathalela
• Iqela lenkxaso
• Imbonakalo ye-pulmonary fibrosis

Ushwankathelo

I-pulmonary fibrosis sisifo esibangela ukonakala kunye nomonakalo kwizicubu zemiphunga. Ixesha elingaphezulu, lo monakalo ubangela ubunzima bokuphefumla.

Iimeko ezininzi zempilo zinokubangela i-pulmonary fibrosis. Enye yazo sisifo samathambo (RA). I-RA ibangela ukudumba kunye nentlungu echaphazela amalungu, kodwa inokuchaphazela namanye amalungu, njengemiphunga yakho.

Ukufikelela kwiipesenti ezingama-40 zabantu abane-RA bane-pulmonary fibrosis. Ngapha koko, iingxaki zokuphefumla zingunobangela wesibini okhokelela ekufeni kwabantu abane-RA. Kodwa iingcali aziqondi ngokuthe ngqo ikhonkco phakathi kweRA kunye ne-pulmonary fibrosis.

Soloko ukhankanya iimpawu zokungonwabi kugqirha wakho, nokuba iingxaki zokuphefumla zenzeka kuphela ngexesha lomthambo. NgokweZiko leArthritis, abantu abaneRA bahlala bexela iingxaki zokuphefumla. Oku kuhlala kungenxa yokuba abantu abaneRA abasasebenzi kangako ngenxa yeentlungu ezidibeneyo.

Ngelixa unyango lwe-RA luphuculwe, unyango lwezifo zemiphunga alukwenzi. Injongo yonyango kukungenelela kwinqanaba lokuqala ukucothisa ukuqhubela phambili kwesi sifo kunye nokuphucula umgangatho wobomi.

Ukuqaphela i-pulmonary fibrosis

Olona phawu lubalulekileyo lwe-pulmonary fibrosis kukuphefumla kancinci. Kodwa olu phawu alubonakali rhoqo de isifo siqhubele phambili.

Ezinye iimpawu ze-pulmonary fibrosis zibandakanya:

• ukhohlo-khohlo olwomileyo
• ukunciphisa umzimba ngempazamo
• banzi kunye nokujikeleza iingcebiso zeminwe okanye iinzwane
• ndiziva ndidiniwe

Ukuphefumla kancinci kunokuba nobulali ekuqaleni kwaye kwenzeka kuphela ngexesha lomsebenzi womzimba. Iingxaki zokuphefumla ziya kuya zisiba mandundu ngokuhamba kwexesha.

I-RA idibana njani ne-pulmonary fibrosis?

Unobangela we-pulmonary fibrosis awaziwa, kodwa i-RA inokuwonyusa umngcipheko ngenxa yokudumba. Uphando lukwabonisa ukuba ukubalwa okuphezulu kwee-antibodies ze-RA kunxulunyaniswa nokuphuhliswa kwesifo samaphaphu esiphakathi (i-ILD).

I-ILD sesona sifo sixhaphakileyo semiphunga esidityaniswa neRA. Yimeko enzulu kwaye esongela ubomi enokuthi ikhule ibe yi-pulmonary fibrosis.

Ezinye izinto zinokunyusa umngcipheko we-pulmonary fibrosis, kubandakanya:

• ukutshaya icuba kunye nokuvezwa kukungcola kwendalo
• usulelo lwentsholongwane
• ukusetyenziswa kwamayeza awonakalisa imiphunga (amayeza e-chemotherapy, amayeza entliziyo, kunye nezinye iziyobisi ezichasayo)
• Imbali yosapho ye-pulmonary fibrosis
• Imbali yesifo se-reflux sesifo se-gastroesophageal

Unokuphinda uhlakulele i-pulmonary fibrosis ukuba unesifo esonakalisa imiphunga yakho, njenge-polymyositis, i-sarcoidosis kunye ne-pneumonia.

Nini ukubona ugqirha

Ngexesha lotyelelo lwakho, ugqirha wakho uya kubuza malunga neempawu zakho, uphonononge imbali yakho yezonyango kunye nosapho, kwaye wenze uvavanyo lomzimba ukumamela ukuphefumla kwakho. Kukho iimvavanyo ezininzi abanokuzenza ukuze babone ukuba unayo i-pulmonary fibrosis. Olu vavanyo lubandakanya:

• Ukujonga iimvavanyo. Isifuba X-reyi kunye novavanyo lwe-CT lunokubonisa izicwili zemiphunga ezinesiva. I-echocardiogram ingasetyenziselwa ukujonga uxinzelelo olungaqhelekanga entliziyweni ebangelwa yi-pulmonary fibrosis.
• Uvavanyo lomsebenzi wePulmonary. Uvavanyo lwe-spirometry lubonisa ugqirha wakho umyinge womoya onokuwubamba kwimiphunga yakho kunye nendlela umoya ongena ngayo uphume kwimiphunga yakho.
• I-oximetry yentliziyo. I-oximetry yentliziyo ngu uvavanyo olulula olulinganisa ubungakanani beoksijini egazini lakho.
• Uvavanyo lwegesi yegazi. Olu vavanyo lusebenzisa isampulu yegazi lakho ukulinganisa amanqanaba eoksijini kunye nekhabhon diokside.
• Uqhaqho. Ugqirha wakho unokufuna ukuba asuse inani elincinci leethaphu zamaphaphu ukufumanisa isifo se-pulmonary fibrosis. Oku kunokwenziwa nge-bronchoscopy okanye nge-biopsy yotyando. I-bronchoscopy ayihlaseli kangako kune-biopsy yotyando, ngamanye amaxesha ekuphela kwendlela yokufumana isampulu enkulu yethishu.
• Uvavanyo lwegazi. Ugqirha wakho unokusebenzisa uvavanyo lwegazi ukubona ukuba isibindi sakho kunye nezintso zisebenza njani. Oku kunceda ukulawula ezinye iimeko ezinokwenzeka ezinxulumene nesifo semiphunga.

Iingxaki ze-pulmonary fibrosis

Ukuchonga nokunyanga i-pulmonary fibrosis kwangoko kubalulekile ngenxa yomngcipheko kunye neengxaki. I-pulmonary fibrosis inokubangela:

• umphunga owileyo
• ukusilela kwentliziyo kwicala elifanelekileyo
• ukusilela ekuphefumuleni
• uxinzelelo lwegazi oluphezulu kwimiphunga yakho

Ukuqhubeka kwe-pulmonary fibrosis nako kunokunyusa umngcipheko womhlaza wemiphunga kunye nosulelo lwemiphunga.

Unyango kunye nolawulo lwe-pulmonary fibrosis

Umqala wemiphunga kwi-pulmonary fibrosis awuguquki. Olona nyango lulungileyo kukunyanga isiseko seRA kunye nokucothisa ukuqhubela phambili kwesi sifo. Iinketho zonyango zokuphucula umgangatho wobomi zibandakanya:

• amayeza anjenge-corticosteroids kunye ne-immunosuppressants
• Unyango lweoksijini ukuphucula ukuphefumla kunye nokunciphisa umngcipheko weengxaki
• ukuvuselelwa kwemiphunga ukuqinisa imiphunga kunye nokuphucula iimpawu

Ukuba imeko yakho inzima, ugqirha wakho unokucebisa ukuba kuvavanywe ukufakelwa kwentliziyo nemiphunga ukuze kuthathe indawo yemiphunga kunye nentliziyo yakho eyonakeleyo kunye naleyo ivela kumnikeli esempilweni. Le nkqubo inokuphucula ukuphefumla kunye nomgangatho wobomi bakho, kodwa kukho umngcipheko ngokutshintsha.

Umzimba wakho unokwala ilungu, okanye unokuhlakulela usulelo ngenxa yeziyobisi ze-immunosuppresant. Kuya kufuneka uthathe la machiza ubomi bakho bonke ukunciphisa umngcipheko wokwaliwa.

Ukuzikhathalela

Ukongeza kwezi ndlela zonyango, uya kufuna ukugcina imiphunga yakho isempilweni kangangoko. Ukucothisa ukuqhubela phambili kwesi sifo, kubalulekile ukuyeka ukutshaya kwaye uphephe umsi wecuba okanye naziphi na izinto ezingcolisa umoya wakho.

Ukuzivocavoca rhoqo kunokuphucula ukusebenza kwemiphunga. Buza ugqirha wakho malunga nokuzilolonga okukhuselekileyo, njengokuhamba, ukuqubha, okanye ukuhamba ngebhayisikile.

Kuya kufuneka ufumane iyeza lokuthintela inyumoniya kunye nomkhuhlane ukuze unciphise umngcipheko wosulelo. Ukuba ufumanisa ukuba iingxaki zokuphefumla ziya zisiba mbi emva kokutya, yitya ukutya okuncinci, okuthe rhoqo. Ukuphefumla kuhlala kulula xa isisu sakho singagcwalanga.

Iqela lenkxaso

Ukuxilongwa kwe-pulmonary fibrosis kungazisa iimvakalelo zokudakumba noxinzelelo. Buza ugqirha wakho malunga namaqela enkxaso yendawo.

Ukwabelana ngebali lakho nabantu abaliqondayo amava kunganceda. Amaqela enkxaso nawo ziindawo ezilungileyo zokufunda ngonyango olutsha okanye iindlela zokulwa ukulawula uxinzelelo.

Imbonakalo ye-pulmonary fibrosis

Imbonakalo kunye nenqanaba lokuqhubela phambili kwe-pulmonary fibrosis kunye ne-RA ziyahluka kumntu ngamnye. Ngaphandle kwonyango, i-pulmonary fibrosis iyaqhubeka iba mandundu ngokuhamba kwexesha.

Umyinge wokusinda kwabantu abane-RA abaphuhlisa i-ILD yiminyaka eyi-2.6, ngokwe-Arthritis kunye neRheumatism. Oku kusenokubangelwa kukuba iimpawu ze-ILD aziveli de esi sifo siqhubele phambili ukuya kwinqanaba elibi.

Akukho ndlela yokwazi ngokuqinisekileyo ukuba isifo siza kukhawuleza kangakanani. Abanye abantu baneempawu ezinobulali okanye eziphakathi kwiminyaka emininzi kwaye bonwabile ubomi obusebenzayo. Qiniseka ukuba umamele ugqirha wakho kwaye unamathele kwisicwangciso sonyango.

Khumbula ukukhankanya ukukhwehlela okomileyo okanye ubunzima bokuphefumla kugqirha wakho. Kwangoko uphatha i-ILD, kulula ukuba icothe ukuqhubela phambili kwesi sifo.