Hnub no, tib neeg feem ntau muaj qee yam mob ntsws. Qhov no yog vim tsis zoo ib puag ncig, kev quav yeeb quav tshuaj, ua haujlwm hauv kev lag luam uas muaj kev phom sij, kev xeeb tub, kev ntxhov siab.
Qee yam kab mob kho tau yooj yim - nws txaus los hloov koj txoj kev ua neej thiab tau txais kev kho mob. Tab sis kuj tseem muaj cov neeg uas qhov kev rov zoo tag nrho yog qhov nyuaj. Cov tom kawg suav nrog pulmonary fibrosis. Hauv kab lus no, peb yuav xav txog cov tsos mob ntawm tus kab mob no, nrog rau cov lus pom zoo ntawm cov kws kho mob.
tus kab mob no yog dab tsi?
Idiopathic pulmonary fibrosis (ICD 10), tseem hu ua idiopathic fibrosing alveolitis, yog ib yam kab mob feem ntau pom hauv cov txiv neej hnub nyoog 50 xyoo. Kev haus luam yeeb yog suav tias yog qhov laj thawj tseem ceeb ntawm nws qhov tshwm sim, tshwj xeeb tshaj yog tias ib tus neeg muaj tus cwj pwm phem no rau ntau tshaj nees nkaum xyoo. Tab sis cov neeg uas tau ua pa tshuaj tua kab ntev ntev kuj raug rau fibrosis. organic thiab inorganichmoov av (cov hmoov nplej, chiv) kuj tuaj yeem ua rau tus kab mob. Qhov laj thawj ntawm kev ua neej nyob tsis suav nrog.
Lwm qhov tseeb nthuav yog tias pulmonary fibrosis tuaj yeem tshwm sim los ntawm kev kub siab thiab gastroesophageal reflux, uas yog, reflux ntawm gastric kua txiv rau hauv txoj hlab pas. Cov kua qaub los ntawm lub caj pas tuaj yeem nkag mus rau hauv txoj hlab pas, ua rau txoj kev loj hlob ntawm pathology.
Idiopathic pulmonary fibrosis yog ib yam li tuberculosis. Ntawm nws lub hauv paus, qhov no yog ib hom kab mob ntsws, thiab mob ntev. Lub ntsws raug cuam tshuam feem ntau hauv cov neeg laus, thaum lub etiology ntawm tus kab mob tsis paub.
Symptoms
Yog li ntawd, tsis muaj cov tsos mob ntawm idiopathic pulmonary fibrosis. Nws tsis provoke subfebrile mob los yog myalgia. Tab sis thaum mloog lub ntsws, hawb pob raug kuaj pom ntawm kev tshoov siab, zoo ib yam li qhov tawg ntawm cellophane. Tsis tas li ntawd, ib tug neeg tuaj yeem raug kev txom nyem los ntawm kev ua tsis taus pa ntev ntev, thiab nws tshwm sim nws tus kheej thaum lub sij hawm siv lub cev thiab ua rau lub sijhawm. Tsis tas li ntawd, qhov hnoos qhuav yog ib qho mob tshwm sim, tab sis qhov hnoos kuj tuaj yeem tsim cov hnoos qeev. Kev hloov pauv ntawm cov tsos ntawm cov ntsia hlau daim hlau. Nyob rau theem tom ntej, edema tshwm sim, uas yog cov cim qhia ntawm tus mob cor pulmonale.
Txoj kev kuaj mob
Yuav ua li cas txhawm rau kuaj idiopathic pulmonary fibrosis? Txhawm rau txiav txim siab qhov muaj tus kab mob, koj yuav tsum hu rau tus kws kho mob pulmonologist. Nws yuav sau cov kev xeem hauv qab no:
- suav ntshav kom tiav. Txij li tsis muaj kev kuaj tshwj xeeb rau idiopathic pulmonary fibrosis,tus kws kho mob yuav sau ib qho kev ntsuam xyuas dav dav. Qhov no yog qhov tsim nyog kom tsis suav nrog lwm cov kab mob uas muaj cov tsos mob zoo ib yam.
- Kev ua pa thiab ua haujlwm ua haujlwm. Lawv yuav tsum tau ua kom sib txawv pulmonary fibrosis los ntawm pulmonary emphysema lossis lwm yam kab mob.
- Kev phais lub ntsws biopsy. Nws yog ua tiav nyob rau hauv cov ntaub ntawv ntawm kev ua xyem xyav ntawm oncology.
- xam tomography. Fibrous hloov hauv lub ntsws yuav tshwm sim nyob rau hauv cov duab.
Huab cua
Hmoov tsis zoo, qhov kev cia siab rau idiopathic pulmonary fibrosis tsis zoo. Qhov nruab nrab lub neej expectancy ntawm cov neeg mob nrog qhov kev kuaj mob no yog peb xyoos. Thiab tom qab ntawd, qhov no tshwm sim thaum soj ntsuam tag nrho cov lus pom zoo ntawm kws kho mob thiab ua cov kev txhawb nqa. Lawv yuav tham hauv qab no.
Tus kab mob no kho tsis tau kiag li. Maj mam, lub inevitable deterioration yuav tshwm sim. Qhov no, qhov tseeb, yog qhov txaus ntshai idiopathic pulmonary fibrosis. Cov lus pom zoo yuav tsum ua raws li yam tsis tau ua tsis tiav. Tej yam yuav tsum nco ntsoov:
- Yuav kom cov tsos mob tsis meej, nws yuav tsum txiav luam yeeb sai sai thiab tsis poob.
- Txhua yam kab mob, thromboembolism, lub plawv tsis ua haujlwm, pneumothorax tuaj yeem ua rau tus kab mob hnyav dua.
- Pulmonary fibrosis feem ntau hloov mus ua oncology. Kev tuag tshwm sim tshwm sim nrog kev ua pa tsis ua haujlwm, kab mob ua pa, lub plawv tsis ua haujlwm, nyob rau hauv cov ntaub ntawv ntawm myocardial ischemia thiab cardiac arrhythmias.
Kev kho mob
HowNws twb tau hais tias tsis muaj kev kho rau idiopathic pulmonary fibrosis. Tsuas yog kev txhawb nqa kev kho mob nkaus xwb. Raws li kev ntsuas kho, nws yog siv:
- Oxygen therapy. Nws zoo txo qhov tshwm sim ntawm kev ua pa luv. Cov neeg mob ua pa siv cov pa oxygen concentrators. Rau qhov no, nws tsis tas yuav mus ntsib lub tsev kho mob. Cov cuab yeej tsim nyog muaj muag hauv khw muag tshuaj. Txoj kev no belongs rau kev kho mob.
- Rehabilitation ntawm lub ntsws. Cov neeg mob raug txhawb kom kawm thiab xyaum ua pa tshwj xeeb uas ua rau ua pa yooj yim dua.
- Corticosteroids thiab cytostatics. Lawv raug sau ua cov tshuaj tseem ceeb. Tsis tas li ntawd, siv tshuaj tua kab mob yog tias tus neeg mob mob ntsws.
- Yog tus neeg mob hnub nyoog qis dua 50 xyoo, lawv tsim nyog tau txais kev hloov lub ntsws.
Raws li koj tuaj yeem pom, nrog rau kev kuaj mob ntawm idiopathic pulmonary fibrosis, kev kho mob yuav tsum ua tiav.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qee cov neeg mob tsis kam corticosteroids thiab cytostatics zoo heev. Qhov no qee zaum ua rau cov kev mob tshwm sim hauv qab no:
- peptic plab ulcer;
- cataract;
- siab intraocular siab;
- hlab ntshav siab;
- obesity;
- hormonal imbalance;
- adrenal malfunctions.
Txhua rooj plaub yog tus kheej, yog li tsuas yog tus kws kho mob yuav tsum xaiv txoj kev kho kom zoo tshaj plaws uas tuaj yeem nres idiopathic pulmonaryfibrosis.
