Gwajin gwaje-gwaje na al'ada da kuma Me yasa Dalili na Mahimmanci ne
Tun da bayyanar cututtuka na fibrosis na ƙwayar cuta ( CRF ) na ƙwaƙwalwar ƙwayar cuta ta ƙin zuciya ne da yanayin ƙwayar cuta, yana daukan lokaci mai tsawo don gano asalin cutar. A wannan lokaci, akai-akai sau ɗaya ko biyu, marasa lafiya sukan ga likitocin da yawa a ƙoƙari don gano dalilin da suka nuna alamun su.
Kwayar cutar ta IPF ta Common
Kamar sauran cututtuka na huhu, irin su COPD, yawancin lalacewa ne a gaban lokuttu kafin bayyanar cututtuka sun bayyana.
Wadannan bayyanar cututtuka sun haɗa da:
- Rawancin numfashi , musamman tare da aiki, yawanci shine alamar farko. Tare da lokaci wannan wahalar na numfashi yana damuwa saboda rashin ƙarfi na numfashi yana faruwa ko da hutu.
- Mawuyacin tari wanda yawanci ya bushe (maras amfani)
- Ƙananan, m numfashi
- Wulo
- Rage nauyi ba tare da ƙoƙari ( rashin asarar rashin daidaituwa ba )
- Clubbing - Clubbing shi ne yanayin da yatsunsu da yatsun kafa suka kara girma a ƙarshen, kama da cokali.
- Muscle da hadin gwiwa aches
Nunawa ga IPF
A halin yanzu, babu jarrabawar gwaje-gwaje na IPF, kuma ganewar asali yana dogara ne akan mutanen da ke nunawa da alamun bayyanar. Hanyar da za a gano don ciwon daji na huhu , duk da haka, zai iya daukar IPF a cikin mutane domin wanda aka nunawa ya yarda da shawarar.
Binciken asali da ƙaddamarwa
Sakamakon ganewar asali na IPF sau da yawa yana ɗaukan lokaci, tare da mutane da dama suna zuwa shekara ɗaya ko biyu kuma suna ganin likitocin da yawa kafin a gane asali.
Dalilin wannan shi ne cewa farkon bayyanar cututtuka na IPF sunyi amfani da su ga sauran yanayi, ciki har da cututtukan zuciya. Mutane da yawa suna fama da ƙwayar cuta na zuciya kafin a bincikar su bisa ga alamomin farko.
Wasu gwaje-gwaje da likitanku zai iya yi sun hada da:
- Sakamakon CT mai ƙaura: IPF yawanci ana bincikarsa bisa ga abubuwan da aka gani a kan babban CT scan na kirji. A kan CT scan, fibrosis ya bayyana a cikin abin da mai ilimin rediyo yake kallo a matsayin tsarin saƙar zuma.
- Kwayoyin kwalliya: Akwai lokuta yayin da CT duba kadai zai iya tabbatar da ganewar asali na IPF, amma idan ganewar asali yana cikin tambaya za'a iya bada shawara akan kwayar halitta . Ana iya yin hakan a matsayin ɓangare na masoya, ta hanyar karamin ƙira a cikin kirji (thoracoscopy) ko kuma ta hanyar ƙwayar cuta. An yi amfani da kwayar cutar ta musamman don yin watsi da sauran cututtuka na kwayar cutar huhu irin su ciwon daji ko sarcoidosis.
- Sauran gwaje-gwaje da ke taimakawa wajen ganewar asali da daidaitawa: Haɗuwa da gwaji da wasu gwaje-gwaje ana yin su duka don taimakawa wajen ganewar asali, ƙayyade yadda suturar ke aiki, da kuma gano yadda cutar ta ci gaba. Wasu daga cikinsu sun haɗa da:
- Tarihi da jarrabawar jiki.
- Spirometry - Spirometry an gwada gwaje-gwaje ne akan yadda iska ta karu da ƙarfi a kan wani lokaci na daya na biyu, kuma yana nuna alamun aiki na huhu.
- Sauran gwaje gwaje-gwaje
- Oximetry
- Jirgin jini na jini - Dukkanin oximetry da ABG sunyi ne domin kimanta yanayin oxygen da jini.
- Jaraba ga tarin fuka
- Yin gwajin jini - Bincike yana kallon masu halitta da zasu taimaka wajen bincikar cutar a nan gaba.
Tsarin Halittar Halitta: Tsari na fibrosis na jari-hujja zai iya gudu a cikin iyalai da wasu maye gurbin (a kan chromosome 11) an gano su zama na kowa a cikin IPF iyali.
Kalma Daga
Kodayake ko a'a ko IPF tana daukan lokaci don gano asali, idan an gano ka san cewa kana da wasu zaɓuɓɓukan magani , ana samun ƙarin bincike da kuma ci gaba . Tare da shan iko na wasu abubuwan salon, za ka iya ci gaba da rayuwa da kyau tare da fibrosis na huhu .
> Sources:
Antoniou, K., Tomassetti, S., Tsitoura, E., da kuma C. Vancheri. Idiopathic na huhu da fibrosis da ciwon huhu: kwakwalwa da pathogenesis sabuntawa. Rahotanni na yanzu a Magungunan Pulmonary . 2015 Satumba 18. (Epub gaba na buga).
de Boer, K., da J. Lee. Abinda ba a fahimta ba ne a cikin maganin fibrosis na ƙwayar cuta na idiopathic: bita. Respirology . 2015 Satumba 13. (Epub gaba da bugu).
Oldham, J. et al. TOLLIP, MUC5B da kuma Amsar zuwa N-acetylcystein Daga cikin Kowane Mutum tare da Fibrosis na Pommonic Pommonic. American Journal of Respiratory and Critical Care Medicine . 2015 Satumba 2. (Epub gaba da bugu).
O'Riordan, T., Smith, V., da kuma G. Raghu. Ƙaddamar da Ayyukan Ayyukan Ayyuka na Fibrosis Harshen Cutar Idiopathic: ci gaban ci gaba da zabin yanayi da gwajin gwaji. Chest . 2015 Mayu 8. (Epub gaba da bugu).
Raghu, G. et al. Binciken asiri na fibrosis na ƙwayoyin cuta na ƙwayar cuta tare da ƙananan nauyin CT a cikin marasa lafiya tare da kadan ko babu shaida na radiyo na rashin farin ciki: bincike na biyu na gwajin da bazuwar, da gwagwarmayar sarrafawa. Lancet Magunguna na numfashi . 2014. 2 (4): 277-84.