Kuchinja kumapapu ako, kunogona kuitika panguva kana mushure mekurapa lymphoma. Shanduko kumapapu ako dzinokonzeresa semugumisiro wekurapwa kunonzi pulmonary toxicities. Shanduko idzi dzinogona kukanganisa kusimba kwako uye kugona kufema. Unogona kuwana uchifema zviri nyore kupfuura zvawaiita usati warapwa, kana kuti kusimba kwako handiko kwazvaimboita.
Iri peji rewebhu rinopa ruzivo rwekuti ndedzipi shanduko dzinogona kuitika, nei dzichiitika uye kuti dzinogona kufambiswa sei.
Ko mapapu edu anoita sei?
Mapapu edu mitezo inotibatsira kufema. Dzinowedzera sezvatinofema mukati, uye dzinobatirana sezvatinofema kunze. Mumapapu edu ndimo umo hemoglobin iri pamasero matsvuku eropa inotora oxygen kuti iendese kumuviri wedu wese, uye uko masero matsvuku anodonhedza tsvina yakaita secarbon dioxide kuti isu tifeme.
Tine mapapu maviri, rimwe kurudyi uye rimwe kuruboshwe rwechipfuva chedu. Nokuti mwoyo yedu iriwo kuruboshwe rwechipfuva chedu, mapapu ekuruboshwe idiki pane ari kurudyi. Bapu redu rekurudyi rine zvikamu zvitatu (zvinonzi lobes) uye mapapu ekuruboshwe ane 3 lobes chete.
Mamwe mabasa emapapu edu
Kuyerera kwemhepo kubva mumapapu edu kunodiwa kuti titaure uye tidzore inzwi redu.
Mapapu edu anoita basa rakakosha kutidzivirira kubva kuutachiona hunokonzera utachiona nehosha. B-cell lymphocytes mumapapu edu inogadzira antibody inonzi Immunoglobulin A, iyo inobatsira kurwisa zvirwere zvekufema.
Mapapu edu anoburitsawo rudzi rwemuchuru unoteya nekuuraya utachiona kuti husakonzerese utachiona.
Nokubvisa carbon dioxide patinofema kunze, mapapu edu anobatsira kumisa muviri wedu kuti usanyanya kuoma. Munguva pfupi, kana miviri yedu ikanyanya kuwanda tinogona kuva:
- fast heart beat
- kuneta uye kushaya simba
- chizoro
- kuvhiringidzika
- kuda kurutsa uye kurutsa kana kurasikirwa nechido.
Nekudaro, kana miviri yedu ikaramba yakanyanyisa acidic kwenguva yakareba tinogona kuve panjodzi yemamwe mamiriro uye zvirwere zvinosanganisira:
- kuora kwezino
- kenza
- chirwere chemoyo
- nezvimwe zvinhu
- kukuvadzwa pahuro kana mudumbu
- kuneta
- matambudziko nehurongwa hwedu hwetsinga, moyo kana tsandanyama.
Chii chinoita kuti mapapu achinje?
Mamwe lymphomas uye marapirwo e-lymphoma anogona kukonzera kuchinja kumapapu ako.
Lymphoma
Primary mediastinal lymphoma inotanga pakati pechipfuva chako (mediastinum) uye inogona kukanganisa mapapu ako. Vanhu vazhinji vane Hodgkin Lymphoma vanogonawo kuita kuti itange mu mediastinum yavo. Uye vamwe vanogona kunge vane lymphoma inopararira kubhokisi kana kuisa kudzvinyirira pamapapu ako. Dzimwe lymphomas dzinogona kutotanga mumapapu ako.
Aya ma lymphomas anogona kukanganisa mapapu ako kana akakura zvakakwana kuti aise simba paari, uye amise kuti asawedzera zvakakwana paunofema mukati, kana kubata kana iwe uchifema kunze. Kana lymphoma yako iri mumapapu ako, inogona kukanganisa nzira yavanoshanda nayo.
Mishonga inogona kukonzera pulmonary toxicity
Kunyange zvazvo chemotherapy inoshanda zvikuru pakurwisa lymphomas akawanda, mamwe mishonga yechemotherapy inogona kukonzera pulmonary toxicities.
Bleomycin
Bleomycin inonzi chemotherapy inowanzoshandiswa kurapa Hodgkin Lymphoma uye inogona kazhinji kukonzera kuchinja kwemapapu. Nekudaro, njodzi yepulmonary toxicity ine hukama nebleomycin inowedzerwa kana iwe:
- pamusoro pemakore 40
- utsi
- vane mamwe mamiriro emapapu
- une matambudziko neitsvo dzako.
High dose oxygen inowanzoshandiswa muzvipatara kana panguva ye scuba diving. Kana okisijeni ichidiwa muchipatara unogona kupihwa mweya wekurapa pane kupihwa mweya weokisijeni wakakwira. Iva nechokwadi iwe nguva dzose ita kuti vanachiremba vako navanamukoti vazive kuti wakambobatwa nebleomycin, kunyangwe waive nayo makore apfuura. Vangangonyora okisijeni seye allergy kuti uve nechokwadi chekuti hauna kupihwa yakakwira-dose oxygen.
Ipfungwa yakanaka kutakura kadhi kana kuva nebhendi remuruoko kana bracelet kuti vanhu vazive kuti haugone kuwana mweya weokisijeni wakakwira kana ukasangana nemamiriro ekuti haugone kuzvitaura iwe pachako.
Bleomycin inowanzoshandiswa mune chemotherapy protocols ABVD uye eBEACOPP.
Mamwe kemotherapies
Mamwe chemotherapies anogona kukonzera pulmonary toxicity akanyorwa pazasi. Nekudaro, zvakakosha kuyeuka kuti aya maside mhedzisiro haawanzo, uye vanhu vazhinji vanowana marapirwo havaite pulmonary toxicity.
- methotrexate
- gemcitabine
- busulfan
- carmustine
- melphalan
- cyclophosphamide
- chlorambucil
- cytarabine
- platinamu yakavakirwa chemo yakaita secisplatin kana carboplatin.
Kusiyana nebleomycin, kana pulmonary toxicity yako inokonzerwa nemhando yakasiyana yekemotherapy iwe unenge uchikwanisa kushandisa yakakwira-dose okisijeni kana zvichidikanwa pasina njodzi yakawedzerwa.
Radiotherapy inogona kuwedzera njodzi yako yepulmonary toxicity kana mwaranzi iri pachipfuva chako, mediastinum kana mapapu. Ngozi yakakura kana iwe uinewo kana, uine chemotherapy zvakare.
Mamwe immunotherapies anogonawo kukonzera pulmonary toxicities. Izvi zvinosanganisira monoclonal antibodies inowanzoshandiswa mukurapa lymphoma yakadai se rituximab, obinutuzumab uye brentuximab vedotin.
Immune checkpoint inhibitors senge pembrolizumab uye nivolumab inogona kukonzera immune system mukati memapapu ako izvo zvinoita kuti immune system yako isaone maseru ari mumapapu ako seunyanzvi hwako. Saka pachinzvimbo, immune system yako inogona kuona maseru aya seutachiona uye anogona kuarwisa. Aya marudzi ekuita anofanirwa kurapwa zvakasiyana kubva kumapapu ehutu anokonzerwa nemamwe marapirwo uye kazhinji anosanganisira steroids kumisa maitiro ezvirwere zvemuviri.
Zviratidzo zvekuchinja kwemapapu
Unofanira kuudza chiremba wako kana mukoti zviratidzo zvese zvitsva, kana kuti zvinotowedzera kuti vakuongorore. Muzviitiko zvakawanda, haungade chero kurapwa asi kana ukadaro, kunonoka kurapwa kunogona kuve kwakakomba nekukurumidza. Huzhinji hwehupfu hwemapapu hunogona kunge huri hwenguva pfupi uye hunoda kwete, kana kurapwa kwenguva pfupi chete. Kashoma, pulmonary toxicity ine mhedzisiro inozove hutano husingagumi.
Zviratidzo zvaungasangana nazvo nepulmonary toxicities zvinosanganisira:
- kunetseka kufema
- kutadza kufema pasina chikonzero
- kufemereka kana kufema zvine ruzha
- shanduko kuzwi rako kana kutadza kutaura
- dzungu kana kuvhiringika
- kurira pasi peganda rako
- kukosora
- chipfuva chepfu
- ruvara rwebhuruu rwakatenderedza miromo yako, zvigunwe kana zvigunwe
- kuwedzera kwemamiriro ezvinhu emapapu aripo akadai seasthma kana chisingaperi chinodzivirira pulmonary chirwere (COPD).
Nguva yekuona chiremba wako
Bata chiremba wako kuti aongororwe kana ukawana chimwe chezviratidzo zviri pamusoro. Kana uri kuonana naChiremba wepanzvimbo yako (chiremba wepanzvimbo) kana chiremba asiri wako wehematologist weoncologist vazivise kuti chii:
- zviratidzo zvauri kuwana, pavakatanga uye kana zvanyanya kuipa,
- kurapwa kwauri kuitwa uye kuti wakapedzisira kubatwa riini.
Fonera amburenzi kana kuti svika kudhipatimendi rekukurumidzira riri pedyo newe kana uine tembiricha inosvika 38 degrees kana kupfuura, kana uchirwadziwa muchipfuva, kana ukatadza kufema zvakanyanya, kana kuti ukasanzwa zvakanaka.
Kuchinja kwemapapu kunoongororwa sei?
Chiremba wako achaita ongororo yemuviri uye anoteerera kumapapu ako. Vanozotarisa zvimwe zvinhu sepawakapedzisira kurapwa uye kurapwa kwawakaitwa, kuongororwa ropa nguva pfupi yadarika nemimwe mishonga yaungave uchitora. Kana vangove nemufananidzo uzere, ivo vanozoona kuti ndedzipi bvunzo dzaungade. Izvi zvinogona kusanganisira:
- X-ray yechipfuva
- CT kana MRI yechipfuva chako
- kuongorora sputum
- pulmonary function test
- bronchoscopy
- kuongororwa ropa.
Kurapa kwekuchinja kwemapapu
Kurapa kwepulmonary toxicity uye mamwe shanduko yemapapu zvinoenderana nerudzi rwekurapa kwawakamboita, kuoma kwezviratidzo zvako uye rudzi rwekuchinja kwemapapu kwakaitika.
Pulmonary toxicity kubva pakurapwa
Kana shanduko yemapapu ikaitika nekuda kwepulmonary toxicity inokonzerwa nemishonga yako, unogona kupihwa:
- Mishonga yakadai sesteroids, antihistamines, ventolin kana sulbutamol. Mushonga unogona kurairwa kuve nehwendefa, mutsinga (mutsinga yako), sepuffer kana nebuliser (kufemerwa mukati).
- Mishonga inorwisa mabhakitiriya, antifungal kana antiviral mushonga kana iwe uine, kana uri panjodzi yekuwana hutachiona hwemapapu.
- Chest physiotherapy uye maekisesaizi
- Nguva yakawedzerwa isati yatanga kurapwa.
Lung inoshanduka kubva ku lymphoma
Kuchinja kwemapapu kunoitika semugumisiro we lymphoma muchipfuva chako kana mapapu zvichagadziriswa zvakasiyana kubva kune pulmonary toxicity. Apo lymphoma ndiyo inokonzera mapapu ako kuchinja, kurapwa kuchava kuderedza lymphoma kudzivirira kudzvinyirira kana mumapapu ako. Izvi zvinoreva, kuti iwe uchada kurapwa senge chemotherapy, radiation kana kuvhiyiwa kuti ubvise kana kuderedza lymphoma.
Sezvo lymphoma inova diki kana kubviswa mapapu ako anofanira kutanga kushanda zvakanaka zvakare, achivandudza zviratidzo zvako.
Kurarama nemapapu kunochinja
Kana shanduko yemapapu ikave yechigarire inogona kukanganisa nzvimbo dzakawanda dzehupenyu hwako. Zvinogona kutora nguva kuti udzoke uye udzidze kuti kugona kwako kutsva chii, uye kuti ungararama sei mukati memiganhu yako. Unogona kunge uine mishonga mitsva yaunoda kunwa, kana mamwe maonesheni kuchipatara.
Zvinhu zvaunogona kuita kuvandudza hupenyu hwako nekuchinja kwemapapu zvinosanganisira:
- Wana chirongwa cheutano hwepfungwa kubva kunaChiremba wako kuti akubatsire kutsungirira kutya, kufunganya kana kuwedzera kushushikana kwauinako nekuda kwekuchinja uku.
- Tora chirongwa chekutungamira kwaChiremba naChiremba wenzvimbo yako. Zvirongwa izvi zvinogona kukupa iwe 5 akabatana hutano hwekugadzwa pasina, kana muripo mushoma kwauri. Izvi zvinogona kusanganisira dietician, exercise physiologist, physiotherapist, occupational therapist nezvimwe.
- Chengetedza huremu hune hutano hwehurefu hwako. Nyanzvi yezvokudya inogona kubatsira neizvi kana iwe uri pasi kana kuti wakafuta, kana kuti uchida kudzidza zvakawanda nezvekudya kune utano.
- Rovedza muviri nguva dzose - physiologist inosimbisa muviri inogona kukubatsira iwe kuita maitiro ekuita maekisesaizi aunofarira uye aunogona kubata.
- Ona physiotherapist yezviitwa zvekusimbisa mapapu.
- Iva nemurapi webasa anoongorora imba yako uye zviitwa kuti uone kuti vangakubatsira sei kubata mabasa ako ekurarama kwezuva nezuva nekusanyanya kunetseka pamapapu ako.
pfupiso
- Kuchinja kwemapapu kunogona kuitika sechiratidzo che lymphoma yako kana semugumisiro wekurapa.
- Kuchinja kwemapapu kunokonzerwa nemishonga yako kunonzi pulmonary toxicity.
- Pulmonary toxicity haiwanzo uye inogona kuva yenguva pfupi kana zvachose.
- Taura zvese zvitsva kana kuwedzera zviratidzo kuna chiremba wako. Ita kuti vazive kuti wakarapwa sei, pawakapedzisira kuva nawo, uye NGUVA udza vanachiremba vako nemanesi kana uine ZVESE yakanga ine bleomycin kana immune checkpoint inhibitor yakadai se pembrolizumab kana nivolumab.
- Fonera amburenzi kana uine tembiricha inosvika 38° madhigirii kana kupfuura, uchirwadziwa muchipfuva, uchitadza kufema zvakanyanya kana kuti usinganzwe zvakanaka.
- Ungangoda kuona mumwe chiremba anonzi chiremba wekufema kuti atarisire shanduko yemapapu ako.
- Kurapa kunoenderana nerudzi rweshanduko dzaunadzo, zviratidzo zvako uye marapirwo awakaitwa.
- Itai kuti Chiremba weChiremba aite chirongwa cheutano hwepfungwa uye chirongwa chekutungamira kwaChiremba kana uine shanduko yenguva refu kumapapu kana kuti uchida rubatsiro rwakawedzerwa kunyangwe mapapu ako akachinja kwenguva pfupi.
- Fonera maLymphoma Care Nurses kana muchida kutaura nezviratidzo zvenyu kana muchida rumwe ruzivo. Dzvanya pabhatani rekutibata pazasi pescreen kuti uwane ruzivo.
