大家好 在本期的《健康速写》中 我们想和大家谈一谈
Hello, in this HealthSketch we want to talk to you about
特发性肺纤维化 或 “IPF”
Idiopathic Pulmonary Fibrosis or’IPF’.
The word ’Idiopathic’ means the cause of the condition is unknown,
‘pulmonary’ means lungs and‘fibrosis’ means scarring.
因此 肺纤维化是进行性的 瘢痕肺形成的一种疾病
So IPF is a progressive, scarring lung condition,
the cause of which is not known.
Though the condition is not well known,
it affects around 5 million people worldwide
and it usually occurs after the age of 50.
While IPF has no known cause
it is thought that there may be certain triggers
that cause the scarring process to begin
例如 病毒感染 吸烟和胃酸逆流
such as: viral infections, smoking, and heartburn.
It can also run in families.
There is no known cure as yet,
however there are things that people with IPF can do to help themselves.
So, how does IPF affect the lungs?
First, let’s see how the lungs work.
When you breathe in,
the air ends up in tiny air sacs called alveoli
where oxygen can move into the bloodstream and carbon dioxide gets taken out.
In pulmonary fibrosis,
scar tissue builds up over time around these air sacs,
which makes it harder for oxygento move into the body
This leaves you feeling moreshort of breath than usual.
The main symptoms of this condition are breathlessness and a persistent dry cough
which both worsen over time,making daily activities harder.
Tiredness, weakness, and weight loss may follow.
Diagnosing IPF can be difficult as itssymptoms are often similar
to other more common lung conditions.
However, if your doctor suspectsIPF from your symptoms,
you should be referred to a specialist
for further investigations, such as breathing tests,
a high resolution CT scan,
which takes very detailed images of the lungs,
is used both for diagnosisand monitoring the condition
Another test involves passing a small camera
through your nose or mouth
and into your lungs to see what they look like or take a sample.
This is called bronchoscopy
Another test involves a small operationunder general anaesthetic
to take a small sample of tissue for analysis,
which is called a lung biopsy.
Unfortunately, there is not yet a treatment that can cure idiopathic pulmonary fibrosis,
but there are now medications that can help to reduce the symptoms
and slow the progress of the condition.
Research into new drugs is ongoing.
Pulmonary Rehabilitation has also been shownto benefit people with IPF.
This is a structured programme ofgentle exercises
and education about your condition and how best to manage the symptoms.
Physiotherapists and specialist nurses can
show you techniques to reduce breathlessness.
Oxygen therapy can be used if your body’s oxygen levels become too low,
perhaps needed only during physical activity
or maybe while at rest too
A lung transplant can be an option for those
physically fit enough to undergo major transplant surgery.
The progress of the condition varieswidely in different people;
while some may have stable symptomsfor long periods,
in others there is a gradual declinewith worsening symptoms.
Coming to terms with a diagnosis of IPFis often difficult
and it is particularly hard as the cause of the condition is unclear
It is common to feel low, anxious or depressed
and it can be helpful to talk about these feelings with your doctor, a counsellor,
or at a support group where there will be others
with similar questions, experiences and feelings.
Having the support of others can help
to motivate people with IPF to stay as healthy as possible,
如 定期预约跟进治疗 遵医嘱服药
for example, by attending follow up appointments, taking medication as prescribed,
and being vaccinated against flu and pneumonia.
Stopping smoking is very important,
as smoking damages the lungs and worsensthe symptoms of IPF.
It’s also good to stay physically active
and eating healthily canmake a significant difference
by ensuring your body, gets theenergy and nutrients it needs.
In this HealthSketch we’ve talked aboutIdiopathic Pulmonary Fibrosis,
the scarring process in the lungs,the resulting symptoms,
and how to cope with the diagnosis and stay as healthy as possible.
We hope this HealthSketch has been
helpful to you and those around you.
HealthSketch. Health for all to see.
大家好 在本期的《健康速写》中 我们想和大家谈一谈