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October 10, 2025
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Ukuqina kwezinso zomoya yisimo sezinso lapho ilungu lezinso zakho liba linyukile futhi libe namabala ngokuhamba kwesikhathi. Cabanga ngakho njengokuthi izinso zakho zithuthukisa amabala aqinile, afana nefayibha, okwenza kube nzima ukuba i-oksijini idlule egazini lakho.
Le nqubo yokwenza amabala, ebizwa ngokuthi i-fibrosis, kancane kancane yenza izinso zakho ziqine futhi zingabi nazo izikhala. Nakuba lokhu kungase kuzwakale kukhulu, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuze uphathe lesi simo ngokuphumelelayo.
Ukuqina kwezinso zomoya kwenzeka lapho izikhwama ezincane zomoya ezinso zakho, ebizwa ngokuthi ama-alveoli, lilimazeke futhi libe namabala. Umuthi wakho uzama ukulungisa leli limaza, kodwa ngezinye izikhathi inqubo yokwelapha iyaphambuka futhi idala ilungu eliqinile, eliqine esikhundleni selungu lezinso eliphilile, elinomthamo.
Ilungu elinamabala lenza kube nzima kakhulu ukuba i-oksijini ihambe ezinso zakho iye egazini lakho. Lokhu kusho ukuthi umzimba wakho kufanele usebenze kanzima ukuze uthole i-oksijini edingekayo emisebenzini yansuku zonke.
Kunezinhlobo ezahlukene zokuqina kwezinso zomoya. Ezinye izimo zinaimbangela eyaziwayo, kanti ezinye zithuthuka ngaphandle kwesizathu esicacile. Ukuqhubeka kungase kuhluke kakhulu kumuntu nomuntu, abanye behlangabezana nezinguquko ezincane eminyakeni eminingi kanti abanye bebona ukuthuthuka okusheshayo.
Isimpawu sokuqala esivamile ukuphefumula okunzima okubi kakhulu ngokuhamba kwesikhathi. Ungase uqale ukuqaphela lokhu ngesikhathi semisebenzi yomzimba efana nokukhuphuka izitebhisi noma ukuhamba entabeni, bese kancane kancane ngesikhathi semisebenzi elula.
Nawa ama-zimpawu aphambili ongahlangabezana nawo:
Lezi zimpawu zivame ukuvela kancane kancane, okusho ukuthi ungase ungaziboni ngokushesha. Abantu abaningi baqala becabanga ukuthi ukuqina komoya kwabo kungenxa nje yokuguga noma ukungabi semizimbeni.
Ukuqhubeka kwezimpawu kuyahluka kakhulu phakathi kwabantu. Abanye abantu bahlangabezana nokuwa kancane, okuzinzile eminyakeni eminingi, kanti abanye bangaba nezinkathi lapho izimpawu zihlala zinzima khona kulandele izikhathi zokushintsha okusheshayo.
I-Pulmonary fibrosis iwa ezinhlotsheni ezimbili eziyinhloko kuye kokuthi odokotela bangayibona yini into eyayibangela. Ukuqonda ukuthi yiluphi uhlobo olulokhu kusiza ukuqondisa uhlelo lwakho lokwelashwa.
I-Idiopathic pulmonary fibrosis (IPF) uhlobo oluvamile kunazo zonke. "Idiopathic" kusho ukuthi imbangela ayaziwa. Lolu hlobo ngokuvamile luthinta abantu abadala kuno-60 futhi luthambekele ekuqhubekeni ngokubikezelwa kakhulu kunamanye amafomu.
I-Secondary pulmonary fibrosis inombangela oqondiwe. Lokhu kufaka izehlakalo ezibangelwa imithi, ukukhombisa imvelo, izifo zokuziphatha komzimba, noma ukutheleleka. Uma odokotela bekwazi ukubona futhi baqonde imbangela ehlala phansi, ukuqhubeka kungase kube kancane noma kungavinjelwe.
Kukhona nezinye izinhlobo ezimbalwa, kufaka phakathi i-familial pulmonary fibrosis (esuka emindenini) ne-nonspecific interstitial pneumonia (NSIP), evame ukuba nombono omuhle kune-IPF.
Imbangela eqondile ihlala ingaziwa ezimweni eziningi ze-pulmonary fibrosis. Noma kunjalo, abacwaningi baye baqonda izici eziningana ezingabangela inqubo yokunqunywa emaphashini akho.
Ukudla kwezimo ezingqongile nezokusebenza kuphakathi kwezizathu ezivame kakhulu ezaziwayo:
Imithi ethile ingabangela ukwenzakala kwamaphaphu, nakuba lokhu kungavamile. Lokhu kuhlanganisa imithi ethile yokwelapha i-kemotherapy, imithi yenhliziyo, kanye ne-antibiotics. Udokotela wakho uzohlale eqhathanisa izinzuzo nezingozi ezingaba khona uma enikeza le mi thi.
Izifo ze-autoimmune zimelela esinye isizathu esibalulekile. Izimo ezifana ne-rheumatoid arthritis, i-lupus, ne-scleroderma zingabangela ukuthi isimiso sakho sokugcina siphikisane nethishu yamaphaphu akho, okuholela ekwenzakaleni.
Kwezinye izimo ezingavamile, ukutheleleka okuvela kuma-virus, ama-bacteria, noma ama-fungi kungabangela inqubo yokwenzakala. Ukwelashwa nge-radiation endaweni yesifuba kungabangela i-pulmonary fibrosis ezinyangeni noma eminyakeni eminingi ngemuva kokwelashwa.
Kufanele uxhumane nodokotela wakho uma uthola ukukhokha okomile noma ukuphefumula okunzima okungapheli okungaphuli ngemuva kwamasonto ambalwa. Lezi zikhalazo zingaba nezizathu eziningi, kodwa ukuhlolwa kwasekuqaleni kuhlale kuwukuhlakanipha.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela ukuthi ukuphefumula kwakho okunzima kuya kubi ngokuhamba kwesikhathi noma uma kuqala ukuphazamisa imisebenzi yakho yansuku zonke. Ngisho noma izimpawu zibonakala zingenamandla, kungcono ukuzihlola ngokushesha kunokuba ulinde.
Shaya ucingo ukuze uthole ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nokuphefumula okunzima kakhulu ngesikhathi sokuphumula, ubuhlungu esifubeni ngezinkinga zokuphefumula, noma uma izindebe zakho noma iinzipho zakho ziphenduka zibomvu. Lezi zimpawu zibonisa ukuthi amazinga akho oksijini angase aphansi kakhulu.
Ungalindi uma unezingozi ezinjengokuvulelwa ngaphambili i-asbestos, i-silica, noma ezinye izinto ezicasulayo zemiphunga, ikakhulukazi uma uqala ukuba nezimpawu zokuphefumula. Ukutholakala kwangaphambi kwesikhathi kungenza umehluko omkhulu ekuqondiseni lesi simo.
Izinto eziningi zingandisa amathuba akho okuthola i-pulmonary fibrosis. Ubudala yingozi enkulu kunazo zonke, ngoba izimo eziningi zenzeka kubantu abadlula u-50, futhi ingozi enkulu kakhulu kulabo abadlula u-70.
Nazi izingozi eziyinhloko okufanele uzibheke:
Ukubhema kukwandisa kakhulu ingozi yakho futhi kwenza isimo siqhubeke ngokushesha. Ngisho noma usuvele utholile i-pulmonary fibrosis, ukuyeka ukubhema kungasiza ekuthambiseni ukuqhubeka kwayo nokuthuthukisa impilo yakho yemiphunga.
Ukuba nengozi eyodwa noma ngaphezulu akusho ukuthi uzothola i-pulmonary fibrosis. Abantu abaningi abanezingozi eziningi abayitholi le simo, kanti abanye abangenazo izingozi ezaziwayo bayithola. Lezi zinto zisiza odokotela ukuqonda ukuthi ubani ongengazi enkulu.
Izinto zofuzo zidlala indima emindenini ethile. Uma unezihlobo ezine-pulmonary fibrosis, ikakhulu abazali noma abazalwane, ingozi yakho ingaba inkulu. Noma kunjalo, izimo zomndeni zimelela ingxenye encane kuphela yezimo ze-pulmonary fibrosis.
I-pulmonary fibrosis ingabangela izinkinga eziningi njengoba isimo siqhubeka. Inkinga evamile kunazo zonke ukuphakama kwegazi emathanjeni ephunga, lapho ukucindezeleka kwegazi emathanjeni ephunga kukhuphuka ngenxa yokumelana okwandayo okuvela esicutshini esilimele.
Nawa amahloni amakhulu angathuthuka:
Ukwehluleka kwenhliziyo kwesokudla kungenzeka ngoba inhliziyo yakho kufanele isebenze kanzima kakhulu ukuqhafaza igazi ngaphesheya kwamaphaphu alimele. Lokhu kubekela uxinzelelo olukhulu ohlangothini lwesokudla lenhliziyo yakho, okugcina kuholela ezinkingeni zenhliziyo.
Abantu abaningi abane-pulmonary fibrosis ethuthukile badinga i-oksijini engeziwe ukuze bagcine amazinga e-oksijini afanele egazini labo. Lokhu akusho ukuthi isimo siyingozi ngokushesha, kodwa kunalokho ukuthi amaphaphu akho adinga ukwesekwa okwengeziwe ukuze asebenze kahle.
Izindaba ezinhle ukuthi ngokunakekelwa okufanele kwezokwelapha nokubhekwa, izinkinga eziningi zingavikeleka, ziphathwe, noma ziphathwe kahle. Iqembu lakho lokunakekelwa kwezempilo lizobheka izimpawu zokuqala futhi lilungise uhlelo lwakho lokwelashwa ngokufanele.
Nakuba ungakwazi ukuvimbela zonke izimo ze-pulmonary fibrosis, ikakhulukazi izinhlobo ze-idiopathic, unganciphisa kakhulu ingozi yakho ngokugwema izici ezaziwayo nokulondoloza impilo enhle yamaphaphu.
Isinyathelo esibaluleke kakhulu ukugwema ukukhishwa ezintweni eziyingozi ezingalimaza amaphaphu akho. Uma usebenza embonini enezinsimbi noma ukukhishwa kwezinto ezikhiqizwayo, sebenzisa njalo imishini yokukhuselwa efanele njengezimaki noma ama-respirators njengoba kunconywe yimiyalo yokuphepha.
Ukuyeka ukubhema kubalulekile ekunqobeni nasekuthambiseni ukuqhubeka kwesimo uma usuvele unaso. Ukubhema konakalisa amaphaphu akho futhi kwenza abe lula ukuba nezimpaphe. Ngisho nokubhema okwesibili kufanele kugwenywe uma kungenzeka.
Nazi izindlela eziyisihluthulelo zokuvimbela:
Ukuzivocavoca njalo nokugcina indlela yokuphila enempilo kungakusiza ukugcina amaphaphu akho empilweni ngangokunokwenzeka. Nakuba lokhu ngeke kuvimbele zonke izimo, kunika amaphaphu akho ithuba elihle kakhulu lokuhlala eqinile futhi eqinile.
Uma une-autoimmune disease, ukusebenzisana eduze nodokotela wakho ukuyilawula kahle kungasiza ukunciphisa ingozi yakho yokuthuthukisa izinkinga zamaphaphu, kufaka phakathi i-pulmonary fibrosis.
Ukuhlola i-pulmonary fibrosis kuvame ukubandakanya ukuhlolwa okuningi ngoba izimpaphe zingafana nezinye izimo zamaphaphu. Udokotela wakho uzoqala ngomlando wezokwelapha onemininingwane kanye nokuhlolwa komzimba, enakekela kakhulu imisindo yokuphefumula kwakho.
Ivivinyo lokuqala ngokuvamile yi-X-ray yesifuba, engabonisa izimpaphe emaphaphwini akho. Noma kunjalo, i-pulmonary fibrosis yokuqala ingase ingabonakali kahle ku-X-ray ejwayelekile, ngakho-ke ukuhlolwa okwengeziwe kuvame ukudingeka.
I-CT scan enokucaciswa okuphezulu yesifuba yakho inikeza izithombe eziningi ezinemininingwane yethishu yamaphaphu akho. Lovivinyo lungathola izindlela zezimpaphe ezisiza odokotela ukuthi banqume uhlobo nobukhulu be-pulmonary fibrosis onayo.
Izivivinyo ze-pulmonary function zilinganisa ukuthi amaphaphu akho asebenza kangakanani ngokuhlola ukuthi ungaphefumula umoya omningi kangakanani, nokuthi i-oksijini idlulela kanjani emaphaphwini akho iya egazini lakho. Lezi zivivinyo zisiza odokotela ukuthi baqonde ukuthi isifo sokuqina siyasithinta kangakanani isenzo samaphaphu akho.
Udokotela wakho angase futhi akukhuthaze ukuthi wenze izivivinyo zegazi ukuze ahlole izifo ze-autoimmune noma ezinye izimo ezingase zibangele ukuqina kwamaphaphu. Ukuhlolwa kwegazi le-arterial blood gas kuqapha amazinga e-oksijini ne-carbon dioxide egazini lakho.
Kwezinye izimo, udokotela wakho angase akukhuthaze ukuthi wenze i-lung biopsy, lapho kuqoshwa khona isampula encane yethishu yamaphaphu bese ihlolwa ngaphansi komkhiqizo. Lokhu kuvame ukwenziwa kuphela lapho ezinye izivivinyo zingakwazanga ukunikeza ukuxilongwa okuqondile.
Ukuphathwa kwe-pulmonary fibrosis kugxile ekunciphiseni ukuqhubeka kokuthina, ukuphatha izimpawu, nokugcina ikhwalithi yokuphila kwakho. Nakuba okwamanje kungekho ukwelashwa, kukhona izindlela zokwelapha eziningi ezingakusiza uzizwe kangcono futhi zinciphisa ukuqhubeka kwalesi sifo.
Nge-idiopathic pulmonary fibrosis, imithi emibili evunyiwe yi-FDA ingasiza ekunciphiseni inqubo yokuthina. I-Nintedanib (Ofev) ne-pirfenidone (Esbriet) zombili zibonisiwe ukuthi zinciphisa izinga lokwehla kwesenzo samaphaphu ezifundweni zeklinikhi.
Nawa amaqhinga akhiqiza ekwelapheni:
Ukwelashwa nge-oksijini kubalulekile uma amazinga akho e-oksijini egazini ehluleka ukufinyelela emazingeni ajwayelekile. Abantu abaningi baqala ukusebenzisa i-oksijini ngesikhathi sokwenza umsebenzi noma ebusuku, bese kudingeka bayisebenzise njalo njengoba isimo siqhubeka. Ama-concentrators e-oksijini athakaseleko angakusiza ugcine ukuhamba kwakho nokuzimela kwakho.
Ukwelashwa kwe-pulmonary kuyinkambo ephelele ehlanganisa ukuqeqeshwa komzimba, amasu okuphefumula, kanye nemfundo mayelana nokuphatha isimo sakho. Lezi zinhlelo zingathuthukisa kakhulu izimpawu zakho, ikhono lokwenza umsebenzi, kanye nekhwalithi yokuphila iyonke.
Kubantu abane-pulmonary fibrosis yesibili ebangelwa yizifo zokuziphatha komzimba, ukwelapha isimo esiyimbangela ngemithi yokucindezela amasosha omzimba ngezinye izikhathi kungasiza ukunciphisa noma ukuyeka ukuqhubeka kokonakala kwamaphaphu.
Ukuphatha i-pulmonary fibrosis ekhaya kuhilela amasu amaningana angakusiza ukuphefumula kalula futhi ugcine amazinga akho kwamandla. Umgomo ukusekela umsebenzi wamaphaphu akho nempilo iyonke ngenkathi uvikela izinkinga.
Ukusebenza ngaphakathi kwemingcele yakho ingenye yezinto ezibaluleke kakhulu ongayenza. Ukuzivocavoca okuthambile njengokuhamba, ukubhukuda, noma ukuthambisa kungasiza ukugcina amandla amaphaphu akho namandla emisipha. Qala kancane bese ukhulisa umsebenzi kancane njengoba ubekezelela.
Nawa amasu abalulekile okuphatha ekhaya:
Ukuzivocavoca ukuphefumula kungaba usizo ngokukhethekile. Amasu afana nokuphefumula ngomlomo ophoqelekile nokuphefumula nge-diaphragm angakusiza ukusebenzisa amaphaphu akho ngokuphumelelayo futhi unciphise ukubhema ngesikhathi semisebenzi yansuku zonke.
Ukudla ukudla okunomsoco kusiza ekuqinisweni kwesistimu yakho yokulwa nezifo futhi kunikeza amandla okuphefumula, okudinga umzamo omkhulu uma une-pulmonary fibrosis. Ukudla okuncane, okuvamile kungaba lula ukulawula uma uthola ukuthi uyalingwa ukuphefumula ngesikhathi sodla.
Ukwenza indawo yekhaya ehlanzekile kusho ukugwema uthuli, amakhemikhali aqinile, nezinye izinto ezingakukhathaza ezingenza izimpawu zakho zibe zimbi. Sebenzisa abahlanzi bomoya uma kuwusizo, futhi ugweme imisebenzi edala uthuli noma umusi.
Ukulungiselela izivivinyo zakho zokwelashwa kungakusiza ukuthi uthole okuningi ekuhambeleni kwakho futhi kuqinisekise ukuthi konke ukukhathazeka kwakho kuqondwe. Gcina idayari yezimpawu ubhale lapho uzizwa uyalingwa ukuphefumula, indlela ekuthinta ngayo imisebenzi yakho, nanoma yiziphi izindlela ozibonayo.
Letha uhlu oluphelele lwezidakamizwa zonke ozithathayo, kufaka phakathi izidakamizwa ezingaphezu kokuthengiswa ngaphandle kwelayisensi kanye nezinye izinto. Udokotela wakho udinga ukwazi konke ukuze agweme ukusebenzisana okungenzeka futhi aqinisekise ukuthi uhlelo lwakho lokwelashwa luphelele.
Bhala imibuzo yakho ngaphambi kokubonisana ukuze ungakhohlwa ukukhathazeka okubalulekile. Imibuzo evamile ingafaka ukubuza ngokulinganiselwa kwemisebenzi, ukuthi nini kufanele ucele usizo, noma yizippawu ziphi okufanele uzilinde.
Nanku okufanele ukulethe ekuhambeleni kwakho:
Cabanga ukuletha ilungu lomndeni noma umngani ukuze akusize ukukhumbula ulwazi oluxoxwe ngesikhathi sokubonisana. Bangakwazi futhi ukukunikeza ukwesekwa nokusiza ekumeleleni izidingo zakho.
Yiba eqotho ngendlela izimpawu zakho ezikuthinta ngayo impilo yakho yansuku zonke, umsebenzi, nobuhlobo. Lolu lwazi lusiza udokotela wakho ukuthi aqonde umthelela ophelele wesimo sakho futhi alungise ukwelashwa ngokufanele.
I-Pulmonary fibrosis yisimo esinzima sephunga, kodwa ngokunakekelwa okufanele kwezokwelapha nokwenza izinguquko ekuphileni, abantu abaningi bangagcina ikhwalithi enhle yokuphila iminyaka eminingi. Ikhona into ebalulekile ukutholakala kwesikhathi, ukwelashwa okufanele, nokusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo.
Nakuba ukuxilongwa kungase kuzwakale kukhulu kakhulu, khumbula ukuthi kukhona ukwelashwa okutholakala ukusiza ekuthambiseni intuthuko nokuphatha izimpawu. Imithi emisha nezinye izindlela zokwelapha ziyaqhubeka zithuthukiswa, zinikeza ithemba lokuthi kuzoba khona ukwelashwa okuhle nakakhulu esikhathini esizayo.
Ukuhlanganyela kwakho okusebenzayo ekunakekelweni kwakho kwenza umehluko omkhulu. Ukuthatha imithi njengoba kulotshiwe, ukuhlala usebenzayo ngangokunokwenzeka, ukugwema izinto ezicasula amaphaphu, nokuya ekuhlolweni okuqhubekayo konke kuhlanganyela ekufinyeleleni imiphumela emihle.
Uhambo lwabantu ngamunye olune-pulmonary fibrosis luhlukile. Abanye abantu bahlala nezimpawu ezinzima, ezilawuleka iminyaka eminingi, kanti abanye bangase babe nezinguquko ezihamba ngokushesha. Iqembu lakho lokunakekelwa kwezempilo lizohlangana nawe ukwenza uhlelo oluqondene nezidingo zakho nezimo zakho.
I-Pulmonary fibrosis yisimo esinzima, kodwa abantu abaningi bahlala nayo iminyaka eminingi begcina ikhwalithi efanele yokuphila. Intuthuko iyahluka kakhulu phakathi kwabantu. Abanye abantu baba nezinguquko ezihamba kancane eminyakeni eminingi, kanti abanye bangase babe nentuthuko esheshayo. Ukwelashwa kwasekuqaleni nokunakekelwa okuhle kwezokwelapha kungasiza ekuthambiseni isifo nokuphatha izimpawu ngokuphumelelayo.
Ngeshwa, ukwenzakala kwe-pulmonary fibrosis akunakulungiswa ngokwelashwa okwamanje. Kodwa-ke, imithi ingathuthukisa intuthuko yokwenzakala, futhi izindlela ezahlukene zokwelapha zingasiza ekulawuleni izimpawu nokwenza ikhwalithi yokuphila ibe ngcono. Ucwaningo luyaqhubeka ezindleleni zokwelapha ezingase zibe nakho ukulungisa ukwenzakala kwamaphaphu ngolunye usuku.
Ukuqhubeka kwesifo se-pulmonary fibrosis kuyahlukahluka kakhulu kumuntu nomuntu. Abanye abantu baphila iminyaka eminingi benemizimba ephilile, kanti abanye bangase babe nokuwohloka okusheshayo. Izinto ezinjengohlobo lwesifo se-pulmonary fibrosis, impilo yakho yonke, ukuphendula ekwelapheni, nezinto zokuphila konke kuchaphazela ikusasa. Udokotela wakho angakunika ulwazi oluqondile olusekelwe esimweni sakho.
Abantu abaningi abanesifo se-pulmonary fibrosis bayazuza ekuhlaleni bekhuthele ngaphakathi kwemingcele yabo. Ukuzivocavoca kusiza ekuqinisweni kwemisipha, kuthuthukisa isimo sengqondo, futhi kungasiza ngisho nasekuphumeleni kokuphefumula. Kodwa-ke, kufanele usebenze nodokotela wakho noma iqembu lokuvuselela iphunga ukuze wenze uhlelo lokuzivocavoca oluphephile olufaneleka ezingeni lakho lokusebenza kwezinyo.
Ayikho ukudla okuthile okufanele ukugweme ngesifo se-pulmonary fibrosis, kodwa ukugcina ukudla okuhle kubalulekile. Abanye abantu bathola ukuthi ukudla okukhulu kwenza ukuphefumula kube nzima, ngakho-ke ukudla okuncane, okuvamile kungasiza. Hlala uthambile, udle izithelo nemifino eminingi, futhi cabanga ukusebenza nochwepheshe wokudla uma ulahlekelwa isisindo noma unezinkinga zokudla okwanele.
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