- A history and history: note the occupational risk factors or the
environment, such as a contact asbestos (asbestos), silica, and the
chemicals can enter the respiratory tract
- CBC general: may have mild anemia
- ESR, CRP: may increase
- Autoimmune antibodies: antinuclear antibodies, rheumatoid factor
- Arterial Blood Gases: common blood oxygen desaturation
- Check the function of the lungs can find syndrome restrictions, reduced TLC, RC reduction, reduced RV, reduced gas exchange
- Movie CXR may be normal or may show damage or mesh nodes. Honeycomb lesions (honeycombing) appeared in late stages, and when the condition was serious.
- Chest CT scan high resolution: better survey CXR film.
- Wash bronchoalveolar: often used in studies of disease idiopathic pulmonary more.
- Lung Biopsy: specify in some cases with the aim to confirm the diagnosis.
Almost no effective treatment for pulmonary fibrosis. However, a number of interventions can improve quality of life for patients. Treatment varies depending on the individual. Need to intervene in the situation cause pulmonary fibrosis, if still possible.
The adjunctive therapy in pulmonary fibrosis
- Stop smoking
- Avoid environmental factors or occupational factors that cause disease (chemicals, fumes, dust)
- Stop taking the drug related or cause disease
- Should be vaccinated against influenza and pneumococcal
- Oxygen therapy: for patients with hypoxemia
- Rehabilitation Respiratory
- Adequate nutrition and healthy
Drug treatment of pulmonary fibrosis
- Immunosuppression: corticosteroids and / or azathioprine
- The immunosuppressive drugs and anti-fibrosis: colchicine , ciclosporin , D-penicillamine, pirfenidone is also said to be effective.
- N-acetylcysteine
Lung transplant
Are effective treatments for pulmonary fibrosis. However lung transplant surgery has many risks and complications, and only applicable to few patients.
Vary depending on the patient and the severity.
The factors for poor prognosis:
- Increasing age
- Men
- Difficulty breathing
- Cash basis smokers
- Reduced lung function heavy
- Expression heavy damage on the image fiber (CXR and CT scan of the chest)
- Poor response to treatment
- There are multiple drives on the fibrous lesions examined histologically.
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