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SARCOIDOSIS와 폐

Sarcoidosis can occur in any organ of the body. In about 90% of patients, sarcoidosis affects the lungs and / or lymph glands. This is also known as ‘pulmonary sarcoidosis’. The information on this page is for anyone affected by pulmonary sarcoidosis.

이 페이지의 정보는 유육종증 전문가의 도움을 받아 작성되었습니다. Prof S. Birring, Consultant Respiratory Physician at Kings College Hospital, London and Prof L.P. Ho, Respiratory Physician at Oxford University NHS Foundation Trust.

폐 및 사구체 증의 기능

The lungs transfer oxygen from the air we breathe into the blood. At the same time, carbon dioxide leaves the blood through the lungs. This exchange happens in the lungs.

In pulmonary sarcoidosis, abnormal immune cells (known as ‘granuloma’) gather in the lungs and disrupt the uptake of oxygen.

These granuloma can also result in scarring. Scarring prevents the lungs stretching fully, and therefore limits their capacity. This in turn leads to loss of fully functional lung tissue and, eventually, shortness of breath.

In addition, these granuloma may develop around the lymphatic (or ‘lymph’) system of the lungs. The lymph system is an important part of the immune system that circulates the immune cells in the body.

 

Symptoms of Lung Sarcoidosis

때로는 폐 사르코 이드 증후군의 증상이 갑자기 시작되어 오래 가지 않습니다. 다른 환자에서는 증상이 서서히 진행되어 수년 동안 지속될 수 있습니다.

어떤 사람들은 전혀 증상이 없으며 일상적인 흉부 X 레이 또는 다른 검사를받은 후 유육종증이 있다고합니다.

폐 유육종증의 일반적인 증상은 다음과 같습니다.

  • fatigue and feeling ‘washed out’
  • 특히 운동으로 숨이 가쁘다.
  • dry and persistent cough
  • 가슴 통증

컨설턴트가 유육종증을 '유육종증의 단계'로 분류하는 것을 읽을 수 있습니다. 실제로 이것은 영국의 임상의에 의해 거의 사용되지 않는 기술입니다.

폐 Sarcoidosis로 생활

사루 코다증은 사람들에게 매우 다른 방식으로 영향을줍니다. 그러나 유육종증에 걸린 사람들에게는 몇 가지 공통된 경험이 있습니다.

유육종증 (sarcoidosis) 환자는 피로감과 기면 상태 (피곤함)를 느낄 수 있고, 체중 감량이나 발열 및 야간 땀으로 고통받을 수 있습니다.

Sometimes symptoms may suddenly get worse – this is known as a ‘flare-up’. This may be triggered by stress, infections, a change in environment or, often, nothing recognisable.  

It is important to make sure you eat healthily, pace yourself and talk to friends and family about your sarcoidosis. You should discuss your condition early on with your employer – use the SarcoidosisUK Leaflet 고용주를위한 정보.

Sarcoidosis는 환자를 두려워하고 고립 상태로 만들 수 있습니다. 정신 건강 문제를 일찍 인식하고 지원을 요청하십시오. 부디 SarcoidosisUK에 문의하십시오 또는 전문가 지원을위한 GP.

당신의 상태를 이해하는 기술

Sarcoidosis can be difficult to diagnose, particularly if the symptoms aren’t obvious. Multiple tests or scans may be needed to make a diagnosis.

엑스레이 can give a picture of lung abnormalities. Generally, if abnormalities are found, additional tests are performed to confirm any diagnosis.

Lung Function Tests. Spirometry tests how well you breathe in and out. Lung volume tests measure the total size of your lungs. Gas transfer tests measure the amount of oxygen that passes from your lungs into your blood.

CT 스캔 (also called CAT scan or computed tomography) combines X-rays and computer technology to create detailed images of the inside of your body.

MRI 스캔 use magnetic fields and radio waves. They show some abnormal tissue clearer than CT scans. MRI is rarely used with the lungs but may be useful to check if other organs like the bones and heart are affected.

기관지 내시경 검사. Your doctor may use a thin flexible camera inserted through your mouth to examine your lungs for signs of sarcoidosis. They may then remove tiny amounts of lung or lymph nodes to help make a diagnosis (a biopsy).

In rare cases, surgery is required to obtain a biopsy. This technique is often used when doctors want to be sure to confirm the disease as sarcoidosis. The most common technique for this is called VATS (video-assisted thoracoscopic surgery).

전망

Sarcoidosis affects people differently and often follows an unpredictable course. Most patients with pulmonary sarcoidosis recover within a few years; sometimes no treatment is needed.

Some patients are more severely affected with symptoms worsening over time – more prolonged treatment may be necessary. This is known as chronic sarcoidosis.  

Treating Pulmonary Sarcoidosis

There is no cure for sarcoidosis. When treatment is required, its purpose is to prevent lung inflammation and scarring, worsening of the disease and to improve quality of life. Treatment can help relieve the symptoms as the disease runs its course.

Many patients experience side-effects from medication. You will discuss with your doctor the best treatment regime for you; regular check-ups may be necessary.

코르티코 스테로이드 (commonly called 프레드니솔론) may be used for a year or more. These drugs act to suppress the disease. A high dose is usually prescribed at the start of the treatment, before being reduced to a ‘maintenance dose’.

NSAIDS (Non-steroidal Anti-Inflammatory Drugs) are anti-inflammatory drugs similar to aspirin; they are also mild painkillers. They are often used to reduce pain (e.g. joint pain).

Methotrexate and Azathioprine can be given in combination with corticosteroids for those with more severe sarcoidosis.

Page last updated: August 2019. Next review: August 2021.

SarcoidosisUK 관련 내용 :

사락 과증

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