Kubva pane zvatinoziva pamusoro peCOPD , inowanzogara iri mumhepo. Maererano neHome Initiative for Obstructive Lung Disease, kukanganisa kwakaitwa nechirwere chehupenyu hwechirwere cheCOPD kunoenderana nekuoma kwezviratidzo zveCOPD , uye kune humwe zvirwere, zvinonziwo co-morbid conditions.
Nhasi data inoratidzira kuti kune avo vane makore makumi matanhatu nemashanu kana kupfuura, kusvika pa25% vane zvinyorwa zviviri zvinokonzerwa nemamorbid, uye 17% vanotaura vatatu. Nemhaka yezviyero izvi, zviratidzo uye zviratidzo zvekuvhiringidza zvakakosha kuziva uye kuudza chiremba wako. Nyaya inotevera ichakubatsira iwe kuti uite izvozvi:
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Lung CancerKanza yemaperembudzi inowanikwa apo masero ezuva ese ari mukati memapapu mutate uye anokura kunze kwekutonga. Kansa yemaperembudzi ndiyo inokonzera kukonzera kufa mumurume uye wechipiri chinokonzera kukonzera rufu kune vakadzi pasi rose. Nemhaka yokuti kenza yemapapu uye COPD inonyanya kukonzerwa nokusvuta, hazvishamisi kuti zvirwere izvi zviviri zvingavepo.
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Cor PulmonaleCor pulmonale is complication of emphysema , iyo inokonzerwa nekuwedzera kweropa mukati moutano wemapurmonary, mudziyo unotakura ropa kubva pamwoyo kusvika kumapapu. Izvi zvinotungamirira pakuwedzera uye kukanganisa kwakatevera kwekakarurama kwemoyo. MuCOPD, cor pulmonale inokonzerwa nehuwandu husingaperi hwehutomu-oxygen mazinga.
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Pulmonary HypertensionKuwedzera kwehuwandu hwepulmonary hunoitika apo kune zvisina kufanira kukwirira kudzvinyirira mukati memidziyo yeropa yemapapu. Icho chinetso chakajairika cheCOPD. Mune mishonga yeupemenia, mishonga yeropa inowedzera, inopenya uye yakaoma. Izvi zvinoguma nekuguma mumhepo shoma shoma mumuviri wose.
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Bhakteria PneumoniaNyumoniya yakaonekwa muCOPD inowanzokonzerwa nebhakitiriya shoma inozivikanwa seStanptococcus pneumoniae. Nemhaka yokuti varwere veCOPD vane utachiona husina simba hwehutachiona, ivo vari pangozi yakawanda yekuita bhakitiriya pneumonia. Kana ikarapwa, inoporesa zvikuru. Kuruboshwe kusina kutenderwa, bhakitiriya pneumonia ine uwandu hwevanhu vanofa nevanenge makumi matatu kubva muzana.
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Kukanganisa Mwoyo KusakundikanaKukanganisa mwoyo kusakundikana (CHF) ndiyo inokonzerwa apo mwoyo usingagoni kupompa ropa zvakakwana mumuviri wose kuti urambe uchienderera mberi. Izvi zvinokonzera kuchengetedza kwemvura mumapapu maviri uye mumuviri wose. Hazvisi zvisizvo kuona kuonekwa kweCOPD neCF, kunyanya mumatanho akapfuura echirwere chacho.
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PneumothoraxPneumothorax inowanzoitika nekuda kwegomba rinowedzera mumapapu, rinobvumira mweya kutiza munharaunda yakapoteredza mapapu, zvichiita kuti mapapu aende zvishoma kana zvachose. Vanhu vane COPD vari pangozi yakawanda yepneumothorax nokuti sangano remapapu avo harina simba uye rinotambudzwa nekuvandudzirwa kwezvimwe zvikwata zvemhando.
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BronchiectasisKazhinji kacho kunokonzerwa nokuputika nekupora kwemhepo, bronchiectasis inogona kunge iri kuberekwa, zvinoreva zviripo pakuberekwa, kana kuti munhu angagara akazvigadzirirwa sechikonzero chezvirwere zvepabonde, zvakadai sepneumonia, masheya, furuza kana chifuva. Bronchiectasis inoonekwa sechivharo chemapapu chinokanganisa, uye inogona kunge ichiri yoga kana ichibatanidzwa nemamwe marudzi eCOPD.
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AtelectasisAtelectasis inotsanangurwa sechikamu chechikamu, kana kuparara kwepapupa. Inokonzerwa nekudzivirirwa kwemhepo kana kupikisa kubva kunze kwepapu. Atelectasis inonyanya kuonekwa mushure mekuvhiyiwa kana panguva yekurara kwenguva refu-asi, vanhu vane chirwere chepapu chepachivande vanewo mungozi mukuru wekuvandudza mamiriro acho.
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GERDGastroesophageal reflux disorder, kana GERD, inowanikwa apo mutsara we sphincter uri muzasi wako unopfigira zvakasimba. Izvi zvinoreva kuti chero chikafu kana mvura iyo inonwa, pamwe chete nehasha yepamu asidi, inokonzera kumashure kusvika munharaunda yako. Chiitiko cheGERD chinoratidzika kuva chakakwirira pakati pevarwere vane COPD, uye zvidzidzo zvinoratidza kuti GERD inowedzera dambudziko rekuwedzera kweCOPD .
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Chirwere chemoyoChirwere chepfungwa chirwere chemukati chemukati wakawanda wemamiriro ezvinhu emwoyo anokanganisa moyo wemisvo pachake, mavheti emwoyo, maronary coronary uye yemhepo yemagetsi. Kufanana neCOPD, chirwere chemwoyo chimwe chimwe chiitiko umo kusvuta kunonyanya kukonzera njodzi, saka hazvisi zvisiri izvo kuti varwere veCOPD vanogonawo kutambura nehosha yemwoyo.
Sources
> Global Initiative Yokudzivisa Kurapa Kwemapfupa. Global Strategic For Diagnosis, Management, uye Prevention of COPD. Mirayiridzo ye 2009.
> Reuters Health. COPD inogona kukonzera matambudziko e-acid reflux. 2008, December.
> Rascon-Aguilar IE, et al. Basa reGastroesophageal Reflux Dhiyabhorosi muOkuwedzera kweCOPD. CHEST 2006; 130: 1096-1101.