Chirwere chepachimara uye chisingagadziriswi chinokonzera chirwere cheplmm (COPD) zvirwere zvisingaperi zvemafunguro emhepo kuti zvose zvinodzivisa, kuvhuvhuta, uye kuendesa kwehupenyu hyperresponsiveness sechikamu chemuitiro wezvirwere.
Muhutema, kuvhiringidzika kwepakati, kushanduka, uye mapapu basa rinodzokera kune zvakajairika. Kune rumwe rutivi, kudziviswa muCOPD hakugoni kushandiswa uye kunowanzofambira mberi.
Chirwere chinowanzofungidzirwa sechirwere chehutachiona hwehutano uye COPD inofungidzirwa kukura muhupenyu hwehupenyu semugumisiro wekusvuta. Kunyange zvazvo inowanzotarirwa zvirwere zvakasiyana, kune vamwe vane chirwere chinoputika chinonzi ACOS kana kuti asthma chronic obstructive pandmonary disease. Overlap Syndrome. Iko kunowanikwa kune yakawanda sezvo varwere vachikura.
I "Dutch hypothesis" inotaura kuti asthma uye kufamba kwemhepo zvisina kunaka zvinokonzera varwere kuenda kuCOPD gare gare muupenyu. Pfungwa iyi inowedzera zvinokonzera kuti mweya, chirwere cheCOPD, chronic chronic bronchitis, uye emphysema zvinongova maonero akasiyana pane imwe chirwere chinorwara.
Inosangana neSyndrome Criteria
Kunyatsoongorora huwandu hwechirwere kunogona kuva kwakaoma nokuti dzidzo dzakawanda dzechirwere dzinosanganisa varwere veCOPD uye zvidzidzo zveCOPD zvisingabatsiri varwere vemafi. Nyanzvi dzinobvumiranawo pane zvinoratidzirwa, asi funga zvinotevera pakuita kuti uongororwe:
- Chirwere chekuongorora chiremba chechirwere neCOPD mumurwere mumwechete
- Nhoroondo kana uchapupu hweatopy dzakadai se:
- Hay fever
- Yakawanda IgE yakawanda
- Zera makumi mana kana kupfuura
- Nyaya yekusvuta inopfuura 10 pack-makore
- Postbronchodilator FEV1
- FEV1 / FVC chiyero chedarika makumi manomwe
- Kuvandudzwa kwe FEV1 uye nhepfenyuro yepamusoro iri kutevera bronchodilator
- Eosinophilia mu sputum
Kurapa kweAACOS
Kana chiremba wako achidavira kuti une ACOS, ivo havana zvakawanda munzira yekutungamira sezvo pasina chirongwa chekliniki yekuedza chirongwa chekubatsira kutungamirira maitiro ekurapa muAACOS.
Zvisinei, chiremba wako angangotevera hurumende yekurapa mazano ekutungamira kuderedza kushandiswa kwemhepo.
Kana iwe uchiramba uchisvuta, kusvuta kupedza chinangwa chinokosha chekuderedza magumbo, chifupa chisimbiso, kukohwa , uye kupererwa kwemhepo .
Kurapwa kweAACOS, kufanana neAsphma neCOPD inosanganisira:
- Muchidimbu-kuita bronchodilators kana SABAs: Varwere vane hutachiona neCOPD vanopiwa kurapwa ne-bronchodilators uye kurapwa kunoenderera mberi nekugadzirisa zviratidzo. SABAs inoshandiswa pakurapa zviratidzo zvakaoma.
- Kubata kwenguva yakareba bronchodilators kana LABAs: LABAs zvinoshandiswa zvakajeka sechimwe chepodhesi muCOPD, asi kwete mukurapa kwechirwere nekuda kwehuwandu hunobatsira hweSteroid inhaled.
- Anticholinergics: MuCOPD, anticholinergic zvinodhaka zvinopa zvakaenzana nehurumende inopesana nekuenzanisa ne beta agonists. Nzira yekugadzirisa mutachiona muCOPD inobva pane zvamunopindura mushonga mumwe nomumwe mumwechete kana pamwe chete.
- Inhaled steroids: Kuputika is asthma inobva kune eosinophils asi kuputika kubva kuCOPD kunobva kuutachiona . Muchizivo chetema steroid chinoputika chinoshandiswa kare pane COPD.
- Systemic steroids
- Mishonga inorwisa mabhakitiriya: yekuenzanisa uye yakanyanya kuipa kweCOPD kuwedzera. Mishonga inorwisa mabhakitiriya haifaniri kurongororwa sezvinonyanya kuvharidza kupora kune utachiona.
Kana chiremba wako achifungidzira kuti kune humwe huripo pakati pe asthma neCOPD, kuongorora kwako uye kurapwa zvingangoita sekusanganiswa kwezvose zviri zviviri.
> Sources
> NGM Orie. The Dutch Hypothesis
> National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma.
> Papaiwannou > A et al. Chirwere cheAhmh-chronic obstructive chirwere chinoputika syndrome (ACOS): mabhuku anhasi > kuongorora. >. > J Thorac Dis. 2014 Mar; 6 (Suppl 1): S146-S151.