Misiyano pakati peCOPD neAsthma inonyatsoraramira mune pathophysiology kana kuti zvirongwa zvemuviri zvinoita kuti zviratidzo zve asthma zvivepo. Zvose zvirwere neCOPD zvinokonzerwa nokuputika uye kusagadzikana , asi kuputika kweCOPD kunokonzerwa ne macrophage uye neutrophils (maviri emasero matsvuku eropa ari chikamu chemuviri wemumusimba) uye anowedzera kwemakore akawanda.
Kuvhiringidzika kubva kuchirwere , kune rumwe rutivi, kazhinji kunowanzoitika kwenguva pfupi uye zvinokonzerwa ne eosinophils (imwe rudzi rwechichena chemukati ropa).
Chirwere cheputi neCOPD zvose zvinosanganisira kusagadzikana kusingaperi kunokonzera kuputika kwemhepo. Nyeredzi neCOPD vangave nezviratidzo zvakafanana, zvakadai se:
Zvirwere zvose zvinogona kuwedzerwa nezvinhu zvakadai sehutachiona hwehutachiona, kusvibiswa kwoutsi hwefodya nemamwe mhepo yakasvibiswa mumhepo, kusvibiswa kwezvakatipoteredza, kana kusarudzwa kwebasa. Zvose izvi zvinoratidzwa kuti ine mheyo yekufema inonzi spirometry.
Pane kusiyana, zvakadaro. Chirwere chirwere chinoshandiswa nemhepo yako inopisa uye inogumbuka mukupindura kune imwe nzvimbo . Kana izvi zvikaitika zvinowedzera kuoma kufambisa mhepo mukati uye kunze kwemhepo yako, iyo inotungamirira kuzviratidzo zvechirwere . Chirwere neCOPD inorapwa uye inopindurwa nemishonga zvakasiyana nokuti chikonzero chekuvhiringidza chakasiyana.
Zvinangwa zvekurapa muhutema neCOPD zvakasiyanawo. Muchirwere, chiremba wako achaedza kuderedza kana kudzivisa kupisa, asi chinangwa che COPD ndeche kuderedza zviratidzo.
MuCOPD, mapapu ako anowedzera kuparara nekutsvaga kune zvimwe zvinokanganisa, kazhinji nekuda kwekusagura fodya fodya.
Izvi zvinogara zvichisvibisa uye kukanganisa kunokonzera kudzivirirwa kwemhepo uye hyperinflation. Kunyange zvazvo kubuda kwemhepo muhoma kunowanzoshandurwa, kubudiswa kwemweya muCOPD kunongogadziriswa zvishoma kana kuti hakugoni kuchinjwa zvachose.Ukuvhiringidzika muCOPD hakuiti nekuda kwezvenzira, asi zvinowanzobva pamabhakitiriya.
Kusiyana Kwakawanda pakati peAhma naCOPD
Kune humwe humwe hutano hwakasiyana pakati peCOPD neAsthma:
Zera - Kusiyana kwakajeka pakati peCOPD uye asthma ndiyo nguva apo kuongororwa kunoitwa. Chirwere chinonyanya kuongororwa muhucheche kana muhucheche, nepo COPD inowanikwa mushure mehupenyu. Izvi hazvirevi kuti iwe haugone kuonekwa kuti une astmma semunhu mukuru, hazvisi zvishoma.
Nyaya yekusvuta - Pedyo nevarwere vose vane COPD vangave vakasema kana kuti vakave nehuwandu hwehutachiona hwehutachiona hwehupenyu, nepo varwere vemafi vakawanda vanowanzova vasina kusvuta. Zvinoshamisa kwandiri, inenge 1 mu4 asthmatics utsi inogona kutungamirira pakuwedzera kwemafivha uye kuora kwemapapu.
Zviratidzo - Imwe misiyano pakati pemafi neCOPD ndiyo zviratidzo zvinopindirana zvinowanikwa neAsthma zvichienderana nezvisingaperi, zviratidzo zvinopfuurira zvinowanikwa muCOPD.
Kufuridzirwa Kufuridzirwa Bhuku (FEV1) Kuchinja - Kubudirira kweFV1 kunomirira imwe kusiyana pakati peAphma neCOPD.
Muhutema, inoderera muFIVV1 kudzokera kune yakasangana pakati pekurwisana kwepmma , asi kuchinja kune FEV1 muCOPD kazhinji hakugadziriswi.
Mamiriro ezvinhu anowanzobatana - Muhutema, iwe kazhinji uchange uine mamiriro ezvinhu anokonzera chirwere chinonzi allergen rhinitis kana eczema, apo varwere veCOPD vachave vane zvirwere zvinosvuta-fodya sezvinonzi coronary heart disease kana osteoporosis.
Inhaled steroids - Kunyange zvazvo steroid inoputika inofungidzirwa kuchengetedzwa kwakakwana mumatanho ose eEsthma kudarika mukati memafupa echirwere , steroids inhaled inobatsira chete nhamba shomanana yevarwere vane COPD.
Sources:
Kuebler KK, Buchsel PC, Balkstra CR. Kusiyanisa chronic obstructive chirwere chemaplmma kubva kuchirwere. J Am Academy Nurse Pract. 2008 Sep; 20 (9): 445-54.