Uye Ko Pneumonia Inogona Kuita Chirwere Chepfungwa Here?
Pasina nguva refu, ndakanga ndiine murwere achipinda muhofisi yangu achinyunyuta kuti vaiva nechirwere chinonzi asthma pneumonia . Ndisingarangariri chirwere chinonzi pirumia sechirwere chandainge ndadzidza pamusoro pekuchikoro chechiremba, ndakamubvunza kuti airevei nemamiriro aya. Mukutaura naye, munhu uyu ane nguva refu kwenguva refu anofunga kuti mweya wake wakanga wakonzera pneumonia kwaaida kutsvaga kurapwa.
Mushure mekushanyira kwake, ndakaona vanhu vazhinji vakandibvunza mibvunzo miviri yakafanana pamusoro peAphma pneumonia pamusoro pemakore:
- Ko homa inokonzera pneumonia here?
- Ko pneumonia inogona kukonzera chirwere?
Ngatitarisei mibvunzo iyi yose uye nei vachikosha.
Chirwere uye Pneumonia
Kuti tibvunze mibvunzo iyi, tinofanira kutanga tanatsanangurira izvi. Chirwere chepfungwa inzvimbo umo mune kuvharidzirwa kunoshandiswa kwemhepo. Inowanzobatanidzwa nekuputika. Pineumonia , zvakasiyana, chirwere chemapapu chinokonzerwa nemavirusi, mabhakitiriya, kana fungi. (Ikemikari pneumonia inogonawo).
Zvinokonzera Nengozi Dambudziko
Zvakakoshawo kusiyanisa zvinokonzera uye njodzi. Kusiyana nechikonzero, chinokonzera ngozi chinowedzera njodzi yeimwe chinhu chinenge ichiitika asi hachisi chikonzero. Somuenzaniso, kushambira mugungwa kunogona kukonzera njodzi yekudziya mvura asi haisi chikonzero chokumira. Pane ngozi inogona kusakonzera chirwere asi inogona kukuraira kuti uwedzere chirwere chacho.
Chirwere Chimhosva Sechikonzero chePneumonia
Isu takatanga kuva nehanya shure kwekubatana pakati pekurapwa kweCOPD uye pneumonia yakawanikwa. Panguva ino, kuongororwa kweongororo yakagutsikana kuti avo vanoshandisa steroid inhaled pamwe nevekare-acting beta agonists (LABA) (inonzi steroid inoputira / LABA pamwe chete neCOPD) inowanzoita kaviri kacho kukudziridza chirwere chinonzi pneumonia sevanoshandisa LABA chete.
NeCOPD, zvinoratidzika kuti Flovent (fluticasone) inobatanidza nematambudziko aya kakawanda kupfuura Pulmicort (budesonide).
Chidzidzo che 2017 chakawana mamiriro akafanana nea asthma. Vanhu avo vakabatwa ne- steroid inhaled for asthma vaiva 83 muzana yepamusoro yekuwedzera pneumonia avo vasina kushandisa iyi inhalers. Kuwedzera kwepineumonia ngozi, kusiyana neiyo neCOPD, yakafanana nezvose Flovent naPulmicort.
Hazvinyatsozivi kuti sei steroid inhaled inowedzera pneumonia ngozi, kunyange zvingangodaro yakabatana nemigumisiro ye steroids pamuviri wemuviri. Kwenguva refu ichizivikanwa kuti vanhu vanoshandisa oral steroids (yakadai sedheumatoid conditions) vari pangozi yakakura yekudzivirira zvirwere sezvo steroid "inodzikama" maitiro ezvirwere zvemuviri.
Paunenge uchifanira kufunga nezvenjodzi iyi inogona kuitika, hazvireve kuti unotofanira kurega kutora mishonga yako yepifma. Kunyange zvazvo mishonga yose yemahara inogona kuva nemigumisiro yakaoma , steroid inoputika inogona kuvandudza zviratidzo zvechirwere zvakanyanya. Kuisa steroid inhaled inogona kuva inowedzera kuhutano hwako kupfuura pangozi yepneumonia yakataurwa apa. Ngozi yehutano uye kunyange rufu kubva pachirwere chakanyanya ( status asthmaticus ) ichiri dambudziko muUnited States uye pasi rose.
Zvinogona Kuitika Pumumonia Inokonzera Chirwere Here?
Mubvunzo wakatarisana watinonzwa ndewekuti pneumonia inogona kutungamirira kuhma. Pane huwandu hunofadza mune bhakitiriya reAypicalma rinonzi Mycoplasma pneumoniae iyo inowanzotarisirwa kufamba kufamba pneumonia. Kazhinji, utachiona uhwu hunofungidzirwa kuva wega-zvishoma, zvinoreva kuti zviratidzo zvichagadzirisa kunyange kana iwe usina kubatwa nemishonga inorwisa mabhakitiriya. Masayendisiti, zvisinei, akawana kuti utachiona hweMycoplasma pneumoniae hunokonzera zvinotevera mumhuka:
- Utachiona husingaperi: Paunofungidzirwa kuva wega-zvishoma, masayendisiti anoramba achiwana uchapupu hwehutachiona mumapapu emhuka mwedzi yakawanda mushure mekutachiona.
- Kuramba kuputika kwemapapu: Muzvidzidzo zvidzidzo, utachiona humwechete naMycoplasma pneumoniae hwakakonzera kuputira kwemapapu kwemwedzi 18.
- Zvisizvo zvinokonzerwa nemapurmonary function tests: Panguva imwecheteyo, masayendisiti akawana uchapupu hwekudzivirirwa uye huwandu hwehupenyu hwemhepo.
Icho humwe humwe uchapupu hwehukama pakati pepneumonia uye asthma kuvanhu. Masayendisiti akawana humwe uchapupu hwekuti Mycoplasma pneumoniae inogona kukonzera kuwedzera kwehutema, uye inotungamirira kukurudzirwa kweAhma inzvimbo yekutanga. Kunyanya, masayendisiti akawana:
- Mycoplasma pneumoniae inonyanya kuzivikanwa pakati pevanhu vari muchipatara neharupasi kana vachienzaniswa nevanhu vari muchipatara kune zvimwe zvikonzero.
- Mycoplasma pneumoniae inowanzowanikwa muvana vane hutachiona hwekusimudzira mweya.
- Vanenge 40 muzana yevana vane utachiona hweMycoplasma pneumoniae vachabva vaine magetsi uye asina kushandiswa kwemapirmoni.
- Vana vane astmma uye Mycoplasma pneumoniae hutachiona hunogona kunge huri nyore kuti ive nemasurupiti emishonga anoedza kushanda kwemwedzi mitatu nemakore matatu achitevera utachiona.
- Vana vanoratidzirwa kuMycoplasma pneumoniae vane mazinga akakwirira ezvimwe zviratidzo masayendisiti anoshandisa mukudzidza asthma inonzi vascular endothelial growth factor (VEGF) yakaenzaniswa nevana vasina mweya. Kushamwaridzana kweVEGF uye Mycoplasma pneumoniae inoratidza kuti izvi zviviri zvakabatanidzwa.
Chirwere, Flu, uye Pneumonia
Iwe unowanzonzwa nezvechirwere uye pneumonia apo chirwere ichi chinokonzera munharaunda yako asi pneumonia ndiyo inozivikanwa yechirwere chepachirwere chetachiona. Nepo iwe hausi pangozi yakawanda yekudzivirira chirwere chemukondombera nekuti une chirwere cheputi, iwe uri pangozi yakawanda yekuvandudza mararamiro akadai sepineumonia.
Nzira dzako dzomumhepo dzatove nedzimwe chirwere chokuputika, kuzvimba, uye dzinonyanya kukunda kupfuura avo vasina mafi. Chirwere chinokonzera kupfuva chinongoita kuti kuzvimba uye kuputika kuwedzere.
Kazhinji muviri wako unosvina zvirwere uye mabhakitiriya pavanopinda mumuviri wako. Kuwedzera kuputika kunowedzera mikana yokuti chirwere chechirwere chisina kubviswa uye chinokonzera matambudziko. Apo chirwere chepukirini chinopinda mu-alveoli kana kupfugama zviputi mumapapu ako, iyo alveoli inogona kuzadza nemvura inotungamirira kune zviratidzo zvepneumonia zvakadai sechills, kukomba, fivha, nekuoma kufema kufema.
Kana mvura yakakwana inowedzera iyo inogonawo kutungamirira kune hypoxia kana kuti kuderera kwomuviri weokisijeni muropa. Izvi zvinowanzodikanwa kugarisa.
Utachiona hwezvirwere hunogona kukonzera pneumonia zvakananga kana iwe unogona kukura bhakitiriya pneumonia inoda kurapwa kwemishonga inorwisa mabhakitiriya. Kana iwe uine chirwere ichi iwe unofunga kufunga nezvekurapa. Zvisinei, zvakanakisisa kurapwa ndekuwana chirwere chekurwara uye kuchidzivirira zvachose.
Kana iwe ukawana hutachiwana hwehutachiona, chiremba wako angada kukura yako neine antiviral. Iyi mishonga inogona kuderedza zviratidzo uye inogona kudzivirira matambudziko akaoma sepineumonia. Antiviral inoda chiremba kubva kuchiremba wako.
Chirwere Chirwere-Chiiko Nezvirwere Zvinorwisa Mishonga?
Zvichipa zvose izvi, ungangodaro unofunga kana vanhu vane astmma vane hutachiona hwekushaya chirwere vanofanira kugara vachirapwa nemishonga inorwisa mabhakitiriya. Pasinei nezvatakakurukura, hapana huripo huri kurudziro yekupa mishonga inorwisa mabhakitiriya kune vanhu vane mweya wechirwere. Kudzidzira kutarisa mishonga inorwisa mabhakitiriya yeMycoplasma pneumoniae yakaenzaniswa ne placebo yakawana kuvandudzwa kwezviratidzo zvechirwere, asi kwete mapapu. Kunyange zvazvo iri nzvimbo yekudzidza, hapano mazano anowanikwa iye zvino kuti apore chirwere chisingaperi chinonzi asthma kana kuti chirwere chemafu chinopesana nemishonga inorwisa mabhakitiriya.
Pasi pepamusoro pakunamata pakati peAphma uye Pneumonia
Pane zvakajeka kubatana pakati pemafi neya pneumonia, kunyange zvisingaoneki kuti asthma inokonzera pneumonia. Izvo zvakawanikwa ndeimwe yemishonga (inhaled steroids) inoshandiswa kurapa chirwere cheputi chinobatanidza nechinangwa chekudzidzira pneumonia. Kana uchitarisa pane zvakasiyana, pane huwandu hwakakwana huchapupu hunoratidza kuti bhakitiriya inokonzera kufamba pneumonia inogona kutungamirira kukurudzirwa kweAhma. Imwe nzira kana imwe, iyo mamiriro maviri anogona kuenda pamwe chete, uye kugadzirisa chirwere ichi kana iwe une asthma inogona kuisa pachena njodzi yako yekuenderera mberi kukura pneumonia.
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> Qian, C., Coulombe, J., Suissa, S., naP. Ernst. Pneumonia Inopedzisira Iripo muAtmh Patients Kushandisa Inhaled Corticosteroids: A Quasi-Cohort Yokudzidza. British Journal ye Pharmacology . 2017. 83 (9): 2077-2086.
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