Kusiyanisa pakati peAsphma neCOPD haina kushandisa kuti ive dambudziko. COPD yainyanya kuva dambudziko revarume vakuru vakatsvaga. Sezvo vakadzi vakawanda nevaduku vakatanga kusvuta, zvisinei, chiso cheCOPD chakatanga kuchinja.
Somugumisiro, asthma neCOPD zvino dzimwe nguva zvinogona kuvhiringidzika. Nyeredzi neCOPD inoitika kune vose vaduku nevakuru, varume nevakadzi. Tichakurukura zvinhu zvingakubatsira kuti uone kusiyana kwema asthma neCOPD.
Uyezve, COPD ine rusarura rwemagariro evanhu iyo hupfumi huri kuisa pairi. Somugumisiro, ini ndinowanzove nevarwere vauya kwandiri vachitaura kuti vane asthma apo vane chaizvo COPD. Izvi zvinogadzira marwadzo ekurapa sezvo marapirwo emamiriro maviri aya haasi akafanana.
IAAA neCOPD Izvozvi?
Zviratidzo zveAsthma neCOPD zvakafanana mune zvose zvinogona kutungamirira kune:
Zviratidzo izvi zvinotarisana zvakasiyana muhomwe neCOPD. Uine COPD, iwe unowanzova nehusiku hwekukanganiswa kwemazuva ano huri nani huri nani. Kuchinja mukukanganiswa kwemuti uye ruvara rwemapulegi zvinowanzoshandiswa nachiremba wako sezvinyorwa kana kuwedzera kweCOPD kuripo. Zuva rekukanganiswa kune chimiro chebronchitis isingaperi, chimiro kana zvimwe zvakasiyana zveCOPD.
Chifu chisimbiso uye chikwata chinokonzera (kunyanya usiku) chinowanzosangana neApmma. Zviratidzo izvi zvichaita uye zvinoputika nehutachiona hwehutachiona.
Apo yako yepimma yakanyatsogadziriswa, unoona nguva dzenguva kana iwe usina chiratidzo-kusina.
Zvisinei, pathophysiology yeAsphma neCOPD yakasiyana zvikuru. Kunyange zvazvo zviratidzo zvingave zvakafanana, nzira inotungamirira kune zviratidzo yakasiyana.
Zvose zvemafi neCOPD zvinogona kuonekwa sezvirwere zvinopisa, asi kuputika kunobva kumhando dzakasiyana dzemasero.
Mune pathophysiology yehuputi, kuputika kunoguma kubva pakugadzirwa kweeosinophils, asi kuvhiringidza muCOPD kunosanganisira kuburitsa neutrophils uye macrophages kwemakore mazhinji.
Mibvunzo yakawanda inogona kukubatsira kuziva kuti chii chaungave iwe:
- Ndakanga ndiri nemakore mangani pandakaongororwa? COPD inowanzova chirwere chevanhu vakwegura, nepo vazhinji, asi kwete yose, chirwere chinorwara chinowanikwa muhucheche kana muhucheche. COPD haisi inowanzoongororwa isati yava nemakore makumi mana.
- Ndakambosvuta here? Kunyange zvazvo varwere vazhinji vane utachiona husi, vashoma vemazamu vasati vasvuta. Kunyange zvazvo vamwe varwere vane COPD vasina kumbobvira vasvuta, vanopfuura 80% varwere vane chirwere cheCOPD vakambosvuta munguva yakapfuura kana vari kusvuta iye zvino.
- Chii chinotungamirira kuzviratidzo? Vazhinji vevarwere veCOPD vanoona zviratidzo zvezuva nezuva apo varwere vemafi vane nguva yakakura pasina zviratidzo. Uyezve, varwere vemafi anowanzokonzera zvakadai semapenene kana zvimwe zvisizvo izvo, kana zvisingabvumirwi, zvinoita kuti kusavapo kwezviratidzo. Vachirwere veApmma maperembudzi basa rinodzokera kune zvakasviba kana pedyo nevakashure mushure mekuwedzera kwekurapa kwechigoniconstriction, kuendesa kwekunze kwemhepo, uye kuputika kwepasi. Vatori veCOPD vanogona kunonoka kuderera mumapapu kuburikidza nokurega kusvuta, asi mapapu avo haashanduki kuhutano. Vatori veCOPD vanowanzotsvaka kutarisirwa nekuda kwekufema kwekufema uye pakupedzisira, varwere veCOPD vane kuderedzwa kwekuita muviri. Kwapera nguva COPD varwere vanowanzokanda kushaya uremu, vakaderedza simba, uye hupenyu hwehupenyu pamwe nekuderera kwavanoita simba ravo.
Kuita kuti nyaya iyi iwedzere kuvhiringidza, vamwe varwere veCOPD vanogona kuva nechirwere chinonzi asthma. Uyezve, vamwe varwere vemafi vanosima uye vari pangozi yekugadzira COPD-kufanana nemumwe munhu anoputa.
Vamwe varwere veCOPD vanoratidzira kudzoka pamapurmonary lung function test. Kana pane chikamu chinoshandiswa kuCOPD yako, iwe unogona kunzi kuva nechirwere chinonzi asthma. Kana paine zvishoma zvishoma zvekudzoka, hapana chimiro chechimiro chiripo. IAmerican Thoracic Society inotsanangura kushanduka sekuita se-post-bronchodilator kuwedzera mu FEV1 yevanenge 12% kune vose COPD uye asthma.
Muchiitiko ichi, zvirwere hazvisi zvakafanana.
Kuwanda kwekudzoka kunowanzosanyanya kudarika mumurwere weCOPD uchienzaniswa nehm asthmatic.
Ndiyo zviratidzo zveAhma naCOPD Izvozvi?
Chirwere neCOPD zvinogona kuita kuti zvose zvive nemhepo, chifuva chisimbiso, kupera kwekufema, uye kuora kwenguva refu. Kunyange zvakadaro, zviratidzo zvinowanzoitika uye zviratidzo zvinokonzera muAsthma neCOPD zvakasiyana. Uine COPD, iwe unowanzova nekukanganiswa kwemangwanani, kuwanda kwezvipembenene, uye zviratidzo zvinoramba zvichiitika. Kana iwe une asthma, iwe unowanzoita zviratidzo zvezvikamu uye / kana usiku. Uyezve, zviratidzo zvechirwere zvinogona kuitika mushure mekutarisana nezvimwe zvinokonzera.
IAAA neCOPD Zvirwere Zvakangofanana here?
Kunyange zvazvo chiremba wako angashandisa imwe yemishonga imwechete yekurapa kweAsphma neCOPD, "iyo, sei, uye sei" yemishonga iyi inogona kunge yakasiyana.
Chinangwa chekurapa muhutema ndekuve kusina zviratidzo-zvisingasviki-zvinowanzoitwa mapapu kana chinangwa cheCOPD kurapwa ndechekudzivirira kufambira mberi kwekukanganisa kumapapu, kuderedza kuwedzera, nekuvandudza hupenyu hwehupenyu. Mishonga inoshandiswa mune zvose mafi neCOPD inogona kusanganisira:
- Inhaled steroids: Inhaled steroids, yakadai seFovent, inobatsira mune zvose zveAfm uye COPD nokuti mishonga inoshanda zvakananga mumapapu - asi inhaled steroids inoshandiswa zvakasiyana mukurapa neCOPD. Muhutema, steroid inoputika inowanzotanga kushandiswa apo mushonga wezuva nezuva unenge uchidiwa, kazhinji mushure mokunge iwe uchifambira mberi uchibva pakati pakati kusvika kune unyoro hunoramba huchiita. MuCOPD, steroid inhaled inowedzerwa mushure mekunge varwere vachikurisa zvakanyanya COPD uye zvakanyanya kuwedzera.
- Anticholinergics: Kunyange zvazvo nguva shomanana yekuita anticholinergics, yakadai seAtrovent, inoshandiswa mukurapa kwemaitiro anonyanya kukurumidza kuora mwoyo, nguva refu inoshanda anticholinergics seSpiriva haigoni kushandiswa semutungamiri wemishonga muhutema. Spiriva, zvisinei, inoshandiswa kare kare muna COPD nokuti yakabatanidzwa nekuvandudzika mumapapu ekushanda, zviratidzo, uye hupenyu hwehupenyu nekuderedza kuwedzerwa kweCOPD uye hospital hospital.
- Muchidimbu-kuita bronchodilators (SABAs): Muhutema, SABAs inoshandiswa pakuburitswa kwenguva nenguva kwezviratidzo zvakakomba, asi kana ukashandisa SABA zvakakwana kuti uwane zvinoratidzirwa zvechirwere chinoramba chiripo, mimwe mishonga inodiwa. Kune rumwe rutivi, kurongwa kweSABAs ndeimwe yezvokurapa kwekutanga kweCOPD.
- Long-acting beta agonists (LABAs): Kunyange zvazvo vashandi venguva refu vakaita se Serevere vangashandiswa senzira yakakodzera yekurapa kweCOPD, LABAs hadzisi kuratidzwa muchirwere kusvikira iwe uchinge uchinge uchinge uchitenda.
- Kuvhiya: Izvi zvinowanikwa chete kuCOPD. Iyi kurapa inowanzochengeterwa varwere vakakundikana kurapwa kwerapi. Ikozvino pane zvimwe zvirwere zvishoma zvisingasviki apo varwere vanogona kuwana zvikomborero zvekugadziriswa kwemapapu kuburikidza nekuita zvishoma zvishoma.
- Bronchial Thermoplasty : Muchirwere ichi chete kurapwa, varwere vane chirwere chakasimba chinoramba chiripo chisina kunyatsochengetedzwa nekarticosteroids inoputika uye yakareba-acting beta-agonists, inoshandisa bronchoscopy inoshandisa kupisa kumhepo yako yekuderedza kukwanisa kwavo kugadzikana uye kupfupika mushure mekutsvaga kune zvinokonzera zvinogona inotungamirira kurwisa kwechifu .
Kana iwe usina chokwadi kana une COPD kana chirwere chemafi, ita nechokwadi kuti unoona chiremba usati waedza chero mararamiro ehutano.
Sources:
National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma
Tinkelman DG, Price DB, Nordyke RJ, Halbert RJ. Misdiagnosis yeCOPD uye asthma munharaunda yekuchengetedza varwere vane makore makumi mana uye kupfuura. J Nyota. 2006 Jan-Feb; 43 (1): 75-80.
Kuebler KK, Buchsel PC, Balkstra CR. Kusiyanisa chronic obstructive chirwere chemaplmma kubva kuchirwere. J Am Academy Nurse Pract. 2008 Sep; 20 (9): 445-54.