Ndiyo Zviratidzo Zvangu Kubva COPD, Kushaya Kwemwoyo, kana Zvose?

Varwere vazhinji vane COPD vanewo mwoyo wekushungurudzika kwepfungwa uye pamwe chete

Kupfupika kwepfungwa ndiyo chiratidzo chikuru chechirwere chisingaperi cheplmmm (COPD) . Zvinowanzoita kuti varwere vane COPD vaende kuchivako chekukurumidzira kana kushanyira chiremba. Kuwanda kwekuwedzera kweCOPD kunoratidzira nekupfupika kwekufema, kuputika, nekukanganiswa Kana iwe uri murwere neCOPD, zvichida unoziva zviratidzo izvi zvose zvakanaka, uye zvichida iwe kana vanachiremba wako ungatora kuti zviratidzo zvako zvose zvakabatana neCOPD.

Zvisinei, zvakakosha kuchengetedza mupfungwa kuti 30 muzana yevarwere vane chirwere chisingaperi chisingagadziriswa chepodemoni (COPD) vane huwandu hwakawanda hwekuvhiringidza mwoyo mwoyo (CHF) . Mune mamwe mazwi, varwere vane COPD vane zviratidzo zvisina kuchengetedzwa zvisina kunaka zvakadai sokupererwa kwepfufu kana kuputika kunofanirwa kuongororwa nokuda kwekusagadzikana kwemoyo mwoyo (CHF).

Kufanana pakati peCOPD neCF

1. Zviratidzo: Zvose COPD uye CHF chirwere chinenge chaine zviratidzo zvakafanana: kukurumidza kufema, kukwezva , uye / kana kufamba. Mukuwedzera, CHF inogona kukonzera kuvhara kwemakumbo, izvo zvisiri chiratidzo cheCOPD, asi kwete varwere vose vane CHF vane gumbo kukurira.
2. Kuwedzeredza: Zvose COPD neCF zvirwere zvinowedzera kuwedzera, zvino zviri nani, uye zvakanyanya kuwedzera. Mamiriro ezvinhu akaipa anonzi 'kuwedzera' uye anozivikanwa zvezvikamu zviviri zvezvirwere. Kuwedzerwa kweCOPD kunogona kukonzerwa nehutachiona, kupisa (mavairasi), utsi nemafuta. CHF inowedzera inowanzokonzerwa nekushandura mune zvekudya (kudya kudya kwakanyanya mumvura), kukanganwa kutora mishonga, uye kuchinja muhutano hwehutano (somuenzaniso, chirwere chemwoyo kana zvinetso zvepvo). Muzviitiko zviviri, kana uri kutambura neCOPD kana CHF kukura, unogona kuona kuti zviratidzo zvako zviri kuwedzera. Mabasa akasiyana-siyana anogona kukuita kuti uwedzere kufema, unogona kukanganisa zvakawanda kana kunzwa uine magetsi. Iko dzimwe nguva zvakaoma chaizvo kutaura mutsauko pakati pekuwedzera kweCOPD uye kuwedzera kwechi CHF, kunyanya kune varwere vanotambura nezvose zvirwere.

1. Zvinoderera muma pulmonary function: Kana une COPD, iwe hauzivi kupfurikidza kuedza kufema, kana kuti mapirmita mabasa. Uyu muedzo unosanganisira kuputira mumushini unoyera kupora kwako, uye nhamba yekutanga yekufarira ndiyo FEV-1 (yakamanikidzwa kupera simba). Apo varwere vane COPD kana CHF vane kuwedzera, nhamba iyi inodonha, iyo inomiririra kuderera kwemapapu ekushanda. Kana imwe nguva kuwedzera kukura, nhamba iyi inofanira kuvandudza zvakare. Izvo zvakanyanya kudonha mumapapu ekushanda, zvinowedzera zvakanyanya kuwedzera-uye izvi ndezvechokwadi kune zvose COPD uye CHF kuwedzera.

Vanachiremba Vanozivisa Sei COPD neCF Apart?

1. Kuongorora Kwepanyama: Chero nguva ipi zvayo iwe uine kuwedzera kwezviratidzo, zvakakosha kushanyira chiremba kuitira kuti vagone kuongorora muviri wose. Kunyanya, vanachiremba vachatsvaka zviratidzo zvinoudza COPD neCF zvakaparadzana. Kuti zviongorore mapapu, vanachiremba vangaona hurumende (iyo inowanikwa panguva dzose dzeCOPD neCF exacerbations). Zvisinei, kana dambudziko racho riri kunyanya CHF, ipapo ruzha runonzi "crackle" (rinoreva kuti mvura yakagadzirwa) inogona kunge iri inzwi guru. Vanachiremba vanogonawo kuongorora makumbo ako kuti aongorore nekuputika, iyo inetso yakawanda muCF asi zvishoma kudarika kweCOPD kuwedzera. Kuongorora kwepfungwa kunogona kuzarura mutsutsinye, izvo zvinowanzoitika apo CHF inetso uye mitsipa yemutsipa inogona kusiyaniswa iyo inogona kureva kuchengetedza kwemvura. Zvose izvi zvakawanikwa ndezvinyorwa, zvisinei, uye hapana kana chimwe chezvazvo chinotsigira kuti chirwere chimwe chinokonzera zviratidzo zvako kune imwe.
2. Chest-xrays: Chifuyo x-ray ndeimwe nzira iyo vanachiremba vanogona kutarisa kuti vaone musiyano pakati pekuwedzera kweCOPD uye kuwedzera kwe CHF kune varwere vanogona kunge vane zvirwere zvose. Apo murwere ane CHF kukura, kuwedzera kwemvura kunenge kwakapoteredza mapapu, uye izvi zvinogona kuonekwa mubhokisi x-ray. Zvisinei, kana zviratidzo zvacho zvichinyatsoitika nekuda kweCOPD, saka izvi zvinenge zvisingaonekwi.

1. Echocardiograms: An echocardiogram is ultrasound of the heart. Inobvumira vanachiremba kuti vaone kutaridzika kwemoyo, kubuda kweropa, uye kupemha basa remuviri wemwoyo pachako. Kana mwoyo wakashanda wakaderedzwa (dzimwe nguva unonzi chikamu chiduku chejoko), izvi zvinogona kuita kuti munhu ashuke kubva kuna chiremba kuti CHF ndiyo dambudziko guru. Kana mwoyo uri kushanda kazhinji, izvi zvinogona kuita kuti chiremba afunge kuti COPD ndiyo dambudziko guru, pane kudaro. Yeuka, zvakadaro, varwere vangave vane zvinetso ZVINHU, uye naizvozvo zvose izvi zvinogadziriswa zvinofanira kutorwa mumugariro.
2. Kuyera ropa . Pakupedzisira, kuongororwa kweropa kunonzi BNP, kana kuti basic natriuretic peptide ingave yakakwirira zvikuru panguva yekuwedzera kweCFF. Uyu muedzo unogona kubatsira zvikuru kana wakaderera, nokuti izvozvo zvinoratidza kuti moyo hausi kunyanya kushanda.

Ndezvipi Kusiyana Mukurapa?

Nokuda kwekuwedzera kweCOPD , kurapwa kunosanganisira bronchodilators kana steroids inhaled pamwe nemuromo steroid (sainzi prednisone) kana dzimwe nguva IV steroids. Varwere vane kuwedzera kweCOPD vanofanirawo kugamuchira nebulizers kana albuterol inhalers . Kazhinji, mishonga inorwisa mabhakitiriya inorayirwa zvakare.

Nokuda kwechifambiso cheCF, chirongwa chikuru chinosanganisira diuretics (yakadai seLasix kana Bumex). Chimwe chitsva CHF chinokurudzira chinofanira kukurudzira kushanyira cardiologist yako kuitira kuti uve nechokwadi chokuti hakuna matambudziko emwoyo matsva akabuda angave akakonzera kuwedzera kwezviratidzo. Mimwe mishonga inogona kugadziriswa kana kugadziriswa panguva yechirwere cheCF uyewo, nguva dzose inogara iri pfungwa yakanaka kutaura nechiremba wako kana iwe uine zviratidzo zvitsva.

Apo varwere vane zvose COPD neCF zvinowanzovaomera kuvatsanangurira-uye kazhinji, varwere vangave vane zvirwere zvose izvo zvinowanzotarisana nenguva imwechete. Vanachiremba vanowanzobata zviratidzo zveCOPD uye zviratidzo zveCFP panguva imwe chete kana zvisiri zvachose zvakajeka kuti chirwere chinokonzera zviratidzo zvakanyanya uye mirayiridzo inokurudzira kupfuurira varwere vane mwoyo unopererwa pamishonga yavo yezvino yemishonga (kusanganisira beta blockers) uyewo kurudzira kupfuurira kwemishonga yeCOPD kana zvose zvirwere zviri kugovera zviratidzo.

The Bottom Line

COPD neCF zvakafanana zvikuru maererano nezviratidzo nezvimwe zvakawanikwa, uye varwere vakawanda vanotambura nezvirwere zvose. Nokudaro, hazvisi zvisizvo kuti vanachiremba vakuitirei zvose COPD neCF panguva imwe chete kana zvisiri pachena kuti chirwere chii chinokonzera.

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Chirongwa Chepasi Pese Chekudzivirira Kupera Zvirwere Zvirwere (GOLD Guidelines) 2016