Chronic Bronchitis vs Acron Bronchitis - Zviratidzo uye Zvinokonzera
Chronic bronchitis chirwere chechirwere chinoparara chinokonzera chirwere chinokonzera kupora (COPD) chinokonzerwa nekuputika kwenguva refu kwebronchi , mhepo inofamba ichibva kune trachea kusvika kumapapu.
Iye zvino inofungidzirwa yechitatu yekutungamirira kwekufa muUnited States (shure kwechirwere chemwoyo nekusvuta), chirwere chisingaperi chinonzi bronchitis chinofungidzirwa kuti chinoitika mu 3.6 muzana yevanhu.
Acute vs Chronic Bronchitis
Chronic bronchitis inotsanangurwa sekukanganiswa kunobereka sputum iyo inoitika zuva rega rega kwemwedzi mitatu mumutsara, uye iyo nguva inoitika makore maviri mumutsara. Chinonyanya kukonzera kusvuta, asi kusvibiswa kwoutsi hwechipiri, kusvibiswa kwemweya, uye-in-basa chemakemikari zvinogona kukonzera izvi.
Kusiyana nechirwere chinonzi bronchitis (chiitiko chinguva chiduku chinokonzerwa nehutachiwana hwehutachiwana kana kuti kuiswa kwezvakatipoteredza), chirwere chisingaperi chine chirwere chakakomba chinosanganisira kukanganisa kusingaperi kune airways.
Bronchitis Isingaperi ndeye Form Of Chronic Obstructive Pulmonary Disease (COPD)
Chirwere chekudzivirira chirwere chepemmonicheni chinoshandiswa iye zvino chinonzi chikonzero chechitatu chekutungamirira kwekufa muUnited States. Dzimwe mhando dzeCOPD dzinosanganisira emphysema uye bronchiectasis .
Inowirirana Sei?
Muna 2017 zvinofungidzirwa kuti paive nevanhu 8,7 mamiriyoni vakaonekwa vane bronchitis isingaperi muUnited States-3.6 muzana yevanhu, sezvataurwa pamusoro apa.
Asi kunyange zvazvo vanhu vashoma vari kusvuta, chiitiko cheCOPD chisingagoneki chinonzi bronchitis chakaramba chichikwira.
Haasi munhu wese ane chirwere chisingagumi, zvisinei, akawana. Zvidzidzo zvinoratidza kuti kukura kwemapapu asingakanganisiki kakawanda kwave kuchiitwa nenguva iyo vanhu vakawanda vanoita zviratidzo zvishoma.
Zviratidzo
Zviratidzo zvehuponi husingaperi zvinofanana nemamwe mimwe mapapu uye zvinogona kusanganisira:
- Chirwere chinopfuurira chinowanzobudirira chemukoko. Ichi chifukidziro pane dzimwe nguva chinonzi chigunha chinogara chisina kuputika . Sputum inogona kuva yakajeka, yakatsvuka, yakasvibirira, kana kunyange ropa inosungirirwa.
- Kupfupika kwemweya , kutanga nega basa chete, uye gare gare pazororo.
- Kugurusa - Kurira kwekuridza kunoitwa nekugadziriswa kwepakati pemhepo.
- Huru dzepfupa - kurwadziwa nekupema , kunonzi chiruritic chifuva chinorwadza chinogona kuitika nekuda kwezvikonzero zvakasiyana-siyana, zvose nekuda kwekuputika mumapapu (kunyanya mapapu emapapu), kubva pamasisita maronda nemhaka yekufema.
Kushungurudza, zvakare, kunogona kukonzera kusuruvara kunetseka, kuneta, kuora musoro, uye nehuro. Vamwe vanhu vakatovhura mbabvu kubva pakukanganiswa.
Njodzi Zviitiko / Zvinokonzera
Zvechokwadi, kusvuta ndiyo inonyanya kuisa njodzi yechirwere chisingagumi, asi kune dzimwe dzakawanda zvimwe zvinokonzerwa nechirwere pamwe chete. Mukuwedzera, zviitiko zvinopisa zvinogona kuwedzera pamwechete kuwedzera ngozi. Zvimwe zvinokonzera ngozi zvinosanganisira:
- Kusvuta - Kusvuta kunonzi inokonzera kukwana 90 muzana yematambudziko.
- Occupational kudzvinyirira kumoto kana guruva - Muchigadziriro ichi, chirwere chisingagumi chinogona kutumidzwa se "chigadzirwa chechigoni." Kuwedzera kune maronchitis asingagumi, ku-ku-kushanda basa kunogona kuwedzera mungozi wekenza yemapapu uye inofungidzirwa kuti kusvika pamapfumbamwe makumi maviri emakondomu emapapu mune varume ane chikamu chebasa. (Kana iwe uchidavira kuti chirwere chako chisingaperi chingave chakabatana nemabasa ekushanda, ita nechokwadi kuti utaure nachiremba wako nezvekenza yemapapu ekuongorora.)
- Kuwedzera kwezera.
- Varombo vanoita zvirwere.
- Kudzokorora kupora mawere.
Kuziva
Chiremba wako achatanga kuita nhoroondo yakanyatsogadzirira uye yepanyama, nekuchenjerera kune chero njodzi dzingangove iwe unogona kuva nadzo. Pamusoro pekuongororwa mumuviri, haazongoteereri mapapu ako chete asi anotarisa zvimwe zviratidzo zvechirwere chisingaperi chepemmonal disease sekurema kwekurema uye kunyange ganda kumira. Miedzo inogona kusanganisira:
- Bhokisi re x-ray
- Bhokisi re CT scan kana bronchoscopy rinogona kuitwa zvakanyanya kurega mitemo yakadai sekenza yemapapu kana chifuva
- Sputum analysis
- Sputum tsika - Kutsvaga chero zviratidzo zvehutachiona
- Pulmonary function tests - Muchengetedza maitiro anoshandiswa kusanganisira spirometry inogona kubatsira kuita kuti kuongororwa pamwe uye kusarudza kuoma
- Oxygen level muropa rako ( pulse oximetry kana arterial blood gases)
Mishonga
Kurapa kwechirwere chisingagumi kuchaenderana nezvimwe zvinhu zvinosanganisira kuoma kwezviratidzo zvako uye kazhinji zvinosanganisira zvose mishonga uye marapirwo akadai seplmonary rehabilitation. Sezvo chirwere chisingaperi chisingaoneki, mishonga inotarisirwa kuderedza kufambira mberi kwechirwere nekuvandudza kunyaradza. Mimwe mishonga inoshandiswa inosanganisira:
Mishonga
Mishonga yakasiyana-siyana yakasiyana-siyana inoshandiswa kubatsira kuderedza kufambira mberi kwechirwere chisingagumi. Iko kurapa kunoshanda nenzira dzakasiyana uye kunogona kushandura chikamu chekudzivirira chinoshandiswa, kuderedza kuputika muairways, kana kubata chirwere.
- Bronchodilators
- Inhaled or oral steroids
- Phosphodiesterase 4 inhibitors (PDE4 inhibitors) kuderedza kupisa
- Mishonga inorwisa mabhakitiriya kana ichidiwa kuti utapukwe Vamwe vanhu vanogonawo kurapwa nemaitiro ezuva nezuva emishonga inorwisa mabhakitiriya (azithromycin) kuderedza dambudziko rekuwedzera
- Mishonga yekukanganiswa
Zvimwe Zvirwere
Mukuwedzera kumishonga, zviitiko zvakasiyana-siyana zvehupenyu, pamwe chete nemhepo yakakosha uye kuporesa inorapa inhengo inokosha yekurapa chirwere chisingaperi chine maronchitis.
- Kuita zvekuita - Chiito chemuviri chinogona kuita kusiyana kukuru kune vanhu vanorarama nehononi isingaperi.
- Oxygen therapy - Pane zvakawanda zvakabatsiro zveyerojeni therapy yeCOPD
- Mishonga yekumba - Tarisa mishonga iyi 12 yemusha yekukanganiswa
- Kuvandudzwa kwepulmonary
- Postural drainage
- Kudzivisa zviitiko zvinokonzera - Chinhu chakakosha zvikuru chekutarisira chirwere chisingaperi chine kukanganisa kwezvinhu zvinogona kuwedzera zviratidzo zvako kana kuwedzera kukuvadzwa. Chiremba wako achakutaurira pamusoro pokurega kusvuta kana iwe utsi, kudzivisa utsi hwechipiri, nekudzivirirwa kwakachengeteka kumapupuri nemafuta
- Mishonga yemakiriniki - Vakawanda vanovimbisa kliniki miedzo vari kuenderera mberi vachitsvaga nzira dzekuvandudza zviratidzo zvevanhu vane COPD uyewo nzira dzokudzivirira kubudirira
Ngozi yeLung Cancer
Hazvishamisi kuti COPD (yakadai sechirwere chisingaperi) nekenza yemapapu inogona kuenda pamwe chete sekusvuta kunogona kutungamirira kumamiriro ose maviri. Asi isu tiri kudzidza kuti COPD inogona kuzviisa pangozi yekenza yemapapu zvakare. Izvo zvinorevei ndezvekuti chirwere chisingaperi chine maroni chinokonzera njodzi yemukenza wemapapu zvikuru. Dzidza zvakawanda pamusoro peCOPD sechiitiko chemukana wekenza yemapapu.
Matambudziko
Chronic bronchitis inowedzera njodzi yezvipembenene zvepapu, uye inogonawo kukonzera njodzi yekuve nekenza yemapapu .
Sources:
Nzvimbo dzeDaase Control and Prevention (CDC). Zvirwere Zvisingagumi Zvirwere Zvirwere Zvinosanganisira: Chronic Chronic Bronchitis uye Emphysema. Updated 01/20/17. https://www.cdc.gov/nchs/fastats/copd.htm
National Library yeMishonga. MedlinePlus. Chronic Bronchitis. Yashandurwa 02/28/17 https://medlineplus.gov/chronicbronchitis.html
Poole, P., Chong, J., uye C. Cates. Mucolytic agents pamwe ne placebo kwechirwere chisingarapiki kana chirwere chisingaperi chisingavhiringidzi. Cochrane Database yekuongorora kwakarongeka . 2015 Jul 29; 7: CD001287.