Hazvisi Nguva Dzakanakira Kuudza
Icho chiri chipfu kana COPD here? Hazvisi nyore nguva dzose kwauri kana chiremba wako kuti ataure. Kunyange zvazvo mamiriro aya anogona dzimwe nguva anopararira, kazhinji inogoneka kutaurira kuti zvinowanzoita sei.
Mumwe muverengi akangonyorera kwandiri akavhiringidzwa nechimwe chinhu chiremba wake akamuudza. Anonyora kuti:
"My pulmonologist yakandiwana ndine chirwere chisingagadziriswi chinonzi asthma. Apo ini Google ndakare, COPD inouya.
Izvi zvinoreva here kuti ndine COPD pamwe chete neApmma? Ini ndiri mukadzi wechi 54 uyo asina kumbobvira aine chirwere chemucheche achiri mwana. Ndakagadzirisa matambudziko nemapapu angu achitevera kutonhora kwakaipa munguva yapfuura yechando. Handina kumbobvuta fodya. Ndine zviratidzo zvehutema anenge zuva rimwe nerimwe.
Mishonga yangu ndeyePair for rescue inhaler, Symbicort BID, Singulair HS uye ndiri kushandisa imba yangu nebulizer BID zvakare.
Ndakanga ndiri muchipatara mavhiki maviri akapfuura nokuda kwokurwiswa kwepfu kwemazuva matatu uye ndakagamuchira steroids uye zvirwere zveNebulizer maawa masere ose uye ndakasunungurwa pane prednisone taper kutanga pa 40 mg kwemazuva matatu. Pandakanga ndava nekurwiswa kwekushushikana kwepmma kwakanditumira kuE ER, ndakanga ndatove ndichigadzira prednisone. "
Saizvozvowo ane chirwere cheputi, COPD, kana maviri? Kupindura mibvunzo yakawanda kunogona kubatsira kuziva kana iri chirwere kana COPD. Nhamba shomanana yevarwere inogonawo kuva nemifananidzo yakavhenganiswa. Kunyange zvazvo dzakawanda zvezvipatara zvakafanana, kuti iwe unotora sei kurapwa, kufungidzira kwako, uye zvimwe zvimwe zvinhu zvakasiyana.
Ndakanga Ndine Zviratidzo Sevana Here?
Vamwe vanhu vanoita zviratidzo uye vanoongororwa vane asthma mukukura. Zvisinei, chifema chinowanzoitika kuvana nevechiri kuyaruka. Ichokwadi, vazhinji vakwegura vakwegura vanorwara vane asthma vane COPD. Chirwere chinonzi bhodal kana chirwere chakafanana neU chakakosha nokuti tinowanzoona varwere vakawanda vanowanikwa mumakore ekutanga, asi pane ichi chinhu chinokosha pakati pevarwere vari pakati pemakore 35 kusvika ku40.
Utsi hwehutachiona hwehupenyu, kusagadziriswa kwemhuka uye matambudziko anooneka muimba mumusha zvose zvave zvichiongororwa sezvikonzero zvinokonzerwa nechirongwa chechipiri. Kutevedzana kwekutanga kwechirwere ichi chinokonzera huwandu hwehutachiona hwehutano muhukuru hunhu hunogona kureva rudzi rwakanyanya rukuru runobatanidzwa nehupfumi hwemari uye hwakaoma zvikuru kuronga kliniki.
Chii Chinoita Kuti Zviratidzo Zvangu Zvepfupa Zvive Zvakaipisisa?
Kunyange zvazvo chirwere chemafu neCOPD zvose zvinodzivisa, kuvhuvhuta , uye mweya wehupenyu hyperresponsiveness sechikamu chechirwere chechirwere, chirwere cheputi chinonyanya kurwara uye varwere vanowanzoziva chii chinoita kuti zvirwere zvavo zviwedzere zvakadai se:
- Utsi hwefodya
- Animal dander
- Dust mites
- Cockroaches
- Mold
- Pollen
- Mamiriro okunze akanyanyisa
- Dzidzira
- Kushungurudzika
- Mamwe mishonga
COPD haigari inokonzerwa, asi inowanzowedzera kuipa nekuputira maitiro.
Ndinosvuta Here?
Kunyange utsi hunogona kuita kuti zviratidzo zvekusimuka, zvirwere zveCOPD zvinowanzoonekwa kune vanoputa, vaimbova vachema, kana varwere vanorasikirwa noutsi husingaiti.
Ndine Chero Zviratidzo Zvenguva Dzakasununguka?
Zviratidzo zvechirwere zvinopindirana, zvinodzokorora, uye mapapu ekushanda (semuenzaniso FEV1 uye spirometry ) kana kudzokera kune yakasununguka kana kuchinjeka zvikuru pakati pekuwedzera kwemafi. Zviratidzo neCOPD, kune rumwe rutivi, hazvigoneki uye zvinowanzobudirira.
Vazhinji vevarwere veCOPD vanoona nguva dzose kana kwete zviratidzo zvezuva nezuva. Zviratidzo izvi hazviita sezviri kuchinja maererano nekufamba kwenguva sezvo zviratidzo zveCOPD zvakakodzera. Saizvozvowo, varwere veCOPD vanoda kutora mishonga zuva rega uye havaita sevanobatsirwa kubva pane chirongwa chekuita sezvinoitwa nevarwere vepmma. Saizvozvowo, varwere veCOPD havagone kuongorora zviratidzo uye kugadzirisa mishonga sezvo varwere vemafi vanogona kubudirira kuita. Pakupedzisira, COPD inowanzofambira mberi apo apo smafu isiri.
Ungakwanisa Kuva Nehutano Hwakagadzikana Here?
Kunyange zvazvo isina kunyatsodzidza, vanachiremba vari kuwedzera kubvuma chirongwa chakavhengana chirwere. Ava vanachiremba vanotenda mune izvo zvinonzi "Dutch hypothesis" apo chirwere chemafu neCOPD chiri pane chirwere chimwe chete chinoramba chichienderera mberi pane kuparadzana, zvirwere zvakasiyana.
Iko pfungwa inokurudzira pfungwa yokuti chirwere mumapfupa makuru ndechimwe chinhu chinogadzirwa nekukura uye kufambira mberi muhuduku hwose. Zviratidzo mumunhu mukuru ndezvokupedzisira nezvibereko zveimwe chirwere chirwere.
Varwere vane hupfumi vanowanzova vakuru. Kazhinji kacho varwere ava ndevamwe:
1. vanosvuta vane asthma
2. Vasingatauri nehutachiona hwemazuva akawanda hunoenda kuCOPD
Pamusoro pekuongororwa kwehutano kunosangana nevarwere vane zvirwere zvinenge zvichita sezvinoita asthma uye zvishoma seCOPD. Pane imwe nharo mumabhuku ekurapa kuti kana izvi chaizvoizvo zvinomirira zvirwere zviviri. Mishonga, zvisinei, haisi yose yakasiyana, asi hapana maitiro ekurapa maitiro ekubatsira kurapa chiremba wako kurapwa. Sezvo huwandu hwevanhu huri hukuru kune huwandu hwekusavhiringidza inhalers kana kuve nemigumisiro kana kuti comorbidities kubva kune inhalers. Chiremba wako achakurukura kusvuta kupera, uye zvirwere zvakakodzera. Kana uchida oksijeni supplementation kana kugadziriswa kwemapurmita izvi zvose zvinonzwisisika. Kana zviratidzo zvako uye kuongororwa zvinoratidza kuti chirwere chako chakafanana neCOPD, chiremba wako angangodaro achienda mumugwagwa iwoyo uye zvakasiyana-siyana zvechirwere.
Chii Chiri Chinetso Chikuru Chako Chorwere?
Tinoda kukubatsira kuti uwane kutonga kwemafi. Ndinoda kunzwa pamusoro penharo yako huru yehma kuitira kuti tive nekuedza kukubatsira iwe kukura mhinduro kana kunzwisisa zviri nani kubatsira. Iwe pamwe hausi iye oga ane dambudziko. Tora maminetsi mashoma kutsanangura dambudziko rako kuitira kuti tive nekugadzirisa sarudzo pamwechete.
> Sources:
> Lee YL, Hsiue TR, Lee CH, Su HJ, Guo YL. Kunyanya kuvhara mumba, kuvabereki, uye kuitika kwezviratidzo zvechirwere muhukuru mucheche kweTaiwan. Chest. 2006 Feb; 129 (2): 300-8.
> NGM Orie. The Dutch Hypothesis.
> National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma.
> Papaiwannou > A et al. Chirwere cheAhmh-chronic obstructive chirwere chinoputika syndrome (ACOS): mabhuku anhasi > kuongorora. >. > J Thorac Dis. 2014 Mar; 6 (Suppl 1): S146-S151.
> Tsung-Ju Wu, Chang-Fu Wu, Yungling Leo Lee, Tzuen-Ren Hsiue, Yue Leon Guo. Chirwere cheputi, kuregererwa, kudzokerazve uye kushivirira: kuongorora kwevanhu munzvimbo yekumaodzanyemba kweTaiwan. Ongororo Yokuputira 2014 15 : 135