Nyota, Bronchitis, Pneumonia, Pleuritis
Pakati pezvinetso zvakawanda zvisiri zvemoyo zvinogona kubudisa marwadzo epfupa ndezvimwe zvakasiyana-siyana zvinokonzerwa nemapapu. Matambudziko akawanda emapurmona anogona kubudisa - kuwedzera kune zvimwe zviratidzo - kurwadziwa kwepfupa. Izvi zvinosanganisira kushungurudzwa kwemhepo yakadai seyo asthma kana bronchitis , utachiona kana kuputika kwemapapu pachavo ( pneumonia ), kana kuvhiringidza kwembatya yemapapu (inonzi pleuritis kana pleurisy ).
Nenzira inofadza, apo kurwadziwa kwepfuva kuri kukonzerwa nemapurmonary chimiro, kazhinji hazvisi zvakaoma kuti chiremba aite chirwere chakakodzera. Saka urombo hwechipfuva hahuwanzovhiringidzika nekurwadziwa kwepfupa nekuda kwengina kana myocardial infarction .
Zvakakosha kuchengeta mupfungwa kuti mwoyo haisi yega inhengo inokosha mubhokisi. Chero ipi zvayo mapepa emapemonari ndeyematambudziko makuru ezvoutano anoda chiremba.
Chifu Chisinganzwisisiki Kubva Pamufi
Chirwere chirwere chisingagumi umo mhepo inoenda nguva nenguva inopisa kana kutsamwiswa, zvichiita kuti mishonga dzomugwagwa dzomumhepo dzirambe dzichiwedzera, zvichiita kuti kuvharidzirwa kwegungwa. "Kurwisana" kwechirwere kunogona kukonzerwa nekutsvaga kumhepo inotyisa, kufungidzirwa kumhepo inotonhora, kushandisa-kana kuti kazhinji, kusina chinhu chaicho chinogona kuonekwa. Panguva yekurwiswa, mhepo inoenda kunopera, uye inova yakaoma kudzinga mweya kubva kumapapu.
Mukuwedzera pane kupfupika kwekufemerwa, kuputika nekukanganiswa, munhu ane chirwere chinonzi astmma anogona kuona chifukidzo chakakura chepfupa, kana kurwadziwa kwepfupa.
Ichi chikafu-chikaita chisimba chechifu chinokonzerwa nekudzvinyirira kwemafupa anodiwa kunodzinga mweya kuburikidza nemhepo yakasimba, iyo inogona kutungamirira kumusungo kuneta uye kushungurudzika.
Kungofanana nedzimwe nhengo dzemafupa, misumbu yepfupa inokuvadza kana ichishandiswa.
Pane imwe nguva chiitiko cheAphma chinokodzera kurapwa, chifupa chisimbiso chinobva - kunyange zvingasara kusuruvara kwezuva rimwe chete kana maviri.
Izvi zvinorwisa zvakanyanya zvinokonzerwa nehutachiona zvinogona kuderedzwa zvakanyanya kana kubviswa nekurapa kwakakwana .
Chifu Chisinganzwisisiki Kubva Bronchitis
Kufanana nechirwere chepimma, bronchitis inzvimbo inoratidzirwa nekudzivirirwa kwemhepo, kunyange zvazvo bruchitis chidziro chinokonzerwa nokuputika uye kuputika kwechigadziko chemhepo uye kuunganidza masikiti, panzvimbo pekunyungudzana kwemisimba. (Vanhu vane chirwere chisingaperi chisingagumi, zvisinei, kazhinji kacho vanewo chikamu chemafi.)
Bronchitis inogona kunge iri mamiriro akaoma (kazhinji anowanzobatanidzwa nehutachiwana), kana inogona kunge isingagumi - chimiro chechironic obstructive chirwere chepemmonic.
Nemhaka yokuti ihwohwo hutachiona hwekudzivirira kwemhepo, chiremera cheputi chinosangana nebronchitis chakafanana zvikuru neicho chinokonzerwa nehutema.
Chep Pain Pineumonia
Chirwere chinoputika chirwere chemapapu pachako, kazhinji chinokonzerwa nehutachiona. Pneumonia inogonawo kubudisa marwadzo epfupa. Zvinorwadza zvinowanzokonzerwa nemisumbu inoshungurudza kubva pakukanganiswa kukuru, kana nekuputika kwechikamu chemapapu (pleurisy).
Chest Pain From Pleurisy
Pleurisy (kana pleuritis) ndiko kuputika kweganda yemapapu. Inogona kukonzerwa nemitemo yakasiyana-siyana inosanganisira utachiona hwehutachiona kana bhakitiriya; autoimmune zvinetso zvakadai se lupus kana rheumatoid arthritis ; mishonga inosanganisira procainamide, hydrazine uye isoniazid; pneumothorax ; chifuva chokuvhiya; uye kenza.
Marwadzo anokonzerwa ne pleuriy anowanzova akajeka. Nokuti rutivi rwemapapu rwakatsamwiswa, chero chinhu chinotambanudza mapapu emapapu chinokonzera marwadzo. Izvo "chero chinhu" chinosanganisira kufema.
Saka "kurwadziwa kwepamuviri" ndiko kurwadziwa kwepfuva kunokonzerwa nokutora mweya, kuhoora, kana kutamisa chifuva.
Iyo kurwadziwa inogona kuwanikwa kune imwe nzvimbo yebhokisi (kana kuti pfudzi), kana inogona kuitika.
Pleuritic zvinorwadza dzimwe nguva zvakafanana nekurwadziwa kwe pericarditis , uye zvechokwadi nezvipembenene zvekudzivirira ( kusanganisira Dressler's syndrome ), vanhu vanogona kukura zvose pericarditis uye pleurisy (chirwere chinonzi pleuropericarditis).
Kamwe kana kuputika kwechirwere kunokodzera kurapwa zvakakwana, kurwadziwa kunorwadza kunogadzirisa.
Shoko Rinobva
Kuora kwepfupa kana kusagadzikana kunokonzerwa nezvinetso zvepermonary zvinowanzoita zvakakwana zvokuti hazvifaniri kuvhiringidzwa navanachiremba nemarwadzo ekurwisa kwemwoyo.
Asi imwe yemamiriro aya emapapu ndiyo pachayo inokosha yehutano iyo inoda kuongororwa uye kurapwa nachiremba.
> Sources:
> Bösner S, Becker A, Haasenritter J, et al. Chep Pain In Primary Care: Epidemiology Uye Pre-Work-Up Probabilities. Eur J Gen Pract 2009; 15: 141.
> Global Strategic For The Diagnosis, Management, And Prevention Of Chronic Disorders Pulmonary Disease: Revised 2011. Global Initiative for Chronic Obstructive Lung Disease (GOLD). www.goldcopd.org (Yakasvika panaSeptember 10, 2012).
> Nhepfenyuro yeNyika Yedzidzo uye Kudzivirira Purogiramu: Ruzivo Rwesangano reZvipi Iii: Mirayiridzo Yekuziva uye Kutungamira Kwechirwere. Bethesda, MD: National Heart, Lung, uye Blood Institute, 2007. (NIH nhamba nhamba 08-4051) www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm (Yakasvika musi waDecember 04, 2014).
> Verdon F, Herzig L, Burnand B, et al. Chep Pain In Daily Practice: Occurrence, Zvinokonzera Uye Kutungamira. Swiss Med Wkly 2008; 138: 340.