Chii chingava chiri chikonzero chekukanganiswa kwako kwenguva refu?
Kurwisana kunoramba kuripo kana kuora mwoyo kusingaperi chiratidzo chinowanzoonekwa nevakawanda zvinokonzera. Zvinoshungurudza zvinokonzerwa nekukanganiswa, zvakadai sokurasikirwa kwehope, maziso emapfupa akasuruvara, uye kubuda mumuguta kunogona kuchinja mararamiro ako ehupenyu uye kunopesana nemabasa ako ezuva nezuva.
Kana kukanganisa kwako kuri kupera, iwe unogonawo kunge uchishamisika kana zvingava chinhu chakaipa kudarika kutonhora kana kuora mwoyo.
Zvinorevei kana iwe uine chifukidziro chisingangoendi?
Tsanangudzo yeKutsvina Kusingaperi
Chirwere chinoramba chichirondedzerwa chinotsanangurwa sechifuva chinopfuurira kwemavhiki masere kana kupfuura. Kukanganiswa kungave kwakaoma kana kubereka, mune mamwe mazwi, iwe unogona kana vazhinji vasingakanganisi mukoko (sputum). Chifuva chinogonawo kutumidzwa se "chisingaperi," "kupera," kana kuti "kushungurudza."
Chifukidziro "chakakomba", zvakasiyana, chinoreva chifukidziro chinopedza masvondo masere masere, akadai seaya anowanzoita nehuwandu hwekuya.
Zvinokonzera Zvinokonzera
Kune zvakawanda zvinokonzera kukonzera kusingaperi. Kunyange zvazvo zvikonzero zvinowanzoitika zvisingawanzove zvakakomba, zvinokosha kutaura pamusoro pezvinhu zvisiri zvishoma asi zvinokonzera zvakare, kunyanya kune avo vanopfuura makore makumi mashanu. Nhamba yakawanda yevanhu vanorwara nekenza yemapapu inotanga kuonekwa- muchikanganiso-nezvimwe zvezvikonzero zvinowanzoitika.
Yakawanda Inowanzokonzera Chirwere Chisingagumi
Nhaurwa yokuti "zvinhu zvakajairika zvakajairika" inowanzotanga danho rekutanga apo iwe uchiona chiremba wako nekuramba uchikanganiswa.
Zvinhu zvitatu zvinowanzokonzera (mu "muyero" munhu) zvinosanganisira:
- Kudonha kwemvura kunobva kune firda (allergic rhinitis), zvirwere zve sinus, naspalps, kana mamwe mamiriro ezvinhu ndiyo inonyanya kukonzera chirwere chisingaperi. Zvose izvi zvinonziwo "kumusoro kwepamusoro" zvinokonzera. Nenguva yemahara allergic rhinitis, unogona kutora muenzaniso wekukanganiswa, asi gore rose zvinokonzera kushaya mitezo hazvirevi kuti muenzaniso.
- Asthma. Kunyange zvazvo vanhu vane astmma kazhinji vane zvimwe zviratidzo, zvakadai sokuputika uye kupera kwekufema, kune vamwe vanhu vane astmma chifukidzi ndicho chete chiratidzo ( kukora-variant asthma ).
- Acid reflux. Gastroesophageal reflux chirwere (GERD) ndicho chikonzero chechitatu chinonyanya kukonzerwa nekukanganisika kusingaperi uye kazhinji kasakanganwiki. Kune vamwe vanhu, zvinoratidza zviratidzo zvakadai sokuputika kunogona kunge kusipo, uye chiratidzo chete chinogona kuva chikwereti chisingaperi. Chifukidziro chinokonzerwa neGERD chinowanzoipa kupfuura usiku mushure mokurara pamubhedha.
- Eosinophilic bronchitis. Kunyange zvazvo vanhu vakawanda vasina kunzwa nezvekusagadzikana kwebronchitis, iyi ndeimwe yezvimwe zvinokonzera zvinokonzerwa nekukanganiswa kusingaperi kune vanhu vakuru. Sosinophilic bronchitis yakafanana nechirwere mune dzimwe nzira zvichienderana nemhando yemasero emunodzi aripo, asi aya masero anotorwa kune rumwe rutivi rwomugwagwa. Kuongororwa kunogona kunge kwakaoma sezvo zviratidzo zvemapapu zvinowanzojairika, asi mamiriro acho kazhinji anotarisana nesteroid inhaled.
Kazhinji Inowanzokonzera Chirwere Chisingaperi Muvana Makore 6 kusvika ku14
Zvinokonzerwa nekukanganisika kusingaperi mumwana muduku zvikuru hazvirevi nepamusoro pechinyorwa chino, asi zvikonzero zvinowanzoita zvevana 6 kusvika kune gumi nemana zvekare mukudzidza 2017 zvaive:
- Chirwere cheputi (uyewo pane vanhu vakuru).
- Chirwere cheBracterial bronchitis (iyo pfungwa yebhakitiriya bronchitis inogara kwenguva yakareba kudarika tsika "yezuva 10 remishonga inorwisa mabhakitiriya" yakataurwa munguva ichangopfuura.
- Upper airway chikwama chirwere (zvine zvikonzero zvakafanana kune zvakanyorwa kuvanhu vakuru pamusoro).
Zvimwe Zvikonzero Zvinowanzowanzokonzera Chirwere Chisingagumi
- Kusvuta. Zvinosuruvarisa, zvinowanzomesa kusiyanisa "kusvuta kwechifuta" kubva mukukanganiswa nekuda kwemamwe mamiriro akadai sekenza yemapapu.
- Kurwara. Chimwe chinokonzera chikonzero chinowanzoitwa nekukanganiswa kunoramba kuripo ndiko kukorodzwa kunopera kwekukandira chifukidziro (pertussis) . Vana vanove vachengetwa vanogona kunge vachiri kukwezva nekukandira uye kuitika kune vanhu vakuru kuri kuwedzera. Munyika yose, chirwere chetachiona chikonzero chinonyanya kukonzerwa nekukanganiswa kusingaperi, uye chiitiko muUnited States chave chichiwedzera, kunyanya kune vanoenda kune imwe nyika.
- Mimwe mishonga, kunyanya chikamu chemishonga inoshandiswa kurapa kukwirira kweropa uye chirwere chemwoyo. Inenge 10 kusvika ku20 kubva muzana yevanhu vanobatwa neACE inhibitors vanoita chirwere chisingaperi . Mienzaniso inosanganisira Vasotec (enalapril) uye Zestril (lisinopril).
- Chirwere chinotapukirwa nepamusoro (upper airway cough syndrome). Chifukidziro chinogona kumira dzimwe nguva kwemavhiki akawanda mushure mekudzivirira kuputika kwetachiona.
- Chronic bronchitis. Chronic bronchitis inorudzi rweCOPD iyo inowanzowanikwa kune vanhu vanosvuta asi inogonawo kunge yakabatana nekusununguka kwezvakatipoteredza nezvimwe zvinhu.
Zvisinganyanyi kuwirirana (asi zvinokosha) Zvinokonzera Chigamba Chisingagumi
- Kanza yemaperembudzi. Kune vaviri chete chikamu chevanhu vane chifufuro chinoramba chichirwisa, kenza yemapapu ndicho chinokonzera chikonzero, uye zviitiko zvekukanganiswa zvine chokuita nekenza yemapapu zvinogona kuoma kusiyanisa kubva mukukanganiswa nekuda kwezvimwe zvinokonzera. Kune rumwe rutivi rwemari, inenge 50 muzana yevanhu vane chirwere chemapapu vane chifuva panguva yekuongororwa.
- Zvimwe zvirwere zvinorwara uye zvinouraya mapapu. Chirwere chisingaverengeki chinogona kuitika nekuda kwemamwe matumbo mubhokisi rakadai se lymphomas. Chirwere chinopfuurira chinogonawo kuitika nekuda kwemamapasita emapapu kubva kune dzimwe kanzira dzakadai sekenza yemazamu, kenza yemaroni, kenza yemukaka, uye kenza ye prostate.
- Zvirwere zvakakomba zvakadai se emphysema , bronchiectasis , uye sarcoidosis.
- Zvirwere zvinokonzera fungal zvakadai se coccidiomycosis, histoplasmosis, uye tuberculosis.
- Inhaling chinhu chekunze
- Heart failure
- Sarcoidosis. Sarcoidosis chirwere chisinganzwisisiki umo granulomas inoumba mumuviri wose kusanganisira mapapu. Inowanzokonzera kuora.
Pane zvimwe zvinokonzera kupfuvura kunoramba kuripo, asi chinonyanya kukosha ndechokucherechedza kuti pane zvikonzero zvepamusoro uye kuongorora kwakanyatsodikanwa kana kuora kwako kusingaendi.
Nguva Yekutambudzika
Vanhu vazhinji vanonetseka pamusoro pekukanda kwenguva refu sechiratidzo chekenza yemapapu , uye izvi ndizvo zvine chikonzero chakanaka. Vanenge hafu yevanhu vane mutsa wemapapu vane kuramba vachikanganiswa panguva yekuongororwa, uye maviri muzana yevanhu vanopa chiremba wavo vane chirwere chisingaperi chine kenza yemapapu.
Parizvino, muvhareji nguva pakati pekutanga kwezviratidzo (zvakadai sechirwere chinopfuurira) uye kuongororwa kwemukenza wemapapu mwedzi inenge gumi nemana, uye tinoziva kuti mukenza wekumapapu unoporesa zvikuru mumavambo ekutanga.
Pane dzimwe nzira iyo kukwepa kwekenza yemapapu inogona kuve yakasiyana, asi chokwadi ndechekuti kune zvakawanda zvinobatana, uye haugoni kutaura kubva pachikoma chete kana mumwe munhu angave ane kenza yemapapu.
Zvakakoshawo kuziva kuti chikwata x-ray chinogona kukanganwa kenza yemapapupa . Nhamba yakawanda yevanhu vanorwara nekenza yemapapu vave ne "chimiro" cheputika x-ray mugore rakapfuura kuongorora kwavo.
Semashoko ekupedzisira pamusoro pemukenza wemapapu, gara uchiyeuka kuti vasiri vese vanoputa vane mhapamu yemapapuwo zvakare , uye mukenza wemapapu mukati hamuna kumboputa iye zvino ndiyo 6 inotungamirira chikonzero chekufa kwekenza muUnited States.
Nguva Yokuona Chiremba Wako
Zvakakosha kuita chiremba kugadzwa kana uine chifukidziro chinoramba chiripo, kunyange iwe uchida kuti pane chikonzero chekutsanangurira kuora kwako, zvakadai sokuramba uchisvuta kana kushaya mishonga. Iwe unofanirwa kudana chiremba wako pakarepo kana iwe uine kurwadziwa kwepfupa, kupfupika kwepfufu kana kuchena kwemavara, kana kukandira ropa.
Mibvunzo Dhigirii wako angabvunza dzinosanganisira:
- Wanga uchive uchikandira kusvikira rini?
- Ko kukohwa kuri kuwedzera kukura here?
- Kuchengeta kunogara kwakasimba here kana kunouya uye kuenda?
- Zvakaipa here shure kwekudya kana zvakanyanya kuipa usiku?
- Ko kukoromora kwakaoma here, kana wakambove uchikwira phlegm (mucus)?
- Wakamborodza ropa here?
- Ndezvipi zvimwe zviratidzo zvawakave nazvo? Semuenzaniso, fivha, kupera kwekufemerwa , zviratidzo zvekunetseka , wheezing , kana kusingazivikanwi kurasikirwa kwemazivi ?
- Ndeapi zvimwe zvinetso zvezveutano zvaunazvo?
- Pane mumwe wemhuri yako ane zviratidzo zvakafanana here? Iwe une mhuri yakamboitika yebronchitis, chirwere chepamu, emphysema, kana mupenza wemapapu here?
- Iwe iwe, kana iwe wakambosvuta here?
- Wakambosangana neutsi hwechipiri here?
- Ndeipi mishonga iwe uri kutora (kusanganisira herbal supplements)?
Kuongorora
Zvichienderana nekuoma kwekukanda kwako, chiremba wako anotanga kuda kudzora zviratidzo zvako kuti uwedzere kunzwa wakasununguka. Iye achabva akurudzira miedzo kuti aone chikonzero.
Anotanga kutora nhoroondo yakajeka, achikubvunza nezvemhando ipi zvayo inokonzerwa nemamiriro ezvinhu anogona kukonzera chifukidziro uye kana iwe uchangobva kufamba. Kuyera ropa kunogona kuitwa kuti utsvake humwe uchapupu hwehutachiona.
Bhokisi re x-ray rinowanzotanga kuitwa, asi zvakakosha kuziva kuti chifu-avo vanogona dzimwe nguva kukanganisa zvinokonzerwa nekukanganisika kusingaperi. A CT scan inogona kupa ruzivo rwakawedzerwa paunotarisa kuona kana kune humwe humwe uchapupu hwechirwere kana utachiona. Kana uine zviratidzo zve sinusitis, CT scan ye sinus yako inogona kukurudzirwa. Mimwe miedzo inogona kukurudzirwa inosanganisira:
- Kuongororwa kwezveruzhinji
- Pulmonary function test to screen for lung lung conditions such as asthma and emphysema
- Esophageal pH kuedza kuedza kuti asidi yemazuva ano inoratidze sechikonzero chinokonzerwa nekukanganiswa kunogara
- Bronchoscopy kuti uongorore mimwe miviri yekunze kana kuongorora nzira yako yekuenda kune mutezo
- Laryngoscopy kuongorora mushure mako nezwi bhokisi
Mishonga
Kurapa kunobva pane chinokonzera chinokonzera, pamwe nekuwedzerwa kwekukandira kwako kunopesana nemabasa ako zuva nezuva.
Shoko Rinobva
Kana iwe uine chifukidziro chisingaperi, kukosha kwekutarirwa kunze hakugone kuomeswa zvakakwana. Zvinogona kukanganisa, kunyanya kana hapana chinoratidzika sechiratidzwa pane zvinoedzwa, asi chirembera imomo. Chirwere chisingaperi chisina kujairika.
Tora pfungwa yechipiri kana iwe usingafungi kuti uri kutinzwa, kana kuti iwe uri kuwana mhinduro. Zvizhinji zvezvinokonzera-izvo zvakati zvakaoma kutsvaga-zvekukanda kusingaperi zvinoda kurapwa, uye kurapwa kungave kwakanyatsobudirira kana aya mamiriro acho akawanikwa kare kare kupfuura mberi.
> Sources:
> Dabrowska, M., Grabczak, E., uye M. Arcimowicz. Zvinokonzera Kushushikana Kusingaperi Kusingasviki Mushonga. Kufambira Mberi Mukuongorora Mishonga uye Biology. 2015. 873: 25-33.
> Damaraju, D., Steiner, T., Wade, J., Gin, K., naM. FitzGerald. Chinoshamisa Chinokonzera Chigumbu Chisingagumi. The New England Journal of Medicine. 2015. 4 = 373: 561-566A
> Gibson, P., Wang, G., McGarvey, L., Vertigan, A., Altman, K., uye S. Birring. Kurapa Kwekusanzwisiswa Kusingaperi Kusinganzwisisiki: CHEST Guideline uye Gweta reMagetsi Rejeri. Chest. 2016. 149 (1): 27-44.
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill Dzidzo, 2015. Print.
> Michaudet, C., uye J. Malaty. Chirwere Chisingaperi: Kuongorora uye Kutungamirirwa. American Family Physician . 2017. 96 (9): 575-580.