Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD)

Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD) chirwere chakajairika chemapapu. Kuva neCOPD kunoita kuti zvive zvakaoma kufema.

Kune maviri makuru mafomu eCOPD:

• Chisingaperi bronchitis, iyo inosanganisira kukosora kwenguva refu nemamousu
• Emphysema, iyo inosanganisira kukuvara kwemapapu nekufamba kwenguva

Vanhu vazhinji vane COPD vane musanganiswa wezvese zviri zviviri mamiriro.

Kusvuta ndicho chikonzero chikuru cheCOPD. Kana munhu achisvuta zvakanyanya, munhu iyeye anokura COPD. Asi vamwe vanhu vanosvuta kwemakore uye havatombowana COPD.

Muzviitiko zvisingawanzoitika, vasingasvuti vasina puroteni inonzi alpha-1 antitrypsin vanogona kukura emphysema.

Zvimwe zvinokonzera njodzi zveCOPD ndezvi:

• Kuratidzirwa kune mamwe magasi kana utsi munzvimbo yebasa
• Kuratidzirwa kune huremu hwakawandisa hweutsi hwefodya uye kusvibiswa
• Kugara uchishandisa moto wekubika usina kufefeterwa kwakakodzera

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kosora, uine kana usina mamasi
• Kuneta
• Zvirwere zvakawanda zvekufema
• Kupfupika kwemweya wekufema (dyspnea) iyo inowedzera kuve nekuita kwakapfava
• Dambudziko rekubata mweya weumwe
• Kushungurudza

Nemhaka yekuti zviratidzo zvinokura zvishoma nezvishoma, vanhu vazhinji vanogona kunge vasingazive kuti vane COPD.

Chiyero chakanakisa cheCOPD chiitiko chemapapu chinonzi spirometry. Izvi zvinosanganisira kupururudza zvakaomarara mumuchina mudiki unoongorora kugona kwemapapu. Mhedzisiro yacho inogona kuongororwa ipapo ipapo.

Kushandisa stethoscope kuteerera kumapapu kunogona zvakare kubatsira, kuratidza kwenguva yakareba yekupera nguva kana kufema. Asi dzimwe nguva, mapapu anonzwika zvakajairika, kunyangwe kana munhu aine COPD.

Kufungidzira bvunzo dzemapapu, senge x-ray uye CT scans inogona kurairwa. Ne x-ray, mapapu anogona kutaridzika seakajairwa, kunyangwe kana munhu aine COPD. A CT scan inowanzo kuratidza zviratidzo zveCOPD.

Dzimwe nguva, kuongororwa kweropa kunonzi arterial ropa gasi kunogona kuitwa kuyera huwandu hweoksijeni uye carbon dioxide muropa.

Kana mupi wako wezvehutano achifungidzira kuti une alpha-1 antitrypsin kushomeka, kuongororwa kweropa kunogona kurairwa kuti uone mamiriro aya.

Iko hakuna mushonga weCOPD. Asi pane zvinhu zvakawanda zvaunogona kuita kubvisa zviratidzo uye kuchengetedza chirwere kubva pakuwedzera.

Kana iwe uchisvuta, ino ndiyo nguva yekurega. Iyi ndiyo nzira yakanakisa yekudzora kukuvara kwemapapu.

Mishonga inoshandiswa kurapa COPD inosanganisira:

• Kurumidza-kununura mishonga yekubatsira kuvhura nzira dzemhepo
• Chengetedza zvinodhaka kuti uderedze kuputika kwemapapu
• Anti-kupisa mishonga yekudzora kuzvimba mumhepo
• Mamwe marefu kwenguva refu maantibhakitiriya

Mune zviitiko zvakakomba kana panguva yekukwira-kumusoro, ungangoda kugamuchira:

• Steroid nemuromo kana kuburikidza nemutsinga (intravenously)
• Bronchodilators kuburikidza nebulizer
• Oxygen kurapa
• Rubatsiro kubva kumuchina kubatsira kufema nekushandisa mask kana kuburikidza nekushandisa iyo endotracheal chubhu

Wako mupi anogona kupa mishonga inorwisa mabhakitiriya panguva yechiratidzo flare-ups, nekuti hutachiona hunogona kuita kuti COPD iwedzere.

Iwe ungangoda oxygen kurapwa kumba kana iwe uine yakaderera mwero weokisijeni muropa rako.

Kugadziriswa kwepulmonary hakurape COPD. Asi inogona kukudzidzisa zvakawanda nezve chirwere ichi, kukudzidzisa iwe kufema neimwe nzira kuti ugare wakashanda uye uchinzwa zvirinani, uye inokuchengetedza iwe uchishanda padanho repamusoro rinokwanisika.

KURARAMA NEKOPD

Iwe unogona kuita zvinhu zuva rega rega kuti COPD irege kuwedzera, chengetedza mapapu ako, uye ugare uine hutano.

Famba kuvaka simba:

• Kumbira mupi kana murapi kuti afambe zvakadii.
• Zvishoma nezvishoma wedzera kure kwaunofamba.
• Dzivisa kutaura kana iwe ukapererwa nemweya wekufema kana uchifamba.
• Shandisa akateedzera muromo kufema kana iwe uchifema kunze, kudurura mapapu ako pamberi peanotevera kufema.

Zvinhu zvaunogona kuita kuti zviite nyore kwauri pamusha zvinosanganisira:

• Dzivisa mhepo inotonhorera kana inopisa kwazvo mamiriro ekunze
• Iva nechokwadi chekuti hapana anosvuta mumba mako
• Deredza kusvibiswa kwemweya nekusashandisa choto uye kubvisa zvimwe zvinogumbura
• Chengetedza kushungurudzika uye mafungiro ako
• Shandisa okisijeni kana yakanyorerwa iwe

Idya chikafu chine hutano, kusanganisira hove, huku, uye nyama isina mafuta, pamwe nemichero nemiriwo. Kana zvichinetsa kuchengeta huremu hwako, taura nemupi kana chiremba wezvekudya nezve kudya chikafu chine macalorie akawanda.

Kuvhiya kana kumwe kupindira kunogona kushandiswa kurapa COPD. Vanhu vashoma chete ndivo vanowana rubatsiro kubva pakurapwa uku:

• Imwe-nzira mavharuvhu anogona kuiswa nebronchoscopy kubatsira kubvisa zvikamu zvemapapu izvo zvine hyperinflated (zvakawandisa) mukusarudza varwere.
• Kuvhiya kubvisa zvikamu zvemapapu ane chirwere, izvo zvinogona kubatsira zvikamu zvisina kurwara zvinoshanda zvirinani kune vamwe vanhu vane emphysema.
• Kugadzira mapapu kweiyo mashoma mashoma ematambudziko akakomba.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira.Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

COPD chirwere chenguva refu (chisingaperi). Chirwere ichi chichawedzera kukurumidza kana usinga regedze kuputa.

Kana iwe uine COPD yakaoma, iwe uchave uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge Unogona kubvumirwa kuenda kuchipatara kakawanda.

Taura nemupi wako nezve kufema michina uye kuguma-kwe-hupenyu kutarisirwa sezvo chirwere ichi chichienderera mberi.

NeCOPD, unogona kunge uine mamwe matambudziko ehutano akadai se:

• Kusajairika kurova kwemoyo (arrhythmia)
• Chido chemuchina wekufema uye oxygen therapy
• Kurudyi-sided moyo kutadza kana cor pulmonale (moyo kuzvimba uye moyo kutadza nekuda kwechirwere chisingaperi chemapapu)
• Chirwere chemabayo
• Yakapunzika mapapu (pneumothorax)
• Yakanyanya kuonda uye kushaya zvinovaka muviri
• Kuonda kwemapfupa (osteoporosis)
• Kushungurudza
• Kuwedzera kunetseka

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (yakadai se911) kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchikurumidza kufema.

Kusasvuta kunodzivirira vazhinji veCOPD. Kumbira mupiki wako nezve mapurogiramu ekurega-kusvuta. Mishonga inowanikwawo kuti ikubatsire kurega kusvuta.

COPD; Chirwere chisingaperi chokudzivirira mweya; Chisingaperi obstructive mapapu chirwere; Chisingaperi bronchitis; Emphysema; Bronchitis - isingagumi

• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Kuva unoshingaira mushure mekurwadziwa kwemoyo wako
• Chisingaperi obstructive pulmonary chirwere - vanhu vakuru - buditsa
• COPD - kudzora zvinodhaka
• COPD - inokurumidza-kununura zvinodhaka
• COPD - chii chekubvunza chiremba wako
• Nzira yekufema kana iwe uchinge uchinge uchishaya mweya wekufema
• Mashandisiro aungaita nebulizer
• Mashandisiro ekushandisa inhaler - hapana spacer
• Mashandisiro ekushandisa inhaler - ine spacer
• Mashandisiro ekushandisa yako yepamusoro kuyerera mita
• Kuvhiyiwa kwemapapu - kubuda
• Ita kukwirira kuyereke tsika
• Okisijeni chengetedzo
• Kufamba nematambudziko ekufema
• Kushandisa oxygen kumba
• Uchishandisa oxygen kumba - chii chekubvunza chiremba wako

• Spirometry
• Emphysema
• Bronchitis
• Kurega kusvuta
• COPD (chisingaperi obstructive pulmonary disorder)
• Kufuridzira system

Celli BR, Zuwallack RL. Kugadziriswa kwepulmonary. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 105.

Global Initiative yeChisingaperi Dziviriro Lung Chirwere (GOLD) webhusaiti. Sangano repasi rose rekuongororwa, manejimendi, uye kudzivirira kwechirwere chisingaperi chisingabvumirwe chemapapu: 2020 mushumo. goldcopd.org/wp-content/uploads/2019/12/GOLD-2020-FINAL-ver1.2-03Dec19_WMV.pdf. Yakasvika munaJune 3, 2020.

Han MK, Razaro SC. COPD: kliniki kuongororwa uye manejimendi. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 44.

National Institutes of Health, National Mwoyo, Mapapu, uye Ropa Institute webhusaiti. COPD yenyika yekuita chirongwa. www.nhlbi.nih.gov/sites/default/files/media/docs/COPD%20National%20Action%20Plan%20508_0.pdf. Yakagadziridzwa May 22, 2017. Yakasvika muna Kubvumbi 29, 2020.