Umlobi: Judy Howell
Usuku Lokudalwa: 28 Ujulayi 2021
Ukuvuselela Usuku: 14 Unovemba 2024
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Ukuqonda i-COPD

I-Emphysema ne-bronchitis engapheli zombili izimo zesikhathi eside zamaphaphu.

Bayingxenye yesifo esaziwa njenge-chronic obstructive pulmonary disease (COPD). Ngenxa yokuthi abantu abaningi bane-emphysema kanye ne-bronchitis engapheli, igama lesambulela i-COPD livame ukusetshenziswa ngesikhathi sokuxilongwa.

Zombili lezi zimo zinezimpawu ezifanayo futhi zivame ukubangelwa ukubhema. Cishe amacala e-COPD ahlobene nokubhema. Izimbangela ezingejwayelekile ezibandakanya izimo zofuzo, ukungcoliswa komoya, ukuvezwa amagesi anobuthi noma intuthu, nothuli.

Qhubeka ufunde ukuze ufunde ngezimpawu ze-emphysema ne-bronchitis engapheli, nokuthi zitholwa kanjani.

I-bronchitis engapheli vs. i-emphysema: Izimpawu

Kokubili i-emphysema ne-bronchitis engapheli kuthinta amaphaphu akho. Lokho kusho ukuthi zingadala izimpawu ezifanayo.

Nazi izimpawu abafana ngazo, nokuthi ungawubona kanjani umehluko phakathi kwalokhu kufana.

Ukuphelelwa umoya

Isibonakaliso se-Emphysema esiyinhloko futhi cishe esisodwa ukuphefumula. Kungaqala kancane: Isibonelo, ungaba nobunzima bokuphefumula ngemuva kokuhamba ibanga elide. Kepha ngokuhamba kwesikhathi, ukuphefumula okufushane kuya ngokuya kuba kubi.


Kungakabiphi, ungaba nobunzima bokuphefumula noma ngabe uhleli futhi awukaze usebenze.

Ukuphefumula akuvamile kubantu abane-bronchitis, kodwa kungenzeka. Njengoba ukukhwehlela kwakho okungapheli nokuvuvukala komoya kusuka ekuvukeleni okungapheli kuba kubi, ukubamba umoya wakho kungaba nzima kakhulu.

Ukukhathala

Njengoba ukuphefumula kuba nzima, abantu abane-emphysema bangathola ukuthi bakhathala kalula futhi banamandla amancane. Kuyafana nakubantu abane-bronchitis engapheli.

Uma amaphaphu akho engakwazi ukufaka kahle futhi anikeze umoya-mpilo egazini lakho, umzimba wakho uzoba namandla amancane. Ngokufanayo, uma amaphaphu akho engakwazi ukukhipha kahle umoya ophelelisiwe oksijini emaphashini akho, unesikhala esincane somoya ocebile we-oxygen. Lokhu kungaholela ekutheni uzizwe ukhathele noma ubuthakathaka ngokuphelele.

UphawuI-EmphysemaI-bronchitis engapheli
ukuphelelwa umoya
ukukhathala
kunzima ukwenza imisebenzi
ukuzizwa ngiphapheme kancane
izinzipho eziluhlaza okwesibhakabhaka noma ezimpunga
imfiva
ukukhwehlela
ukukhiqizwa kwe-mucus ngokweqile
izimpawu eza futhi zidlule

Ingabe zikhona izimpawu noma izimpawu ezihlukile ze-emphysema?

I-Emphysema yisifo esiqhubekayo. Lokhu kusho ukuthi izimpawu zesimo zikhula zimbi ngokuhamba kwesikhathi. Noma uyeka ukubhema, awukwazi ukumisa izimpawu zakho ukuthi ziba zimbi. Kodwa-ke, ungababambezela.


Yize izimpawu zayo eziyinhloko kunzima ukuphefumula nokukhathala, ungaqhubeka uhlangabezana nezinkinga ezilandelayo:

  • kunzima ukwenza imisebenzi edinga ukugxila
  • ukunciphisa ukuqapha kwengqondo
  • izinzipho eziluhlaza okwesibhakabhaka noma ezimpunga, ikakhulukazi ngemuva kokuzivocavoca umzimba

Lezi yizo zonke izimpawu zokuthi i-emphysema iba yimbi kakhulu. Uma uqala ukubona lezi zimpawu, qiniseka ukuthi ubonane nodokotela wakho. Lokhu kungabasiza bathathe izinqumo ngohlelo lwakho lokwelashwa.

Ingabe zikhona izimpawu ezihlukile ze-bronchitis engapheli?

I-bronchitis engapheli inezimpawu ezimbalwa eziphawuleka kakhulu kune-emphysema. Ngaphezu kokuphefumula kanzima nokukhathala, i-bronchitis engapheli ingadala:

Ukukhiqizwa okweqile kwe-mucus

Uma une-bronchitis engapheli, izindlela zakho zomoya zikhiqiza amafinyila amaningi kunokujwayelekile. I-Mucus ikhona ngokwemvelo ukusiza ukubamba nokususa ukungcola.

Lesi simo senza ukuthi ukukhiqizwa kwe-mucus kukhahlele ku-overdrive. Amafinyila amaningi angavala imigwaqo yakho yomoya futhi enze ukuphefumula kube nzima.


Khwehlela

Ukukhwehlela okungapheli kuvame kakhulu kubantu abane-bronchitis engapheli. Lokho kungenxa yokuthi i-bronchitis idala amafinyila amaningi kulwelwesi lwamaphaphu akho. Amaphaphu akho, ezwa ukucasuka okubangelwa uketshezi oluthe xaxa, zama ukususa isikhwehlela ngokubangela ukuthi ukhwehle.

Ngoba ukukhiqizwa ngokweqile kwe-mucus akupheli, noma isikhathi eside, ukukhwehlela kuzoba okungapheli, futhi.

Imfiva

Akuyona into engavamile ukuzwa umkhuhlane osezingeni eliphansi nokugodola nge-bronchitis engapheli. Kodwa-ke, uma umkhuhlane wakho ungaphezu kuka-100.4 ° F (38 ° C), izimpawu zakho zingaba umphumela wesimo esihlukile.

Izimpawu eziguquguqukayo

Izimpawu ze-bronchitis engapheli zingase zibe zimbi kakhulu isikhathi esithile. Ngemuva kwalokho bangaba ngcono. Abantu abane-bronchitis engapheli bangathatha igciwane noma amabhaktheriya enza isimo sibe sibi isikhathi esifushane.

Kungenzeka, isibonelo, ukuthi ungathola kokubili i-acute (short-term) ne-bronchitis engapheli ngesikhathi esisodwa.

Ixilongwa kanjani i-emphysema?

Asikho isivivinyo esisodwa sokuthola nokuhlonza i-emphysema. Ngemuva kokuhlola izimpawu zakho nokubuyekeza umlando wakho wezokwelapha, udokotela wakho uzokwenza ukuhlolwa komzimba.

Ukusuka lapho, bangenza isivivinyo esisodwa noma eziningi zokuxilonga. Lokhu kungafaka:

Ukuhlola ukuhlolwa

Kokubili i-X-ray yesifuba ne-CT scan yamaphaphu akho kungasiza udokotela wakho ukuthola izimbangela zezimpawu zakho.

Ukuhlolwa kwe-Alpha-1 antitrypsin (AAT)

I-AAT yiprotheni evikela ukuqina kwamaphaphu akho. Ungazuza njengelifa lomzimba elizokwenza ukuthi ushodelwe yi-AAT. Abantu abanale nkinga bangase babe namathuba amaningi okuba ne-emphysema, noma bengenawo umlando wokubhema.

Ukuhlolwa komsebenzi wePulmonary

Lolu chungechunge lwezivivinyo lungasiza udokotela wakho ukuthi aqonde ukuthi amaphaphu akho asebenza kahle kangakanani. Bangakwazi ukukala ukuthi amaphaphu akho angabamba umoya ongakanani, uchitha kahle kangakanani amaphaphu akho, nokuthi umoya ugeleza ungene futhi uphume kahle kangakanani emaphashini akho.

I-spirometer, elinganisa ukuthi ukuhamba komoya kunamandla kangakanani futhi ilinganisela usayizi wamaphaphu akho, ijwayele ukusetshenziswa njengesivivinyo sokuqala.

Ukuhlolwa kwegesi yegazi

Lokhu kuhlolwa kwegazi kusiza udokotela wakho ukuthi athole ukufundwa okunembile kakhulu kwe-pH namazinga e-oxygen ne-carbon dioxide egazini lakho. Lezi zinombolo zinikeza inkomba enhle yokuthi amaphaphu akho asebenza kanjani kahle.

Ixilongwa kanjani i-bronchitis engalapheki?

I-bronchitis engapheli itholakala ngemuva kokuhlangabezana neziqephu eziningana ze-bronchitis ebukhali ngesikhathi esifushane. I-bronchitis enamandla ibhekisa ekuvuvukeni kwamaphaphu kwesikhashana okungathinta noma ngubani futhi imvamisa kungumphumela wokutheleleka ngegciwane noma ibhaktheriya.

Imvamisa, odokotela abayixilongi i-bronchitis engapheli ngaphandle kokuthi ube neziqephu ezintathu noma ngaphezulu ze-bronchitis ngonyaka owodwa.

Uma uke waba ne-bronchitis ephindaphindwayo, udokotela wakho usengakwazi ukwenza izivivinyo ezimbalwa ukuthola ukuthi unayo yini i-COPD.

Ukuhlolwa okusetshenziselwa ukuxilonga i-bronchitis engapheli kufaka phakathi:

Ukuhlola ukuhlolwa

Njengaku-emphysema, ama-X-ray esifubeni nama-CT scan angasiza udokotela wakho athole umbono ongcono ngokwenzekayo emaphashini akho.

Ukuhlolwa komsebenzi wePulmonary

Lezi zivivinyo zisiza udokotela wakho ukuthi ahlole izinguquko ekusebenzeni kwamaphaphu. I-spirometer ingalinganisa amandla wamaphaphu nezinga lokuhamba komoya. Lokhu kungasiza udokotela wakho ukukhomba i-bronchitis.

Ukuhlolwa kwegesi yegazi

Lokhu kuhlolwa kwegazi kusiza udokotela wakho ukuthi ahlole amazinga e-pH, oksijini, ne-carbon dioxide egazini lakho. Lokhu kungasiza udokotela wakho ukuthi anqume ukuthi amaphaphu akho asebenza kahle kangakanani.

Ingabe lezi zimpawu zingabangelwa esinye isimo?

Izimo eziningana zingadala ubunzima bokuphefumula, ubuhlungu besifuba, nokuphefumula okuncane. Ngokuya ngezimpawu zakho ngazinye, kungenzeka ukuthi awutholi i-emphysema noma i-bronchitis engapheli.

Kwezinye izimo, izimpawu zakho zingakhomba ku-asthma. Isifuba somoya senzeka lapho umoya wakho uvutha, ube mncane futhi uvuvukale. Lokhu kungenza kube nzima ukuphefumula, ikakhulukazi uma kuhlanganiswe nokukhiqizwa okweqile kwe-mucus.

Ezimweni ezingavamile, kungenzeka ukuthi uhlangabezana nezimpawu ze:

  • izinkinga zenhliziyo
  • wawa amaphaphu
  • umdlavuza wamaphaphu
  • embolus yamaphaphu

Ukwengeza, akuyona into engavamile ukuthi abantu batholwe ukuthi bane-emphysema kanye ne-bronchitis engapheli ngasikhathi sinye. Abantu abane-bronchitis engapheli bangase babhekane nezinkinga ze-bronchitis enamandla ngaphezu kwezinkinga zabo ze-bronchitis zesikhathi eside.

Umbono

Uma uhlangabezana nanoma yiziphi izimpawu ze-emphysema noma i-bronchitis engapheli, yenza isikhathi sokubonana nodokotela wakho.

Uma ubhema noma wake wabhema, usengozini enkulu yokuthuthukisa i-COPD. Kubalulekile ukuthi uthole ukuxilongwa futhi uqale ukwelashwa ngokushesha ngangokunokwenzeka.

Udokotela wakho anganquma ukuthi izimpawu zakho zingumphumela we-emphysema, i-bronchitis, noma esinye isimo. Ngaphandle kokwelashwa, lezi zimo zingase zibe zimbi kakhulu futhi zibangele ezinye izimpawu nezinkinga.

I-Emphysema ne-bronchitis zombili izimo zokuphila konke. Uma uthola ukuthi unanoma isiphi isimo, udokotela wakho uzosebenzisana nawe ukuthuthukisa uhlelo lwezokwelapha olugxile ekuphathweni kwezimpawu.

Uma ubhema, ukuyeka kuyisinyathelo sokuqala sokwelapha izimpawu zakho. Ukuyeka ngeke kumise izimpawu, kodwa kungasiza ekuqhubekeni kwesifo kancane.

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