10 Zochitika Zowonongeka Zogwirizana ndi COPD

Kuchokera pa zomwe timadziwa za COPD , kawirikawiri sichikhalapo pamalo osungira. Malingana ndi Global Initiative for Obstructive Lung Disease, zotsatira zomwe matendawa ali nazo pamoyo wa wodwalayo wa COPD zimadalira kukula kwa zizindikiro za COPD , komanso kukhalapo kwa matenda ena, omwe amadziwikanso kuti co-morbid.

Lipoti lachidziwitso la tsopano lomwe ali ndi zaka 65 ndi zoposa, mpaka 25% ali ndi zinthu ziwiri zovuta, ndipo 17% amafotokoza atatu. Chifukwa cha ziwerengerozi, zizindikiro ndi zizindikiro za comorbidities ndizofunika kuzindikira ndikudziwitsa dokotala wanu. Mndandanda wotsatira udzakuthandizani kuchita izi:

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Khansa Yam'mimba

Khansara ya m'magazi imapezeka pamene maselo obadwa mkati mwa mapapu amatha kusintha. Khansara ya m'magazi ndiyo yomwe imayambitsa khansa kufa mwa amuna komanso chifukwa chachiwiri chochititsa khansa kufa pakati pa amai padziko lonse lapansi. Chifukwa khansara ya m'mapapo ndi COPD zimayambitsidwa ndi kusuta, sizosadabwitsa kuti matenda awiriwa adzakhalapo.

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Cor Pulmonale

Cor pulmona ndi vuto la emphysema , lomwe limayambitsidwa ndi kuwonjezeka kwa kuthamanga kwa magazi mu mitsempha ya pulmonary, chotengera chimene chimanyamula magazi kuchokera pamtima kupita kumapapu. Izi zimabweretsa kukulitsa ndi kulephereka komweko kwa mbali yoyenera ya mtima. Mu COPD, cor pulmonale imayambitsidwa ndi mpweya wochepa wa magazi.

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Kuthamanga kwa magazi

Kuchulukanso kwa magazi kumachitika pakakhala vuto lalikulu kwambiri m'mitsempha ya mitsempha ya m'magazi. Ndilo vuto lofala la COPD. Mu mitsempha ya m'magazi, mitsempha ya magazi imakhala yochepa, yopepuka ndi yandiweyani. Izi zimabweretsa mpweya wochepa thupi lonse.

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Matenda a Bakiteriya

Chibayo chomwe chimapezeka mu COPD kawirikawiri chimayambitsidwa ndi mabakiteriya ang'onoang'ono otchedwa Streptococcus pneumoniae. Chifukwa chakuti odwala a COPD ali ndi chitetezo cha m'thupi, ali pachiopsezo chachikulu chotenga chibayo chababa. Mukachiritsidwa, ndizochiritsidwa kwambiri. Kuchokera kumtunda, chibayo chabakiteriya chimafa pafupifupi 30 peresenti.

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Kusweka kwa Mtima Wokondwerera

Kulephera kwa mtima waumtima (CHF) ndi chikhalidwe chomwe chimapezeka pamene mtima sungathe kupopera magazi mwamphamvu thupi lonse kuti lipitirize kuyendayenda. Izi zimayambitsa kusungira madzi m'mapapo onse ndi thupi lonse. Si zachilendo kuona matenda a COPD ndi CHF, makamaka pamayendedwe akale a matendawa.

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Pneumothorax

Pneumothorax imapezeka chifukwa cha dzenje lomwe limayamba m'mapapo, lomwe limalola mpweya kuthawira kumalo ozungulira mapapo, zomwe zimapangitsa mapapo kukhala pang'ono kapena kugwa kwathunthu. Anthu omwe ali ndi COPD ali pachiopsezo chachikulu cha pneumothorax chifukwa mapangidwe awo ali ofooka ndipo amakhala otetezeka ku chitukuko chokhazikika cha mabowo awa.

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Bronchiectasis

Kaŵirikaŵiri zimayambitsa kutupa ndi matenda a airways, bronchiectasis akhoza kukhala obadwa, kutanthauza kuti pakubereka, kapena kuti munthu akhoza kuikidwapo chifukwa cha matenda oyambirira, monga chibayo, chimfine, fuluwenza kapena chifuwa chachikulu. Bronchiectasis imatengedwa ngati matenda obwera m'mapapo, ndipo ikhoza kukhalapo yokha kapena yogwirizana ndi mitundu ina ya COPD.

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Atelectasis

Atelectasis imatanthauzidwa ngati kugwa kwapadera, kapena kugwa kwathunthu kwa mapapo. Zimayambitsidwa ndi kutuluka kwa mpweya kapena kupanikizika kuchokera kunja kwa mapapo. Atelectasis amawonekera kawirikawiri pambuyo pochita opaleshoni kapena panthawi yopuma yogona yaitali, koma, anthu omwe ali ndi matenda a m'mapapu apansi ali pachiopsezo chachikulu chokhala ndi vutoli.

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GERD

Matenda a reflux a gastroesophageal, kapena GERD, amapezeka pamene mitsempha yotchedwa sphincter mumsana wanu sungatseke mwamphamvu. Izi zikutanthauza kuti chakudya chilichonse kapena madzi omwe mumamwa, pamodzi ndi chifuwa cha m'mimba mwa asidi, zimathamangidwanso m'mimba yanu. Chiwerengero cha GERD chikuwoneka kuti chiri chokwanira pakati pa odwala omwe ali ndi COPD, ndipo kafukufuku akusonyeza kuti GERD yowonjezera chiopsezo cha kuchulukitsa kwa COPD .

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Matenda a Mtima

Matenda a mtima ndi ambulera yomwe imakhudza mtima wamtundu wokha, mtima wamagetsi, mitsempha yamakono komanso magetsi a mtima. Monga COPD, matenda a mtima ndi ena omwe kusuta ndi chinthu choopsa kwambiri, choncho si zachilendo kuti odwala COPD akhoza kuvutika ndi matenda a mtima.

_Zotsatira

> Njira Yoyamba Yotsutsana Ndi Matenda a Mliri. Mchitidwe Wadziko Lonse Wofufuza, Kuteteza, ndi Kuteteza COPD. Malangizo a 2009.

> Zaumoyo za Reuters. COPD ikhoza kuyambitsa mavuto a acid reflux. 2008, December.

> Rascon-Aguilar IE, ndi al. Udindo wa Magastus Ophaxal Symptoms in Exacerbations of COPD. CHEST 2006; 130: 1096-1101.