Kusokonezeka kwa COPD ndi Vocal Chord Kusayenerera Ndizo Zowonjezera Zomwe Zimapangitsa Kufooka
Mukawona chifuwa chikuwombera, mukufuna kutsimikiza kuti mwapeza bwino. Matenda angapo, onse omwe ali wamba komanso osafala, angayambitse kupuma.
Matenda awiri omwe amawoneka ngati asthma - chifukwa amatha kuyambitsa - ndi COPD ndi chosemphana chosowa ntchito. Iwo akufotokozedwa mwatsatanetsatane pansipa. Werengani zambiri za zifukwa zina zomwe sizikuwoneka bwino .
Choyamba, ngakhale pali mitundu yosiyanasiyana ya mphumu, zonse zimagwirizana ndi zina kapena zizindikiro zonse za chifuwa cha mphumu :
Matenda Ochepetsa Matenda Oopsa (COPD)
Monga mphumu, COPD imapanga zizindikiro za kupuma pang'ono, chifuwa, kupuma, ndi chifuwa . Komabe, pali kusiyana kosiyanasiyana:
- Zaka: Ngakhale kuti mphumu ikhoza kupezeka kwa anthu achikulire komanso odwala akhoza kukhala ndi mphumu ndi COPD, COPD imakhala yofala pakati pa anthu osuta fodya kapena omwe kale anali osuta fodya. Nthendayi imapezeka kwambiri kwa odwala.
- Kuyamba kwa chidziwitso ndi kusiyana: Ngakhale kuti odwala mphumu amamva bwino nthawi yoyamba ndikuyamba kukhala ndi zizindikiro pambuyo poyang'anitsitsa zinthu zomwe zimawoneka ngati nthata zafumbi, odwala COPD alibe kusiyana kwa tsiku ndi tsiku mu zizindikiro zawo zoyambirira ndipo zizindikiro zawo zimakula pang'ono pang'onopang'ono. Odwala asayansi amatha kubwereranso mwachibadwa ndipo amakhala ndi nthawi yayikulu ngati alibe chizindikiro. Odwala opatsirana kawirikawiri amakhala ndi zizindikiro zowonongeka ndi umboni wa matenda omwe amachititsa kuti matendawa asamveke chifukwa cha kuchuluka kwake kwa eosinophil kapena selo yowopsa. Mu COPD nthawi zambiri simukuwona chinthu choletsedwa.
- Zizindikiro zolimbitsa thupi : Pamene chifuwa cha mphumu kapena chizoloŵezi chochita masewero olimbitsa thupi chimayambira 5 minutes mutayamba kuchita masewera olimbitsa thupi ndi mphindi khumi zokha (ngati simukusiya kuchitapo kanthu kapena ayi) zizindikirozi zikhoza kuchepetsedwa ndi chithandizo choyamba chithandizo ndi mankhwala monga Albuterol kapena mankhwala oopsa a mphumu.
Zizindikiro zolimbitsa thupi ku COPD nthawi zambiri zimakhudzana ndi kuwonongeka kwa mapapo kwa nthawi ndipo zotsatira zake zimapangitsa kuti mpweya wabwino ukhale wotsika m'magazi ndi masewera olimbitsa thupi. Zizindikiro sizimachepa ndi chithandizo chisanafike ndi mankhwala.
- Ntchito Yowonongeka Kuyesedwa: Pamene matenda onsewa amachepetsedwa ndi kuchepa kwa mpweya m'mapapo (FEV1) ndi spirometry, kukhumudwa komwe kumayenderana ndi COPD sikumatsutsana ndi bronchodilator ngati Albuterol, monga momwe imachitira ndi mphumu.
- Kuyezetsa kwa X-Ray: Ngakhale kuti mphumu ndi COPD zingasonyeze mapapu amphamvu kwambiri pa chifuwa cha x-ray, odwala COPD nthawi zambiri amagwirizana ndi kusintha kwa matenda osagwiritsidwa ntchito ndi mphumu.
- Zimayambitsa. Chodziwika chenicheni cha mphumu sikudziwika. Pali zenizeni za chibadwa ndi wodwala amene amakhala ndi mphumu ngati kholo kapena mbale ali ndi matendawa. Komatu COPD, nthawi zambiri imayambitsa kapena ikugwirizana kwambiri ndi mbiri ya kusuta. Kuwonongeka kwa madzi, mankhwala, ndi utsi wothandizidwa ndi anthu ena amatha kuyambitsa zifukwa zina, koma izi sizinapangitse maulendo asanu ndi awiri (5%) a COPD.
- Kuchiza. Zina mwa mankhwalawa kwa COPD ndi mphumu ndi zofanana. Muzochitika zonsezi, bronchodilators monga albuterol amachotsa zizindikiro zina za matendawa. Steroid yosakanizidwa imagwiritsidwanso ntchito ngati chithandizo chamankhwala m'mavuto awiriwo. Pali kusiyana, komabe. Mu mphumu, imodzi mwa njira zazikuluzikulu ndizomwe mungapewe kuyambira ngati mungu kapena fumbi. Kupatula kusuta utsi wa fodya, kupeŵa kugwilitsika kowopsa sikumachepetsa kwambiri zizindikiro za COPD. Odwala COPD akusiya kusuta adzapereka phindu lalikulu. Ngati COPD ndi yovuta kuposa oxygen ingagwiritsidwe ntchito monga chithandizo chamankhwala, chomwe sichimachitika kawirikawiri mu mphumu.
- Kuthamangitsani. Ngakhale kulibe mankhwala odwala matendawa, COPD imakhala ikupita patsogolo ndipo imaipiraipira pa nthawi. Mu mapapu owonongeka a COPD samabwerera ku zachibadwa. Mu mphumu, pambali ina, mphumu imatha kulamulidwa ndipo ana ena amayamba kukula.
Kusokonezeka kwachinsinsi kwachinsinsi
Kulephera kugwira ntchito kwachinsinsi, kapena kotchulidwa bwino monga "kusokonezeka kwa mankhwala osokoneza bongo," ndizodziwika bwino za masewera a mphumu. Kuwombera zotsatira kuchokera kumapeto kosafuna mwakachetechete pamakutu a mawu panthawi yopuma.
Kodi Kusiyana ndi Zizindikiro N'zotani?
Mosiyana ndi mphumu, odwala nthawi zambiri amamva ngati kupweteka kumabwera pammero.
Zizindikiro zimasiyana mosiyanasiyana, monga chifuwa cha mphumu, ndi odwala ena omwe ali ndi zizindikiro zochepa pamene odwala ena amafunika kupita ku chipinda chodzidzimutsa komanso ngakhale kutsegula. Mutha kukhala ndi vuto lachisokonezo chokhudzana ndi matenda ngati mukuvutitsidwa ndi asthma popanda zizindikiro zowonongeka panthawi yoyezetsa magazi.
Kuonjezera apo, anthu omwe ali ndi vuto lachisokonezo chokhudzana ndi mawu samakhala ndi mayesero apadera a pulmonary . Monga momwe tingayembekezere, spirometry imasonyeza kuti kulepheretsa kuli kunja kwa mapapo.
Ndani Amagwira Ntchito Yosavuta Kwambiri?
Kusokonezeka kwa mankhwala osokoneza bongo kumakhala kofala pakati pa odwala omwe ali ndi nkhawa ndi kupsinjika maganizo ndipo amayamba kuganiza kuti ndikutembenuka mtima. Kusokonezeka kwa mankhwala osokoneza bongo kumakhala kofala kwa atsikana ndi atsikana omwe ali achinyamata.
Atsikana achichepere: Pakati pa atsikana aang'ono, zizindikiro zimakhala zofala makamaka kwa othamanga, nthawi zambiri ndizochita masewera olimbitsa thupi komanso panthawi ya mpikisano. Komanso, asungwanawa amakhalanso opindulitsa kwambiri pamaphunziro.
Akazi okalamba: Gulu lina lomwe likuwoneka kuti limakhala ndi zizindikiro ndi amayi achikulire omwe ali ndi mbiri ya matenda a maganizo kapena kupsinjika maganizo kwakukulu. Chochititsa chidwi, chiŵerengero chowonjezeka cha anthu omwe ali ndi vuto lachisokonezo cha mawu amagwiritsidwa ntchito m'munda wokhudzana ndi thanzi.
Kulephera kugwira ntchito kwachinsinsi kumagwiritsidwa ntchito kwambiri ndi mankhwala. Ngakhale kuli kofunika kusiya mankhwala aliwonse osafunika, izi ziyenera kuchitidwa pang'onopang'ono powalumikizana ndi dokotala wanu.
Pezani Mayankho Ena
Gulu lathu lachinsinsi la Facebook limakulolani kuti muyanjanane ndi ine ndi ena omwe ali ndi mphumu kapena makolo a asthmatics. Simungathe kufunsa mafunso, kuyankhulana ndi makolo ena kapena mamembala omwe ali ndi mphumu, phunzirani zothandiza ndikuzindikira kuti simuli nokha mukuchita ndi mphumu, koma mukhoza kuthandiza ena ulendo wawo wa mphumu.
Zotsatira:
Tilles, Stefano. Kusiyanasiyana kwa Kuzindikira kwa Phumu. Zipatala za North America. Vol. 90 (2006): 61-76.