Sikuti Nthawi Zonse N'kosavuta Kuliuza
Kodi ndi mphumu kapena COPD? Sikophweka nthawi zonse kwa inu kapena dokotala wanu kuti muwauze. Ngakhale kuti nthawi zina zinthuzi zingagwirizane, nthawi zambiri zimatha kunena chomwe chiri chotheka.
Wowerenga posachedwapa analemba kwa ine kusokonezeka ndi chinachake adokotala anamuuza iye. Iye analemba kuti:
"Ma pulmonologist wanga anandipeza ine ndi mphumu yambiri yopanda mphumu. Pamene ine Google ndikutha, COPD ikubwera.
Kodi izi zikutanthauza kuti ndili ndi COPD komanso asthma? Ndine mkazi wazaka 54 yemwe sanakhale ndi mphumu ali mwana. Ndinavutika ndi mapapu anga chifukwa cha kuzizira koopsa m'nyengo yozizira yapitayi. Sindinayambe ndasuta fodya. Ndili ndi zizindikiro za mphumu pafupifupi tsiku lililonse.
Mankhwala anga ndi Operekera njira yopulumutsa, Symbicort BID, Singulair HS ndipo ndikugwiritsanso ntchito Banda nebulizer yanga.
Anandipititsa kuchipatala milungu iwiri yapitayi kuti ndikhale ndi matenda a mphumu kwa masiku atatu ndipo ndinalandira ma steroids ndi mankhwala a nebulizer maola asanu ndi atatu ndi atatu ndikumasulidwa pa tchire la prednisone kuyambira 40 mg masiku atatu. Pamene ndinali ndi vuto la mphumu lopweteka lomwe linanditumizira ku ER, ndinali kale ndikugwiritsira ntchito prednisone. "
Momwemo ali ndi mphumu, COPD, kapena onse awiri? Kuyankha mafunso angapo kungathandize kudziwa ngati ndi mphumu kapena COPD. Ochepa odwala angakhalenso ndi chithunzi chophatikiza. Ngakhale mankhwala ambiri ali ofanana, momwe mumachitira mankhwala, zizindikiro zanu, ndi zinthu zina zingapo zosiyana.
Kodi Ndinali Ndi Zizindikiro Ndili Mwana?
Anthu ena amakhala ndi zizindikiro ndipo amapezeka kuti ali ndi mphumu pokhala achikulire. Komabe, ambiri a mphumu amapezeka mwa ana ndi achinyamata. Ndipotu, okalamba ambiri odwala omwe ali ndi mphumu ali ndi COPD. Nthenda yotchedwa asthma imatchedwa bimodal kapena matenda ofanana ndi U chifukwa timawona odwala ambiri ali ndi zaka zoyambirira, komabe pali vutoli pakati pa odwala pakati pa zaka 35 ndi 40.
Utsi wa fodya, kutetezeka kwa nyama ndi nkhungu zooneka m'nyumbayo zonse zakhala zikufufuzidwa ngati zifukwa zomveka zachidulechi. Kuyamba msanga mphumu ya mphumu kumapangitsa kuti matenda ambiri a mphumu akakhale akuluakulu akhoza kuyimira mtundu wovuta kwambiri womwe umagwiridwa ndi ndalama zapamwamba zachuma ndipo n'zovuta kulamulira kuchipatala.
Kodi N'chiyani Chimapangitsa Zizindikiro Zanga Zachuluka Kwambiri?
Ngakhale kuti mphumu ndi COPD zonse zimalepheretsa, kutupa , ndi kuthamanga kwa mpweya monga mbali ya matenda, mphumu ndizovuta kwambiri ndipo odwala amadziwa zomwe zimachititsa kuti zizindikiro zawo zikhale zovuta monga:
- Kusuta fodya
- Dander wanyama
- Mafumbi
- Mitsinje
- Mold
- Nyongolotsi
- Mvula yamkuntho
- Kuchita masewera olimbitsa thupi
- Kusokonezeka maganizo
- Mankhwala ena
Kawirikawiri COPD imayambitsa, koma nthawi zambiri imayambitsidwa ndi matenda opatsirana.
Kodi Ndimasuta?
Ngakhale utsi ungayambitse zizindikiro za mphumu, COPD imakonda kwambiri anthu osuta fodya, omwe poyamba ankasuta fodya, kapena odwala omwe amatha kusuta fodya.
Kodi Ndili Ndi Nthawi Zonse Zopanda Pachizindikiro?
Zizindikiro za mphumu ndizomwe zimayesedwa, zosavuta, komanso mapapu (mwachitsanzo FEV1 ndi spirometry ) zimabwereranso mwachibadwa kapena zimakhala bwino pakati pa kuphulika kwa mphumu. Zizindikiro ndi COPD, komano, sizingatheke ndipo nthawi zambiri zimapita patsogolo.
Odwala ambiri a COPD amakumana ndi zizindikiro nthawi zonse. Zizindikirozi sizikuwoneka kuti zimasintha pakapita nthawi monga zizindikiro za COPD ziyenera. Mofananamo, odwala a COPD amafunika kumwa mankhwala tsiku ndi tsiku ndipo samawoneka kuti amapindula ndi ndondomeko ya chidziwitso monga odwala a mphumu amachita. Mofananamo, odwala COPD sangathe kuwunika zizindikiro ndikusintha mankhwala monga odwala a mphumu amatha kuchita. Potsirizira pake, COPD nthawi zambiri imafika patsogolo pamene mphumu siili.
Kodi Mungakhale ndi Matenda Oopsya?
Ngakhale kuti sanaphunzire bwinobwino, madokotala akuvomereza kwambiri njira yothandizira matenda. Madokotala awa amakhulupirira zomwe zimatchedwa "Dutch hypothesis" kumene mphumu ndi COPD ziri pa matenda omwewo zimapitirira osati kukhala osiyana, matenda osiyana.
Lingaliro limalimbikitsa lingaliro lakuti matenda mu amphamvu ya mapapo ndi njira zomwe zimapangidwira ndikukula patsogolo mu ubwana wonse. Zizindikiro za munthu wamkulu zimakhala zomaliza chifukwa cha matenda amodzi.
Odwala omwe ali ndi zibwenzi nthawi zambiri amakhala okalamba. Nthawi zambiri odwala awa ndi awa:
1. Osuta ndi mphumu
2. Osasuta omwe ali ndi mphumu yambiri yomwe ikupita ku COPD
Pa kuyesedwa kwabwino kwa odwala ali ndi matenda omwe amawoneka ngati asthma komanso ngati COPD. Pali mtsutso wina mu mabuku a zachipatala ngati izi zikuimira matenda awiri. Komabe, chithandizo sikuli chosiyana, koma palibe mayesero ochipatala omwe angakuthandizeni kutsogolera chithandizo cha dokotala. Pamene chiwerengero cha anthuwa ndi okalamba, chiwopsezo chachikulu cha kusalekerera kapena kupweteka kwa odwala. Dokotala wanu adzakambirana za kusuta fodya, komanso katemera ngati n'koyenera. Ngati mukufuna oxygen supplementation kapena pulmonary kukonzanso izi ndi zomveka. Ngati zizindikiro zanu ndi mayesero anu amasonyeza kuti matenda anu ali ngati COPD, dokotala wanu akhoza kutsika njirayo komanso mosemphana ndi chifuwa cha mphumu.
Kodi Vuto Lanu Lalikulu Kwambiri la Chisokonezo N'chiyani?
Tikufuna kukuthandizani kupeza mphumu yanu. Ndikufuna kumva za vuto lanu lalikulu la mphumu kuti tiyesere kukuthandizani kupeza yankho kapena kumvetsetsa momwe mungathandizire. Mwinamwake siinu nokha muli ndi vuto. Tengani maminiti angapo pofotokoza vuto lanu kuti tikhoze kukhazikitsa yankho palimodzi.
> Zotsatira:
Lee YL, Hsiue TR, Lee CH, Su HJ, Guo YL. Kuwonetseredwa kwa panyumba, kutha kwa makolo, ndi zizindikiro za mphumu pokhala wamkulu kumwera kwa Taiwan. Chifuwa. 2006 Feb; 129 (2): 300-8.
> NGM Orie. Dutch Hypothesis.
> National Heart, Lung, ndi Blood Institute. Report of Panel Panel 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu.
> Papaiwannou > A et al. Matenda a mphumu omwe amachititsa kuti matenda a mphumu asokonezeke (ACOS): mabuku atsopano > kubwereza. >. > J Thorac Dis. 2014 Mar; 6 (Suppl 1): S146-S151.
> Tsung-Ju Wu, Chang-Fu Wu, Yungling Leo Lee, Tzuen-Ren Hsiue, Yue Leon Guo. Matenda a mphumu, kukhululukidwa, kubwereranso ndi kulimbikira: kuphunzira kochokera kumudzi kumwera kwa Taiwan. Kafukufuku Wopuma Mopatsirana 2014 15 : 135