COPD ndi mphumu zimagwiritsa ntchito zizindikiro zosiyana, zomwe zingachititse kuti zikhale zovuta kudziwa chomwe mungakhale nacho. Chifukwa COPD ili ndi tsankho pakati pa anthu omwe odwala ambiri sakonda, odwala ena a COPD amatha kunena kuti ali ndi mphumu. Monga momwe zilili, ndizofunika kudziwa momwe mukudziwira kuti mukupeza chithandizo choyenera.
Zizindikiro Zogwirizanitsidwa ndi COPD ndi Asthma
Matenda onsewa akhoza kupereka zizindikiro izi:
Komabe, ngakhale zizindikiro zikhoza kukhala zofanana, pali kusiyana kokwanira komwe ndiko kusiyana kwakukulu koyenera.
Mafunso Othandiza Dokotala Wanu Kuzindikira Ngati muli ndi COPD kapena Asthma
Mayankho a mafunso otsatirawa athandizirani kuwona bwino matenda anu.
Kodi ndinkakhala ndi zizindikiro za matenda opatsirana kapena mphumu pokhala mwana?
Ngakhale kuti odwala ena amapezeka kuti ali ndi mphumu pokhala wamkulu, ambiri a asthmatics amapezeka muunyamata kapena achinyamata. Ndipotu, kafukufuku wambiri wasonyeza kuti madokotala oyamba amasamalira odwala omwe ali ndi mphumu pamene ali ndi COPD. Ngakhale kuti COPD ikhoza kukhala yophatikizapo kwa nthawi yaitali ya mphumu yosalamulirika, COPD imapezeka kawirikawiri musanakwanitse zaka 40.
Kodi n'chiyani chimapangitsa kuti zizindikiro zanga ziwonjezere?
Asthmatics nthawi zambiri amadziwa chomwe chimapweteka zizindikiro zawo.
Zinthu monga:
- Dander wanyama
- Mafumbi
- Mitsinje
- Mitengo
- Zosakaniza
- Mvula yamkuntho
- Kuchita masewera olimbitsa thupi
- Kusokonezeka maganizo
- Mankhwala Ena
Komano COPD, nthawi zambiri imakhala yoipitsitsa ndi matenda opatsirana ndipo sizimayambitsa matenda a mphumu omwe tatchulidwa pamwambapa.
Kodi ndine fodya wamakono kapena wam'mbuyo?
Ngakhale kuti COPD ndi mphumu zikhoza kuchitika palimodzi, COPD imakhala yowonjezereka kwa anthu omwe akusuta fodya kapena omwe kale anali osuta komanso omwe amasuta fodya.
Ngakhale kuti COPD ikhoza kuchitika kwa odwala omwe sanasutepo, oposa 80% odwala COPD amasuta kale kapena akusuta.
Kodi ndayamba ndakhalapo wopanda chizindikiro?
Odwala omwe ali ndi chifuwa cha mphumu zimakhala zozizwitsa, ali ndi zizindikiro zosasintha pakati pa kuphulika kwa mphumu ndipo amakhala ndi nthawi yambiri yopanda zizindikiro pamene mphumu yawo ikuyendetsedwa bwino. Odwala a COPD, omwe amawona zizindikiro zowonjezereka, ndipo samapita nthawi popanda zizindikiro.
Kodi mapapu anga amagwira ntchito mofanana pakati pa zovuta?
Mu mphumu zonse ndi COPD, dokotala wanu adzayesa mbali zina za mapapu anu ntchito ndi spirometry monga FEV1 . Ndi mphumu, mankhwala amachititsa mapapu anu kugwira bwino ntchito kapena mwachibadwa ndipo simukuyenera kukhala ndi zizindikiro zambiri za mphumu pakati pa kuphulika kwa mphumu.
Kumbali ina, mapiritsi a COPD a mapapu sangathe kubwerera kuntchire ndipo amakula pang'ono ngakhale ndi kusuta fodya ndi mankhwala a bronchodilator. Ndipotu, ngakhale kusuta fodya, odwala COPD angakhalebe akuchepa m'mapapo. Kuchepa kumeneku kumabweretsa zizindikiro, monga kupuma pang'ono, zomwe nthawi zambiri zimakhala chifukwa cha wodwala wa COPD akufunafuna chisamaliro.
Mmodzi wodwala wa COPD akakula, zizindikiro zimakhala zosawerengeka. Patapita nthawi, odwala COPD amatha kuona zizindikiro zomwe sizomwe zimapangitsa kuti thupi lizizizira, kuchepetsa mphamvu, chipiriro, mphamvu zothandizira komanso khalidwe la moyo.
Kusokonezeka kwa Phumu ndi COPD
Pali chinthu chimodzi monga matenda omwe amadziwika kuti asthma chronic obstructive pulmonary disease (ACOS).
Odwala a COPD akudziwika kuti ali ndi chifuwa cha mphumu kuphatikizapo COPD yawo. Chodabwitsa n'chakuti odwala mmodzi mwa anthu asanu aliwonse amasuta fodya ndipo ali pangozi ya COPD, ngati wina wosuta.
Odwala ena a COPD amawonetsa ngati chiwopsezo cha mphumu pamapiritsi amayesero a ntchito yamapapo otchedwa "chifuwa cha mphumu." Ngati kubwezeretsa kulibe, palibe gawo la mphumu liripo.
Bungwe la American Thoracic Society limatanthawuza kuwonetsetsa monga positi-bronchodilator kuwonjezeka mu FEV1 ya osachepera 12% kwa onse a COPD ndi mphumu. Pamene kutembenuka kulipo, kawirikawiri sikumakhala wodwala wa COPD poyerekeza ndi wodwala ali ndi mphumu yokha.
Zotsatira
Tinkelman DG, Price DB, Nordyke RJ, Halbert RJ. Kusokonezeka kwa matenda a COPD ndi mphumu pa chisamaliro chapakati odwala azaka 40 ndi kupitirira. J Nthenda. 2006 Jan-Feb; 43 (1): 75-80.
Kuebler KK, PC Buchsel, Balkstra CR. Kusiyanitsa matenda osokoneza bongo omwe amabwera chifukwa cha mphumu. J Amaphunziro a Nurse Pract. 2008 Sep; 20 (9): 445-54.