Ndi Zisonyezo Zanga Kuchokera ku COPD, Kulephera kwa Mtima, Kapena Zonsezi?

Odwala ambiri omwe ali ndi COPD amakhalanso ndi vuto la mtima wambiri komanso mosiyana

Kupuma pang'ono ndi chizindikiro chachikulu cha matenda osokoneza bongo (COPD) . Nthawi zambiri anthu odwala ndi COPD amapita kuchipatala kapena kukaonana ndi dokotala. Zowonjezereka kwambiri za COPD zimasonyeza kupuma pang'ono, kupuma, ndi chifuwa Ngati muli wodwala ndi COPD, mwinamwake mukudziwa zizindikiro izi bwino kwambiri, ndipo mwinamwake inu kapena madotolo mungaganize kuti zizindikiro zanu zonse zimagwirizana ndi COPD.

Komabe, ndibwino kukumbukira kuti 30 peresenti ya odwala omwe ali ndi matenda osokoneza bongo (COPD) amakhala ndi mtima wochuluka (CHF) . Mwa kuyankhula kwina, odwala omwe ali ndi COPD omwe ali ndi zizindikiro zosalamulirika monga kupuma pang'ono kapena kupuma amayeneranso kuyesedwa chifukwa cha kuchepa mtima kwa mtima (CHF).

Kufanana pakati pa COPD ndi CHF

1. Zizindikiro: COPD ndi CHF ndi matenda omwe ali ndi zizindikiro zofanana: kupuma pang'ono, chifuwa , ndi / kapena kupuma. Kuwonjezera pamenepo, CHF ikhoza kuyambitsa kutupa kwa mwendo, omwe si chizindikiro cha COPD, koma osati odwala onse omwe ali ndi CHF ali ndi kutupa kwa mwendo.
2. Zowonjezereka: Zonse za COPD ndi CHF ndi matenda omwe nthawi zambiri amaipiraipira, ndiye abwino, ndiye ovuta kwambiri. Zoipa zambiri zimatchedwa 'kuchulukitsa' ndipo ndizizindikiro za matenda awiriwa. Kuwonjezeka kwa COPD kungayambitsidwe ndi matenda, chimfine (mavairasi), utsi ndi utsi. Zowonjezereka za CHF zimayambitsa kusintha kwa zakudya (kudya mchere wochuluka kapena madzi), kuiwala kumwa mankhwala, ndi kusintha kwa chikhalidwe cha umoyo (mwachitsanzo, matenda a mtima kapena mavuto a impso). Pazochitika zonsezi, ngati mukudwala matenda a COPD kapena CHF, mungaone kuti zizindikiro zanu zikukulirakulira. Ntchito zosavuta zimapangitsa kuti ukhale wopuma kwambiri, ukhoza kutsokomola kwambiri kapena kudzimva wekha. Nthawi zina zimakhala zovuta kufotokoza kusiyana kwa kuwonjezeka kwa COPD ndi kuwonjezereka kwa CHF, makamaka kwa odwala omwe akudwala matenda onsewa.

1. Kuchepa kwa pulmonary ntchito: Ngati muli ndi COPD, simudziwa kupuma, kapena kuyesa ntchito. Chiyesochi chimaphatikizapo kuponyera mu makina omwe amachititsa kuti thupi lanu liziyenda bwino, ndipo chiwerengero chachikulu cha chidwi ndi FEV-1. Pamene odwala omwe ali ndi COPD kapena CHF ali ndi zovuta, nambala iyi ikugwa, zomwe zikutanthauza kuchepa m'mapapo. Mukamawonjezera kuchuluka, chiwerengerochi chiyenera kusintha. Powonongeka kwambiri m'mapapo, kumakhala kovuta kwambiri-ndipo izi ndizoona kuti zovuta zonse za COPD ndi CHF zimakhala zovuta.

Madokotala Amauza COPD ndi CHF Apart?

1. Kuyezetsa thupi: Nthawi iliyonse yomwe muli ndi zizindikiro zowonjezereka, ndikofunika kukachezera dokotala kuti athe kukayezetsa bwinobwino. Makamaka, odwala adzayang'ana zizindikiro zomwe zimauza COPD ndi CHF kupatula. Poyezetsa mapapu, madokotala amatha kuzindikira kuphulika (kumene kumachitika panthawi zonse za COPD ndi CHF). Komabe, ngati vuto liri makamaka CHF, phokoso lotchedwa "crackle" (limene limatanthauza kusamalitsa madzi) lingakhale phokoso lalikulu. Madokotala angayang'anenso miyendo yanu kuti aone ngati kutupa, komwe ndi vuto lalikulu mu CHF koma zochepa zochepa za COPD. Kufufuza kwa mtima kungasonyeze kung'ung'udza kwatsopano, komwe kawirikawiri kumachitika pamene CHF ndi vuto ndi mitsempha ya mitsempha imatha kusokonezeka yomwe ingatanthauze kusungira kwapadera. Zonsezi ndizomwe zimapezeka, koma palibe chomwe chimatsimikizira kuti matenda amodzi amachititsa zizindikiro zanu ndi zina.
2. Chifuwa-xrays: Chifuwa x-ray ndi njira ina imene madokotala angayang'anire pofuna kusiyanitsa pakati pa kuchuluka kwa COPD ndi kuwonjezereka kwa CHF kwa odwala omwe ali ndi matenda onsewa. Pamene wodwala ali ndi CHF chowopsa, madzi amadzimangira mkati kapena m'mapapo, ndipo izi zimawoneka pa chifuwa cha x-ray. Komabe, ngati zizindikirozo zimangokhala chifukwa cha COPD, ndiye kuti madziwa sadzawoneka.

1. Echocardiograms: Chidutswa cha echocardiogram ndi ultrasound of heart. Zimathandiza ogwira ntchito kuti aone momwe mtima, kuthamanga kwa magazi, komanso kuthamanga kwa minofu ya mtima. Ngati mtima uli wotsika (nthawi zina umatchedwa kachigawo kakang'ono ka ejection), izi zingayambitse madandaulo kwa dokotala kuti CHF ndi vuto lalikulu. Ngati mtima ukugwira bwino, izi zingachititse dokotala kuganiza kuti COPD ndilo vuto lalikulu. Kumbukirani, komabe odwala angakhale ndi mavuto ambiri, ndipo zotsatira zake zonse ziyenera kuthandizidwa.
2. Mayeso a magazi . Pomalizira, kuyesa kwa magazi kotchedwa BNP, kapena petide yakuyambirira ya natriuretic ikhoza kukwera kwambiri pamene CHF ikukulirakulira. Chiyesochi chingakhale chothandiza kwambiri ngati chiri chochepa, chifukwa izi zikusonyeza kuti mtima sungagwiritsidwe ntchito mopitirira malire.

Kodi Kusiyana Kwambiri pa Chithandizo N'chiyani?

Kwa kuchuluka kwa COPD , chithandizochi chimaphatikizapo mankhwala ophera tizilombo toyambitsa matenda kapena steroid osakanikirana kuphatikizapo steroid zamlomo (monga prednisone) kapena nthawi zina IV steroids. Odwala omwe ali ndi kuchuluka kwa COPD ayenera kulandira nebulizers kapena albuterol inhalers . Kawirikawiri, mankhwala opha tizilombo amayankhanso.

Chifukwa cha kuchuluka kwa CHF , chithandizo chachikulu chimaphatikizapo diuretics (monga Lasix kapena Bumex). Kuwonjezeka kwatsopano kwa CHF kuyenera kuyendera katswiri wanu wa cardiologist kuti muonetsetse kuti palibe vuto latsopano la mtima limene lachititsa kuti mukhale ndi zizindikiro zowonjezereka. Mankhwala ena angasinthidwe kapena kuperekedwa pa nthawi ya CHF kuwonjezereka komanso, choncho nthawi zonse ndibwino kukambirana ndi dokotala ngati muli ndi zizindikiro zatsopano.

Pamene odwala onse ali ndi COPD ndi CHF nthawi zambiri zimakhala zovuta kuwauza iwo-ndipo nthawi zambiri, odwala angakhale ndi matenda onse omwe nthawi zambiri amatha nthawi yomweyo. Nthawi zambiri madokotala amachiza zizindikiro za COPD ndi zizindikiro za CHF nthawi imodzi ngati sizikudziwika bwinobwino kuti matenda omwe amachititsa kuti zizindikirozo zikhale zovuta kwambiri komanso zitsogozo zimapereka odwala omwe ali ndi vuto la mtima pa mankhwala omwe alipo pomwepo (kuphatikizapo blockers) komanso amalimbikitsa mankhwala opitilira a COPD ngati Matenda onsewa akupereka zizindikiro.

Mfundo Yofunika Kwambiri

COPD ndi CHF zimakhala zofanana mofanana ndi zizindikiro komanso zochitika zina, ndipo odwala ambiri amavutika ndi matenda onsewa. Choncho, si zachilendo kuti madokotala akupatseni COPD ndi CHF panthawi imodzimodzi ngati sizikuwonekeratu kuti ndi matenda ati.

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Njira Yoyamba Yopeweratu Matenda Opatsirana (GOLD Guidelines) 2016