Matenda a mphumu ndi matenda osokoneza bongo (COPD) ndi matenda aakulu omwe amalepheretsa, kutupa, komanso kuthamanga kwapadera monga mbali ya matenda.
Mu chifuwa cha mphumu, kutsekeka ndizochitika pakati, zowonongeka, ndi mapapu zimabwereranso. Kumbali inanso, kubwezeretsedwa kwa COPD sikungatheke ndipo nthawi zambiri kumapita patsogolo.
Nthendayi imaganiziridwa kuti ndi matenda a ubwana ndipo COPD imaganiziridwa kuti ikhale ndi moyo wamtsogolo chifukwa cha kusuta. Ngakhale kuti nthawi zambiri amawoneka kuti ndi matenda osiyana, palinso anthu ena omwe ali ndi matenda omwe amadziwika kuti ACOS kapena matenda a mphumu odwala matenda obwera m'mimba. Syndrome. Kufala kumakhala kofala ngati odwala akula.
"Dutch hypothesis" imanena kuti mphumu ndi kuthamanga kwa mpweya zimapangitsa odwala ku COPD m'tsogolo. Maganizo ena amachititsa kuti mphumu, COPD, matenda a bronchitis, ndi emphysema zikhale zosiyana pa matenda ena.
Kulimbana ndi Zovuta za Syndrome
Kuzindikira kuti matendawa amatha kukhala ovuta kwambiri chifukwa maphunziro ambiri a mphumu sapatula odwala COPD komanso maphunziro a COPD samapereka odwala mphumu. Akatswiri samavomerezana ndi njira zowunikira, koma taganizirani zotsatirazi pofufuza:
- Dokotala wodwala matenda a mphumu ndi COPD m'thupi lomweli
- Mbiri kapena umboni wa mapepala monga:
- Chigwagwa
- Kukwanira kwathunthu kwa IgE
- Ali ndi zaka 40 kapena kuposerapo
- Mbiri yosuta fodya yopitirira 10 paketi-zaka
- Postbronchodilator FEV1
- PHV1 / FVC chiŵerengero cha zosakwana 70%
- Kupititsa patsogolo kwa FEV1 ndi chiwerengero chapamwamba chotsatira zotsatira za bronchodilator
- Eosinophilia mumsampha
Kuchiza kwa ACOS
Ngati dokotala wanu akukhulupirira kuti muli ndi ACOS, iwo alibe njira zambiri zothandizira popeza palibe ndondomeko yowunikirapo yothandizila kuti athe kuwongolera njira zochiritsira ku ACOS.
Komabe, dokotala wanu akhoza kutsata ndondomeko zamankhwala zowonongeka zomwe zimayambitsa kutsutsana ndi kutuluka kwa mpweya.
Ngati mupitiriza kusuta, kusuta fodya ndi cholinga chochepetsera kupuma, chifuwa cholimba, chifuwa , ndi kupuma pang'ono .
Mankhwala a ACOS, monga a mphumu ndi COPD ndi awa:
- Mankhwala a bronchodilators kapena a SABA: Odwala omwe ali ndi mphumu ndi COPD amapatsidwa chithandizo ndi odwala matendawa ndipo mankhwala akupitirirabe ndi kusintha kwachizindikiro. SABAs amagwiritsidwa ntchito pochiza zizindikiro zovuta.
- Mankhwala otchedwa Long-acting bronchodilators kapena LABAs: LABAs amagwiritsidwa ntchito moyenera monga monotherapy mu COPD, koma osati pochiza mphumu chifukwa cha zotsatira zopindulitsa za steroid yosakanizidwa.
- Anticholinergics: Mu COPD, mankhwala ophera anticholinergic amapereka mankhwala ofanana ndi a bronchodilation poyerekeza ndi agonists a beta. Chinsinsi cha bronchodilation mu COPD chimadalira momwe mumayankhira mankhwala aliwonse payekha kapena palimodzi.
- Steroid yosakanikirana: Kutupa ndi mphumu yochokera ku eosinophils pamene kutupa kwa COPD kumachokera ku neutrophils . Ma steroid opangidwa ndi mphumu amayamba kugwiritsa ntchito kale kuposa COPD.
- Steroids yodalirika
- Mankhwala opha majeremusi: chifukwa cha kuchuluka kwa COPD zovuta. Mankhwala osokoneza bongo samalimbikitsidwa nthawi zonse pamene matenda opatsirana ambiri amachiza.
Dokotala wanu atakayikira kuti pakati pa mphumu ndi COPD, kuyesa kwanu ndi chithandizochi ziwoneka ngati zosakaniza zonse ziwiri.
> Zosowa
> 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.