Tanthauzo la Bronchitis Yosatha

Bronchitis Yachilendo vs Bronchitis Yambiri - Zizindikiro ndi Zomwe Zimayambitsa

Matenda otchedwa bronchitis ndi matenda osokoneza bongo (COPD) omwe amabwera chifukwa cha kutupa kosatha kwa bronchi , mpweya wochokera ku trachea kupita m'mapapu.

Tsopano akuonedwa kuti ndimadera atatu omwe amachititsa anthu ku United States (kumbuyo kwa matenda a mtima ndi kusuta fodya), matenda a bronchitis aakulu akuganiza kuti amachitika mu 3.6 peresenti ya anthu.

Bronchitis Chronic Chronicle

Matenda a bronchitis amatha kukhala ngati chifuwa chimene chimapangitsa mfuti yomwe imapezeka tsiku lililonse kwa miyezi itatu mzere, ndipo nthawi imeneyi imakhala zaka ziwiri mzere. Chifukwa chofala kwambiri ndicho kusuta, koma kuwonetsa utsi wambiri, kutayika kwa mpweya, ndi mankhwala omwe ali pa ntchito kungayambitsenso vutoli.

Mosiyana ndi mankhwala a bronchitis opweteka kwambiri (omwe amakhala okhudzidwa ndi kachilombo ka HIV kapena malo oteteza zachilengedwe), matenda aakulu a matendawa ndi matenda aakulu omwe amawononga kuwonongeka kwa mpweya.

Bronchitis Yachilendo ndi Fomu Yopewera Matenda Opatsirana Opatsirana (COPD)

Matenda omwe amachititsa kuti anthu asamapezeke ku United States tsopano amachititsa kuti matendawa asokonezeke. Mitundu ina ya COPD ikuphatikizapo emphysema ndi bronchiectasis .

Kodi Zimakhala Zofanana Motani?

Mu 2017 akuti akuti pali anthu 8.7 miliyoni omwe anapezeka ndi khate lachilendo ku United States-3.6 peresenti ya anthu, monga taonera pamwambapa.

Komabe ngakhale kuti anthu akusuta fodya, chiŵerengero cha matenda a COPD osachiritsika chikupitirizabe kuwuka.

Osati aliyense amene ali ndi matenda a bronchitis, komabe atulukirapo. Kafukufuku amasonyeza kuti kuwonongeka kwa mapapu kosasinthika kawirikawiri kumachitidwa ndi nthawi imene anthu ambiri amakhala ndi zizindikiro zofatsa.

Zizindikiro

Zizindikiro za matendawa ndi zofanana ndi zizindikiro zina zamapapu ndipo zingaphatikizepo izi:

• Chifuwa chopitirira chomwe chimapatsa zipatso za ntchentche. Chifuwachi nthawi zina chimatchedwa chifuwa chachikulu chosuta fodya . Mphukira ikhoza kukhala yowoneka bwino, yachikasu, yobiriwira, kapenanso magazi.
• Kupuma pang'ono , poyamba chokha ndi ntchito, ndipo kenako popuma.
• Kugunda - Kumveka kulira kwa malipenga komwe kumapangitsa kuti anthu asamayende pang'onopang'ono.
• Kupweteka kwa chifuwa - Kupweteka ndi kupuma , kotchedwa pleuritic pachifuwa kupweteka kungabwere chifukwa cha zifukwa zingapo, zonse chifukwa cha kutupa m'mapapo (makamaka mapaipi a mapapo), kuchokera ku misampha chifukwa cha kupuma.

Kukhumudwitsanso, kumayambitsa minofu, kutopa, kupweteka mutu, ndi pakhosi. Anthu ena amathyola nthiti kuti ayambe kukhwima.

Zinthu Zowopsa / Zomwe Zimayambitsa

Ndithudi, kusuta ndilo vuto lalikulu lomwe limakhalapo chifukwa cha matenda a khate, koma palinso zifukwa zambiri zoopsa za matendawa. Kuphatikizanso, zifukwa zowonjezera zingawonjezere pamodzi kuti ziwonjezere ngozi. Zina mwaziopsezo ndizo:

• Kusuta - Kusuta kumawoneka kuti ndi chifukwa cha pafupifupi 90 peresenti ya milandu.
• Kuchita ntchito kumayambitsa fodya kapena fumbi - Pachifukwa ichi, matendawa amatha kutchulidwa kuti "bronchitis". Kuwonjezera pa matenda a bronchitis, ntchito yowonjezera yowonjezereka imawonjezera chiopsezo cha khansa ya m'mapapo ndipo amaganiza kuti mpaka 27 peresenti ya khansa ya m'mapapo mwa amuna ali ndi gawo la ntchito. (Ngati mukukhulupirira kuti matenda anu achilonda amatha kukhala okhudzana ndi ntchito zowonongeka, onetsetsani kuti mukuyankhula ndi dokotala wanu za kansa ya mapapo.)

• Chikulire chokwanira.
• Ntchito yochepa yoteteza thupi.
• Matenda opatsirana obwerezabwereza.

Kudziwa

Dokotala wanu adzayamba kuchita mbiri yeniyeni ndi zakuthupi, mosamala zowopsa zomwe mungakhale nazo. Poyezetsa magazi, samangomvetsera mapapu anu okha koma ayang'ane zizindikiro zina za matenda osapatsirana monga kupweteka kwa thupi komanso ngakhale khungu lakuda. Mayesero angaphatikizepo:

• Chifuwa cha X-ray
• Chifuwa chachikulu cha CT kapena bronchoscopy chingachititse kuti pasakhale ndi matenda monga khansa ya m'mapapo kapena chifuwa chachikulu
• Kusanthula mfuti
• Chikhalidwe cha chifuwa - Kufufuza zizindikiro zilizonse za matenda
• Kuyeza kayendedwe ka mankhwala - Mapulogalamu oyendetsa mapulogalamu kuphatikizapo spirometry angathandize kupanga matendawa komanso kuzindikira kuopsa kwake

• Mpweya wa okosijeni m'magazi anu ( kuthamanga kwa oximetry kapena magetsi opha magazi)

Kuchiza

Chithandizo cha matenda a bronchitis osadwala chidzadalira pazifukwa zambiri kuphatikizapo kuopsa kwa zizindikiro zanu ndipo nthawi zambiri zimaphatikizapo mankhwala onse komanso mankhwala monga machiritso a pulmonary rehabilitation. Popeza matenda a bronchitis aakulu ndi osatsimikizika, mankhwala amachititsa kuchepetsa matendawa komanso kutonthozedwa. Mankhwala ena ogwiritsidwa ntchito ndi awa:

Mankhwala

Mankhwala osiyanasiyana amagwiritsidwa ntchito kuti athe kuchepetsa kupweteka kwa matenda a chronic bronchitis. Mankhwalawa amagwira ntchito m'njira zosiyanasiyana ndipo amatha kusokoneza mbali ya chitetezo chomwe chimakhala chosasinthika, kuchepetsa kutentha m'misewu, kapena kuchiza matenda.

• Zojambulajambula
• Steroids osakaniza kapena olankhula
• Phosphodiesterase 4 inhibitors (PDE4 inhibitors) kuti achepetse kutupa
• Maantibayotiki akafunika kuti apeze matenda. Anthu ena amatha kupatsidwa mankhwala a antibiotic (azithromycin) tsiku ndi tsiku kuti athe kuchepetsa ngozi
• Mankhwala okhwima

Mankhwala Ena

Kuwonjezera pa mankhwala, zifukwa zambiri za moyo, komanso mpweya wabwino ndi kupuma ndi mbali yofunikira ya kuchiza matenda a bronchitis.

• Kuchita masewera olimbitsa thupi - Kuchita zinthu zokhudzana ndi thupi kungapangitse kusiyana kwakukulu kwa anthu omwe ali ndi matenda opweteka.
• Thandizo la okosijeni - Pali madalitso angapo a chithandizo cha oxygen kwa COPD
• Zolinga zapakhomo - Onetsetsani izi 12 zakuchipatala zapakhomo kuti mukhomere
• Kukonzekera kwaulendo
• Mtsinje wa Postural
• Pewani zifukwa zoopsa - Gawo lofunika kwambiri loyang'anira matendawa ndi kuteteza zinthu zomwe zingapangitse kuti zizindikiro zanu zikhale zovuta kapena kupweteka kwambiri. Dokotala wanu adzakuuzani za kusuta fodya mukasuta fodya, kupeŵa kusuta fodya, komanso kutsekemera kwa mpweya ndi mafungo
• Zilonda zachipatala - Zambiri zowonjezera zachipatala zikuyang'ana njira zowonjezera zizindikiro za anthu omwe ali ndi COPD komanso njira zothetsera kupititsa patsogolo

Ngozi ya khansa ya m'mimba

N'zosadabwitsa kuti COPD (monga khate lachilendo) ndi khansara yamapapu ikhoza kuyenda limodzi ngati kusuta kungayambitse zonsezi. Komabe tikuphunziranso kuti COPD ndiyekha yomwe imayambitsa khansa ya m'mapapo . Izi zikutanthawuza kuti khateka lokha limatulutsa chiopsezo cha khansa yamapapo kwambiri. Phunzirani zambiri za COPD monga chiopsezo cha khansara yamapapo.

Mavuto

Khansa ya bronchitis imayambitsa chiopsezo cha matenda a mapapu, ndipo ingayambitsenso chiopsezo cha khansa ya m'mapapo .

_Zotsatira:

_{Maofesi a Kuletsa ndi Kuteteza Matenda (CDC). Matenda Oopsa Amadzimadzi Amaphatikizapo: Bronchitis Chronicle ndi Emphysema. Kusinthidwa 01/20/17. https://www.cdc.gov/nchs/fastats/copd.htm}

_{National Library of Medicine. MedlinePlus. Bronchitis Yosatha. Kusinthidwa 02/28/17 https://medlineplus.gov/chronicbronchitis.html}

_{Poole, P., Chong, J., ndi C. Cates. Mucolytic wothandizira potsitsimutsa matenda a chronic bronchitis kapena matenda osokoneza bongo. Dongosolo la Cochrane la Zosintha Zogwirizana . 2015 Jul 29; 7: CD001287.}