Phumu, Bronchitis, Chibayo, Pleuritis
Pakati pa mavuto ambiri osakhala ndi mtima omwe angapangitse kupweteka pachifuwa ndi matenda osiyanasiyana omwe amapezeka ndi mapapo. Matenda angapo a pulmonary angapange - kuwonjezera pa zizindikiro zina - kupweteka kwakukulu kwa chifuwa. Izi zikuphatikizapo mavuto a mpweya monga asthma kapena bronchitis , matenda kapena kutupa kwa mapapo okha ( chibayo ), kapena kutupa kwa chigawo cha mapapo (chomwe chimatchedwa pleuritis kapena pleurisy ).
Mwamwayi, pamene kupweteka kwa chifuwa kumayambitsa matenda, zimakhala zovuta kwambiri kuti dokotala apange matenda oyenerera. Choncho mtundu uwu wa kupweteka pachifuwa si nthawi zambiri wosokonezeka ndi kupweteka pachifuwa chifukwa cha angina kapena matenda a myocardial infarction .
Ndi bwino kukumbukira kuti mtima siwolowetsa chifuwa chachikulu m'chifuwa. Zonse mwazirombozi ndizovuta kwambiri zachipatala zomwe zimafunikira dokotala.
Chifuwa Chisokonezo Chochokera ku Phumu
Phumu ndi matenda aakulu omwe nthawi zambiri ndege zimatentha kapena kukhumudwa, zomwe zimapangitsa kuti minofu ikhale yovuta, zomwe zimachititsa kuti anthu asokonezeke. "Mavuto" a mphumu angayambidwe chifukwa cha kutentha kwa mpweya, kutentha kwa mpweya wozizira, kuchita masewera olimbitsa thupi - kapena nthawi zambiri, osadziwika kwenikweni. Panthawi ya kuukira, mpweyawo umakhala wochepa, ndipo zimakhala zovuta kutulutsa mpweya m'mapapo.
Kuphatikiza pa mpweya wochepa, kupuma ndi chifuwa, wodwala mphumu akhoza kukhala ndi chifuwa chachikulu, kapena kupweteka pachifuwa.
Kuphatikizika kwa chifuwa cha mphumu kumayambitsidwa ndi kuyesayesa kovuta kwambiri komwe kumafunikira kuthamangitsa mphepo kudzera mumtunda wa airways, zomwe zingayambitse kutopa ndi kupsyinjika kwa minofu.
Monga momwe zimakhalira ndi minofu ina iliyonse, minofu ya chifuwa imapweteka ikagwiritsidwa ntchito mopitirira muyeso.
Pomwe kachilombo ka mphumu kamapatsidwa bwino, chifuwa chimatuluka - ngakhale kuti pangakhale tsiku limodzi kapena awiri.
Matendawa afupipafupi akhoza kuchepetsedwa kapena kuthetsedwa ndi mankhwala oyenera .
Chifuwa Chisokonezo Chochokera ku Bronchitis
Monga mphumu, bronchitis ndi mkhalidwe womwe umakhalapo chifukwa cha kutsekedwa kwa mpweya, ngakhale kuti matendawa amatha chifukwa cha kutupa ndi kutupa kwazitsulo za mlengalenga komanso kusungunuka kwa ntchentche, m'malo mopwetekedwa mtima. (Anthu omwe ali ndi matendawa, nthawi zambiri amakhala ndi kachilombo ka mphumu.)
Bronchitis ikhoza kukhala yovuta kwambiri (yomwe nthawi zambiri imagwirizanitsidwa ndi matenda), kapena ikhoza kukhala yodwala - mtundu wa matenda osokonekera obstructive pulmonary disease.
Chifukwa nthendayi imakhala yovuta kwambiri chifukwa cha kupweteka kwa mpweya, chifuwa cha chifuwa chophatikizidwa ndi bronchitis n'chofanana ndi chomwe chimayambitsa mphumu.
Chifuwa Chofufumitsa Kuchokera ku Pneumonia
Chibayo ndi kutupa kwa minofu ya mapapo, kawirikawiri imayambitsidwa ndi matenda. Chibayo chingathenso kupweteka pachifuwa. Nthawi zambiri ululu umayamba chifukwa cha kupweteka kwa minofu chifukwa chokanganitsa kwambiri, kapena kutentha kwapadera kwa mapaipi (pleurisy).
Chifuwa Chofufumitsa Kuchokera Pleurisy
Pleurisy (kapena pleuritis) ndi kutupa kwa mapaipi. Zitha kuchitika chifukwa cha zinthu zambiri kuphatikizapo matenda a tizilombo kapena bakiteriya; Matenda osokoneza bongo monga lupus kapena nyamakazi ya nyamakazi ; mankhwala monga procainamide, hydrazine ndi isoniazid; pneumothorax ; opaleshoni pachifuwa; ndi khansa.
Kupweteka kumeneku chifukwa cha pleurisy nthawi zambiri kumakhala khalidwe. Chifukwa chakuti mapaipi amatha kupsa mtima, chilichonse chimene chimayatsa mapaipi amachititsa ululu. "Chilichonse" chikuphatikizapo kupuma.
Choncho "kupweteka kwachisoni" ndi kupweteka pamtima chifukwa cha kupuma, kukokera, kapena kusuntha chifuwa.
Kupweteka kumakhala kumalo amodzi a chifuwa (kapena paphewa), kapena kungakhale kwachibadwa.
Nthawi zina ululu wa Pleuritic umakhala wofanana ndi ululu wa pericarditis , ndipo ndithudi ndi matenda omwe amadzimadzimadzimodzi ( kuphatikizapo matenda a Dressler ), anthu amatha kukhala ndi pericarditis ndi pleurisy (matenda otchedwa pleuropericarditis).
Pomwe kutupa kwa pleiritic kumatetezedwa mokwanira, kupweteka kwamtendere kumatsimikizira.
Mawu Ochokera
Kupweteka pamtima kapena kupweteka chifukwa cha vuto lapoponomali kaŵirikaŵiri ndi khalidwe lokwanira kuti asasokonezedwe ndi madokotala ndi ululu wa matenda a mtima.
Koma zina mwazirombozi ndizofunika kwambiri zachipatala zomwe ziyenera kuyesedwa ndi kuchiritsidwa ndi dokotala.
> Zotsatira:
> Bösner S, Becker A, Haasenritter J, et al. Chifuwa Chakumsamaliro Wapadera: Matenda a Epidemiology ndi Pre-Work-Up Probabilities. Eur J Gen Pract 2009; 15: 141.
> Njira Zomwe Zidzasokonezedwe, Kulamulira, ndi Kupewa Matenda Ovuta Kuletsa Matenda: Kukonzedwanso kwa 2011. Global Initiative for Chronic Obstructive Lung Disease (GOLD). www.goldcopd.org (Idapezeka pa September 10, 2012).
> Ndondomeko Yophunzitsira ndi Kupewa Kudzala Mtengo Wonse: Lipoti la Panja la Expert Iii: Malangizo Othandizira Kuzindikira ndi Kulamulira Kwa Phumu. Bethesda, MD: National Heart, Lung, ndi Blood Institute, 2007. (NIH nambala 08-4051) www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm (Kupezeka pa December 04, 2014).
> Verdon F, Herzig L, Burnand B, et al. Chifuwa Pazochitika Tsiku ndi Tsiku: Zochitika, Zomwe Zimayambitsa Ndi Utsogoleri. Swiss Med Wkly 2008; 138: 340.