I-Bronchitis engapheli vs i-bronchitis enamandla - Izimpawu nezimbangela
I-bronchitis engapheli yindlela ye- chronic obstructive pulmonary disease (COPD) obangelwa ukuvuvukala okungapheli kwe- bronchi , umoya ohamba phambili ukusuka e- trachea kuya emaphashini.
Manje kubhekwa imbangela yesithathu yokufa e-United States (ngemuva kwesifo senhliziyo nokubhema), i-bronchitis engapheli kucatshangwa ukuthi ivela kumaphesenti angu-3.6 abantu.
I-Acron vs i-Bronchitis engapheli
I-bronchitis engapheli ichazwa ngokuthi ukukhwehlela okukhiqiza isikhukhula esenzeka nsuku zonke izinyanga ezintathu ngokulandelana, ngalezo zikhathi ezenzeka okungenani iminyaka emibili zilandelana. Isizathu esivame kakhulu ukubhema, kodwa ukuvezwa komusi wesimanga, ukungcola komoya, kanye namakhemikhali asemsebenzini kungase kubangele nalesi simo.
Ngokungafani ne -bronchitis enzima (isimo esisesikhashana esiphathelene nokutheleleka kwegciwane noma ukuchayeka kwemvelo), i-bronchitis engapheli yisifo esibi esihilela ukulimala okungapheli emoyeni.
I-Bronchitis engapheli iFomu Yezinkinga Zokuphulukisa Izifo Ezingapheliyo (COPD)
Isifo se-lung obstructive pulmonary manje sibhekwa njengesi-3 esiholela imbangela yokufa e-United States. Ezinye izinhlobo ze-COPD zihlanganisa i- emphysema ne- bronchiectasis .
Kufana Kanjani?
Ngo-2017 kulinganiselwa ukuthi kunezigidi ezingu-8.7 zabantu ababhekene ne-bronchitis engapheli emazweni ase-United States-3.6% wabantu, njengoba kuphawuliwe ngenhla.
Noma yize abantu bebheka ukubhema, izigameko ze-COPD ezinamahloni ahlala njalo zilokhu zikhula.
Akuwona wonke umuntu onomdlavuza ongapheli, noma kunjalo, otholiwe. Ucwaningo lubonisa ukuthi umonakalo omkhulu ongaphazamiseki wamaphaphu uvame ukwenziwa ngesikhathi abantu abaningi beqala izimpawu ezinobumnene.
Izimpawu
Izimpawu ze-bronchitis ezingapheli zifana nezinye izimo zamaphaphu amaningi futhi zingabandakanya:
- Ukukhwehlela okuqhubekayo okuvame ukhiqiza umcubu. Lokhu kukhwehlela ngezinye izikhathi kubizwa ngokuthi ukukhwehlela okungapheli kokubhema ukubhema . I-sputum ingaba yicacile, iphuzi, iluhlaza, noma ngisho negazi.
- Ukuphefumula , okokuqala kuphela ngomsebenzi, futhi kamuva ekuphumuleni.
- Ukugubha - Ukukhala komsindo okhiqizwa ukuvinjelwa okuyingxenye yezindiza.
- Ubuhlungu besifuba - Ubuhlungu bokuphefumula , okuthiwa ubuhlungu besifuba se-pleuritic bungase kwenzeke ngenxa yezizathu eziningana, kokubili ngenxa yokuvuvukala emaphashini (ikakhulukazi amaphuphu emaphaphu), kusuka emithanjeni yemisipha ngenxa yokuphefumula.
Ukwehla, kungabangela ubuhlungu besisu, ukukhathala, ikhanda, nesifo somzimba. Abanye abantu baye baphula ngisho nezimbambo zokukhwehlela.
Izingozi / Amabangela Wengozi
Ngokuqinisekile, ukubhema kuyinkinga evame kakhulu yokubhebhetheka kwe-bronchitis, kodwa kunezinye izici eziningana ezibangelwa isifo. Ngaphezu kwalokho, izici zengozi zinganezela ndawonye ukwandisa ingozi. Ezinye izici zengozi zihlanganisa:
- Ukubhema - Ukubhema kuthathwa njengesizathu samacala angu-90 amacala.
- Ukugxila emzimbeni kumfutho noma uthuli - Kulesi silungiselelo, i-bronchitis engapheli ingase ibhekiswe ngokuthi "i-bronchitis yezimboni." Ngaphandle kwe-bronchitis engapheli, ukuvezwa kwemisebenzi kungase kwande ingozi yomdlavuza wamaphaphu futhi kucatshangwa ukuthi amaphesenti angaba ngu-27 wamanqamu emaphaphu emadodeni anesici sokusebenza. (Uma ukholelwa ukuthi i-bronchitis yakho engapheli ingase ihlotshaniswe nokuchayeka emsebenzini, qiniseka ukukhuluma nodokotela wakho mayelana nokuhlolwa komdlavuza wamaphaphu.)
- Ukukhula kweminyaka.
- Umsebenzi omzimba ompofu.
- Ukuphindaphinda izifo zokuphefumula.
Ukuxilongwa
Udokotela wakho uzoqala ukwenza umlando ngokucophelela nangokwenyama, ngokucophelela noma yiziphi izici eziyingozi ongase ube nazo. Uma ehlolwa ngokomzimba, ngeke nje alalele amaphaphu akho kodwa afune ezinye izibonakaliso zesifo esingenasifo sokuphazamiseka kwesifo somzimba njengokwesisindo noma ngisho nokukhwabanisa isikhumba. Uvivinyo lungabandakanya:
- I-x-ray yesifuba
- I-CT scan noma i- bronchoscopy ingenziwa ngaphezulu ukukhipha izimo ezifana nomdlavuza wamaphaphu noma isifo sofuba
- Ukuhlaziywa kwe-sputum
- Isiko le-sputum - Ukufuna noma yiziphi izimpawu zokutheleleka
- Izivivinyo zomsebenzi wamapulmonary - Izivivinyo zomsebenzi we- Lung kuhlanganise ne-spirometry zingasiza ukwenza ukuxilongwa kanye nokunquma ubunzima
- Izinga le-oksijini egazini lakho (i- pulse oximetry noma igesi yegazi)
Ukwelapha
Ukwelashwa kwe-bronchitis engapheli kuyoxhomeka ezintweni eziningi ezihlanganisa ubukhulu bezimpawu zakho futhi ngokuvamile kufaka phakathi kokubili imithi kanye nokwelapha ngokomzimba njengokuvuselelwa kwe-pulmonary. Njengoba i-bronchitis engapheli ingencazelo engavumelekile, ukwelashwa kuhloswe ukunciphisa ukuqhubeka kwesifo nokuthuthukisa induduzo. Ezinye zokwelashwa ezisetshenziswa zihlanganisa:
Imithi
Imithi eminingi ehlukene isetshenziselwa ukusiza ukunciphisa ukuqhuma kwe-bronchitis engapheli. Lezi zelashwa zisebenza ngezindlela ezehlukene futhi zingahle ziguqule ingxenye yokuvinjelwa okuyinto eguquguqukayo, ukunciphisa ukuvuvukala emajondolo, noma ukuphatha ukutheleleka.
- Bronchodilators
- I-steroids engenalutho noma yomlomo
- I-Phosphodiesterase 4 inhibitors (PDE4 inhibitors) ukunciphisa ukuvuvukala
- Ama-antibiotics uma kudingeka ukutheleleka. Abanye abantu bangase baphathwe ne-dose yansuku zonke yama-antibiotics (i-azithromycin) ukunciphisa ingozi yokukhungatheka
- Imithi yokukhwehlela
Ezinye zokwelapha
Ngaphandle kwemithi, izici eziningana zokuphila, kanye ne-oksijeni kanye nokwelapha okuphefumula kuyingxenye ebalulekile yokuphatha i-bronchitis engapheli.
- Ukuzivocavoca - Umsebenzi womzimba ungenza umehluko omkhulu kubantu abaphila nge-bronchitis engapheli.
- Ukwelashwa kwe-oksijeni - Kunezinzuzo eziningana zokwelashwa kwe-oksijeni ku-COPD
- Amakhambi asekhaya - Hlola lezi zinkinga eziyisikhombisa zokukhwehlela
- Ukuvuselelwa kwamapulmonary
- Amanzi ase-postural
- Ukugwema izinto ezibangela ingozi - Ingxenye ebaluleke kakhulu yokuphatha i-bronchitis engapheli ukugwema izinto ezingasusa izimpawu zakho noma ukuvuvukala okubi nakakhulu. Udokotela wakho uzokhuluma nawe mayelana nokuyeka ukubhema uma ubhema, ukugwema ukubhema komshini wesibhamu, nokuvuleka okuphephile kumaphuphu nemifudu
- Izivivinyo zemitholampilo - Izivivinyo eziningi zokuthembiswa kwemitholampilo ziyaqhubeka zibheke izindlela zokuthuthukisa izimpawu zabantu abane-COPD kanye nezindlela zokuvimbela ukuqhubeka
Ingozi ye-Cancer Cancer
Akumangazi ukuthi i-COPD (njengokwelapha okungapheliyo nomdlavuza wamaphaphu) ingahamba ndawonye njengokubhema kungaholela kuzo zombili izimo. Kodwa sifunda ukuthi i- COPD iyingozi yokuzibulala emdlavuza wamaphaphu . Lokho kusho ukuthi i-bronchitis engapheli yedwa iphakamisa ingozi yomdlavuza wamaphaphu kakhulu. Funda kabanzi mayelana ne-COPD njengengozi engozini yomdlavuza wamaphaphu.
Izinkinga
I-bronchitis engapheli yandisa ingozi yezifo zamaphaphu, futhi ingabangela ingozi yokuba nomdlavuza wamaphaphu .
Imithombo:
Amasevisi Okulawula Nokuvimbela Izifo (CDC). Isifo Esithathelwanayo Sokuvimbela Izifo Kuhlanganisa: I-Bronchitis Engapheli Ne-Emphysema. Kubuyekezwe 01/20/17. https://www.cdc.gov/nchs/fastats/copd.htm
Ilabhulali Kazwelonke Yezokwelapha. I-MedlinePlus. I-brronchitis engapheli. Kubuyekezwe 02/28/17 https://medlineplus.gov/chronicbronchitis.html
UPoole, uP., Chong, J., noC. Cates. Ama-mucolytic ehambisana ne-placebo ye-bronchitis engapheli noma isifo se-chronic obstructive pulmonary. I-Cochrane Database yezibuyekezo ezihleliwe . 2015 Jul 29; 7: i-CD001287.