I-COPD ne-asthma babelana ngezindlela ezihlukahlukene ezivamile, okungenza kube nzima ukunquma ukuthi yikuphi isimo ongase usihlupheke. Ngenxa yokuthi i-COPD inenhlamba ethile emphakathini wethu ukuthi iziguli eziningi azizithandi, ezinye iziguli ezine-COPD zikwazi ukuthi zine-asthma. Njenganoma yisiphi isimo, kubalulekile ukucacisa ukuxilongwa okufanele ukuqinisekisa ukuthi uthola ukwelashwa okufanele.
Izimpawu ezabiwe ngu-COPD ne-Asthma
Zombili izifo zingase zilethe lezi zimpawu:
Kodwa-ke, ngenkathi izimpawu zingase zibe okufanayo, kunemibono eyanele yokuthi kubaluleke kakhulu ukukwenza.
Imibuzo Ezosiza Udokotela Wakho Ukunquma Uma Unayo I-COPD noma i-Asthma
Izimpendulo zemibuzo elandelayo zizosiza ekuxilongweni kahle kwesimo sakho.
Ngabe nginezibonakaliso zokungezwani komzimba noma i-asthma ngisemncane?
Ngenkathi ezinye iziguli zitholwa ukuthi zine-asthma lapho sezikhulile, iningi le-asthmatics litholakala ebuntwaneni noma ebusheni. Eqinisweni, ucwaningo oluthile luye lwabonisa ukuthi odokotela bokunakekelwa okuyinhloko ngokuvamile bayobhala iziguli ezindala ezine-asthma uma empeleni baneCOPD. Ngenkathi i-COPD ingaba yinkimbinkimbi yesikhashana ye-asthma elawulwa kabi, i-COPD ayitholakali ingatholakali ngaphambi kweminyaka engama-40.
Yini eyenza izimpawu zami zibi nakakhulu?
I-asthmatics ingakwazi ukubona ukuthi yikuphi okudambisa izimpawu zabo.
Izinto ezifana nalezi:
- I-dander yezilwane
- Izibungu ezinothuli
- Izinkukhu
- Izibungu
- I-pollens
- Isimo sezulu esibi kakhulu
- Ukuzivocavoca
- Ukucindezeleka
- Ezinye Imithi
I-COPD, ngakolunye uhlangothi, ivame ukuqhutshwa kabi ngokutheleleka kokuphefumula futhi akuyona enye yezinkinga zokuphefumula ezikhulunywe ngenhla.
Ngingumfowenu wamanje noma owedlule?
Ngenkathi i-COPD ne-asthma zingase zihlangane ndawonye, i-COPD ivame kakhulu kulabo ababhemayo namanje nabangaphambili kanye nalabo abavezwa umusi wendawo ugwayi.
Ngenkathi i-COPD ingenzeka ezigulini ezingakaze zibheme, iziguli ezingaphezu kuka-80% ezine-COPD zibhema esikhathini esidlule noma zibhemayo zamanje.
Ngabe ngike ngisuke ngingenaso uphawu?
Iziguli ezinezimo eziphuthumayo zesifo se-asthma izimpawu ezivame ukwenzeka, ziyizibonakaliso ezingekho emkhatsini wezimo eziphuthumayo ze-asthma futhi zivame ukubhekana nezikhathi ezithile ezibalulekile ngaphandle kwempawu lapho i-asthma yabo ilawulwa kahle. Iziguli ze-COPD, ngakolunye uhlangothi, zithola izimpawu eziqhubekayo futhi zivame ukuhamba usuku olungenazo izimpawu.
Ingabe umsebenzi wamaphaphu wami ubuyela ekujwayelekile phakathi kokukhathala?
Kuzo zombili i-asthma ne-COPD, udokotela wakho uzokala izici ezithile zomsebenzi wamaphaphu wakho nge- spirometry efana ne- FEV1 . Nge-asthma, ukwelashwa kubuyisela umsebenzi wakho wamaphaphu ukuze kuvamile noma kujwayelekile futhi akufanele ube nezimpawu eziningi ze-asthma phakathi kokukhushulwa kwe-asthma.
Ngakolunye uhlangothi, umsebenzi wephunga lomguli we-COPD ngeke ubuyele evamile futhi uthuthukise kancane kancane ngisho nokuyeka ukubhema kanye nokwelashwa kwe-bronchodilator. Empeleni, ngisho nokuyeka ukubhema, iziguli ze-COPD zingase zithole ukwehla komsebenzi wamaphaphu. Lokhu kuncipha kuvame ukuholela ezimpawu, njengokuphefumula, okuvame ukuthi kungenxa yokuthi isiguli seCOPD sifuna ukunakekelwa.
Uma isiguli se-COPD siqala izimpawu, izimpawu ngokuvamile zingapheli. Ngokuhamba kwesikhathi, iziguli ze-COPD zivame ukuzwa izimpawu ezingavamile ukuhlaziya isisindo somzimba, ukwehlisa amandla, ukukhuthazela, amandla okusebenza kanye nekhwalithi yokuphila.
Ukuqubuka kwe-Asthma ne-COPD
Kukhona into enjenge- syndrome ehamba phambili , eyaziwa ngokuthi isifo se-asthma chronic obstructive pulmonary (ACOS).
Iziguli ze-COPD ziye zaphawula ukuthi zinezakhi ze-asthma ngaphezu kwe-COPD yazo. Ngokumangazayo, iziguli ezingu-1 kwabangu-4 zibhema futhi zisengozini ye-COPD, njenganoma imuphi omunye obhemayo.
Ezinye iziguli ze-COPD zibonisa ukuvuselela okufana nesifo se-asthma ekuhlolweni kokusebenza kwephunga lamaphaphu okuthiwa "ingxenye ye-asthma." Uma ukubuyisana kungekho, akukho nhlobo ye-asthma ekhona.
I-American Thoracic Society ichaza ukuguqulwa njengokwanda kwe-post-bronchodilator ku-FEV1 okungenani ngu-12% kokubili i-COPD ne-asthma. Uma ukubuyisana kukhona, ngokuvamile kungaphansi kwesiguli se-COPD uma kuqhathaniswa nesiguli esine-asthma kuphela.
Imithombo
Tinkelman DG, Price DB, Nordyke RJ, Halbert RJ. I-Misdiagnosis ye-COPD ne-asthma kwiziguli zokunakekelwa okuyinhloko eminyakeni engu-40 ubudala nangaphezulu. I-Asthma. 2006 Jan-Feb; 43 (1): 75-80.
I-Kuebler KK, i-Buchsel PC, i-Balkstra CR. Ukuhlukanisa isifo esingenasifo se-pulmonary chronic obstructive kusuka ku-asthma. J Am Acad Nurse Pract. 2008 Sep; 20 (9): 445-54.