Izimo ezi-Comorbid ezihambisana ne-COPD

Kusukela kulokho esikuziyo nge- COPD , akuvamile ukuthi ikhona ku-vacuum. Ngokusho kwe-Global Initiative for Obstructive Lung Disease, umthelela wokuthi lesi sifo sibe nokuphila kwesiguli se-COPD sincike ebuqilini bezimpawu ze- COPD , kanye nokukhona kwezinye izifo, eyaziwa nangokuthi izimo ze-co-morbid.

Imibiko yamanje yamanje yokuthi kulabo abaneminyaka engama-65 ubudala noma ngaphezulu, kuze kufike kuma-25% okungenani izimo ezimbili ze-comorbid, kanti u-17% kubika abathathu. Ngenxa yalezi zibalo, izimpawu nezimpawu ze-comorbidities kubalulekile ukuqaphela nokubika kudokotela wakho. Uhlu olulandelayo luzokusiza ukuba wenze lokho nje:

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I-Cancer Lung

Umdlavuza we-Lung kwenzeka lapho amangqamuzana avamile ngaphakathi kwe-lung mutate futhi akhule ekulawuleni. Umdlavuza we-Lung yiyona imbangela ehamba phambili yomdlavuza ekufeni kubantu futhi kwesibili esibangela imbangela yomdlavuza ukufa kwabesifazane emhlabeni wonke. Ngenxa yokuthi yomdlavuza wamaphaphu kanye neCOPD ngokuyinhloko kubangelwa ukubhema, akumangazi ukuthi lezi zifo ezimbili zizohlala zikhona.

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Cor Pulmonale

I-Cor pulmonale iyinkimbinkimbi ye- emphysema , ebangelwa ukunyuka kwengcindezi yegazi emthonjeni we-pulmonary, isitsha esithwala igazi kusuka enhliziyweni kuya emaphashini. Lokhu kuholela ekwandiseni nasekuhlulekeni okwalandela kwesigxile senhliziyo. Ku-COPD, i-cor pulmonale ibangelwa amazinga aphansi we-oxygen-oxygen.

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Ukucindezeleka komfutho wegazi

Umfutho wegazi ophezulu we-pulmonary kwenzeka uma kunezingcindezi ezingavamile ngaphakathi kwemithwalo yegazi yamaphaphu. Kuyinto inkinga evamile yeCOPD. E-hypertension ye-pulmonary, imithwalo yegazi igxilile, ibe mncane futhi ikhulu. Lokhu ekugcineni kuphumela emoyeni omncane emzimbeni wonke.

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I-Pneumonia yamabhaktheriya

I-pneumonia ebonakala ku-COPD ngokuvamile ibangelwa amagciwane amancane okuthiwa yi- Streptococcus pneumoniae. Ngenxa yokuthi iziguli ze-COPD zinamasosha omzimba obuthakathaka, zisengozini enkulu yokuthuthukisa i-pneumonia ye-bacteria. Uma uphathwa, kuyaphilika kakhulu. I- pneumonia yebhaktheriya ine-mortality rate engaba ngu-30%.

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Ukungaphumeleli Kwezinhliziyo Zenkululeko

Ukuhluleka kwenhliziyo ukuhlushwa (CHF) yisimo esenzeka lapho inhliziyo ingakwazi ukupompa igazi ngokuqinile emzimbeni wonke ukugcina ukujikeleza. Lokhu kubangela isilondolozi samanzi emaphaphu nasemzimbeni wonke. Kuyinto engavamile ukubona ukuxilongwa kwe-COPD ne-CHF, ikakhulukazi ezigabeni eziphambili zesifo.

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I-Pneumothorax

I-Pneumothorax ivela ngenxa yomgodi ovela emaphashini, okuvumela umoya ukubaleka emkhathini oseduze nephaphu, okwenza amaphaphu aphule kancane noma aphele ngokuphelele. Abantu abane-COPD basengozini enkulu ye-pneumothorax ngoba isakhiwo samaphaphu abo sibuthakathaka futhi sisengozini yokuthuthukiswa okuzenzekelayo kwalezi zinhlobo zezimbobo.

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Bronchiectasis

Ngokuvamile ukubangelwa ukuvuvukala okuvamile kanye nokutheleleka kwe-airways, i- bronchiectasis ingaba yindlala, okusho ukuthi ikhona ngesikhathi sokuzalwa, noma umuntu angase abhekwe kuso ngenxa yezifo ezisencane, njenge-pneumonia, isishubhu, umkhuhlane noma isifo sofuba. I-Bronchiectasis ibhekwa njengesifo se-lungs obstructive, futhi ingaba yedwa noma ihlanganiswe nezinye izinhlobo ze-COPD.

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Atelectasis

I-Atelectasis ichazwa njengokuwa kwesilinganiso , noma ukuphela kwesiphaphu . Kubangelwa ukuvinjelwa kwe-airways noma ingcindezi evela ngaphandle kwamaphaphu. I-Atelectasis ivame ukubonwa ngemuva kokuhlinzwa noma ngesikhathi sokuphumula okulala isikhathi eside, kodwa, abantu abanesifo samapayipi angaphansi basengozini enkulu yokuthuthukisa isimo.

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I-GERD

I-reflux disorder ye-gastroesophageal, noma i-GERD, ivela lapho imisipha ye-sphincter engxenyeni yakho ephansi ingavali ngokuqinile. Lokhu kusho ukuthi noma yikuphi ukudla noma uketshezi ophuzayo, kanye nesifo esiswini esicasulayo, uvuza ngokuphindaphindiwe endaweni yakho. Isigameko se-GERD sibonakala siphezulu phakathi kweziguli ezine-COPD, futhi ucwaningo lubonisa ukuthi i-GERD iphinda ibuye ibe yingozi yokukhuphuka kwe- COPD .

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Isifo senhliziyo

Isifo senhliziyo yisikhathi sesambulela sezinhlobonhlobo zezimo zenhliziyo ezithinta isisu senhliziyo ngokwazo, izivalo zenhliziyo, imishanguzo ye-coronary kanye nesistimu kagesi yenhliziyo. Njenge-COPD, isifo senhliziyo yisinye isimo lapho ukubhema kuyingozi kakhulu, ngakho-ke akuyona into engavamile ukuthi iziguli ze-COPD nazo zingase zihlupheke ngesifo senhliziyo.

_Imithombo

> I-Global Initiative Yokuvimbela Izifo Zengculaza. Isu Lomhlaba Wonke Lokuxilongwa, Ukuphathwa Nokuvimbela I-COPD. Imihlahlandlela ka-2009.

> Ezempilo zeReuters. I-COPD ingabangela izinkinga ze-acid reflux. 2008, ngoDisemba.

> Rascon-Aguilar IE, et al. Indima yezimpawu ze-reflux ze-Gastroesophageal ekukhushulweni kwe-COPD. CHEST 2006; 130: 1096-1101.