Okushiwo Ucwaningo
Utshwala yisisetshenziswa esivame ukusetshenziswa futhi esiphathwe kabi e-United States. Akukhona nje ukuthi kubangelwa ukuthi kubangele imiphumela ephuza kakhulu, eyingozi ekudambiseni isahlulelo namakhono amakhono, kodwa sekuyisikhathi eside ihlotshaniswa nemiphumela emibi enhliziyweni, isibindi, ama-pancreas, nobuchopho. Kube sekuphele iminyaka eyishumi nengxenye ukuthi imiphumela emibi yotshwala isandisiwe ukuze ihlanganise leyo yamaphaphu.
Naphezu kobufakazi obukhona obuhlanganisiwe eminyakeni engu-15 edlule, imiphumela ye-chronic obstructive disease ( pulpary disease) (i- COPD ) nokuphuza utshwala kuhlala kudidekile. Abantu abaningi abane-COPD bayazibuza ukuthi kulungile yini, noma akulungile, ukuphuza uma une-COPD? Futhi, uma kuphephile, ukuphuza ngokweqile kubhekwa kakhulu kangakanani nokuthi kungakanani kubhekwa njengento eyamukelekayo, ehlakaniphile?
Okushiwo Ucwaningo
Imiphumela yokufunda ehlobene ne-COPD nokuphuza utshwala kuphikisana, okungcono. Nazi ezinye zezindaba ezinhle:
- Kubantu abanempilo, ukuphuza iwayini (ngokulinganisa) kuhlotshaniswa nomsebenzi wamaphaphu kangcono esikhathini esifushane nangaphezulu.
- Ukuphuza ngokweqile akusho ukuthi kuhloswe ngengozi eyengeziwe yokwehliswa kwe- COPD , ngaphandle kokubhema ugwayi.
- Ukuphuza ngokweqile ukuphuza utshwala kuphela akuholeli ukulimala okukhulu kwamaphaphu; Kunalokho, yini eholela ekulimazeni okuphuthumayo ukuphuza utshwala obungapheli kuhlanganiswe nokucindezeleka okwenziwe nge-oxidative (okwenzeka ngenxa yokungcola kwentuthu kagwayi, ukungcola komoya, amakhemikhali ayingozi nezinye izimo ezicasulayo zomoya).
- Ukugwema utshwala kuthuthukisa ikhono lokuhlukana kwamaphaphu.
Futhi, nansi ezinye zezindaba ezingelona iqiniso kakhulu:
- Ukuphuza ngokweqile kubangela ukuntuleka okukhulu kwe-glutathione e- antioxidant emaphashini, okwenza kube khona ukubonakala okuphawulekayo kwizifo zamapayipi amathonya.
- Kukhona ukwanda okwenziwe ukucindezeleka okucindezelayo okuphefumula (ARDS) ezinxilweni ezidakayo.
- Kukhona ubudlelwane phakathi kokusebenzisa kabi utshwala obungapheli kanye nomsebenzi we- pulmonary eguquliwe.
- Ukusetshenziswa kotshwala kuhlotshaniswa nengozi enkulu yokwehluka okuqhubekayo kumthamo wamapayipi, inani elisele (inani lemvelo elisele emaphashini ngemuva kokuphefumula okungapheli), amandla okuphoqeleka okubalulekile kanye nokwehlukana kwamandla emaphaphu.
- Ukuhlukunyezwa ngokweqile kotshwala kuphazamisa ikhono lokukhwabanisa nokuphulukisa imiphumela emisebenzini yamaphaphu nokufa ku-COPD.
- Nakuba ukuyeka ukuphuza utshwala kungabuyisa amandla okwehlukana kwamaphaphu njengoba kuchazwe ngenhla, akusizi ngcono ukuvinjelwa kwe-airway ku-COPD.
Izinto ezengeziwe okufanele uzicabangele
Khumbula futhi ukuthi utshwala:
- Hlangana neminye yemithi oyithathayo, okwenza ukuthi iphumelele kangako - lokhu kuyiqiniso ngokukhethekile kwi- glucocorticoids nemithi elwa namagciwane , kodwa kukhona okuningi okuningi.
- Ukubangela umuthi wemithi ethile - isibonelo, ukuphuza utshwala kuyokwandisa imiphumela eyingozi yezidakamizwa kanye / noma imithi yokuhlunguphaza, okunganciphisa kakhulu ukuphefumula kwakho kuze kube yilapho usongela impilo.
Utshwala Kakhulu Kangakanani?
Ucwaningo lubonisa ukuthi imiphumela eyingozi yotshwala ixhomeke ekutheni utshwala budliwe, nokuthi isikhathi sichaza kanjani.
Ucwaningo oluningi luyavuma ukuthi utshwala obunzima ngokweqile isikhathi sibangela umonakalo omkhulu.
Lokho kusho ukuthi akunakwenzeka ukwazi ukuthi utshwala luphephile kunoma yiliphi umuntu oyedwa ongayiphuza ngaphandle kokwazi umlando womuntu ngamunye wezempilo. Wonke umuntu uhlukile.
Into engcono kakhulu ongayenza uma ujabulela ukuphuza utshwala ukuxoxa ngezinketho zakho nomhlinzeki wakho wezempilo. Ngempela, ukukhomba inani eliphephile kuzoxhomeka kwezinye izici eziningi, njengokuthi yimiphi imithi oyithathayo, yiziphi ezinye izifo onakho, kungakhathaliseki ukuthi usubhema, njalonjalo.
Isinqumo sokuphuza utshwala yisinqumo somuntu siqu futhi kufanele sisondelane ngendlela efanayo ukuthi uthinta ezinye izinqumo ezibalulekile zokuphila ezihlobene ne-COPD.
Khuluma nomhlinzeki wakho wokunakekelwa kwezempilo mayelana ne-COPD nokuphuza utshwala ngesikhathi sokuqokwa kwakho okulandelayo. Impilo yakho njengoba ihlobene neCOPD ingase ixhomeke kuyo.
Imithombo:
Greene, Courtney C., MD, et. al. Inhlangano Phakathi Kokusetshenziswa Kokuphuza Utshwala Nengozi Yokukhuphuka Kwe-COPD ku-Veteran Population . CHEST Okthoba 2008 vol. 134 cha. 4 761-767.
Moss, Marc et. al. Imiphumela Yokuhlukunyezwa Kokuphuza Kokudakwa Kwezidakamizwa kuGulutathione Homeostasis. Am J Respir Crit Care Med. 2000. 161: 414-419.
Sisson, Joseph H., MD. Utshwala Nama-Airways Umsebenzi Emphilweni nasezifo. Isikhungo Sezokwelapha saseYunivesithi saseNebraska, i-Pulmonary, ukunakekelwa okubalulekile, ukulala nokuhlukunyezwa kwesigaba, uMnyango Wezokwelapha Ngaphakathi, Omaha. Utshwala. 2007 Agasti; 41 (5): 293-307.
Sobol, u-Emirgil C BJ. Umsebenzi wePulmonary ku-Omanical Alcoholic. Isifuba. 1977 Jul; 72 (1): 45-51.
I-University At Buffalo. Ukuphuza iwayini, iwayini eliyingqayizivele, lingasiza ukugcina imifula enempilo, i-University At Buffalo Study. 2002 Meyi 21.