Uma ngabe uphile impilo yakho njengomuntu ongapheli futhi uyamangala uma ufunda ukuthi une- COPD , ungase uzibuze ukuthi wenzeni, noma ungenzanga, ukufanelwa nesifo esinjalo. Iqiniso elimangalisa ukuthi, izibalo ezungeze i-COPD kumuntu ongasoze waphumela ziphawuleka futhi zivame kakhulu ukuthi iningi lethu lingathanda ukucabanga.
Ngingaki abantu abatholwe ukuthi baneCOPD abazange bapheze, futhi umuntu onjengalokhu uthola kanjani lesi sifo?
Izibalo
Okulandelayo kukhona inani lezibalo ezihlotshaniswa ne-COPD nongabhemi.
Ngokusho kwedatha evela ku-Third National Health and Nutrition Examination Survey, phakathi kuka-1988 no-1994, kulabo baseMelika ababenesifo se-COPD, amaphesenti angu-24,9 (plus noma amancane amaphesenti angu-1.4) awazange abhema. I-United Kingdom neSpain yabika okufanayo okutholakala ngamaphesenti angu-22,9 namaphesenti angama-23.4, ngokulandelana.
Ucwaningo lwamazwe omhlaba olususelwa ku- CHEST luphakamise ukuthi abangekho abokubhema abatholakali ukuthi bancane kakhulu ukuba babe ne-COPD emphakathini wokutadisha abahlanganyeli abangu-4 291 (futhi uma bekwenza, kwakungavamile kakhulu). Kodwa-ke, amaphesenti angu-5,6, noma angu-240 ababhemayo, ayesenalo elilingana ne-GOLD Stage II + COPD. Isifundo esifanayo sibheke iqembu elihlangene lababhemayo abangu-1 031 nabangabhemi nhlobo ababenayo i-GOLD Stage II + COPD, futhi kuleli qembu, amaphesenti angu-23.3 ayengakaze abhema.
I- American Journal of Medicine ibika ukuthi kunabantu abayizigidi ezingu-4.6 abangabhemi ababhemayo e-United States kuphela abanobufakazi be- spirometric bokuvimbela isifo sezindiza.
Ngenxa yokuthi ukubuyela emuva kwe-airway ngemuva kokusebenzisa i- bronchodilator akuzange kuhlolwe kulolu cwaningo, kwakungacaci ukuthi ukuvinjelwa kwemimoya kungenxa ye-COPD noma i-asthma.
Ngakho-ke, yiziphi izindawo abangakaze babheke engozini enkulu yeCOPD ?
Izingozi Ze-Never-Smoker
Nakuba ukubhema ugwayi kuqhubeka kuyimbangela eyinhloko ye-COPD , kumuntu ongabhemi, lezi zinto ezilandelayo zengozi zicatshangelwa ukuthi zithinte ukuxilongwa:
- Ukukhula kweminyaka
- Ukuxilongwa kwangaphambi kwesifo se- asthma
- Izinga lemfundo ephansi (phakathi kwabesifazane kuphela)
Izimbangela
Kukhona ubufakazi obandayo obonisa ukuthi izici ezithonya ukukhuphuka kwamaphaphu esibelethweni noma ngesikhathi sokukhula kwentsha (njengokukhula kwesisindo esiphansi noma ukutheleleka kwe-lungs ebuntwaneni) kungabuye kwandise ingozi yeCOPD kubantu abathile. Ngaphezu kwalokho, kunezinye izimbangela eziningana ezingabangela ukuxilongwa kwe-COPD kulabo abangazange bapheze:
- Ukuntuleka kwe-Alpha-1-antitrypsin
- Ukuvezwa komsebenzi othulini namakhemikhali
- Ukungcola kwangaphakathi kwamakhemikhali e-biomass
- Ukungcola komoya wangaphandle
Ingabe i-COPD iyathinta abantu abasoze babhema?
Impendulo yalo mbuzo nguyebo no-cha. Uma sekutholakale ukuthi, lesi sifo sisebenza ngendlela efanayo, inkinga engenakuphika; Kodwa-ke, kulabo abangafuni ukubhema, lesi sifo singase singacabangeki ngoba odokotela ngeke bacabange ukuyibheka. Lesi sifo sizoqhubekela phambili ngokushesha kulabo abaqhubeka bebhema ngokuphambene nalabo abangekho.
Ukwengeza, ngenkathi izimpawu ze-COPD zizofana nokufana nokubhema nokungafaki ngokufanayo, izinketho zokwelashwa zizohlukahluka kakhulu. Lokhu kungenxa yokuthi umuntu obhemayo, ukuyeka kungumgomo owodwa wenqubo yokwelashwa . Ngokujabulisayo, ababhemayo abadingeki bakhathazeke ngokuyeka; Ngakho-ke, izinketho zokwelashwa zizogxila emithini yemithi kanye nokudla okunomsoco kanye nokuzivocavoca .
Imithombo:
Behrendt, C., Ph.D. I-COPD enobumnene futhi enesimo esincane kubantu abangabonakaliyo - Amaphrofayli aDemographic Demographic. CHEST. September 2005. Vol. 128 No. 3 1239-1244.
Celli, BR, Halbert RJ, Nordyke RJ, et al. I-COPD kubangakabikho ababhemayo: inkinga ebalulekile? Ukuvinjelwa kwamabhomu akungabikho ababhemayo: imiphumela evela ku-Third National Health and Nutrition Examination Survey. Am J Med 2005; 118: 1364-72.
I-Global Initiative Yokuvimbela Izifo Zengculaza. Isu Lomhlaba Wonke Lokuthola Ukuxilongwa, Ukuphathwa Nokuvimbela Izifo Zengculazi Ezithathelwanayo.
Lamprecht, B., McBurnie, M., Vollme, W., et al. I-COPD ku-Never-Smokers: Imiphumela evela ku-BOLD Study based-based. CHEST.