Isifo se-asthma nesifo esingavamile se-pulmonary (COPD) yizifo ezingapheli zomoya ohamba emoyeni ukuthi kokubili ukuvimbela, ukuvuvukala, kanye nokungahambisani nomoya njengengxenye yenqubo yesifo.
Ngesifo se-asthma, ukuvinjelwa kuyinto ephakathi, okuguquguqukayo, kanye nephaphu ibuyela emuva evamile. Ngakolunye uhlangothi, ukuvinjelwa kwe-COPD akunakuphikiswa futhi kuvame ukuqhubeka.
I-asthma ivame ukucatshangwa njengesifo esibhekene nesifo sobuntwana kanye ne-COPD kucatshangwa ukuba ithuthuke empilweni yamuva ngenxa yokubhema. Ngenkathi kuvame ukubhekwa njengezifo ezihlukene, kunabantu abathile abane-syndrome eyaziwa ngokuthi i-ACOS noma isifo se-asthma chronic obstructive pulmonary. I-Overlap Syndrome. Ukuvuthwa kuvame kakhulu njengoba iziguli zikhula.
I-"hypothesis yaseDutch" ithi i-asthma kanye ne-airway hyperresponsiveness ibeka iziguli phambili ku-COPD kamuva ekuphileni. I-hypothesis ivame ukufakazela ukuthi i-asthma, i-COPD, i-bronchitis engapheli, ne-emphysema ngamaphuzu ahlukene kuphela kwesifo esisodwa sezifo.
Ukunqunywa kwe-Syndrome Criteria
Ukuthola ukuhlolwa kwesifo se-syndrome kungaba nzima ngoba izifundo eziningi ze-asthma zifake iziguli ze-COPD nezifundo ze-COPD ngaphandle kweziguli ze-asthma. Ochwepheshe futhi abavumelani nemigomo yokuxilonga, kodwa cabangela lokhu okulandelayo ekwenzeni ukuxilongwa:
- Ukuxilongwa nodokotela we-asthma ne-COPD esigulini esifanayo
- Umlando noma ubufakazi be-atopy njenge:
- Imfiva ethimulisayo
- I- IgE yenani eliphakeme
- Iminyaka engu-40 noma ngaphezulu
- Umlando wokubhema oneminyaka engaphezulu kwe-10 yepakethe
- I-Postbronchodilator FEV1
- Isilinganiso se-FEV1 / FVC esingaphansi kuka-70%
- Ukuthuthukiswa kwe-FEV1 nokuphakama kwe-peak kulandela i-bronchodilator
- I-Eosinophilia ku-sputum
Ukwelashwa kwe-ACOS
Uma udokotela wakho ekholelwa ukuthi unayo i-ACOS, abanakho okuningi endleleni yokuqondisa njengoba kungekho datha yokuhlolwa komtholampilo engahleliwe ekusizeni ukuhola ukungenelela kokwelashwa ku-ACOS.
Kodwa-ke, udokotela wakho uzolandela izinkombandlela zokwelashwa ezijwayelekile ezenzelwe ukuguqula ukuvinjelwa kwe-airflow.
Uma uqhubeka ukubhema, ukuqeda ukubhema kuwumgomo obalulekile ukunciphisa isondo, ukuqina kwesifuba, ukukhwehlela nokuphefumula .
Ukwelashwa kwe-ACOS, okufana ne-asthma ne-COPD kuhlanganisa:
- Ama-bronchodilators ama-SABAs amancane okusheshayo: Iziguli ezine-asthma kanye ne-COPD zinikezwa ukwelashwa nama-bronchodilators futhi ukwelashwa kuqhubeka nokuthuthukiswa okuphawulekayo. Ama-SABA asetshenziselwa ukwelashwa izimpawu ezinzima.
- Ama-bronchodilator asebenza isikhathi eside noma ama-LABA: Ama-LABA asetshenziselwa ngokuphumelelayo njenge-monotherapy ku-COPD, kodwa hhayi ekwelapheni i-asthma ngenxa yempembelelo enenzuzo ye-steroids engatholakali.
- I-Anticholinergics: Ku-COPD, izidakamizwa ze-anticholinergic zinikeza i-bronchodilation elinganayo uma kuqhathaniswa nama-agonists. I-recipe ye-bronchodilation ku-COPD iyoxhomeka endleleni ophendula ngayo emithi ngayinye ngayinye noma ngokubambisana.
- I-steroid engenayo: Ukuvuvukala yi-asthma kuvela kuma-eosinophil ngenkathi ukuvuvukala ku-COPD kuvela ku- neutrophils . E-asthma i-steroid ehoxisiwe isetshenziswe ngaphambi kukaCOPD.
- I-steroid yesistimu
- Ama-antibiotics: ngokulinganisela ekukhusweni okukhulu kwe-COPD. Ama-antibiotic awasikhuthazwa njalo njengoba izifo eziningi zokuphefumula ziyingozi.
Uma udokotela wakho esolwa ngokungahlali phakathi kwe-asthma ne-COPD, ukuhlolwa kwakho kanye nokwelashwa kuyobonakala sengathi kungumxube womabili.
> Imithombo
> NGM Orie. I-Dutch Hypothesis
> Inhliziyo kaZwelonke, iLung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma.
> Papaiwannou > A et al. Isifo se-asthma-chronic obstructive pulmonary sifana nesifo (ACOS): izincwadi zamanje > ukubuyekezwa. >. > J Thorac Dis. 2014 Mar; 6 (I-Suppl 1): S146-S151.