I-COPD vs. I-Asma - iGlobal Allergy & Airways Patient Patient

I-COPD vs Umbefu: Nguwuphi Umahluko?

Isifo sombefu kunye ne-COPD zombini ziimeko zexesha elide ezichaphazela iindlela zomoya kunye nemiphunga, zisenza nzima ukuphefumla. Ukwahlula phakathi kwezi zibini kunokuba nzima kwaye abanye abantu baneempawu kunye neempawu ezibonakalayo kuzo zombini ezi zigulo. Nangona kunjalo, ichanekile ukuxilongwa kubaluleke kakhulu ekunikezeleni olona nyango lufanelekileyo kunye nolawulo.

Yintoni i-asthma?

Isifuba ichaphazela malunga nezigidi ezingama-358 zabantu kwihlabathi jikelele. E-USA, malunga nomntu omnye kwabali-12 abadala ufunyaniswa enayo le meko.

Nge-asthma, ulungelelwaniso lwangaphakathi lweendlela zakho zomoya lubuthathaka, luyadumba kwaye ludumbe kwaye luvelise i-mucus egqithisileyo. Ukongeza, umsipha ogudileyo ojikeleze iindlela zomoya uyaqina. Iziphumo zokuba i-airways iye icuthe-inkqubo ebizwa ngokuba yi-bronchoconstriction-eyenza kube nzima ukuphefumla nokuphuma.

Yintoni iCOPD?

COPD ichaza iqela leemeko zemiphunga- kubandakanya i-bronchitis kunye ne-emphysema- ebangela ukuba i-airways yethu icuthe, yenze kube nzima ukuphefumla

Ehlabathini lonke, malunga nezigidi ezingama-384 zabantu bane-COPD, nangona uninzi lusahleli lufihliwe kwaye aluchazwanga. Oku kungenxa yokuba i-COPD ikhula kancinci kwisithuba seminyaka emininzi, oko kuthetha ukuba uninzi aluziqapheli naziphi na iimpawu de lufike kwiminyaka engama-50.

Umahluko ophambili phakathi kwesifuba kunye neCOPD

Ukunciphisa i-Airway yinto yeCOPD kunye ne-asthma. Kuzo zombini iimeko, iimpawu zinokuvela kwaye zisiba mbi ngesiquphe- oku kubizwa ngokuba kukukhula. Nangona kunjalo, iinkqubo ezichaphazelekayo zahlukile ngolu hlobo lulandelayo.

Oonobangela kunye nezinto ezibangela

In COPD umonakalo ubangelwa kukuphefumla izinto eziyingozi nezicaphukisayo emoyeni, amaxesha amaninzi ixesha elide.Eyona nto ixhaphakileyo yicuba – ukuya kutsho kwisithathu kwikota yabantu abanoCOPD okanye abakhe batshaya. Ezinye izizathu zeCOPD zibandakanya ukungcoliseka komoya, uthuli lwasemsebenzini, kunye neekhemikhali.Ii-flare-ups zidla ngokubangelwa sisifo sokuphefumla, ngakumbi ebusika.

Isifuba kukudumba, ukusabela ngokwanelisayo. Asiwazi oyena nobangela kodwa kusenokwenzeka ukuba yindibaniselwano yemekobume, yemfuza, kunye nemeko yomsebenzi.Izinto ezibangela ukugqabhuka ziyahluka kumntu nomntu kwaye zinokuquka ukuhleka, umthambo, usulelo lokuphefumla, ukwaliwa (umzekelo, umungu okanye ukungunda), kunye nemozulu.

iimpawu

Iimpawu zokuphefumla ezingapheliyo eziqhelekileyo kwi-asthma kunye ne-COPD zibandakanya ukuphefumula, ukukhwehlela, ukuqina kwesifuba kunye ne-wheeze. Nangona kunjalo, ipateni yeempawu iyahluka.

In COPD, Ukuphefumla kubakho uninzi lweentsuku kwaye kwenza ukuba umsebenzi womzimba ube nzima. Inokudityaniswa nokukhohlela kunye ne-phlegm. Ngokwesiqhelo, Iimpawu zeCOPD iba mbi ngokuhamba kwexesha.

Isifuba Iimpawu ziyahluka ngokuhamba kwexesha kunye namandla. Kunokubakho ixesha elingenazo iimpawu.

Iimpawu ziphucula ngokuzenzekelayo okanye unyango lwe-bronchodilator / corticosteroid.

ubudala

COPD kunqabile kubantu abangaphantsi kwama-40.

Isifuba iqhelekile ebuntwaneni kodwa ingaqala nangaliphi na ubudala. Abanye abantwana abanesifuba bafumana ukuba iimpawu zabo ziphucula njengoko bekhula.

Uvavanyo lomsebenzi wemiphunga (spirometry)

Uvavanyo lomsebenzi wemiphunga luvavanyo olulula lokuphefumla olulinganisa indlela esebenza ngayo imiphunga yakho. Uya kucelwa ukuba uvuthele ngamandla kumatshini obizwa ngokuba yi-spirometer olinganisa umthamo opheleleyo womoya onokuwuphefumlela ngaphandle, kwaye ngokukhawuleza unokukhupha umphunga wakho womoya. Abantu abanemiphunga esempilweni banokukhupha ubuncinci ama-70% omoya kwimiphunga yabo kwisibini sokuqala somkhuhlane onzima- lo mlinganiselo ubizwa ngokuba ngumthamo onyanzelekileyo wokuphefumla ngomzuzu omnye (FEV1). Amanqaku ancitshisiweyo e-FEV1 aqinisekisa ukuba unothintelo lomoya-ezantsi amanqaku akho, liphezulu inqanaba lokuthintela.

Abantu abane COPD Ukuthintela ukungapheliyo kwomoya. Akuqhelekanga ukubuyiselwa kunyango. Umsebenzi wemiphunga uthambekele ekuwohlokeni ngokuhamba kwexesha.

Abantu abane i-asthma badla ngokuba nokuphazamiseka kwemijelo yomoya. Inokwahluka ngokuxhomekeka kwindlela elawulwa kakuhle ngayo i-asthma yabo.Nge-asthma elawulwa kakuhle, ukusebenza kwemiphunga kunokugcinwa.

impatho

Iingcebiso eziqhelekileyo malunga nokuphila kubandakanya ukuyeka ukutshaya, ukuhlala usempilweni, ukutya kakuhle, kunye nokwenza imithambo efanelekileyo.

Uninzi lwazo amayeza e-asthma kunye namayeza e-COPD ayafana, afana ne-bronchodilators kunye ne-anti-inflammatories ezihanjiswa kusetyenziswa isixhobo se-inhaler kunye / okanye ukuthatha ithebhulethi. Nangona kunjalo, le miqathango mibini ineendlela ezahlukeneyo zonyango.

Xa ufunyaniswe unesifo COPD, unyango lonyango lokuqala ludla ngokuba yi-bronchodilator inhaler. Ugqirha wakho unokongeza kwi-corticosteroid ekhutshelweyo kamva ukuba ayonelanga.

Nge i-asthma ukuxilongwa, uya kumiselwa i-corticosteroid enganyangekiyo kwangoko. Oku kubalulekile ukunciphisa ithuba lakho lokuba nobukrakra, obunokuba sengozini yobomi.

Ngaba ndinokuba nazo zombini i-asthma kunye neCOPD?

Isifuba esidityanisiweyo kunye ne-COPD-ngamanye amaxesha ibizwa ngokuba yi-'asthma-COPD overlap' - asiyomeko yahlukileyo. Nangona kunjalo, kunokwenzeka ukuba umntu abe ne-asthma kunye neCOPD ngexesha elifanayo. Akucaci ukuba kwenzeka kaninzi kangakanani kwaye izifundo ezahlukeneyo ziye zaxela ukuba naphi na phakathi kwesiqingatha seshumi nesiqingatha sabantu abane-asthma okanye i-COPD banokuba nazo zombini ezi meko. Amaxabiso ayahluka ngokuxhomekeke kubudala bakho, isini sakho, kunye nendlela abaphandi abaseta ngayo isifundo sabo.

Nangona i-COPD ingaqhelekanga kubantu abangaphantsi kweminyaka engama-40, iimpawu ezidibeneyo ze-asthma kunye ne-COPD zingabonakala ebuntwaneni okanye kubantu abadala.
Izifundo ezingakumbi ziyafuneka kubantu abane-asthma kunye neCOPD. Nangona kunjalo, siyazi ukuba abantu abafumana umxube wohlobo lwesifo se-asthma kunye nohlobo lweCOPD bahlala befumana iimpawu ezinzima kunye ne-flare-ups. Baye bathande ukufuna inkxaso engaphezulu kukhathalelo lwempilo kunye nomsebenzi wabo wemiphunga ukhula ngokukhawuleza ngakumbi kunabantu abanesifuba okanye i-COPD bodwa.

Ndiza kunyangwa njani ukuba ndinayo zombini i-asthma kunye ne-COPD?

Kwimeko yokuqala, ugqirha uya kunyanga isifuba sakho. Uya kumiselwa i-corticosteroid ebhalwe ngaphakathi ukuze unciphise amathuba okuba ube ne-asthma flare-up okanye usongele ubomi, kwaye baya kuthi bongeze kwi-bronchodilator kamva. Kuxhomekeka ekubeni zincinci kangakanani okanye zinzima kangakanani iimpawu zohlobo lweCOPD, unokufuna ngakumbi iziyobisi zeCOPD kunye nolawulo lweziyobisi ngokunjalo.

Ugqirha wakho uya kujonga iimpawu zakho, unyango, nokuba uhleli kangakanani kwiinyanga ezimbini okanye ezintathu zonyango. Kuya kufuneka ubone ugqirha wesibhedlele ukuba kusekho ukungaqiniseki malunga nokuchongwa kwakho okanye ukuba iimpawu zakho aziphuculanga ngokwaneleyo.

Ngaba i-asthma inokukhokelela kwi-COPD kamva?

Asinguye wonke umntu onesifo sombefu oqhubeka nokuphuhlisa i-COPD. Nangona kunjalo, ukuba nesifo sombefu njengomntwana okanye umntu omdala omncinci kunokuchaphazela indlela imiphunga yakho ekhula ngayo, kwaye oko kunokunyusa amathuba akho okuba neCOPD xa ukhulile. Olunye uphononongo lwakutsha nje luxele ukuba ngaphezulu komntwana omnye kwabali-10 abane-asthma eqhubekayo (okt.babenempawu mihla le) babe ne-COPD njengabantu abadala abancinci.

Oku kuthetha ukuba ukuba une-asthma, kubaluleke ngakumbi ukuba ungatshayi. Ukuyeka kuya kunceda ukunciphisa ithuba lakho lokuphuhlisa i-COPD ebomini kamva.
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