Kodi muli ndi chifuwa chosatha komanso kupuma movutikira? Tiyeni tikambirane za 'Chronic Bronchitis' iyi!

Kodi masiku ano mukutsokomola nthawi zonse ndipo ziphuphu zikutuluka? Kodi mukumva kupuma pang'ono? Mwina izi sizinachitike kwa sabata imodzi kapena ziwiri, koma kwa miyezi, ngakhale zaka. Umenewo ndi matenda omwe tikambirane lero, otchedwa 'chronic bronchitis.' Tiyeni tiwone chomwe chili, chifukwa chake chimakula, komanso momwe tingapewere.

Kodi matenda a bronchitis osatha ndi chiyani?

Mwachidule, matenda a bronchitis osatha ndi kutupa kwa nthawi yayitali kwa njira zopumira m'mapapu anu, komwe kumatchedwa trachea , bronchi, komanso matumba ang'onoang'ono a mpweya otchedwa bronchioles. Izi zimakupangitsani kukhala ndi chifuwa komanso kupuma movutikira kwa miyezi itatu pachaka, kapena kwa zaka ziwiri kapena kuposerapo, masiku ambiri a mwezi.

Ndipotu, ngakhale timatcha kuti 'chronic bronchitis', madokotala tsopano amatcha vutoli ngati gawo la matenda ambiri otchedwa ' COPD - Chronic Obstructive Pulmonary Disease ' . Ndiko kuti, ndi matenda a nthawi yayitali omwe amatseka njira zopumira m'mapapo. Ngakhale kuti amangotchedwa 'chronic bronchitis', nthawi zambiri ndi gawo la vuto la `(COPD)'. Anthu ochepa kwambiri amakhala ndi bronchitis yosatha popanda njira zopumira kutsekedwa, koma bronchitis yosatha.

Kodi pali kusiyana kotani pakati pa matenda a bronchitis aakulu ndi matenda a chronic bronchitis?

Mwina munamvapo za 'bronchitis' kale. Pali mitundu iwiri ya matendawa.

• Matenda a Bronchitis aakulu:Uwu ndi matenda a bronchitis omwe amayamba mwadzidzidzi komanso kwa kanthawi kochepa. Nthawi zambiri amayamba chifukwa cha kachilombo, monga chimfine kapena chimfine. Nthawi zambiri amatha mkati mwa masiku ochepa kapena milungu ingapo.
• Matenda a Bronchitis Osatha: Uwu ndi matenda a nthawi yayitali omwe tikulankhula lero. Ngati muli ndi zizindikiro za bronchitis pafupipafupi kwa zaka ziwiri kapena kuposerapo, ndi matenda a bronchitis osatha. Chifukwa chachikulu cha izi ndi kusuta fodya . Amathanso kuyambitsidwa ndi zinthu zina zomwe zimawononga mapapo (monga fumbi, utsi wa mankhwala).

Kodi kusiyana pakati pa bronchitis yosatha ndi emphysema ndi kotani?

Matenda a bronchitis osatha ndi emphysema onse ali m'gulu lomwelo la matenda otchedwa COPD. Ngakhale kuti zizindikiro za zonsezi n'zofanana kwambiri, madera a mapapo omwe akhudzidwa ndi osiyana.

• Mu bronchitis yosatha , machubu omwe amalowetsa ndi kutulutsa mpweya m'mapapo mwanu (bronchi) amatupa ndipo amadzaza ndi mamina.
• Emphysema ndi vuto lomwe timatumba tating'onoting'ono ta mpweya (alveoli) kumapeto kwa njira zopumira mpweya timawonongeka ndikuchepa.

Kawirikawiri, munthu amene ali ndi COPD angakhale ndi zizindikiro za matenda onsewa, zomwe zikutanthauza kuwonongeka pang'ono kwa njira zopumira komanso mapapo.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a bronchitis, kapena COPD, nthawi zambiri amakhudza:

• Kwa osuta fodya ndi omwe kale anali osuta fodya, ichi ndiye chinthu chachikulu chomwe chimayambitsa chiopsezo .
• Kwa iwo omwe ali pafupi ndi munthu amene amasuta (Passive smoking).
• Kwa iwo omwe nthawi zonse amakhala ndi mpweya woipa, fumbi, ndi utsi wa mankhwala. Taganizirani za anthu omwe amagwira ntchito m'mafakitale ena, amasesa misewu, kapena amaphika pa zitofu zamatabwa (makamaka m'makhitchini momwe utsi sutuluka bwino).
• Chiwopsezochi chimakhala chachikulu kwa anthu omwe ali ndi matenda ena opumira , monga mphumu .

Kodi chimachitika n'chiyani ngati bronchitis yosatha iyamba?

Matenda a bronchitis osatha ndi matenda omwe amachititsa kuti munthu azitsokomola nthawi zonse komanso kupuma movutikira chifukwa cha kuwonongeka kwa mapapo. Izi ndi zomwe zimachitika:

Pamene chinthu choopsa (monga utsi wa ndudu , fumbi) chilowa m'njira zanu zopumira, chitetezo cha mthupi lathu chimayamba kugwira ntchito ndipo chimapangitsa kuti madera amenewo atuluke. Komanso, maselo opanga ma ntchofu otchedwa ma goblet cells amawonjezeka, zomwe zimapangitsa kuti ma ntchofu ambiri azisonkhana.

Matenda a bronchitis nthawi zambiri amakhala akanthawi kochepa. Komabe, pamene njira zopumira izi zimakwiya nthawi zonse (mwachitsanzo, chifukwa chosuta ndudu nthawi zonse), kuwonongeka kumachitika. Kuwonongeka kumeneku kumapangitsa kuti maselo opanga mamina (maselo a goblet) akule kwambiri. Kuphatikiza apo, pali zinthu zabwino, zofanana ndi tsitsi (cilia) m'njira zathu zopumira zomwe zimasuntha mamina. Nthawi zina mamina (cilia) sagwira ntchito bwino. Zotsatira zake, njira zopumira zimatupa ndikudzaza ndi mamina, zomwe zimakupangitsani kutsokomola pafupipafupi komanso kukhala ndi vuto lopuma.

Mukakhala ndi vutoli, mumakhala ndi mwayi waukulu wopeza matenda osiyanasiyana a mavairasi ndi mabakiteriya m'mapapo mwanu, zomwe zingapangitse kuti zizindikiro zanu zikhale zovuta kwambiri.

Kodi zizindikiro zake ndi ziti?

Chizindikiro chachikulu cha matenda a bronchitis (COPD) ndi chifuwa chopitirira komanso chotupa chomwe chimakhalapo kwa zaka zosachepera ziwiri .

Zizindikiro zina ndi izi:

• Kupuma movutikira ndi phokoso la mluzu lomwe limachokera pachifuwa munthu akamapuma.
• Kuvuta kupuma, kupuma movutikira (Dyspnea). Izi zitha kukhala zovuta kwambiri mukatopa pang'ono, kapena mukakwera masitepe.
• Kugunda kwa mtima mwachangu (Tachycardia).
• Kumva kutopa komanso kutopa nthawi zonse (Kutopa).

Kodi zifukwa zake ndi ziti?

Kusuta fodya ndiye chifukwa chachikulu cha matenda a bronchitis (COPD). Izi zikutanthauza kugwiritsa ntchito zinthu monga ndudu ndi bidis.

Kuphatikiza apo:

• Zinthu zoipitsa mpweya (utsi wa galimoto, utsi wa fakitale).
• Matenda ena a m'mapapo monga mphumu.
• Nthawi zina, majini amathanso kukhala ndi gawo.
• Nthawi zina, chifukwa sichingapezeke.

Kodi bronchitis yosatha imafalikira?

Ayi. Matenda a bronchitis / `(COPD)` si matenda opatsirana. Izi zikutanthauza kuti sangafalitsidwe kuchokera kwa munthu wina kupita kwa wina.

Komabe, ngati muli ndi matenda a bronchitis osatha, kutenga matenda opatsirana monga chimfine kapena fuluwenza kungawonjezere zizindikiro za bronchitis (kuwonjezeka) , choncho ndikofunikira kusamala.

Kodi mumazindikira bwanji izi?

Dokotala wanu adzakuuzani bwino ngati muli ndi matenda a bronchitis osatha / (COPD) kapena ayi. Iye adzayang'ana momwe mapapu anu akugwirira ntchito.

Dokotala:

• Adzakufunsani za mbiri yanu ya matenda (matenda am'mbuyomu, ngati pali aliyense m'banja mwanu amene adadwalapo matenda ofanana, ngati mumasuta fodya, ndi zina zotero).
• Ndikufunsa za zizindikiro zanu.
• Stethoscope imamvetsera mtima ndi mapapo anu.
• Mayeso a ntchito ya m'mapapo amalamulidwa.
• Mungapemphedwe kuti muyesedwe pa X-ray ya pachifuwa kapena mayeso ena ojambulira zithunzi.

Mayeso a ntchito ya m'mapapo

Mayeso awa angapatse dokotala wanu lingaliro la momwe mapapu anu akugwirira ntchito. Spirometry ndi imodzi mwa mayeso amenewa. Mu mayeso awa, mumapumira mpweya mu chubu chaching'ono. Imayesa kuchuluka kwa mpweya womwe mapapu anu angalowe, kuchuluka kwa mpweya womwe angatulutse, komanso kuchuluka kwa mpweya womwe mapapu anu angasunge.

X-ray ya pachifuwa kapena CT scan

Mayeso awa a `(Mafanizo)` angathandize dokotala wanu kuona ngati pali kuwonongeka kulikonse kapena mavuto m'mapapu anu. Amajambula zithunzi za mtima ndi mapapo anu. Amafufuzanso matenda ena omwe angayambitse zizindikiro zanu.

Kuyezetsa magazi

Dokotala wanu angachitenso mayeso a magazi kuti aone thanzi lanu lonse. Nthawi zina, angachitenso mayeso apadera a magazi otchedwa arterial blood gas test . Izi zimaphatikizapo kutenga magazi ochepa kuchokera mumtsempha (mtsempha) womwe uli m'dzanja lanu ndikuwona kuchuluka kwa mpweya ndi carbon dioxide m'magazi.

ECG kapena EKG

Dokotala wanu angachitenso mayeso a ECG (ECG/EKG) kuti aone momwe mtima wanu ukugwira ntchito bwino, chifukwa matenda ena a m'mapapo amathanso kukhudza mtima.

Kodi mankhwala ake ndi otani?

Cholinga chachikulu cha chithandizo cha matenda a bronchitis (COPD) ndikuchepetsa zizindikiro. Kutengera kuopsa kwa zizindikiro zanu, dokotala wanu angakupatseni chithandizo chosiyanasiyana.

Ali:

• Kusiya kusuta: Ngati ndinu wosuta fodya, chinthu chabwino kwambiri chomwe mungachite ndikusiya. Zidzakuthandizani kupuma mosavuta komanso zingachepetse chiopsezo cha matenda anu.
• Mankhwala ochepetsa mpweya m'mapapo: Awa ndi mankhwala omwe amatsegula njira zopumira mpweya ndikupangitsa kuti kupuma kukhale kosavuta. Nthawi zambiri amamwedwa kudzera mu inhaler.
• Ma Steroid: Dokotala wanu angakupatseni mankhwala a corticosteroid kuti achepetse kutupa m'mapapu anu. Mankhwalawa angaperekedwe ngati chopumira kapena ngati mapiritsi.
• Kubwezeretsa mapapo: Iyi ndi pulogalamu yapadera yomwe imakuphunzitsani masewera olimbitsa thupi opumira komanso njira zokuthandizani kukhala ndi moyo wabwino ndi matenda anu. Ingakuthandizeni kukhala ndi moyo wabwino.
• Chithandizo cha okosijeni: Ngati matenda anu aakulu a bronchitis ndi oopsa, mwina simukupeza mpweya wokwanira. Dokotala wanu angasankhe kukupatsani mpweya wowonjezera. Izi zitha kuperekedwa kudzera mu chigoba pankhope panu kapena chubu choyikidwa m'mphuno mwanu.
• Mankhwala Opha Utoto: Popeza mungatenge matenda pafupipafupi mukakhala ndi matenda a bronchitis osatha, ngati dokotala wanu akuganiza kuti muli ndi matenda, angakupatseni mankhwala opha tizilombo toyambitsa matenda.

Kodi bronchitis yosatha imatenga nthawi yayitali bwanji?

Madokotala amatcha bronchitis kuti "yosatha" (ya nthawi yayitali) ngati muli ndi zizindikiro kwa miyezi itatu pachaka. Zizindikiro zanu nthawi zina zimatha kukulirakulira kapena kukulirakulira. Koma, mosiyana ndi bronchitis yachangu (yosatha nthawi yayitali), bronchitis yosatha siimatha kwathunthu . Imatha kukulirakulira pakapita nthawi.

Kodi mungadziteteze bwanji ku izi?

Zinthu zabwino kwambiri zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi matenda a bronchitis (COPD) ndi izi:

• Musasute fodya. Ngati mukusuta, siyani. Komanso, pewani kukhala pamalo omwe anthu ena amasuta.
• Pewani mankhwala, mpweya woipa, ndi zinthu zina zomwe zingawononge mapapo momwe mungathere (monga malo a fumbi, malo okhala ndi utsi wolemera m'galimoto, utsi wa mankhwala).
• Ngati muli ndi matenda opuma monga mphumu, muwachepetse. Tsatirani malangizo a dokotala wanu.

Kodi chiyembekezo cha matenda a bronchitis osatha n'chiyani? Kodi angachiritsidwe?

Matenda a bronchitis (COPD) angakhale ofatsa kwa anthu ena, koma akhoza kukhala oopsa kwambiri kwa ena. Zimatanthauza kuti mapapu anu awonongeka, ndipo kuwonongekako kungakule kwambiri pakapita nthawi.

Kuwonongeka kumeneku sikungabwezeretsedwe, ndiko kuti, kuchiritsidwa kwathunthu.

Koma musadandaule! Dokotala wanu angakuthandizeni kuthana ndi zizindikiro zanu, kuchepetsa kupitirira kwa matendawa, komanso kuchepetsa kuphulika kwa matenda. Dokotala wanu adzakuuzani zochita kutengera momwe zinthu zilili.

Kodi ndimadzisamalira bwanji?

Chinthu chabwino kwambiri chomwe mungachite ndikugwira ntchito ndi dokotala wanu kuti mupange dongosolo la chithandizo lomwe likugwirizana ndi vuto lanu. Ngati simukuwona kusintha kulikonse ngakhale mutatsatira chithandizo ndi mankhwala omwe dokotala wanu wakupatsani, lankhulani ndi dokotala wanu za vutoli.

Mwa kupewa matenda opumira, mutha kuchepetsa mwayi woti zizindikiro zanu zikuchuluke (kuwonjezera).

• Katemera wofunikiraPezani (monga jakisoni wa chimfine, jakisoni wa chibayo).
• Sambani m'manja mwanu nthawi zonse.
• Pewani malo odzaza anthu , makamaka nthawi ya mliri wa chimfine ndi chimfine.

Zinthu zimenezi zidzakuthandizani kuchepetsa kuopsa kwa matenda anu komanso kuchepetsa chiopsezo chanu chodwala kwambiri.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi matenda a bronchitis osatha, pitani kwa dokotala nthawi yomweyo. Kupeza chithandizo mwamsanga kungathandize kuchepetsa kuipiraipira kwa matendawa ndikukweza moyo wanu.

Ngati muli ndi zizindikiro zotsatirazi, pitani kwa dokotala:

• Ngati muli ndi chifuwa chomwe chimatenga milungu yoposa itatu kapena chomwe chimachitika pafupipafupi.
• Ngati nthawi zambiri mumavutika kupuma kapena kupuma movutikira.
• Ngati muli ndi malungo aakulu (oposa madigiri Celsius 39.4 / madigiri Fahrenheit 103) kapena malungo omwe amakhalapo kwa masiku opitilira asanu.
• Ngati mutsokomola magazi.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Muyenera kumvetsetsa bwino dongosolo lanu la chithandizo, momwe mungagwiritsire ntchito mankhwala, komanso momwe mungagwiritsire ntchito zipangizo zachipatala monga chopumira.

Mafunso ena omwe mungafunse dokotala:

• Kodi vuto langa lidzaipiraipira pakapita nthawi?
• Kodi ndingayembekezere kuti vuto langa lidzakhala bwino bwanji ndi chithandizo?
• Kodi zitenga nthawi yayitali bwanji kuti zizindikiro zanga zisinthe?
• Ndi zizindikiro ziti zatsopano kapena zoipitsitsa zomwe ndiyenera kuyang'anitsitsa?
• Kodi ndiyenera kuchita chiyani ngati ndikuona kuti dongosolo langa la chithandizo silikugwira ntchito?

Ndizachibadwa kukhala ndi mantha komanso nkhawa mukazindikira kuti muli ndi matenda a nthawi yayitali monga matenda a bronchitis / (COPD). Koma kumbukirani, ziwerengero sizingadziwiretu zomwe zingakuchitikireni pa vuto lanu. Mwa kulankhula moona mtima ndi dokotala wanu, mutha kupeza lingaliro la zomwe mungayembekezere pamene mukusamalira vuto lanu. Pali mankhwala ndi maphunziro omwe angathandize kuchepetsa zotsatira zomwe matenda a bronchitis amakhudza pa moyo wanu.

Chidule (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino za matenda a bronchitis omwe takambirana lero.

Kumbukirani, chofunika kwambiri ndi kusiya kusuta fodya kotheratu. Komanso, dzitetezeni momwe mungathere ku zinthu zomwe zingawononge mapapo anu.

Ngati muli ndi zizindikiro monga chifuwa chosatha kapena kupuma movutikira, musanyalanyaze ndipo funsani upangiri wa dokotala nthawi yomweyo . Kuzindikira matendawa msanga ndi chithandizo kungakuthandizeni kwambiri kukhala ndi moyo wabwino. Musadandaule, madokotala alipo kuti akuthandizeni.