Zizindikiro COPD ndi mankhwala

COPD, kapena aakulu obstructive matenda m'mapapo mwanga - matenda yodziwika ndi chisokonezo mpweya ndime Airways sachedwa kupitilira ndipo chifukwa cha sizingasinthe. Choncho pali kuwonongeka m'mapapo minofu malinga ndi mfundo pathological imasiyana katulutsidwe wa secretions bronchial, ntchofu ayamba mankhwala anatsindika. Zosonyeza matenda zingachititse COPD exacerbation, amene kulimbikitsa pamene boma ambiri chakhungu mafuta kuwombola mu mapapo, akufotokozera kulephera kupuma.

Pa yaitali obstructive m'mapapo mwanga matenda, ndi mwapang'onopang'ono, ndi nyengo exacerbation. COPD, mankhwala a matenda - yovuta, zofuna nthawi. matenda kungachititse kuti kulumala, kuchepetsa matenda ndi masewera olimbitsa thupi. Zizindikiro zazikulu matenda ndi dyspnea pa thukuta, wofatsa kapena pa mpumulo, chifuwa.

COPD - ndi ambulera akuti monga matenda otsatirawa: matenda obstructive, ndiko kumayambitsa aakulu m'mapapo mwanga matenda a mtima, matenda oopsa m'mapapo mwanga.

COPD Etiology

Ndi yaitali kusuta kumayambitsa matenda, kuntchito ngozi (ntchito yopanga kugwirizana ndi pakachitsulo ndipo cadmium fumbi, simenti ntchito pa chikepe, mbewu kukolola ndi thonje), zinthu osauka zachilengedwe, kutengera za kumtundu, antitrypsin akusowa. Choncho, COPD, chithandizo umadalira pa chifukwa cha matenda.
Mchikakamizo cha zinthu etiological zimachitika mkwiyo wa maselo secretory ndi kuchuluka kupanga ntchofu. Aataliatali ciliated epithelium anawawidwa achoke sputum, airway kutsekeka limapezeka pa mbali zosiyanasiyana. Bronchial kuphipha, ntchofu kuchulukana analumikiza ndi inalowa kutupa. Kufooka kwa minofu kupuma kumabweretsa kuchuluka m'mapapo airiness (gipreinflyatsii m'mapapo mwanga).

Chipatala kuwonekera kwa matenda

Mu chifuwa, chifuwa ndi sputum. Chifuwa kulimbikitsa ndi chimfine, matenda opatsirana. Purulent sputum kapena mucosa, pali zochitika za kuledzera, otsika kalasi malungo. Pakuti matenda amakhala ndi airway kutsekeka, mu Zikavuta, kuti chitukuko cha bronchospasm.

Mu ndiko kumayambitsa amapezeka pathological m'mapapo thambo pali lightness chawo chinakula zimasiyanasiyana alveolar khoma. Ndiko kumayambitsa sangathe (mogwirizana) ndi akakufunsani. Odwala awa, chifuwa ndi olumala, kukhala mbiya mawonekedwe, nkhawa kufupika zonse mpweya. Minofu kupuma zimakhudzidwa kwambiri, percussion bokosi phokoso.

COPD chithandizo

COPD chithandizo ndi cholinga chake, ndi kuchepetsedwa kuti chizindikiritso cha zimayambitsa matenda. Pamene inu kusuta, ndi zofunika chizolowezi choipachi. N'chimodzimodzinso ndi ngozi za pantchito, izo m'pofunika kuchepetsa yochepa kukhudzana ndi fumbi. Nkofunika kuteteza exacerbation la matenda, kusintha zolimbitsa mphamvu, achite ndi mankhwala woyenera pa exacerbation ndi chithandizo prophylactic ku chikhululukiro, kuchepetsa imfa.
COPD chithandizo, matenda exacerbation stoped wakuuzani kuwonjezera bronchi (bronchodilators). Zikuphatikizapo zotumphukira wa tiotropium (Spiriva, Atrovent), Mpweya inhalation. Ntchito phwando kapena kulowetsedwa wa glucocorticoids (prednisolone, dexamethasone) popeza kutchulidwa odana ndi yotupa kanthu. Pamene kusamukira ku mpumulo wa pachimake inhalable mawonekedwe kukonzekera m'thupi.

Nkofunika kuti pa aggravation matenda anachititsa ndi matenda omwe amayamba ndi mabakiteriya, anaika mankhwala.

Pamene adagwiritsa expectoration zopindulitsa kusankhidwa mucolytic ndi expectorant mankhwala.

Bwino khalidwe la moyo mankhwala mpweya (inhalation ya mpweya kudzera chigoba a).

COPD Chithandizo wowerengeka azitsamba okha kugwiritsa ntchito zitsamba zimene zimachititsa kumaliseche bwino ndi kupatulira wa ntchofu, kulimbitsa thupi. zitsamba zikuphatikizapo licorice, thyme, mayi ndi akulera ana opeza, ndi ena.