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I-COPD vs asthma: Yeyiphi eyona imbi ngakumbi?

I-COPD vs asthma: Yeyiphi eyona imbi ngakumbi?Imfundo yezeMpilo

I-COPD vs Isifo se-asthma | Ubuninzi | Iimpawu | Uxilongo | Unyango | Imiba yomngcipheko | Uthintelo | Nini ukubona ugqirha | Ii-FAQ | Izixhobo

Isifo sombefu kunye nesifo esinganyangekiyo semiphunga (COPD) zizifo zemiphunga ezinokufana kakhulu, kodwa zinokwahluka okuphambili. Zombini iimeko zineempawu ezifanayo ezibangelwa kukudumba komoya okanye ukuphazamiseka komoya. Ukuthintelwa kokuhamba komoya kuhlala kukhokelela kubunzima bokuphefumla, ukukhohlela, ukuvutha, ukuqina kwesifuba kunye nokuphefumla okufutshane.



Iimpawu ezivela kwi-asthma, ezibangelwa yi-allergen okanye ukuzivocavoca, ziza kwaye zihambe. Iimpawu zeCOPD ezinokubangelwa kukutshaya ixesha elide okanye ukubonakaliswa ixesha elide kwizicaphukisi zemichiza kuyaqhubeka. Nge-COPD, ukudumba okungapheliyo kukhokelela kumonakalo ongenakuguqulwa kwizicubu ezijikeleze umoya kunye notshintsho lwezifo kwimiphunga.



Nangona zombini izifo zingapheliyo, i-COPD yimeko eqhubekayo, intsingiselo yeempawu zihlala zihlala zikhona kwaye imeko iba mandundu ngokuhamba kwexesha. Nge-asthma, amanyathelo angathathwa ukulawula ukuphazamiseka kwaye xa ulawulwa ngokufanelekileyo, kunokwenzeka ukuba ungafumani naziphi na iimpawu ixesha elide. Kubalulekile ukwahlula i-COPD kwi-asthma ukumisela elona khondo lilungileyo lonyango. Makhe siphande ngokufana nokwahluka phakathi kwesifuba kunye neCOPD.

Oonobangela

ICOPD

Ngokwe- Umbutho waseMelika wemiphunga , Iipesenti ezingama-85 ukuya kuma-90% zeCOPD zibangelwa kukutshaya. Ityhefu ekwisigarethi ityhafisa amandla emiphunga okulwa usulelo, inyanzelisa iivesi zomoya, ibangele ukudumba nokudumba, kwaye itshabalalise iisakana zomoya ezincinci emiphungeni, ezibizwa ngokuba yialveoli. Ukuvezwa kokusingqongileyo kwizicaphukisi zamachiza kunye neetyhefu, kubandakanya nongcoliseko lomoya, kunokubangela iCOPD. Inani elincinci lamatyala linokubangelwa yimeko yemfuza ethintela ukuveliswa komzimba kweproteni ekhusela imiphunga yeAlpha-1. Oku kubizwa ngokuba yi-alpha-1-deficiency-related emphysema.



Zimbini iintlobo zeCOPD: i-bronchitis engapheliyo kunye ne-emphysema. Kuzo zombini iimeko, iindlela zomoya wemiphunga ziyatyeba kwaye zitshiswe, zibangele ukuba kufe izicwili. Xa oku kusenzeka, ukutshintshiselana nge-carbon dioxide kunye neoksijini ngaphakathi kwezicubu zomzimba kuyehla, kubangele ukuphefumla okufutshane kunye nezinye iingxaki. Akukho lunyango lwe-COPD, kodwa xa ibanjwe kwangoko, inokulawulwa ngendlela yonyango oluninzi. Nazi iimeko ngokweenkcukacha ezingaphezulu:

  • I-bronchitis engapheliyo: Ukudumba kwimimoya yomoya yemiphunga, ebizwa ngokuba yi-bronchi, kubangela ukucaphuka okukhokelela kwimveliso yokukhwehlela evelisa isikhohlela, ukuvutha, ukuphefumla kancinci, kunye nentlungu esifubeni. Ngelixa imeko inokuphucuka okanye ibe mandundu ngokuhamba kwexesha, ayisokuze ihambe kwaphela, nangona iindlela zonyango zikhona ukulawula iimpawu.
  • I-Emphysema: Iingxowa zomoya wemiphunga, ezibizwa ngokuba yi-alveoli, zonakaliswa ngokuthe chu ngokuhamba kwexesha. Njengokuba i-emphysema iqhubeka, i-alveoli iyaphuka, iba sisikhwama somoya esinye endaweni yezincinci ezincinci, inciphisa umphezulu wemiphunga kwaye ibambe umoya kwinyama yayo eyonakeleyo. Oku kuphazamisa ukuhamba kweoksijini egazini kwaye kwenza ukuphefumla kube nzima.

Isifo sombefu

Isifo sombefu sisifo esinganyangekiyo sokudumba kwendlela yomoya ebangelwa kukungakhuseleki kwizichaso ezibangelwa zizinto ezaliwa okanye kukucaphuka okubangela ukudumba okungapheliyo. Nangona kungengabo bonke oonobangela besifo sombe abaziwa, kunokubakho into yemfuza — ithande ukuba lilifa. Ukuzivocavoca kunye ne-allergen njengothuli, isikhunta, okanye impova kunye nokuvezwa komntwana kwizinto ezifana nomsi wecuba kunokubangela uhlaselo lwesifuba. Izifo zokuphefumla kwabantwana abancinci ezibangela ukungasebenzi kakuhle kwemiphunga zinokuba negalelo kwisifo sombefu. Kubantu abadala, ukubhencwa kwimichiza kunye nokucaphukisa emsebenzini kunokuba negalelo kwisifo sombefu sabantu abadala. Iimpawu eziqhelekileyo zesifo se-asthma kubandakanya:

  • Umsi wecuba
  • Uthuli
  • Ukumoshwa komoya
  • Izinambuzane kunye neempuku
  • Izilwanyana zasekhaya
  • Umngundo
  • Izinto ezikhupha imichiza
  • Umkhuhlane
I-COPD vs Isifo se-asthma
ICOPD Isifo sombefu
  • Ukuvezwa kokusingqongileyo kwityhefu nakwizinto ezicaphukisayo
  • Ukutshaya icuba
  • Ukusilela kweAlfa-1
  • Ukuvezwa kokusingqongileyo kwityhefu nakwizinto ezicaphukisayo
  • Ukubonakaliswa kwizinto ezichasayo zendalo
  • Izifo zokuphefumula
  • Umzimba
  • Imfuza
  • Zilolonge

Ubuninzi

ICOPD

I-COPD ichaphazela uqikelelo Izigidi ezingama-30 zaseMelika kwaye ngu I-4 yesizathu esibangela ukufa eUnited States. Kwi-2018, i-2 yezigidi zabantu abadala abane-emphysema, kwaye i-9 yezigidi yayine-bronchitis engapheliyo; ngaphezulu kwe-16 yezigidi zabantu kwafunyaniswa ukuba bane-COPD, kodwa kuqikelelwa ukuba uninzi lwezigulana ezingafunyaniswanga zeCOPD zihlala nesifo.



Isifo sombefu

Ngokwe- Amaziko oLawulo noThintelo lwezifo (CDC), umntu omnye kwabali-13 e-United States unesifo sombefu. Kwi-2018, ngaphantsi nje kwe-25 yezigidi zabantu baseMelika ababenesifo sesifuba- i-19 sezigidi zabantu abadala kunye nangaphezulu kwezigidi ezi-5 zabantwana. Isifo sombefu sisifo esinganyangekiyo esikhokelela kubantwana.

I-COPD vs.ukuxhaphaka kwesifuba
ICOPD Isifo sombefu
  • Kuqikelelwa ukuba izigidi ezingama-30 zaseMelika zineCOPD
  • I-COPD ngoyena nobangela uphambili wokufa kwabantu e-United States
  • Izigidi ezingama-25 zaseMelika zazinesifo sombefu ngo-2018
  • Isifo sombefu sisifo esinganyangekiyo esikhokelela kubantwana

Iimpawu

ICOPD

Kumanqanaba okuqala, i-COPD inokubonisa njengokuphefumla kancinci. Njengokuba isifo siqhubeka, abantu banokufumana isikhohlela esinganyangekiyo (esinyusa isikhohlela / isikhohlela), ukuphefumla okungapheliyo, ukuphefumla, usulelo lokuphefumla rhoqo, ubunzima bokuphefumla nzulu, ukuqina kwesifuba kunye nentlungu, ukudinwa, kunye necyanosis ( Imilebe eluhlaza okwesibhakabhaka kunye neebhedi zenzipho).

Isifo sombefu

Ukuphendula komzimba okuvuvukala kwisifuba kubangela iimpembelelo ezindleleni zomoya zabantu abane-asthma. Xa bevezwa kwi-allergen kunye nezinye izinto ezibangela, abantu abane-asthma banokuhlaselwa yi-asthma ngokukhwehlela nokuvutha, ukuqina kwesifuba, ukuphefumula okufutshane, kunye nobunzima bokuphefumla. Ukuphendula ngendlela eyiyo yomoya, uphawu lwe-asthma, kubandakanya ukwanda kobuntununtunu kwiindlela zomoya emva kokuvezwa kukucaphuka.



I-COPD vs. iimpawu zesifuba
ICOPD Isifo sombefu
  • Ukukhohlela
  • Ukukhawuleza
  • Ukuqhawukelwa ngumphefumlo
  • Ukuqina kwesifuba
  • Kunzima ukuphefumla nzulu
  • Imveliso yencindi egqithisileyo
  • Izifo ezenzeka rhoqo ekuphefumlweni
  • ICyanosis
  • Ukudinwa
  • Iintlungu zesifuba
  • Ukukhohlela
  • Ukukhawuleza
  • Ukuqhawukelwa ngumphefumlo
  • Ukuqina kwesifuba
  • Ukuphendula ngendlela yomoya

Uxilongo

ICOPD

Ukufumanisa i-COPD, uvavanyo lomzimba kunye novavanyo olulula lomsebenzi we-pulmonary spirometry zenziwa ukuvavanya indlela esebenza kakuhle ngayo imiphunga. Ngexesha lovavanyo, umntu uvuthela into yomlomo eqhotyoshelwe kwityhubhu encinci eqhagamshela kumatshini. Umatshini ulinganisa ubungakanani bomoya kunye nokukhawuleza komntu ukukhupha umoya. Ugqirha uya kuvavanya iziphumo zokufumanisa i-COPD. Kubantu abadala abaqhelekileyo, umyinge we-FEV1 / FVC (umthamo onyanzelekileyo wokuphefumla / umthamo onyanzelekileyo obalulekileyo) ngama-70-80%. Ixabiso elingaphantsi kwama-70% ngumqondiso weCOPD. Iimvavanyo ezongezelelweyo, ezifana ne-X-ray yesifuba okanye uvavanyo lwegesi yegazi yokulinganisa inqanaba leoksijini yegazi ziluncedo ekumiseni ukuba imiphunga itshintsha njani ioksijini kunye nekhabhon diokside.

Isifo sombefu

Kubantu abafumana iimpawu ezifana nokuphefumla kancinci, ukukhohlela rhoqo, ukuqina kwesifuba, okanye ukuvutha, umboneleli wezempilo wenza uvavanyo olusisiseko lokufumanisa isifo se-asthma, ngokuqala ngovavanyo lwezempilo. Kuyafana nokuvavanywa kweCOPD, i-spirometry yenziwa ukuvavanya ukusebenza kwemiphunga. Igazi okanye uvavanyo lokonyuka kolusu okanye a Uvavanyo lomngeni we-methacholine inokusetyenziselwa ukumisela impendulo yomntu kwizinto ezibangela okusingqongileyo. A Akukho vavanyo amanyathelo okhupha i-nitric oxide, ukunceda oogqirha baxelele ukuba kungakanani na ukudumba okukhoyo kunye nokuba zisebenza njani i-inhaled steroids ekunciphiseni ukudumba.



I-COPD vs. ukuxilongwa kwesifo se-asthma
ICOPD Isifo sombefu
  • Spirometry
  • I-X-ray yesifuba
  • Uvavanyo lwegesi yegazi
  • Spirometry
  • Uvavanyo lwegazi okanye lolusu
  • Akukho vavanyo
  • Uvavanyo lomngeni we-Methacholine

Unyango

ICOPD

Ngenxa yokuba i-COPD iqhubeka ngokuhamba kwexesha, unyango kubandakanya ukulawula iimpawu. Akukho nye iyeza elisebenza kakuhle kuzo zonke izigulana zeCOPD, ke kubalulekile ukuba usebenze nogqirha ukuza nesicwangciso sonyango esisebenzayo. Amayeza ahlukeneyo, unyango lwemiphunga, ukuyeka ukutshaya, ukulawula indlela ophila ngayo kunye nemeko yokusingqongileyo, kunye nokuhlala usesikhathini kwizitofu zokugonya zinokusetyenziswa njengenxalenye yesicwangciso sonyango.

Amayeza e-COPD

Amayeza e-COPD abandakanya i-bronchodilators yokuphumla kwezihlunu ezijikeleze i-airways, kwaye inokuba yeyokusebenza ngokufutshane okanye ukusebenza ixesha elide. Amayeza asebenza ngokufutshane ahlala esetyenziselwa ukonyusa kunye nokusebenza ixesha elide kusetyenziselwa ulondolozo. I-inhalled corticosteroids inciphisa ukuvuvukala kwindlela yomoya, kunye nokudityaniswa kwe-inhalers zombini kune-bronchodilator kunye ne-corticosteroid. I-bronchodilators kunye ne-corticosteroids ezi-inhaled ziyafumaneka njenge-inhalers, kodwa ezinye ziyafumaneka kwizisombululo zokusebenzisa ngomatshini we-nebulizing. I-Oral steroids, ithathwa ixesha elifutshane, ukunciphisa ukudumba kwemiphunga okubangelwa kukuphazamiseka.



Kwizifo ezosulelayo zokuphefumla ezinje nge-bronchitis okanye inyumoniya, ii-antibiotics ezinje Zithromax inokumiselwa. Amanye amayeza, anje nge-phosphodiesterase-4 inhibitors kunye ne-theophylline , phucula ukuphefumla ngokunciphisa ukudumba kunye nokuphumla kwomoya.

I-bronchodilators emfutshane:



  • Iproair HFA, Proventil, Ventolin (albuterol)
  • Xopenex (levalbuterol)
  • I-Atrovent HFA (ipratropium)

I-bronchodilators esebenza ixesha elide:

  • Impendulo yeSpiriva, iSpiriva Handihaler (tiotropium)
  • Gweba i-Ellipta (umeclidinium)
  • IBrovana (arformoterol)
  • I-Perforomist (ifomoteroli)
  • I-Serevent Diskus (salmeterol)
  • I-Striverdi Respimat (i-olodaterol)
  • UTudorza Pressair (aclidinium)
  • IArcapta Neohaler (indacaterol)

Inhaled corticosteroids :

  • Umgangatho weHFA (fluticasone)
  • IPulmicort Flexhaler (budesonide)
  • I-Qvar (beclomethasone)
  • Ubungakanani be-Ellipta (i-fluticasone furoate)
  • IAlvesco (iciclesonide)

Inhalers yokudibanisa:

  • UBreo Ellipta (i-fluticasone kunye ne-vilanterol)
  • I-Trelegy Ellipta (i-fluticasone, i-umeclidinium kunye ne-vilanterol)
  • Isimboli (formoterol kunye nebudesonide)
  • I-Advair Diskus (i-fluticasone kunye ne-salmeterol)
  • Impendulo edibeneyo (ialbuterol kunye neipratropium)
  • I-Bevespi Aerosphere (formoterol kunye ne-glycopyrrolate)
  • I-Stiolto Respimat (tiotropium kunye ne-olodaterol)
  • Anoro Ellipta (umeclidinium kunye nevilanterol)
  • UDuaklir Pressair (aclidinium kunye nefomoterol)
  • Utibron (glycopyrrolate kunye ne-indacaterol)

Izisombululo ze-Nebulization:

  • I-Albuterol
  • Levalbuterol
  • IBudesonide
  • I-DuoNeb (albuterol kunye ne-ipratropium)
  • Ipropropium
  • Ifomoterolol

I-Oral steroids:

  • IPrednisone
  • IPrednisolone
  • IMedrol (methylprednisolone)

Amanye amayeza:

  • I-Daliresp (roflumilast)
  • I-Elixophylline, Theo-24 (theophylline)

Olunye unyango lweCOPD

  • Ukuyeka ukutshaya kubaluleke kakhulu kwizigulana zeCOPD ukuze zinqande ukutshatyalaliswa kwemiphunga kwaye zithintele iimpawu ukuba zingambi ngakumbi. Ukuyeka ukutshaya kunempembelelo enkulu kumgangatho wobomi.
  • Ukulawula ukubonakaliswa kwendalo iityhefu kunye nokuthintela ukwanda kweCOPD, njengokungcola komoya, umsi onetyhefu, kunye nezinye izinto ezicaphukisayo kuluncedo ekulawuleni iimpawu zeCOPD.
  • Utshintsho kwindlela yokuphila ngokusebenzisa iinkqubo zokubuyisela kwimeko yesiqhelo kwimiphunga ezibandakanya umthambo, ukutya okunempilo, kunye nemfundo malunga neCOPD ukunceda abantu abanesifo ukulawula iimpawu zabo.
  • Ioksijini eyongezelelweyo Ukubonelelwa ngetanki ephathekayo okanye isixhobo esifanayo sinokufuneka ukuba amanqanaba eoksijini egazi asezantsi kakhulu. Unyango lweoksijini kuphela kwendlela engqiniweyo yokwandisa ixesha lokuphila lomntu oneCOPD.

Isifo sombefu

Injongo kwi ukunyanga isifuba Kukunciphisa ubunzima kunye nokuhamba rhoqo kweempawu ngokunciphisa ukudumba. Ukukunceda ukulawula unyango, abanye ababoneleli ngezempilo banokucebisa ukuba basebenzise imitha yokuhamba okuphezulu . Esi sixhobo siphathwayo sinokusetyenziselwa ukulinganisa indlela umoya ohamba ngayo ukusuka emiphungeni. Ukongezelela, kukho amayeza e-asthma amaninzi anokulawula iimpawu zesifo se-asthma.

Amayeza esi sifo

Amayeza amaninzi asebenzayo ngokukhawuleza ayafumaneka ukwenza ukuphefumla kube lula. Benza ngokunciphisa ukudumba kunye nokudumba kwindlela yomoya. Ezi zihlala zibizwa ngokuba ngabahlanguli be-inhalers kuba basebenza ngaphakathi kwemizuzu yokubathatha. Unyango oluphambili lunokubandakanya:

I-bronchodilators emfutshane: Amayeza okunceda ngokukhawuleza, abizwa ngokuba yi-bronchodilators, asetyenziswa ekuqaleni kweempawu ngexesha lokuhlaselwa sisifo sombefu kwaye asebenze ngokukhawuleza ukuphumla iindlela zomoya kunye nokwenza ukuphefumla kube lula. Iyeza i-albuterol ihlala ibizwa ngokuba yi-inhaler yokuhlangula kwaye isebenza ngaphakathi kwemizuzu yokusebenzisa.

  • Iproair HFA, Proventil, Ventolin (albuterol)
  • Xopenex (levalbuterol)
  • I-Atrovent HFA (ipratropium)

I-bronchodilators esebenza ixesha elide:

  • Impendulo yeSpiriva (tiotropium)
  • IBrovana (arformoterol)
  • I-Perforomist (ifomoteroli)

Amayeza olawulo lwexesha elide, athathwa yonke imihla, anokusetyenziselwa ukunqanda kunye nokunciphisa ubungqongqo bokuhlaselwa sisifuba.

Ukungenisa i-corticosteroids: Inhaled corticosteroids kuthintela ukudumba.

  • Umgangatho weHFA (fluticasone)
  • Qvar (beclomethasone dipropionate)
  • IPulmicort Flexhaler (budesonide)
  • Ubungakanani be-Ellipta (i-fluticasone furoate)
  • IAlvesco (iciclesonide)
  • I-Asmanex (i-mometasone)

Iinguqu zeLeukotriene: Izilungiso zeLeukotriene zisebenza ngokuthintela i-leukotrienes, iichemical immune system ezenza ukuba iindlela zomoya zithintele ekuphenduleni izinto ezibangela ukungabikho komzimba.

  • I-Singulair (imontelukast)
  • Ukuchaneka (zafirlukast)
  • I-Zyflo (zileuton)

Inhalers yokudibanisa: Iindibaniselwano ze-inhalers zine-corticosteroid ukunqanda ukudumba kunye ne-bronchodilator ukwenza ukuphefumla kube lula ngokuphumla kwemiphunga nokwandisa iindlela zomoya.

  • UBreo Ellipta (i-fluticasone kunye ne-vilanterol)
  • I-Trelegy Ellipta (i-fluticasone, i-umeclidinium kunye ne-vilanterol)
  • Isimboli (formoterol kunye nebudesonide)
  • Advair HFA (salmeterol kunye ne-fluticasone)
  • Impendulo edibeneyo (ialbuterol kunye neipratropium)
  • Dulera (i-mometasone kunye nefomoterol)

Izisombululo ze-Nebulization: NjengeCOPD, izisombululo ze-nebulization zinokusetyenziselwa unyango lwe-asthma.

  • I-Albuterol
  • Levalbuterol
  • IBudesonide
  • I-DuoNeb (albuterol kunye ne-ipratropium)
  • Ifomoterolol
  • Ipropropium

I-Oral steroids: Oku kunokumiselwa iveki enye okanye ezimbini emva kohlaselo lokugcina ukudumba.

  • IPrednisone
  • IPrednisolone
  • IMedrol (methylprednisolone)

Amanye amayeza:

  • I-Elixophylline, Theo-24 (theophylline)
  • Ukuphinda kabini (inaliti ye-dupilumab)

Olunye unyango lwe-asthma

  • Ukuphepha i-allergener kunye ne-irritants kwindalo esingqongileyo kunciphisa iziphumo zokuvezwa. Izitshizi zempumlo azamkelwa kunyango lwesifo sombefu; Nangona kunjalo, ziyasebenza ekunyangeni ii-aleji zonyaka ezinokubangela isifuba.
  • Ukuhlala usexesheni ngogonyo ikwabalulekile nasekulawuleni isifuba kuba iyanceda ukugcina amajoni omzimba omelele kwaye anciphise umngcipheko wosulelo lokuphefumla, olunokuthi lwonyuse iimpawu.
  • Inaliti ezingezo-steroidal ye i-anti-IgE kunye ne-anti-IL5 monoclonal antibodies inokusetyenziswa rhoqo kwiiveki ezimbini ukuya kwezisibhozo ukunciphisa ukudumba kubantu abane-asthma ebukhali, ekunzima ukuyilawula. Ezi ntsholongwane zisebenza ngokuthintela iindlela ezithile zeemolekyuli kubantu abane-asthma. Oku kubandakanya Xolair(Omalizumab) kwaye Nucala(mepolizumab) .
  • I-bronchial thermoplasty , inkqubo apho kusetyenziswa khona i-bronchoscope ukufaka ubushushu kwimibhobho ye-bronchial, ukunciphisa inani lezihlunu ezigudileyo, kunokusebenza kunyango lwe-asthma ebukhali.
I-COPD vs. unyango lwe-asthma
ICOPD Isifo sombefu
  • Inhaled corticosteroids
  • Iibronchodilators
  • Inhalers yokudibanisa
  • Iintsholongwane (kusulelo olubi)
  • I-Oral steroids
  • Ukuhlala usexesheni ngogonyo
  • Ukulawula ukubonakaliswa kwezinto ezibangela okusingqongileyo
  • Utshintsho kwindlela yokuphila
  • I-Phosphodiesterase-4 inhibitors
  • Ithiophylline
  • Ukuyeka ukutshaya
  • Ukuvuselelwa kwenkqubo yemiphunga
  • Ioksijini eyongezelelweyo
  • Inhaled corticosteroids
  • Iibronchodilators
  • Inhalers yokudibanisa
  • Iintsholongwane (kusulelo olubi)
  • I-Oral steroids
  • Ukuhlala usexesheni ngogonyo
  • Ukulawula ukubonakaliswa kwezinto ezibangela okusingqongileyo
  • Utshintsho kwindlela yokuphila
  • Iinguqu zeLeukotriene
  • Amachiza omzimba monoclonal
  • I-bronchial thermoplasty

Imiba yomngcipheko

ICOPD

Umsi wecuba ngowona mngcipheko ubaluleke kakhulu ekuphuhliseni i-COPD, nokuba umntu uyatshaya okanye uye wachaphazeleka ekutshayeni ixesha elide. Abantu abane-asthma basemngciphekweni we-COPD, ngakumbi ukuba bayatshaya (ukutshaya okulandelayo kunokukhokelela kwi-COPD kwi-asthmatics), kunye nendawo yokusebenza apho ukuvezwa eluthulini, imichiza okanye imisi yonyusa umngcipheko. Ukusilela kwe-alpha-1 antitrypsin, ukuphazamiseka kwemfuza okukhokelela kumonakalo kwimisipha yemiphunga, kunokukhokelela nakwiCOPD.

Isifo sombefu

Isifo sombefu sisifo semiphunga esihamba kwiintsapho. Ngokwe- Umbutho waseMelika wemiphunga , Umntu onomzali onesifo sombefu amathuba aphindwe kathathu kuye kathandathu okuba asikhule ngexesha lokuphila kwakhe kunaye umntu ongenayo imbali yosapho. Izifo zokuphefumla komntwana ezonakalisa imiphunga, i-allergies, ukubonwa emsebenzini kukucaphukisa, ukutshaya, kunye nongcoliseko lomoya konke kukonyusa ukungangqinelani komntu kwisifuba. Ukutyeba kakhulu kunxulunyaniswa nomngcipheko wesifuba.

I-COPD vs. umngcipheko wesifuba
ICOPD Isifo sombefu
  • Ukutshaya
  • Ukubonakaliswa komsi wecuba
  • Ukuboniswa kongcoliseko lomoya
  • Ukuvezwa emsebenzini, uthuli, okanye imichiza
  • Izifo zokuphefumla komntwana
  • Ukusilela kweAlfa-1
  • Ukutshaya
  • Ukubonakaliswa komsi wecuba
  • Ukuboniswa kongcoliseko lomoya
  • Ukuvezwa emsebenzini, uthuli, okanye imichiza
  • Izifo zokuphefumla komntwana
  • Umzimba
  • Imfuza
  • Ukutyeba kakhulu

Uthintelo

ICOPD

Eyona ndlela ibalulekileyo emntwini yokuthintela i-COPD kukuphepha ukutshaya okanye ukuyeka ukuba sele betshaya. Ukuyeka yeyona ndlela ibaluleke kakhulu kwizigulana zeCOPD ukunqanda ukonakala ngakumbi kwempilo yemiphunga kunye nokwandisa ixesha lokuphila. Kwakhona kubalulekile ukuhlala kude nomsi wecuba kunye nokuphepha ukucaphukisa njengeekhemikhali, uthuli kunye nomsi. Ukuhlala usempilweni kangangoko ngokufumana ugonyo olucetyiswayo kunye nokuthintela usulelo lokuphefumla kuluncedo ekuthinteleni ukunyuka kweCOPD kubantu abanayo.

Isifo sombefu

Umsi wecuba uyingozi kakhulu kwabo banesifuba, nabo kufuneka bakuphephe ukubhencwa kukutshaya. Ukuphepha ukubangela i-allergen kunye ne-chemical irritants kubalulekile kubantu abane-asthma, njengokuba uhlala uphilile kwaye ugonyelwe umkhuhlane kunye nezinye iindlela zokugonywa.

Abantu abanesicwangciso sonyango sombefu kufuneka banamathele kuyo, bathathe amayeza abo njengoko kumiselwe; i-immunotherapy, okanye i-allergy shots, inokunceda ukunciphisa umngcipheko wokuhlaselwa.

Iphulo leLizwe jikelele le-Asthma sisibonelelo esikhulu sezigulana ezinesifo sombefu, ukubonelela ngeendlela eziqinisekisiweyo zokuthintela okanye ukunciphisa ukusasazeka okanye iingxaki zesifuba.

Ungayithintela njani i-COPD vs. i-asthma
ICOPD Isifo sombefu
  • Musa ukutshaya, okanye uyeke ukutshaya
  • Kuphephe ukubhencwa ngumsi wecuba
  • Ukukhuselwa ekuchaphazelweni yimichiza, uthuli kunye nomphunga
  • Zama ukuhlala usempilweni kwaye usexesheni ngogonyo
  • Musa ukutshaya, okanye uyeke ukutshaya
  • Kuphephe ukubhencwa ngumsi wecuba
  • Ukukhuselwa ekuchaphazelweni yimichiza, uthuli kunye nomphunga
  • Zama ukuhlala usempilweni kwaye usexesheni ngogonyo
  • Gwema i-allergen

Nini ukubona ugqirha kwiCOPD okanye isifuba

Xa ufumana iimpawu zokuphefumla, kubalulekile ukubonisana nomboneleli wezempilo ukufumanisa ukuba ingaba yi-COPD okanye i-asthma. Ugqirha uya kuqhuba uvavanyo olucokisekileyo ukufumanisa isifo esichanekileyo kunye nesicwangciso sonyango esenzelwe wena ukunceda ukulawula izifo zokuphefumla.

Imibuzo ebuzwa rhoqo malunga neCOPD kunye nesifuba

Nguwuphi umahluko phakathi kwesifuba kunye neCOPD?

Isifuba sokuphefumula sisifo sokuphefumla esichaphazela iityhubhu ze-bronchial, okanye i-airways, ezenza ukuba zithintele i-allergen okanye i-irritants, zombini ezo zinto zingabangela ukuhlaselwa yi-asthma. Ngexesha lokuhlaselwa sisifuba, kunzima ukuphefumla, kwaye ukuvutha, ukukhwehlela, kunye nokuqina kwesifuba kungenzeka. Ngelixa i-COPD nayo inokubangela ezi mpawu, kunokwenzeka ukuba ufumane ukukhohlela okungaguqukiyo nephlegm.

Ngokungafani nesifuba se-asthma, i-COPD yimeko engapheliyo ebangelwa ngumonakalo emiphungeni ngokuhamba kwexesha, ihlala ibangelwa kukutshaya, kwaye ayinakuphinda ibuye. Nge-asthma, ukuphefumla kubuyela kwinto yesiqhelo emva kohlaselo, kodwa iimpawu zeCOPD ziqhelekile. Ngokwesiqhelo, i-COPD ikhula ebantwini emva kweminyaka engama-40 kwaye iba sisifo esingapheliyo sokusebenza kwemiphunga ngelixaIsifubainokukhula kubantu phantse bayo nayiphi na iminyaka.

Yeyiphi eyona imbi ngakumbi: i-COPD okanye i-asthma?

I-COPD imbi kakhulu kune-asthma. Ngesicwangciso sonyango esenziwe kakuhle, iimpawu zesifuba zinokulawulwa ngokwaneleyo ukubuyisela ukusebenza kwemiphunga kwindawo yesiqhelo, okanye kufutshane kakhulu kwesiqhelo, ke imeko ngokubanzi ithathwa njengeya kubuyela umva. Nangona iimpawu zeCOPD zinokulawulwa kakuhle ngonyango olwahlukeneyo, isifo sokuphefumla asinakuphinda senziwe, ngenxa yoko nawuphi na umonakalo womsebenzi wemiphunga owenzekileyo awunakubuyiselwa.

Ngaba i-asthma inokujika ibe yi-COPD?

Isifo sombefu asihlali sikhokelela kwi-COPD, kodwa yinto enobungozi. Umonakalo wemiphunga obangelwa kukungalawuleki kakuhle kwesifuba somzimba kunye nokuhlala uchanabeke kwizicaphukisi ezifana nomsi wecuba okanye iikhemikhali zasemsebenzini kunye nomphunga awunakulungiseka kwaye unokwandisa umngcipheko womntu wokuba nesifo semiphunga iCOPD. Kuyenzeka ukuba ube nesifuba kunye neCOPD, imeko ebizwa ngokuba Isifo se-asthma-COPD overlap syndrome (ACOS) .

Ngaba i-asthma inhalers inceda i-COPD?

Ezinye ze-inhalers ezifanayo ezisetyenziselwa ukulawulwa kwesifo sombefu ziyasebenza kunyango lweCOPD. Iibronchodilators zisebenza ngokukhawuleza ukuphumla iindlela zomoya kunye nokwenza ukuphefumla kube lula, kwaye inhaled corticosteroids inciphisa ukudumba.

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