Chii COPD? chirwere zviratidzo

Hosha yacho kufema ino, iyo pane kutyora kwemutemo mhepo kuti pneumatic nzira havatani anogarokanganiswa kunoita uye kusingarapiki kuitika inozivikanwa chisingaperi obstructive pulmonary chirwere, kana COPD kuti pfupi. Zviratidzo zviri chirwere vari kwakunoitwa boka kugara dyspnea, kunyanya mu chakasimba nguva viscous chikosoro pamwe expectoration. Pathogenesis kuti COPD zviratidzo kuvimba rwakadini kukuvara rinenge nechiedza zvazvinoita etiological zvinhu. Árbol madzihwa hypersecretion kunoitika, ayo viscosity kunowandawo uye, somugumisiro, nebhitumini vakashanda akabviswa yemweya. Kana zvikaitika kuti pane kwemabhakitiriya kana chaikonzerwa noutachiona, COPD yakawedzera muwanze tembiricha, Kuipa vakawanda mamiriro, pakuonekwa kwazvo hypoxia uye kufema kukundikana.

Zvinofanira kucherechedzwa kuti COPD chirwere ichazivikanwa noku nokusingaperi-Virtual aibuda, pamwe rakatumbuka nguva exacerbation uye hama akadzikama ari pathological muitiro. Kazhinji chirwere chacho amenable kurapwa kwakaoma, kunoda kuramba kugamuchira nazvo zvinodhaka uye zvaidiwa zvakakodzera mararamiro. Varwere, kunyanya vakwegura, zviri kuremara, kuita, uye kushandisa achishivirira pamwe akatsiga kunoderedza.

Chirwere obstructive pulmonary chirwere vakabatana muzita ravo zvirwere zvakawanda pamusoro kufema ezvinhu: chisingaperi obstructive bronchitis, chisingaperi pulmonary mwoyo chirwere, emphysema, zvemapapu uye, somunhu kuomesa kwechirwere chacho, pulmonary neBP.

The zvinokonzera COPD

Kana obstructive pulmonary chirwere aona pathological kuchinja zvemapapu rinenge ichi kunokuita kwete kuvanhu vose, pane nemagene kubatwa, kushaya antitrypsin. Kukuvadza zvikonzero zviri anonyanya: yakareba kusvuta, kunokuvadza kugadzirwa (Occupational njodzi). Tigume mapapu uye esimende nesilicon guruva, donje seguruva kana tsanga pamusoro erevheta kana panguva kukohwa. Not yokupedzisira basa reDare murombo ezvinhu dzezvakatipoteredza. Etiological zvikonzero, anotokonya kuti secretory masero kuti hypersecretion pamusoro Árbol secretions. Modified ciliated epithelium haagoni bvisa viscous madzihwa yakakwana kwazvo, uye stagnates pane blockage (mhingaidzo) makwara pamwero yakasiyana-siyana. Hyperextension kuti kufema tsandanyama zvichiita kuti paumbwe foci vawedzere airiness. Zvisinei mhaka COPD, zviratidzo ayo akafanana zvirwere zvakasiyana.

Zviratidzo COPD zviratidzo panguva zvirwere zvakasiyana

Obstructive chisingaperi bronchitis kunoratidzwa nyoro chikosoro pamwe akaoma expectoration. Inosimudzira chikosoro ndepana chando, mamiriro okunze anotonhora. Árbol secretion anova viscous uye zvakaoma inofamba, kazhinji achiperekedzwa nefivha yakaderera-mugiredhi. In Muzviitiko zvakaipisisa, vanogona kuva bronchospasm pamwe kufema kukundikana.

In emphysema kunoitika pathological zvemapapu kuwedzera dzichipfekeka zvinoriumba - the Formação de, zvichiita kuti kuwedzera airiness, hyperextension pamusoro alveolar rusvingo uye nekusagona pamusoro kwagara gasi exchange. The chirwere rinokanganisa zvemapapu rinenge riri shoma (zvatichiri) uye diffuse. Saka Light akafanana mazambiringa. Dzinoratidzwa chaicho chimiro mubhokisi, zvinova dhiramu chimiro nokuda kwazvo mhepo. Varwere vanotsutsumwa tinyanye kupfupika mweya, anogona nemaziso cherechedza chikamu yakawedzerwa tsandanyama kufema. Kana obstuchal bhokisi percussion, bhokisi inzwi auscultated.

Nzira kurapa COPD

Chinangwa chikuru chemusha COPD mishonga ndiko kubvisa zvinokonzera chirwere uye zvichiita tava kuderera chirwere kunoita. Murwere anofanira zvinobvira kurega kusvuta, kana varipo Occupational ngozi, kuchinja mabasa. Hazvina here kugara kuita panyama kurapa, kufema muviri. Zvakakosha chaizvo kudzivisa vanhuwo chando. Exacerbation zvakaipa zvinodhaka, dilyatiruyuschimi principales. Ava nomukaka zviri tiotropium (Spiriva, Atrovent) iro rinoshandiswa nenzira inhalation muchimiro. Usanyanya kuzvimba uye zvinyama edema mahormone (prednisolone, hydrocortisone, dexamethasone). Kana zvirwere zvinokonzerwa noutachiona vanoguma vava kushandisa mishonga inorwisa mabhakitiriya.

Expectoration kuti phlegm uye rive dete kunokonzerwa mucolytics.

Kana kufema kukundikana inobatsira Masked inhalation yakaisvonaka okisijeni.