COPD zviratidzo uye kurapwa

COPD, kana chirwere obstructive pulmonary chirwere - chirwere inozivikanwa nenyonganyonga dzedenga ndima Airways asingatani kunoita uye nokuda ane kusingarapiki. Saka pane kukuvara yemapapu rinenge kubudikidza dzokupisa pathological zvinhu dzinosiyana-siyana secretion pamusoro Árbol secretions, madzihwa anotanga zvakasimbisa zvigadzirwa. Akabatanidza chirwere chinogona kukonzera COPD exacerbation, iyo yakawedzera apo mukuru mamiriro vasingadzoreki gasi mukutsinhana mumapapu, anovandudza kufema kukundikana.

Munguva refu obstructive pulmonary chirwere, mberi, pamwe nguva exacerbation. COPD, kurapa chirwere ichi - a rakaoma, rinoda nguva. The chirwere zvinogona kuremadza, kuderedza utano uye kurovedza muviri. Huru zvekuchipatara zviratidzo zviri dyspnea ari munyoro nesimba kana pa zororo, chikosoro.

COPD - ndiyo amburera izwi kuti zvinosanganisira zvinotevera zvirwere: obstructive bronchitis, emphysema, chisingaperi pulmonary mwoyo chirwere, pulmonary neBP.

COPD Etiology

By refu kusvuta kunokonzera chirwere, Occupational njodzi (basa mukurima chokuita nesilicon uye cadmium guruva, simende, basa erevheta, zviyo kukohwa uye donje), murombo ezvinhu kwezvakatipoteredza, kuvabereki kubatwa, antitrypsin kukanganisika. Saizvozvowo, COPD, kurapwa kwayo kunoenderana mhaka chirwere.
Nokupesvedzera etiological zvinhu kuitika kutsamwa ari secretory masero dzikawedzera kugadzirwa madzihwa. Yemakomo ciliated epithelium akashatirwa kubvisa sputum, kufema mhingaidzo kunoitika pamwero yakasiyana-siyana. Árbol spasm, madzihwa kuzara akabatanidza kubudikidza accession kuti chokutsva. Neutera ari kufema tsandanyama kunotungamirira vawedzere zvemapapu airiness (pulmonary gipreinflyatsii).

Clinical Kuratidza chirwere

In chisingaperi bronchitis, mumwe chikosoro pamwe sputum. Kukosora kuwedzera nokuti vabereki chikosoro, zvirwere zvinotapuriranwa. Purulent sputum kana mucosa, pane mananara kudhaka, low-mugiredhi fivhiri. Nokuti bronchitis kunoratidzwa yemweya mhingaidzo, muna Muzviitiko zvakaipisisa, kuti kukura bronchospasm.

In emphysema kunoitika pathological zvemapapu kuwedzera, pane nenyama yavo zvawanzwa dzinosiyana rusvingo alveolar. Emphysema inogona shoma (zvatichiri) uye diffuse. In varwere izvi, chipfuva iri akaremara, kuwana mudhiramu chimiro, vane hanya kuramba kupfupika mweya. The kufema tsandanyama vanobatanidzwa zvikuru, percussion-bhokisi inzwi.

COPD kurapwa

COPD kurapwa uye chinangwa chawo, vari kuderedzwa kuti kuziva zvinokonzera chirwere. Kana uchisvuta, zviri chinodiwa kupa tsika iyi yakaipa. Izvi zvinoshandawo Occupational njodzi, zvinokurudzirwa kupedza kushoma nokudyidzana muguruva. Zvakakosha kudzivisa exacerbation kwechirwere chacho, kuvandudza muviri vanokwanisa, aite rimwe nomazvo kurapa panguva exacerbation uye prophylactic kunorapwa ruregerero, nokuderedza kufa.
COPD kurapwa, exacerbation chirwere stoped varwere kuwedzera principales (bronchodilators). Idzi dzinosanganisira nomukaka zviri tiotropium (Spiriva, Atrovent), inhaled inhalation. Zvakarurama kugamuchira kana aizomupa glucocorticoids (prednisolone, dexamethasone) wakati anzi Anti-anogumbura chiito. Kana kubvongodzwa kuti zvakazorodza chenjera inhalable chimiro hormone gadziriro.

Zvakakosha kuti pane imwe kusembura chirwere kunokonzerwa pedyo noutachiona, kugadza inorwisa mabhakitiriya.

Kana vakashanda expectoration dzematongerwe nokugadzwa mucolytic uye expectorant zvinodhaka.

It anovandudza upenyu okisijeni kurapa (inhalation reokisijeni kuburikidza chokuzvivanza).

COPD Treatment acho mishonga hakugumiri nokushandiswa kwemiti kuti pave nani kuerera uye rive dete pamusoro madzihwa, simbisa muviri. miti izvi zvinosanganisira licorice, thyme, mai uye naamainini, uye vamwe.