I-COPD kunye ne-asthma yabelana ngeemeko eziqhelekileyo, ezinokukwenza kube nzima ukufumanisa ukuba yeyiphi imeko enokubandezeleka kuyo. Ngenxa yokuba i-COPD inomdla othile kuluntu ukuba izigulane ezininzi aziyithandi, ezinye izigulane ezineCOPD zikwazi ukuba zine-asthma. Njengoko nayiphi na imeko, kubalulekile ukucacisa ukuxilongwa okuchanekileyo ukuqinisekisa ukuba ufumana unyango olufanelekileyo.
Iimpawu ezikwabiwe nguCOPD kunye ne-Asthma
Zombini izifo zingabonisa ezi mpawu:
Nangona kunjalo, ngelixa iimpawu zifana noko, kukho ukungafani okwaneleyo ukuba kubaluleke kakhulu ukuba kwenziwe.
Imibuzo Eya Kukunceda Ugqirha Wakho Ugqibe Ukuba Unayo i-COPD okanye i-Asthma
Iimpendulo kule mibuzo zilandelayo ziza kunceda ukuxilongwa kakuhle kwimeko yakho.
Ngaba ndinezibonakaliso zokugula okanye isifuba njengomntwana?
Nangona ezinye izigulane zifumanisa ukuba zine-asthma xa zikhulile, ininzi ye-asthmatics ifunyaniswa kubuntwaneni okanye ebusheni. Enyanisweni, uphando oluthile lubonise ukuba oogqirha bokunakekela abaphambili baya kubhala iigulane ezindala ezine-asthma xa kunjalo zineCOPD. Ngelixa i-COPD ingaba yinkxaso yesikhombiso esingazange ilawulwe kakubi, i-COPD ayifumaneki i-diagnostic ngaphambi kokuba ibe neminyaka engama-40.
Yintoni eyenza iimpawu zam zibi nakakhulu?
I-Asthmatics ikwazi ukubona ukuba yiyiphi eyonakalisa iimpawu zabo.
Izinto ezifana:
- Izilwanyana zezilwanyana
- Izibungu zothuli
- Iingqungquthela
- Molds
- Pollens
- Imozulu ephezulu
- Ukuzivocavoca
- Ukuxinezeleka
- Amanye amayeza
I-COPD, ngakolunye uhlangothi, idla ngokugqithiseleyo ngeentsholongwane zokuphefumula kwaye akukho naluphi na ophazamisayo be-asthma okukhankanywe ngasentla.
Ingaba ndingumtsha okanye utshayayo?
Ngoxa i-COPD kunye nesifo se-asthma sinokuhlangana kunye, i-COPD ixhaphake kakhulu kubantu ababeshushu okanye ababenokutshaya kunye nabangcolileyo ngotshani.
Ngoxa i-COPD inokuvela kwizigulane ezingazange zibheke, ngaphezulu kwe-80% yezigulane ezineCOPD zibhekisele kwixesha elidlulileyo okanye zikhoyo zikhoyo.
Ngaba ndike ndibe ne-symptom-free?
Izigulane ezineempawu ze-asthma zibonakaliswa ngokukhawuleza, zibonakaliswa zizibonakaliso ezingenasifo phakathi kwe-asthma exacerations kwaye zithatha amaxesha amaninzi angenazo iimpawu xa i-asthma ilawulwa kakuhle. Izigulane zeCOPD, ngakolunye uhlangothi, zifumana iimpawu eziqhubekayo kwaye azifaneki ukuya ngosuku ezingenazo iimpawu.
Ingaba umphunga wam umsebenzi uphindela kwizinto eziqhelekileyo phakathi kokubandezeleka?
Kuzo zombini i-asthma kunye ne-COPD, ugqirha wakho uya kulubala imiba ethile yemisebenzi yakho yemiphunga nge- spirometry efana ne- FEV1 . Nge-asthma, unyango lubuyisela umsebenzi wakho wamaphaphu ukuya kwinto eqhelekileyo okanye kufuphi nesiqhelo kwaye akufanele ube neempawu ezininzi ze-asthma phakathi kokuphefumula kwe-asthma.
Ngakolunye uhlangothi, umsebenzi wesifo somphunga weCOPD ngokuqhelekileyo awuyi kuphinda eqhelekileyo kwaye kuphuculwe ngokukodwa nangokuyeka ukutshaya kunye nokunyangwa kwe-bronchodilator. Enyanisweni, nangona ukuyeka ukutshaya, izigulane zeCOPD zisenokuba nokuncipha komsebenzi wamaphaphu. Ukuhla kwehla kudla ukukhokelela kwiimpawu, ezifana nokuphefumula okufutshane, oku kudla ngokuba yisisigxina isigulane seCOPD sifuna ukunakekelwa.
Xa isigulane seCOPD sikhula, iimpawu zihlala zingapheliyo. Ngokuhamba kwexesha, izigulane zeCOPD zivame ukufumana iimpawu ezingabonakaliyo ngokusasaza i-asthma, ukunciphisa amandla, ukunyamezela, amandla okusebenza kunye nomgangatho wobomi.
Ukuxhamla kwe-Asthma kunye neCOPD
Kukho into efana ne- syndrome , eyaziwa ngokuba yi-asthma chronic obstructive disease pulmonary disease (ACOS).
Izigulane zeCOPD ziyaziwa ngokugqithiseleyo ukuba zineqabane le-asthma ngaphezu kweCOPD yazo. Okumangalisa kukuba, izigulane ezi-1 kwezi-4 zibhemayo kwaye zisengozini yeCOPD, njengawo nawuphi na umntu otshaya.
Ezinye izigulane zeCOPD zibonakalisa ukubuyiswa kwesifo se-asthma kwi-pulmonary work test test ebizwa ngokuba yi "asthma component". Ukuba ukubuyiswa kungabikho, akukho nxalenye ye-asthma ikhoyo.
I-American Thoracic Society ichaza ukubuyiswa njengentengo ye-post-bronchodilator kwenyuka kwi-FEV1 ye-12% ubuncinane kwi-COPD kunye ne-asthma. Xa ukubuyiselwa kubakho, ngokuqhelekileyo kuncinci kwisigulane seCOPD esifaniswa nesigulane esine-asthma kuphela.
Imithombo
Tinkelman DG, ixabiso leDB, i-Nordyke RJ, i-Halbert RJ. I-misdiagnosis ye-COPD nesifo se-asthma kwizigulane zokunyamekela eziphambili zeminyaka engama-40 ubudala nangaphezulu. J Isifuba. 2006 uJan-Feb; 43 (1): 75-80.
Kuebler KK, Buchsel PC, eBalkstra CR. Ukuhlukana kwezifo eziphazamisekayo zokuphefumula izifo zesifo se-asthma. J Am Acad Nurse Pract. 2008 Sep; 20 (9): 445-54.