Iziganeko ezi-Comorbid ezihlanganiswe neCOPD

Ukususela kulokho esikwaziyo malunga neCOPD , akunakwenzeka ukuba kukho i-vacuum. Ngokwe-Global Initiative ye-Lung Dungase, igalelo esi sifo kwisifo sesigulane seCOPD sincike kwiinkalo zeCOPD , kunye nokukho kwezi zigulo, ezibizwa ngokuba zizimo ezinobungozi.

Iingxelo zengxelo zangoku zikumntu oneminyaka engama-65 ubudala nangaphezulu, ukuya kwi-25% ubuncinane ubunzima beemeko ezimbini, kunye ne-17% ingxelo ingxelo emithathu. Ngenxa yale manani, iimpawu kunye neempawu zokungaxhamli kubalulekile ukuqaphela nokunika ugqirha wakho ingxelo. Uluhlu olulandelayo luyakunceda wenze oku:

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Umhlaza wemiphunga

Umdlavuza womlenze uvela xa iiseli eziqhelekileyo ngaphakathi kwimiphunga ziguqulela kwaye zikhula zilawule. Umdlavuza womlenze yiyona nto ibangela umdlavuza wokufa emadodeni kunye nesibini ebangela ukuba umdlavuza usweleke kubantu besetyhini emhlabeni wonke. Ngenxa yokuba umdlavuza womphunga kunye neCOPD kubangelwa ngokutshaya, akumangalisi ukuba ezi zifo ziza kubakho.

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Cor Pulmonale

I-Cor pulmonale yinkxalabo ye- emphysema , ebangelwa ukwanda kwexinzelelo lwegazi kwipetroli ye-pulmonary, isitya esithwala igazi ukusuka entliziyweni ukuya kumaphaphu. Oku kukhokelela ekwandiseni nasekuphumelekeni okulandelelweyo kwinqanaba elifanelekileyo lentliziyo. Kwi-COPD, i-cor pulmonale ibangelwa ngamanqanaba aphantsi e-oxygen oxygen.

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Uxinzelelo lwe-Hypertension

I-blood pressure ye-pulmonary iyenzeka xa kukho uxinzelelo oluphezulu ngokwemimandla yegazi kwimipuphu. Ingxaki eqhelekileyo yeCOPD. Kwi-pulmonary hypertension, imithwalo yegazi igxininise, ibe yincinci kwaye inzima. Oku ekugqibeleni kubangela oksijini encinane kuwo wonke umzimba.

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Pneumoniya

I-pneumonia ebonwe kwiCOPD ibangelwa ibhaktheriya encinci eyaziwayo ngokuthi iStraptococcus pneumoniae. Ngenxa yokuba izigulane zeCOPD zinesistim somzimba esibuthathaka, zisengozini enkulu yokuphucula i-bacterium pneumonia. Xa uphathwa, lukhulu kakhulu. Ukhohlo olungaphendulwanga, i- bacterial pneumonia inezinga lokufa malunga nama-30 ekhulwini.

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Ukunqongophala kweNtliziyo yeCrows

Ukungaphumeleli kwentliziyo ye- Congression (CHF) yimeko eyenzekayo xa intliziyo ingakwazi ukupompa igazi ngokukhawuleza kulo lonke umzimba ukuze kugcinwe ukujikelezwa. Oku kubangela ukugcinwa kwamanzi kumachiza kunye nomzimba wonke. Akuqhelekanga ukubona ukuxilongwa kweCOPD nge-CHF, ngokukodwa kwizigaba eziphambili zesifo.

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Pneumothorax

I-Pneumothorax iyenzeka ngenxa yomngxuma oqhubeka kwimpompo, evumela umoya ukuba uphumelele kwindawo ejikeleze umphunga, okwenza imiphunga ilahleke okanye iwele. Abantu abaneCOPD banomngcipheko omkhulu we-pneumothorax kuba isakhiwo semiphaphu sinobuthathaka kwaye sisengozini ekuphuculeni ngokuzenzekelayo kwezi ntlobo.

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Bronchiectasis

Ngokuqhelekileyo kubangelwa ukuvuvukala ngokuphindaphindiweyo kunye nokusuleleka kwe-airways, i- bronchiectasis inokuzalwa, inentsingiselo ekhoyo ekuzalweni, okanye umntu angagqithiselwa kuyo ngenxa yezifo ezisemncinci, njenge-pneumonia, imasel, i-influenza okanye isifo sofuba. I-Bronchiectasis ithathwa njengesifo sokuphazamiseka kwesifo semiphunga, kwaye ingaba yedwa okanye idibene nezinye iifom zeCOPD.

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Atelectasis

I-Atelectasis ichazwa njenge-partial, okanye ukuwa kweyonke kwemiphunga. Kubangelwa ukucinywa kwe-airways okanye uxinzelelo oluvela ngaphandle kwemiphunga. I-Atelectasis ibonakala ngokugqithiseleyo emva kokuhlinzwa okanye ngexesha lokuphumla kwexesha lokulala, kodwa, abantu abanesifo samaphaphu basemngciphekweni omkhulu wokuphuhlisa imeko.

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GERD

I-gastroesophageal dislude disorder, okanye i-GERD, iyenzeka xa i-sphincter muscle kwisigxina sakho esingaphantsi ingavali kakuhle. Oku kuthetha ukuba naluphi na ukutya okanye utywala obuselayo, kunye kunye nesifo esiswini esisichukumisayo, uvuza ngokuya kwi-oophagus yakho. Iziganeko ze-GERD zibonakala ziphakamileyo phakathi kwezigulane zeCOPD, kwaye uphando lubonisa ukuba iGERD iphindaphinda ingozi yokukhushulwa kweCOPD .

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Isifo sentliziyo

Isifo senhliziyo sisigxina se-intlanethi yeemeko zentliziyo ezithintela intliziyo yesifuba, intliziyo yamagada, iironari kunye nenkqubo yombane wenhliziyo. Njenge-COPD, isifo senhliziyo sisinye isimo apho ukutshaya kubangelwa yingozi enkulu, ngoko akuqhelekanga ukuba izigulane zeCOPD zineentlungu zesifo.

_Imithombo

> I-Global Initiative yokuVimbela izifo zeLung. Isicwangciso seSicwangciso soHlabathi, ukuLawula kunye nokuCandwa kweCOPD. Izikhokelo zika-2009.

> Impilo yeReuters. I-COPD ingabangela iingxaki ze-acid reflux. 2008, ngoDisemba.

> Rascon-Aguilar IE, et al. Indima yeGastroesophageal Reflux Symptoms in Exacerbations of COPD. UKUPHATHA 2006; 130: 1096-1101.