I-COPD kunye ne-Vocal Chord Dysfunction Ziyizizathu eziqhelekileyo zokugubha
Xa ufumana isondo esifubeni, ufuna ukuqiniseka ukuba ufumene kakuhle. Izifo ezininzi, zombini eziqhelekileyo kwaye ezingaqhelekanga, zingabangela ivili.
Izifo ezibini eziqhelekileyo ezinokubonakala zifana ne-asthma-kuba zinokubangela i-wheezing-ziyi-COPD kunye ne-vocal chord ukungasebenzi. Zixutyushwa ngokucacileyo ngezantsi. Funda ngaphezulu malunga nezinye, eziqhelekileyo ezibangelwa ukuqhuma .
Okokuqala, ngelixa kukho ezininzi iintlobo ezahlukeneyo ze-asthma, zonke zidibaniswa nezinye okanye zonke iimpawu ze - classic ze-asthma :
Izifo eziPhephayo eziPhezulu ezingapheliyo (COPD)
Njenge-asthma, i-COPD ivelisa iimpawu zokuphefumula, ukukhwehlela, ukuvuthisa, kunye nesifuba . Nangona kunjalo, kukho inani lokungafani:
- Ubudala: Nangona i-asthma ingafumaneka kubantu abadala kunye nezigulane zinokuba nesifo se-asthma kunye ne-COPD, i-COPD iyaxhaphaka phakathi kwabokutsha ababeshushu okanye ababeshushu. I-asthma iyaxhaphaka kwizigulane ezincinci.
- Ukuqala kwesimo kunye nokuhlukahluka: Nangona izigulane zesifo se-asthma zivakalelwa kakuhle kwisiseko kwaye ziphuhlise iimpawu emva kokuba zivelele kwizinto ezibangelwa ukutshatyalaliswa kwezigulane, izigulane zeCOPD azizinakho ukuhlukahluka kwimihla ngemihla yazo kunye neempawu zabo zikhula ngokuthe ngcembe kwiminyaka. Izigulane ze-asthma ziza kubuyela kwizinto eziqhelekileyo kwaye ziba nexesha elibalulekileyo xa zingenazo iimpawu. Izigulane ze-asthma ziza kuba nezibonakaliso zokugula kunye nobungqina besifo esichaphazelekayo esibonakaliswe kwinqanaba le-eosinophil okanye esinye iseli esilumkileyo. Ku-COPD awunakubona rhoqo iqela elichasayo.
- Iimpawu zokuzivocavoca : Nangona i-asthma okanye i-symptom-stimulated symptomtic symptoms iqala imizuzu engama-5 emva kokuqala kokuzivocavoca kunye nokuphakama kwimizuzu engama-20 (ingaba ungayiyeka ukusebenzisa) le miqondiso ingaphinda iyancitshiswe kunyango lwangaphambili lonyango I-Albuterol okanye unyango olongezelelekileyo lwe-asthma.
Iimpawu zokuzivocavoca kwiCOPD zixhomekeke kumonakalo owenziwe kwimiphunga ngaphezu kwexesha kunye nokuphuhliswa kwe-oxygenation egazini ngokusetyenziswa. Iimpawu azivumi ngokunciphisa unyango lwangaphambili kunyango.
- Uvavanyo lokuSebenza kwePulmonary: Nangona zombini izifo zihambelana nokunciphisa ukuhamba komoya kumaphaphu (FEV1) kunye ne-spirometry, ukuphazamiseka okuhambelana neCOPD ayinakuguqulwa ne- bronchodilator njenge-Albuterol, njengoko yenzayo nge-asthma.
- Uvavanyo lwe-X-Ray: Nangona i-asthma kunye ne-COPD ibonisa iimpompi ezikhutshulwa kakhulu kwi-x-ray esifubeni, izigulane zeCOPD zihlala zidibanisa utshintsho olungenanto oluhambelana ne-asthma.
- Izizathu. Isizathu esona sizathu somoya wesifuba asiyazi. Kukho inxalenye yemfuza kunye nesigulane esingaba nesifo somoya xa umzali okanye umntakwabo enesi sifo. I-COPD, ngakolunye uhlangothi, isoloko ibangelwa okanye ihambelana ngokukodwa nomlando wokutshaya. Ukungcola, iikhemikhali kunye nomsi womnxeba unokwenzeka ezinye izizathu, kodwa ngoku kubangelwa ukuba angabi ngaphezu kwama-5% eengxaki zeCOPD.
- Unyango. Ezinye zezonyango zeCOPD kunye ne-asthma ziyafana. Kuzo zombini iimeko, i-bronchodilators enjenge-albuterol iyanciphisa ezinye zeempawu ezinzima zesifo. I-steroids engabonakaliyo isetyenziswa njengonyango olungapheliyo kwiimeko zombini. Kukho iintlukwano, nangona kunjalo. Kwi-asthma, enye yezokwelapha eziphambili kukuphepha ukuthatha injenge-pollen okanye izilwanyana ezinothuli. Ngaphandle kokuphepha umsi we-kagwayi, ukuphepha ukuthatha i-trigger ethile akunciphisi kakhulu impawu zeCOPD. Kwizigulane zeCOPD zokuyeka ukutshaya ziya kunika inzuzo enkulu. Ukuba i-COPD inzima kunokuba i-oksijini ingasetyenziswa njengonyango olungapheliyo, okungaqhelekanga kwi-asthma.
- Prognosis. Nangona kungekho nonyango kwisifo, iCOPD ngokubanzi iqhubela phambili kwaye iyanda ngakumbi ngexesha. Kwimiphunga e-COPD eyonakalisiweyo ayibuyiselanga kwinto evamile. Nge-asthma, ngakolunye uhlangothi, isifo se-asthma sinokulawulwa kwaye abanye abantwana bavame ukukhula kuwo.
Ukungasebenzi kweCocd
I-Vocal chord dysfunction, okanye ngokubhekiselele ngokubhekiselwe kuyo ngokuthi "ukungasebenzi komzimba," i-masquerader ye-asthma evamile. Ukuvuthela iziphumo ngokuvala ngokungazenzisiyo kwamagama okhuseleko ngexesha lokuphefumla.
Ziziphi iintlobo neeMpawu?
Ngokungafani ne-asthma, izigulane zivakalelwa kukuba ukuhamba kwesondo kuphuma emqaleni.
Iimpawu zihluka ngokubanzi, njengesifo se-asthma, kunye nezinye izigulane ezineempawu ezinzima ngelixa ezinye izigulana zifuna ukutyelela kwigumbi lezongxamisekileyo kunye neengxaki. Unokuba ne-vocal chord ukungasebenzi kakubi xa uhlaselwe ngonyawo nge-asthma ngaphandle kwempawu zokungaqhelekanga ngexesha lokuvavanywa komsebenzi.
Ukongezelela, abantu abane-vocal chord dysfunction ayinayo imvavanyo yokusebenza yamapulmonary . Njengoko kulindeleke, i- spirometry ibonisa ukuba ukuphazamiseka kungaphandle kwemiphunga.
Ngubani ofumana ukungasebenzi kweVocal Chord?
I-vocal disy function is aqhelekileyo phakathi kwezigulane ezinexhala kunye nokuxinezeleka kwaye ziye zacingelwa njengenguqu yokuguquka. I-vocal disy function is more common in girls and girls.
Amantombazana asebuntwaneni: Phakathi kwamantombazana amantombazana, iimpawu zenzeka ngokuqhelekileyo kwiimbaleki, phantse rhoqo ngokunyuka komzimba kunye nokukhuphiswano. Ukongezelela, la ma ntombazana athambekele ekufundeni okuphezulu.
Abasetyhini abadala: Elinye iqela eliqhelekileyo elibonakala liphuhlise iimpawu ngabafazi abasemaphandleni abanembali yokugula ngengqondo okanye ukukhathazeka okukhulu kwengqondo. Okuthakazelisayo, inani elinyukayo labantu abahlakulela ukungasebenzi kwemisebenzi yokuqeshisa abasebenzi baqeshwe kwintsimi enxulumene nempilo.
I-Vocal i-dysfunction ye-chord iphathwa ngokuphambili nge-thrapi yokuthetha. Nangona kubalulekile ukuyeka nayiphi na imichiza engeyomfuneko, oku kufuneka kwenziwe ngokuthe ngcembe ngokubonisana nodokotela wakho.
Fumana iImpendulo ezininzi
Iqela lethu le-Facebook elizimeleyo likuvumela ukuba usebenze kunye nam nabanye abane-asthma okanye abazali be-asthmatics. Awukwazi ukubuza imibuzo kuphela, udibanisane nabanye abazali okanye amalungu anesifo se-asthma, fumana ulwazi oluncedo kwaye uqaphele ukuba awodwa wedwa ekusebenzelaneni nesifo se-asthma, kodwa unokunceda abanye ngohambo lwabo lwe-asthma.
Imithombo:
Tilles, uStefano. Ukuxilongwa ngokungafani kwe-Asthma. Iiklinikhi zezoNyango zaseMntla Melika. Vol. 90 (2006): 61-76.