Umahluko phakathi kweCOPD kunye ne-asthma ngokuqinisekileyo ulele kwi- pathophysiology okanye iinkqubo zenyama ezikhokelela kwimpawu ze-asthma. Zombili i-asthma kunye ne-COPD kubangelwa ukuvuvukala nokuxhatshazwa , kodwa iziphumo zokuvuvukala kweCOPD ezivela kuma- macrophages kunye neutrophils (ezimbini iintlobo zeeseli ezimhlophe zegazi eziyingxenye yempendulo ye-immune) kwaye ikhula iminyaka emininzi.
Ukuvuvukala kwesifo se-asthma , ngakolunye uhlangothi, ngokuqhelekileyo kubonakala ngexesha elifutshane kunye neziphumo ezivela kwi- eosinophils (olunye uhlobo lweseli legazi elimhlophe).
I-Asthma kunye neCOPD zombini zibandakanya ukuvuvukala okungapheliyo okukhokelela ekukhuselweni komoya. I-Asthma kunye neCOPD ingaba neempawu ezifanayo, ezifana ne:
Zombini izifo ziyakwazi ukukhushulwa izinto ezifana nokusuleleka kwintsholongwane, ukutshatyalaliswa komsi wecuba kunye nezinye izinto ezingcolileyo zomoya, ukungcola kokusingqongileyo, okanye ukunyanzeliswa komsebenzi. Zombini iimeko zifunyaniswa nezifo zokuphefumula ezibizwa ngokuthi i-spirometry.
Kukho iintlukwano, nangona kunjalo. I-asthma isifo apho umoya wakho womoya utshabalala kwaye uyashukunyiswa xa usabela kwi- allergen . Xa kwenzeka oko kunzima kakhulu ukuhambisa umoya kunye nokuphuma kwindlela ohamba ngayo, okukhokelela kwimpawu ze-asthma . I-Asthma kunye neCOPD baphathwa kwaye baphendule unyango ngokuhlukileyo ngenxa yokuba isizathu sokuvuvukala sihlukile.
Iinjongo zonyango kwi-asthma kunye neCOPD zihluke. Nge-asthma, ugqirha uya kuzama ukunciphisa okanye ukucima ukutshabalala, ngelixa iinjongo kwiCOPD ukunciphisa iimpawu.
Ku-COPD, imiphunga yakho yonakaliswe emva kokuchasana nezinye izinto ezivuthayo, ngokuqhelekileyo ngenxa yokutshaya ugwayi.
Ukuvezwa okungahleliyo kunye nomonakalo kubangela ukukhutshwa kwamanzi kunye ne-hyperinflation. Nangona i-air flow in asthma ininzi iguqulwa, ukuhamba komoya ku-COPD kuphengululwa ngokukodwa okanye kungenakubuyiselwa konke.Ukuvutha kwiCOPD akubangelwa izilwanyana, kodwa ngokuqhelekileyo ngenxa yeebhaktheriya.
Ukwahlukana ngakumbi phakathi kwe-Asthma neCOPD
Kukho inani leminyehluko phakathi kweCOPD kunye nesifuba:
Ubudala - Ukhohluko olula phakathi kweCOPD kunye nesifuba yimihla xa i-diagnostic yenziwa. Isifo se-asthma sisoloko sifunyenwe kubuntwaneni okanye ebusheni, ngelixa i-COPD ifunyaniswa emva koko ebomini. Oku akuthethi ukuba awukwazi ukufumanisa ukuba unesifo somfuba njengomntu omdala, akunjalo nje.
Imbali yokubhema - Phantse zonke izigulane ezineCOPD ziye zavutha okanye zinefuthe elikhulu lokungcolisa umsi wococeko, ngelixa izigulane ze-astmma zidla ngokungaqhelekanga. Ngothusayo kum, phantse i-4 kwi-asthmatics yomsi ongayibangela ukunyuka kwe-asthma kunye nomsebenzi wokuphuza umphunga.
Izibonakaliso - Olunye umehluko phakathi kwe-asthma kunye neCOPD yimpawu ezihambelana ne-asthma ngokubhekiselele kwiimpawu ezingapheliyo, iimpawu eziqhubekayo ezibonakalayo kwiCOPD.
Umqulu oPhezulu oPhezulu (FEV1) Utshintsho - Ukubuyiselwa kwe-FEV1 kubonisa olunye uhluko phakathi kwe-asthma kunye ne-COPD.
Kwi-asthma, iyancipha kwi-FEV1 yokubuyela kwindawo eqhelekileyo phakathi kokuhlaselwa kwe- asthma , ngelixa utshintsho kwi-FEV1 kwi-COPD kaninzi aluguquki.
Iimeko eziqhelekileyo ezihlalayo - Nge-asthma, ngokuqhelekileyo uya kuba neemeko ezinjenge -rhinitis okanye i-eczema, ngelixa izigulane zeCOPD ziza kuba nezifo ezinxulumene nokutshaya ezifana nesifo senhliziyo okanye i-osteoporosis.
I-steroids ye-inhaled - Nangona i-steroids ekhuselweyo ithathwa njengonyango oluqhelekileyo kuzo zonke izigaba zesifo se-asthma ngaphaya kwe-asthma ephakathi , i-steroids engenayo izuze kuphela inani elincinci lezigulane ezine-COPD.
Imithombo:
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.