Isifo se-asthma nesifo esingapheliyo sesifo se-pulmary disease (COPD) zizifo ezingapheliyo zomoya ojikelezayo, ezivakalayo, ukuvuvukala, kunye nokungahambisani nomoya njengenxalenye yesifo sesifo.
Kwi-asthma, ukuphazamiseka kuphakathi, ukubuyiswa, kunye nemiphunga kubuyela kwizinto eziqhelekileyo. Ngakolunye uhlangothi, ukuphazamiseka kwiCOPD akunakuphikiswa kwaye kaninzi kuqhubeka.
Isifo se-asthma sisicatshulwa njengesifo sesifo sobuntwaneni kunye neCOPD kucatshangelwa ukuphucula ebomini emva koko ngenxa yokutshaya. Nangona ngokuqhelekileyo kuthathwa njengezifo ezihlukeneyo, kukho abantu abane-syndrome eyaziwa ngokuba yi-ACOS okanye isifo se-asthma esingavimbayo sepimmonal pulmonary. Syndrome. Ukuxhaphaka kuqhelekile xa izigulane zikhula.
I-"hypothesis" yaseDutch ithi i-asthma kunye ne-airway yokungathandabuzeki ibeka izigulane kwiCOPD kamva ebomini. Iingcamango ezongezelelekileyo zenza ukuba i-asthma, i-COPD, i-bronchitis engapheliyo kunye ne-emphysema iindawo ezihlukeneyo kwisifo esinye sezifo.
Iingxaki ze-Syndrome
Ukufumanisa ukuba i-syndrome ye-overlap ingaba nzima kuba izifundo ezininzi ze-asthma azibandakanyi izigulane ze-COPD kunye nezifundo ze-COPD azibandakanyi izigulane ze-asthma. Iingcali nazo azivumelani kwiinkqubo zokuxilonga, kodwa qwalasela oku kulandelayo:
- Ugqirha ukuxilongwa kwe-asthma kunye neCOPD kwisigulane esifanayo
- Imbali okanye ubungqina bendawo efana nale:
- Yewena mkhuhlane
- I- IgE iyonke
- Iminyaka engama-40 okanye ngaphezulu
- Imbali yokutshaya ye-10-pack-years
- Postbronchodilator FEV1
- Umlinganiselo we-FEV1 / FVC ongaphantsi kwama-70%
- Ukuphuculwa kwe-FEV1 kunye nokuphakama kweentshukumo ezilandelayo emva kwe-bronchodilator
- I-Eosinophilia kwi-sputum
Unyango lwe-ACOS
Ukuba ugqirha wakho ukholelwa ukuba unayo i-ACOS, abanalo ininzi kwindlela yokukhokela njengoko kungekho datha yecandelo loluvavanyo lweklinikhi ekuncediseni ukungenelela kokuthintela kwi-ACOS.
Nangona kunjalo, ugqirha wakho uya kulandela izikhokelo zonyango jikelele ezijongene nokuguqula ukukhutshwa komoya.
Ukuba uqhubeka utshaya, ukuyeka ukutshaya ngumnqophiso obalulekileyo wokunciphisa isondo, ukuqina kwesifuba, ukukhwehlela nokuphefumula .
Unyango lwezonyango lwe-ACOS, njenge-asthma kunye neCOPD ziquka:
- Ama-bronchodilator amancinci okanye ama-SABA: Izigulane ezine-asthma kunye ne-COPD zinikezelwa unyango ngama-bronchodilators kwaye unyango luqhubeka nokuphucula impawu. I-SABA zisetyenziselwa unyango lweempawu ezinzima.
- Ama-bronchodilator asebenza ixesha elide okanye i-LABAs: I-LABA zisetyenziswe ngokufanelekileyo njenge-monotherapy kwi-COPD, kodwa kungekhona ekwenzeni unyango lwe-asthma ngenxa yempembelelo encedo ye-steroids engenayo.
- I-Anticholinergics: Kwi-COPD, iziyobisi ezichasene ne-anticholinergic zinika i-bronchodilation efana ne-beta agonists. I-recipe ye-bronchodilation kwi-COPD iya kuxhomekeka kwindlela ophendula ngayo kwiyeza ngalinye ngokwalo okanye ngokudibeneyo.
- I-steroids engabonakaliyo: Ukuvuthwa yi-asthma ivela kwi-eosinophil xa ukuvuvukala kwi-COPD kuvela kwi- neutrophils . I-steroids e-asthma inhaled asetshenziswe ngaphambili kuneCOPD.
- Steroids
- I-antibiotikiti: ngokukhawulelana nokugqithisa okukhulu kweCOPD. I-antibiotics ayilunconywa ngokuqhelekileyo njengoko ezininzi iintsholongwane zokuphefumula zintsholongwane.
Xa ugqirha wakho egxininisa ukungena phakathi kwe-asthma kunye neCOPD, ukuvavanywa kwakho kunye nonyango kuya kubonakala ngathi ngumxube wezo zombini.
> Imithombo
> NGM Orie. I-Dutch Hypothesis
> Intliziyo yeSizwe, iLung, neSigqeba seGazi. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma.
> Papaiwannou > A et al. Isifo se-asthma-immronic obstructive disease swell syndrome (ACOS): uncwadi olukhoyo > ukuhlaziywa. >. > J Thorac Dis. 2014 Mar; 6 (iSiza 1): S146-S151.