Waa maxay COPD? calaamadaha cudurka

Cudurada of habka neefsashada, taas oo ay jirto xadgudub ku ah marinka hawada, waayo, Waddooyinkiisa pneumatic u nugul horumarka joogto ah iyo isbeddel karin yaqaan chronic obstructive pulmonary disease, ama COPD soo gaabiyo. Astaamaha cudurka waxa lagu muujiyay in dyspnea group joogta ah, gaar ahaan xilliyada ba'an qufac viscous la expectoration. Pathogenesis calaamadaha COPD ku xiran tahay xaddiga burburka unugyada by saameynta iftiin arrimo etiological. hypersecretion xab bronki dhacdaa, nafwaayay kordhay iyo, iyada oo sababtu tahay, ADI hawshooday daadgureeyay ka haweedka. Haddii ay dhacdo in uu jiro cudur bakteeriyo ama fayras, COPD sii dartay iyadoo heerkulka sii kordhaya, sii dartay xaaladda guud, muuqaalka hypoxia daran iyo neefta.

Waa in la ogaadaa in COPD waa cudur lagu gartaa socodka ah ee abid-kordhaysa, la talantaalli ah muddo of sii daridda iyo is dajiyaan qaraabo ah habka bahal ah. Inta badan cudurka waa kasteba daaweynta waa ay adag tahay, waxay u baahan tahay soo dhaweynta joogta ah daroogada dayactirka iyo waafaqsanaanta nololeed habboon. Bukaan-socodka, gaar ahaan dadka waayeelka ah, ayaa naafo, waxqabadka, iyo jimicsi dulqaad la adayg hoos.

Chronic obstructive pulmonary disease ka mideysan yihiin magacooda cudurro dhowr ah oo qaabka neefsashada, boronkiitada obstructive chronic, cudurka wadnaha sambabada chronic, emphysema, sambabada iyo, sida dhibaatooyin cudurka, hypertension pulmonary.

Sababaha COPD

Marka obstructive pulmonary disease arkay isbedel bahal unugyada sambabada, tani ma u muuqdaan in ay dadka oo dhan, waxaa jira cabista hidde, antitrypsin la'aan. arrimaha Burburinta ugu horrayn waa: muddo dheer sigaarka, wax soo saarka waxyeello (halis shaqo). saamayn dhaawici on sambabada iyo boodh Silicon cement, Qurub ciidda suuf ama badar on wiishka ama inta lagu jiro goosashada. Ma aha doorka ugu danbeysay u ciyaaray by xaaladaha deegaanka saboolka ah. arrimaha Etiological, madadaalo u unugyada secretory in ay keeni hypersecretion of dheecaanka bronki. Wax kabadal epithelium ciliated ma guuraan kartaa xab viscous in tiro ku filan, iyo waxa stagnates jiraan xannibaad ah (xirma) Wadiiqooyinka heerar kala duwan. Hyperextension murqaha neefsashada taasoo keentay in formation of Axdigu ee airiness kordhay. Marka laga Jidka COPD, calaamadaha ay la mid cudur oo kala duwan yihiin.

Calaamadaha COPD calaamadaha ee cudurada kala duwan

Obstructive boronkiito daran waxaa lagu gartaa qufac qoyay expectoration adag. qufac kordhay dhacdaa qabow, cimilada qabow. dheecaan bronki noqdo guuro viscous oo adag, inta badan la socda qandho-fasalka hooseeyo. Xaaladaha daran, waxa dhici karta in bronchospasm la neefta.

In emphysema dhacdaa ballaarinta sambabada bahal qaybaha functional - Alfiyoli ah, taasoo keenta iyaga si loo kordhiyo airiness, hyperextension derbiga alveolar iyo awood la'aanta ah ee is-dhaafsiga caadiga ah ee gaaska. Cudurku waxa uu saameeyaa unugyada sambabka ku kooban (focal) iyo waajihi. Light sidaas eg canab. Lagu gartaa gaar ah foomka of xabadka, waxa uu noqonayaa qaab foosto ay sabab u tahay hawada xad-dhaaf ah. Bukaan-socodka ka cawdaan neefta oo joogta ah neefta, aragga ogow karaa ka qaybgalka muruqyada dheeraad ah ee neefsashada. Haddii durbaanka xabadka obstuchal, codka sanduuqa auscultated.

Hababka loo daaweeyo COPD

Ujeedada ugu weyn ee therapy COPD waa in la baabi'iyo sababaha cudurka iyo gaabis ka suurto galka ah ee faafidda cudurka. Bukaanku waa in ay suurto gal ah si ay u joojiyaan cabidda sigaarka, haddii ay jiraan halisyo shaqo, shaqo isbedel. Waxaa lagu talinayaa in ay si joogto ah u galaan daaweynta jirka, jimicsi neefsashada. Waa arrin aad u muhiim ah si looga fogaado in hargabka caadiga ah. Daridda daaweeyo daawooyinka, hawomareenno dilyatiruyuschimi. Kuwani waa taagayo of tiotropium (Spiriva, Atrovent) kaasi oo loo adeegsaday qaab neefsasho. Iska yaree barar iyo hormoonnada barar unugyada (prednisolone, hydrokortisoni, Dexamethasone). Marka cudurrada bakteeriyada door biday in ay isticmaalka antibiotics.

Expectoration of xaakada iyo khafiifinta sababay mucolytics.

Haddii ay neefta waa neefsasho oo waxtar leh soo duubtay ayaa ah oxygen saafi ah.