Izinkinga ze-COPD

Isifo esingapheliyo sokuvimbela kwamaphaphu (COPD) kwenzeka lapho izindiza zethu namaphaphu kulimala futhi kuvutha. Kwenza imigwaqo yomoya ibe mincane, okuholele ezinkingeni zokuphefumula. Umonakalo uvame ukubangelwa ukuchayeka isikhathi eside ezintweni ezicasulayo emoyeni. Alikho ikhambi ngokudabukisayo, kodwa I-COPD ingelashwa ukuze abantu baphile kahle nalesi simo.  

Yini imbangela enkulu ye-COPD?

Nakuba kungeyona imbangela yodwa ye-COPD, kuze kube izingxenye ezintathu kwezine zabantu abaneCOPD okwamanje bayabhema noma abajwayele ukubhema. Intuthu kagwayi inamakhemikhali ayingozi alimaza ulwelwesi lwemigudu yethu yokuphefumula. Ukubhema ezinye izinhlobo zikagwayi - amapayipi, ogwayi, amapayipi amanzi - nensangu nakho kukubeka engcupheni enkulu yokuba ne-COPD. Kunocwaningo oluncane ngomonakalo ongadalwa yi-vaping, kodwa odokotela abaningi bangancoma nokuthi uwugweme.

Olunye ucwaningo lukhombisa ukuthi ukuphefumula intuthu kagwayi yabanye abantu - ebizwa ngokuthi ukubhema ungazisebenzeli - nakho kungakhuphula noma kube nomthelela engcupheni yeCOPD. Ingozi yakho ye-COPD iyanda ngokuthi ubhema kangaki nokuthi uneminyaka emingaki ubhema.

Kodwa-ke, akubona bonke ababhemayo abazokwakha i-COPD, futhi kunezinye izinto eziningi ezibanga lesi sifo.  

Ukubhema ugwayi kungabangela i-COPD

Vala abesifazane abaphethe ugwayi emgwaqeni.

Yini enye ebangela i-COPD?

Ukuthi umuntu uyayakha i-COPD noma cha empilweni yakhe kuthonywa ukuxubana okuyinkimbinkimbi kwemvelo yakhe nokwakheka kofuzo. Yize ukubhema kuyimbangela eyinhloko, akubona bonke ababhemayo ababa nalesi simo. Ngempela, bangaphansi kwesigamu sabo bonke abantu ababhemayo abasindayo ababa ne-COPD.

Ngaphezu kwalokho, abantu abangakaze babheme basengakwazi ukuthuthukisa i-COPD. Asazi ngokuqinisekile ukuthi kungani abangabhemi bengathola i-COPD, kepha kubonakala sengathi izingozi ziphakeme njengoba ukhula, uma une-asthma, ungowesifazane, noma unesizinda esiphansi senhlalo nezemfundo. Kunobufakazi bamuva obukhombisa ukuthi izindiza zakho zomoya ngokwemvelo zincane ngosayizi wamaphaphu wakho (obizwa nge- 'dysanapsis') nawe usengozini enkulu yeCOPD, noma ngabe awukaze ubheme.

Ukungcoliswa komoya

Ukungcoliswa komoya komndeni kuthinta cishe abantu abayizigidi eziyizinkulungwane ezintathu emhlabeni jikelele. Ukushisa uphethiloli emlilweni ovulekile wokupheka nokushisa emakhaya angenamoya ongcono kungaba enye yezimbangela ezinkulu. Lokhu kungabeka abantu, ikakhulukazi abesifazane, emazweni amaningi asathuthuka engcupheni enkulu ye-COPD.

Siyazi ukuthi izinga lomoya eliphansi emadolobheni nasemadolobheni lingaba yingozi emaphashini ethu, ikakhulukazi kubantu asebevele benenhliziyo noma izimo zokuphefumula. Noma kunjalo, akucaci ukuthi lokho kuthinta kanjani amathuba ethu okuthuthukisa i-COPD, njengoba kudingeka olunye ucwaningo.

Amafutha nothuli emsebenzini

Cishe i-15% yomthelela womhlaba wonke we-COPD ubangelwa ukuvezwa kwendawo yokusebenza. Olunye uthuli lomsebenzi namakhemikhali kungadala i-COPD, ikakhulukazi uma ubaphefumulela, kufaka phakathi:

  • I-Cadmium uthuli nomusi
  • Okusanhlamvu nofulawa uthuli
  • Silica uthuli
  • Izinto zokushisela
  • I-Isocyanates
  • Uthuli lwamalahle.

Ufuzo

Uma unesifo sofuzo esingavamile esibizwa ngokuthi ukuntula kwe-alpha-1-antitrypsin (AATD), maningi amathuba okuba uhlakulele i-COPD. I-Alpha-1-antitrypsin iyikhemikhali evame ukukhiqizwa esibindini evikela amaphaphu ethu ezintweni eziyingozi nasezifweni. Abantu abane-AATD abanalo i-alpha-1-antitrypsin, futhi lokhu kungaba imbangela ye-COPD. Ungase futhi ube ne-COPD usemncane futhi i-COPD yakho ingase ithuthuke ngokushesha, ikakhulukazi uma ubhema.

Cishe umuntu oyedwa kwabangu-100 abane-COPD bane-AATD. Uma utholwe une-AATD, akuqinisekile ukuthi uzoqhubeka nokuthuthukisa i-COPD futhi kepha kunethuba eliphakeme. Uma ubhema, kubaluleke nakakhulu ukuyeka. Buza udokotela wakho ukuthi yiziphi ezinye izinyathelo zempilo nezindlela zokuphila ongazithatha.  

Yiziphi izimpawu zokuqala zokuxwayisa ze-COPD?

Izimpawu zokuqala zeCOPD yilezi:

  • Ukwandisa ukuphefumula
  • Isikhwehlela esifubeni esikhiqiza i-phlegm futhi ngeke siphume
  • Ukushisa
  • Ukutheleleka njalo kwesifuba.

Izimpawu zakho zingase zibonakale isikhathi esifushane, ikakhulukazi ebusika. Uma ubhekana nalezi zimpawu ngokuqhubekayo, ikakhulukazi uma uneminyaka engaphezu kuka-35 ubudala futhi uyabhema noma ujwayele ukubhema, bonana nodokotela womndeni wakho ukuze uthole iseluleko sezokwelapha. Uma ufuna ukuthola okwengeziwe nge-COPD, izimbangela zayo, kanye nobudlelwano bayo nezinye izimo, njenge-asthma, funda umhlahlandlela wethu lapha.

Imithombo

I-BLF 2020. Ukushoda kwe-Alpha-1-antitrypsin.

I-BLF 2020. Iziphi izinkinga zempilo ezingabangelwa ukushoda kwe-alpha-1-antitrypsin?

IGOLIDE 2020. Isu lomhlaba wonke lokuxilongwa, ukuphathwa kanye nokuvinjelwa kwezifo zamaphaphu ezingapheli. Umbiko we-2020.

ULamprecht B, uMcBurnie MA, uVollmer WM, et al. I-COPD kubantu abangakaze babheme: imiphumela evela kumthwalo osuselwa kubantu wokucwaninga ngezifo zamaphaphu. Isifuba. 2011; 139 (4): 752-763. i-doi: 10.1378 / isifuba.10-1253

I-NHS 2019. Izimbangela. Isifo esingapheliyo se-pulmonary disease (COPD).

I-NHS 2019. Izimpawu. Isifo esingapheliyo se-pulmonary disease (COPD).

I-NIH 2020. Ukuthuthukiswa kwamaphaphu kungachaza ukuthi kungani abanye abangabhemi bethola i-COPD kanti abanye ababhemayo abasindayo. Ukukhishwa kwezindaba.

Abasebenzi baseMayo Clinic 2020. I-COPD. Izimpawu nezimbangela.

URuvuna L, uSood A. I-Epidemiology Yesifo Esingapheli Sokukhubazeka Kwamaphaphu. Umtholampilo Chest Med. 2020 Septhemba; 41 (3): 315-327.

USmith BM, uKirby M, uHoffman EA, et al. Ukuhlangana kwe-dysanapsis enesifo esingamahlalakhona sokuphazamiseka kwamaphaphu kubantu abadala. IJAMA 2020; 323: 2268-2280.

I-US NLM. 2021. I-COPD. Ilabhulali Kazwelonke Yezokwelapha yase-US.