Asthma a me COPD: Pehea e haʻi ai i ka ʻokoʻa

Anter

• Makahiki
• Nā Kumu
• Asthma
• COPD
• Nā mea hoʻoulu ʻokoʻa
• Asthma
• COPD
• Nā ʻōuli
• Nā Comorbidities
• Nā hoʻoponopono
• Asthma
• Outlook

No ke aha e huikau pinepine ai ka hānō a me COPD

ʻO ka maʻi pulmonary obstructive maʻi (COPD) kahi huaʻōlelo maʻamau e wehewehe i nā maʻi hanu holomua e like me ka empysema a me ka bronchitis mau. Hoʻohālikelike ʻia ʻo COPD e ka hōʻemi ʻana o ke kahe o ka lewa i ka manawa, a me ka hoʻowahāwahā o nā pūnaewele e kū ana i ke alaloa.

Manaʻo pinepine ʻia ʻo Asthma he maʻi hanu ʻokoʻa, akā i kekahi manawa kuhihewa ʻo ia no COPD. He mau hōʻailona like ko lāua ʻelua. Hoʻopili kēia mau ʻōuli me ka puʻu mau, ka hū ʻana, a me ka hanu liʻiliʻi.

Wahi a ka (NIH), ma kahi o 24 miliona mau ʻAmelika i loaʻa ka COPD. Ma kahi o ka hapalua o lākou i ʻike ʻaʻole iā lākou. Ke nānā nei i nā ʻōuli - keu hoʻi i ka poʻe puhipaka, a i hoʻohana puhi paha - hiki ke kōkua i ka poʻe me COPD e loaʻa kahi ʻike mua. Hiki i ka ʻike mua ke lilo i mea nui i ka mālama ʻana i ka hana o ka maʻi i nā poʻe me COPD.

E pili ana i ka poʻe i loaʻa ka COPD i ka hānō. Manaʻo ʻia ʻo Asthma kahi mea pilikia no ka hoʻomohala ʻana i COPD. Hoʻonui ka manawa o ka loaʻa ʻana o kēia hōʻailona pālua i kou mau makahiki.

ʻIke like paha ka Asthma a me ka COPD, akā ke nānā pono ʻana i nā mea aʻe hiki ke kōkua iā ʻoe e haʻi i ka ʻokoʻa ma waena o nā kūlana ʻelua.

Makahiki

Hana ʻia ke ala ākea me nā maʻi ʻelua. ʻO ka makahiki o ka hōʻike mua ka hiʻohiʻona hiʻohiʻona ma waena o COPD a me ka hānō.

ʻO ka poʻe i loaʻa i ka hānō e ʻike pinepine ʻia he keiki, e like me ka mea i kākau ʻia e Dr. Neil Schachter, ka luna lapaʻau o ka keʻena mālama hanu o ka haukapila Mount Sinai ma New York. Ma kekahi ʻaoʻao, hōʻike pinepine ʻia nā hōʻailona COPD i nā mākua ma mua o 40 mau makahiki i kēia manawa a i ʻole nā ​​mea puhipaka mua, e like me ka.

Nā Kumu

ʻOkoʻa nā kumu o ka hānō a me COPD.

Asthma

ʻAʻole maopopo ka poʻe loea no ke aha e loaʻa ai i kekahi poʻe ka hānō, ʻo kekahi poʻe ʻaʻole. Hoʻokumu ʻia paha ia e ka hui ʻana o ke kaiapuni a me nā mea hoʻoilina (genetic). ʻIke ʻia ka ʻike ʻia ʻana i kekahi ʻano o nā mea (allergens) hiki ke hoʻoulu i nā maʻi āpau. ʻOkoʻa kēia mai kekahi kanaka a i kekahi kanaka. Pākuʻi ʻia kekahi mau hānō maʻamau e like me: pollen, mites dust, mold, hair pet, maʻi ʻōpū, hoʻoikaika kino, ea anuanu, uahi, kekahi mau lāʻau e like me beta blockers a me aspirin, stress, sulfites a me nā preservatives i hoʻohui ʻia i kekahi mau meaʻai a me nā mea inu, a me gastroesophageal maʻi reflux (GERD).

COPD

ʻO ke kumu i ʻike ʻia o COPD i ka honua i kūkulu ʻia ʻo ka puhipaka. I nā ʻāina kūkulu, pili ia i ka hōʻike ʻana i ka uahi mai ke ahi wahie no ka kuke ʻana a me ka hoʻomehana ʻana. Wahi a ka Mayo Clinic, 20 a 30 mau pākēneka o ka poʻe puhihi ma kahi maʻamau e hoʻomohala i ka COPD. Hoʻopili ka puhihaka a me ka uahi i nā akemāmā, e lilo ana nā paipu bronchial a me nā ʻeke lewa i ko lākou kūlohelohe kūlohelohe a hoʻonui-hoʻonui, kahi e waiho ai ka ea i loko o nā akemāhā ke hanu ʻoe.

Ma kahi o 1 pākēneka o ka poʻe me COPD e hoʻomohala i ka maʻi ma muli o kahi maʻi genetical e kumu i nā pae haʻahaʻa o ka protein i kapa ʻia alpha-1-antitrypsin (AAt). Kōkua kēia protein i ka pale ʻana i nā māmā. Me ka lawa ʻole o ia mea, maʻalahi ka hōʻino ʻana o ka hū, ʻaʻole wale i nā poʻe puhipaka wā lōʻihi akā ʻo nā pēpē a me nā keiki ʻaʻole i puhipaka.

Nā mea hoʻoulu ʻokoʻa

ʻOkoʻa ka laulā o nā mea hoʻoheheʻe i kumu ke COPD a me nā ʻano hānō.

Asthma

Hana pinepine ʻia ʻo Asthma e ka hōʻike ʻana i nā mea aʻe:

• nā mea hoʻolaʻa
• ea anu
• hoʻoikaika kino

COPD

Hoʻokumu nui ʻia nā hōʻino COPD e nā maʻi o ka hanu e like me ka maʻi ponia a me ka maʻi flu. Hiki ke hōʻino ʻia ka COPD e ka hōʻike ʻana i nā mea haumia o ke kaiapuni.

Nā ʻōuli

ʻO ka COPD a me nā ʻōuli hānō e like me ka like o waho, ʻo ia hoʻi ka pōkole o ka hanu e kū ana i nā maʻi ʻelua. ʻO ke alaloa hyper-responsiveness (ke makaʻala loa kāu mau kahawai i nā mea āu e hanu ai) kahi hiʻohiʻona maʻamau o ka hānō a me COPD.

Nā Comorbidities

ʻO nā maʻi a me nā kūlana i loaʻa iā ʻoe me ka hoʻohui ʻana i ka maʻi nui. Kūlike pinepine nā Comorbidities no ka hānō a me COPD. Pākuʻi ʻia lākou:

• kahe koko kiʻekiʻe
• hoʻoneʻe hoʻohaʻahaʻa
• ʻōlohelohe
• sinusitis
• ʻumeke
• kaumaha
• ʻōpū o ka ʻōpū
• maʻi ʻaʻai

Ua ʻike kekahi ma mua o 20 pākēneka o ka poʻe me COPD he ʻekolu a ʻoi paha mau kūlana comorbid.

Nā hoʻoponopono

Asthma

ʻO Asthma kahi maʻi olakino lōʻihi akā he mea hiki ke mālama ʻia me ka mālama pono. ʻO kahi ʻāpana nui o ka mālama ʻana me ka ʻike ʻana i kāu pākī hānō a me ka mālama ʻana e hōʻalo iā lākou. He mea nui nō hoʻi e hoʻolohe i kou hanu ʻana e hōʻoia i ka maikaʻi o kāu hana ʻana i nā lāʻau lapaʻau hānō. ʻO nā mālama maʻamau no ka hānō e:

• nā lāʻau hoʻōla wikiwiki (bronchodilators) e like me ka hana pōkole beta agonists, ipratropium (Atrovent), a me ka waha a me ka intravenous corticosteroids
• lāʻau hoʻoweliweli e like me nā pana kīwī (immunotherapy) a me omalizumab (Xolair)
• lāʻau hoʻomalu hānō lōʻihi e like me nā corticosteroids inhaled, leukotriene modifiers, nā agonists beta hana lōʻihi, nā inhalers hoʻohui a me nā theophylline
• thermoplasty bronchial

Hoʻopili ka thermoplasty Bronchial i ka hoʻomehana ʻana i loko o nā akemāmā a me nā ala ea me kahi uila. Hoʻoiho ia i ka mākala maʻa i loko o nā alaloa. Hoʻoemi kēia i ka hiki i ke ala ea ke hoʻopaʻa paʻa, e maʻalahi ai i ka hanu a hoʻoliʻiliʻi paha i nā hōʻeha a ka hānō.

Outlook

ʻO nā hānō a me COPD nā kūlana lōʻihi lōʻihi hiki ʻole ke hoʻōla ʻia, akā ʻokoʻa nā kuanaʻike no kēlā me kēia. Mālama ʻo Asthma e kaohi maʻalahi ʻia i kēlā me kēia lā. ʻOiai ʻo COPD e pōʻino ana i ka manawa. ʻOiai ka poʻe me ka hānō a me COPD i ka maʻi maʻamau no ke ola, i kekahi mau manawa o ka hānō kamaliʻi, hele a pau ka maʻi ma hope o ka wā kamaliʻi. Hiki i nā mea maʻi hānō a me COPD ke hōʻemi i kā lākou mau hōʻailona a pale i nā pilikia ma ke kau ʻana i kā lākou papa hana lapaʻau i kuhikuhi ʻia.