Nā hana hou a me kēia manawa no COPD

Anter

• ʻO nā bronchodilator hana lōʻihi
• ʻO nā bronchodilator hana pōkole
• Nā Inhalers Anticholinergic
• Hoʻohui inhalers
• Nā lāʻau lapaʻau waha
• ʻOki kino
• ʻO Bullectomy
• ʻOki hōʻemi leo lōʻihi
• ʻOki kino Endobronchial
• Nā lapaʻau e hiki mai ana no COPD
• Lawe aku

ʻO ka maʻi pulmonary obstructive maʻi (COPD) kahi maʻi maʻi pūpū mau loa e hopena i nā ʻōuli e like me ka paʻakikī o ka hanu ʻana, hoʻonui i ka hana ʻana o ka mucus, ka paʻa ʻana o ka umauma, a me ka ʻū.

ʻAʻohe lāʻau lapaʻau no COPD, akā hiki i ka mālama ʻana no ke ʻano ke kōkua iā ʻoe e hoʻokele a ola i kahi ola lōʻihi. ʻO ka mea mua, pono ʻoe e haʻalele i ka puhipaka inā ʻoe he puhipaka. Hiki paha i kāu kauka ke kuhikuhi i kahi bronchodilator, kahi hana pōkole a hana lōʻihi paha. Hoʻomaha kēia mau lāʻau i nā mākala a puni i kāu mau alaloa e hōʻoluʻolu i nā ʻōuli.

Hiki paha iā ʻoe ke ʻike i ka hoʻomaikaʻi ʻana me nā therapies add-on e like me nā steroid inhal, steroid oral, a me nā lāʻauʻalopelo, a me nā hana hou ʻē aʻe a hou no COPD.

Nā Inhalers

ʻO nā bronchodilator hana lōʻihi

Hoʻohana ʻia nā bronchodilators hana lōʻihi no ka mālama ʻana i kēlā me kēia lā e mālama i nā ʻōuli. Hoʻomaha kēia mau lāʻau i nā ʻōuli ma ka hoʻomaha ʻana i nā mākala i nā ala ākea a me ka hemo ʻana i nā mucus mai nā ake māmā.

ʻO nā bronchodilators hana lōʻihi me salmeterol, formoterol, vilanterol, a me olodaterol.

ʻO Indacaterol (Arcapta) kahi bronchodilator lōʻihi lōʻihi. Ua ʻae ka Food and Drug Administration (FDA) i ka lāʻau i 2011. Mālama ia i ke kahakaha ʻana o ke ea ma muli o COPD.

Lawe ʻia ʻo Indacaterol i hoʻokahi manawa i kēlā me kēia lā. Hana ia ma ka hoʻoulu ʻana i kahi enzyme e kōkua ai i nā hunaola i loko o kou mau māmā e hoʻomaha. Hoʻomaka ka hana wikiwiki ʻana, a hiki i nā hopena ke lōʻihi lōʻihi.

He koho kēia lāʻau inā ʻike ʻoe i ka pōkole o ka hanu a i ʻole ke kani ʻana me nā bronchodilator hana lōʻihi ʻē aʻe. ʻO nā hopena ʻē aʻe e pili pū me ka puʻu, ihu ihu, ʻeha poʻo, nausea, a me nā hopohopo.

Hiki i kāu kauka ke koi aku i kahi bronchodilator hana lōʻihi inā he COPD a me ka hānō kāu.

ʻO nā bronchodilator hana pōkole

ʻO nā bronchodilator hana pōkole, i kekahi manawa i kapa ʻia he inhalers hoʻopakele, ʻaʻole pono e hoʻohana ʻia i kēlā me kēia lā. Hoʻohana ʻia kēia mau inhalers e like me ka mea e pono ai a hāʻawi i ke kōkua wikiwiki ke loaʻa iā ʻoe nā pilikia hanu.

ʻO kēia mau ʻano o bronchodilators me albuterol (Ventolin HFA), metaproterenol (Alupent), a me levalbuterol (Xopenex).

Nā Inhalers Anticholinergic

ʻO kahi anticholinergic inhaler kekahi ʻano bronchodilator no ka mālama ʻana o COPD. Kōkua ia i ka pale ʻana i ka hoʻopaʻa ʻana i nā puʻupuʻu a puni nā ala kaʻa pū kekahi.

Loaʻa iā ia ma ke ʻano he inhaler-dose dosis, a ma ke ʻano wai no nebulizers. Hiki ke hana pōkole a hana lōʻihi paha kēia mau inhalers. Koi paha kāu kauka i kahi anticholinergic inā loaʻa iā ʻoe i ka COPD a me ka hānō.

Loaʻa nā inhalers anticholinergic i ka tiotropium (Spiriva), ipratropium, aclidinium (Tudorza), a me umeclidinium (loaʻa pū me ka hui pū).

Hoʻohui inhalers

Hiki i nā Steroids ke hoʻemi i ka puhū ʻana o ke ala. No kēia kumu, hoʻohana kekahi poʻe me COPD i kahi inhaler bronchodilator me kahi steroid i ʻino ʻia. Akā ʻo ka mālama mau ʻana i nā mea inhalers ʻelua hiki ke hōʻoluʻolu ʻole.

Hoʻohui kekahi mau mea inhalers hou i ka lāʻau o ka bronchodilator a me ka steroid. Kapa ʻia kēia mau mea he inhalers hoʻohui.

ʻO nā ʻano ʻē aʻe o nā inhalers hoʻohui pū kekahi. ʻO kahi laʻana, hoʻohui kekahi i ka lāʻau o nā bronchodilators hana pōkole me nā inhalers anticholinergic a i ʻole nā ​​bronchodilator hana lōʻihi me nā inhalers anticholinergic.

Aia kekahi triple inhaled therapy no COPD i kapa ʻia fluticasone / umeclidinium / vilanterol (Trelegy Ellipta). Hoʻohui kēia lāʻau i ʻekolu mau lāʻau COPD hana lōʻihi.

Nā lāʻau lapaʻau waha

Kōkua ʻo Roflumilast (Daliresp) i ka hoʻohaʻahaʻa ʻana i ke ala ea i nā poʻe me COPD koʻikoʻi. Hiki i kēia lāʻau ke pale i ka hōʻino ʻana o ka ʻaʻa, e hoʻomaikaʻi iki i ka hana o ka māmā.

Kūpono ʻo Roflumilast no ka poʻe i loaʻa ka mōʻaukala o ka exacerbations COPD koʻikoʻi. ʻAʻole ia na kēlā me kēia mea.

Nā hopena ʻē aʻe i hiki ke hana ʻia me ka roflumilast me ka maʻi diarrhea, nausea, back pain, dizziness, diminished gana, and headache.

ʻOki kino

ʻO kekahi poʻe me COPD koʻikoʻi e pono i kahi transplant lung. Pono kēia kaʻina hana ke lilo nā pilikia hanu i mea hoʻoweliweli i ke ola.

Lawe kahi transplant lung i kahi māmā i hōʻino ʻia a hoʻololi iā ia me kahi mea hāʻawi maikaʻi. Eia nō naʻe, aia kekahi mau ʻano hana e hana ai e mālama iā COPD. He moho paha ʻoe no kekahi ʻano ʻoki ʻoki ʻē aʻe.

ʻO Bullectomy

Hiki i ka COPD ke hoʻopau i nā ʻeke ea i loko o kou mau māmā, a laila e hopena i ka hoʻomohala ʻana i nā wahi ea i kapa ʻia ʻo bullae. Ke hoʻonui a ulu paha kēia mau lewa, e papau a paʻakikī hoʻi ka hanu.

ʻO kahi bullectomy kahi hana ʻoki e lawe i nā ʻeke ʻino i hōʻino ʻia. Hiki iā ia ke hōʻemi i ka hanu ʻole a hoʻomaikaʻi i ka hana māmā.

ʻOki hōʻemi leo lōʻihi

Hoʻokumu ʻo COPD i nā pohō o ka hanu, kahi kuleana pū kekahi i nā pilikia hanu. Wahi a ka American Lung Association, hemo kēia ʻoki ma kahi o 30 pākēneka o nā ʻāpana puʻupuʻu i hōʻino ʻia a maʻi paha.

Me nā ʻāpana ʻino i hoʻoneʻe ʻia, hiki i kāu diaphragm ke hana ʻoi aku ka maikaʻi, e ʻae iā ʻoe e hanu maʻalahi.

ʻOki kino Endobronchial

Hoʻohana ʻia kēia kaʻina hana e mālama ai i ka poʻe me ka emfysema koʻikoʻi, kahi ʻano o COPD.

Me ke kīpoki endobronchial valve, hoʻonoho ʻia nā valves Zephyr liʻiliʻi i loko o nā alaloa e pale ai i nā ʻāpana ʻino o nā akemāmā. Hoʻoiho kēia i ka hyperinflation, e ʻae ana i nā ʻāpana olakino o kou māmā e hana ʻoi aku ka maikaʻi.

Hoʻoemi ke kīpoki valve i ke kaomi ma ka diaphragm a hoʻemi i ka hanu ʻole.

Nā lapaʻau e hiki mai ana no COPD

ʻO COPD kahi ʻano e pili ana i ka poʻe o ka honua holoʻokoʻa. Ke hana mau nei nā kauka a me nā mea noiʻi e hoʻomohala i nā lāʻau hou a me nā kaʻina hana e hoʻomaikaʻi ai i ka hanu ʻana no ka poʻe e noho nei me ke ʻano.

Ke loiloi nei nā hoʻokolohua hoʻokolohua i ka pono o nā lāʻau biologic no ka mālama ʻana i COPD. ʻO Biologics kahi ʻano o ka hoʻōla e kuhi ana i ke kumu o ka mumū.

Ua nānā kekahi mau hoʻokolokolo i kahi lāʻau i kapa ʻia anti-interleukin 5 (IL-5). Hoʻopaʻa kēia lāʻau i ka wela eosinophilic airway. Hoʻomaopopo ʻia kekahi o nā poʻe me COPD i ka nui o nā eosinophil, kahi ʻano kikoʻī o ke keʻokeʻo koko keʻokeʻo. Hiki i kēia lāʻau biologic ke hōʻemi a hōʻemi paha i ka nui o nā eosinophil koko, e hāʻawi ana i ke kōkua mai COPD.

Pono hou aku ka noiʻi. I kēia manawa, ʻaʻohe lāʻau biologic i ʻae ʻia no ka mālama ʻana COPD.

Ke loiloi nei hoʻi nā hoʻokolohua hoʻokolohua i ka hoʻohana ʻana o ka lāʻau cell cell no ka mālama ʻana i ka COPD. Inā ʻae ʻia i ka wā e hiki mai ana, hiki ke hoʻohana ʻia kēia ʻano hana e hoʻōla hou ai i nāʻiʻo o ke akemāmā a hoʻohuli i ka hōʻino o ka māmā.

Lawe aku

Hiki i ka COPD ke pae mai ke akahai a i ke koʻikoʻi. E pili ana kāu mālama ʻana i ke koʻikoʻi o kāu mau ʻōuli. Inā hoʻomaikaʻi ke kuʻuna kuʻuna a lālani mua paha i kāu COPD, e kamaʻilio me kāu kauka. He moho paha ʻoe no ka hoʻohui hoʻohui a i ʻole nā ​​hoʻoponopono hou.