Chronic obstructive pulmonary chirwere

Chronic obstructive pulmonary disease, yakadimburirwa seCOPD, chirwere chemapapu icho zvishoma nezvishoma chinotyisidzira upenyu, chinokonzera kutadza kufema (pakutanga zvakanyanya kushanda) uye kuwedzera nyore nyore uye kukonzera zvirwere zvakakomba.Inogona kukura kuva pulmonary heart disease uye kutadza kufema.Pepanhau repasi rose rine mvumo yezvokurapa "The Lancet" kekutanga yakataura kuti nhamba yevarwere vane chirwere chisingaperi chemapapu munyika yangu ingangoita mamirioni zana, uye chave chirwere chisingaperi "pamwero wakafanana" neBP uye chirwere cheshuga.

Sangano reWorld Health Organization rinoratidza kuti hapana mushonga wechirwere chisingaperi chemapapu, asi kurapwa kunogona kubvisa zviratidzo, kuvandudza mararamiro uye kuderedza ngozi yerufu.

Zviratidzo zvechirwere chechirwere chechirwere chemapapu chinodzikira zvishoma nezvishoma uye kuomerwa nekufema kwenguva refu kana uchinge washandisa simba, izvo zvinozopedzisira zvaita kuti munhu asafeme pakuzorora.Chirwere chacho hachiwanzoongororwa uye chinogona kutyisa upenyu.

Non-invasive ventilation uye imba yekufemesa

Sezvo chirwere ichi chichiwedzera, varwere vazhinji vachava ne hypoxemia.Hypoxemia ndiyo inonyanya kukonzera pulmonary hypertension uye chirwere chemwoyo chemapapu.Ichowo chikonzero chakakosha chekusagadzikana kwemetabolism uye kusashanda kwenhengo yakakosha.Kurapa kweokisijeni kumba kwenguva refu uye kufefetedza kusingapindike nemhepo inofefetera kunogona kuvandudza zviratidzo zve hypoxia uye kutonga zviratidzo zvevarwere veCOPD.Nzira inokosha yekukura kwechirwere.

Non-invasive ventilation inoreva kufefetedza kwakanaka uko mhepo inofefetera yakabatana nemurwere kuburikidza nemuromo kana maski yemhino.Muchina uyu unopa kuyerera kwemhepo yakamanikidzwa kuvhura iyo yakavharika nzira yemhepo, kuwedzera alveolar ventilation, uye kuderedza basa rekufema, pasina chikonzero chekumisikidza invasive artificial airway.

Chirwere chechirwere chechirwere chechirwere chechirwere chinogona kunzi chirwere chisina kukwana.Mukutonga kwekurapa kwemhuri, kurapwa kwakakosha, uye kushandira pamwe kwembiri-nhanho isina-inopinza mhepo yakakosha zvakaenzana.Kushandiswa kwebi-level isina-invasive ventilator inogona kuderedza carbon dioxide kuchengetedza paunenge uchisangana nemurwere weokisijeni zvinodiwa, uye ine simba rakanaka rekudzivirira pamapapu emurwere, mwoyo uye mamwe matishu uye nhengo;panguva imwe chete, inoderedza nguva yekurwisa kwemurwere uye nenzira isina kunanga inoderedza kuchipatara.Huwandu hwenguva uye mitengo yakakura yekurapa inovandudza hupenyu hwevarwere.