COPD vs Asthma
Txhua yam mob uas ua rau hnoos ntev thiab ua pa nyuaj nyuaj heev rau kev tiv thaiv, thiab cuam tshuam nrog kev ua pa nyuaj, txawm tias tej zaum yuav tuag. Los ntawm ntau yam xwm txheej uas cuam tshuam rau txoj kev ua pa, COPD thiab mob hawb pob yog ob qho tib si. COPD yog tus kab mob obstructive pulmonary, thiab hawb pob yog bronchial hawb pob. Qhov sib txawv ntawm ob qho xwm txheej no yog los ntawm cov neeg muaj kev txom nyem, muaj kev pheej hmoo, patho physiology, cov tsos mob thiab cov tsos mob, cov ntsiab cai tswj hwm, thiab kev kuaj mob.
COPD
COPD, raws li lub npe qhia yog mob ntev uas feem ntau cuam tshuam rau cov neeg laus, thiab cuam tshuam nrog kev nqus cov pa luam yeeb thiab lwm yam khoom siv. Kuj tseem muaj genetic predisposition. Muaj ob hom kab mob COPD, uas yog mob ntsws ntev thiab mob ntsws. Cov kab mob bronchitis ntev tshwm sim vim qhov kev ua xua ntawm cov kab mob ua pa txuas ntxiv mus, ua rau cov hnoos qeev thiab nthuav tawm ntawm cov kab mob. Nws feem ntau tshwm sim nrog kev ua pa nyuaj, tsim cov hnoos qeev ntau dhau, uas feem ntau yog purulent nrog hnoos thaum tsis muaj qhov txawv txav ntawm cov tsos mob. Emphysema yog irreversible dilatation ntawm bronchioles; deb ntawm lub davhlau ya nyob twg thiab qhov deb ntawm bronchioles. Qhov no ua rau txo cov pa tawm ntawm kev tshoov siab. Cov paib, uas tuaj yeem raug tshem tawm yuav suav nrog rhonchi thiab crepitations, lub thoob zoo li lub hauv siab, nrog rau qhov pom tau ntawm daim di ncauj ua pa thiab qee qhov xiav tinge hauv daim di ncauj. Lawv raug tswj hwm nrog ipratropium bromide, ib qho tshuaj anticholinergic, corticosteroids, thiab kev kho cov pa oxygen ntawm qhov txo qis ntawm ib feem ntawm li 24-28%. Txhua yam kab mob ua pa yuav tsum tau siv tshuaj tua kab mob. Cov teeb meem ntawm tus mob no suav nrog kev ua pa tsis ua haujlwm thiab kev kis tus kab mob rov qab, nrog rau kev tsim cov kab mob pneumothoracis.
Asthma
Bronchial hawb pob (BA) yog ib qho mob ua pa, qhov twg muaj cov txheej txheem ntawm cov txheej txheem mob ntev nrog kev thim rov qab ntawm txoj hlab pa thiab kev cuam tshuam ntawm txoj hlab pa. Qhov no feem ntau yog tshwm sim los ntawm kev tiv thaiv kab mob sib kis thiab / lossis kev sib cuag ncaj qha nrog cov kab lus feeb. Muaj cov kab mob edematous nrog mucus plugs, secretion ntawm mucus thiab thickened hauv qab daus daim nyias nyias. Cov tsos mob muaj xws li, diurnal ntau yam tsos mob ntawm hawb pob thiab hnoos nrog ib feeb ntawm cov hnoos qeev dawb. Ntawm no, ntawm kev kuaj lub ntsws tus neeg mob yuav muaj ob sab hawb pob suab / rhonchi. Kev tswj hwm tus mob no yog los ntawm kev siv cov pa oxygen thiab bronchodilators zoo li beta agonists nrog kev siv ntev ntawm corticosteroids los tiv thaiv cov txheej txheem mob ntev. Yog tias tsis tswj xyuas kom zoo, tuaj yeem tuag sai sai tom qab lub neej ua rau muaj mob hawb pob lossis ua pa tsis ua haujlwm.
Qhov txawv ntawm COPD thiab Asthma yog dab tsi?
• Ob qho xwm txheej no yog mob ntev uas cuam tshuam nrog kev ua pa. Tab sis BA tuaj yeem thim rov qab, qhov COPD tsis yog.
• Nyob rau hauv COPD muaj deformity nyob rau hauv lub elastic qauv ntawm lub hauv paus hais, nyob rau hauv BA, muaj ib tug airway hyperresponsiveness. Yog li, cov tsos mob sib txawv, vim COPD ua rau mob hnyav los ntawm kev ua pa thiab BA hnyav dua los ntawm cov khoom siv niaj hnub.
• Kev tswj hwm tau txhawb nqa hauv COPD, thaum hauv BA, muaj kev tswj hwm tshwj xeeb. Feem ntau cov teeb meem BA daws tau los ntawm 6-12 lub hlis ntawm kev kho mob, qhov COPD tsis thim rov qab thiab txuas ntxiv. Kev kho kom zoo nkaus xwb yog kev kho cov pa oxygen mus sij hawm ntev, tab sis nws tuaj yeem ua tau nyuaj thiab kim.
• COPD tiv thaiv tau ntau heev, qhov BA tiv thaiv tsis tau. Kev haus luam yeeb ua rau ob qho tib si ntawm COPD thiab BA. Yog li, kev haus luam yeeb yog ib feem tseem ceeb hauv kev tiv thaiv kab mob RS.
