ВООЗ . Хронічна обструктивна хвороба легень (ХОЗЛ)

ВООЗ . Хронічна обструктивна хвороба легень (ХОЗЛ)

Хронічна обструктивна хвороба легень (ХОЗЛ)

Інформаційний бюлетень N ° 315

січня 2015

ОСНОВНІ факти

    Хронічна обструктивна хвороба легень (ХОЗЛ) – це становить загрозу для життя хвороба легень, що перешкоджає нормальному диханню, це більше, ніж “кашель курця”. У 2012 році від ХОЗЛ померло понад 3 мільйонів чоловік, що склало майже 6% всіх випадків смерті в світі цього року. Більше 90% випадків смерті від ХОЗЛ відбувається в країнах з низьким і середнім рівнем доходу. Основною причиною розвитку ХОЗЛ є тютюновий дим (в результаті споживання тютюну або вдихання вторинного тютюнового диму). В даний час хвороба вражає чоловіків і жінок майже рівномірно, почасти, у зв’язку із збільшеним споживанням тютюну серед жінок в країнах з високим рівнем доходу. ХОЗЛ невиліковна, але лікування дозволяє уповільнити розвиток хвороби.

Хронічна обструктивна хвороба легень (ХОЗЛ) – це хвороба легень, для якої характерно стійке ху повітряного потоку з легких. Це недостатньо диагностируемая, загрозлива життя хвороба легень, що перешкоджає нормальному диханню і повністю невиліковна. Найбільш відомі терміни “хронічний бронхіт” і “емфізема” більше не використовуються; в даний час вони включені в діагноз ХОЗЛ.

Симптоми

Найпоширенішими симптомами ХОЗЛ є задишка (або відчуття браку повітря), патологічна мокрота (суміш слини і слизу в дихальних шляхах) і хронічний кашель. У міру поступового розвитку хвороби може значно утруднятися щоденна фізична активність, така як підйом на декілька сходинок по сходах або перенесення валізи.

Діагноз і лікування

Діагноз ХОЗЛ підтверджується простим тестом, званим спірометрії, який показує, яка кількість повітря людина може вдихнути і видихнути і як швидко повітря може входити в легені і виходити з них. У зв’язку з тим, що ХОЗЛ розвивається повільно, найбільш часто вона діагностується у людей увіці 40 років і старше.

ХОЗЛ невиліковна. Для запобігання розвитку хвороби дуже важливо припинити куріння. Дуже важноРазлічние форми лікування можуть сприяти полегшенню симптомів і підвищенню якості життя людей, які страждають на цю хворобу. Так, наприклад, ліки, що сприяють розширенню основних дихальних шляхів у легенях, можуть полегшити задишку.

Можливості лікування ХОЗЛ різняться в залежності від наявних ресурсів. ВООЗ випустила Керівництво (1) з конкретними рекомендаціями для ведення ХОЗЛ в системі первинної медико-санітарної допомоги в умовах обмежених ресурсів.

Хто піддається ризику?

Був час, коли ХОЗЛ була ширше поширена серед чоловіків, але у зв’язку із збільшеним споживанням тютюну серед жінок в країнах з високим рівнем доходу і підвищенням ризику впливу забрудненого повітря всередині приміщень в країнах з низьким рівнем доходу (в результаті використання твердого палива для приготування їжі та обігріву) в даний час хвороба вражає чоловіків і жінок майже рівномірно.

Більше 90% випадків смерті від ХОЗЛ відбувається в країнах з низьким і середнім рівнем доходу, де ефективні стратегії з профілактики та боротьби з цією хворобою проводяться не завжди або не завжди доступні.

Фактори ризику

ХОЗЛ запобіжна. Основною причиною розвитку ХОЗЛ є тютюновий дим (включаючи вдихання вторинного тютюнового диму, або пасивне куріння). Інші фактори ризику включають:

    забруднення повітря всередині приміщень (наприклад, в результаті використання твердого палива для приготування їжі та обігріву); забруднення атмосферного повітря; наявність пилу та хімічних речовин на робочих місцях (випаровувань, подразнюючих речовин і димів); часті інфекції нижніх дихальних шляхів у дитинстві.

Діяльність ВООЗ

Робота ВООЗ щодо ХОЗЛ є складовою частиною загальних зусиль організації з профілактики неінфекційних захворювань та боротьби з ними. Цілями ВООЗ є:

    підвищення обізнаності про глобальну епідемію неінфекційних захворювань; створення більш здорового навколишнього середовища, особливо для незаможних та неблагополучних груп населення; зменшення загальних факторів ризику розвитку неінфекційних захворювань, таких як вживання тютюну, неправильне харчування і фізична інертність; профілактика передчасної смертності та предотвратимой інвалідності внаслідок основних неінфекційних захворювань.

Рамкова конвенція ВООЗ з боротьби проти тютюну була розроблена у відповідь на глобалізацію тютюнової епідемії з метою захисту мільярдів людей від шкідливого впливу тютюну. Це перша глобальна угода в галузі охорони здоров’я, укладену ВООЗ і ратифікована більш ніж 180 країнами.

ВООЗ також керує Глобальним альянсом по боротьбі проти хронічних респіраторних хвороб (Гарба), в який на добровільних засадах входять національні та міжнародні організації, інститути та установи, що працюють над досягненням спільної мети по зменшенню глобального тягаря хронічних респіраторних хвороб. Альянс уявляє собі такий світ, де всі люди можуть безперешкодно дихати. Гарбо приділяє особливу увагу потребам країн з низьким і середнім рівнем доходу і вразливих груп населення.

(1) Профілактика неінфекційних захворювань та боротьби з ними: керівництво для закладів первинної медико-санітарної допомоги в умовах обмежених ресурсів

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