É Emphysema cliff edge: peripheral form of emphysema can center lobules. aspirin complex The propor

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3. Diagnosis of BPTNMT severity.
Chronic Obstructive Pulmonary Disease (Chronic obstructive aspirin complex pulmonary disease - COPD) is a condition aspirin complex with obstructive airway disorders inability to recover completely. The airway obstruction usually progresses slowly and related to abnormal inflammatory response of the lungs caused by molecules or toxic gases.
Is a major cause of illness and death from chronic obstructive pulmonary aspirin complex disease. About 15% of smokers who have clinical symptoms of chronic obstructive pulmonary disease. 80- 90% of patients with chronic obstructive pulmonary disease are smoking. aspirin complex
Lack of alpha1 antitrypsine is a protein aspirin complex inhibitor of a number of theories as neutrophile elastase bar increases the risk of emphysema; elastin is a major component of the alveoli are destroyed by neutrophile elastase. The imbalance between endogenous proteinase and antiproteinase can cause destruction of the lungs and can occur due to the decline of antiproteinase activity by oxidative stress, tobacco, and can be caused by other risk factors BPTNMT.
In BPTNMT aspirin complex there is a clear imbalance of oxidants and antioxidants, which are mainly aspirin complex the oxidant, such as hydrogen peroxide (H2O2) and nitric oxide (NO). The oxidative stress in addition to causing direct damage to the lung also contribute to the imbalance proteinase - antiproteinase oxidizing agents also promote inflammation. Finally, oxidative stress may contribute to airway narrowing.
The increase is due to the secretion of mucous glands stimulated by inflammatory mediators such as leucotrien, proteinase and neuropeptides. These hair cells are squamous metaplasia resulting decline clearance of mucus - feathers.
The limited flow of breathing gas is not recovered, a few may be recovered, due to remodeling, fibrosis and small airway narrowing. The position is limited to airway caliber aspirin complex bronchioles with <2 mm, in airway resistance BPTNMT double normal. Destruction of alveoli causes emphysema. The limited air flow
The imbalance between the ventilation / perfusion is the main mechanism aspirin complex by damage to the peripheral airways and emphysema. In emphysema there is a decrease in DLCO / L, thus causing hypoxia. The lack of oxygen and increased aspirin complex carbon dioxide little blood occurs when FEV1 <1.00L. At first blood hypoxia occurs only at exertion, but when the disease progression blood hypoxia occurs at rest.
Pulmonary hypertension occurs late in the course of BPTNMT (Phase III), then discarded chronic heart. These factors cause pulmonary aspirin complex hypertension is vasoconstriction, the restructuring aspirin complex of the pulmonary artery. The external aspirin complex causes vasoconstriction due to hypoxia was due to the release of NO synthesis or reduced and abnormal aspirin complex secretion of vasoconstrictor peptides such as endothelin 1. The decrease in pulmonary hypertension and pulmonary vascular system by gas emphysema can lead to right ventricular hypertrophy and right heart failure.
É Ho: much of the morning, aspirin complex cough or coughing aspirin complex bout winning basket, aspirin complex accompanied sputum or not. Characteristics of prolonged cough VPQMT: most days of the week, 3 week / month, 3 months / years in a row and within 2 years.
É Type: wine charm, especially aspirin complex in the alveolar
É Cause promote: mostly infections [VR (50%), VK (S. pneumoniae, H. influenzae and M.Catarrhalis)] and air pollution. Rare: pulmonary embolism, TKMP, left heart failure, arrhythmias, metabolic aspirin complex disorders, infections.
Tim not to or slightly big. The last phase: Heart to the whole
É Emphysema central lobule: circular areas with low density concentration in the lung lobules, a few millimeters in diameter (<1 cm) surrounded by normal lung tissue, mainly aspirin complex in the upper lobe lesion of lungs.
É Emphysema entire lobules aspirin complex (lobular majority): the destruction aspirin complex of the lung lobules evenly, creating images "black aspirin complex lung" uniform, poor vascular system. Diffuse lesions distributed mainly concentrated in the lower lobe of the lung.
É Emphysema cliff edge: peripheral form of emphysema can center lobules. aspirin complex The proportion of the reduction in fertilizer distributed under the pleura., Next to the wall between the lobules and pulmonary vascular network. This could easily develop into bubbles and complications of pneumothorax.
3.2.4. Echocardiography
Obstructive airway disorders are not fully recover with legal experience bronchodilator salbutamol 400 mcg or 80mcg ipratropium inhalation aerosol or spray with buffer chamber, 30 minutes