Summary
Samenvatting Pathologie: Pneumologie deel 2
- Course
- Institution
In dit document kan je het tweede deel lezen van pathologie pneumologie.
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Hoofdstuk 4: Pneumologie: Respiratoire aandoeningenChronische bronchitis
Ophoesten vn sputum min. 3m per jaar gedurende min. 2 opeenvolgende jaren.
Basiskenmerken:
- Chronisch hoesten
- Sputumproductie (grijs-grauw)
- Dyspnoe – Vooral ochtend, wheezing
- Vermoeidheid
COPD en astma
1. Astma bronchiale
2. COPD (Chronic Obstructive Pulmonary Disease)
a. Chronische bronchitis
b. Emfyseem
Gemeenschappelijke symptomen
Hyperreactiviteit:
o Samentrekken gladde spiercellen
o Zwelling slijmvlies
o Aanmaak extra slijm
Dyspnoe
Hoesten, al dan niet met slijm
Wheezing = piepen (uitademingsstoornis)
Onderscheid tss astma en COPD
Astma COPD
Jonge leeftijd Oudere leeftijd
Plotseling begin Geleidelijk aan ontstaan van klachten
Atopie Roken
Wisselende Aanhoudende nauwelijks reversibele
reversibele bronchusobstructie
bronchusobstructie
Hoesten soms Hoesten meestal
Sputum soms Sputum meestal
, 4.1. COPD
4.1.1. Oorzaken
Roken!
Luchtverontreiniging
Beroepsfactoren
Sociale klasse
Genetische factoren: Mucuviscidose, Alfa-1-antitrypsine deficiëntie: Longemfyseem
Figuur 1: Effect vn roken: COPD
4.1.2 Respiratoire insufficiëntie: Complicaties
Op basis vd arteriële bloedgaswaarden!
Partiële respiratoire insufficiëntie:
o O2 = Hypoxie
o CO2 Normaal
Globale respiratoire insufficiëntie:
o O2
o CO2 = Hypercapnie
o
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