ICOPD-ulawulo lweziyobisi

Ukulawula amayeza esifo esinganyangekiyo semiphunga (COPD) ziziyobisi ozithathayo ukulawula okanye ukunqanda iimpawu zeCOPD. Kufuneka usebenzise la mayeza yonke imihla ukuze asebenze kakuhle.

La mayeza akasetyenziselwa ukunyanga ama-flare-ups. I-flare-ups inyangwa ngesiyobisi esikhawulezayo (ukuhlangula) iziyobisi.

Kuxhomekeke kumayeza, ukulawula iziyobisi kukunceda uphefumle ngoku:

• Ukuphumla izihlunu kwiindlela zakho zomoya
• Ukunciphisa nakuphi na ukudumba kwindlela yakho yomoya
• Ukunceda imiphunga isebenze ngcono

Wena kunye nomboneleli wakho wezempilo ninokwenza isicwangciso solawulo lweziyobisi ekufuneka uzisebenzisile. Esi sicwangciso siyakuquka ukuba uzithathe nini nokuba ungathatha malini.

Kuya kufuneka uthathe la machiza ubuncinci kwinyanga ngaphambi kokuba uzive ungcono. Bathathe naxa uziva ulungile.

Buza umboneleli wakho malunga neziphumo ebezingalindelekanga zalo naliphi na iyeza olimiselweyo. Qiniseka ukuba uyazi ukuba zeziphi iziphumo ebezingalindelekanga ezinzulu ngokwaneleyo ukuba kufuneka ubize umboneleli wakho ngoko nangoko.

Landela imiyalelo ngendlela yokusebenzisa amayeza ngendlela efanelekileyo.

Qiniseka ukuba uyaligcwalisa iyeza lakho phambi kokuba uphelelwe.

I-anticholinergic inhalers ibandakanya:

• I-Aclidinium (iTudorza Pressair)
• IGlycopyrronium (uSeebri Neohaler)
• Ipratropium (Atrovent)
• I-Tiotropium (iSpiriva)
• Umeclidinium (gweba i-Ellipta)

Sebenzisa i-anticholinergic inhalers yakho yonke imihla, nokuba awunampawu.

I-Beta-agonist inhalers ibandakanya:

• IArformoterol (iBrovana)
• IFomoterolol (Foradil; Perforomist)
• Indacaterol (iArcapta Neohaler)
• Isalmeterol (iSerevent)
• I-Olodaterol (iStriverdi Respimat)

SUKUsebenzisa i-spacer ene-beta-agonist inhalers.

I-corticosteroids enganyangekiyo ibandakanya:

• I-Beclomethasone (Qvar)
• IFluticasone (Umjikelo)
• ICiclesonide (Alvesco)
• IMometasone (Asmanex)
• IBudesonide (iPulmicort)
• I-Flunisolide (iAerobid)

Emva kokuba usebenzise la machiza, hlamba umlomo wakho ngamanzi, ugalele, kunye nokutshica.

Amayeza okudibanisa adibanisa amachiza amabini kwaye aphefumlelwe. Ziquka:

• I-Albuterol kunye ne-ipratropium (Impendulo edibeneyo; iDuoneb)
• I-Budesonide kunye ne formoterol (Symbicort)
• Fluticasone kunye nesalmeterol (Advair)
• I-Fluticasone kunye ne-vilanterol (uBreo Ellipta)
• IFomoterolol kunye ne-mometasone (iDulera)
• I-Tiotropium kunye ne-olodaterol (Stiolto Respimat)
• Umeclidinium kunye ne-vilanterol (Anoro Ellipta)
• I-Glycopyrrolate kunye nefomoterol (Bevespi Aerosphere)
• I-Indacaterol kunye ne-glycopyrrolate (Utibron Neohaler)
• I-Fluticasone kunye ne-umeclidinium kunye ne-vilanterol (iTrelegy Ellipta)

Kuwo onke la mayeza, amanye amachiza enziwe afana nalawo enziwe afana nalawo enziwe afana nalawo enziwe afana nalawo enziwa afana nalawo enziwe afana nalawo enziwa afana nalawo enziwe afana nalawo enziwe afana nalawo enziwa afana nalawo enziwe afana nalawo enziwa afana nalawo enziwe afana nalawo enziwa afana nalawo enziwe afana nalawo enziwa afana nalawo enziwe afana nalawo enziwe afana nalawo enziwe afana nalawo aveliswe ngabenzi, abakho nje okanye aza kufumaneka kwixesha elizayo, yiyo loo nto amagama awohlukileyo esenokufumaneka.

I-Roflumilast (iDaliresp) yithebhulethi eginyekileyo.

I-Azithromycin yicwecwe eliginyekayo.

Isifo esinganyangekiyo semiphunga - ukulawula iziyobisi; I-Bronchodilators-i-COPD-lawula iziyobisi; I-Beta agonist inhaler - i-COPD - iziyobisi; I-anticholinergic inhaler - i-COPD - iziyobisi; I-inhaler yexesha elide-i-COPD - iziyobisi; ICorticosteroid inhaler-COPD- lawula iziyobisi

UAnderson B, uBrown H, uBruhl E, et al. Iziko lewebhusayithi yokuPhucula iiNkqubo zeKlinikhi. Isikhokelo soKhathalelo lwezeMpilo: Ukuchongwa nokulawulwa kwezifo ezingapheliyo zePulmonary Disease (COPD). Ushicilelo lwe-10. www.icsi.org/wp-content/uploads/2019/01/COPD.pdf. Ukuhlaziywa ngoJanuwari 2016. Ifikeleleke ngoJanuwari 23, 2020.

UHan MK, uLazaro SC. I-COPD: ukufumanisa isifo kunye nolawulo. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 44.

Inyathelo leHlabathi leSifo seMiphunga esiNgapheliyo (GOLD). Isicwangciso sehlabathi ukufumanisa isifo, ukulawula kunye nokuthintela isifo esinganyangekiyo semiphunga: ingxelo ye2020. igoldcopd.org/wp-content/uploads/2019/12/GOLD-2020-FINAL-ver1.2-03Dec19_WMV.pdf. Kufumaneka ngoJanuwari 22, 2020.

• Isifo esinganyangekiyo semiphunga (COPD)
• Isifo semiphunga

• Isifo esingapheliyo sokuphazamiseka kwemiphunga - abantu abadala - ukukhutshwa
• I-COPD-yintoni oza kuyibuza ugqirha wakho
• Ukutya iikhalori ezongezelelweyo xa ugula - abantu abadala
• Indlela yokuphefumla xa unomoya omfutshane
• Uyisebenzisa kanjani i-nebulizer
• Uyisebenzisa kanjani i-inhaler-akukho spacer
• Uyisebenzisa kanjani i-inhaler-ene-spacer
• Uyisebenzisa njani imitha yokuhamba okuphezulu
• Ukhuseleko lweoksijini
• Ukuhamba neengxaki zokuphefumla
• Sebenzisa ioksijini ekhaya
• Sebenzisa ioksijini ekhaya-yintoni oza kuyibuza ugqirha wakho

• ICOPD