I-COPD-ukulawula uxinzelelo kunye nemood yakho

Abantu abanesifo esinganyangekiyo semiphunga (COPD) banomngcipheko omkhulu woxinzelelo, uxinzelelo kunye noxinzelelo. Ukucinezeleka okanye ukudakumba kunokwenza ukuba iimpawu zeCOPD zibe mbi kwaye zenze kube nzima ukuzikhathalela.

Xa une-COPD, ukukhathalela impilo yakho yeemvakalelo kubaluleke njengokukhathalela impilo yakho. Ukufunda indlela yokujongana noxinzelelo kunye noxinzelelo kunye nokunyamekela uxinzelelo kunokukunceda ukulawula i-COPD kwaye uzive ungcono ngokubanzi.

Ukuba neCOPD kunokuchaphazela imeko yakho kunye neemvakalelo ngezizathu ezininzi:

• Awunakho ukwenza zonke izinto obukade uzenza.
• Kuya kufuneka ukuba wenze izinto kancinci kancinci kunangaphambili.
• Usenokuziva udiniwe.
• Unokuba nobunzima bokulala.
• Unokuziva uneentloni okanye uzibeke ityala ngokuba ne-COPD.
• Unokuba kude kakhulu nabanye kuba kunzima ukuphuma uye kwenza izinto.
• Iingxaki zokuphefumla zinokubangela uxinzelelo kwaye zoyikise.

Zonke ezi zinto zinokukwenza uzive uxinezelekile, unxunguphele, okanye uxinezelekile.

Ukuba neCOPD kunokutshintsha indlela oziva ngayo ngawe. Kwaye indlela oziva ngayo ngawe inokuchaphazela iimpawu zeCOPD kunye nendlela ozikhathalela ngayo.

Abantu abaneCOPD abadandathekileyo banokuba ne-COPD ngakumbi kwaye kufuneka baye esibhedlele rhoqo. Uxinzelelo luphelisa amandla kunye nenkuthazo. Xa uxinezelekile, awunakufane u:

• Yitya kakuhle kwaye usebenzise umthambo.
• Thatha amayeza akho njengoko uyalelwe.
• Landela isicwangciso sakho sonyango.
• Phumla ngokwaneleyo. Okanye, unokufumana ukuphumla okuninzi.

Uxinzelelo yinto eyaziwayo yeCOPD. Xa uziva uxinezelekile kwaye uxhalabile, ungaphefumla ngokukhawuleza, nto leyo enokukwenza uzive ungaphefumli. Xa kunzima ukuphefumla, uziva uxhalabile ngakumbi, kwaye umjikelo uyaqhubeka, ukhokelela ekubeni uzive umbi kakhulu.

Kukho izinto onokuzenza kwaye ekufuneka uzenzile ukukhusela impilo yakho yeemvakalelo. Ngelixa ungenako ukuphelisa lonke uxinzelelo ebomini bakho, ungafunda indlela yokululawula. Ezi ngcebiso zinokukunceda ekunciphiseni uxinzelelo kwaye uhlale unethemba.

• Chonga abantu, iindawo, kunye neemeko ezibangela uxinzelelo. Ukwazi ukuba yintoni ebangela uxinzelelo kunokukunceda ukuba uyiphephe okanye uyilawule.
• Zama ukuphepha izinto ezikwenza ube nexhala. Umzekelo, MUSA ukuchitha ixesha nabantu abakukhathazayo. Endaweni yoko, khangela abantu abakukhulisayo kwaye bakuxhase. Yiya kuthenga ngamaxesha okuzola xa kukho ukugcwala kwabantu okumbalwa kwaye nabantu abambalwa bajikelezile.
• Ziqhelanise nokuzilolonga. Ukuphefumla nzulu, ukubonwa, ukuyeka iingcinga ezimbi, kunye nokuzilolonga kwezihlunu zonke iindlela ezilula zokukhulula uxinzelelo kunye nokunciphisa uxinzelelo.
• Sukuthatha kakhulu. Khathalela ngokwakho ngokuyeka kwaye ufunde ukuthi hayi. Umzekelo, mhlawumbi ubamba abantu abangama-25 kwisidlo sombulelo. Sika umva ukuya ku-8. Okanye kungcono, cela omnye umntu abambe iindwendwe. Ukuba uyasebenza, thetha nomphathi wakho malunga neendlela zokulawula umthwalo wakho ukuze ungaziva ungxanyiwe.
• Hlala ubandakanyeka. MUSA ukuzahlula wedwa. Yenza ixesha veki nganye lokuchitha ixesha nabahlobo okanye lokuya kwiminyhadala.
• Ziqhelise imikhwa yempilo elungileyo yemihla ngemihla. Vuka unxibe ntsasa nganye. Hambisa umzimba wakho yonke imihla. Ukuzivocavoca yenye yezona zinto zixhaphakileyo zoxinzelelo kunye nokunyusa imood ngeenxa zonke. Yitya ukutya okusempilweni kwaye ulale ngokwaneleyo yonke imihla ebusuku.
• Thetha phandle. Yabelana ngeemvakalelo zakho nosapho oluthembekileyo okanye abahlobo. Okanye uthethe nelungu labefundisi. SUKUZIGCINA izinto zebhotile ngaphakathi.
• Landela isicwangciso sakho sonyango. Xa i-COPD yakho ilawulwa kakuhle, uya kuba namandla ngakumbi kwizinto ozithandayo.
• SUKULIBazisa. Fumana uncedo kuxinzelelo.

Ukuziva unomsindo, ukuba nomsindo, ukuba lusizi, okanye ukuxhalaba ngamanye amaxesha kuyaqondakala. Ukuba ne-COPD kutshintsha ubomi bakho, kwaye kunokuba nzima ukwamkela indlela entsha yokuphila. Nangona kunjalo, ukudakumba kungaphezulu kokuba lusizi okanye unxunguphalo. Iimpawu zoxinzelelo zibandakanya:

• Umoya ophantsi ixesha elininzi
• Ukucaphuka rhoqo
• Ukungayonwabeli imisebenzi yakho yesiqhelo
• Ingxaki yokulala, okanye ukulala kakhulu
• Utshintsho olukhulu kukutya, uhlala uzuza ubunzima okanye ulahlekelwe
• Ukwanda kokudinwa kunye nokungabikho kwamandla
• Ukuziva ungaxabisekanga, ukuzonda nokuzithemba
• Ingxaki yokujonga
• Ndiziva ndingenathemba okanye ndingenakuzinceda
• Iingcinga eziphindiweyo zokufa okanye ukuzibulala

Ukuba unempawu zokudakumba ezihlala iiveki ezi-2 okanye nangaphezulu, tsalela ugqirha wakho. Akunyanzelekanga ukuba uphile nezi mvakalelo. Unyango lunokukunceda uzive ungcono.

Tsalela umnxeba ku-911, umgca oshushu wokuzibulala, okanye uye kwigumbi elingxamisekileyo elikufutshane ukuba uneengcinga zokuzenzakalisa wena okanye abanye.

Biza ugqirha wakho ukuba:

• Uva amazwi okanye ezinye izandi ezingekhoyo.
• Uhlala ulila ngaphandle kwesizathu.
• Ukudakumba kwakho kuchaphazele umsebenzi wakho, isikolo, okanye ubomi bosapho ixesha elide kuneeveki ezi-2.
• Uneempawu ezi-3 nangaphezulu zoxinzelelo (ezidweliswe apha ngasentla).
• Ucinga ukuba amanye amayeza akho ngoku anokukwenza uzive uxinezelekile. SUKUTSHINTSHE okanye uyeke ukuthatha nawaphi na amayeza ungakhange uthethe nogqirha wakho.
• Ucinga ukuba kufuneka unciphise ukusela okanye ukusebenzisa iziyobisi, okanye ilungu losapho okanye umhlobo ukucele ukuba unciphise.
• Uziva unetyala malunga nobungakanani botywala obuselayo, okanye usela utywala into yokuqala ekuseni.

Kuya kufuneka ubize ugqirha wakho ukuba iimpawu zakho zeCOPD ziya zisiba mbi, ngaphandle kokulandela isicwangciso sakho sonyango.

Isifo esinganyangekiyo semiphunga - iimvakalelo; Uxinzelelo-COPD; Uxinzelelo-COPD

Inyathelo leHlabathi leSifo seMiphunga esiNgapheliyo (GOLD). Isicwangciso sehlabathi sokufumanisa isifo, ukulawula kunye nokuthintela isifo esinganyangekiyo semiphunga: ingxelo ye-2019. igolidecopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf. Kufumaneka ngo-Oktobha 22, 2019.

UHan M, uLazaro SC. I-COPD: Ukuchongwa kwezonyango 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.

• ICOPD