I-COPD kunye noxinzelelo

Umxholo

• Umjikelo wokuphefumla-ixhala
• Ukujamelana noxinzelelo
• Ukuphefumla kwakhona
• Iingcebiso nonyango
• Ukuthatha
• Uhlaselo loloyiko: Q&A
• Q:
• A:

Abantu abaninzi abaneCOPD banexhala, ngenxa yezizathu ezahlukeneyo. Xa unengxaki yokuphefumla, ingqondo yakho icwangcisa ialam ukuba ikuxwayise ukuba kukho into engalunganga. Oku kunokubangela ukuba uxinzelelo okanye uvalo lubekwe ngaphakathi.

Ukuxhalaba kunokuvela xa ucinga ngokuba nesifo semiphunga esiqhubekayo. Unganexhala malunga nokufumana isiqendu sokuphefumla nzima. Amanye amayeza asetyenziselwa ukunyanga i-COPD anokubangela iimvakalelo zoxinzelelo.

Umjikelo wokuphefumla-ixhala

Ixhala kunye neCOPD zihlala zenza umjikelo wokuphefumla. Imvakalelo zokuphefumla zinokubangela uloyiko, olunokukwenza uzive uxhalabile kwaye kunokwenza kube nzima ngakumbi ukuphefumla. Ukuba ubambekile kulo mjikelo wokuphefumla-unxunguphalo-lokuphefumla, usenokuba nexesha elinzima lokwahlula iimpawu zoxinzelelo kwiimpawu zeCOPD.

Ukuba noxinzelelo xa unesifo esinganyangekiyo kunokuba yinto elungileyo. Inokukuqhubela ekubeni ulandele isicwangciso sakho sonyango, nikela ingqalelo kwiimpawu zakho, kwaye wazi ukuba ufuna nini unyango. Kodwa uxinzelelo oluninzi lunokuchaphazela kakubi ubomi bakho.

Unokugqibela ngokuya kwagqirha okanye esibhedlele rhoqo kunokuba kufuneka. Unokuphepha nezinto ezonwabisayo zentlalo kunye nokuzonwabisa ezinokubangela ukuphefumla, njengokuhamba nenja okanye ukwenza igadi.

Ukujamelana noxinzelelo

Abantu abangenayo i-COPD ngamanye amaxesha banikwa amayeza okulwa nexhala njenge-diazepam (Valium) okanye i-alprazolam (Xanax). Nangona kunjalo, la machiza anokubangela ukwehla kokuphefumla, okunokwenza ukuba i-COPD ibe mandundu, kwaye inokusebenzisana namanye amayeza owasebenzisayo. Ixesha elingaphezulu, la mayeza anokubangela ukuxhomekeka kunye neengxaki zokulutha.

Unokufumana ukukhululeka ngamayeza angaxhalabisiyo angaphazamisi ukuphefumla, okufana ne-buspirone (BuSpar). Ezinye izidambisi zengqondo, ezinje nge-sertraline (Zoloft), i-paroxetine (Paxil), kunye ne-citalopram (i-Celexa), nazo zinciphisa uxinzelelo. Ugqirha wakho unokukunceda ekufumaneni ukuba leliphi iyeza eliza kusebenza ngcono kuwe. Khumbula, onke amayeza anokubangela iziphumo ebezingalindelekanga. Ukunyuka koxinzelelo, ukukhathazeka kwamathumbu, iintloko, okanye isicaphucaphu kunokwenzeka xa uqala la mayeza. Buza ugqirha wakho malunga nokuqala ngedosi esezantsi kunye nokusebenza ngendlela yakho. Oku kuya kunika umzimba wakho ixesha lokuziqhelanisa neyeza elitsha.

Unako ukwandisa ukusebenza kwamayeza ngokudibanisa nezinye iindlela zokunciphisa uxinzelelo. Buza ugqirha wakho ukuba angakudlulisela kwinkqubo yokubuyisela kwimeko yesiqhelo yemiphunga. Ezi nkqubo zibonelela ngemfundo malunga neCOPD kunye nezicwangciso zokujongana noxinzelelo lwakho. Enye yezona zinto zibaluleke kakhulu ozifundayo kwimo yesiqhelo yokuphefumla yendlela yokuphefumla ngokufanelekileyo.

Ukuphefumla kwakhona

Iindlela zokuphefumla, ezinje ngomlomo ophefumlayo, zinokukunceda:

• thatha umsebenzi ngaphandle kokuphefumla
• cothisa ukuphefumla kwakho
• Gcina umoya uhamba ixesha elide
• funda indlela yokuphumla

Ukwenza imilebe yokuphefumla, phumla umzimba wakho ongaphezulu kwaye uphefumle kancinci ngeempumlo zakho ukuya kubalo ezimbini. Emva koko coca imilebe yakho ngokungathi uza kubetha umlozi kwaye uphefumle kancinci ngomlomo wakho ukuya kubalo lwesine.

Iingcebiso nonyango

Abantu abaninzi abaneCOPD bafumanisa ukuba ukululekwa komntu ngamnye kuyasebenza ekunciphiseni uxinzelelo. Ukunyanga ngokuziphatha kwengqondo kunyango oluqhelekileyo olunceda ukunciphisa iimpawu zoxinzelelo ngokusebenzisa iindlela zokuphumla kunye nokuzilolonga ukuphefumla.

Ukucebisa ngamaqela kunye namaqela enkxaso anokukunceda ukuba ufunde indlela yokujongana neCOPD kunye noxinzelelo. Ukuba kunye nabanye abajongana nemicimbi efanayo yempilo kunokukunceda uzive ulilolo.

Ukuthatha

I-COPD inokubangela uxinzelelo ngokwaneleyo iyodwa. Ukujongana noxinzelelo ngaphezulu kwayo kunokuba nzima kwizinto, kodwa unokukhetha unyango. Ukuba uqala ukuqaphela iimpawu zoxinzelelo, thetha nogqirha wakho kwaye ufumane unyango ngaphambi kokuba luqale lubuchaphazele ubomi bakho bemihla ngemihla.

Uhlaselo loloyiko: Q&A

Q:

Yintoni ubudlelwane phakathi kokuhlaselwa kukothuka kunye neCOPD?

Isigulana esingaziwayo

A:

Xa une-COPD, uhlaselo loloyiko lunokuziva lufana kakhulu nokuphazamiseka kwengxaki yakho yokuphefumla. Unokuziva ngequbuliso intliziyo yakho ibaleka kwaye ukuphefumla kwakho kusiba nzima. Unokuqaphela ukuba ndindisholo kunye nokugungqa, okanye ukuba isifuba sakho siziva siqinile. Nangona kunjalo, uhlaselo lunkwantyo lunokuma lodwa. Ngokuba nesicwangciso sendlela yokujamelana nohlaselo lwakho, unokukwazi ukulawula iimpawu zakho kwaye uphephe uhambo olungeyomfuneko kwigumbi likaxakeka.

• Sebenzisa ukuphazamiseka ngokugxila kumsebenzi othile. Umzekelo: ukuvula nokuvala amanqindi akho, ukubala ukuya kuma-50, okanye ukuphinda ufunde ialfabhethi kuya kuyinyanzela ingqondo yakho ukuba ijolise kwenye into ngaphandle kwendlela oziva ngayo.
• Ukuphefumla ngomlomo ovunyiweyo okanye ezinye iindlela zokuphefumla zinokulawula iimpawu zakho. Ukucamngca okanye ukucula kunokuba luncedo ngokunjalo.
• Imifanekiso emihle: Yiba nomfanekiso wendawo ongathanda ukuba kuyo njengolwandle, idlelo elivulekileyo, okanye umlambo weentaba. Zama ukuzibona ulapho, uxolo kunye nokuphefumla kulula.
• Musa ukusela utywala okanye icaffeine, okanye ukutshaya xa uhlaselwa kukuphakuzela. Oku kunokuzenza mandundu iimpawu zakho. I-inhalers ayikhuthazwa.
• Fumana uncedo kumqeqeshi onokukufundisa ezinye izixhobo zokulawula unxunguphalo kunye noloyiko

UJudith Marcin, MD kwiNyango yoNyango loSapho Iimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.