Zeziphi iingozi zokuba neCOPD kunye nenyumoniya?

Umxholo

• COPD kwaye uyazi ukuba unenyumoniya
• Iingxaki zenyumoniya kunye neCOPD
• Iphathwa njani inyumoniya kubantu abaneCOPD?
• Amayeza okubulala iintsholongwane
• IiSteroids
• Unyango lokuphefumla
• Ngaba inyumoniya inokuthintelwa?
• Imbonakalo

COPD kunye nenyumoniya

Isifo esinganyangekiyo semiphunga (COPD) yingqokelela yezifo zemiphunga ezibangela ukuvalwa kwomoya kunye nokwenza ukuba kube nzima ukuphefumla. Ingakhokelela kubunzima obukhulu.

Abantu abaneCOPD banethuba lokuphuhlisa inyumoniya. I-pneumonia iyingozi kakhulu kubantu abane-COPD kuba ibangela umngcipheko okhulayo wokuphefumla. Yilapho umzimba wakho ungafumani oksijini yaneleyo okanye ungasusi ngempumelelo kwikharbon diokside.

Abanye abantu abaqinisekanga ukuba iimpawu zabo zivela kwi-pneumonia okanye kwi-COPD eqhubekayo. Oku kunokubangela ukuba balinde ukufumana unyango, okuyingozi.

Ukuba unayo i-COPD kwaye ucinga ukuba unokubonisa iimpawu zenyumoniya, tsalela ugqirha wakho kwangoko.

COPD kwaye uyazi ukuba unenyumoniya

Ukuqhuma kweempawu zeCOPD, ezaziwa njengokwanda, kunokubhideka neempawu zenyumoniya. Kungenxa yokuba ziyafana kakhulu.

Oku kunokubandakanya ukuphefumla okufutshane kunye nokuqinisa isifuba sakho. Rhoqo, ukufana kweempawu kunokukhokelela ekufumanekeni kwenyumoniya kwezi zineCOPD.

Abantu abane-COPD kufuneka bajonge ngononophelo kwiimpawu ezibonakalisa ngakumbi inyumoniya. Oku kubandakanya:

• Ukugodola
• ndingcangcazela
• ukwanda kwentlungu yesifuba
• umkhuhlane ophezulu
• intloko ebuhlungu nomzimba

Abantu abafumana i-COPD kunye ne-pneumonia bahlala benengxaki yokuthetha ngenxa yokunqongophala kweoksijini.

Banokuba nesikhohlela esityebileyo nesimnyama ngombala. Isikhohlela esiqhelekileyo simhlophe. Isikhohlela kubantu abaneCOPD kunye nenyumoniya sinokuluhlaza, tyheli, okanye igazi.

Amayeza amiselweyo ahlala enceda iimpawu zeCOPD azizukusebenza kwiimpawu zenyumoniya.

Funa unyango kwangoko ukuba ufumana ezi mpawu zingasentla zihambelana nenyumoniya. Kuya kufuneka uphinde ubone ugqirha ukuba iimpawu zakho zeCOPD ziba mandundu. Kubalulekile ukuba uqaphele:

• ukwanda kobunzima bokuphefumla, ukuphefumla kancinci, okanye ukubetha
• ukungazinzi, ukudideka, ukuthetha kakubi, okanye ukucaphuka
• ubuthathaka obungachazwanga okanye ukudinwa okuhlala ngaphezulu kosuku
• utshintsho kwisikhohlela, kubandakanya umbala, ubukhulu, okanye isixa

Iingxaki zenyumoniya kunye neCOPD

Ukuba ne-pneumonia kunye ne-COPD kunokubangela iingxaki ezinzulu, kubangele ukonakala ixesha elide kunye nokusisigxina kwimiphunga yakho nakwamanye amalungu aphambili.

Ukudumba okuvela kwinyumoniya kunokunciphisa umda wokuhamba komoya, onokonakalisa imiphunga yakho. Oku kunokuqhubela phambili ekuphumeleleni kokuphefumula, imeko enokubulala.

I-pneumonia inokubangela ukuphulukana neoksijini, okanye i-hypoxia, kubantu abane-COPD. Oku kunokukhokelela kwezinye iingxaki, kubandakanya:

• umonakalo kwizintso
• iingxaki zentliziyo, kubandakanya ukubetha kunye nokuhlaselwa yintliziyo
• umonakalo ongenakuguqulwa wobuchopho

Abantu abanetyala eliphambili le-COPD basemngciphekweni omkhulu weengxaki ezinzulu ezivela kwi-pneumonia. Unyango lwakwangoko lunokunceda ukunciphisa le mngcipheko.

Iphathwa njani inyumoniya kubantu abaneCOPD?

Abantu abane-COPD kunye ne-pneumonia badla ngokungeniswa esibhedlele ukuze bafumane unyango. Ugqirha wakho angayalela i-chest-x-ray, i-CT scan, okanye umsebenzi wegazi ukufumanisa inyumoniya. Banokuvavanya isampulu yesikhohlela sakho ukujonga usulelo.

Amayeza okubulala iintsholongwane

Ugqirha wakho unokukunika amayeza okubulala iintsholongwane. Ezi ziya kuthi zinikezwe ngokufaka ngaphakathi xa usesibhedlele. Kuya kufuneka uphinde uqhubeke nokuthatha ii-antibiotics ngomlomo emva kokuba ubuyele ekhaya.

IiSteroids

Ugqirha wakho unokumisela i-glucocorticoids. Banokunciphisa ukudumba kwimiphunga yakho kwaye bakuncede uphefumle. Ezi zinokunikwa nge-inhaler, ipilisi, okanye ngenaliti.

Unyango lokuphefumla

Ugqirha wakho uya kukuyalela amayeza kwi-nebulizers okanye kwi-inhalers ukuqhubeka nokunceda ukuphefumla kwakho kunye nokulawula iimpawu zeCOPD.

Ukuxhaswa kwe-oksijeni kunye ne-ventilator zingasetyenziselwa ukwandisa inani le-oxygen oyifumanayo.

Ngaba inyumoniya inokuthintelwa?

Icebisa ukuba abantu abaneCOPD bathathe amanyathelo okuthintela inyumoniya xa kunokwenzeka. Ukuhlamba izandla rhoqo kubalulekile.

Kukwabalulekile ukuba ugonyelwe:

• umkhuhlane
• ukukrala kwemiphunga
• I-tetanus, i-diphtheria, i-pertussis, okanye ukukhwehlela

Kuya kufuneka ufumane iyeza lokugonya umkhuhlane nyaka ngamnye kwakamsinya nje ukuba lifumaneke.

Iindidi ezimbini zokugonya inyumoniya ngoku ziyacetyiswa phantse kuwo wonke umntu oneminyaka engama-65 ubudala nangaphezulu. Ngamanye amaxesha, izitofu zokuthintela inyumoniya zinikwa kwangethuba ngokuxhomekeke kubume bempilo nakwimeko zonyango, ke thetha nogqirha wakho malunga noko kukulungeleyo.

Thatha amayeza akho e-COPD ngokuchanekileyo njengoko kumiselwe ngugqirha wakho. Oku kubalulekile ekulawuleni isifo sakho. Amayeza e-COPD anokunceda ekunciphiseni inani lokunyuka, ukucothisa ukuqhubela phambili komonakalo wemiphunga, kunye nokuphucula umgangatho wobomi.

Kuya kufuneka usebenzise amayeza e-over-the-counter (OTC) acetyiswa ngugqirha wakho. Amanye amayeza e-OTC anokusebenzisana namayeza amiselweyo.

Amanye amayeza e-OTC angenza ukuba iimpawu zakho zangoku zemiphunga zibi ngakumbi. Banokukubeka emngciphekweni wozela kunye nokuthomalalisa, okunokuqhubeka nokwenza nzima i-COPD.

Ukuba unayo iCOPD, sebenza ngokusondeleyo kunye nogqirha wakho ukukhusela iingxaki. Yeka ukutshaya ukuba awukenzi oko. Wena kunye nogqirha wakho unokuza nesicwangciso sexesha elide ukunceda ukunciphisa ukwanda kweCOPD kunye nomngcipheko wenyumoniya.

Imbonakalo

Ukuba unayo i-COPD, usemngciphekweni omkhulu wokuphuhlisa inyumoniya kunaleyo ingenayo iCOPD. Abantu abane-COPD exacerbation kunye ne-pneumonia banamathuba okuba neengxaki ezinzulu esibhedlele kunabo bane-COPD exacerbation ngaphandle kwe-pneumonia.

Ukufumanisa kwangaphambili i-pneumonia kubantu abane-COPD kubalulekile. Ukuxilongwa kwangoko kuhlala kukhokelela kwiziphumo ezingcono kunye nakwiingxaki ezimbalwa. Ngokukhawuleza ufumana unyango kwaye ufumane iimpawu phantsi kolawulo, ubuncinci obunokubonakalisa imiphunga yakho.