Unyango olongezelelekileyo lweCOPD: Imibuzo kugqirha wakho

Umxholo

• Yintoni ukongeza kunyango?
• 1. Yongeza inhaler
• 2. Amayeza ngomlomo
• 3. Amayeza okubulala iintsholongwane
• 4. Unyango lweoksijini
• 5. Ukuvuselelwa kwenkqubo yemiphunga
• 6. I-Mucus encinci
• 7. I-Nebulizer
• Zithini iziphumo ezinokubakho zonyango lokongeza?
• Ngaba lisebenza kangakanani unyango olongezwayo?
• Yise kude

Ukuba nesifo esinganyangekiyo semiphunga (COPD) kungenza kube nzima ukuphefumla. Unokufumana ukuvutha, ukukhwehlela, ukuqina kwesifuba, kunye nezinye iimpawu ezichaphazela ubomi bakho bemihla ngemihla.

Ngelixa kungekho lunyango lweCOPD, ukufumana unyango kunye nokwenza uhlengahlengiso olufanelekileyo kwindlela yokuphila kunokukunceda ulawule iimpawu zakho kwaye wonwabe kumgangatho wobomi.

Ukuba ufumene ukuba une-COPD emnene, uyeke icuba ukuba uyatshaya kwaye uphephe umsi wecuba elinokwanela ukulawula iimpawu zakho. Nge-COPD emodareyithayo okanye enzima, ugqirha wakho uya kuthi amisele iyeza lokuphumla izihlunu ezijikeleze umoya wakho kunye nokuphucula ukuphefumla kwakho.

I-Bronchodilators ngamanye amaxesha yindlela yokuqala yokuzikhusela ekuphuculeni ukukhwehlela okungapheliyo kunye nokuphefumla okufutshane. Oku kubandakanya i-bronchodilators emfutshane esebenza njenge-albuterol (ProAir) kunye nelevalbuterol (Xopenex HFA). Oku kuthathwa kuphela njengenyathelo lokuthintela nangaphambi kokusebenza.

I-bronchodilators esebenza ixesha elide kusetyenziso lwemihla ngemihla ibandakanya i-tiotropium (Spiriva), isalmeterol (Serevent Diskus), kunye nefomoterolol (Foradil). Ezinye zezi bronchodilators zinokudityaniswa ne-inhaled corticosteroid.

Ezi zi-inhalers zisa amayeza ngqo kwimiphunga. Ziyasebenza, kodwa ngokuxhomekeke kubukrakra beCOPD yakho, i-bronchodilator isenokungonelanga ukulawula iimpawu zakho. Unokufuna unyango olongezelelekileyo ukuphucula ukuphefumla kwakho.

Yintoni ukongeza kunyango?

Unyango olongezelelekileyo lweCOPD lubhekisa kulo naluphi na unyango olongezwe kule yakho yangoku.

I-COPD ichaphazela abantu ngokwahlukileyo. Iyeza elisebenzela omnye umntu alinakusebenzela omnye umntu. Abanye abantu baneziphumo ezibalaseleyo nge-inhaler ye-bronchodilator kuphela. Abanye bafuna unyango olongezelelekileyo.

Ukuba i-COPD yakho iya isiba mandundu kwaye awukwazi ukwenza imisebenzi elula ngaphandle kokuphefumla okanye ukukhwehlela, unyango olongezayo lunokunceda ukulawula iimpawu zakho.

Kukho ngaphezu kolunye uhlobo lokongezwa kweyeza kwiCOPD. Ugqirha wakho unokuncomela unyango olongezelelweyo ngokubhekisele kubukhali beempawu zakho.

1. Yongeza inhaler

Ugqirha wakho unokumisela enye i-inhaler ukuba ayithathe kunye ne-bronchodilator yakho. Oku kubandakanya i-inhaled steroid yokunciphisa ukudumba kwiindlela zakho zomoya. Ungasebenzisa inhaler eyahlukileyo ye-steroid, okanye indibaniselwano enamayeza e-bronchodilator kunye ne-steroid. Endaweni yokusebenzisa ii-inhalers ezimbini, kuya kufuneka usebenzise enye.

2. Amayeza ngomlomo

I-inhaled steroids iyacetyiswa kubantu abafumana ukonyuka rhoqo kweCOPD. Ukuba une-flares ebukhali, ugqirha wakho unokumisela i-steroid yomlomo kangangeentsuku ezintlanu ukuya kwezisixhenxe.

I-Oral steroids iyanciphisa ukuvutha komoya. Oku akukhuthazwa ukuba kusetyenziswe ixesha elide, kunikwe inani leziphumo ebezingalindelekanga ezinokubakho.

Olunye unyango olongezelelekileyo onokuthi uluthathe nge-bronchodilator ngumlomo we-phosphodiesterase-4 inhibitor (PDE4). La mayeza anceda ukunciphisa ukudumba komoya.

Unokuthatha i-theophylline ukukhulula izihlunu ezijikeleze umoya. Olu luhlobo lwebronchodilator esetyenziswa njengonyango olongezelelekileyo lweCOPD olungalawulwa kakuhle. Ngamanye amaxesha idityaniswa ne-bronchodilator emfutshane.

3. Amayeza okubulala iintsholongwane

Ukuphuhlisa usulelo lokuphefumula njenge-bronchitis, inyumoniya, okanye umkhuhlane kunokwenza ukuba iimpawu zeCOPD zibe mbi.

Ukuba ukwandisiwe ukuvutha, ukukhwehlela, ukuqina kwesifuba, kunye neempawu ezinje ngomkhuhlane, bona ugqirha. Unokufuna i-antibiotiki ukunyanga usulelo kwaye ukhulule iimpawu zakho zeCOPD.

4. Unyango lweoksijini

I-COPD enamandla inokufuna ioksijini eyongezelelweyo ukuhambisa ioksijini eyongezelelweyo kwimiphunga yakho. Oku kunokwenza kube lula ukugqibezela imisebenzi yemihla ngemihla ngaphandle kokufumana ukuphefumla.

5. Ukuvuselelwa kwenkqubo yemiphunga

Ukuba ufumana ukuphefumla okufutshane emva kokuzivocavoca, ukunyuka kwizitepsi, okanye ukuzikhandla kwakho, unokufumana inzuzo ekubuyiselweni kwemiphunga. Olu hlobo lwenkqubo yokubuyisela kwimeko yesiqhelo ifundisa imithambo kunye neendlela zokuphefumla ezomeleza imiphunga yakho kunye nokunciphisa ukuphefumla.

6. I-Mucus encinci

I-COPD inokwandisa imveliso ye-mucus. Amanzi okusela kunye ne-humidifier inokucoca okanye ikhulule i-mucus. Ukuba oku akuncedi, buza ugqirha wakho malunga neepilisi ze-mucolytic.

Amacwecwe eMucolytic ayilelwe ukuba acofe i-mucus, eyenza kube lula ukukhohlela. Iziphumo ebezingalindelekanga ze-mucus thinner zibandakanya umqala obuhlungu kunye nokukhohlela okwandayo.

7. I-Nebulizer

Unokufuna i-nebulizer yeCOPD enzima. Olu nyango luguqula iyeza elingamanzi libe yinkungu. Uya kuphefumlela inkungu ngesigqubuthelo sobuso. I-Nebulizers ihambisa amayeza ngqo kwindawo yakho yokuphefumla.

Zithini iziphumo ezinokubakho zonyango lokongeza?

Ngaphambi kokukhetha unyango olongezelelekileyo lweCOPD, qiniseka ukuba uyaziqonda iziphumo ebezingalindelekanga zesicwangciso esithile sonyango. Ezinye zithambile kwaye ziyancipha njengoko umzimba wakho uhlengahlengisa amayeza.

Iziphumo ebezingalindelekanga ezinokubakho ze-steroids zibandakanya umngcipheko ophezulu wosulelo kunye nokugruzuka. Ukusetyenziswa kwexesha elide kwe-steroid kunokubangela ukutyeba, ukubetha kwamehlo, kunye nomngcipheko okhulayo we-osteoporosis.

Amayeza omlomo afana ne-PDE4 inhibitors anokubangela urhudo kunye nokwehla kobunzima. Iziphumo ebezingalindelekanga ze-theophylline zinokubandakanya isicaphucaphu, ukubetha kwentliziyo okukhawulezayo, ukungcangcazela, kunye nentloko.

Ngaba lisebenza kangakanani unyango olongezwayo?

Injongo yokongezwa kweyeza kwi-COPD kukulawula ukunyanzeliswa. Inokunciphisa ukukhula kwesifo.

Abantu baphendula ngendlela eyahlukileyo kunyango. Uya kusebenza ngokusondeleyo kunye nogqirha wakho ukufumana unyango olongezelelekileyo olulungele ukulawula iimpawu zakho. Ugqirha wakho unoku-odola uvavanyo lomsebenzi we-pulmonary ukuvavanya ukuba imiphunga isebenza njani, kwaye emva koko ucebise ngokongeza kunyango olusekwe kwezi ziphumo.

Nangona kungekho nonyango ye-COPD, unyango lunokunceda abantu abanemeko ukuba baphile ubomi obonwabileyo nobuzeleyo.

Yise kude

Ukuba iimpawu zakho zeCOPD azikhange ziphuculwe kunyango lwakho lwangoku, okanye ziya zisanda, thetha nogqirha wakho. Unyango olongezelelekileyo oluthathwe nge-bronchodilator lunokuphucula ukusebenza kwemiphunga, likuvumela ukuba uphile ngaphandle kokuvutha, ukukhwehlela, okanye ukuphefumla okungapheliyo.