Indlela yokuchonga nokunyanga isifo esinganyangekiyo sePulmonary

Umxholo

• Iimpawu eziphambili
• Indlela yokuchonga
• Ungayiphatha njani i-COPD
• I-Physiotherapy yeCOPD

I-COPD, ekwabizwa ngokuba sisifo esinganyangekiyo semiphunga, sisifo esiqhubayo sokuphefumla esinganyangekiyo, kwaye sibangela iimpawu ezinjengokuphefumla kancinci, ukukhohlela kunye nobunzima bokuphefumla.

Sisiphumo sokudumba kunye nokonakala kwemiphunga, ikakhulu ngenxa yokutshaya, njengoko umsi kunye nezinye izinto ezikhoyo kwisigarethi ngokuthe ngcembe zibangela ukutshatyalaliswa kwezicubu ezenza indlela yomoya.

Ukongeza kwimidiza, eminye imingcipheko yokuphuhlisa i-COPD kukuvezwa ngumsi osuka kwi-oveni yeenkuni, ukusebenza kwimigodi yamalahle, ukutshintsha kwemfuza kwemiphunga, kunye nokuvezwa komsi wecuba labanye abantu, kukutshaya nje.

Iimpawu eziphambili

Ukudumba okubangelwa yimiphunga kubangela ukuba iiseli kunye nezicubu zingasebenzi kakuhle, ngokuvulwa komoya kunye nokubanjiswa komoya, okuyi-emphysema, ukongeza kukungasebenzi kakuhle kwamadlala avelisa intsholongwane, okubangela ukukhohlela kunye nokuveliswa kwemfihlo yokuphefumla, yibronchitis.

Ke, iimpawu eziphambili zezi:

• Ukukhwehlela rhoqo;
• Ukuveliswa kwephlegm eninzi, ngakumbi kusasa;
• Ukuphefumla okufutshane, okuqala kancinci, kuphela xa usenza iinzame, kodwa ngokuthe ngcembe kuya kusiba kubi, kude kube kubi ngakumbi kwaye kufikelele kwinqanaba apho likhoyo naxa limisiwe.

Ukongeza, abantu abanesi sifo banokuba nezifo zokuphefumla rhoqo, ezinokuthi ziqhubeke zisiba mandundu ngakumbi iimpawu, ngokuphefumla okungaphezulu kunye nokufihlakala, imeko ebizwa ngokuba yiCOPD eyandisiweyo.

Indlela yokuchonga

Ukuchongwa kweCOPD kwenziwa ngugqirha oqhelekileyo okanye ugqirha wamaphaphu, ngokusekwe kwimbali yezonyango kunye novavanyo lomzimba, ukongeza kuvavanyo olufana nesifuba iX-reyi, isifuba esenziwe ikhompyuter itomografi, kunye novavanyo lwegazi, ezinje ngeegesi zegazi, ezibonisa utshintsha ubume nokusebenza kwemiphunga.

Nangona kunjalo, isiqinisekiso senziwa ngovavanyo olubizwa ngokuba yi-spirometry, olubonisa inqanaba lokuthintelwa komoya kunye nomyinge womoya umntu anokuwuphefumla, oko ke kusibeka esi sifo njengobumnene, ngokulinganayo nangokuqatha. Fumanisa ukuba yenziwa njani i-spirometry.

Ungayiphatha njani i-COPD

Ukunyanga i-COPD kubalulekile ukuba uyeke ukutshaya, kuba kungenjalo, ukudumba kunye neempawu ziya kuqhubeka zisiba mandundu, kwanokusetyenziswa kwamayeza.

Amayeza asetyenzisiweyo ikakhulu yimpompo yokufaka inhalation, emiselwe ngugulmonologist, equlathe izinto ezisebenzayo ezivula iindlela zomoya ukuvumela umoya ukuba udlule kunye nokunciphisa iimpawu, ezinje:

• Iibronchodilators, ezinje ngeFenoterol okanye iAcebrofilina;
• I-Anticholinergics, njenge Ipratropium Bromide;
• I-Beta-agonists, ezinje ngeSalbutamol, Fenoterol okanye iTerbutaline;
• ICorticosteroids, ezinjengeBeclomethasone, iBudesonide kunye neFluticasone.

Elinye iyeza elisetyenziselwa ukunciphisa ukukhutshwa kwe-phlegm yi-N-acetylcysteine, enokuthi ithathwe njengecwecwe okanye isingxobo esixutywe emanzini. I-Corticosteroids kumacwecwe okanye emthanjeni, njenge-prednisone okanye i-hydrocortisone, umzekelo, isetyenziswa kuphela kwiimeko zokuxakekisa okanye ukuwohloka ngokuqatha kweempawu.

Ukusetyenziswa kweoksijini kuyimfuneko kwiimeko ezinzima, ngokubonakaliswa kwezonyango, kwaye kufuneka kwenziwe kwiphetshana leoksijini lempumlo, kangangeyure ezimbalwa okanye ngokuqhubekekayo, kuxhomekeke kwimeko nganye.

Kwimeko yokugqibela, kungenziwa utyando, apho kususwa khona inxenye yemiphunga, kwaye inenjongo yokunciphisa ivolumu kunye nokubanjiswa komoya emiphungeni. Nangona kunjalo, olu tyando lwenziwa kuphela kwiimeko ezinzima kakhulu kwaye apho umntu anokuyinyamezela le nkqubo.

Kuyenzeka ukuba uthathe amanyathelo okhuseleko, njengokuhlala kwindawo entle xa ulele, ukuququzelela ukuphefumla, ukhetha ukushiya ibhedi ithambile okanye ihleli kancinci, ukuba kunzima ukuphefumla. Ukongeza, kubalulekile ukwenza imisebenzi ngaphakathi kwemida, ukwenzela ukuba ukuphefumla okufutshane kungabi nzima kakhulu, kwaye ukutya kufuneka kwenziwe ngoncedo lwe-nutritionist ukuze izondlo eziyimfuneko zokubonelela ngamandla zithathelwe indawo.

I-Physiotherapy yeCOPD

Ukongeza kunyango, unyango lokuphefumla luyacetyiswa njengoko linceda ukuphucula amandla okuphefumla kunye nomgangatho wobomi babantu abaneCOPD. Injongo yolu nyango kukunceda ekubuyiseleni kwimeko yesiqhelo yokuphefumla, oko ke kunciphise iimpawu, iidosi zamayeza kunye nesidingo sokulaliswa esibhedlele. Jonga ukuba yenzelwe ntoni kwaye yenziwa njani i-physiotherapy yokuphefumla.