Intsangu kunye neCOPD: Ngaba lukhona unxibelelwano?

Umxholo

• Indlela intsangu kunye nokutshaya imikhwa kuchaphazela ngayo imiphunga yakho
• Umda wophando kwizibonelelo zempilo kunye nomngcipheko wentsangu
• Ulwahlulo lweMarijuana
• Ukulandelwa komgangatho
• Ukulandelela ukusetyenziswa
• Iimpawu zokujonga
• Ukuchonga iCOPD
• Yise kude

Ushwankathelo

Isifo esinganyangekiyo semiphunga (COPD) esidityaniswa nokuphefumla. Ngesi sizathu, abaphandi banomdla wokunxibelelana phakathi kweCOPD kunye nokutshaya intsangu.

Ukusetyenziswa kwentsangu akuqhelekanga. Uvavanyo lukazwelonke ngo-2017 lubonise ukuba iipesenti ezingama-45 zabantu abadala kwizikolo zamabanga aphakamileyo baxele ukusebenzisa intsangu ebomini babo. Phantse iipesenti ezi-6 bathi bayisebenzisa yonke imihla, ngelixa ukusetyenziswa kwecuba imihla ngemihla bekuyiipesenti ezi-4.2 kuphela.

Ukusetyenziswa phakathi kwabantu abadala kuyakhula ngokunjalo. Qaphela ukuba ukusetyenziswa kwentsangu kuphindwe kabini phakathi kwabantu abadala base-US kwisithuba seminyaka elishumi. Ngo-2018, olona nyuso lukhulu lokusetyenziswa kwentsangu ukusukela ngo-2000 luphakathi kwabantu abadala abaneminyaka engama-50 nangaphezulu.

I-COPD ligama lesambrela elichaza iimeko ezingapheliyo zemiphunga ezinje nge-emphysema, i-bronchitis engapheliyo, kunye neempawu ezinje ngesifuba. Yimeko eqhelekileyo kubantu abanembali yokutshaya.

Ngapha koko, kuqikelelwa ukuba iipesenti ezingama-90 zabantu abaneCOPD batshaya okanye batshaya ngoku. E-United States, malunga nezigidi ezingama-30 zabantu bane-COPD, kwaye isiqingatha sabo asazi.

Ngaba ukutshaya i-marijuana kunokunyusa umngcipheko weCOPD? Funda ukuze ufunde ukuba bafumene ntoni abaphandi malunga nokusetyenziswa kwentsangu kunye nempilo yemiphunga.

Indlela intsangu kunye nokutshaya imikhwa kuchaphazela ngayo imiphunga yakho

Umsi wentsangu uqulethe uninzi lweekhemikhali ezifanayo nomsi wecuba. Intsangu nayo inezinga eliphezulu lokutsha, okanye inqanaba lokutsha. Iziphumo zexesha elifutshane zokutshaya intsangu kunokuxhomekeka kwidosi.

Nangona kunjalo, ukusetyenziswa rhoqo kwentsangu kunokunyusa umngcipheko wempilo yokuphefumla. Ukutshaya intsangu ixesha elide kunoku:

• ukwandisa iziqephu zokukhwehlela
• yandisa imveliso yencindi
• umonakalo inwebu yencindi
• ukwanda kwengozi yosulelo lwemiphunga

Kodwa yimikhwa enokudlala eyona ndima inkulu kwimpilo yonke yemiphunga. Abantu bahlala betshaya intsangu ngokwahlukileyo kunokubhema icuba. Umzekelo, banokubamba umsi ixesha elide nangaphezulu emiphungeni kunye nomsi kubude obufutshane bempundu.

Ukubamba emsini kuchaphazela isixa setha imiphunga egcina. Xa kuthelekiswa nokutshaya icuba, uphononongo luka-2014 lwezifundo lubonisa ukuba ubuchwephesha bokuthambisa intsangu kubangela ukuba irhafu iphindwe kane. Itha yesithathu engaphezulu ingena kwiindlela zomoya ezisezantsi.

Ukungenisa ixesha elide nangaphezulu kuyayinyusa ingxinano ye-carboxyhemoglobin egazini lakho izihlandlo ezihlanu. ICarboxyhemoglobin yenziwa xa iibhondi zecarbon monoxide kunye nehemoglobin egazini lakho.

Xa utshaya, uphefumla i-carbon monoxide. Kunokwenzeka ukuba ubophe kwi-hemoglobin kune-oxygen. Ngenxa yoko, i-hemoglobin yakho ithwala i-carbon monoxide engaphezulu kunye neoksijini encinci egazini lakho.

Umda wophando kwizibonelelo zempilo kunye nomngcipheko wentsangu

Kukho umdla obalulekileyo ekufundeni intsangu. Izazinzulu zifuna ukufunda malunga nonyango kunye neenjongo zokuphumla kunye nolwalamano lwayo ngqo kwimicimbi yemiphunga efana neCOPD. Kodwa kuninzi ukusikelwa umda kwezomthetho, kwezentlalo, kunye nokusebenza.

Izinto ezichaphazela uphando kunye neziphumo zibandakanya:

Ulwahlulo lweMarijuana

Intsangu sisiyobisi seShedyuli 1. Oku kuthetha ukuba iU.S.Ukutya kunye noLawulo lweeDrug aluqwalaseli ichiza ukuba libe nenjongo yonyango. Ishedyuli 1 iziyobisi zihlelwa ngolu hlobo kuba kucingelwa ukuba zinamathuba aphezulu okuphathwa gadalala.

Ulwahlulo lweMarijuana lwenza ukuba ukusetyenziswa kwayo kubize kwaye kudle ixesha.

Ukulandelwa komgangatho

Inani le-THC kunye nezinye iikhemikhali zentsangu zingatshintsha ngokusekwe kubunzima. Iikhemikhali eziphefumlelweyo zingatshintsha ngokusekwe kubungakanani becuba okanye ungakanani umsi ophefumlelweyo. Ukulawula umgangatho kunye nokuthelekisa kwizifundo kunokuba nzima.

Ukulandelela ukusetyenziswa

Kunzima ukugcina umkhondo wokuba zingakanani izithako ezisebenzayo ezisetyenzisiweyo. Umntu ophakathi akakwazi ukuchonga idosi ayitshayileyo. Uninzi lwezifundo zikwajolisa rhoqo kusetyenziso kodwa zingahoyi ezinye iinkcukacha ezinokuchaphazela impilo kunye neziphumo zesifundo.

Ezi zinto zibandakanya:

• ubungakanani ngokudibeneyo
• ubunzulu bendlela umntu atshaya ngayo ilunga
• ingaba abantu babelana ngamalungu
• Ukusetyenziswa kombhobho wamanzi okanye umphunga

Iimpawu zokujonga

Nangona uphando lunqunyelwe kwi-marijuana, ukutshaya nantoni na kunokuba yimpilo kwimiphunga yakho. Uninzi lweempawu zeCOPD azibonakali de imeko iqhubele phambili kwaye isixa esithile somonakalo wemiphunga senzekile.

Okwangoku, gcina iliso kwezi mpawu zilandelayo:

• ukuqhawukelwa ngumphefumlo
• ukuvutha
• ukukhwehlela okungapheliyo
• ukuqina kwesifuba
• ukubanda rhoqo kunye nezinye izifo zokuphefumla

Iimpawu ezinzulu zeCOPD zihamba kunye nomonakalo omkhulu wemiphunga. Ziquka:

• ukudumba ezinyaweni, emilenzeni nasezandleni
• ukwehla kakhulu kobunzima
• ukungakwazi ukubamba umphefumlo wakho
• Iinzipho okanye imilebe eluhlaza okwesibhakabhaka

Biza ugqirha wakho ngoko nangoko ukuba unazo naziphi na kwezi mpawu, ngakumbi ukuba unembali yokutshaya.

Ukuchonga iCOPD

Ukuba ugqirha wakho ukrokrela ukuba une-COPD, baya kukubuza malunga neempawu zakho kwaye benze uvavanyo olupheleleyo lomzimba. Ugqirha wakho uya kusebenzisa i-stethoscope ukumamela nakuphi na ukugqabhuka, ukuphuma, okanye ukuvutha emiphungeni yakho.

Uvavanyo lomsebenzi wepulmonary lunokunceda ugqirha wakho abone ukuba imiphunga yakho isebenza kakuhle kangakanani. Kolu vavanyo, uvuthela ityhubhu edibanisa kumatshini obizwa ngokuba yi-spirometer. Olu vavanyo lubonelela ngolwazi olubalulekileyo malunga nomsebenzi wemiphunga yakho xa kuthelekiswa nemiphunga esempilweni.

Iziphumo zinceda ugqirha wakho ukuba athathe isigqibo sokuba ngaba kufuneka iimvavanyo ezingaphezulu na okanye ukuba ichiza likagqirha lingakunceda uphefumle ngcono.

Yazisa ugqirha wakho ukuba ngaba kukho enye yezi zinto zisebenza kuwe. I-COPD ayinakunyangeka, kodwa ugqirha wakho unokukunceda ulawule iimpawu zonyango kunye notshintsho kwindlela ophila ngayo.

Yise kude

Abaphandi basazama ukufumanisa ukuba ukutshaya intsangu kukonyusa umngcipheko weCOPD. Izifundo kwisifundo zilinganiselwe kwaye zineziphumo ezixubeneyo.

Ukuphononongwa ngo-2014 kwezifundo ezivavanye ukuba ukusetyenziswa kwentsangu kubangela ukuba isifo semphunga sexesha elide sifumanise ukuba uninzi lweesampulu zazincinci kakhulu ukuba iziphumo zingafikelelwa.

Ngokubanzi, ingaba umntu uphefumla into ethile kangakanani na uxela kwangaphambili iziphumo ezingalunganga kwimpilo yabo yemiphunga. Kubantu abane-COPD, akukho ndlela yokuphefumla nayiphi na into ethathwa njengekhuselekileyo okanye ingozi ephantsi.

Ukuba ufuna ukuyeka ukutshaya ukunciphisa umngcipheko weCOPD kodwa kufuneka uthathe intsangu ngenxa yezizathu zonyango, thetha nogqirha wakho. Unokuxoxa ngezinye iindlela zokuyithatha, njengeepilisi zeepilisi okanye ukutya.

Ukuba ufuna ukuyeka intsangu ngokupheleleyo, landela ezi ngcebiso: