ICystic fibrosis: yintoni, iimpawu eziphambili, izizathu kunye nonyango
Umxholo
- Iimpawu eziphambili
- Iingxaki ezinokwenzeka
- Indlela yokuqinisekisa ukuxilongwa
- Unyango lwenziwa njani
- 1. Ukusetyenziswa kwamayeza
- 2. Ukulungiswa kokutya
- 3. Iiseshoni zePhysotherapy
- 4. Utyando
ICystic fibrosis sisifo semfuza esichaphazela iprotein esemzimbeni, eyaziwa ngokuba yi-CFTR, nesiphumo sokuveliswa kweemfihlo ezinobungqingqwa kunye ne-viscous, ekunzima ukuziphelisa kwaye ekugqibeleni ziphelele ngaphakathi kumalungu ahlukeneyo, kodwa ngakumbi emiphungeni wokugaya ukutya.
Olu qokelelo lweemfihlo lunokuphela lubangele iimpawu ezichaphazela umgangatho wobomi, njengobunzima bokuphefumla, imvakalelo engapheliyo yokuphefumla kancinci kunye nosulelo lokuphefumla rhoqo. Ukongeza, kunokubakho iimpawu ezininzi zokuhlafuna ukutya, ezinje ngokuveliswa kwesitulo esinobunzima, esinamafutha kunye nesinukayo okanye ukuqhina, umzekelo.
Uninzi lwexesha, iimpawu ze-cystic fibrosis zibonakala ebuntwaneni kwaye esi sifo sifunyanwa kwangoko, nangona kunjalo, kukho abantu abaphantse babe neempawu kwaye, ke, banokuthi emva koko babenokuthi emva koko bafumane isifo. Ngayiphi na imeko, unyango kufuneka luqaliswe ngalo lonke ixesha, kuba sithintela isifo ukuba singabi mandundu kwaye sinceda ukulawula iimpawu, xa zikhona.
Iimpawu eziphambili
Iimpawu ze-cystic fibrosis zihlala zivela ngexesha lobuntwana, kodwa zinokwahluka ukusuka komnye umntu ukuya komnye. Olona phawu luphawu lwe-cystic fibrosis kukuqokelelwa kwencindi kwiindlela zomoya, ezithanda ukuqokelelwa kweentsholongwane kunye nokuphindaphinda kwezifo zokuphefumla, okukhokelela ekubonakaleni kwezinye iimpawu ezinje:
- Ukuziva uphefumla kancinci;
- Ukukhohlela okungapheliyo, ngephlegm okanye igazi;
- Ukubila xa uphefumla;
- Ubunzima bokuphefumla emva kokuzivocavoca;
- Sinusitis engapheliyo;
- Inyumoniya kunye ne-bronchitis rhoqo;
- Izifo ezenzeka rhoqo kwimiphunga;
- Ukubunjwa polyp ngeempumlo, nto leyo ehambelana ukukhula engaqhelekanga kwithishyu imigca impumlo. Qonda ukuba yintoni i-polyp yeempumlo kunye nendlela yokuyinyanga.
Ukongeza, abanye abantu banokuphuhlisa iimpawu zokugaya ukutya, ezinje:
- Ilindle ngevumba elibi, ubuninzi kunye nokutyeba;
- Urhudo oluqhubekayo;
- Isikhumba esimthubi namehlo;
- Ubunzima bokufumana ubunzima;
- Ukutyeba;
- Ukuqhinwa rhoqo;
- Ukutya;
- Ukungondleki okuqhubela phambili.
Ukongeza kwezi mpawu, kuqhelekile ukuba abantu abane-cystic fibrosis bafumane iintlungu ngokudibeneyo, ukonyuka kwamanqanaba eswekile yegazi kunye nokubila okunetyuwa, umzekelo.
Iingxaki ezinokwenzeka
Iingxaki ze-cystic fibrosis zichaphazela ikakhulu iinkqubo zokuphefumla, zokwetyisa kunye nokuzala. Ke, kunokubakho ukukhula kwe-bronchitis, i-sinusitis, i-pneumonia, i-nasal polyps, i-pneumothorax, ukusilela kokuphefumla, isifo seswekile, ukuthintelwa kwemibhobho yenyongo, isibindi kunye neengxaki zendlela yokwetyisa, i-osteoporosis kunye nokungachumi, ngakumbi kwimeko yamadoda.
Indlela yokuqinisekisa ukuxilongwa
Ukuchongwa kwe-cystic fibrosis kunokwenziwa xa kuzalwa kusetyenziswa uvavanyo lwesithende. Nangona kunjalo, ukuze kuqinisekiswe ukuxilongwa, kufuneka kwenziwe uvavanyo lokubila kunye novavanyo lwemfuza oluvumela ukuchongwa kwenguquko ejongene nesifo.
Ukongeza, kunokwenzeka ukuba kwenziwe uvavanyo lokuhambisa, eqinisekisa umngcipheko wokuba isibini sibe nabantwana abane-cystic fibrosis, kwaye olu vavanyo lwenziwa ikakhulu ngabantu abanembali yosapho.
Xa umntu engaxilwanga ekuzalweni okanye kwiinyanga zokuqala zobomi, isifo singenziwa ngovavanyo lwegazi ngenjongo yophando malunga nokutshintsha kwesifo, okanye ngenkcubeko yeesampulu zezinto ezivela ngomqala.nenjongo yokujonga ubukho beentsholongwane kwaye, ke, ukuvumela uxilongo, ukongeza kuvavanyo lwegazi lokuvavanya ezinye i-enzymes ezithile.
Uvavanyo lomsebenzi wePulmonary unokuyalelwa ngugqirha, kunye nesifuba X-reyi okanye ikhompyuter ye-tomography. Ezi mvavanyo zihlala zi-odolwa kulutsha nakubantu abadala abaneempawu zokuphefumla ezingapheliyo.
Unyango lwenziwa njani
Unyango lwe-cystic fibrosis luhlala lusenziwa ngokuthatha amayeza amiselweyo ngugqirha, i-physiotherapy yokuphefumla kunye nokubeka esweni ukutya okunesondlo, ukulawula isifo kunye nokuphucula umgangatho wobomi bomntu.
Ukongeza, utyando lunokusetyenziswa kwezinye iimeko, ngakumbi xa kukho ukuphazamiseka komsele okanye xa kukho iingxaki zokuphefumla.
1. Ukusetyenziswa kwamayeza
Amayeza e-cystic fibrosis asetyenziswa ngenjongo yokuthintela usulelo, ukuvumela umntu ukuba aphefumle ngokulula kwaye aphephe ukubonakala kwezinye iimpawu. Ke, amayeza aphambili anokubonakaliswa ngugqirha ngala:
- Iipenzyme zepancreatic, ekufuneka yenziwe ngomlomo, kwaye ejolise ekuqhubeni inkqubo yokwetyisa kunye nokufunxwa kwezondlo;
- Amayeza okubulala iintsholongwane ukunyanga nokukhusela usulelo lwemiphunga;
- Iibronchodilators, ezinceda ukugcina iindlela zomoya zivulekile kwaye ziphumle izihlunu ze-bronchial;
- Iimpawu zeMucolytics ukunceda ukukhulula i-mucus;
Kwiimeko apho inkqubo yokuphefumla iya isiba mandundu kwaye isigulana sineengxaki ezifana ne-bronchitis okanye inyumoniya, umzekelo, kusenokufuneka afumane ioksijini ngemaski. Kubalulekile ukuba unyango oluboniswe ngugqirha lulandelwe ngokomyalelo ukuze umgangatho wobomi bomntu uphucuke.
2. Ukulungiswa kokutya
Ukubeka esweni isondlo kwi-cystic fibrosis kubalulekile, kuba kuqhelekile ukuba ezi zigulana zinobunzima ekufumaneni ubunzima kunye nokukhula, ukunqongophala kwesondlo kwaye, ngamanye amaxesha, ukungondleki. Ke, kubalulekile ukucebisa isondlo sokondla ukutya kunye nokomeleza amajoni omzimba, ukulwa nosulelo. Ke, ukutya komntu one-cystic fibrosis kufuneka:
- Ukuba zizityebi kwiikhalori, njengoko isigulana singakwazi ukugaya konke ukutya esikutyayo;
- Yiba sisityebi kumanqatha kunye nakwiiprotheyini kuba abaguli abanazo zonke ii-enzymes zokugaya kwaye baphulukane nezakha mzimba esitulweni;
- Yongezelelwa ngezongezelelo zeevithamini A, D, E kunye noK, ukuze isiguli sibe nazo zonke izondlo esizifunayo.
Ukutya kufuneka kuqale kwakamsinya nje ukuba kufunyaniswe i-cystic fibrosis, kwaye ihlengahlengiswe ngokuhambelana nesi sifo. Funda ngakumbi malunga nokondla i-cystic fibrosis.
3. Iiseshoni zePhysotherapy
Unyango lwe-Physiotherapeutic ijolise ekuncedeni ukukhupha imfihlo, ukuphucula ukutshintsha kwegesi kwimiphunga, ukucoca iindlela zomoya kunye nokuphucula ukuphelelwa lixesha, ngokwenza imithambo yokuphefumla nezixhobo.Ukongeza, i-physiotherapy ikwanceda ukudibanisa amalungu kunye nezihlunu zesifuba, umva kunye namagxa ngokuzilolonga.
I-physiotherapist kufuneka ikhathalele ukuhlengahlengisa ubuchwephesha ngokweemfuno zomntu ukufezekisa iziphumo ezingcono. Kubalulekile ukuba unyango lwasemzimbeni lwenziwe ukusukela oko kwafunyanwa isifo, kwaye sinokwenziwa ekhaya okanye eofisini.
4. Utyando
Xa unyango ngamayeza alwanelanga ukunciphisa iimpawu kunye nokuthintela ukuqhubela phambili kwesifo, ugqirha usenokubonisa isidingo sotyando lwemiphunga. Ukongeza, utyando lungabonakaliswa xa i-mucus iphazamisa umjelo, iphazamisa ukusebenza komzimba. Qonda indlela ukufakelwa kwemiphunga kwenziwa ngayo kwaye xa kufuneka njalo.