Ukhetho lwe5 kunyango lweCOPD

Umxholo

• Iibronchodilators
• ICorticosteroids
• Amayeza okubulala iintsholongwane
• Unyango lweoksijini
• Isibhedlele
• Ukuthintela ukwanda

Ushwankathelo lweCOPD

I-COPD, okanye isifo esinganyangekiyo semiphunga, sisifo esiqhelekileyo sesifo semiphunga. I-COPD ibangela ukuvuvukala emiphungeni yakho, ethi icuthe umoya. Iimpawu zingabandakanya ukuphefumla okufutshane, ukuvutha, ukudinwa, kunye nosulelo rhoqo lwemiphunga njenge-bronchitis.

Unokulawula i-COPD ngamayeza kunye notshintsho kwindlela ophila ngayo, kodwa ngamanye amaxesha iimpawu ziya zisiba mbi kunjalo. Oku kwanda kweempawu kubizwa ngokuba kukukhula okungaphezulu okanye ukuvutha komsindo. Olu nyango lulandelayo lunokunceda ukubuyisela ukuphefumla kwakho kwesiqhelo ngexesha le-COPD flare-up.

Iibronchodilators

Ukuba unayo i-COPD, kuya kufuneka ube nesicwangciso sokusebenza kugqirha wakho. Isicwangciso samanyathelo yingxelo ebhaliweyo yamanyathelo oza kuwenza xa kuthe kwakho ulusu.

Isicwangciso sakho sokwenza siya kuhlala sikukhokelela kwi-inhaler yakho esebenza ngokukhawuleza. I-inhaler igcwele amayeza abizwa ngokuba yi-bronchodilator ekhawulezayo. Eli yeza linceda ekuvuleni iindlela zakho ezivaliweyo. Inokuphefumla ngokulula kwimizuzu embalwa. I-bronchodilators esebenza ngokukhawuleza ibandakanya:

• albuterol
• ipratropium (Atrovent)
• levalbuterol (Xopenex)

Ugqirha wakho unokuyalela i-bronchodilator esebenza ixesha elide ukuba isetyenziselwe unyango. La mayeza angathatha iiyure ezininzi ukusebenza, kodwa anokukunceda uphefumle ngokukhululekileyo phakathi kokuqhushumba.

ICorticosteroids

Iicorticosteroids ziziyobisi ezichasayo ezithi zinciphise ngokukhawuleza ukudumba kwiindlela zakho zomoya. Ngexesha lokuphakama, ungathatha i-corticosteroid kwifom yepilisi. I-Prednisone yicorticosteroid emiselwe ngokubanzi kwi-COPD flare-ups.

ICorticosteroids ineziphumo ebezingalindelekanga ezininzi ezinokubakho. Oku kubandakanya ukuzuza ubunzima, ukuqunjelwa, kunye notshintsho kwiswekile yegazi kunye noxinzelelo lwegazi. Ngesi sizathu, i-corticosteroids yomlomo isetyenziswa kuphela njengesisombululo sethutyana seziqendu zeCOPD.

Amayeza e-Corticosteroid ngamanye amaxesha adityaniswa neziyobisi ze-bronchodilator kwi-inhaler enye. Ugqirha wakho unokusebenzisa le nyango ngokudibanisa. Imizekelo ibandakanya:

• budesonide / formoterol (Symbicort)
• i-fluticasone / i-salmeterol (i-Advair)
• i-fluticasone / i-vilanterol (uBreo Ellipta)
• I-mometasone / ifomoterolol (iDulera)

Amayeza okubulala iintsholongwane

Ukuba unayo i-COPD, imiphunga yakho ivelisa i-mucus engaphezulu kunemiphunga yomntu ophakathi. Ukugqithisa okungaphezulu kuphakamisa umngcipheko wosulelo lwebacteria, kunye nokuqaqamba kunokuba ngumqondiso wosulelo lwebacteria. Ngapha koko, uphononongo lubonakalisile ukuba malunga neepesenti ezingama-50 zeesampulu ze-mucus ezithathiweyo ngexesha lovavanyo lweCOPD lokuvavanywa okuhle kwiibhaktheriya.

Amayeza okubulala iintsholongwane anokulususa usulelo olusebenzayo, noluthi ke lunciphise ukuvuvukala komoya. Ugqirha wakho unokukunika amayeza okubulala iintsholongwane ukuze ugcwalise uphawu lokuqala.

Unyango lweoksijini

NgeCOPD, awunakufumana ioksijini eyaneleyo ngenxa yokuphefumla. Njengenxalenye yonyango oluqhubekayo, ugqirha wakho unokumisela unyango lweoksijini.

Unyango lweoksijini luyanceda ukukhulula ukuphefumla okufutshane okwenzeka ngexesha lokutsha. Ukuba unesifo semiphunga esihamba phambili, unokufuna unyango lweoksijini ngalo lonke ixesha. Ukuba akunjalo, unokufuna kuphela uncedo olongezelelweyo ngexesha lokuphakama. Unyango lwakho lweoksijini lunokwenzeka ekhaya okanye esibhedlele ngokusekwe kukubi kweflare-up.

Isibhedlele

Ukuba ukhe wahlala ne-COPD okwethutyana, mhlawumbi sele uqhele ukuphatha amaxesha ngamaxesha ekhaya. Kodwa ngamanye amaxesha, i-flare-up inokuba nzima okanye isongele ubomi. Kule meko, unokufuna unyango esibhedlele.

Ukuba unayo nayiphi na le mpawu, biza ugqirha wakho ngoko nangoko:

• iintlungu zesifuba
• imilebe eblue
• ukungaphenduli
• ukuphazamiseka
• ukudideka

Ukuba iimpawu zakho zinzima okanye ucinga ukuba unonyango olungxamisekileyo, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane.

Ukuthintela ukwanda

Ngelixa lonke olu nyango lunokuba luncedo, kungcono nangakumbi ukuba ungabi ne-flare-up kwasekuqaleni. Ukuthintela i-flare-up, yazi kwaye uphephe okubangela. I-trigger ngumcimbi okanye imeko edla ngokubangela ukuphazamiseka kweempawu zakho zeCOPD.

Umntu ngamnye one-COPD unezinto ezahlukeneyo ezibangela, ke sonke isicwangciso sokuthintela siya kwahluka. Nazi ezinye iingcebiso zokuphepha izinto eziqhelekileyo ezibangela:

• Yeka okanye uyeke ukutshaya, uze uyeke ukutshaya.
• Cela abantu osebenza nabo ukuba banganxibi ivumba eliqatha ecaleni kwakho.
• Sebenzisa iimveliso zokucoca ezingenasiseko ekhayeni lakho.
• Vala impumlo nomlomo ngelixa uphuma kubanda.

Ukongeza ekuthinteleni okubangela kwakho, gcina indlela yokuphila esempilweni ukunceda ukuthintela i-flare-ups. Landela ukutya okunamafutha asezantsi, ukutya okwahlukeneyo, fumana ukuphumla okuninzi, kwaye uzame umthambo omnene xa ukwazi. I-COPD yimeko engapheliyo, kodwa unyango olululo kunye nolawulo kunokugcina uzive ulunge kangangoko.