Ungayandisa kanjani izinga lakho lamandla uma unesi-COPD?
Ungabhekana kanjani nesifo sonke esivamile sokukhathala ngesifo se-chronic obstructive pulmonary ( COPD )? Ake sibuke ukuthi yini ebangela ukukhathala kubantu abane-COPD bese wabelana ngamanye amathiphu wokuthi ungakwandisa kanjani amandla akho.
Ukuqonda ukukhathala
Ukukhathala-ukucabanga okuzithobayo kokukhathala okuvamile, ukukhathala noma ukuntuleka kwamandla-kuhluke kunokukhathala okujwayelekile.
Akuyona indlela yokukhathala okuthuthukisa ubusuku obuhle bokulala noma indebe enhle yekhofi. Ngeshwa, libuye lisibonakaliso esingaqondakali kahle ngesifo esithathelwanayo se-pulmonary chronic obstructive.
Ukukhathala kungaba nomthelela obalulekile kakhulu kubantu abaphila neCOPD. Eqinisweni, kuyilapho i- dyspnea (inzwa yokuphefumula kanzima) isalokhu isifo esiyinhloko esiyingozi esihambisana ne-COPD, ukukhathala kubaluleke kakhulu uma kuziwa emthelela omubi wesifo.
Ngokuvamile, ukukhathala kwenzeka uma cishe abantu abaningi abaneCOPD njengoba kwenza abantu abaningi. Kuzo zonke lezi zizathu, kubalulekile ukuxoxa hhayi kuphela ukuthi yini engabangela ukukhathala kwakho, kodwa ukuthi yini ongayenza namhlanje ukuze ubhekane nalesi simpawu kangcono.
Izimbangela Zokukhathala Nge-COPD
Kungani abantu abaneCOPD bezwa ukukhathala? Impendulo ayilula, futhi kungenzeka ukuthi kunezici eziningi ezisebenza ndawonye ukuze zenze ukukhathala.
Ezicwaningweni, izinga lokunyuka lokukhathala elitholakala kubantu abane- moderation kuya kwe- COPD elinamandla kuthiwa lihlotshaniswa nalokhu:
- Ukwanda komthamo wokukhubazeka kwamapulmeri-Umzamo omkhulu odingekayo wokuphefumula, amandla amaningi asulwa emzimbeni
- Ukunciphisa ukubekezela kokuzivocavoca -Siyazi ukuthi ukuvivinya umzimba ngisho nemali encane kunganciphisa ukukhathala, kanti i-COPD ingafaka ukulinganiselwa okuphawulekayo ekutholeni lowo msebenzi
- Ukuphazamiseka kwekhwalithi yokuphila
- Ukucindezeleka-Ukucindezeleka kuyinhlangano eyaziwa kakhulu yokukhathala futhi kuvamile kubantu abane-COPD
Ucwaningo olwengeziwe lubonisa ukuthi ukuzwa kokukhathala okuhlobene ne-COPD kungahle kuhlotshaniswe nesikhathi esinciphile esichithwa ngaphandle, imvamisa yokukhuphuka konyaka we-COPD, kanye nokushintsha okulandelayo ekusebenzeni:
- Ukunciphisa isisindo nesisindo somzimba
- I-hypoxemia , noma ukuncipha kwe-oksijini emathisini, kunomthelela ekukhatheni ezingeni leselula
- Ukunciphisa amandla nokukhuthazela
- Ukunciphisa ukuqaphela-Ukukhathala ngenxa ye-COPD kuhlotshaniswa nezinkinga ngenkumbulo nokuxazulula izinkinga
- Ukuphindaphindiwe kwezifo zokuphefumula-Ngisho nalabo abangenayo inothi le-COPD ukunciphisa amandla lapho bebhekana nezifo zokuphefumula, futhi lezi zifo zivame ne-COPD
Izindlela 10 Zokuphatha Ukukhathala
Njengoba kunikezwe amazinga aphezulu okukhathala ahlobene ne-COPD, kunenhlanhla ukuthi kunezinyathelo eziningi zokukhathala-nezindlela ongazongeza empilweni yakho nsuku zonke.
Ukuzivocavoca njalo
Abantu abavame ukuzivocavoca bavame ukubika amazinga aphansi okukhathala nokuthuthukiswa kwekhwalithi yokuphila kunelabo abahlala phansi kakhulu. Akukhona nje kuphela ongakwenza ukuthuthukisa impilo yakho, kodwa kuhlotshaniswa nokuphila isikhathi eside kulabo abahlala neCOPD kanye.
Uma kuziwa ekuzivocavoca nge-COPD, inhlanganisela yokuzivocavoca umzimba (ukukhuthazela kwenhliziyo) nokuzivocavoca umzimba kubalulekile. Uma ucabangela izinketho zakho, kubalulekile ukuqala kancane. Siyazi kusukela kuzo zonke izinqumo zonyaka omusha eziphukile emhlabeni wonke ukuthi abantu abaningi abahambisani namasu okushintsha ngokuphelele indlela yabo yokuphila. Ukuqaphela lokhu, cabanga ngemisebenzi oyithandayo kakhulu. Isibonelo singase sibe nezingadi. Kuyiqiniso ukuthi ukulima kungaba uhlobo oluhle lokuzivocavoca, kodwa abantu abaningi "bayakhohlwa" abasebenzisa njengoba bejabule ngalokho abakwenzayo. Ngakolunye uhlangothi, abanye bathola ingadi ukuba yinto engenzi lutho, futhi omunye umsebenzi uzoba ngcono kakhulu.
Umsebenzi abaningi abakujabulela ukuhamba, futhi kunezinzuzo eziningi ngokuhamba no-COPD . Cabanga ngezindlela zokwenza kube mnandi. Ucabangele i-Geocaching? I-Geocaching iyindlela eyodwa yokudala imigomo yokuhamba ngaphandle kokuqaphela ukuthi uhamba ngempilo yakho. Unomngane noma ilunga lomndeni ongahamba naye? Ukuba nomuntu onokuphendula kuye kungandisa amathuba akho wokunamathela ngomsebenzi. Ungase ufise ukubuka lezi zivivinyo ezinhle kakhulu zabantu abane-COPD .
Yidla ukudla okunomsoco
Ungase ukhumbule amaphosta athi "yilokho okudlayo" kusukela ebuntwaneni. Kukhona ngempela iqiniso elikhulu kulowo mkhuba, futhi ukudla okunempilo okugcwele ukudla okukhiqiza amandla kungenza umehluko omkhulu kubantu abahlala neCOPD nezinye izimo ezingapheli.
Ngezinye izikhathi kungaba nzima ukwazi ukuthi ungaqala kuphi uma kuziwa ekudleni ukudla okunempilo. Into ebalulekile ukwazi ukuthi akudingeki ushintshe indlela yakho yokudla ubusuku bonke. Ngokuvamile ukuthatha "izinyathelo zengane" kunalokho, okuholela ekuguqulweni okuhle nokuhlala njalo emidlalweni yokudla.
Njengokuzivocavoca, kusiza ukudla ukudla okumnandi. Zama ukungeza ukudla okuncane okujabulisayo nokuphilile ekudleni kwakho ngesonto ngalinye. Abanye abantu benza umgomo wokudla okungenani imifino eyodwa ye-cruciferous nsuku zonke. Njengoba i-COPD iyingozi yokuzimela komdlavuza wamaphaphu , ufuna ukungeza kwezinye zalezi zinsuku eziphezulu ezicatshangwa ukunciphisa ingozi yomdlavuza wamaphaphu , kokubili ngezinzuzo zokuvimbela kanye nezinzuzo zazo zamanje ekusizeni umzimba wakho ukubhekana nokucindezeleka I-COPD. Funda kabanzi mayelana nokudla kwabantu abane-COPD .
Yidla ikusasa njalo ekuseni
Ukudla kwasekuseni ekuseni ngalunye kubalulekile, njengoba nje sitshelwa njalo. Noma kunjalo, nge-COPD, ingafaka amaphini amabili. Okokuqala, kungakunika amandla okuqala okudingekayo uma udinga ukukhathala okuhlobene ne-COPD.
Ukudla kwasekuseni okuhle, noma kunjalo, kuyisipho emzimbeni wakho oqhubeka unikeza. Ukudla kwasekuseni okunempilo, ikakhulukazi okufaka izithelo namaprotheni, kungakuvimbela ukuba ungazwa imiphumela yokukhipha amandla okukhathala usuku lonke.
Thola okuningi kokuphumula
I-National Sleep Foundation ithi abantu abaningi abadala badinga ukulala phakathi kwamahora angu-7 nesishiyagalolunye ebusuku. Eqinisweni, ukungalali kuhlotshaniswa kakhulu namazinga okhathala kanye neminye yeminye yempilo, kuhlanganise nokukhuluphala ngokweqile nesifo sikashukela.
Isinyathelo sokuqala ekuqinisekiseni ukulala okuhle ukuqhuba imikhuba emihle yokulala . Okufanelekile, kufanele ulale futhi uvuke cishe ngesikhathi esifanayo usuku ngalunye. Lahla noma yikuphi ukukhanya ngaphandle kwekamelo lakho lokulala futhi ugcine igumbi lakho lokulala ngezocansi nokulala.
Ukunciphisa ukucindezeleka (okuxoxwa ngokulandelayo) kungaba usizo kakhulu kulabo abhekana nokulala. Kungcono ukudla ukudla okungenani amahora ambalwa ngaphambi kokuthatha umhlalaphansi. Futhi, khumbula ukuthi kokubili i-caffeine nokuphuza utshwala kungabangela izinkinga zokulala.
Kunezindlela eziningi ukuthi i-COPD ingaphazamisa ukuphumula kwakho ngokuqondile. Khuluma nodokotela wakho nganoma iyiphi yalezi zinto ezikhathazayo.
Nciphise ukucindezeleka
Ukucindezeleka kukhulunywa kaningi kangangokuthi kungenzeka ukuthi uvikelekile ekuzwa amazwi athi "ususe ukucindezeleka empilweni yakho." Nakuba la magama angase aphelelwe yisikhathi, umlayezo uhlanzekile futhi usungulwe kahle. Ucwaningo oluningi luye lwathola ukuthi ukuphathwa kokucindezeleka akusizi nje kuphela abantu ukuba baphile ukuphila okujabulisayo kodwa kuyinkinga enkulu yokukhathala.
Ukubaluleka kokukhululeka kokucindezeleka ekuphatheni izifo ezingapheli akukwazi ukugcizelela kakhulu. Ukunciphisa ukucindezeleka kunganciphisa ukukhathala nokukhathazeka nokuthuthukisa ikhwalithi yakho yonke yokuphila, ngisho nezinguquko ezincane. Uma ungaqiniseki ukuthi ungaqalisa kanjani, qala ngokuhlola lezi zindlela zokunciphisa ukucindezeleka empilweni yakho. Ngemuva kokuzama ezimbalwa zalezi zindlela, ungase ube nesithakazelo ekufundeni okuningi ngokuphathwa kokucindezeleka, ukuthi kusebenza kanjani, izinzuzo, nokuthi ungafaka kanjani lezi zinyathelo empilweni yakho yansuku zonke.
Phuza Iningi Lamafutha
Ukuhlala i-hydrated akusizi nje kuphela ukuthi ubani ozwa kangcono kodwa kubaluleke kakhulu uma uhlala neCOPD. Eminye imithi, kanye nezinto ezifana nokuphefumula komlomo, kungandisa izidingo zakho zoketshezi uma uhlala nalesi sifo. Nakuba i-hydration ibaluleke kakhulu, abantu abaningi abaqapheli ukuthi kubaluleke kangakanani kuze kube yilapho beqeda kakhulu amanzi.
Ukwehla kwamanzi kungabangela ukuphathwa ikhanda, ukukhathala, umlomo omile, isizungu, ukushaya kwenhliziyo ngokushesha kanye nezinye izimpawu. Ngaphandle kokuba udokotela wakho akutshele ngenye indlela, kubalulekile ukuphuza okungenani izibuko zamanzi angu-8 ngosuku. Ngaphezu kwalokho, ukungcola amanzi kuhlanganiswe nokushisa nomswakama kungaba yingozi kubantu abahlala neCOPD. Thatha umzuzwana ukuthi ufunde ukuthi ungahlala kanjani uphelile futhi ukhululekile uma i-thermometer ngaphandle ikhuphuka.
Buza Udokotela Wakho Mayelana Namavithamini Namaminerali
Ungase ufune ukubuza udokotela wakho uma amavithamini noma ama-mineral supplements afanelekile kuwe, ikakhulukazi uma ukudla kwakho kungenalo izakhi ezibalulekile. Kodwa-ke, ngokuvamile, amavithamini engeziwe angeke aboniswe ukuthi athuthukise izimpawu noma umsebenzi wamaphaphu ku-COPD.
Ukungafani okucacile yi-vitamin D. Manje sifunda ukuthi iningi labantu alinalo kule vithamini ebalulekile, ngokuntuleka kwevithamini D okuxhunyaniswe nezimo eziningi ezivela ekusukeni kwesifo sofuba kuya kwesifo sochungechunge, kuya eziningana zomdlavuza. Njengoba abantu abaneCOPD bevame ukuchitha isikhathi esincane ngaphandle (enye yezindlela esithola ngayo i-vitamin D,) ukungabi nalutho kungaba yinkinga.
Ngenhlanhla, kukhona ukuhlolwa kwegazi okulula udokotela wakho angakuthola okuyinto ezokwazisa uma ukhona. Uma ungekho, kunezindlela ezimbalwa zokuphakamisa amazinga akho. Imithombo yezokudla ihlanganisa ubisi nezinhlanzi, kodwa kunzima ukuthola okwanele ngalokho okudlayo. Ukuchitha isikhathi esincane elangeni (isibonelo, imizuzu engu-10) ngaphambi kokusebenzisa i-sunscreen, kuvumela umzimba wakho ukuba uthathe umthamo omuhle wamavithamini abalulekile. Uma izinga lakho lihlala liphansi, udokotela wakho angancoma ukungeza kwe-vitamin D3 ukuze akhulise amazinga akho abe ekahle, phakathi kwebanga elivamile.
Ukuhleka ikhanda lakho
Ukuhleka kunenzuzo eminingi yezempilo, kuhlanganise nokunciphisa ukucindezeleka nokunyuka kokubekezelela ubuhlungu. Kungani ungazami ukuhleka okuncane ukusiza ukunciphisa ukukhathala empilweni yakho yansuku zonke? Uma ungaqiniseki ukuthi ungaqalisa kanjani, yenza okuncane ukucabangisisa. Buka ama-movie we-funny. Cela abangani bakho ukuthi bakuthumele ama-imeyili ahlekisayo. Ilungelo lakho elihle lokuthola amahlaya empilweni yakho, noma kunjalo, mhlawumbe ngokukuthola ngokwakho nangabangani ngosuku lwakho lokuphila kwansuku zonke.
Isikhathi esiningi isimo esicindezelayo singaba "siphendukile" ukuba sihlaziye. Uma ungakholelwa kithi, cabanga ngezimo ozozihleka manje ukuthi azizange zihlehlise ngesikhathi. Ukumisa kabusha kuyindlela lapho isimo esingashintshi khona, kodwa indlela yakho yokuyibheka yona ingabe ishintsha. Ukusebenzisa amasu okubuyisela kusebenza isikhathi esiphindwe kabili njengomthombo wamahlaya nokuxoshwa kokucindezeleka. Zama ngesikhathi esizayo lapho uzizwa ucindezelekile.
Vimbela ukukhuphuka kwe-COPD
Kunezizathu eziningi zokuthi ukukhushulwa kwe-COPD kufanele kugwenywe, nokukhushulwa kokukhathala ngenxa yokukhuphuka kwe-COPD kube yinye. Lokhu kungabonakali nje ukwandisa ukukhathala, kodwa ukwandisa ezinye izinkinga ezingabangela ukukhathala nge-COPD. Hlola le micabango ukuthi unganciphisa kanjani ukukhushulwa kwe-COPD namuhla .
Sebenzisa isikhathi esiningi ngaphandle
Njengoba kuphawuliwe ekuqaleni, ukuchitha isikhathi esingaphandle kweminyango kuyindlela enhle yokuthola i-vitamin D, nokuntuleka kwe-vitamin D kuye kwaxhunyaniswa nezinkinga eziningi, ngisho nomdlavuza wamaphaphu. Iningi labantu cishe akudingeki lifunde ngemiphumela yocwaningo ukuze bakholelwe ukuthi abantu bazizwa bengcono uma bechitha isikhathi esingaphandle. Ukukhanya kwelanga kubuye kuthuthukise ukugeleza kwegazi ebuchosheni, kushukumise ikhono lethu lokwenza imisebenzi yokucabangela njengokukhumbula nokwenza izingcingo.
Izwi elivela
Ukukhathala, njenge-dyspnea, kuthinta zonke izindawo zokuphila kumuntu ohlala neCOPD, kufaka phakathi imisebenzi yokuphila kwansuku zonke, ukuxhumana komphakathi kanye namaphethini okulala. Ukuphathwa okuphumelelayo kokukhathala kudinga ukuqwashisa okwenyukayo kanye nomzamo wokubambisana phakathi kwabantu nabantu abahlinzeka ngempilo. Kubalulekile ukukhuluma nodokotela wakho mayelana nokukhathala kwakho futhi wenze noma yikuphi ukulungisa okudingekayo, kodwa kukhona izinto eziningi ongazenza ngokwakho kusukela namuhla.
> Imithombo:
> Antoniu, S., no D. Ungureanu. Ukulinganisa ukukhathala njengesibonakaliso ku-COPD: Kusuka ku-Descriptors kanye ne-Questionnaires kuya kubaluleka kwenkinga. Izifo Eziphefumulayo Zokuphefumula . 2015. 12 (3): 179-88.
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. I-New York: Imfundo ye-Mc Graw-Hill, 2015. Phrinta.
> Kosteli, M., Heneghan, N., Roskell, C. et al. Izithiyo Nezibonelelo Zomsebenzi Wokusebenza Ngokwemvelo Ukuzibandakanya Kwabalandeli Nge-COPD Ekunakekeleni Okuyinhloko. I-International Journal ye-Chronic Obstructive Pulmonary Disease . 2017. 12: 1019-1031.
> Spruit, M., Vercoulen, J., Sprangers, M. et al. Ukukhathala ku-COPD: Isimpawu esibalulekile kodwa esingaxoshwa. I-Lancet. Imithi yokuphefumula . 2017 Apr 21. (Epub ngaphambi kokuphrinta).