Ngaphandle kwe-Manual Chest Physiotherapy
I-potitic poste physiotherapy (CPT), imifula yangasese, ukuphefumula, ukukhwehlela-konke lokhu kuyizindlela eziyisisekelo zokuvumela ukuhamba kwamanzi ukuthi wonke umuntu onesifo se- cystic fibrosis (CF) kumele azi ukuthi angayenza kanjani. Ekugcineni, abantu abaningi abane-CF nabo bazosebenzisa amadivaysi okusiza ukuze bawuthole umsebenzi. Lezi ezinye zezingcingo ezivame ukusetshenziswa kakhulu.
Ukucindezela Okuphefumulayo Okumangalisayo
Amadivaysi okucindezela okuphefumulayo (PEP) ayaphathwa, ayabizi futhi awadingi ugesi. Idivaysi ye-PEP ingumasikisi noma umlomo omncane owenziwe ngezandla nge-valve eyodwa-indlela evumela ukuthi umoya ugeleke kalula kodwa wenza ukumelana ngesikhathi sokuphuma. I-PEP isiza umoya oholelekile ngemuva kwe-mucus emaphashini bese ubamba umoya ovulekile, ngakho-ke i-mucus ingaxoshwa ngaphandle. I-PEP yenziwa ngokuphefumula ngaphakathi nangaphandle ngedivaysi izikhathi eziningana, bese ikhathaza ukukhipha ukukhishwa okukhululiwe.
Amanye ama-brand, afana ne-PARI PEP, angaxhunyaniswa nebulibuli ukuze ahlanganise ukwelashwa kwe-PEP ngamabhandidi anesisoso. Ngokuletha izindlela ezimbili ngesikhathi esisodwa, ama-nebulizers e-PEP anciphisa isikhathi esichithwa emitholampilo.
Ukuqeda Ukucindezela Okuphefumulelwe Okumnandi
Njengamadivaysi e-PEP, ukucindezela kahle ukucindezela okuphefumulayo (ama-oscillating PEP) amadivaysi amancane, asebenzayo futhi angabizi izindlebe ezingadingi ugesi.
I-Oscillating PEP isebenza ngendlela efanayo ne-PEP ngebhonasi eyongeziwe: i-oscillating PEP isebenzisa futhi ukudlidliza ukuze kusize ukuxosha ukukhishwa kwe-mucus. Ukudlidliza kudalwa ngomoya ogeleza phezu kwebhola lensimbi noma umlenze ngaphakathi kwesikhatsi ngesikhathi sokukhipha umoya.
Ezinye izinhlobo ezivamile zokusebenzisa amadivayisi we-PEP:
- I-Flutter (Axcan Scandipharm) - ayikwazi ukusetshenziswa ne-nebulizer
- I-Acapella (Smiths Medical) - ingasetshenziswa nge-nebulizer
- I-Cornet (R. Cegla, etholakalayo eCanada naseYurophu kuphela) - ingasetshenziswa nge-nebulizer
I-High-Frequency Chest Wall Oscillation
Ukukhishwa kwesigxobo sokuphakama kwesifuba se-high-frequency (HFCWO) sisebenzisa isitsha esishayela ngokushesha futhi sichitha ukuze sikhulule i-mucus ngokudlidliza. I-vest isetshenziselwa esikhundleni sokwenza i-CPT yencwadi. Inzuzo eyinhloko yiyona elula ngoba i-HFCWO iyashesha kunama-CPT ebhukwana futhi ayidingi usizo lomunye umuntu. Ukuzijabulisa akusizi ezishibhile, noma kunjalo. I-vest iyabiza futhi ayihlanganiswa njalo ngumshuwalense.
Umthombo:
Ama-Marks, JH "Amadivaysi E-Clearway Clearance ku-Cystic Fibrosis". Ukuhlolwa kokuphefumula kwezingane . 2007; 8: 17-23. 20e.