Ukukhiqizwa kwe-mucus ngokweqile kuyisici esivamile se- chronic obstructive pulmonary disease (COPD). Lokhu kuqoqwa kwama-akhawunti we-mucus kunengxenye enkulu yokuvimbela umoya ukungena nasemaphaphini. Lokhu kubangela ukuhamba kwesisu, ukukhwehlela nokuphefumula okufikile esikuze sikubone njengezifo ze-lungs obstructive, okubandakanya i-bronchitis engapheli kanye ne-emphysema.
Amasu okugudluza emoyeni (UMTHETHO) yilokho okuhloswe ukususa i-sputum (inhlanganisela ye-mucus namathe) kusuka emaphashini akho. Izindlela ezivamile zomgwaqo wendiza zihlanganisa indlela yokukhwehlela i-Huff , ukukhwehlela okulawulwayo , isifuba sengculazi nesifuba se- postural . Lawa amasu alusizo kakhulu kepha ahluleka ukuhlinzeka nganoma yikuphi ukukhululeka okuthobekile.
Amadivaysi okuvula ama-airway , ngokuphambene, anikeza izinzuzo ezinkulu uma zisetshenziselwa lapho zihambisana nomthetho wendabuko. Zitholakala kabanzi, zisebenziseka kalula, futhi zingabizi kakhulu. Ukuze kube lula ukuvumela imvume, i-bronchodilator inhaler ngokuvamile isetshenziselwa ukwandisa amavesi angena endizeni ngenkathi i-mucolytic engenele isetshenziselwa umcucu omncane.
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Uhlelo lwe-Flutter Mucus ClearanceUkuhlanganisa ukwelashwa kwe-PEP nge-oscillation ephezulu, i-Flutter Mucus Clearance Device inikeza uhlelo lokulawula ukudlidliza olulawula kahle ngokumisa umoya omkhulu nezincane. Lesi senzo kusiza ukukhulula ama-mucus kusuka ezindongeni eziqhakazile ngenkathi ukwandisa ukugeleza komoya ukuze kube ngcono ukuvuselela imvume.
Amadivaysi anqamulayo afana nalokhu adala ukudlidliza uma uphuma. Ngemuva kokushaya ngezikhathi izikhathi, umuntu ngokuvamile uyakwazi ukukhwehlela futhi akhuphe umcibisholo oqoqiwe.
Nakuba idivayisi ye-Flutter engabizi futhi kulula ukuyisebenzisa, abantu abanokuvinjelwa okukhulu komoya bangakwazi ukukhiqiza ukugeleza kwomoya okwanele ukuvumela idivayisi ukuthi isebenze kahle.
Amadivaysi afanayo athengiswa ngaphansi kwegama elithi Acapella , Cornet, ne-Aerobika OPEP.
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Ukwelapha Okucindezelayo Okuphefumulayo (PEP)Ukucindezeleka okuphefumulayo okuphefumulayo (PEP) kwakhiwe eminyakeni yama-1970 njengenye indlela yokuzivocavoca umzimba we-chest physiotherapy (CPT).
Ukusebenzisa i-mask ebuso noma umlomo, iziguli zithatha umoya ovamile bese zithuthuka ngendlela eyi-valve eyodwa-ndlela ngokumelene nokuphikisa okuncane. Idivaysi ivumela umoya omningi emigwaqweni encane yezindiza ngaleyo ndlela idale ukucindezela ukuba ichithe ngobumnene imfucuza. Yile ngcindezi ekugcineni iqhube i-mucus emoyeni ohamba phambili, okwenza kube lula ukuxosha.
Emiphakathini yezokwelapha, idivayisi ye-PEP iboniswe ku:
- ngcono ukukhishwa kwe-mucus
- ukwandisa induduzo yesifo uma kuqhathaniswa ne-CPT ejwayelekile
- ukunciphisa ukutheleleka kwamaphaphu kanye nokusetshenziswa kwamagciwane
- phuthukisa i-bronchodilation
- ukunciphisa ukuhlala esibhedlela
Amanye amadivayisi athandwa kakhulu athengiswa ngaphansi kwegama elithi Astra PEP, Pari PEP, ne-AeroPEP.
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I-High-Frequency Chest Wall Oscillation (HFCWO)Ukukhishwa kwesigxobo sekhanda eliphakeme kakhulu (i-HFCWO) liqukethe isitsha esithintekayo esisebenzisa ukucindezela emoyeni ukuze uhambise udonga lwesifuba ngobumnene. Lesi senzo sandisa ukuthuthwa kwe-air kuya emaqenjini amancane kanye nezinsizakalo ekususeni kwe-mucus.
Amadivayisi we-HFCWO alula ukuwasebenzisa futhi aboniswe ukuhlanganisa ubusiki obuningi kune-CPT ejwayelekile.
Ngokuvamile, umuntu uzosebenzisa lesi sigqebhezana imizuzu emihlanu ngesikhatsi bese ekhwehlela futhi ekhukhumeze ukusula umqubu okhululiwe. Imihlangano ihlala emaminithini angama-20 kuya kwangu-30.
Izibonelo zedivaysi ye-HFCWO zihlanganisa uhlelo lwe-Vest Airway Clearance System kanye ne-Medpulse System Respiratory System.
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Idivaysi ye-Flute Acoustic InductionI-Flung Lung iyisetshenziswa esiphethwe ngesandla esakha amagagasi omsindo aphansi emoyeni womoya njengoba umuntu ephuma ngamandla ngamandla ngomshini ohlangothini lomhlanga (kufana nokushaya ngaphakathi kwe-clarinet). Amagagasi ahamba phansi ahambe emoyeni ophansi futhi avuselele imvume ye-mucus.
I-Flung Lung i-FDA evunyelwe ukuxilongwa kanye nokusetshenziswa kokwelapha futhi isetshenziswa njalo kumalabhu ukusiza ukuqoqa amasampuli e-sputum ukuze ahlolwe.
Ukuze uzuze imiphumela emihle, isiguli siyodinga ukungena emgqonyeni we-Lung kuze kube ngu-20 amasethi amabili okushaya ngeqoqo ngalinye. Njenganoma yiluphi ukwelashwa kwe-ACT, lo muntu kuzodingeka aqale kancane futhi akhe inani lokuphindaphinda ngokuhamba kwesikhathi.
Ngaphezu kwe-COPD, iLung Flute ivunyelwe ukusetshenziswa ekwelapheni i-bronchitis, i-pneumonia, i-asthma, i-emphysema, nezinye izifo ezingapheli zokuphefumula.
Ukukhetha idivayisi ye-Rightway Clearance Device
Ukukhetha idivayisi ye-air clearance device ekugcineni kuyisinqumo somuntu ngamunye. Ngamunye unendlela ehlukene yokusebenza, okuyinto abanye abantu abathandayo nabanye abangayithandi. Ngakho-ke, unganqikazi ukubuza udokotela wakho noma isifo sokuphefumula ukuze uthole iseluleko. Ngenye indlela, ungathumela umlayezo ebhodini lomphakathi le-COPD ukuze uthole ukwaziswa kwabanye abangase basebenzise idivayisi.
> Imithombo:
> Holland, A. kanye neButton, M. "Ingabe kukhona indima yamasu okugudluza emoyeni ezinkingeni ze-chronic obstructive pulmonary?" I-Chron Respir Dis. 2006; 3 (2): 83-91.
> Hristara-Papadopoulou, A .; U-Tsanakas, J; I-Diomou, J .; et al. "Amadivayisi wamanje we-physiotherapy yokuphefumula." I-Hippokratia Medical Journal 2008; 12 (4): 211-220.
> Osadnik, C., McDonald, C .; UJones, A .; et al. "Amasu okugwema umoya we-airway we-chronic obstructive pulmonary disease." I-Cochrane Database Syst Rev. 2012; (3): i-CD008328