Ukugcina Izinto Zigijima Ngokukhululekile
I-cystic fibrosis yisifo esingelakho ukwelashwa okuwaziwayo. Izinhloso zokwelapha ukunciphisa izimpawu, ukunciphisa intuthuko yalesi sifo, ukuvimbela izinkinga, futhi ngaleyo ndlela ukwandise izinga lokuphila kumguli we-CF.
Indlela Yethimba
Ucwaningo luye lwabonisa ukuthi imiphumela ingcono uma iziguli ze-cystic fibrosis zithola ukwelashwa yiqembu labaqeqeshiwe abaqeqeshiwe ngokukhethekile kwenye yezikhungo ezingu-115 ezigunyaziwe ze-CF kulo lonke elase-United States.
Amalungu eqembu le-CF avame ukufaka:
- Odokotela
- Abahlengikazi
- Izondlo
- Abasebenzi bezenhlalakahle
- Therapists Physical
- Therapists
- Izazi zengqondo
- Amakhemikhali
Imithi
Abantu abane-cystic fibrosis kuzodingeka bathathe imithi yabo yonke impilo yabo. Eminye yemithi ejwayelekile yilezi:
Ama-antibiotics: Ukuvimbela noma ukwelapha isifo. Ngezinye izikhathi ama- antibiotics athathwa ngomlomo, futhi ngezinye izikhathi angamanzi aphefumulayo futhi avuliwe ngokusebenzisa umshini obizwa nge-nebulizer.
Anti-inflammatory: An anti-inflammatory yisidakamizwa esinciphisa ukucasuka nokuvuvukala. Izidakamizwa ezivimbela ukuvuvukala zingahle zinikezwe iziguli ze-CF ukunciphisa ukuvuvukala emaphashini namavesi okuphefumula.
I-Steroids iyilinye uhlobo lwezidakamizwa eziphikisanayo, kodwa alisetshenziswa kakhulu kaningi ekwelapheni kwe-CF ngoba angabangela isifo sikashukela noma izinkinga ngezinso namathambo. Izidakamizwa ezingekho-steroidal anti-inflammatory (NSAIDs), njenge-ibuprofen, zivame ukushiwo ukwelashwa kwe-CF.
Ama-enzyme: Enye yezinkinga ezibangelwa i-CF yukuthi ukucindezeleka okukhulu emaphaketini kukuvimbela ekukhululeni ama - enzyme umzimba okudingeka ugaye ukudla. Uma ukudla kungagciniwe, umzimba awunakuthola noma yikuphi izakhi. Abantu abane-CF kudingeka bathathe amaphilisi aqukethe ama-enzyme adingekayo ngaphambi kokudla ngakunye.
I-Mucolytics: I- Mucolytics imithi esiza kumasiki omncane futhi yenza kube lula ukukhwehlela. Ngokuvamile kuvunyelwe iziguli ze-cystic fibrosis ukuze zizisize zicacise indlela yabo yokuhamba emanzini aminyene, anamathelayo okuthi i-CF ibangele. Ngezinye izikhathi ama-mucolytics athathwa ngomlomo futhi ngezinye izikhathi aphikisiwe ngokusebenzisa i-nebulizer.
Ukususwa kwe-Airway
Ingxenye ebalulekile yokwelashwa kwe-cystic fibrosis ukusetshenziswa kwezici ezihlukahlukene ukusiza ukukhulula nokukhipha isisu. Iziguli ze-cystic fibrosis kumele zibe nalolu thatha izikhathi eziningana ngosuku. Ukwelashwa kuzobandakanya okukodwa noma ngaphezulu kwalezi zindlela:
I-Chest Physical Therapy (CPT): Le thrapi isebenzisa inqubo ebizwa ngokuthi i-percussion efaka ukushaya komzimba kwezandla-ezindaweni ezicubungulayo zesifuba. Njengoba iziguli ze-CF ezitholakale zitholakale, isazi sokuphefumula noma umhlengikazi uzovame ukwenza i-CPT kodwa abazali bazofundiswa ukuthi bangayenza kanjani ukuze bakwazi ukuthatha ukwelashwa ekhaya. Iseshini ejwayelekile ye-CPT ihlala cishe emaminithi angu-30 futhi kuzodingeka kwenziwe kuze kube izikhathi ezine ngosuku.
Ukuvimbulula: Enye indlela eyenziwa ngezinye izikhathi kanye ne-percussion phakathi ne-CPT idlidliza. Lokhu kwenziwa nangezandla, kodwa njengoba igama libonisa, ukunyakaza okudlidliza kusetshenziselwa esikhundleni sokunyakaza.
I-Postural Drainage: Ngesikhathi se-CPT, isiguli sibekwa ezikhundleni ezizovumela amandla adonsela phansi ukuba asize ukuvinjelwa okukhululekile kuphuma emaphashini. Lokhu kwaziwa ngokuthi amanzi emvelo.
I-Inflatable Therapy Vest: Ngezinye izikhathi, esikhundleni se-CPT yebhuku, i-vest iyodingeka ukuthi isetshenziswe. I-vest igxilisa futhi ihlukumezeka ngokushesha ukuze ikhulule imfucuza ngokunyakaza okunciphisa kahle. Izinzuzo zokusebenzisa ijaji yilezi ukuthi isiguli singenza ukwelapha ngaphandle kosizo, futhi imihlangano iphela cishe imizuzu engu-20 kuphela.
I-Flutter Device: Eyaziwa nangokuthi i-valve flutter, le divayisi encane ephethe ngesandla ibonakala ifana ne-inhaler.
Isiguli sigcizelela umlomo emlonyeni wakhe futhi siphume ngamandla. Idivaysi isebenzisa umoya okhishwe umoya ukudala ukudlidliza kwesifuba.
Ukudla
Abantu abane-cystic fibrosis abafaki izakhi ngendlela efanele ngokudla abayidlayo, futhi umsebenzi wokuphefumula ubangele bashise ama-khalori angaphezulu. Lezi zinsuku ezimbili zibangela ukungondleki nokukhula okubi. Ukulwa nezinkinga zokudla, iziguli ze-CF zidinga amakholori angu-50% ngaphezulu kunabanye abantu abaneminyaka yabo. Izazi zokudla zidala izinhlelo zokudla ezizimele ezihambisana nezidingo zesiguli ngasinye, kodwa ngokuvamile, abantu abane-cystic fibrosis bangalindela:
- Yidla ukudla okungu-3 no-2-3 ukudla okulula ngosuku
- Yidla ukudla okuphezulu amaprotheni namafutha
- Phuza ukudla okunomsoco kuthuthumela kanye noma kabili ngosuku
- Thatha ama-vitamin supplements, ikakhulukazi amavithamini A, D, E, no-K, okungagcinwa kahle kubantu abane-CF.
Ukuzivocavoca
Umsebenzi wokuzivocavoca unezinzuzo zesikhashana nezesikhathi eside kubantu abanesifo se-cystic fibrosis. Inzuzo esheshayo yukuthi ukuvivinya umzimba kunamandla emoyeni emaphashini futhi kusiza ukukhulula imfucuza. Inzuzo yesikhathi eside yokuzivocavoca yukuthi iyasiza ekuthuthukiseni impilo yempilo kanye nokukhuthazela, okwenza umzimba ube namandla okulwa nemiphumela yeCF.
Ukufakelwa kwe-Lung
Lapho i-cystic fibrosis iqhubeka futhi ibangela umonakalo omkhulu wamaphaphu, ukufakelwa kwamaphaphu kungaba yindlela yokwelapha kubantu abahlangabezana nemigomo. Ngenkathi ukufakelwa kwamaphaphu akuyona inketho kubo bonke abantu, kuboniswe ukuthi kuphumelele ngempela kwezinye iziguli zeCF. Abantu abangaphezu kuka-1600 abane-cystic fibrosis bathole ukufakelwa kwamaphaphu, futhi cishe ingxenye yabo baye basinda okungenani eminyakeni emihlanu emva kokuthola amaphaphu abo amasha.
Imithombo:
Bilton, D. (2008). I-cystic fibrosis. Imithi. 36, 273 - 278.
Pitts, J., Flack, J., & Goodfellow, J. (2008). Ukwenza ngcono ukudla okunomsoco kwisiguli se-cystic fibrosis. I-Journal Yokunakekelwa Kwezempilo Kwezingane. 22, 137-140.