Okulula, Ukuzihlola Kungakutshela Ngomumo Wakho
Kunemibuzo eminingi odokotela abayisebenzisayo ukuhlola ubunzima kanye nomthelela wesifo esingenasifo se-chronic obstructive pulmonary (COPD) . Omunye wabo ubizwa ngokuthi uhlolo lwe-COPD lokuhlola, owaziwa nangokuthi i-CAT. Iqukethe umbuzo wesishiyagalombili lapho iziguli zilinganisa zombili izimpawu zabo kanye nezinga elilinganiselwe lokukhubazeka.
Kungani i-CAT ibalulekile
Unyaka ka-2011 wabonakala ngokuguquka kolwandle ngendlela iCOPD eyasondelwa ngayo.
Ngaleso sikhathi ikomidi lesayensi le-Global Initiative for Obstructive Lung Disease (GOLD) linikeze izincomo ezichaza ukuthi i-COPD ingabe ingasaphathwa ngokusekelwe kuphela ekuhlolweni kwe-diagnostic njenge- spirometry . Ikomidi le-GOLD laqaphela ukuthi lezi zivivinyo, ngenkathi zibalulekile, zinezinkinga ekukwazi kwabo ukuhlola lokho umuntu ayekubhekana nakho.
Kwezinye izimo, isibonelo, umuntu ophethe i-COPD angatholakala ukuthi unezinkinga ezincane futhi akakwazi ukuhamba ngezinyawo. Ngokuphambene nalokho, umuntu onokukhubazeka okulinganiselwe angasebenza ngokujwayelekile kunezivivinyo zokuxilonga ziphakamisa.
Imikhombandlela ebuyekeziwe yavuma ukuthi inkulumo yeCOPD isekelwe ezintweni eziningi zokuxhumana, kuhlanganise nokuvinjelwa komsebenzi wokuphefumula, imvamisa yokucindezela , nokubona komuntu siqu ngokugula kwakhe.
Indlela i-CAT esebenza ngayo
I-CAT yilezi zikhathi ezilula futhi ezichazayo kakhulu.
Imibuzo eyisishiyagalombili ngayinye ilinganiselwe esikalini sika-0 kuya ku-5. Izinombolo zitholwa ngamaphesenti angu-0 kuya ku-40. Ukuphakama kwenombolo, kuyingozi nakakhulu ukukhubazeka. Ububanzi bemibuzo buhlobene nezici ezihlukahlukene zesifo, kanje:
- Isikhukhula - sibalwa kusuka ku-0 ngoba "Angikaze ngikhophe" kuya ku-5 ngoba "Ngiyakhonsa sonke isikhathi"
- I-Mucus - ilinganiswe kusuka ku-0 ngenxa yokuthi "Anginayo i-mucus nhlobo" kuya ku-5 ngoba "Isifuba sami sigcwele u-mucus"
- Ukuqina kwesifuba - kulinganiswe kusuka ku-0 ngoba "Isifuba sami asizwa siqinile nhlobo" kuya ku-5 ngoba "Isifuba sami sinomuzwa kakhulu"
- Ukuphefumula - kulinganiswe kusuka ku-0 ngoba "Uma ngihamba ngezinyawo ezilodwa, angikuphefumuli" kuya ku-5 ngoba "Uma ngihamba ngezindiza ezilodwa nginezinyathelo zokuphefumula"
- Umkhawulo womsebenzi ekhaya - ulinganisiwe kusuka ku-0 ngoba "Angikhethanga ukwenza noma yikuphi imisebenzi ekhaya" kuya ku-5 ngoba "Nginomkhawulo kakhulu ukwenza imisebenzi ekhaya"
- Umkhawulo womsebenzi ngaphandle kwekhaya - ulinganiswe kusuka ku-0 ngoba "Ngiyaqiniseka ukushiya ikhaya lami naphezu kwesimo sami samaphaphu" kuya ku-5 ngoba "Angiyikho konke ukuqiniseka ukushiya ikhaya lami ngenxa yesimo samaphaphu"
- Impact ebuthongweni - ilinganiswe kusuka ku-0 ngoba "Ngilala kahle" kuya ku-5 ngenxa yokuthi "Angilali kahle ngenxa yesimo samaphaphu"
- Impembelelo yamandla - ilinganiswe kusuka ku-0 ngoba "Nginamandla amaningi" kuya ku-5 ngoba "Anginamandla nhlobo"
Okushiwo Yiziphumo
Ngenkathi i-CAT ingasetshenziselwa ukuxilonga i-COPD , kubalulekile ekunqumeni ukuthi ukwelashwa kufanele kuqalwe, zingaki izindlela zokwelapha okufanele zibekiwe, nokuthi umuntu uphendula kahle kangakanani noma empilweni yakhe.
Ngokusekelwe kumhlahlandlela we-GOLD, abantu abanamazinga angaphezulu kuka-10 kufanele bathole ukwelapha nsuku zonke ngokushesha.
Ngaphezu kwalokho, noma yikuphi ukukhushulwa okungaphezu kwamabili-kungaba phezulu noma phansi-kubhekwa njengenguquko enkulu ekulawuleni izifo. Noma yikuphi ukuthambekela okuphezulu kubhekwa njengokulimaza ngenkathi ukujwayela kwehla kubhekwa njengokuthuthukiswa.
Nakuba kungekhona bonke odokotela abaye bathatha i-CAT emisebenzini yabo yansuku zonke, izifundo ezithile ziye zaphakamisa ukuthi kungasiza ekubikezeleni ingozi yokukhungatheka, ukuthuthukiswa kokucindezeleka, nokuqhubeka kwezifo zesifo.
> Imithombo:
> Karloh, M .; I-Mayer, A .; UMaurici, R. et al. "Ukuhlolwa kokuhlola kwe-COPD: Yini esiyazi ngayo kangaka?" Ikhanda J. 2016; 149 (2): 413-25. I-DOI: 10.1378 / isifuba.15-1752.
> Rodriguez-Roisin, R .; Rabe, K .; UVestbo, J. et al. "I-Global Initiative Yokuvimbela Izifo Zengculazi Ezingapheliyo (GOLD) I-20th Anniversary: umlando omfushane wesikhathi." Int Resp Resp J. 2017; 50: 1700671. I-DOI: 10.1183 / 13993003.00671-2017.