Izimbangela Nokunakekelwa Kwesikhukhula Esidlulele Nge-COPD
I-Mucus (ebizwa nangokuthi i- sputum) ukukhiqizwa yimbonakaliso yezinhlobo ezithile zezifo ezingavamile zokuphefumula (COPD) . Ukucasuka kwemvelo nezinye izinto kungabangela kokubili ukukhiqizwa kwe-mucus ngamaseli abizwa ngokuthi amangqamuzana e-goblet nokunciphisa ikhono lokususa amaphaphu we-mucus .
Sibutsetelo
Ukukhiqizwa kwe-mucus okwandisa noma ngokweqile kuyindlela yokusabela kwamapayipi kuya ekucaseni okuqhubekayo okufana nokubhema ugwayi noma ukungcola komoya.
I-Mucus, noma i-sputum, ihluke kunamathe futhi inamaseli afile namanqamu avela emkhakheni wokuphefumula ophansi. Ngalo mqondo, i-mucus inomsebenzi. Igibela izidakamizwa nezinhlobo ezinjengebhaktheriya ukuze zisuswe, noma zikhuphuke, kusukela emaphashini.
Ukwanda kwenani elikhiqizwa emaphashini liphawuleka kodwa futhi kukhona nezinye izinguquko, ezifana nokungafani embala we-sputum, nokuqina kwayo-okusho ukuqina noma ukunamathela kwe-mucus.
Izimbangela
Ukuhlanganiswa kwezici ngokuvamile kuvame ukuthuthukisa ukwakhiwa kwe-mucus futhi kungasiza ukuqonda ukuthi kungani lokhu kwenzeka. Lokhu kufaka:
- Ukweqiwa kwe-mucus ngamaseli okugoba
- Ukwehliswa kwemfucumfucu kusuka emangqamuzaneni e-goblet nama-glands angaphansi kwe-submucosal
- Ukunciphisa ikhono lokususa isikhunta noma ngenxa yokulimala kwe-cilia emoyeni, okuyinto izakhiwo ezinjengezinwele ezisiza ukuhamba kwe-mucus kusuka emaphakeni aphansi nasemlonyeni, kanye nokwehlisa ikhono lokukhwehlela, njengoba kungenzeka nge-atrophy wezinhlanzi ezihlobene nokukhwehlela.
Izinto ezihlangene
Ukweqiwa ngokweqile, ukukhushulwa ngokweqile, nokunciphisa ukuhlanza kuchaza izindlela ezisebenzela ngayo amapulum emaphashini, kodwa kungani lokhu kwenzeka? Ngokuvame ukuvuthwa kwezemvelo okubangela ukuthi amangqamuzana egobolondo akhiqize futhi afake i-mucus ngenkathi elimaza imimoya yomoya futhi ikakhulukazi i-cilia iholela ekuqhubekeni kwayo okuqhubekayo emaphashini (kunokuba ikhukhumezwe njenge-sputum.) Nge-COPD, ngokuvamile ukuhlanganiswa kwalezi zici ezisiza, futhi, ukuqonda ukuthi izindlela zokwelashwa zinganikeza ukuphumula.
Ukucasuka okuvamile kuhlanganisa:
- Ukubhema ugwayi, i-irritant ehamba phambili ephethe umcibisholo owedlulele.
- Ukungcola komoya wangaphandle
- Ukungcoliswa komoya wangaphakathi, abaningi bacabanga ukuthi ukungcola komoya ngaphandle kungumphumela omkhulu ekubangela lezi zimpawu, kodwa ngezinye izikhathi, futhi ngokuvamile, umoya wangaphakathi uyingozi kakhulu
Izimo ezihlanganisiwe
Izimo lapho ukwenziwa ngokweqile kwe-mucus ngokuvamile kwenzeka:
- I-bronchitis engapheliyo: Ngencazelo, i-bronchitis engapheli ihlotshaniswa nokukhiqizwa okungaphezulu kwe-mucus emaphashini, ngoba ukuxilongwa kudinga ukuthi ube nomkhuhlane ngokukhiqiza isikhukhula nsuku zonke okungenani izinyanga ezingu-3.
- I-Bronchiectasis: I- Bronchiectasis yisifo lapho izifo ezivame ukungena khona ziholela ekwandeni kwemimoya yomoya. I-brronchiectasis ivame ukukhiqiza isikhukhula esicacile, esinomsoco.
- I-edema ye-pulmonary: Nge-edema ye-pulmonary, i-sputum ivame ukubonakala "efrith", futhi ingase ibe nombala obomvu ngenxa yobukhona begazi.
Ukwelapha nokubhekana
Njengoba nje kunezinqubo eziningana ezivame ukusebenza ndawonye ukuze kubangelwe ukukhiqizwa kwe-mucus, inhlanganisela yezindlela ezehlukene ngokuvamile isebenza kangcono uma ibhekene nezimpawu.
Gwema i-irritants yokuphefumula
Ngokuqinisekile ukugwema ukubhema nokubhema umsizi kuyisinyathelo esibalulekile sokuqala ekunciphiseni ukucasula kwamaphaphu okubangela ukuqhuma kwe-mucus.
Ukugwema isikhathi ngaphandle uma amazinga angcolile aphezulu angasiza futhi. Njengoba kuphawuliwe ngenhla, umoya wangaphakathi ungabalulekile , uma kungenjalo, kunomoya wangaphandle.
Uyazi ukuthi kunendlela ejabulisayo noma enhle kakhulu yokuthuthukisa umoya wakho wangaphakathi? Hlola lezi zindlu eziye zatholakala-ngokusekelwe ocwaningweni olwenziwa yi-NASA - ukuthuthukisa umoya wangaphakathi.
Ungase futhi ufune ukubheka izinzuzo nezingozi zokusebenzisa ama-air purification systems angasetshenziswa ekhaya lakho.
Izindlela Zokususa Nge-Airway
Izindlela zokugudluza emoyeni zivame ukusetshenziselwa ukunciphisa izimpawu ze-mucus ongaphezulu futhi zingabandakanya:
- Ukukhwehlela okulawulwayo - Ukukhwehlela okulawulwayo kuyindlela ephumelela kakhulu yokuvumela ukuhamba emoyeni.
- Amanzi ase-postural - I- postural yamanzi yindlela esebenzisa amandla adonsela phansi ukuze kusize ukusheshisa isikhala emaphashini.
- I-physiotherapy esifubeni - I-chest physiotherapy noma i- chest percussion ibonakala iphephile kubantu abane-bronchiectasis futhi ingahlinzeka ngokukhululeka.
- Expectorants - Yiba umthengi ngokucophelela uma ucabangela abaxhasi. Nakuba izikhangiso ezinamabala ziveza lezi mithi njengemiphumela emihle, ucwaningo oluningi lubonisa ukuthi phezu kwama-counter expectorants wokukhiqiza umkhiqizo we-mucus no-COPD nje asebenzi.
- I-Mucolytics - izidakamizwa zomlomo noma ze-nebulized. Zisebenza ngokuqeda izibopho zamakhemikhali ngaphakathi kwemfihlo, ziphule ukuze zikwazi ukukhukhulwa kalula
> Imithombo:
> Lee, A., Burge, A., no-A. Holland. Izindlela zokusindisa umoya ze-bronchiectasis. I-Cochrane Database yezibuyekezo ezihleliwe . 2015. 11 >: CD008351 >.
> Osadnik, C., McDonald, C., Jones, A., no A. Holland. Amasu okugudluza kwamagciwane omzimba > isifo esingajwayelekile > isifo se-pulmonary obstructive. I-Cochrane Database yezibuyekezo ezihleliwe . 2012. 3 >: CD008328 >.
> Poole, P., Chong, J., noC. Cates. Ama-mucolytic ehambisana ne-placebo ye-bronchitis engapheli noma isifo se-chronic obstructive pulmonary. I-Cochrane Database yezibuyekezo ezihleliwe . 2015. 7 >: CD001287 >.
> Rubin, B. Izimpahla zokuvikela, imvume, kanye nokwelapha ezifweni zomoya. Imithi yokuphefumulela yokuhumusha . 2014. 2: 6.