Izindlela eziyisisekelo eziyisikhombisa zokususa i-Mucus kusuka emiphakathini

Izindlela Zokuvimbela Amagagasi Emoya Uma Unayo COPD

Esinye sezibonakaliso eziphawulekayo zezifo ezingapheliyo zokuphefumula (COPD) ukukhiqizwa kwe-mucus ngokweqile . Akukhona nje kuphela ukuthi lezi zimfihlo zingavimba izingxenye zomoya ezincane kakade, zingaba yindawo yokuzalanisa izifo ezifana ne- bacterial pneumonia.

Kunamasu angasiza ukuvimbela lokhu. Lapho kwenziwa ngendlela efanele, ingaba yingxenye ebaluleke kakhulu yezokwelapha ze- COPD njenge-bronchodilators nemithi ye-steroid.

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Ukukhwehlela okulawulwayo kuyindlela yokwelashwa eyenza kokubili imisipha yesifuba nesisu ngendlela ethuthukisa imvume ye-mucus.

Ngokungafani nokukhwabanisa okusebenzisa izicubu zesifuba esingaphezu kwesimiso, ukukhwehlela okulawulwa kugxila ekuqiniseni imisipha yomzimba ukubandakanya isifenqo ngokuphumelelayo ngokwengeziwe.

Kunamasu amabili ongawasebenzisa:

• Ukukhwehlela okujulile kuyasiza kakhulu kubantu abanenkinga yokubamba ukukhwehlela okunamandla, okukhiqizayo. Ngalolu lwazi, ungasetha ngokukhululekile esihlalweni ngezinyawo zakho phansi. Ukumboza izingalo zakho nxazonke zesisu sakho, ubuza ukukhukhumeza kakhulu futhi uphume ukukhwehlela okukhulu ngenkathi ucindezela izingalo zakho ngokumelene nemisipha yakho yesisu. Ngokugcina izindebe zakho zigijimela esikhundleni sokuzikhulula, uphoqelela isifenqemane ukwenza okuningi komsebenzi.
• Ukukhwehlela kwe-Huff kuhilela ukuthatha umoya ojulile, wokuphuza ukugcwalisa amaphaphu ngokugcwele. Khona-ke, ukuphulukisa imisipha yakho yesisu, ungenza ukuphuma okusheshayo okusheshayo nomlomo wakho uvulekile, ukwenza umsindo "ha" nomoya ngamunye ophumayo. Qhubeka ukuphinda lokhu, ugcine inkampani yakho eyinhloko, kuze kube yilapho unomuzwa wokuthi i-mucus iphula. Khona-ke ungathatha ukukhwehlela okujulile ukusula amaphaphu akho.

Okuningi

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I-chest physiotherapy (i-CPT) yindlela yokwehliswa eyenziwa ngesandla nomlingani noma yedwa ngedivaysi yomshini.

• I-CPT yombhalo ihlanganisa ukuxubana (lapho izandla ezibanjwe zihlwithwa ngokuphindaphindiwe ngokumelene nesifuba noma emuva) kanye nokudlidliza (lapho izandla ezithintekayo ziduduza udonga lwesifuba) ukuze ukhulule i-mucus bese wenza umkhuhlane. Le nqubo ingenziwa ezinkhundleni eziningana ukuze kuvumele amandla adonsela phansi enze umsebenzi othile. Indima yakho njengomamukeli kufanele ihumushe futhi iqhube kancane kancane kuze kube yilapho umcucu ukhululekile ngokwanele ukuxoshwa.
• Amadivaysi okuvula ama-airway amashini abanjwe ngesandla abasebenzisa ukuduma kwe-high-frequency, amagagasi omsindo aphansi, kanye namanye amasu ukuze aphule i-mucus. Zingabizi, zisebenziseka kalula, futhi zivumela umuntu ukuba acwebe i-mucus ngaphandle kwesidingo somlingani. Amanye amadivayisi agqoke njengendwangu, kanti abanye badinga ukuba uphefumule kubo njengomkhumbi.

Kokubili amasu okuhlanza avame ukwenza ngendlela yokujwayela ukugcina izingxenye zomoya zingavinjelwe. Ngokuya ngobukhulu bezimpawu ze-COPD, isimiso singathatha noma yikuphi ukusuka kumaminithi angu-20 kuya ku-hora ukwenza.

Okuningi

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I- expectorant wuhlobo lwemithi yomlomo esiza ukudiliza i-mucus ukuze ikhuleke kalula. Lokhu kwenza ngokuvuselela i- vagus nerve esiswini, okwandisa ukuvimba kwe-airway nokunciphisa i-viscosity ye-mucus.

Izindlebe zingaphinde zivimbele ukukhiqizwa kwama-mucins, amaprotheni asemqoka atholakala ku-mucus.

Ngesikhathi ama-expectorants angaphezu kwe-counter-a-counter afana neRobitussin noma i- Mucinex avame ukusetshenziswa ngabantu abane-COPD, awavunyelwe ngokusemthethweni ezinhlakheni ezikhishwe yi-Global Initiative for Obstructive Lung Disease (GOLD). Ucwaningo lwamanje luhlala luhlukaniswe ukuthi ngabe izidakamizwa zingakuthuthukisa ukusebenza kwamaphaphu noma imiphumela yesikhathi eside kubantu abaphila nesifo.

Naphezu kwalokhu, odokotela bazolula kalula abaxhasi ngoba kungenakwenzeka ukuthi bangalimaza futhi kungasiza ekunciphiseni ukucindezeleka okukhulu kwe- COPD .

> Imithombo:

> Ides, K .; Vissers, D .; De Backer, L et al. "Ukuvulwa kwezindiza ku-COPD: Udinga ukuphefumula umoya omusha? Ukubuyekezwa okuhlelekile." I-COPD . 2011; 8 (3): 196-205. I-DOI: 10.3109 / 15412555.2011.560582.

> Zhang, T. noZhou. X. "Ukusebenza kwemithi yokwelashwa okuxoshiwe ekuguleni okungenasifo kwesifo sezindiza." Exp Ther Med. 2014; 7 (4): 763-67. I-DOI: 10.3892 / etm.2014.1494.

Okuningi