Izinzuzo Zokwelashwa Kwama-oksijeni

Izizathu zokusebenzisa i-Oxygen eyengeziwe ukuze ithathe i-COPD

Naphezu kwezinzuzo eziningi zezempilo zesikhathi eside se- oxygen therapy (i-LTOT), ucwaningo lubonisa ukuthi abantu abanele banamathele ekwelapheni. Kuziguli ezine-chronic obstructive pulmonary disease (COPD), lokhu kungabonisa izithiyo ezibalulekile zokunakekela.

Izizathu Zokungahambisani Ne-Oxygen Therapy

Uma wena noma othandekayo engavumelani nokwelashwa kwakho kwe-oksijeni, ungaba nesinye noma zonke izizathu ezilandelayo:

• Kubonakala kunzima ukuyisebenzisa
• Uzizwa uziqhenya noma uzizwa sengathi unomqondo wokucwasa umphakathi
• Awuqondi ngempela ukuthi kuzuzisa kanjani
• Unenkathazo ngokuhambisana nemiphumela emibi

Uma lokhu kuzwakale ukuthi uyayazi futhi awusisebenzisi oksijini wakho okwethenjelwa njengoba kunqunyiwe, ukuqaphela izinzuzo zokwelapha oksijini, kunokugxila ezintweni ezimbi, kungakusiza ukunqoba izithiyo zakho zokuthuthukisa impilo yakho.

Nakhu ukubheka ngokucophelela izinzuzo zelashwa yesikhathi eside e-oxygen ye-COPD:

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Ukusinda Okunyukayo

Kuze kube manje, inzuzo ebaluleke kakhulu ye-LTOT kubantu abane- COPD ukuthi yandisa impilo yakho uma une-hypoxemia yokuphumula kakhulu (amazinga aphansi oksijini egazini lakho). Le nzuzo iqinisile uma usebenzisa i-oksijeni ngokuqhubekayo kunokuba nje ebusuku noma ngokuphindaphindiwe, nakuba ukuthola i-oksijeni eyengeziwe kungcono kunanoma iyiphi.

Naphezu kwalolubufakazi, ucwaningo lubonisa ukuthi isilinganiso samahora isiguli esisisebenzisa ngaso sonke isikhathi i-oksijeni eyengeziwe yesikhashana ngokuvamile asiphansi kunalokho okushiwo udokotela. Uma ungasebenzisi i-oksijeni yakho njengoba kunqunywe, lokhu kubeka amandla ekusebenzeni kwayo.

Uma uke wabizwa i-LTOT, kubalulekile ukuthi uqaphele uma ungahambisani nohlelo lwakho lwamanje lwezokwelapha okwe-oksijini futhi uxoxe ngamasu okuhlinzeka nge- oksijeni okunye okunye nomhlinzeki wakho wezempilo.

Uma une-hypoxemia yokuphumula okuncane kakhulu, i-oksijini ingase isisize ezinye izici ze-COPD yakho, kodwa izifundo zibonise ukuthi akulutholi impilo yakho.

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Ukunciphisa Izinkinga ze-COPD

I-COPD ihlotshaniswa nezinkinga eziningana ezingathinta kakhulu izinga lakho lokuphila, kuhlanganise ne- pulmonary hypertension , secondary polycythemia , ne- cor pulmonale , uhlobo lokuhluleka kwenhliziyo .

I-oksijeni yokwengeza isisiza ukunciphisa izinkinga ze-COPD ngokuqiniswa kwengcindezi ye-pulmonary, ukunciphisa i-polycythemia yesibili, nokunciphisa ama- arrhythmias (izilinganiso ezingenangqondo zenhliziyo) kanye nokutholakala kwe- ECG okubonisa ukuthi i-myocardial ischemia (ukungabi khona kwe-oxygen enhliziyweni).

Ngaphezu kwalokho, ngokusho kwe-American Lung Association, ukwelashwa oksijini kusiza ukuvimbela ukuhluleka kwenhliziyo kubantu abanezifo ezinzima zamapayipi njengeCOPD.

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Izimpawu ze-COPD ezingasebenzi

I-Dyspnea , noma ukuphefumula, akuyona nje uphawu oluphawulekayo lwe-COPD , futhi luyikhubaza kakhulu futhi lukhuni ukulawula.

I-oxygen eyengeziwe ingasiza ukukhulula i-dyspnea nezinye izimpawu ezihlobene ne-COPD, kuhlanganise nokukhathala , isizungu, nokucindezeleka.

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Ikhwalithi Ephathelene Nezempilo Ehambisana Nezempilo

Uma ungatholi ukwanele okwanele kwe-oksijeni, zonke izitho zomzimba wakho zithintekile, ekugcineni zithatha umonakalo empilweni yakho nenhlalakahle yakho.

Ukusebenzisa i-oksijeni eyongezwayo kunethonya elihle emkhakheni wakho wokuphila ohlobene nempilo. Akukona nje ukuthuthukisa ukulala nokuzizwa kwakho, futhi kwandisa ukuphazamiseka kwengqondo nokuqina kwakho, okukuvumela ukuba wenze okuningi ngesikhathi sosuku.

Ngaphezu kwalokho, i-oksijeni iye yaboniswa ukunciphisa inani lezinto eziphuthumayo ( ukukhuphuka kwezimpawu) kanye nezibhedlela ezihambisana ne-COPD.

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Ukwandisa Ukubekezela Ukuzivocavoca

Ukuzivocavoca kungenye yezinto ezibaluleke kakhulu zokuphathwa kwe-COPD. Eqinisweni, uhlelo lokuqeqeshwa ngokomzimba lungakhuphula ukusinda kwakho futhi kuthuthukise ikhwalithi yokuphila kwakho ne-COPD.

Iziguli eziningi ezine-COPD, noma kunjalo, zinezinkinga zokubekezelelana kokuzivocavoca ezidambisa kakhulu amandla abo okuzivocavoca. Ucwaningo lubonisa ukuthi ukusebenzisa i-oxygen ngesikhathi sokuvivinya umzimba kuthuthukisa ukuvivinya umzimba, kukhulisa ukuzivocavoca ukusebenza, futhi ekugcineni kunciphise ukuzwa ukuphefumula.

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Ukuphila kocansi okuthuthukisiwe

Ukucwaninga akucaci ukuthi ngabe ukwelapha oksijini kungasiza kanjani ukuhlukunyezwa ngokocansi njengokungapheli amandla, kodwa uma umoya we-oksijeni ungakusiza ngesikhathi sokuzivocavoca, amathuba angcono ayokusiza ukuphefumula lula ngesikhathi socansi.

Ukwengeza, ukusebenzisa i-oksijeni eyengeziwe ngesikhathi socansi kungakusiza ukwandise ukusondelana, inzuzo eyengeziwe kubalingani bobabili. Khuluma nodokotela wakho mayelana nokwandisa ukugijima kwe-oxygen ngesikhathi sokulala.

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Ukuhamba Komoya Okuphephile

Akuvamile ukuba iziguli ezine-COPD zizwe ne- hypoxemia enamandla uma zihamba ngezindiza. I-oksijeni yokwengeza ngesikhathi sokuhamba emoyeni ikusiza ukuba uvimbele i-hypoxemia enamandla futhi ingazuza iziguli eziningi ze-COPD, ngisho nalabo abangajwayelekile ukusebenzisa i-oksijeni.

Uma uhlangabezana nezimpawu ezinkulu ze-COPD uma uhamba, khuluma nomhlinzeki wakho wezempilo mayelana nokusebenzisa oksijini okwengezayo uma uhamba.

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Ukuphila Komphakathi Okuthuthukisiwe

Zingaki izikhathi i-COPD iphazamise impilo yakho yomphakathi? Uma ukuphefumula kukuvimbela ukuba ujabulele i-movie noma isimemo sakusihlwa, mhlawumbe sekuyisikhathi ubheka ukusebenzisa i-oksijeni eyongezwayo ngendlela ye-oksigen concentrator ephathekayo.

Ngokukhululeka kakhulu futhi ehambisanayo, i-oxygen concentrators ephathekayo ihamba phambili kakhulu kunezihlobo zabo ezisekhaya, ikuvumela inkululeko nokuzimela ukuba uhambe ngebhizinisi lakho ngendlela evamile. Futhi abaningi bakhokhelwa yi-Medicare.

Uma i-COPD ivame ukwenza i-damper emahlelweni akho, khuluma nomhlinzeki wakho wezempilo mayelana nokuhamba ngokuphathekayo.

> Imithombo:

> I-American Lung Association. I-Oxygen eyengeziwe. Kubuyekezwe ngoNovemba 15, 2016.

> Güell Rous MR. Ukwelashwa Kwama-Oxygen Yesikhathi Eside: Ingabe Sichaza Ngokufanele? I-International Journal ye-Chronic Obstructive Pulmonary Disease . 2008; 3 (2): 231-237.

> Shah SA, Velardo C, Farmer A, Tarassenko L. Ukuzikhandla Kwezifo Eziphuthumayo Zokuvimbela Izifo: Ukukhomba Nokubikezela Ukusebenzisa I-Digital Health System. I-Eysenbach G, ed. I-Journal ye-Medical Internet Research . 2017; 19 (3): e69. i-doi: 10.2196 / i-jmir.7207.

> I-JK, iSpanos RJ, uKrachman S, u-Doherty DE, Yenza B, i-Long-term Oxygen Treatment Trial Research Group. Ukwelashwa Kwama-oxygen kwabeziguli abane-COPD: Ubufakazi Besikhathi Nanje kanye Nesikhathi Sokulwela Ukwelashwa Kwama-Oxygen Long-Term. Isifuba . 2010; 138 (1): 179-187. i-doi: 10.1378 / i-chest.09-2555.

> IQembu Lokucwaningwa Kwama-Oxygen Treatment Trial Long-Term. Ukulingwa Okungahleliwe Kwe-Oxygen Yesikhathi Eside I-COPD nge-Desaturation ejwayelekile. Umagazini we-New England wezokwelapha . 2016; 375 (17): 1617-1627. i-doi: 10.1056 / NEJMoa1604344.