Izizathu 5 Kufanele Uzivocavoca Uma Unayo COPD

Ukusebenzisa i-COPD kungase kubonakale njengenkemba enezinhlangothi ezimbili. Ngakolunye uhlangothi, iziguli ezine-COPD zingase zithole ukuphefumula ngokuzikhandla ngokomzimba. Ngakolunye uhlangothi, ochwepheshe bathi ukuvivinya umzimba kunganciphisa izimpawu ezihlobene neCOPD. Iziguli eziningi ezine-COPD zinethemba lokunciphisa izimpawu zabo zokuphefumula kodwa ziyanqikaza ukuzivocavoca ngoba ukuzama ngamandla kubiza izimpawu zabo.

Izinzuzo zeCOPD

Ukuqala uhlelo lokuzivocavoca uma une-COPD akuyona umsebenzi olula, kodwa nansi ezinye zezizathu zokuthi kungani kufanelekile ukuyizama.

  1. Izinhlelo zokuzivocavoca zithuthukisa ibanga lokuhamba kanye nekhono lokuzikhandla. Ucwaningo luye lwabonisa ukuthi emva kokusebenzisa uhlelo oluhlelekile lokuvuselelwa kwamaphalenda , ngisho neziguli ezine-COPD ezincane ziyakwazi ukuhamba phambili kunakho konke ngaphambi kokuqala uhlelo. Uhlelo lokuzivocavoca lwaluhlanganisa ukuhamba, ukuqeqeshwa kwamandla emzimbeni, kanye nokuzivocavoca. Ikilasi lihlangana kathathu ngesonto ngehora elilodwa. Ngemuva kokwenza lolu hlelo, abahlanganyeli bakwazi ukuhamba phambili, bangakwazi ukukhuphuka izinyathelo ezimbili zezinyathelo zezindiza ngokushesha futhi benze kangcono ekuvivinyweni kokuhamba ngezinyawo. Kungaphezulu kwalokho ukuthi lezi zinzuzo zibonwe ngokuyinhloko ezigulini ezine-COPD ezinomusa kuya ezilinganiselwe, kodwa ngisho neziguli ezine- COPD ezinzima zenze ngcono ekuhambeni okuhambayo.
  2. Ukuzivocavoca kwehlisa ukuphefumula nokukhathala kweziguli ezine-COPD. Iziguli ezadlula ohlelweni lokuzivocavoca zibika ukuthi zincane kakhulu nokuphefumula okungakhathaliseki ukuthi iCOPD yabo yayinzima kangakanani. Ukunciphisa lezi zimpawu kunezinzuzo ezibalulekile kumgangatho wokuphila kweziguli.
  1. Ukuphuma ngaphandle kunganciphisa ukucindezeleka, ukuthuthukisa isimo sengqondo, nokugqugquzela umphakathi . Enye inzuzo yokuzivocavoca ihlobene nokuphila ngokomzwelo nokusebenza. Esicwaningweni sokucwaninga ngeziguli ezine-COPD emnene, uhlelo lokuzivocavoca lwabonisa ukuthuthukiswa ezikoleni zokusebenza zomzwelo. Kungakhathaliseki ukuthi unayo i-COPD noma cha, izinhlelo zezinhlelo zokugqugquzela ukugqugquzela umphakathi nokuzivocavoca, ngokuvamile, zinganciphisa ukucindezeleka, ukuthuthukisa isimo sengqondo nokukhulisa amandla. Lokhu kungaholela ekugqugquzelweni okungaphezulu nakakhulu ukuphuma nokuphathelene.
  1. Ukuzivocavoca kwama-aerobic kungase kuthuthukise umsebenzi wokucabangela (njengejubane lokucubungula ulwazi) . Yize izici eziningi zenza ukuhlaselwa kwengqondo kweziguli ezine-COPD, ukuzivocavoca kwe-aerobic kungasiza ekuthuthukiseni amazinga e-oxygen ebuchosheni ngakho-ke kunganciphisa ukwehla kwengqondo okubonakalayo kuziguli ezindala, ikakhulukazi labo abane-COPD.
  2. Iziguli ezine-COPD eziqedela izinhlelo zokuvuselela amapulmoni zinemihla embalwa esibhedlela kunezingakapheli izinhlelo zokuvuselela amapulmoni . Ucwaningo olwenziwe ngeziguli oluqedile uhlelo lokuvuselela i-pulmonary lwalubonisa ukuthi nakuba lolu hlelo aluzange lithinte ukuthi iziguli zafakwa esibhedlela kaningi kangakanani, kwabonisa ukuthi iziguli ezenzile umzimba zazibhekene nezinsuku ezimbalwa esibhedlela (izinsuku ezingu-10 kuphela ezinsukwini ezingu-21 kuphela labo abangazange baqede izinhlelo zokuvuselela i-pulmonary).

Amathiphu

  1. Gwema isimo sezulu esibi kakhulu. Iziguli ezine-COPD zivame ukuba nezingozi kakhulu ebusika nasesimo esishisayo, sezulu. Qiniseka ukugcina lokhu engqondweni ngaphambi kokusebenzisa ngaphandle.
  2. Sebenzisa i-inhaler encane (isib. Albuterol) 10-15 amaminithi ngaphambi kokusebenzisa. Ama-inhalers ama-short-acting ngokuvamile athatha amaminithi angu-5 kuya ku-15 ukuze aqale ukusebenza futhi azosiza ukuvula imimoya yomoya (ie ukunciphisa i-bronchospasm) ezokwenza iziguli zibe nezimpawu ezimbalwa ngesikhathi sokuzivocavoca futhi zikwazi ukusebenzisa okuningi.
  1. Bhalisa ukuvuselelwa kwamaphalenda. Buza udokotela wakho ngezinhlelo ezihlelekile zokuvuselelwa kwamaphalenda. Izinhlelo zokuvuselelwa kwamapulmonari ziye zaboniswa ngezikhathi ezithile ukuthuthukisa izimpawu kanye nekhwalithi yokuphila kweziguli ezine-COPD. Lezi zinhlelo zenza okungaphezu nje kokuzivocavoca, futhi zinikezela ngolwazi mayelana nokuthi yiziphi izindlela zokuzivocavoca ezingcono kakhulu kubantu abaneCOPD, amasu okuphefumula kweziguli ezine-COPD, namanye amasu okuthuthukisa umsebenzi. Lezi zinhlelo zivame ukuhlanganiswa nomshuwalense futhi zinikeze imfundo kanye nezinhlelo zokusebenzisa isikhathi esifushane ukuze uqale. Noma kunjalo, kubalulekile ukuyibeka ekhaya ngemuva kokuqeda uhlelo noma ezinye izinzuzo zizolahleka!
  1. Yenza umsebenzi we-cardiovascular okungenani kathathu ngesonto. Sebenza imizuzu engama-30 ukuhamba ngesivinini esithandekayo kuwe, kodwa njalo njalo ngemva kokuxoxa ngokuzivocavoca nodokotela wakho noma ngokusebenzisa uhlelo lokuvuselela i-pulmonary.
  2. Amandla engalo ephezulu kubalulekile ekuphefumuleni, ikakhulukazi ezigulini ezine-COPD. Ezinye izenzo zangasese ezingenhla ukuzama: ama-curice e-bicep, izandiso ze-triceps, i-shoulder crossxion, ukukhishwa kwamahlombe nokuphakama kwehlombe. Zama ukusebenza kuze kube ngu-8 okuphindaphindiwe ngezigaba ezimbili, kodwa ungenzi noma yikuphi ukuqeqeshwa ngaphandle kwemfundo efanele emisebenzini efanele evela kumtholampilo noma uchwepheshe wokuzivocavoca.

Okubalulekile

Phuma lapho futhi wenze umsebenzi wokuzivocavoca, kungakhathaliseki ukuthi ungaphatha kancane kangakanani. Buza udokotela wakho mayelana nezinhlelo zokuvuselela amapulmoni eduze nawe futhi okungenani uzame. Ungase umangale ukuthi uzizwa kangcono kangakanani ngemva kokuqala uhlelo lokuzivocavoca-ngisho noma une-COPD enamandla. I-"umph" encane eyengeziwe ingahamba ngendlela ende.

> Imithombo:

> Berry MJ, Rejeski WJ, Adair NE, Zaccaro D. Ukuvuselelwa kokuzivocavoca kanye nesifo esithathelwanayo se-pulmonary disease. Am J Respir Crit Care Med 1999; 160: 1248-53.

> Etnier J, Johnston R, Dagenbach D, Pollard RJ, Rejeski WJ, Berry M. Ubudlelwano phakathi kokusebenza kwamaphalenda, ukuqina komzimba, nokusebenza komqondo kubantu abakhulile beCOPD. I-Chest 1999; 116: 953-60.

> Foglio K, Bianchi L, Bruletti G, Battista L, Pagani M, Ambrosino N. Ukuphumelela isikhathi eside sokuvuselelwa kwamaphalenda ezigulini ezinezinkinga ezingapheli zomoya. I-Eur Respir J 1999; 13: 125-32.

> I-Global Initiative ye-Chronicle Obstructive Lung Disease (GOLD) Imihlahlandlela, ngo-2014

> Griffiths TL, Burr ML, Campbell IA, et al. Imiphumela yonyaka ongu-1 weziguli eziphuthumayo zokuvuselelwa kwamaphalitha: isilingo esilawulwa ngokungahleliwe. I-Lancet 2000; 355: 362-8.