Ukukhuluphala Kuthinta Kanjani Abantu Abaphila Ne-COPD?
Ukukhuluphala komzimba kuthinta kanjani abantu abanezifo ezingavamile zokuphazamiseka kwezifo (COPD)? Ingabe ukwehlisa umzimba kwenza umehluko, futhi uma kunjalo, kungakanani? Iyiphi indlela engcono kakhulu yokulahlekelwa isisindo uma uhlangabezana ne-COPD?
Sibutsetelo
Ukukhuluphala ne- COPD bafana ngani? Okokuqala, bobabili bavame kakhulu. I-COPD njengamanje ibhekwa njengesizathu sesithathu sokufa e-United States, ngemuva kwesifo senhliziyo kuphela nomdlavuza.
Akukhona nje lokhu okujwayelekile, kodwa kubonakala sengathi izinga lokufa kusuka ku-COPD landa.
Ukukhuluphala kunzima ukuyibeka njengoba kungabhekwa ngaso sonke isikhathi njengesizathu sokufa. Kodwa ukukhuluphala kuyimbangela ehamba phambili yesifo senhliziyo (imbangela ehamba phambili yokufa e-United States) futhi isondela ngokushesha (futhi mhlawumbe idlula ukubhema) njengesizathu esiholela phambili somdlavuza; isizathu sesibili sokufa e-US
Kokubili i-COPD nokukhuluphala kwanda, kepha kanjani kuhlanganiswe ndawonye? Iyiphi indima ukukhuluphala kudlala ku-COPD nokuthi i-COPD ingayandisa kanjani ingozi yokukhuluphala? Ngemuva kwalokho, umuntu ongenamuntu ophethe i-COPD ungaphansi kwesisindo.
Ukuthi Ukukhuluphala Kithinta Kanjani I-COPD
Naphezu kwanoma yisiphi isithombe onakho engqondweni yakho ngomuntu ongcono kakhulu othukuthela umoya-mpilo, ukukhuluphala kudlala indima ebalulekile futhi ebaluleke kakhulu ezifweni ezingenasifo sokuphefumula (COPD).
Nakuba ukukhuluphala, ngokwako, akuyona into engozini ye-COPD, njengoba kungenxa yezinye izimo eziningi, kukhona ubufakazi bokutholwa komzimba obukhomba ubuhlobo obunethonya phakathi kwalaba ababili.
Ukukhuluphala kuholela ekubukeleni kwezimpawu ze-COPD , futhi ukwehla kokubili ukubekezelelana kokuzivocavoca kanye nekhwalithi yokuphila. Ukulahlekelwa kwesisindo, noma kunjalo, kunganikeza ukuthuthuka okuphawulekayo, okuyisimangaliso.
Abantu abane-COPD abakhuluphele ngokweqile noma abakhuluphele nabo basengozini yokuphefumula kokuphefumula kokulala.
Indlela i-COPD ethinta ngayo ukukhuluphala
Ukuba ne-COPD, ngokufanayo, kungadlala indima ekukhulupheni.
Uma une-COPD, uyazi ukuthi kungakanani okungathinta ukuvivinya umzimba kwakho, futhi ukuhlala phansi kuyisici esibalulekile sokungcola. Ngesizathu esifanayo, ukuzama ukulahlekelwa isisindo ne-COPD kungaba nzima.
Incazelo yokukhuluphala
Ukukhuluphala kungachazwa ngokuphathelene nomthamo womzimba womzimba (BMI), ochaza ubuhlobo phakathi kwesisindo nokuphakama. Imikhombandlela elandelayo izokusiza ukuthi ubone ukuthi ukhulu ngokweqile noma ukhuluphele, ngokusho kweshadi elijwayelekile le- BMI .
- Ngaphansi kwesisindo:> 18.5
- Okuvamile: 18.5 kuya ku-24.9
- Ukuqapha ngokweqile: 25 kuya ku-29.9
- Kakhulu: 30.0 noma 39.9
- Ukukhuluphala kabi komzimba: 40 nangaphezulu
Ishadi le-BMI aliphelele njengoba lingacabangi uhlobo lomzimba nokwakha, kodwa indawo enhle yokuqala. Ungase ufise ukukhuluma nodokotela wakho, ongabheka ezinye zezinye iziguquko futhi akunike ukulinganisela kwesisindo sakho esihle.
Izibalo zobuningi
Njengoba i-BMI enama-25 noma ngaphezulu echaza ukukhuluphala ngokweqile kanye ne-BMI engaphezu kwezingama-30 ezibonisa ukukhuluphala, abantu abangaphezu kwezigidi eziyizinkulungwane zomhlaba emhlabeni wonke bangaphezu kwamakhulu amabili noma ngaphezulu. Ukukhuluphala ngokweqile kuyinto ebalulekile engozini yesifo senhliziyo, isifo sikashukela , isifo samathambo nesifo somdlavuza futhi sinomthwalo wemali engamaphesenti angu-10 ezindleko zezempilo. Kodwa kubangelwa kanjani izinkinga kubantu abaneCOPD ikakhulukazi?
Imiphumela Yokukhuluphala Emipheni Yakho
Ukweqisa ngokweqile noma okukhuluphele kuthinta umsebenzi wamaphaphu ngezindlela eziningi. Ukunqwabelana kwamathambo amafutha, okwenzeka ngokukhuluphala, kuphazamisa inqubo yokuphefumula kokubili abadala kanye nezingane. Ukwanda ngokweqile kuholela nasekunciphiseni ukuhlolwa kokusebenza kwamaphalitha okubalwa:
- Ivolumu yokuphefumula okuphoqelelwe ngomzuzwana owodwa ( FEV1 )
- Amandla amakhulu okuphoqeleka ( FVC )
- Isilinganiso samandla wamaphaphu (i- TLC )
Njengoba ukuhamba ngokuzungeze ngokweqile kwandisa umsebenzi wokuphefumula, kukhona ukuhlangana okuqondile phakathi kokukhuluphala nokuphefumula, noma i- dyspnea , eyaziwa njengeziphawu eziphawulekayo zeCOPD.
Ukwanda ngokweqile kuhlobene kakhulu nokunciphisa ukubekezelelana kokuzivocavoca. Kanye nezinkinga zempilo ezihlobene nokungasebenzi, ukungakwazi ukuzivocavoca kungathinta kakhulu izinga lokuphila.
Izinzuzo zezempilo zokulahlekelwa kwesisindo
Ukwazi ukuthi ukukhuluphala ngokweqile kungalimaza izimpawu zakho, yiziphi izinzuzo eziboniswe kulabo abaneCOPD abaye balahlekelwa ngempumelelo? Ezinye zazo zihlanganisa:
- Izinga lamandla elandayo
- Ukunciphisa amazinga e-cholesterol
- Ukuncipha kwengcindezi yegazi
- Ukunciphisa ubuhlungu
- Ukuhamba okuthuthukisiwe
- Ukulala okungcono
- Ukuvimbela ama-angina, noma ubuhlungu besifuba obangelwa ukwehla kwe-oxygen enhliziyweni
- Ukunciphisa ingozi yokufa ngokuzumayo isifo senhliziyo noma isifo sohlangothi
- Ukunciphisa ingozi yokuthuthukisa isifo sikashukela sohlobo lwesibili
- Ukuthuthukiswa kwamazinga kashukela egazini
Izindlela zokuphumelela ezigulini ze-COPD
Ukunciphisa isisindo, uma ukhuluphele kakhulu noma ukhuluphele kakhulu, yilona isu elihle lempilo kubantu abahluphekayo ku-COPD. Lokhu kungenziwa ngokusebenzisa inhlanganisela yokudla, ukwanda komsebenzi womzimba kanye (ngezinye izikhathi) imithi. Kunemiphumela yokutadisha okulinganiselwe kanye nezincomo mayelana nezindlela zokulahleka kwesisindo kubantu abanezifo ezingapheli zokuphefumula, njenge-COPD. Lokho esikufundile ukuthi ukubeka nokugcina uhlelo lokuzivocavoca kubaluleke kakhulu empumelelweni. Ngokuqinisekile uzofunda ngokushesha ukuthi lo msebenzi usiza abantu abane-COPD ngezindlela eziningi ezihamba ngaphezu kokulawulwa kwesisindo.
Ukuhlanganisa ukulungiswa kwamapulmoni kuhlelo lwakho lwe-COPD kanye nesisindo sokulahlekelwa isisindo akuzange kufundwe ngokuningiliziwe kepha kungenzeka kube usizo ngezindlela eziningi. I-arapist ye-pulmonary ingasebenza nawe ukuthola izindlela zokuthuthukisa ukubekezela kwakho kokuzivocavoca .
Ukuthola umuntu ozisebenzisayo nakho kuyindlela eqinisekisiwe yokunamathela ohlelweni. Kunzima kakhulu "ukuyeka" noma uqale ukweqa isimiso sakho sokuzivocavoca uma uphendula omunye umuntu.
Izinhlobo ezinhle kakhulu zokuzivocavoca, ngokuhamba kwesikhathi, zizoba yizo ozithandayo kakhulu. Cabanga ngemisebenzi oyenzayo esebenzayo kodwa engavamile ukuyibuka ngokuthi "ukuzivocavoca." Kwabanye abantu, kuhamba. Ukuze ungeze kancane kumnandi, ungase ufune ukuqala "i-geocaching." Kwabanye, kuyimiyezo, kanti empeleni, izinga lokulima ingaba uhlobo oluhle kakhulu lomsebenzi wokuzivocavoca kanye nempilo yonke. Thatha isikhathi sokufunda mayelana nezenzo ezinhle kakhulu zabantu abane-COPD .
Ngokuphathelene nokudla, ukulawula ingxenye kunesidingo. Esikhundleni sokuqala "ukudla" cabanga ngezinguquko ezihlala njalo ongayenza ekudleni kwakho. Njengokuzivocavoca, uma ungathola indlela yokudla ukudla okunempilo, ungase uphumelele. Ukuzama zokupheka ezintsha ngaphandle kwe-Mediterranean cuisine cookbook kungaba yisiqalo esihle.
Ngezansi kokukhuluphala ne-COPD
Kuyacaca ukuthi ukukhuluphala kunomthelela omubi kulabo abane-COPD, kanti i-COPD ingadlulisela umuntu ekukhulupheni ngenxa yokulinganiselwa kokuzivocavoca. Ukulahlekelwa kwesisindo kungasiza futhi kufanele kugxile ekuhlanganiseni kokubili imikhuba emihle yokudla nokusebenza komzimba.
> Imithombo:
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. I-New York: Imfundo ye-Mc Graw-Hill, 2015. Phrinta.
> O'Donnell, D., Ciavaglia, C., noJ. Neder. Lapho Ukukhuluphala Kwesisindo Nokugula Okungavumelani Nesifo Sokugula Kuhlanganisa. Imiphumela Engokwemvelo kanye Nemitholampilo. Amanothi we-American Thoracic Society . 2014. 11 (4): 635-44.
> Park, J., Lee, J., Heo, E., Kim, D., noH. H. Chung. Umthelela Wokukhuluphala Kweziguli Eziphethwe Izifo Eziphuthumayo Ezikhungathekile Ezithathelwanayo: Imiphumela evela ku-KNHANES 2010 kuya ku-2012. I-International Journal ye-Chronic Obstructive Pulmonary Disease . 2017. 12: 757-763.