Ukwelapha Ukuphefumula Kungasiza Iziguli Zengculaza Zengculazi
Kuthathwa kalula ukuthi ukuvuselelwa kuyingxenye yenqubo yokutakula kwezimo eziningi zezokwelapha, kodwa ukuvuselelwa kwepulmatory kubantu abanomdlavuza wamaphaphu akuvamile ukushiwo. Isizathu akusona ukuntuleka kwe-efficiency-rehab kungenza umehluko omkhulu kwabanye abantu abanomdlavuza wamaphaphu. Asinalo ulwazi oluningi mayelana nendima yalo ngomdlavuza wamaphaphu, kodwa ukulungiswa kwamaphalenda kubantu abaneCOPD kusanda kubonakala njengengxenye ebalulekile ye-COPD.
Ungakwazi nini ukusiza kabusha i-pulmonary, futhi yini okufanele ukwazi uma ukhuluma nodokotela wakho?
Kuyini ukuvuselelwa kwePulmonary?
Ukuvuselelwa kwepulmonary kuyindlela edidiyelwe yokuthuthukisa izinga lokuphila elisebenzisa ubuchwepheshe bezinhlelo eziningana. Eminye yalezi zihlanganisa abahlinzayo bokuphefumula, ababelapha ngokomzimba, abahlinzeki bokusebenza, izondlo, izazi zengqondo, ukuzivivinya umzimba, nokuningi. Nakuba "ukuphefumula kube lula" kungaba umgomo owodwa we-rehab, siyazi ukuthi izici eziningi zisebenza ndawonye ukuthuthukisa noma ukuvimbela ikhwalithi yokuphila kubantu abanomdlavuza.
Ukuvuselelwa kwepulmonary kuhlukile kunokwelashwa ngokomzimba esifubeni (okubizwa ngokuthi i-chest physiotherapy). I-chest yokwelapha ngokomzimba ihlanganisa amasu asetshenziselwa ukukhipha umchamo owedlula emaphashini.
Okukwenzeka Ngesikhathi Sokuvuselelwa KwamaPulmonary
Kukhona izingxenye eziningana zokubuyiswa kwamapayipi. I-mainstay yalokhu ukwelashwa yimfundo. Lokhu kungafaka ulwazi mayelana nomdlavuza wakho, ulwazi lomsoco, amasu okuphefumula, nezindlela zokubhekana nokucindezeleka komuthi wokuhlaselwa komdlavuza.
Iziphakamiso ezinezobuchwepheshe be-pulmary rehab may zifaka:
- Ukuhlolwa kokuhamba. Ngaphambi kokuqala ukuvuselela kabusha, udokotela uzothola ukuhlolwa kohlelo lwakho lokuqala lwamaphaphu. Angase enze okuthile okuthiwa ukuhlolwa okuhamba ngomzuzu o-6 okuzobuka ibanga ongahamba ngalo endaweni eqinile imizuzu engu-6 ngokunethezeka.
- Imiyalelo emasu okuphefumula. Isibonelo, inqubo eyaziwa ngokuthi ukuphefumula kwe-diaphragmatic ukuqinisa umfutho wokugcoba nokunciphisa ukukhathala kokuphefumula, nokuphefumula nge-lip-lip ukusiza ukunciphisa ukuzwa kokuphefumula.
- Amandla okugcina amandla. Lokhu kungafaka izindlela zokusebenza ngokuphefumula okuncane. Isibonelo, ungase ufundiswe ngamasu okugwema ukuphefumula ngenkathi udla .
- Imfundo ekusetshenzisweni kwemithi yokusiza ukuphefumula.
- Ukuzivocavoca kwe-aerobic njengokuhamba ngesitebhisi noma ukusebenzisa ibhayisikili yokuzivocavoca ukuthuthukisa ukukhuthazela nokwandisa amandla emaphaphu .
- Ukubeka isisindo ukuqinisa amandla emisipha yokuphefumula.
- Ukuqeqesha imisipha yokuphefumula ukusiza ukuphefumula.
- Amasu okuphumula kanye namasu okubhekana nawo.
- Ukwelulekwa kokudla okunomsoco.
- Ukusekelwa kwengqondo ukukusiza uqonde ukuthi imizwelo nokucindezeleka kwengqondo kungathinta kanjani ukuphefumula kwakho.
Indlela Esisiza Ngayo Abantu abane-Cancer Lung
Nakuba kungakafundiwe njengomdlavuza wamaphaphu njengoba kunayo i-COPD, ucwaningo luye lwathola ukuthi ukuvuselelwa kwamaphalenda (ezimweni ezifanele nangesikhathi esifanele ngesikhathi sokwelashwa) kungase:
- Thuthukisa ikhono lokuzivocavoca futhi wenze imisebenzi yansuku zonke.
- Ukukhathazeka okuncane kokuhlinzwa komdlavuza wamaphaphu (bheka ngezansi).
- Thuthukisa umsebenzi we-pulmonary.
- Thuthukisa izinga lokuphila.
- Ukuphefumula okuncane kokufunda.
- Thuthukisa amandla aphansi.
- Thuthukisa izimo zezokwelapha ezikhona. Akuvamile ukuthi abantu abanomdlavuza wamaphaphu nabo babe ne-emphysema ne-bronchitis engapheli. Ucwaningo luye lwabona ukuthi kulaba bantu, ukubuyiswa kwamapayipi kubangela ukuphefumula okuncane, ukusebenza kahle kokuzivocavoca, kanye nekhwalithi yokuphila ehlobene nempilo.
Ukuvuselelwa Kwamapulangwe Ngaphambi Kokuhlinzwa Kwengculaza Lung
Ucwaningo seluqala ukubheka indima ye-pre-operative rehabyria rehab on imiphumela yokuhlinzwa. Ukubuyekezwa kwezifundo ezingu-2017 kuze kube yimanje, noma kunjalo, kubonisa ukuthi ukwelashwa kwephammoni ngaphambi kokuhlinzwa komdlavuza wamaphaphu kungasiza ngezindlela eziningana.
Lokho esikufundayo kuze kube manje ukuthi i-rehab inga:
- Nciphisa izinkinga emva kokuhlinzwa. Izinkinga ezivela ekuhlinzekeni komdlavuza wamaphaphu zivame futhi zingabandakanya ukuxhomeka kwe-ventilator okwesikhathi eside, ukutheleleka, ukuphuma kwegazi, izinkinga zenhliziyo, i-clots yegazi, isifo se-post-thoracotomy syndrome, nokuningi.
- Thuthukisa ukuphefumula ukuze ukuhlinzekwa komdlavuza wamaphaphu okuphefumula kungase kwenziwe.
- Kungenzeka ngcono imiphumela emva kokuhlinzwa komdlavuza wamaphaphu.
- Ucwaningo oluthile oluthile oluthola ukuthi abantu ababenempilo ngaphambi kokuba bahlinzekwe babe nokuhlala isikhathi esincane esibhedlela, ukugula okuncane (okusho ukugula) eduze nesikhathi sokuhlinzwa, futhi babe nesigamu esifushane sokudinga ithubhu yesifuba ngemva kokuhlinzwa.
Lapho Ukuvuselelwa KwamaPulmonary Kuqala
I-oncologist yakho, udokotela ohlinzayo we-thoracic, noma i-pulmonologist kuzodingeka asebenze nawe ukuze anqume isikhathi esihle sokuvuselelwa kwamaphalenda. Ucwaningo oluthile oluthola ukuthi ukuvuselelwa ngokushesha ngemva kwe- thoracotomy kubangele ubuhlungu obukhulu, futhi kuphakanyisiwe ukuthi kungcono ukulinda izinyanga ezintathu noma ezine emva kokuhlinzwa okukhulu kwesifuba ukuqala kabusha.
Kuthiwani Ngabantu Abanomdlavuza We-Lung Can not Operable?
Ngisho nabantu abanomdlavuza wamaphaphu ophakeme bangase bazuze ekubuyiseleni kwe-pulmonary. Ngaphezu kwalokho, abantu abaningi abanesifo sesigaba 4 abadingi ukuhlinzeka ngakho-ke bangakwazi ukuqala uhlelo lokuvuselela ngaphandle kokulinda ukucutshungulwa kokuhlinzwa ukuphulukisa.
Ungaqala kanjani
Indawo engcono kakhulu yokuqala ukukhuluma nodokotela wakho we- cancer yomaphaphu ukuze ufunde mayelana nezinhlelo zokuvuselela i-pulmonary endaweni yangakini. Izikhungo eziningi zomdlavuza ezikhudlwana zinikeza lezi zinsizakalo kumuntu ophulukisayo kanye nesifo sogulayo. Uma odokotela bakho bengazi izinhlelo, ungahlola:
- E-California, i-California Society ye-Pulmonary Rehabilitation inohlu ongalufuna abahlinzeki.
- E-Canada, iCanada Lung Association inehlu lwezinhlelo zokuvuselela i-pulmonary.
- E-UK, ungabheka nge-British Lung Foundation mayelana nemithombo ye-rehab.
Izingozi
Izingozi ezihlobene nokuvuselelwa kwe-pulmonary ngokuyinhloko izingozi ezihambisana nanoma yiluphi uhlelo lokuzivocavoca. Uma umuntu enesifo senhliziyo esingaqiniseki, ukuzivocavoca kungandisa ingozi yezinhliziyo ezingavamile noma ukuhlaselwa yinhliziyo. Kubantu abanesifo se- osteoporosis , ingozi yokulimala kwamathambo kumele icatshangelwe. Lokhu kubalulekile futhi ukucabangela ukuthi unayo yini imetastases yethambo. Kulabo abasebenzisa i-chemotherapy, ingozi yokutheleleka uma kuxhumana nabanye kufanele kucatshangelwe. Kubantu abaye bahlinzwa, kubalulekile ukuthi indawo yokuhlinzeka iphethwe kahle ukuze igweme ingozi yokuvulwa kokuhlinzwa.
Ingabe Umshwalense Umboza Le Ngonyango?
Kubalulekile ukuhlola nomhlinzeki wakho womshuwalense ukuze ubone ukuthi kuzokwenziwa yini uhlelo lwakho oluthile. Uma ukwelashwa kungagciniwe, ungase uthande ukucabangela ukufaka olunye lwezilingo zomtholampilo ezifunda ukuzuza kwe-pulmary rehab kubantu abanomdlavuza wamaphaphu. Uma ungaqiniseki ukuthi uzoqala kuphi, kukhona i-Lung Cancer Clinical Trial Matching Service enikeza usizo lwamahhala ekufuneni izivivinyo zemitholampilo ezitholakala emhlabeni wonke.
Kungani Kungenzeka Ungase Uzwe NgeRehabuloni Rehab
Ingxenye yezizathu ukungabi nokuqwashisa ngalezi zinsizakalo ngisho nodokotela. Ucwaningo luye lwaveza nezinhlu zokulinda eside njengesizathu esisodwa. Isizathu esiyinhloko ukuthi izinzuzo zokuvuselela abantu abanomdlavuza wamaphaphu ziqala ukucwaningwa njengoba kuye kwaba ezinye izimo ezifana ne-COPD.
Ngaphansi Kwendlela Yokuvuselelwa KwamaPulmonary for People With Cancer Lung
Ngezimo eziningi zezokwelapha esifunda ukuthi ukuvuselelwa kungenza umehluko omkhulu emkhakheni wokuphila. Kulabo abaye bahlaselwa isifo senhliziyo, isifo sokushaya isisu noma sokunyakaza, sekuba cishe isimiso. Kodwa siqala ukufunda ngezinzuzo ezingenzeka kubantu abanomdlavuza wamaphaphu. Uma kwenziwa ngaphambi kokuhlinzeka ngamaphaphu, kubonakala sengathi ukuvuselelwa kwepayipi kunganciphisa ezinye izinkinga ezivamile. Ngisho nalabo abaye banomdlavuza wamaphaphu baye bathola ukuzuza. Uma ungazange unikezwe kabusha, khuluma nodokotela bakho. Kungase kudingeke ukuba ube ngummeli wakho siqu futhi uphakamise ukuthi kungenzeka kulesi sigaba, nakuba kungenzeka ukuthi le rehab izoba isimiso esiningi kakhulu esikhathini esizayo.
> Imithombo:
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> Glattki, G. et al. Ukuvuselelwa kwamapulmonary ezinganeni ezincane ezingenalo ezincane zomdlavuza wamaphaphu ngemva kokuphola ukwelashwa. I-American Journal of Clinical Oncology . 2012. 35 (2): 120-5.
> Morano, M. et al. Ukuvuselelwa kwe-puloperary ye-pulmonary ne-chest yokwelapha ngokomzimba kulabo ababhekene nomdlavuza wokuvuza umdlavuza wamaphaphu. Archives of Medicine Physical and Rehabilitation . 2013. 94 (1): 53-8.
> Rivas-Perez, J., noP. Nana-Sinkam. Ukuhlanganisa ukulungiswa kwamapulmoni ekulawulweni okuhlukahlukene kwemiphakathi yemaphaphu: ukubuyekezwa. Imithi yokuphefumula . 2015. 109 (4): 437-42.
> Schmidt-Hansen, M., Page, R., no-E. Hasler. Umphumela wokuqeda ukubhema kokuphambana noma ukuvuselelwa kwamapulmonary preoperative emiphumeleni emva kokuhlinzwa komdlavuza wamaphaphu: ukubuyekezwa okuhlelekile. Cancer Cancer Clinic . 2013. 14 (2): 96-102.
> Shannon, V. Indima yokuvuselelwa kwamaphalenda ekuphathweni kweziguli ezinomdlavuza wamaphaphu. Ama-Opinions amanje ku-Pulmonary Medicine . 2010. 16 (4): 334-9.
> Stiqt, J. et al. Isivivinyo esilawulwa ngokungahleliwe sokuvuselelwa kwe-postthoracotomy yamapulmoni ezigulini ezine-cancer engaphazamiseka emaphaphu. I-Journal ye-Thoracic Oncology . 2013. 8 (2): 214-21.