Unokwenyusa njani umgangatho wakho wamandla xa unayo iCOPD?
Unokujamelana njani nesifo esiqhelekileyo soxinzelelo ngesifo esingapheliyo sesifo se-pulmonary ( COPD )? Masiqwalasele oko kubangela ukukhathala kubantu abakwiCOPD baze babelane ngeengcebiso malunga nendlela yokwandisa izinga lakho lamandla.
Ukuqonda ukunyameka
Ukukhathala-ukujonga ngokuzithoba kokukhathala okuqhelekileyo, ukudinwa okanye ukungabikho kwamandla-kuyahluke kunokhathala ngokuqhelekileyo.
Akunjalo uhlobo lokukhathala oluphucula ubusuku obuhle bokulala okanye nokuba nekhobe yekhofi. Ngelishwa, liyimpawu engacaciswanga kakuhle kwisifo esingapheliyo sesiphene.
Ukukhathala kunokuba nempembelelo ebalulekileyo ekufanelekeni kubomi kubantu abahlala neCOPD. Enyanisweni, ngelixa i- dyspnea (uvakalelo lokuphefumla kanzima) ihlala isisifo esiyingozi esihambelana neCOPD, ukukhathala kubaluleke kakhulu xa kufikelele kwimpembelelo embi yesifo.
Ngokubanzi, ukukhathala kuyenzeka ukuba phantse abantu abathathu abaneCOPD njengoko kwenzayo kubemi bonke. Kuzo zonke izizathu, kubalulekile ukuxoxa nje kuphela oko kunokubangela ukukhathala kwakho, kodwa oko ungakwenza ngokwakho namhlanje ukuhlangabezana nale mpawu.
Iimbangela zokukhathala ngeCOPD
Kutheni abantu abaneCOPD beva ukukhathala? Impendulo ayilula, kwaye mhlawumbi kukho izinto ezininzi ezisebenza kunye ukufaka isandla ekudineni.
Kwizifundo, inqanaba elongezelelweyo lokukhathala elitholakala kubantu abane- moderation ukuya kwi- COPD enzima kuthiwa linxulumene ne:
- Ukwanda kwenyameko ye-pulmonary dispairment-Ininzi umzamo ofunekayo wokuphefumula, amandla amaninzi atyathwa emzimbeni
- Ukunciphisa ukunyamezelana komzimba -Siyazi ukuba ukunyanzelisa umzimba kunganciphisa ukukhathala, kwaye i-COPD inokubeka umda onzima ekufumaneni loo nto
- Ukuphazamiseka komgangatho wobomi
- Ukudandatheka-Ukunyanzeliswa kukuxhaswa ngokukodwa ekukhatheni kwaye kuyaqhelekileyo kubantu abaneCOPD
Uphando olongezelelweyo lubonisa ukuba uvakalelo lokukhathala oluhambelana neCOPD linokuthi lunxulumene nexesha elincinciweyo elichithwe ngaphandle, ubude bee-COPD zonyango, kunye neenguqu ezilandelayo ekusebenzeni:
- Ukunciphisa ubunzima nobukhulu bomzimba
- I-Hypoxemia , okanye ukuhla kwe-oksijini ekunciphiseni kwezicubu, kubangela ukukhathala kwinqanaba leselula
- Amandla amaninzi nokunyamezela
- Ukunciphisa ukuqonda-Ukukhathala ngenxa yeCOPD idibene neengxaki zeememori kunye nokuxazulula iingxaki
- Ukuphindaphinda izifo zokuphefumula-Nabo abangenawo amanqaku eCOPD ukuncipha kwamandla xa bejamelana nezifo zokuphefumula, kwaye ezi zifo ziqhelekile kwiCOPD
Iindlela ezili-10 zokulawula ukhathala
Ukunikezelwa kwamanqanaba aphezulu okukhathala ahlobene neCOPD, inenhlanhla yokuba kukho inani lokunyameka-amanyathelo okulwa ongayongeza ebomini bakho imihla ngemihla.
Ukuzivocavoca rhoqo
Abantu abasebenzisa rhoqo bazisa amanqanaba aphantsi okukhathala kunye nokuphuculwa komgangatho wobomi kunabo bahlala bodwa. Akunako kuphela ukuphucula ubomi bakho, kodwa idibene nokuhlala ixesha elide kubantu abahlala neCOPD ngokunjalo.
Xa kufikelele ekusebenziseni kunye neCOPD, ukudibanisa ukunyamezela (ukunyamezela komzimba) kunye nokuzivumelanisa nezimo kubalulekile. Xa uqwalasela izinto ozikhethayo, kubalulekile ukuqala ukukhawuleza. Siyazi ukusuka kuzo zonke iinqunto zonyaka eziphukileyo emhlabeni wonke ukuba abaninzi abantu abazithobeli kwizicwangciso zokutshintsha ngokupheleleyo indlela yabo yokuphila. Ukuqonda oku, cinga ngemisebenzi oyithandayo. Umzekelo unokuba ngumyezo. Kuyi nyaniso ukuba ukulima kungabonakalisa uhlobo oluhle kakhulu lokuzilolonga, kodwa abantu abaninzi "bayalibala" abayisebenzisayo njengoko bafumana umdla ngenxa yento abayidalayo. Ngakolunye uhlangothi, abanye bafumana ukulima ukuze bangabi nantoni, kwaye omnye umsebenzi uza kuba ngcono.
Abantu abaninzi banandipha ukuhamba, kwaye zininzi iinzuzo ekuhambeni kunye neCOPD . Cinga ngeendlela zokwenza kube mnandi. Ngaba uqwalasele i-Geocaching? I-Geocaching yindlela enye yokudala iinjongo zokuhamba ngaphandle kokuqonda ukuba uhamba ngempilo yakho. Ngaba unomhlobo okanye ilungu losapho onokuhamba nalo? Ukuba nomntu onokuphendula naye kunokunyusa amathuba akho okunamathela kumsebenzi. Ungaphinda ukhangele le mi sebenzi efanelekileyo kubantu abaneCOPD .
Yidla ukutya okunesondlo
Uyakhumbula ama-posters athi "yinto oyidlayo" ukususela ebuntwaneni. Kukho okuninzi inyaniso kweso sidiba, kunye nokutya okunempilo okupakishwa nokutya okuvelisa amandla kungenza umehluko omkhulu kubantu abahlala neCOPD nezinye izimo ezingapheliyo.
Ngamanye amaxesha kunokuba nzima ukuba ukwazi ukuqala phi xa kukutya ukutya okunempilo. Into ebalulekileyo ukwazi ukuba akudingeki ukuba utshintshe indlela yakho yokutya ubusuku bonke. Ngokuqhelekileyo kuthatha "amanyathelo omntwana" endaweni leyo, ekhokelela ekutshintsheni okulungileyo nokuhlala kwindlela yokutya.
Njengokusebenzisa umzimba, kunceda ukwenza ukutya kumnandi. Zama ukongeza ukutya ezimbalwa kunye nokutya okunempilo kwisondlo sakho ngeveki. Abanye abantu benza injongo yokutya ubuncinane imifuno eyodwa yemini yonke imihla. Ekubeni i-COPD ingumngcipheko ozimeleyo ukuphuhliswa komhlaza wemiphunga , ufuna ukufaka kwezinye zezinto eziphezulu ezicatshangelwa ukunciphisa ingozi yomhlaza wamaphaphu , zombini kunye neenzuzo zabo zokuthintela kunye neenzuzo zabo zangoku ekuncedeni umzimba wakho ukusingatha uxinzelelo COPD. Funda kabanzi malunga nesondlo kubantu abaneCOPD .
Yidla Intlanzi Yantyatyambo Yonke Imini
Ukutya kwasekuseni nganye ngentsasa kubalulekile, njengokuba siye saxelelwa rhoqo. Nangona kunjalo, ngeCOPD, iyakwazi ukupakisha izibini ezimbini. Okokuqala, kunokukunika amandla okuqala okufunekayo xa ufuna ukuhlangabezana nokukhathala okuhlobene neCOPD.
Isidlo sasekuseni esihle, nangona kunjalo, sisipho emzimbeni wakho oqhubeka esinika. Isidlo sasekuseni esilungileyo, ngokukodwa esinye esibandakanya iziqhamo kunye neprotheni, kunokukunceda ukuba ungava nemiphumo yokukhathala kwamandla ekukhathala kulo lonke usuku.
Thola ezininzi zokuphumla
I-National Sleep Foundation ithi abaninzi abantu abadala badinga phakathi kweeyure ezisixhenxe kunye nesithoba zobusuku ubusuku bonke. Enyanisweni, ukungabikho kokulala kunxulumene kakhulu namazinga okhathalayo kunye nezinye iimeko zezempilo, kubandakanya ukukhuluphala nokutya kwesifo sikashukela.
Isinyathelo sokuqala ekuqinisekiseni ukuba ubuthongo obuhle kukuziqhelanisa nokuziphatha kakuhle kokulala . Ngokufanelekileyo, kufuneka ulale kwaye uvuke ngokukhawuleza ngexesha elifanayo ngosuku ngalunye. Lahla nayiphi na ukukhanya ngaphandle kwendlu yakho yokulala kwaye ugcine igumbi lakho lokulala ngesondo uze ulale.
Ukunciphisa uxinzelelo (okuxutywayo ngokulandelayo) kunokubanceda kakhulu abo bajamelana nokulala. Kungcono ukudla isidlo okungenani iiyure eziliqela ngaphambi kokuthatha umhlalaphantsi. Kwakhona, khumbula ukuba kokubili i-caffeine kunye notywala kunokuncedisa ukulala iingxaki.
Kukho iindlela ezininzi zeCOPD ezingaphazamisa ukuphumla kwakho ngokuthe ngqo. Thetha ugqirha wakho malunga naziphi na ezi nkxalabo.
Ukunciphisa uxinzelelo
Ukuxinezeleka kuthethwa rhoqo kangangokuthi unokuzikhusela ukuva amazwi athi "ukulahla uxinzelelo ebomini bakho." Nangona la magama angagqitywa, umyalezo utsha kwaye unokwenziwa kweendaba. Izifundo ezininzi ziye zafumanisa ukuba ukuphathwa kwengcinezelo kungabancedisi abantu kuphela baphile ubomi obonwabisayo kodwa ngumqhubi omkhulu wokukhathala.
Ukubaluleka kokuxinwa kwengcinezelo ekulawuleni izifo ezingapheliyo akunakunceda. Ukunciphisa uxinzelelo kunokunciphisa ukukhathala nokuxhalabisa nokuphucula umgangatho wakho wobomi, nangona utshintsho oluncinane. Ukuba awuqinisekanga ukuba ungaqalisa njani, qalisa ngokujonga ezi ndlela zokunciphisa uxinzelelo ebomini bakho. Emva kokuzama ezimbalwa zezi ndlela, unokuba nomdla ekufundeni okungakumbi malunga nokulawula uxinzelelo, indlela esebenza ngayo, inzuzo kunye nendlela yokufaka le miqathango kwimini yakho yemihla ngemihla.
Phuza ezininzi Iimpawu
Ukuhlala i-hydrated kungabancedi nje umntu oziva ephucukileyo kodwa kubaluleke xa uhlala neCOPD. Amanye amayeza, kunye nezinto ezifana nokuphefumla umlomo, kunokunyusa iimfuno zakho ezikhukhulayo xa uhlala nesi sifo. Nangona i-hydration ibaluleke kakhulu, abaninzi abantu abaqapheli ukuba kubaluleke kangakanani kuba bade baxakile.
Ukudaka amanzi emzimbeni kunokubangela intloko, ukukhathala, umlomo owomileyo, utywala, inqanaba lentliziyo ngokukhawuleza kunye nezinye iimpawu. Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, kubalulekile ukusela okungenani ezisibhozo ezisibhozo zeglasi zamanzi ngosuku. Ukongezelela, ukungcola kwamanzi kunye nokufudumala kunye nomswakama kunokuyingozi kubantu abahlala neCOPD. Thatha umzuzwana ukuba ufunde indlela yokuhlala upholile kwaye u-hydrated xa i-thermometer ngaphandle iphakama.
Buza iDokotela wakho ngeeVithamini kunye neMaminerali
Unokufuna ukubuza ugqirha ukuba i-vitamin okanye i-mineral supplements ifanelekile, ingakumbi ukuba ukutya kwakho kusweleka kwizinto ezibalulekileyo zokutya. Ngokubanzi, nangona kunjalo, iivithamini ezongezelelweyo azibonwanga ukuphucula iimpawu okanye umsebenzi wephunga kwiCOPD.
Ukwahluka okucacileyo ngu-vitamin D. Ngoku sifunda ukuba uninzi lwabantu aluyilo le vithamini ebalulekileyo, ngokusilela kwe-vitamin D edibeneyo neemeko ezininzi ezivela kwi-osteoporosis ukuya kwi-sclerosis ezininzi, ukuya kwii-cancer ezininzi. Ekubeni abantu abaneCOPD bavame ukuchitha ixesha elingaphandle (enye yeendlela esingafumana ngayo i-vitamin D,) ukusilela kunokuba yingxaki.
Ngombulelo, kukho uvavanyo lwegazi olulula ugqirha wakho angayifumana okuya kukuxelela ukuba unalo. Ukuba ungekho, kukho iindlela ezimbalwa zokuphakamisa amanqanaba akho. Imithombo yesondlo ibandakanya ubisi kunye neentlanzi, kodwa kunzima ukufumana ngokwaneleyo ngokutya. Ukuchitha ubuncinane bexesha elangeni (umzekelo, imizuzu eyi-10) ngaphambi kokuba usebenzise i-sunscreen, uvumela umzimba wakho ukuba uthathe umthamo ophezulu we-vitamin. Ukuba izinga lakho lihlala liphantsi, ugqirha wakho unokuncoma i-vitamin D3 yokuncedisa ukuze uphakamise amanqanaba akho kwindawo efanelekileyo, phakathi kwebala eliqhelekileyo.
Ukuhleka kweNtloko yakho
Ukuhleka kunempilo eninzi, kuquka ukunciphisa uxinzelelo kunye nokunyamezela intlungu. Kutheni ungazami ukuhleka okuncinci ukukunciphisa ukukhathala ebomini bakho bemihla ngemihla? Ukuba awuqinisekanga ukuba ungaqaliswa njani, yenza okucokisekileyo. Jonga amabhayisikobho amnandi. Cela abahlobo bakho ukuba bakuthumele ii-imeyili ezihle. Ilungelo lakho elihle lokufumana ukuhleka ebomini bakho, nangona kunjalo, mhlawumbi ngokukufumana wena kunye nabangani bakho kwimini yemihla yobomi.
Amaxesha amaninzi imeko exinzelelekileyo inokuthi "uhlaziye" ukuba uhlaziye. Ukuba awukholwanga kuthi, cinga ngeemeko ngoku uhleka ngazo ngokungazange zihlaziye ngelo xesha. Ukurhoxisa yindlela indlela engatshintshiyo ngayo, kodwa indlela yakho yokujonga ngayo. Ukusebenzisa izicwangciso zokurhoxisa kusebenza ixesha eliphindwe kabini njengomthombo wokuhlaziya kunye nokuxhaswa kwengcinezelo. Zama ngexesha elizayo xa uziva unxinekile.
Ukuthintela ukukhuphuka kweCOPD
Kukho izizathu ezininzi zokuthi ukukhushulwa kweCOPD kufuneka kugwenywe, ngokunyanzeliswa kokukhathala ngenxa yokukhushulwa kweCOPD kuba yinye. Akunakwenzeka nje ukuba oku kukhwabanisa kukwandisa ukukhathala, kodwa ukongezelela ezinye iingxaki ezingakhokelela ekukhatheni ngeCOPD. Hlola ezi ngcamango ngendlela yokunciphisa ukukhushulwa kwe-COPD namhlanje .
Sebenzisa ixesha elide ngaphandle
Njengoko kuphawuliwe kwangaphambili, ukuchitha ixesha lokuphuma ngaphandle kwindlela enkulu yokufumana i-vitamin D, kunye nokusilela kwe-vitamin D kuye kwadibana neengxaki ezininzi, nokuba ngumdlavuza wamaphaphu. Uninzi lwabantu mhlawumbi aludingeki ukuba lufunde ngeziphumo zophando ukukholelwa ukuba abantu bazive bephucule xa bechitha ixesha elingaphezulu. Ukukhanya kwelanga kuyenze kuphuculwe ukujikeleza kwegazi kwiingqondo, ukukhombise amandla ethu ukwenza imisebenzi enokwenza ingqiqo njengokukhumbula nokwenza iifowuni.
ILizwi
Ukukhathala, njenge-dyspnea, kukuchaphazela yonke indawo yobomi kumntu ohlala neCOPD, kuquka imisebenzi yokuphila kwansuku zonke, ukusebenzisana nentlalo kunye neendlela zokulala. Ulawulo oluphumelelayo lokukhathala ludinga ukuqwashisa ulwazi kunye nomzamo wokusebenzisana phakathi kwabantu kunye nababoneleli ngezempilo. Kubalulekile ukuthetha nodokotela wakho ngokukhathala kwaye wenze naluphi na utshintsho olufunekayo, kodwa kukho izinto ezininzi ongayenza wena ukususela namhlanje.
> Imithombo:
> Antoniu, S., no D. Ungureanu. Ukulinganisa ukukhathala njengeSimboli kwi-COPD: Ukususela kwiiNkcukacha zeMbali kunye neeMbuzo eziPhambili kwiNgxaki. Izifo ezingapheliyo zokuphefumula . 2015. 12 (3): 179-88.
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: iMac Graw-Hill Education, 2015. Phrinta.
> Kosteli, M., Heneghan, N., Roskell, C. et al. Imiqobo kunye nabaSebenzi bokuBambisana noMsebenzi wePhysical Care for Patients with COPD kwiNkcazo yeNtloko. I-International Journal ye-Pulmonary Disease . 2017. 12: 1019-1031.
> Utsalane, M., Vercoulen, J., Abahlali, uMnu et al. Ukukhathala kwi-COPD: Kubaluleke kakhulu kodwa kutyhafile. Lancet. Amachiza okuphefumula . 2017 Apr 21. (Epub ngaphambi kokuprinta).