Elula, Ukuzivandlakanya Kungakuxelela Ngomxholo Wakho
Kukho inani lemibuzo yokuba oogqirha basebenzise ukuvavanya ubunzima kunye nefuthe lesifo esingapheliyo sesifo se-pulmonary (COPD) . Omnye wabo ubizwa ngokuba ngumvavanyo weCOPD, owaziwa ngokuba ngu-CAT. Iqulethwe ngumbuzo wesibhozo apho izigulane zithatha zombini iimpawu zabo kunye nenqanaba elithile lentsingiselo.
Kutheni i-CAT ibalulekile
Unyaka ka-2011 wawubonakala ngenguqu yolwandle kwindlela i-COPD eya kuthiwa ngayo.
Ngaloo nto ikomiti yesayensi ye-Global Initiative ye-Lung Dungase (GOLD) iziphakamiso zanikezela iingcebiso zokuthi i-COPD akufanele iphinde iphathwe ngokusekelwe kuphela kwiimvavanyo zokuxilonga njenge- spirometry . IKomidi yeGOLD yaqaphela ukuba le mvavanyo, ngelixa ixabisekileyo, yayinemiphumo ekukwazi ukuvavanya oko umntu ayenayo.
Kwezinye iimeko, umzekelo, umntu onokuCOPD unokufumana ukuba unobungozi obuncinane kwaye akakwazi ukuhamba ngeenqwelo zokuhamba. Ngokwahlukileyo, umntu onokukhubazeka okwexeshana angasebenza ngokuqhelekileyo kunokuba iimvavanyo zokuxilonga zibonisa.
Izikhokelo ezihlaziyiweyo ziye zavuma ukuba intetho yeCOPD isekelwe kwizinto ezininzi zokudibanisa, kubandakanywa nokuthintela komsebenzi wokuphefumula, ubude bezinto ezikhungathekileyo , kunye nokubona komntu ngokugula kwakhe.
Indlela iCAT isebenza ngayo
I-CAT ikhethwa ngokukhawuleza kwaye ichazwe kakhulu.
Imibuzo ezisibhozo nganye zilinganiselwe kwisikali se-0 ukuya ku-5. Amanani athatyathwa ngamanqaku angama-0 ukuya ku-40. Ukuphakama inani, ngakumbi ukukhubazeka. Uluhlu lwemibuzo luhambelana nemimandla eyahlukeneyo yesifo, ngale ndlela:
- I-Cough - ivakalwe ukusuka ku-0 ngenxa yokuba "andizange ndikhwehle" ukuya ku-5 ngenxa yokuba "Ndikhohlela lonke ixesha"
- I-Mucus-valued from 0 for "andinayo i-mucus kuwo onke" ukuya ku-5 "Isifuba sam sigcwele ngokupheleleyo"
- Ubungqina bentloko - ulinganiswe ukusuka ku-0 ukuze "Isifuba sam asiyiva nzima kuwo onke" ukuya ku-5 ukuze "Isifuba sam sinqabile kakhulu"
- Ukuphefumula okuphefumlelweyo - ku-0 ukuya kuthi "Xa ndihamba ngeendiza enye, ndiyaphefumla" ukuya ku-5 ngenxa yokuba "Xa ndihamba ngenyuka enye yezitebhisi ndiphefumula kakhulu"
- Isithintelo somsebenzi ekhaya - esikhatywe ukusuka ku-0 ngenxa yokuba "andiyi kukhawulelanga ukwenza nayiphi imisebenzi ekhaya" ukuya ku-5 ngenxa yokuba "ndinciphise ukwenza imisebenzi ekhaya"
- Isithintelo somsebenzi ngaphandle kwekhaya elilinganisiwe ukusuka ku-0 ngenxa yokuba "Ndiyathemba ukushiya ikhaya lam nangona umphunga wam imeko" ukuya ku-5 ngenxa yokuba "andiyikho konke ukuzithemba ukushiya ikhaya lam ngenxa yemeko yampompo"
- Impembelelo ebuthongweni - ulinganiswe ukusuka ku-0 ngenxa yokuba "ndilala ngokuthe ngqo" kwi-5 ngenxa yokuba "andiyi kulala ngomsindo ngenxa yemeko yampompo"
- Impembelelo kumandla - alinganiswe ukusuka ku-0 ngenxa yokuba "ndinamandla amaninzi" ukuya ku-5 ngenxa yokuba "andinamandla kuwo onke"
Ziziphi Iziphumo Ezisixelelayo
Nangona i-CAT ingasetyenziswanga ukuxilonga i-COPD , kubalulekile ekuqaliseni xa unyango kufuneka luqaliswe, zingaphi unyango kufuneka lubekwe, kwaye ukuba umntu uphendule kakuhle kangakanani okanye unyamekela unyango.
Ngokusekelwe kwizikhokelo ze-GOLD, abantu abanamazinga angaphezulu kwe-10 kufuneka bafumane unyango lwemihla ngemihla ngokukhawuleza.
Ukongezelela koko, nayiphi na ukwanda kwee-ezimbini-eziphakamileyo okanye ezantsi-kuthathwa njengenguqu enkulu ekulawuleni izibonakaliso. Nawuphi na umgangatho osenyukayo uthathwa njengonakaliso xa iimeko eziphantsi zibhekwa njengokuphuculwa.
Nangona kungabikho bonke oogqirha abaye bamkela i-CAT kwimisebenzi yabo yemihla ngemihla, uphando oluthile lucebise ukuba lunokuba luncedo ekuqikeleleni umngcipheko wokubandezeleka, ukuphuhliswa kokudakumba, kunye nokuqhubeka kwezifo eziphazamisayo.
> Imithombo:
> Karloh, M .; IMeyile, A .; UMaurici, R. et al. "Uvavanyo loVavanyo lweCOPD: Yintoni esiyaziyo kude kangaka?" Ikhofu J. 2016; 149 (2): 413-25. INGXELO: 10.1378 / isifuba.15-1752.
> Rodriguez-Roisin, R .; Rabe, K .; Vestbo, J. et al. I-Initiative Yomhlaba Wonke Wokugula Okungapheliyo Isifo Sokugula (GOLD) I-20th Anniversary: umlando omfutshane wexesha. " Int Resp Resp J. 2017; 50: 1700671. INGXELO: 10.1183 / 13993003.00671-2017.