Ngaphandle kweNgxelo yesiCwangciso sePhysiotherapy
Umqulu wesifuba se-physiotherapy (CPT), umlambo ongasemva komzimba, ukuphefumula, ukukhwehlela-zonke ezi zizinto ezisisiseko zokukhutshwa kwe-airway ukuze wonke umntu onesi-cystic fibrosis (i-CF) kufuneka azi indlela yokwenza. Kodwa ekugqibeleni, abaninzi abantu abaneCF baya kusebenzisa izixhobo zokuncedisa ukuba bancede benze umsebenzi. Le zi ezinye zeefowuni ezisetyenziswa ngokuqhelekileyo.
Uxinzelelo oluxhasayo
Izixhobo eziphambili zokuxinzelela (PEP) ziphathekayo, azibizi kwaye azidingi umbane. Ifowuni ye-PEP ingumaskki okanye umlomo omncinci owenziwe ngezandla kunye ne-valve yendlela enye evumela ukuba umoya ugeleke ngokulula kodwa uvelise ukuxhatshazwa ngexesha lokuphumayo. I-PEP inceda i-air-inhaled air emva kwe-mucus emiphakeni ize ibambe indlela yokuvula, ukuze i-mucus ikhutshwe. I-PEP yenziwa ngokuphefumla ngaphakathi nangaphandle ngeefowuni eziliqela, kwaye iyanxusa ukususa i-mucus ekhululiwe.
Ezinye iimpawu, ezifana ne-PARI PEP, zinokuxhunyezwa kwi-nebulizer ukudibanisa unyango lwe-PEP kunye ne- bronchodilators e -erosolized . Ngokuhambisa iindlela ezimbini zonyango ngexesha elilodwa, i-PEP nebulizers inciphise ixesha elichithwe kwizonyango.
Ukunyanzelisa ukunyanzelisa ukunyanzelisa
Njengazo zixhobo ze-PEP, ukunyanzeliswa kwengcinezelo yokuphefumula (i-oscillating PEP) izixhobo ezincinci, eziphathekayo nezizithengiyo ezingabizi umbane.
I-Oscillating PEP isebenza ngendlela efanayo ne-PEP kunye nebhonasi eyongeziweyo: ukugqithisa i-PEP nayo isebenzisa ukuzulazula ukunceda ukugubha i-mucus ekhululekile. Ukududuza kudalwa ngumoya ogeleza phezu kwebhola yensimbi okanye umbane ngaphakathi kweso sixhobo ngexesha lokukhupha.
Ezinye iimpawu eziqhelekileyo zokucima izixhobo ze-PEP:
- Flutter (Axcan Scandipharm) - ayikwazi ukusetyenziswa nge-nebulizer
- I-Acapella (i-Smiths Medical) - ingasetyenziswa nge-nebulizer
- Cornet (R. Cegla, efumaneka kuphela eCanada naseYurophu) - ingasetyenziswa nge-nebulizer
I-High-Frequency Chest Wall Oscillation
Ukuphakanyiswa kwodonga olusesikhundleni esiphakamileyo samathambo (HFCWO) isebenzisa isitya esithwala ngokukhawuleza kwaye sichitha ukukhupha i-mucus ngokududuza. I-vesti isetyenziselwa endaweni yokwenza i-CPT yencwadi. Inzuzo yayo eyona nto ilula ngokuba i-HFCWO ikhawuleza kuneCPT kwaye ayifunanga uncedo lomnye umntu. Ukuzonwabisa akusibizi, nangona kunjalo. I-vest iyabiza kwaye ayisoloko ihlanganiswa yinshuwalense.
Umthombo:
Amanqaku, i-JH "Izixhobo zokuSula i-Airway kwiCystic Fibrosis". IziPhulo zoPhulo . 2007; 8: 17-23. 20e.