Izixhobo zokuCima kwe-Airway yeCOPD

Ukuveliswa kwemveliso ye-mucus yinto eqhelekileyo yesifo esingapheliyo sesifo se-pulmonary disease (COPD). Ukuqokelela kweengxelo ze-mucus inxalenye enkulu ekuthintela umoya ngaphakathi nangaphandle kwemiphunga. Oku kubangela ukuhamba, ukukhwehlela kunye nokuphefumula okufikile esikufumanisayo njengezifo eziphazamisayo zesifo somphunga, kubandakanya i-bronchitis engapheliyo kunye ne-emphysema.

Izindlela zokusindisa i-Airway (UMTHETHO) yilezo ezijolise ukususa i-sputum (ukudibanisa kwe-mucus kunye nomthi) emiphakeni yakho. Izindlela eziqhelekileyo zokukhutshwa kwamanzi ziquka indlela yokukhwehlela i-Huff , ukukhwehlela ukukhwehlela , i- poet physiotherapy , kunye ne- postural drainage . Ngokuqinisekileyo ezi zixhobo zinobuchule kodwa ngokukhawuleza zincinci ekunikezeni nantoni na ngaphandle kokukhululeka.

Izixhobo zokukhutshwa kwe-Airway , ngokuchaseneyo, zinikeza iindleko ezinkulu xa zisetyenziselwa xa zibambisana noMthetho wendabuko. Zifumaneka ngokubanzi, kulula ukuyisebenzisa, kwaye zingabizi. Ukuze kube lula ukulungiselela imvume, i-inhaler ye-bronchodilator isetyenziselwa ukwandisa iindinyana ezihamba ngomoya ngelixa i-mucolytic inhaled isetyenzisiweyo.

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I-Flutter Clear Mouse System

Ukudibanisa unyango lwe-PEP nge-frequency oscillation, i-Flutter Mucus Clearance Device inikezela inkqubo yoxilongo elawulwayo eyenza ngobumnene i-airways enkulu kunye neyincinci. Le nyathelo inceda ukukhulula i-muscus kwiindonga ezinobunzima ngenkqubela ukukhawuleza ukuhamba kwe-air ukuze kuphuculwe ukuvuselela imvume.

Izixhobo ezingapheliyo ezifana nalezi zidala ukudanduluka xa uphuma. Emva kokubethelela kwisixhobo ngezihlandlo eziliqela, umntu uhlala ekwazi ukukhwehlela nokukhupha i-muscus.

Nangona i-Flutter ifowuni ayithengi kwaye ilula ukuyisebenzisa, abantu abanokuvinjelwa komoya okhuselekileyo abanako ukuvelisa ukukhupha umoya okwaneleyo ukuvumela ukuba ifowuni isebenze ngokufanelekileyo.

Amacebo afanayo afakwa phantsi kwegama elithi Acapella , Cornet, neAerobika OPEP.

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Uxinzelelo oluxhamlayo lwe-PEP)

I-PEP) yonyango oluphuculweyo (PEP) lwaphuhliswa ngee-1970 njengenye indlela eya kwi-poetry physiotherapy (CPT).

Ukusebenzisa imaski ebusweni okanye umlomo, izigulane zithatha umoya oqhelekileyo uze uphume kwi-valve yendlela enye ngokuchasene. Esi sixhobo sivumela umoya ophezulu kwiindlela ezincinci zomoya, ngaloo ndlela zidale uxinzelelo ukuba lukhuphe ngobumnene i-mucus. Yiyo le ngcinezelo ekugqibeleni iqhuba i-mucus ekwindlunkulu enkulu, eyenza kube lula ukukhupha.

Kwizifundo zekliniki, i-PEP ifowuni yaboniswa ku:

• ukuphucula i-mucus imvume
• ukwandisa isigulane senduduzo xa kuthelekiswa ne-CPT epheleleyo
• ukunciphisa ukusulelwa kwemiphunga kunye nokusetyenziswa kwamagciwane
• phucula i-bronchodilation
• ukunciphisa ukuhlala esibhedlele

Ezinye zezona zixhobo ezidumileyo zithengiswa phantsi kwegama elithi Astra PEP, Pari PEP, kunye ne-AeroPEP.

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I-High-Frequency Chest Wall Oscillation (HFCWO)

I-high-frequency wall oscillation wall (HFCWO) iqulethwe isitya esine-gonfle esisebenzisa ukunyanzeliswa komoya ukuba iphose ngobumnene udonga lwesifuba. Eli nyathelo landisa ukukhutshwa komoya kwiindinyana ezincinci kunye nezibonelelo ekukhutsheni kwe-mucus.

Iifowuni ze-HFCWO zilula ukuyisebenzisa kwaye ziye zaboniswa ukuba zihlangane kunye ne-CPT.

Ngokuqhelekileyo, umntu uya kusebenzisa i-vesti imizuzu emihlanu ngelo xesha aze akhonkceze kwaye akhonze ukucima i-mucus ekhululiwe. Iiseshoni ziphela malunga nemizuzu engama-20 ukuya kwe-30.

Imizekelo yefowuni ye-HFCWO ibandakanya i-Vest System Clearance System kunye ne-Medpulse Respiratory System System.

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Isixhobo sokukhupha i-Acoustic Flute Acuctic Device

I- Flung Flung iyisisithi esibanjwe ngesandla esenza amaza omsindo angaphantsi kwee-airways njengoko umntu ekhupha ngamandla ngomlomo womhlanga (kufana nokubethela kwi-clarinet). Amagagasi ahamba aye kwi-airways engezantsi aze avuselele imvume ye-mucus.

I-Flung Flute i-FDA ivunyelwe ukuxilonga kunye nokusetyenziswa kwezilwanyana kwaye isetyenziswa rhoqo kwiilabhu ukukunceda ukuqokelela iisampulu ze-sputum zokuvavanya.

Ukuze ufezekise iziphumo ezilungileyo, isigulane sidinga ukuvuthela kwiLulute yeLungula ukuya kwii-20 zeefom e zimbini nganye. Njengaye nawuphi na unyango lwe-ACT, umntu kufuneka aqale ngokukhawuleza aze akhe inani lokuphindaphinda ngexesha.

Ukongeza kwiCOPD, iLung Flute ivunyiwe ukuba isebenzise ekuphatheni i-bronchitis, i-pneumonia, i-asthma, i-emphysema, kunye nezinye izifo ezingapheliyo zokuphefumula.

Ukukhetha iComputer Clearway Isixhobo

Ukukhetha icandelo lokukhutshwa kwe-air right is final choice. Ngamnye unendlela ezahlukeneyo zokwenza, abantu abathile nabathile abangazithandiyo. Ngaloo ndlela, unganqikazi ukucela ugqirha wakho okanye umphefumli wempumulo ukuze ucebise. Ngenye indlela, ungathumela umyalezo kwibhodi yoluntu yeCOPD ukuze ufumane ulwazi kwabanye abaye basebenzisa isixhobo.

> Imithombo:

> Holland, A. kunye neButton, M. "Ngaba kukho inxaxheba kwindlela yokucima i-airway kwizifo ezingapheliyo zokuphefumula?" I-Chron Respir Dis. 2006; 3 (2): 83-91.

> Hristara-Papadopoulou, A .; Tsanakas, J; Diomou, J; okqhubekayo. "Izixhobo zamanje zokuphefumula umzimba." Hippokratia Medical Journal 2008; 12 (4): 211-220.

> Osadnik, C., McDonald, C .; Jones, A .; okqhubekayo. "Izindlela zokusindisa i-Airway yezifo ezingapheliyo zokuphefumula." Cochrane Database Syst Rev. 2012; (3): CD008328