Izizathu ezi-5 omele uziqeqeshe Ukuba unayo iCOPD

Ukusebenzisa kunye neCOPD kunokubonakala ngathi ikrele elihlangene nxamnye. Ngakolunye uhlangothi, izigulane ezineCOPD zinokufumana ukuphefumula okufutshane kunye nokusebenza ngokomzimba. Ngakolunye uhlangothi, iingcali zithi umzimba unganciphisa impawu ezihambelana neCOPD. Izigulane ezininzi ezine-COPD zinethemba lokunciphisa iimpawu zabo zokuphefumula kodwa ziyanqikaza ukuzivocavoca ngenxa yokuba ukunyamezela kuyingozi kakhulu.

Iinzuzo zeCOPD

Ukuqalisa inkqubo yoqeqesho xa unayo iCOPD akuyona into elula, kodwa nakhu ezinye zezizathu zokuba kungakufanelekile ukunikela.

1. Iiprogram zokuzivocavoca ziphucula umgama wokuhamba kunye nokukwazi ukuzibhokoxa. Uphando luye lwabonisa ukuba emva kokuhamba kwinkqubo yokuvuselela i-pulmonary pulmonary , nokuba izigulane ezineCOPD ezincinci ziyakwazi ukuhamba phambili kunokuba zikwazi ukuqala ngaphambi kokuba ziqalise inkqubo. Inkqubo yokusebenza ibandakanya ukuhamba, ukuqeqeshwa kwamandla omzimba, kunye nokuzilolonga. Iklasi yadibana kathathu ngeveki enye iyure. Emva kokwenza le nkqubo, abathathi-nxaxheba babekwazi ukuhamba phambili, banokunyuka ngeenqwelo-moya ezibini ngokukhawuleza kwaye baqhuba bhetele kwi-testreadread test. Ziyintoni na ngakumbi ukuba ezi zibonelelo zibonwa ngokukodwa kwizigulane ezineCOPD ezicetyayo ukuya kwi-moderation, kodwa nezigulane ezineCOPD ezinzulu zaziphucule ekuhambeni.
2. Ukuzivocavoca kunciphisa ukuphefumula nokuphelelwa kade kwizigulane ezineCOPD. Izigulane eziye zahamba ngeprogram yokuzilolonga zichaze ukuba ziphefumle kakhulu kwaye ziyancitshiswa kangangoko kungakhathaliseki ukuba iCOPD yabo yayinzima kangakanani. Ukunciphisa le mpawu ineenzuzo ezibalulekileyo kumgangatho wobomi kwizigulane.

1. Ukuphuma ngaphandle kunokunciphisa uxinezeleko, ukuphucula isimo sengqondo, nokukhuthaza ukuhlalisana kwabantu . Enye inzuzo yokuzivocavoca inxulumene nempilo yengqondo kunye nokusebenza. Kuphando oluphando lwezigulane ezine-COPD ezincinci, inkqubo yokuzilolonga ibonise ukuphuculwa kwimiba yomsebenzi wemvakalelo. Kungakhathaliseki nokuba unayo i-COPD, iiprogram zokusetyenziswa kweqela zikhuthaza ukuhlalisana kunye nokuzivocavoca, ngokubanzi, kunokunciphisa uxinezelo, ukuphucula isimo sengqondo kunye nokwandisa amandla. Oku kunokukhokelela ekukhuthazeni nakakhulu ukuphuma naphaya.

1. Ukusetyenziswa kwe-Aerobic kunokuphucula umsebenzi wokuqonda (njengejubane lolwazi lokucwangcisa) . Nangona iimeko ezininzi zibangela ukuhla kweengxaki kwizigulane ezine-COPD, ukuzivocavoca kwe-aerobic kunokunceda ukuphucula ama-oksijini amanqanaba engqondweni kwaye ngoko kunokunciphisa ukuhla kweengqondo eziqhelekileyo, ikakhulukazi abo abaneCOPD.
2. Abagulane neCOPD abagqibe iinkqubo zokuvuselela iipulmoni banemihla embalwa esibhedlele kunabo abangaqhelanga iinkqubo zokuvuselela iipulmari . Ucwaningo olwenziwa ngabagulane abagqityiweyo kwinkqubo yokuvuselela i-pulmonary lubonise ukuba nangona le nkqubo ayichaphazelanga kaninzi ukuba izigulane zibethelwa esibhedlele, zibonise ukuba izigulane ezenzileyo zazininzi iintsuku ezimbalwa esibhedlele (iintsuku ezili-10 kuphela ukuya kweentsuku ezingama-21 abo bazange bazalise iiprogram zokubuyisela i-pulmonary).

Iingcebiso

1. Gwema isimo sezulu esiphezulu. Abagulane neCOPD banamathuba amaninzi ebusika kwaye kushushu, kwimozulu. Qinisekisa ukugcina oku engqondweni ngaphambi kokusebenzisa ngaphandle.
2. Sebenzisa i-inhaler ye-short-acting inhaler (isib. Albuterol) 10-15 imizuzu ngaphambi kokusebenzisa. I-inhalers emfutshane eyenziwa ngokuqhelekileyo ithatha imizuzu emi-5 ukuya ku-5 ukuya kuqala ukusebenza kwaye iza kunceda ukuvula i-airways (oko kukunciphisa i-bronchospasm) eya kwenza izigulane zibe neempawu ezimbalwa ngexesha lokuzivocavoca kwaye zikwazi ukusebenzisa ngaphezulu.

1. Bhalisa kwi-pulmonary rehabilitation. Buza ugqirha wakho malunga neenkqubo ezilungiselelwe ukulungiswa kwamapulmoni. Iiprogram zokubuyiswa kweepulmonary ziye zaboniswa ngamaxesha ngamaxesha ukuphucula iimpawu kunye nomgangatho wobomi kwizigulane ezineCOPD. Ezi nkqubo zenza okungaphezulu nje kokuzilolonga, zibonelela ngolwazi malunga nokuba zeziphi izinto ezifanelekileyo kubantu abaneCOPD, iindlela zokuphefumla izigulane ngeCOPD, kunye nezinye izicwangciso zokuphucula umsebenzi. Ezi nkqubo zihlala zihlanganiswa ne-inshurensi kwaye zinikezela ngemfundo kunye neeprogram zokusebenzisa ixesha elifutshane ukuze uqalise. Nangona kunjalo, kubalulekile ukuyigcina ekhaya emva kokuba uqedile inkqubo okanye ezinye iza kulahleka!

1. Yenza umsebenzi we-cardiovascular ubuncinane kathathu ngeveki. Sebenza ufike kwiimitha ezingama-30 zokuhamba ngesantya esilungile kuwe, kodwa soloko usenjenjalo emva kokuxoxa ngesenzo kunye nodokotela wakho okanye ngeprogram ye-rehaby rehab.
2. Amandla engalo ephezulu kubalulekile ukuphefumla, ngakumbi kwizigulane ezineCOPD. Ezinye izandla ezingaphezulu ukuzama: ii-curce ze-bicep, i-triceps izandiso, i-blaxion ye-shoulder, i-shoulder capture and height. Zama ukuqhuba ukuphindaphinda ukuya kuma-8 kwiiseti ezi-2, kodwa musa ukwenza nayiphi na imisebenzi ngaphandle kwemfundo efanelekileyo kwiinkqubo ezifanelekileyo ukusuka kwikliniki okanye uqeqesho lwezakhono.

Ngaphantsi

Phuma apho kwaye wenze umthambo wokuzivocavoca, kungakhathaliseki ukuba ungancinci kangakanani. Buza udokotela wakho malunga neenkqubo zokuvuselela i-pulmonary kufuphi nawe kwaye ubuncinane uzame. Unokumangaliswa ukuba ungcono kangakanani ukuva emva kokuqalisa inkqubo yovavanyo-nokuba unayo iCOPD enzima. I-"umph" encinane inokuhamba ngendlela ende.

> Imithombo:

> Berry MJ, Rejeski WJ, Adair NE, Zaccaro D. Ukuzivuselela nokuvuselela izifo zesifo se-pulmonary disease. Ngaba iJempir Crit Care Med Med 1999; 160: 1248-53.

> Etnier J, Johnston R, Dagenbach D, Pollard RJ, Rejeski WJ, Berry M. Ubudlelwane phakathi komsebenzi wamapulmoni, ukuqina komzimba kunye nokusebenza kwengqondo kwizigulane ezisebekhulile zeCOPD. I-1999: 116: 953-60.

> Foglio K, Bianchi L, Bruletti G, Battista L, Pagani M, Ambrosino N. Ukusebenza kwexesha elide lokuvuselelwa kwamapulmenti kwizigulane ezinomqobo ongapheliyo. I-Eur Respir J 1999; 13: 125-32.

> I-Global Initiative ye-Lung Disease (GOLD) Izikhokelo, ngo-2014

> Griffiths TL, Burr ML, Campbell IA, et al. Iziphumo kunyaka o-1 wesigulane sokuvuselelwa kwamapulmoni ahlukeneyo: unesilingo esilawulwa ngokungahleliwe. Lancet 2000; 355: 362-8.