Iingxaki kunye noPiliso lweSputum eyongeziweyo neCOPD
I-Mucus (ebizwa ngokuba yi- sputum) imveliso ibonakalisa ezinye iintlobo zesifo esingapheliyo sesifo se-pulmonary disease (COPD) . Ukukhathazeka kokusingqongileyo kunye nezinye izinto kunokubangela ukwenziwa komkhiqizo we-mucus okwenziwa ngamaseli abizwa ngokuba yi-goblet cells kunye nokunciphisa amandla okukhupha imiphunga ye-mucus .
Sibanzi
Ukuveliswa kwemveliso ye-mucus yandisa okanye impendulo yemiphunga ibe yinto evuthayo eqhubekayo njengomsi wesigare okanye ukungcola komoya.
I-Mucus, okanye i-sputum, ihluke kunamathola kwaye iqulethwe ngamaseli afile kunye neengcola ezivela kwiphepha elingaphantsi lokuphefumula. Ngaloo ndlela, i-muscus inomsebenzi. Ubamba iingcambu kunye nezidalwa ezinjengebhaktheriya ukwenzela ukuba zisuswe, okanye zikhutshwe, zisuka kwimiphunga.
Ukwanda kwenani eliveliswe kwimpompo kubalulekile kodwa ke kukho ezinye iinguqulelo, ezifana nokungafani nombala we-sputum, kunye nokuqina kwayo-okubhekiselele ekubunjeni okanye ekumanyeni kwe-mucus.
Izizathu
Udibaniso lweziganeko ngokuqhelekileyo luxanduva lokuphuhliswa kwe-mucus ekhulayo kwaye unokukunceda ukuqonda ukuba kutheni oku kwenzeka. Ezi ziquka:
- Ukugqithiswa kweekhono ngamaseli e-goblet
- Uxinzelelo lwama-muscus ukusuka kwiiseli ze-goblet kunye neengqungquthela ze-submucosal
- Ukunciphisa amandla okususa i-muscus okanye ngenxa yokulimala kwi-cilia e-airways, eziyizakhiwo ezinjengezinwele ezinceda ukunqumla ukunyuka ukusuka kumaphaphu ukuya emlonyeni, kunye nokunciphisa amandla okukhwehlela, njengoko kunokwenzeka nge-atrophy izihlunu ezinxulumene nokukhwehlela.
EziManyeneyo
Ukukhutshwa ngokweqile, ukunyanzeliswa kwegazi kunye nokunciphisa ukucacisa iindlela ezisebenzisayo ukuqhuma i-sputum kwimiphunga, kodwa kutheni oku kwenzeka? Ngokuqhelekileyo kubangelwa yizinto ezingqongileyo ezibangele ukuba iiseli ze-goblets zivelise kwaye zifake i-mucus xa ziwonakalisa i-airways kwaye ngokukodwa i-cilia ikhokelela ekuqhubekeni kwayo kwiimiphunga (kunokuba ikhutshwe njenge-sputum.) NgeCOPD, ngokuqhelekileyo ukudibanisa kwezi zinto ezikunceda, kwakhona, ukuqonda indlela unyango olunokunceda ngayo.
Okuvakalayo okuqhelekileyo kubandakanya:
- Umsi wecuba, okhokelayo okhokelayo onoxanduva lokugqithisa.
- Ukungcola komoya ngaphandle
- Ungcoliseko lwangaphakathi lwangaphakathi, abaninzi banokucinga ngongcoliseko lwangaphandle njengomoya omkhulu ekubangela le mpawu, kodwa ngamanye amaxesha, kwaye kaninzi, umoya ongaphakathi ungendawo
Iimeko ezidibeneyo
Iimeko apho umkhiqizo ogqithiseleyo we-mucus odla ngokuqhelekileyo kubandakanya:
- I-bronchitis engapheliyo: Ngenkcazo, i-bronchitis engapheliyo inxulumene nokuveliswa kwemveliso ye-mucus kwimiphunga, ekubeni ukuxilongwa kukufuna ukuba uhlabe umkhuhlane nge-sputum ukuvelisa imihla ngemihla ubuncinane kwiinyanga ezi-3.
- I-Bronchiectasis: I- Bronchiectasis isifo apho izifo ezithatha rhoqo zikhokelela ekwandeni kwee-airways. I-Bronchiectasis idla ngokuvelisa i-sputum enqabileyo.
- I-edema ye-pulmonary: Nge-edema ye-pulmatic, i-sputum isoloko ibonakala i "frothy", kwaye inokuba nombala obomvu ngenxa yobuninzi begazi.
Unyango kunye noCoping
Kanye njengoko kukho iindlela ezininzi ezisebenza ngokubambisana ukuze kubangelwe ukuveliswa kwemveliso ye-mucus, udibaniso lweendlela ezahlukeneyo ngokuqhelekileyo lusebenza ngokusemandleni xa bejamelana neempawu.
Ukuphepha i-Irritants yokuphefumula
Ngokuqinisekileyo ukuphepha ukutshaya nokutshaya umsi wobisi kuyisinyathelo esibalulekileyo sokuqala ekunciphiseni imiphunga yeemiphunga ebangela ukuba i-mucus yandile.
Ukuphepha ixesha elingaphandle xa amanqanaba angcolileyo aphezulu anokunceda. Njengoko kuphawuliwe ngasentla, umoya wangaphakathi ungabalulekanga , ukuba awuninzi, ngaphandle kwomoya wangaphandle.
Ngaba wayesazi ukuba kukho indlela enonwabo kwaye enokuzijabulisa ukuphucula umoya wakho wangaphakathi? Khangela ezi ntlobo zendlu ezifunyenweyo-ngokusekelwe kuphando olwenziwa yi-NASA - ukuphucula umoya wangaphakathi.
Ungaphinda ufune ukujonga iinkqubo kunye nokuxhamla kweenkqubo zokuhlambulula umoya ezingasetyenziswa ekhaya lakho.
Iindlela zokuCima kweAwayway
Izindlela zokusindisa i-Airway zivame ukusetyenziswa ukukhupha iimpawu ze-mucus ezingaphezulu kwaye zingaquka:
- Ukukhwehlela okulawulwayo - Ukukhwehlela okulawulwayo kuyindlela efanelekileyo yokukhupha umoya.
- Umjelo we-Postural - I- postural drainage yinkqubo esebenzisa amandla adonsela amandla ukunceda ukukhawuleza i-mucus imvume kwimiphunga.
- I-physiotherapy yesifuba - I-poet physiotherapy okanye isifuba somfuba kubonakala kukhuselekileyo kubantu abane-bronchiectasis kwaye banokunika uncedo.
- Abaxhasi - Yiba ngumthengi ojongayo xa ucinga abaxhasi. Nangona iintengiso ezintle zibonisa ezi mpilisi njengemiphumo emihle, uphando oluninzi lubonisa ukuba ngaphaya kwee-counter expectorants ukwenzela ukwandiswa kwemveliso ye-mucus kunye neCOPD ayisebenzi.
- I-Mucolytics - isilonda somlomo okanye se-nebulized. Basebenza ngokutshabalalisa izibophelelo zeekhemikhali ngaphakathi kweemfihlo, baziphulaphula ukwenjenjalo ukuba banokukhupha ngokukhawuleza
> Imithombo:
> Lee, A., Burge, A., no A. Holland. Izindlela zokukhutshwa kwe-Airway ye-bronchiectasis. I-Cochrane Database yeeNkqubo eziPhezulu . 2015. 11 >: CD008351 >.
> Osadnik, C., McDonald, C., Jones, A., no A. Holland. Amagcisa okukhutshwa kwe-Airway for > engapheliyo > isifo se-pulmary disease. I-Cochrane Database yeeNkqubo eziPhezulu . 2012. 3 >: CD008328 >.
> Poole, P., Chong, J., kunye noC. Cates. Ama-acucytic agents kunye ne-placebo ye-bronchitis engapheliyo okanye isifo esingapheliyo se-pulmonary disease. I-Cochrane Database yeeNkqubo eziPhezulu . 2015. 7 >: CD001287 >.
> URubin, B. Iipropati zokukhusela, ukukhutshwa, kunye nonyango kwisifo se-airway. Imishanguzo yokuphefumula . 2014. 2: 6.