Zingaphi iintlungu ezichaphazela umgangatho wobomi? Ukuba uthetha imihla ngemihla, awuyedwa. Ubuhlungu buyinkathazo ebalulekileyo kwisifo esingapheliyo sesifo se-pulmonary ( COPD ) esingaziwa phantsi. Inokuphazamisa ubuthongo bakho, yenza ukuphefumula kwakho kube nzima kwaye wenze olunye usuku olungileyo kunye neCOPD, elibi. Iintlungu zingaphathwa kakuhle njani kwiCOPD?
Masiqwalasele ngakumbi.
Sibanzi
Ngokungafani neentlungu ezibuhlungu ezihamba ngokukhawuleza, ukubuhlungu okungapheliyo kuqhubeka ixesha elide emva kokulimala kuphilise. Kuyinto intlungu ehlala ihlala ihlala, kwaye enye iphazamisa ngokuphawulekayo ubomi bakho bemihla ngemihla.
Izizathu
Ubuhlungu, ngaphakathi kwaye, abukho uphawu lweCOPD ; Kunoko, ngokuqhelekileyo i-musculoskelet in nature kwaye ixhaphake ngokuqhelekileyo nomsebenzi wokuphefumla . Ubuhlungu obungapheliyo bunokudibaniswa nale miqathango elandelayo, engahambelani neCOPD:
- Emuva, entanyeni kunye nentlungu
- Intloko kunye nemigraines
- Fibromyalgia
- Arthritis
- I-reflex ye-dystrophy enobubele (RSD)
- Sciatica
- I-Carpal tunnel syndrome
- I-Temporomandibular ingxaki ehlangeneyo (TMJ)
Ukongezelela, kukho iintlobo ezintandathu eziphambili zentlungu engapheliyo , kuquka i-nociceptive, somatic, visceral, neuropathic, psychogenic kunye ne-idiopathic.
Oko kuthethwa nguPhando
Nangona kunomda ochanekileyo weenkliniki ezizungeze imbambano yentlungu kunye neCOPD, uphando olukhoyo lubonisa ukuba malunga ne-45% yazo zonke izigulane zeCOPD zibika iintlungu ezingapheliyo xa zifaniswa nezigulane ezingenayo i-COPD.
Ukongezelela, abantu abaneCOPD bavame ukuxela intlungu yabo njengesiqhelo ngokukhawuleza kwaye ibekwe ngokusisiseko esifubeni, emahlombe, entanyeni nakwezingalo ezingaphezulu.
Abantu abaninzi abaneCOPD baxela intlungu yabo njengengenakuqondakala kwaye ingenakuze ibekezeleleke. Kwaye, ngokungathi intlungu ayilunganga ngokwaneleyo, umjikelezo onobuqhetseba wezimpawu uhamba kunye nentlungu ehambelana neCOPD.
Ezi zimpawu zichaphazela kakubi kwaye ziquka intlungu, ukuphefumla, ukuphazamiseka kokulala nokuxhalabisa.
Unyango
Ngokomphando, ukuhluthwa kwentlungu ye-analgesic yinkqubo eqhelekileyo yokusetyenziswa kwintlungu kwiCOPD. Ukusuka kumnene ukuya kunzima, ama-analgesics ajolise ububanzi beentlungu kwaye zibandakanya:
- I-NSAIDS - kuquka iMotrin, i Naproxen kunye ne-aspirin
- I-opioids - kuquka i-morphine, i-codeine, kunye nama-analgesics angama-topical njengeCapsicum.
Izindlela ezingezizo ze-Pharmacological of Pain Control
Ingxaki ngeempawu zonyango kukuba ezinye zazo, ezifana ne-morphine kunye nekhowudi, zingaba ngumlutha. Ukongezelela, ukuthatha abaninzi kakhulu, mhlawumbi kunye okanye ixesha elide, kunokunciphisa isikhungo sokuphefumula ebuchosheni obangela ukuba uyeke ukuphefumla.
Ngeendlela ezingekho ze-pharmacological zentlungu yokuphulukana, akukho mfuneko yokukhathazeka ngokuxhatshazwa okanye ukuphefumula ukuphefumula. Zingasetyenziselwa endaweni ye-analgesics ukuba ubuhlungu bubucotha, okanye, kwiimeko zokungqinelana nentlungu enzima, njengesigxina kwi-analgesics, ukulawula ubuhlungu obungcono. Nazi ezinye iindlela ezingekho ze-pharmacologic zokulawula ubuhlungu ukuba uziqwalasele:
- I-Ice - ingasetyenziselwa ukunciphisa ukuvuvukala nokuvuvukala okunxulumene nentlungu engapheliyo.
- Ukushisa - kwandisa ukuphuma kwegazi kwiifom; Usebenza kakhulu ekuveliseni intlungu ye-arthritis.
- Ukuzibulala - kunokunceda ufumane amanxeba aqinile kunye nezihlunu, oko kukunika uncedo lwentlungu.
- Imifanekiso ekhokelwayo - inceda ukukhulula izihlunu, ukubonelela ukuphazamiseka entlungu
- Ulwaphulo lomzimba - lunikeza intlungu ekunciphiseni iindlela ezifana ne-ultrasound kunye ne-electrical nerve stimulation ngenkathi ekufundiseni iindlela ezifanelekileyo zokuhamba kunye nokubhetele ukujamelana nentlungu.
Izindlela ezimbini zokungabikho kwezobugcisa zentlungu yokuphucula intlungu , i-acupuncture kunye ne- transcutaneous electrical nerve stimulation , ingaba luncedo ekuphumuleni intlungu kwaye isetyenziswe ngokuphindaphindiweyo phakathi kwabantu abaneCOPD kunabo abangenayo i-COPD.
Imithombo:
I-Bentsen SB, iRustøen T, i-Miaskowski C. Ukuqhathaniswa kunye neendlela ezibonisa ubuhlungu bezilwelwe ezinezifo ezingapheliyo zokuzikhusela izifo. J Pain. NgoNovemba ka-2011; 12 (5): 539-45. i-doi: 10.1016 / j.jpain.2010.10.014.
ULohne V, Heer et. al. Isifundo esifanelekileyo seNtlungu yezigulane ezinezifo ezingapheliyo. I-Heart Lung. 2010 ngoMeyi-Juni; 39 (3): 226-34.