COPD ndi mavuto ena azaumoyo

Ngati muli ndi matenda osokoneza bongo (COPD), mumakhala ndi mavuto ena. Izi zimatchedwa comorbidities. Anthu omwe ali ndi COPD amakhala ndi mavuto azaumoyo kuposa anthu omwe alibe COPD.

Kukhala ndi mavuto ena azaumoyo kumatha kukhudza matenda anu. Mungafunike kupita kukaonana ndi dokotala nthawi zambiri. Muyeneranso kuyesedwa kwambiri kapena kulandira chithandizo chambiri.

Kukhala ndi COPD ndizovuta zambiri. Koma yesetsani kukhala osadandaula. Mutha kuteteza thanzi lanu pomvetsetsa chifukwa chake muli pachiwopsezo cha zinthu zina ndikuphunzira momwe mungapewere.

Ngati muli ndi COPD, mumakhala ndi:

• Bwerezani matenda, monga chibayo. COPD imawonjezera chiopsezo chanu pazovuta za chimfine ndi chimfine. Zimakulitsa chiopsezo chanu chofunikiranso kuchipatala chifukwa cha matenda am'mapapo.
• Kuthamanga kwa magazi m'mapapu. COPD ikhoza kuyambitsa kuthamanga kwa magazi m'mitsempha yomwe imabweretsa magazi m'mapapu anu. Izi zimatchedwa kuthamanga kwa magazi m'mapapo mwanga.
• Matenda a mtima. COPD imakulitsa chiopsezo chanu chodwala matenda a mtima, kulephera kwa mtima, kupweteka pachifuwa, kugunda kwamtima mosasinthasintha, komanso kuundana kwamagazi.
• Matenda a shuga. Kukhala ndi COPD kumawonjezera ngozi. Komanso, mankhwala ena a COPD amatha kuyambitsa shuga wambiri wamagazi.
• Osteoporosis (mafupa ofooka). Anthu omwe ali ndi COPD nthawi zambiri amakhala ndi mavitamini D ochepa, samagwira ntchito, komanso amasuta. Izi zimawonjezera chiopsezo chanu chotaya mafupa ndi mafupa ofooka. Mankhwala ena a COPD amathanso kuyambitsa mafupa.
• Kukhumudwa ndi nkhawa. Sizachilendo kuti anthu omwe ali ndi COPD azimva kupsinjika kapena kuda nkhawa. Kukhala wopanda mpweya kumatha kubweretsa nkhawa. Kuphatikiza apo, kukhala ndi zizindikilo kumakuchedwetsani kotero kuti simungathe kuchita zambiri monga kale.
• Kupsa kwamtima ndi matenda a reflux am'mimba (GERD.) GERD ndi kutentha pa chifuwa kumatha kubweretsa zizindikilo zambiri za COPD ndikuwotcha.
• Khansa ya m'mapapo. Kupitiliza kusuta kumawonjezera ngozi imeneyi.

Zinthu zambiri zimathandizira kuti anthu omwe ali ndi COPD nthawi zambiri amakhala ndi mavuto ena azaumoyo. Kusuta ndichimodzi mwazinthu zazikulu kwambiri. Kusuta ndichinthu chomwe chimayambitsa mavuto ambiri omwe ali pamwambapa.

• COPD nthawi zambiri imayamba msinkhu wapakatikati. Ndipo anthu amakhala ndi mavuto azaumoyo ambiri akamakalamba.
• COPD imapangitsa kupuma kupuma movutikira, komwe kumapangitsa kukhala kovuta kuchita masewera olimbitsa thupi. Kukhala osagwira ntchito kumatha kubweretsa mafupa ndi minofu ndipo kumawonjezera ngozi ku mavuto ena azaumoyo.
• Mankhwala ena a COPD amatha kuwonjezera chiopsezo chanu pazifukwa zina monga kutaya mafupa, mtima, matenda ashuga, ndi kuthamanga kwa magazi.

Gwiritsani ntchito limodzi ndi dokotala kuti COPD ndi mavuto ena azachipatala azilamuliridwa. Kuchita izi kungathandizenso kuteteza thanzi lanu:

• Tengani mankhwala ndi mankhwala monga mwauzidwa.
• Mukasuta, siyani. Komanso peŵani utsi wa fodya amene munthu wina akusuta. Kupewa utsi ndiye njira yabwino yochepetsera kuwonongeka kwa mapapu anu. Funsani dokotala wanu za mapulogalamu oletsa kusuta fodya ndi zina zomwe mungachite, monga mankhwala osokoneza bongo a nicotine komanso mankhwala osokoneza bongo.
• Kambiranani ndi dokotala za kuopsa kwa mankhwala anu. Pakhoza kukhala njira zina zabwino zomwe mungachite kuti muchepetse kapena kuthana ndi zovuta. Uzani dokotala wanu ngati muwona zovuta zilizonse.
• Mukhale ndi katemera wa chimfine chaka chilichonse komanso katemera wa chibayo (pneumococcal bacteria) wothandizira kupewa matenda. Sambani m'manja nthawi zambiri. Khalani kutali ndi anthu omwe ali ndi chimfine kapena matenda ena.
• Khalani achangu momwe mungathere. Yesani kuyenda kochepa komanso kuphunzira pang'ono. Lankhulani ndi dokotala wanu za njira zolimbitsa thupi.
• Idyani chakudya chopatsa thanzi chokhala ndi mapuloteni owonda, nsomba, mbewu zonse, zipatso, ndi ndiwo zamasamba. Kudya zakudya zazing'ono zingapo tsiku lililonse kungakupatseni michere yomwe mumafunikira osamva kupindika. Mimba yodzaza thupi ingapangitse kuti kupuma kukhale kovuta.
• Lankhulani ndi dokotala ngati mukumva chisoni, opanda thandizo, kapena kuda nkhawa. Pali mapulogalamu, chithandizo, ndi mankhwala omwe angakuthandizeni kukhala osangalala komanso kukhala ndi chiyembekezo ndikuchepetsa zizindikilo zanu za nkhawa kapena kukhumudwa.

Kumbukirani kuti simuli nokha. Dokotala wanu adzagwira nanu ntchito kuti akuthandizeni kukhala athanzi komanso otakataka momwe mungathere.

Muyenera kuyimbira dokotala pamene:

• Muli ndi zizindikilo zatsopano zomwe zimakukhudzani.
• Mukukumana ndi zovuta kuyang'anira chimodzi kapena zingapo zathanzi lanu.
• Mukudandaula za mavuto anu azaumoyo ndi chithandizo.
• Mukusowa chiyembekezo, chisoni, kapena nkhawa.
• Mukuwona zoyipa zamankhwala zomwe zimakusowetsani mtendere.

Matenda otsekemera am'mapapo - comorbidities; COPD - comorbidities

Celli BR, Zuwallack RL. Kukonzanso kwamapapo. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 105.

Global Initiative for Chronic Obstructive Lung Disease (GOLD) webusayiti. Njira yapadziko lonse lapansi yodziwira, kuwongolera, komanso kupewa matenda opatsirana am'mapapo mwanga: lipoti la 2019. goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf. Idapezeka pa Okutobala 22, 2019.

Han MK, Lazaro SC. COPD: matenda azachipatala ndikuwongolera. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 44.

• COPD