COPD ndi Kuda nkhawa

Zamkati

• Kutulutsa mpweya-nkhawa
• Kulimbana ndi nkhawa
• Kupuma kuphunzitsanso
• Uphungu ndi chithandizo
• Kutenga
• Kuopsa kwamantha: Q&A
• Funso:
• Yankho:

Anthu ambiri omwe ali ndi COPD amakhala ndi nkhawa, pazifukwa zosiyanasiyana. Mukakhala ndi vuto lopuma, ubongo wanu umayika alamu kuti ikuchenjezeni kuti china chake chalakwika. Izi zitha kuyambitsa nkhawa kapena mantha.

Kuda nkhawa kumathanso kubuka mukaganiza zokhala ndi matenda am'mapapo. Mutha kuda nkhawa kuti mupuma movutikira. Mankhwala ena omwe amagwiritsidwa ntchito pochiza COPD amathanso kuyambitsa nkhawa.

Kutulutsa mpweya-nkhawa

Kuda nkhawa ndi COPD nthawi zambiri kumapangitsa kuti munthu asamapume. Kumva kupuma kumatha kuyambitsa mantha, zomwe zimatha kukupangitsani kukhala ndi nkhawa komanso zomwe zimapangitsa kupuma movutikira. Ngati mungatengeke ndi mpweya wopanda nkhawa-nkhawa-kupuma, mutha kukhala ndi zovuta kusiyanitsa zizindikilo za nkhawa kuchokera kuzizindikiro za COPD.

Kukhala ndi nkhawa mukakhala ndi matenda osatha kungakhale chinthu chabwino. Ikhoza kukupangitsani kutsatira ndondomeko yanu ya chithandizo, kumvetsera zizindikiro zanu, ndi kudziwa nthawi yoti mupite kuchipatala. Koma kuda nkhawa kwambiri kumatha kusokoneza moyo wanu.

Mutha kumaliza kupita kuchipatala kapena kuchipatala nthawi zambiri kuposa momwe mukufunira. Muthanso kupewa zosangalatsa zosangalatsa komanso zosangalatsa zomwe zingayambitse kupuma, monga kuyenda galu kapena dimba.

Kulimbana ndi nkhawa

Anthu omwe alibe COPD nthawi zina amapatsidwa mankhwala oletsa nkhawa monga diazepam (Valium) kapena alprazolam (Xanax). Komabe, mankhwalawa amatha kuyambitsa kupuma pang'ono, komwe kumatha kupangitsa kuti COPD ikuipiraipira, ndipo kumatha kulumikizana ndi mankhwala ena omwe mumagwiritsa ntchito. Popita nthawi, mankhwalawa amathanso kuyambitsa vuto lakudalira komanso kusuta.

Mutha kupeza mpumulo ndi mankhwala osokoneza bongo omwe samasokoneza kupuma, monga buspirone (BuSpar). Mankhwala ena opatsirana pogonana, monga sertraline (Zoloft), paroxetine (Paxil), ndi citalopram (Celexa), amachepetsanso nkhawa. Dokotala wanu akhoza kukuthandizani kudziwa mankhwala omwe angakuthandizeni kwambiri. Kumbukirani, mankhwala onse amatha kukhala ndi zotsatirapo. Kuchuluka kwa nkhawa, kupweteka m'mimba, kupweteka mutu, kapena mseru kumatha kuchitika mukangoyamba kumene mankhwalawa. Funsani dokotala wanu za kuyamba ndi mlingo wochepa ndikukonzekera. Izi zipatsa thupi lanu nthawi kuti lizolowere mankhwala atsopano.

Mutha kuwonjezera mphamvu ya mankhwala powaphatikiza ndi njira zina zochepetsera nkhawa. Funsani dokotala wanu ngati angakutumizireni pulogalamu yothandizira pakhungu. Mapulogalamuwa amaphunzitsa za COPD ndi njira zothanirana ndi nkhawa yanu. Chimodzi mwazinthu zofunika kwambiri zomwe mumaphunzira pakukonzanso kwamapapo ndi kupuma bwino.

Kupuma kuphunzitsanso

Njira zopumira, monga kupumira pakamwa, zitha kukuthandizani:

• chotsani ntchitoyi popuma
• chepetsani kupuma kwanu
• sungani mpweya kuyenda kwa nthawi yayitali
• phunzirani momwe mungasangalalire

Kuti muzitha kupuma pakamwa, pumulani thupi lanu lakumtunda ndikupumira pang'onopang'ono m'mphuno mwanu kuti muwerenge awiri. Kenako tsukani milomo yanu ngati kuti muziimba mluzu ndikupumira pang'onopang'ono mkamwa mwanu kuti muwerenge anayi.

Uphungu ndi chithandizo

Anthu ambiri omwe ali ndi COPD amapeza kuti upangiri waumwini umawathandiza kuchepetsa nkhawa. Chidziwitso chamakhalidwe ndi njira yodziwika yomwe imathandizira kuchepetsa zizindikilo za nkhawa kudzera munthawi yopumulira komanso machitidwe opumira.

Upangiri wamagulu ndi magulu othandizira angakuthandizeninso kudziwa momwe mungathanirane ndi COPD komanso nkhawa. Kukhala ndi ena omwe akukumana ndi zovuta zofananira kungakuthandizeni kuti musamakhale nokha.

Kutenga

COPD imatha kukhala yopanikiza yokha. Kuthana ndi nkhawa pamwamba pake kumatha kupangitsa zinthu kukhala zovuta, koma muli ndi njira zamankhwala. Mukayamba kuzindikira zodandaula, lankhulani ndi dokotala kuti mupeze chithandizo chisanayambe kukhudza moyo wanu watsiku ndi tsiku.

Kuopsa kwamantha: Q&A

Funso:

Kodi pali ubale wotani pakati pa mantha amantha ndi COPD?

Wosadziwika wodwala

Yankho:

Mukakhala ndi COPD, mantha amantha amatha kukhala ofanana kwambiri ndi mavuto anu opuma. Mutha kumva kuti mtima wanu ukugunda komanso kupuma kwanu kukukulira. Mutha kuwona kuti mukuchita dzanzi komanso kumva kulasalasa, kapena kuti chifuwa chanu chimakhala chothinana. Komabe, mantha amantha amatha okha. Pokhala ndi malingaliro amomwe mungathetsere mantha anu, mutha kuwongolera zizindikilo zanu ndikupewa ulendo wosafunikira wopita kuchipatala chadzidzidzi.

• Gwiritsani ntchito zododometsa poyang'ana kwambiri ntchito. Mwachitsanzo: kutsegula ndi kutseketsa nkhonya, kuwerengera mpaka 50, kapena kuwerenga zilembo kumakakamiza malingaliro anu kuti azingoyang'ana china chake kupatula momwe mukumvera.
• Kupuma kwamilomo kotsekedwa kapena machitidwe ena opuma amatha kuchepetsa zizindikilo zanu. Kusinkhasinkha kapena kuimba kungathandizenso.
• Zithunzi zabwino: Yerekezerani malo omwe mungafune kukhala ngati gombe, dambo lotseguka, kapena mtsinje wamapiri. Yesani kudziyerekeza kuti muliko, mwamtendere komanso kupuma mosavuta.
• Musamwe mowa kapena tiyi kapena khofi, kapena kusuta fodya mukamachita mantha. Izi zitha kukulitsa zizindikilo zanu. Inhalers sakuvomerezeka.
• Pezani katswiri wothandizira-phungu kuti akuphunzitseni zida zina zothanirana ndi nkhawa komanso mantha anu

Judith Marcin, MD Family MedicineMayankho akuimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.