Mlembi: Judy Howell
Tsiku La Chilengedwe: 5 Kulayi 2021
Sinthani Tsiku: 15 Novembala 2024
Anonim
Chilichonse Chimene Muyenera Kudziwa Zokhudza Matenda Owonetsetsa Opatsirana (COPD) - Thanzi
Chilichonse Chimene Muyenera Kudziwa Zokhudza Matenda Owonetsetsa Opatsirana (COPD) - Thanzi

Zamkati

COPD ndi chiyani?

Matenda osokoneza bongo, omwe amatchedwa COPD, ndi gulu la matenda am'mapapo omwe amapita patsogolo. Chofala kwambiri ndi emphysema ndi bronchitis yanthawi yayitali. Anthu ambiri omwe ali ndi COPD ali ndi zonsezi.

Emphysema imawononga pang'onopang'ono matumba a mpweya m'mapapu anu, omwe amasokoneza kutuluka kwa mpweya wakunja. Bronchitis imayambitsa kutupa komanso kuchepa kwa machubu am'mimba, omwe amalola ntchofu kukula.

Chifukwa chachikulu cha COPD ndikusuta fodya. Kuwonetsedwa kwakanthawi kwa mankhwala osokoneza bongo kungathenso kuyambitsa COPD. Ndi matenda omwe nthawi zambiri amatenga nthawi yayitali kuti apange.

Kuzindikira nthawi zambiri kumaphatikizapo kuyesa kuyerekezera, kuyesa magazi, ndi kuyesa kwa mapapo.

Palibe mankhwala a COPD, koma chithandizo chitha kuthandiza kuchepetsa zizindikilo, kuchepetsa mwayi wamavuto, komanso kusintha moyo wabwino. Mankhwala, chithandizo chowonjezera cha oxygen, ndi maopaleshoni ndi mitundu ina ya chithandizo.

Popanda kuchiritsidwa, COPD imatha kubweretsa kufulumira kwa matenda, mavuto amtima, komanso kukulitsa matenda opumira.


Akuti pafupifupi anthu 30 miliyoni ku United States ali ndi COPD. Pafupifupi theka sadziwa kuti ali nawo.

Kodi zizindikiro za COPD ndi ziti?

COPD zimapangitsa kuti zikhale zovuta kupuma. Zizindikiro zimatha kukhala zofatsa poyamba, kuyambira ndi kutsokomola kwakanthawi komanso kupuma movutikira. Pamene ikupita, zizindikilo zimatha kupitilirabe komwe kumakhala kovuta kupuma.

Mutha kupuma movutikira pachifuwa kapena kupanga sputum mopitilira muyeso. Anthu ena omwe ali ndi COPD ali ndi zovuta zowonjezereka, zomwe ndizowopsa za zizindikilo zowopsa.

Poyamba, zizindikiro za COPD zimatha kukhala zofatsa. Mutha kuwalakwitsa chifukwa cha chimfine.

Zizindikiro zoyambirira zimaphatikizapo:

  • kupuma movutikira, makamaka mukatha kuchita masewera olimbitsa thupi
  • chifuwa chofewa koma chokhazikika
  • osowa kutsuka pakhosi pafupipafupi, makamaka chinthu choyamba m'mawa

Mutha kuyamba kusintha zina ndi zina, monga kupewa masitepe kapena kudumpha zochitika zina zolimbitsa thupi.


Zizindikiro zimangokulirakulirabe ndikunyalanyaza. Mapapu akamawonongeka, mutha kuwona:

  • kupuma pang'ono, ngakhale atachita masewera olimbitsa thupi pang'ono monga kukwera masitepe othamanga
  • wheezing, womwe ndi mtundu wapamwamba kwambiri womwe umapumira mwamphamvu, makamaka panthawi yotulutsa mpweya
  • kufinya pachifuwa
  • chifuwa chachikulu, kapena wopanda ntchofu
  • muyenera kuchotsa mamina m'mapapu anu tsiku lililonse
  • chimfine pafupipafupi, chimfine, kapena matenda ena opuma
  • kusowa mphamvu

M'magawo amtsogolo a COPD, zizindikilo zimaphatikizaponso:

  • kutopa
  • kutupa kwa mapazi, akakolo, kapena miyendo
  • kuonda

Chithandizo chamankhwala chimafunikira ngati:

  • muli ndi zikhadabo kapena milomo yabuluu kapena imvi, chifukwa izi zikuwonetsa kuchepa kwa mpweya m'magazi anu
  • mumavutika kupeza mpweya wanu kapena simumatha kuyankhula
  • mumakhala osokonezeka, otundumuka, kapena okomoka
  • mtima wako ukugunda

Zizindikiro zimatha kukulirakulira ngati mukusuta fodya kapena mukakhala kuti mwasuta.


Dziwani zambiri za zizindikiro za COPD.

Nchiyani chimayambitsa COPD?

M'mayiko otukuka monga United States, chifukwa chimodzi chachikulu chomwe chimayambitsa COPD ndikusuta ndudu. Pafupifupi 90 peresenti ya anthu omwe ali ndi COPD amasuta kapena omwe amasuta kale.

Pakati pa osuta omwe akhala akusuta kwa nthawi yayitali, 20 mpaka 30 peresenti imapanga COPD. Ena ambiri amakhala ndimapapo kapena amachepetsa mapapo kugwira ntchito.

Anthu ambiri omwe ali ndi COPD ali ndi zaka zosachepera 40 ndipo ali ndi mbiri yosuta fodya. Mukamasuta fodya kwanthawi yayitali, chiopsezo chanu cha COPD chimakhala chachikulu. Kuphatikiza pa utsi wa ndudu, utsi wa ndudu, utsi wa mapaipi, ndi utsi wa fodya womwe ungayambitse COPD.

Chiwopsezo chanu cha COPD ndichachikulu kwambiri ngati muli ndi mphumu ndikusuta.

Muthanso kupanga COPD ngati mumakumana ndi mankhwala ndi utsi pantchito. Kuwonetsedwa kwakanthawi kwakanthawi kowonongeka kwa mpweya ndi fumbi lopumira kumathanso kuyambitsa COPD.

M'mayiko omwe akutukuka kumene, komanso utsi wa fodya, nyumba nthawi zambiri zimakhala zopanda mpweya wabwino, zomwe zimakakamiza mabanja kupuma utsi wochokera ku mafuta oyaka omwe amagwiritsidwa ntchito kuphika ndi kutenthetsa.

Pakhoza kukhala chiyembekezo chakubadwa kwa COPD. Kufikira pafupifupi anthu omwe ali ndi COPD ali ndi vuto la puloteni yotchedwa alpha-1-antitrypsin. Kulephera kumeneku kumapangitsa kuti mapapo asokonezeke komanso kumakhudza chiwindi. Pakhoza kukhala zina zokhudzana ndi majini omwe amasewera nawonso.

COPD siyopatsirana.

Kuzindikira COPD

Palibe mayeso amodzi a COPD. Kuzindikira kumatengera zizindikilo, kuyezetsa thupi, ndi zotsatira zoyesa matenda.

Mukapita kukaonana ndi dokotala, onetsetsani kuti mwatchula zizindikiro zanu zonse. Uzani dokotala wanu ngati:

  • ndinu wosuta fodya kapena mudasuta kale
  • mumakumana ndi zotupa m'mapapo pantchito
  • mumakumana ndi utsi wambiri wa fodya
  • muli ndi mbiri ya banja la COPD
  • muli ndi mphumu kapena matenda ena
  • mumamwa mankhwala owonjezera pa-kauntala kapena akuchipatala

Pakati pa kuyezetsa thupi, dokotala wanu amagwiritsa ntchito stethoscope kuti amvetsere mapapu anu mukamapuma. Kutengera ndi izi zonse, dokotala wanu atha kuyitanitsa ena mwa mayesowa kuti mumve bwino:

  • Spirometry ndiyeso losavomerezeka kuti muwone momwe mapapu amagwirira ntchito. Mukamayesa, mudzapumira kwambiri kenako nkuuzira mu chubu cholumikizidwa ndi spirometer.
  • Kuyesa kuyerekezera kumaphatikizanso chifuwa cha X-ray kapena CT scan. Zithunzi izi zimatha kuyang'anitsitsa mapapu anu, mitsempha yanu, ndi mtima wanu.
  • Kuyezetsa magazi kwamagazi kumaphatikizapo kutenga magazi kuchokera kumtunda kuti muyese magazi anu oksijeni, carbon dioxide, ndi zina zofunika.

Mayeserowa angakuthandizeni kudziwa ngati muli ndi COPD kapena vuto lina, monga mphumu, matenda opatsirana am'mapapo, kapena kulephera kwamtima.

Phunzirani zambiri za momwe COPD imadziwira.

Chithandizo cha COPD

Chithandizo chitha kuchepetsa zizindikilo, kupewa zovuta, komanso kuchepa kwa matenda. Gulu lanu lazachipatala lingaphatikizepo katswiri wamapapo (pulmonologist) komanso othandizira athupi komanso kupuma.

Mankhwala

Bronchodilators ndi mankhwala omwe amathandiza kupumula minofu ya mlengalenga, kukulitsa njira zowuluka kuti muthe kupuma mosavuta. Nthawi zambiri amatengedwa kudzera mu inhaler kapena nebulizer. Glucocorticosteroids imatha kuwonjezeredwa kuti ichepetse kutupa m'mlengalenga.

Pofuna kuchepetsa matenda ena opuma, funsani dokotala ngati mukuyenera kupwetekedwa ndi chimfine chaka chilichonse, katemera wa pneumococcal, ndi chilimbikitso cha tetanus chomwe chimaphatikizapo chitetezo ku pertussis (chifuwa chachikulu).

Thandizo la oxygen

Ngati mulingo wanu wa oxygen uli wochepa kwambiri, mutha kulandira mpweya wowonjezera kudzera mumask kapena canal cannula kukuthandizani kupuma bwino. Chida chonyamula chimapangitsa kukhala kosavuta kuyendayenda.

Opaleshoni

Kuchita opaleshoni kumapangidwira COPD yovuta kapena ngati mankhwala ena alephera, zomwe zimachitika mukakhala ndi mtundu waukulu wa emphysema.

Mtundu wina wa opaleshoni umatchedwa bullectomy. Pochita izi, madokotala ochita opaleshoni amachotsa mipata yayikulu, yachilendo (bullae) m'mapapu.

China ndi opaleshoni yochepetsa mphamvu ya m'mapapo, yomwe imachotsa minofu yakumapapo yowonongeka.

Kuika m'mapapo ndi njira zina.

Zosintha m'moyo

Kusintha kwamachitidwe ena kumathandizanso kuchepetsa zizindikilo zanu kapena kukupatsani mpumulo.

  • Mukasuta, siyani. Dokotala wanu angakulimbikitseni mankhwala oyenera kapena ntchito zothandizira.
  • Pomwe zingatheke, pewani utsi womwe umapuma ndi mankhwala omwe amapuma.
  • Pezani zakudya zomwe thupi lanu limafunikira. Gwirani ntchito ndi dokotala kapena katswiri wazakudya kuti mupange dongosolo labwino lodyera.
  • Lankhulani ndi dokotala wanu za kuchuluka kwa masewera olimbitsa thupi omwe angakhale otetezeka kwa inu.

Phunzirani zambiri za njira zosiyanasiyana zamankhwala za COPD.

Mankhwala a COPD

Mankhwala amatha kuchepetsa zizindikiritso ndikuchepetsa ziwopsezo. Zitha kutenga mayesero osiyanasiyana kuti mupeze mankhwala ndi mlingo womwe umagwira ntchito bwino kwa inu. Izi ndi zina mwazomwe mungasankhe:

Bronchodilators opumira

Mankhwala omwe amatchedwa bronchodilators amathandiza kumasula minofu yolimba yapaulendo wanu. Amatengedwa nthawi zambiri kudzera mu inhaler kapena nebulizer.

Bronchodilator ofulumira amakhala ndi maola anayi mpaka asanu ndi limodzi. Mumangogwiritsa ntchito mukamawafuna. Pazizindikiro zomwe zikuchitika, pali mitundu yayitali yomwe mungagwiritse ntchito tsiku lililonse. Amatha pafupifupi maola 12.

Ena bronchodilators amasankha beta-2-agonists, ndipo ena ndi anticholinergics. Ma bronchodilator awa amagwira ntchito pochepetsa minofu yolimba yapa airways, yomwe imakulitsa njira zanu zopitilira mpweya wabwino. Amathandizanso thupi lanu kuchotsa mamina m'mapapu. Mitundu iwiriyi yama bronchodilator imatha kutengedwa padera kapena kuphatikiza ndi inhaler kapena nebulizer.

Corticosteroids

Ma bronchodilator okhala nthawi yayitali nthawi zambiri amakhala ophatikizika ndi glucocorticosteroids. Glucocorticosteroid imatha kuchepetsa kutupa m'mayendedwe am'mpweya komanso kutsika kwa ntchofu. Bronchodilator wanthawi yayitali amatha kupumula minofu yapaulendo kuti athandize mayendedwe apandege kukhala otambalala. Corticosteroids amapezekanso pamapiritsi.

Phosphodiesterase-4 zoletsa

Mankhwala amtunduwu atha kumwa mapiritsi kuti athandizire kuchepetsa kutupa ndikupumitsanso njira zowuluka. Nthawi zambiri amalembedwa ku COPD yovuta ndi bronchitis yanthawi yayitali.

Theophylline

Mankhwalawa amachepetsa chifuwa komanso kupuma pang'ono. Zitha kuthandizanso kupewa kuphulika. Ipezeka mu mawonekedwe a mapiritsi. Theophylline ndi mankhwala achikulire omwe amatsitsimutsa minofu ya mlengalenga, ndipo imatha kuyambitsa mavuto. Kawirikawiri si chithandizo choyamba cha mankhwala a COPD.

Maantibayotiki ndi ma antivirals

Maantibayotiki kapena maantibayotiki amatha kuperekedwa mukakhala ndi matenda opuma.

Katemera

COPD imawonjezera chiopsezo chanu pamavuto ena opuma. Pachifukwachi, dokotala wanu angakulimbikitseni kuti mutenge chimfine chaka chilichonse, katemera wa pneumococcal, kapena katemera wa chifuwa.

Dziwani zambiri za mankhwala ndi mankhwala omwe amagwiritsidwa ntchito pochiza COPD.

Malangizo azakudya kwa anthu omwe ali ndi COPD

Palibe zakudya zinazake za COPD, koma zakudya zabwino ndizofunikira kuti mukhale ndi thanzi labwino. Mukakhala olimba mtima, mudzatha kuthana ndi zovuta zina komanso mavuto ena azaumoyo.

Sankhani zakudya zosiyanasiyana zopatsa thanzi m'magulu awa:

  • masamba
  • zipatso
  • mbewu
  • mapuloteni
  • mkaka

Imwani madzi ambiri. Kumwa magalasi osachepera asanu ndi limodzi kapena asanu ndi atatu a zakumwa zopanda khofi patsiku kumathandizira kuti ntchofu zizikhala zochepa. Izi zitha kupangitsa kuti ntchofu zisokomeke.

Chepetsani zakumwa za khofi chifukwa zimatha kusokoneza mankhwala. Ngati muli ndi vuto la mtima, mungafunike kumwa pang'ono, choncho lankhulani ndi dokotala wanu.

Pitani mosavuta pamchere. Zimapangitsa kuti thupi lizisunga madzi, omwe amatha kupumira.

Kukhala wathanzi labwino ndikofunikira. Zimatengera mphamvu zambiri kupuma mukakhala ndi COPD, chifukwa chake mungafunike kumwa ma calories ambiri. Koma ngati mukulemera kwambiri, mapapu anu ndi mtima wanu ziyenera kugwira ntchito molimbika.

Ngati mukulemera kapena kufooka, ngakhale kusamalira thupi kumakhala kovuta. Ponseponse, kukhala ndi COPD kumafooketsa chitetezo chanu cha mthupi ndikuchepetsa kuthana kwanu ndi matenda.

Mimba yokwanira imapangitsa kuti mapapu anu azikula, ndikukusiyani mpweya. Izi zikachitika, yesani izi:

  • Chotsani mayendedwe anu pafupifupi ola limodzi musanadye.
  • Tengani chakudya chaching'ono chomwe mumatafuna pang'onopang'ono musanameze.
  • Sinthanitsani chakudya katatu patsiku kwa zakudya zazing'ono zisanu kapena zisanu ndi chimodzi.
  • Sungani madzi mpaka kumapeto kuti musamadzaze mukamadya.

Onani malangizo awa asanu odyera anthu omwe ali ndi COPD.

Kukhala ndi COPD

COPD imafuna kusamalira matenda kwa moyo wonse. Izi zikutanthauza kutsatira malangizo a gulu lanu lazachipatala ndikukhalabe ndi moyo wathanzi.

Popeza kuti mapapu anu afooka, mudzafunika kupewa chilichonse chomwe chingawachulukitse kapena kuwayatsa.

Nambala imodzi pamndandanda wazinthu zomwe muyenera kupewa ndikusuta. Ngati mukuvutika kusiya, lankhulani ndi dokotala wanu za mapulogalamu osuta. Yesetsani kupewa utsi wa fodya, mankhwala ophera mankhwala, kuipitsa mpweya, ndi fumbi.

Kuchita masewera olimbitsa thupi pang'ono tsiku lililonse kungakuthandizeni kuti mukhale olimba. Lankhulani ndi dokotala wanu za kuchuluka kwa masewera olimbitsa thupi omwe angakuthandizeni.

Idyani zakudya zopatsa thanzi. Pewani zakudya zopangidwa kwambiri zomwe zili ndi ma calories komanso mchere koma mulibe michere.

Ngati muli ndi matenda ena osachiritsika pamodzi ndi COPD, ndikofunikira kuthana nawo nawonso, makamaka matenda ashuga komanso matenda amtima.

Chotsani zododometsa ndikuwongolera nyumba yanu kuti zitenge mphamvu zochepa kuyeretsa ndikugwira ntchito zina zapakhomo. Ngati mwapita patsogolo pa COPD, pezani thandizo pantchito za tsiku ndi tsiku.

Khalani okonzekera zolakwika. Tengani zidziwitso zanu zadzidzidzi ndikuziyika pa firiji yanu. Phatikizani zambiri zamankhwala omwe mumamwa, komanso kuchuluka kwake. Nambala zadzidzidzi za pulogalamu yanu.

Zingakhale zotsitsimula kulankhula ndi ena omwe amamvetsetsa. Ganizirani zolowa nawo gulu lothandizira. COPD Foundation imapereka mndandanda wamabungwe ndi zothandizira anthu okhala ndi COPD.

Kodi magawo a COPD ndi ati?

Gawo limodzi la COPD limakwaniritsidwa polemba spirometry. Pali mitundu yosiyanasiyana yoyika, ndipo dongosolo limodzi loyika ndi gawo la GOLD. Gulu la GOLD limagwiritsidwa ntchito pozindikira kuuma kwa COPD ndikuthandizira kupanga malingaliro ndi njira zamankhwala.

Pali magawo anayi a GOLD potengera kuyesa kwa spirometry:

  • kalasi 1: wofatsa
  • kalasi 2: pang'ono
  • kalasi 3: yovuta
  • kalasi 4: kwambiri

Izi zimachokera pazotsatira zoyesa za spirometry za FEV1 yanu. Uwu ndiye kuchuluka kwa mpweya womwe mungapume kuchokera m'mapapu kaye sekondi yoyamba yakumalizidwa. Kulimba kumawonjezeka pamene FEV1 yanu ikuchepa.

Gulu la GOLD limaganiziranso za zomwe mukudziwa komanso mbiri yakuchulukirachulukira. Kutengera ndi izi, dokotala wanu angakupatseni kalata yoti ikuthandizireni kudziwa kalasi yanu ya COPD.

Matendawa akamakula, mumakhala ndi zovuta zambiri monga:

  • matenda opuma, kuphatikizapo chimfine, chimfine, ndi chibayo
  • mavuto amtima
  • kuthamanga kwa magazi m'mitsempha yamapapo (pulmonary hypertension)
  • khansa ya m'mapapo
  • kukhumudwa komanso kuda nkhawa

Dziwani zambiri za magawo osiyanasiyana a COPD.

Kodi pali mgwirizano pakati pa COPD ndi khansa yamapapo?

Khansa ya COPD ndi m'mapapo ndi mavuto akulu azaumoyo padziko lonse lapansi. Matenda awiriwa amalumikizidwa m'njira zingapo.

COPD ndi khansa yamapapu ili ndi zifukwa zingapo zomwe zimawopsa. Kusuta ndiko chiopsezo chachikulu pa matenda onsewa. Zonsezi ndizotheka ngati mumapuma utsi wa fodya, kapena mumakumana ndi mankhwala kapena utsi wina kuntchito.

Pakhoza kukhala chiwonetsero chazomwe zimayambitsa matenda onsewa. Komanso, chiopsezo chokhala ndi khansa ya COPD kapena m'mapapo kumawonjezeka ndi ukalamba.

Anayerekezera mu 2009 kuti pakati pa anthu omwe ali ndi khansa yamapapu alinso ndi COPD. Zomwezi zidatsimikiza kuti COPD ndi chiopsezo cha khansa yamapapu.

A akuwonetsa kuti atha kukhala osiyana pamatenda amodzimodzi, ndikuti COPD itha kukhala yoyendetsa khansa yamapapo.

Nthawi zina, anthu samaphunzira kuti ali ndi COPD mpaka atapezeka ndi khansa yamapapo.

Komabe, kukhala ndi COPD sikutanthauza kuti mudzakhala ndi khansa yamapapo. Zikutanthauza kuti muli pachiwopsezo chachikulu. Ndicho chifukwa china chomwe, ngati mumasuta, kusiya ndi lingaliro labwino.

Dziwani zambiri pazovuta zomwe zingachitike ndi COPD.

Ziwerengero za COPD

Padziko lonse lapansi, akuti pafupifupi anthu ali ndi COPD yochepa. Pafupifupi anthu 12 miliyoni ku United States ali ndi matenda a COPD. Akuti ena mamiliyoni 12 ali ndi matendawa, koma sakudziwa mpaka pano.

Anthu ambiri omwe ali ndi COPD ali ndi zaka 40 kapena kupitilira apo.

Ambiri mwa anthu omwe ali ndi COPD ndi osuta kapena omwe amasuta kale. Kusuta ndichinthu chofunikira kwambiri pachiwopsezo chomwe chingasinthidwe. Pakati pa 20 ndi 30 peresenti ya osuta fodya amakhala ndi COPD yomwe imawonetsa zizindikilo ndi zizindikilo.

Pakati pa 10 ndi 20 peresenti ya anthu omwe ali ndi COPD sanasute konse. Kwa anthu omwe ali ndi COPD, chifukwa chake ndimatenda amtundu wokhudzana ndi kusowa kwa puloteni yotchedwa alpha-1-antitrypsin.

COPD ndi yomwe imayambitsa zipatala m'maiko otukuka. Ku United States, COPD imayang'anira maulendo ambiri azadzidzidzi komanso kulandira zipatala. M'chaka cha 2000, zidadziwika kuti panali maulendo ochulukirapo komanso pafupifupi azadzidzidzi. Pakati pa anthu omwe ali ndi khansa yamapapo, pakati palinso COPD.

Pafupifupi anthu 120,000 amamwalira ndi COPD chaka chilichonse ku United States. Ndicho chifukwa chachitatu cha imfa ku United States. Amayi ambiri kuposa amuna amamwalira ndi COPD chaka chilichonse.

Akuti chiwerengero cha odwala omwe amapezeka ndi COPD chidzawonjezeka ndi zoposa 150 peresenti kuyambira 2010 mpaka 2030. Zambiri mwa izi zitha kuchitika chifukwa cha anthu okalamba.

Onani ziwerengero zambiri za COPD.

Kodi malingaliro a anthu omwe ali ndi COPD ndi otani?

COPD imayamba kupita patsogolo pang'onopang'ono. Mwina simukudziwa kuti muli nawo koyambirira.

Mukapeza matenda, muyenera kuyamba kupita kukaonana ndi dokotala pafupipafupi. Muyeneranso kuchitapo kanthu kuti muthane ndi vuto lanu ndikupanga masinthidwe oyenera m'moyo wanu watsiku ndi tsiku.

Zizindikiro zoyambirira zimatha kuyang'aniridwa, ndipo zosankha zina pamoyo wanu zimatha kukuthandizani kuti mukhale ndi moyo wabwino kwakanthawi.

Matendawa akamakula, zizindikiro zimayamba kuchepa.

Anthu omwe ali ndi magawo ovuta a COPD sangathe kudzisamalira okha popanda thandizo. Ali pachiwopsezo chachikulu chotenga matenda opuma, mavuto amtima, ndi khansa yamapapo. Akhozanso kukhala pachiwopsezo cha kukhumudwa komanso kuda nkhawa.

COPD nthawi zambiri imachepetsa chiyembekezo chokhala ndi moyo, ngakhale malingaliro amasiyanasiyana mosiyanasiyana malinga ndi munthu. Anthu omwe ali ndi COPD omwe sanasute fodya atha kukhala nawo, pomwe omwe kale komanso omwe amasuta kale atha kuchepa kwambiri.

Kupatula kusuta, malingaliro anu amatengera momwe mumayankhira kuchipatala komanso ngati mungapewe zovuta zina. Dokotala wanu ndiye amatha kuyesa thanzi lanu lonse ndikukupatsani lingaliro la zomwe muyenera kuyembekezera.

Phunzirani zambiri za kutalika kwa moyo komanso kuyerekezera kwa anthu omwe ali ndi COPD.

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Patch ya msambo

Patch ya msambo

ChiduleAmayi ena amakhala ndi zizindikilo paku amba - monga kutentha kwa thupi, ku intha intha kwamaganizidwe, ndi ku owa kwa ukazi - zomwe zima okoneza moyo wawo.Pofuna kupumula, azimayiwa nthawi za...
Mpweya Woipa (Halitosis)

Mpweya Woipa (Halitosis)

Fungo la mpweya limakhudza aliyen e nthawi ina. Mpweya woipa umadziwikan o kuti halito i kapena fetor ori . Fungo limatha kutuluka pakamwa, mano, kapena chifukwa chodwala. Fungo loipa lafungo limatha ...