Momwe Mungadziwire Ndi Matenda Olepheretsa Matenda Opatsirana

Zamkati

• Zizindikiro zazikulu
• Momwe mungadziwire
• Momwe mungachitire COPD
• Physiotherapy ya COPD

COPD, yomwe imadziwikanso kuti matenda opatsirana am'mapapo, ndi matenda opuma opatsirana omwe alibe mankhwala, ndipo amayambitsa zizindikilo monga kupuma movutikira, kutsokomola komanso kupuma movutikira.

Ndi zotsatira za kutupa ndi kuwonongeka kwa mapapo, makamaka chifukwa cha kusuta, chifukwa utsi ndi zinthu zina zomwe zimapezeka mu ndudu zimayambitsa kuwonongeka kwa minofu yomwe imapanga njira zowuluka.

Kuphatikiza pa ndudu, zoopsa zina zopanga COPD ndikuwonjezeka ndi utsi kuchokera ku uvuni wamatabwa, kugwira ntchito m'migodi yamalasha, kusintha kwa mapapu, komanso kutulutsa utsi wa ndudu wa anthu ena, womwe ndi kusuta chabe.

Zizindikiro zazikulu

Kutupa komwe kumayambitsa m'mapapo kumapangitsa kuti ma cell ndi ziwalo zake zisamagwire bwino ntchito, ndikutulutsa kwa mlengalenga ndikutsekera mpweya, komwe ndi emphysema, kuphatikiza kusokonekera kwa tiziwalo timene timatulutsa ntchofu, kuyambitsa kutsokomola ndikupanga zotsekemera za kupuma, ndi bronchitis.

Chifukwa chake, zizindikilo zazikulu ndi izi:

• Kukhosomola kosalekeza;
• Kupanga maamba ambiri, makamaka m'mawa;
• Kupuma pang'ono, komwe kumangoyamba pang'ono, pokhapokha ngati mukuchita khama, koma pang'onopang'ono kumangokulirakulirabe, mpaka kukufika povuta kwambiri ndikufikira pomwe imakhalapo ngakhale itayimitsidwa.

Kuphatikiza apo, anthu omwe ali ndi matendawa amatha kukhala ndi matenda opuma pafupipafupi, omwe amatha kupititsa patsogolo zizindikilo, ndi kupuma pang'ono komanso kutulutsa magazi, zomwe zimatchedwa COPD zowonjezereka.

Momwe mungadziwire

Kuzindikira kwa COPD kumapangidwa ndi dokotala kapena pulmonologist, kutengera mbiri yakale yamankhwala ndikuwunika kwakuthupi, kuwonjezera pamayeso monga chifuwa cha X-ray, chifuwa chowerengera tomography, komanso kuyesa magazi, monga magazi am'magazi, omwe akuwonetsa amasintha mawonekedwe ndi ntchito yamapapu.

Komabe, chitsimikiziro chimapangidwa ndi mayeso omwe amatchedwa spirometry, omwe amawonetsa kuchuluka kwa kutsekeka kwa mayendedwe ampweya komanso kuchuluka kwa mpweya womwe munthuyo amatha kupuma, motero matendawa amakhala ofatsa, ochepa komanso owopsa. Pezani momwe spirometry yachitidwira.

Momwe mungachitire COPD

Kuchiza COPD ndikofunikira kusiya kusuta, chifukwa apo ayi, kutupa ndi zizindikilo zipitilira kukulira, ngakhale kugwiritsa ntchito mankhwala.

Mankhwala omwe amagwiritsidwa ntchito makamaka ndi mpope wopumira, woperekedwa ndi pulmonologist, womwe umakhala ndi zinthu zomwe zimatsegula mayendedwe apansi kuti mpweya udutse ndikuchepetsa zizindikilo, monga:

• Achifwamba, monga Fenoterol kapena Acebrofilina;
• Wotsutsa, monga Ipratropium Bromide;
• Beta-agonist, monga Salbutamol, Fenoterol kapena Terbutaline;
• Corticosteroids, monga Beclomethasone, Budesonide ndi Fluticasone.

Njira ina yogwiritsira ntchito kuchepetsa katulutsidwe ka phlegm ndi N-acetylcysteine, yomwe imatha kutengedwa ngati piritsi kapena sachet yochepetsedwa m'madzi. Corticosteroids m'mapiritsi kapena mumtsempha, monga prednisone kapena hydrocortisone, mwachitsanzo, amangogwiritsidwa ntchito pakukulitsa kapena kukulira kwazizindikiro.

Kugwiritsa ntchito mpweya ndikofunikira pamavuto akulu, ndikuwonetsa zachipatala, ndipo kuyenera kuchitidwa mu catheter ya mphuno ya mpweya, kwa maola ochepa kapena mosalekeza, kutengera mulimonsemo.

Pomaliza, amatha kuchitidwa opareshoni, pomwe gawo lina lamapapo limachotsedwa, ndipo ali ndi cholinga chochepetsera voliyumu ndikutsekera mpweya m'mapapu. Komabe, opaleshoniyi imachitika kokha pamavuto akulu kwambiri pomwe munthu amatha kulekerera izi.

Ndikothekanso kuchita zinthu zina zodzitetezera, monga kukhala pabwino pogona, kuwongolera kupuma, posankha kusiya bedi litapendekeka kapena kukhala pang'ono, ngati kuli kovuta kupuma. Kuphatikiza apo, ndikofunikira kuchita zinthu mopanda malire, kuti kupuma pang'ono kusakhale kovuta kwambiri, ndipo chakudyacho chizichitidwa mothandizidwa ndi katswiri wazakudya kuti michere yofunikira yoperekera mphamvu isinthidwe.

Physiotherapy ya COPD

Kuphatikiza pa chithandizo chamankhwala, othandizira kupuma amalimbikitsidwanso chifukwa amathandizira kukonza kupuma komanso moyo wabwino wa anthu omwe ali ndi COPD. Cholinga cha mankhwalawa ndikuthandizira kukonzanso kupuma, motero kumachepetsa zizindikilo, kuchuluka kwa mankhwala komanso kufunikira kogonekedwa kuchipatala. Onani zomwe zimapangidwira komanso momwe kupuma kwa thupi kumathandizira.