Mlingo Wapamwamba Wotuluka Wotuluka
Zamkati
- Kodi ndi liti pomwe dotolo amalangiza mayeso okwera okwera otha ntchito?
- Kodi ndimakonzekera bwanji mayeso okwera othamanga?
- Kodi mayeso othamanga kwambiri amaperekedwa bwanji?
- Kodi ndiyenera kuyesedwa kangati?
- Ndi zoopsa ziti zomwe zimakhudzana ndimayeso okwera othamanga?
- Kodi ndingadziwe bwanji ngati kuchuluka kwanga kotulutsidwa ndikwachilendo?
- Kodi zikutanthauza chiyani ndikapeza zotsatira zosakhala bwino?
Kodi kuyesa kuthamanga kwapamwamba kwambiri ndi kotani?
Chiyeso chapamwamba chotulutsa mpweya (PEFR) chimayesa momwe munthu amatha kutuluka mwachangu. Kuyesa kwa PEFR kumatchedwanso kutuluka kwakukulu. Kuyesaku kumachitika kawirikawiri kunyumba ndi chida chonyamula m'manja chotchedwa peak flow monitor.
Kuti mayeso a PEFR akhale othandiza, muyenera kusunga ma rekodi anu mosalekeza. Kupanda kutero mwina simungazindikire zomwe zimachitika mukamatsika kapena kutsika.
Mitunduyi imatha kukuthandizani kuti muchepetse matenda anu asanafike mphumu. Kuyesa kwa PEFR kungakuthandizeni kudziwa nthawi yomwe muyenera kusintha mankhwala anu. Kapenanso zingakuthandizeni kudziwa ngati zinthu zachilengedwe kapena zoipitsa zimakhudza kapumidwe kanu.
Kodi ndi liti pomwe dotolo amalangiza mayeso okwera okwera otha ntchito?
Kuyesa kwa PEFR ndi mayeso wamba omwe amathandizira kuzindikira ndikuwunika mavuto am'mapapo, monga:
- mphumu
- Matenda osokoneza bongo (COPD)
- mapapu omwe amaikidwa osagwira bwino ntchito
Mutha kuyesanso izi kunyumba. Zithandizira kudziwa ngati chithandizo chamatenda am'mapapo chikugwira ntchito kuti zofooka zisakule.
Kodi ndimakonzekera bwanji mayeso okwera othamanga?
Mayeso a PEFR safuna kukonzekera kwambiri. Mungafune kumasula zovala zilizonse zolimba zomwe zingakulepheretseni kupuma mwamphamvu. Onetsetsani kuti mwayimirira kapena kukhala molunjika pamene mukuyesa mayeso.
Kodi mayeso othamanga kwambiri amaperekedwa bwanji?
Mudzagwiritsa ntchito chowunikira chapamwamba kwambiri kuti muchite mayeso a PEFR. Ichi ndi chida chonyamula m'manja chokhala ndi cholankhulira kumapeto ena ndi sikelo mbali inayo. Mukawombera mpweya pakamwa kamvulu wakuthwa wapulasitiki amasuntha. Izi zimayeza kuthamanga kwa mpweya.
Kuti muyese mayeso, mudzachita izi:
- Pumirani mozama momwe mungathere.
- Ikani cholankhulira mwachangu komanso molimba momwe mungathere. Osayika lilime lako patsogolo pa wolankhulira.
- Yesani katatu.
- Tawonani liwiro lapamwamba kwambiri la atatuwo.
Ngati mukutsokomola kapena mukuyetsemula mukamapuma, muyenera kuyambiranso.
Kodi ndiyenera kuyesedwa kangati?
Kuti mudziwe "zabwino zanu," muyenera kuyeza kuchuluka kwanu kwakutuluka:
- osachepera kawiri pa tsiku kwa milungu iwiri kapena itatu
- m'mawa, podzuka, komanso madzulo kapena madzulo
- Mphindi 15 mpaka 20 mutagwiritsa ntchito beta2-agonist wofinya, wofulumira
Mankhwala wamba a beta2-agonist ndi albuterol (Proventil ndi Ventolin). Mankhwalawa amatsitsimutsa minofu yozungulira njira zapaulendo kuwathandiza kuti akule.
Ndi zoopsa ziti zomwe zimakhudzana ndimayeso okwera othamanga?
Kuyesedwa kwa PEFR ndikwabwino kuchita ndipo kulibe zoopsa zilizonse.Nthawi zambiri, mumatha kumva kupepuka mutapumira m'makina kangapo.
Kodi ndingadziwe bwanji ngati kuchuluka kwanga kotulutsidwa ndikwachilendo?
Zotsatira zoyesedwa zabwinobwino zimasiyanasiyana kwa munthu aliyense kutengera zaka zanu, kugonana, komanso kutalika. Zotsatira zamayeso zimagawidwa ngati masamba obiriwira, achikasu, komanso ofiira. Mutha kudziwa mtundu womwe mumagwere poyerekeza zotsatira zanu zam'mbuyomu.
Malo obiriwira: 80 mpaka 100% yazomwe mumayendera nthawi zonse | Awa ndi malo abwino. Zikutanthauza kuti vuto lanu likuyang'aniridwa. |
Malo achikaso: 50 mpaka 80 peresenti ya momwe mumayendera nthawi zonse | Mayendedwe anu akhoza kuyamba kuchepa. Lankhulani ndi dokotala wanu za momwe mungagwirire zotsatira zachikaso. |
Malo ofiira: osachepera 50 peresenti ya muyeso wanu wamba | Mayendedwe anu akuchepa kwambiri. Tengani mankhwala anu opulumutsa ndi kulumikizana ndi othandizira mwadzidzidzi. |
Kodi zikutanthauza chiyani ndikapeza zotsatira zosakhala bwino?
Kuyenda kumachepa pamene njira zampweya zatsekedwa. Mukawona kugwa kwakukulu pachimake cha kuthamanga kwanu, kumatha kuyambika chifukwa chamatenda am'mapapo anu. Anthu omwe ali ndi mphumu amatha kuchepa asanayambe kupuma.
Ngati zina mwazizindikiro izi zikuchitika, pitani kuchipinda chadzidzidzi nthawi yomweyo. Izi ndi zizindikiro zadzidzidzi zamankhwala:
- kuchepa kukhala tcheru - izi zimaphatikizapo kugona kapena kusokonezeka
- kupuma mwachangu ndikusokoneza minofu pachifuwa kuti ipume
- Mtundu wabuluu kumaso kapena milomo
- nkhawa yayikulu kapena mantha omwe amadza chifukwa cholephera kupuma
- thukuta
- kuthamanga kwambiri
- chifuwa chowonjezeka
- kupuma movutikira
- kupuma kapena kupuma moperewera
- osatha kuyankhula zoposa mawu achidule
Mungafune kupita kukaonana ndi dokotala kuti mukawerenge molondola ndi spirometer ngati zotsatira zanu zikukhudza. Spirometer ndi chida chowunikira kwambiri chotsogola kwambiri. Pakuyesaku, mupumira pakamwa polumikizidwa ndi makina a spirometer omwe amayesa kupuma kwanu.