Kodi Emphysema wa m'mapapo amathandizidwa bwanji?

Zamkati

• 1. Omwe amapanga bronchodilator
• 2. Glucocorticoids
• 3. Kukonzanso m'mapapo mwanga
• 4. Mpweya
• 5. Katemera
• 6. Mankhwala ena
• 7. Opaleshoni
• 8. Siyani kusuta
• 9. Zakudya
• Zizindikiro zakusintha
• Zizindikiro zakukula
• Njira yachilengedwe yothandizira

Chithandizo cha m'mapapo mwanga emphysema chimachitika pogwiritsa ntchito mankhwala amtsiku ndi tsiku kuti akweze mayendedwe ake, monga ma bronchodilators ndi inhaled corticosteroids, akuwonetsedwa ndi pulmonologist. Ndikofunikanso kwambiri kukhala ndi moyo wathanzi, makamaka kupewa kusuta, kuwonjezera pamachitidwe okonzanso kupuma .

Pulmonary emphysema, yomwe ndi imodzi mwanjira zamatenda am'mapapo (COPD), ndi matenda opumira omwe alibe mankhwala, ndipo chithandizo chake ndikofunikira kuti muchepetse zizindikilo ndikuchepetsa kukulira kwa matendawa, kuwonjezera pakusintha kwa zinthu. zikhalidwe zaumoyo ndi kudziyimira pawokha kwa munthu wokhudzidwayo. Dziwani momwe mungazindikire zizindikiro za m'mapapo mwanga emphysema.

Pazovuta kwambiri, pangafunike kugwiritsa ntchito chigoba cha oxygen, kwa maola ochepa kapena mosalekeza, komanso kuchitidwa opaleshoni kuti muchepetse kuchuluka kwa mapapo kapena ngakhale kupatsira m'mapapo.

1. Omwe amapanga bronchodilator

Kugwiritsa ntchito mankhwala omwe amachepetsa njira zoyendetsera mpweya ndiye njira yayikulu yochizira matenda am'mimba, omwe nthawi zambiri amachitika ngati mpweya wopumira. Zitsanzo zina ndi izi:

• Ochita beta-2-agonists, monga Fenoterol, Salbutamol ndi Terbutaline: amagwiritsidwa ntchito kuyambira kumayambiriro kwa matendawa, ndipo amayenera kupuma mpweya ngati kuli kofunikira kapena pamene zizindikiro zikuipiraipira;
• Ogwira ntchito beta-2-agonists, monga Formoterol: amagwiritsidwa ntchito kwambiri pakatikati pa matendawa, momwe zizindikilo zimatenga nthawi yayitali, zimagwiritsidwa ntchito tsiku lililonse;
• Anticholinergics, monga Ipratropium Bromide: amagwiritsidwa ntchito molumikizana ndi beta-2-agonists, kuti athandize kutulutsa mapapu;
• Methylxanthines, monga Aminophylline ndi Theophylline: atha kukhala njira ina pamavuto akulu, kupuma bwino, komabe, chifukwa zimayambitsa zoyipa zambiri, monga kunyansidwa, kunjenjemera ndi kugunda kwamtima, ziyenera kugwiritsidwa ntchito mosamala komanso kuwunika pafupipafupi kuchipatala.

Mankhwala ozimitsa moto atha kukhala kuti kale amapangidwa ndi ma bronchodilator kapena kuphatikiza ma corticosteroids, kuti athandizire kugwiritsira ntchito ndikuchepetsa kuchuluka kwa mankhwala, monga zitsanzo za Seretide kapena Alenia, mwachitsanzo.

2. Glucocorticoids

Mankhwala a Corticoid amagwiritsidwa ntchito makamaka mu mawonekedwe. Kugwiritsa ntchito mankhwalawa mosalekeza, limodzi ndi ma bronchodilator, kumatha kuchepetsa kuwonjezeka kwa magwiridwe antchito am'mapapo komanso chiwopsezo cha zovuta, ndipo kuyenera kuwonetsedwa ndi pulmonologist.

Amagwiritsidwa ntchito kawiri patsiku, ndipo amatha kuphatikizidwa ndi ma bronchodilator mumankhwala omwewo. Ndibwino kutsuka mkamwa mutagwiritsa ntchito kuti muchepetse matenda opatsirana mkamwa, monga candidiasis wamlomo.

Ma corticosteroids omwe ali piritsi sakulimbikitsidwa kuti azigwiritsidwa ntchito mosalekeza, chifukwa amayambitsa zoyipa zambiri komanso phindu locheperako pochiza matendawa, ndipo ayenera kugwiritsidwa ntchito pakukulitsa matenda omwe ali ndi matenda, ndipo atha kubweretsanso phindu pochira.

3. Kukonzanso m'mapapo mwanga

Ndi pulogalamu yothandizira ma physiotherapy yomwe imaphatikizapo zolimbitsa thupi kuti zilimbikitse minofu ya chifuwa ndikuwongolera kupuma, monga masewera olimbitsa mapapo, kutambasula kwa minofu, kupuma, kuzindikira kapumidwe ndi kupuma koyenera, kupereka kuthekera kwabwino kochita zochitika za tsiku ndi tsiku. Dziwani zambiri za mtundu uwu wamankhwala.

Kuphatikiza apo, tikulimbikitsidwa kuti tichite masewera olimbitsa thupi, monga kuyenda ndi kuyang'aniridwa ndi akatswiri, pambuyo povomereza zamankhwala, kuti tikwaniritse zolimbitsa thupi, kuwonjezera kupuma komanso kuchepetsa zizindikilo.

4. Mpweya

Kugwiritsiridwa ntchito kwa catheter ya mphuno ya oxygen kumangowonetsedwa pazochitika zowopsa kwambiri, momwe mapapu satha kuperekanso mpweya wokha wa thupi. Amawonetsedwa ndi dokotala, ndipo angafunike kwa maola ochepa kapena tsiku lonse.

5. Katemera

Anthu omwe ali ndi pulmonary emphysema ali pachiwopsezo chachikulu chotenga matenda opumira, omwe ayenera kupewa, onse chifukwa amayamba kukhala ovuta kwambiri mwa odwalawa komanso chifukwa amayambitsanso emphysema panthawi yamavuto.

Chifukwa chake, zikuwonetsedwa kuti anthu omwe ali ndi COPD amalandira katemera wa chimfine chaka chilichonse, komanso motsutsana ndi matenda a pneumococcal, kupewa matenda a chibayo ndikuwopseza moyo. Katemera wa chimfine amawonetsedwanso chaka chilichonse.

6. Mankhwala ena

N-acetyl-cysteine ​​imatha kuwonetsedwa nthawi zambiri, chifukwa cha mankhwala ake ochepetsa mphamvu ya antioxidant komanso ntchofu.

Maantibayotiki angafunike ngati matenda opuma amayamba chifukwa cha bakiteriya, zomwe sizachilendo kwa odwala omwe ali ndi COPD.

7. Opaleshoni

Ngakhale ndizosowa kwambiri, nthawi zina zovuta kwambiri, adokotala amalangiza kuti achite opaleshoni kuti achotse mbali zomwe zakhudzidwa kwambiri m'mapapo, kulola madera athanzi kukulira bwino ndikugwira ntchito moyenera, komabe, opaleshoniyi imangochitika mwa ena milandu yayikulu komanso momwe munthu angalekerere njirayi.

Kuika m'mapapo kumatha kukhalanso kotheka nthawi zina, monga akuwonetsera dokotala.

8. Siyani kusuta

Ngakhale si mankhwala enieni, kusuta ndichimodzi mwazomwe zimayambitsa matenda am'mapapo am'mimba ndipo, chifukwa chake, anthu omwe amadwala matenda am'mapapo am'mapapo amasiya kugwiritsa ntchito ndudu.

Ngakhale utsi wa fodya kapena utsi wa m'mafakitale wopumira, kuipitsa, ndi chiopsezo pakukula kwa emphysema. Chifukwa chake, mankhwala omwe amathandiza kuchepetsa kapena kuletsa kusuta fodya atha kuphatikizidwa ndi mankhwalawa, chimodzi mwazolinga zazikulu zamankhwala ndikupangitsa kuti munthu amene ali ndi emphysema wa mapapo asiye kusuta.

9. Zakudya

Chakudya chingathandizenso kwambiri kupuma bwino, chifukwa chakudya, mafuta ndi mapuloteni, akadyedwa, amadya mpweya ndikutulutsa carbon dioxide. Ndipo popeza anthu omwe ali ndi mapapu emphysema amavutika ndi kusinthana kwa mpweya m'mapapu, zakudya zingathandizenso kuyendetsa njirayi.

Chimodzi mwa michere yomwe imagwiritsa ntchito kwambiri mpweya ndikutulutsa kaboni dayokisaidi ndi chakudya. Chifukwa chake, tikulimbikitsidwa kuti anthu omwe ali ndi emphysema achepetse kuchuluka kwa chakudya m'zakudya zawo, makamaka shuga wosavuta, yemwe amapezeka muzakudya monga makeke, maswiti, makeke ndi maswiti ena. Chifukwa chake, zokonda ziyenera kuperekedwa ku zakudya zokhala ndi michere yambiri ndi mafuta abwino, omwe amadya mpweya wocheperako, monga ma avocado, salimoni, tuna, sardines kapena maolivi.

Mulimonsemo, ndikofunikira kufunsa katswiri wazakudya kuti apange dongosolo lokwanira lazakudya lomwe limakwaniritsa zosowa zonse. Izi ndichifukwa choti, anthu omwe ali ndi matenda opuma komanso omwe amathandizidwa ndi corticosteroids amathanso kuchepa kashiamu ndi vitamini D, zomwe zimatha kusinthidwa ndikudya.

Zizindikiro zakusintha

Emphysema ilibe mankhwala, kotero zizindikirazo sizimatheratu. Komabe, ngati mankhwala achitika moyenera, patatha masiku angapo ndizotheka kuzindikira kuchepa kwa pafupifupi zizindikilo zonse, monga kupuma movutikira, kupweteka pachifuwa kapena chifuwa.

Kuphatikiza apo, ndi chithandizo, pakhoza kukhala zovuta zochepa pochita zinthu zomwe zatopetsa kwambiri, monga kuyenda.

Zizindikiro zakukula

Zizindikiro zakukulirakulira ndizofala pomwe chithandizo sichikwanira kapena matendawa akukulirakulira, zomwe zimafala kwambiri pomwe matenda akuchedwa.

Zizindikirozi zimaphatikizapo kupuma movutikira, zala zabuluu, nkhope yakuda ndi kupuma mwamphamvu mukamapuma. Zikatero, ndibwino kuti mupite kuchipatala mwachangu kuti mukayambe mankhwala oyenera ndikupewa zovuta zina, monga kumangidwa kwamtima.

Njira yachilengedwe yothandizira

Chithandizo cha pulmonary emphysema chomwe chitha kuchitidwa kunyumba, ndikuphunzira masewera olimbitsa thupi otchedwa mankhwala amilomo ndikuchita kangapo patsiku, ngati njira yothandizira kuchipatala motsogozedwa ndi dokotala, osalowanso m'malo mwake. Kuti muchite izi, ingopemphani mpweya kuti utuluke mkamwa mwanu ndi mano anu atagawikana ndipo milomo yanu igawanike kuti muziyenda ndi mpweya wotuluka mkamwa mwanu.

Kuchita masewera olimbitsa thupi kumalimbitsa kutuluka kwa thupi ndikuthandizira kuthetseratu mpweya m'mapapu, kulola kuti mpweya wambiri ulowetsedwe kenako, makamaka, uyenera kutsogozedwa ndi physiotherapist.