Okokuqala, wonke umntu kufuneka aqonde, yintoni "slow obstructive lung"?Kubantu abaninzi, "umphunga ophazamisayo" uvakala ungaqhelekanga, kodwa "isebe elidala elicothayo" kunye ne "pulmonary emphysema" liyaziwa kuwo wonke umntu.Enyanisweni, "umphunga othintelayo ocothayo" "lisebe elidala elicothayo" kunye "nemiphunga" i-Emphysema sisifo esingapheliyo sokuphefumla esikhula ngenxa yokuncipha kokusebenza kwemiphunga.Izibonakaliso zeklinikhi ziquka ukunciphisa ukunyamezela komsebenzi, ukukhohlela, ukuphefumla, kunye nokuphefumula okufutshane.Kwakhona sisifo esichatshazelwa kakhulu ngamaqondo obushushu, ukuvela okuphezulu ebusika.Ukunyuka okukrakra ngakunye kwesigulana kubonisa ukuwohloka ngakumbi kwemeko yemiphunga, nto leyo ekwakukubetha okuqhubelekayo kumsebenzi wemiphunga yesigulana.Izigulana ezinjalo ziye zanda ngokuqhubekayo izenzo ezifana nokuphefumla, ukuphefumula okufutshane, kunye nokugqithisa emva komsebenzi, kwaye azikwazi ukuguqulwa ngokupheleleyo.Ke ngoko, ukuchacha kwekhaya kunye nokuthintela izigulana zeCOPD kubaluleke kakhulu.
Kubomi bemihla ngemihla, nikela ingqalelo ukuyeka ukutshaya kunye notywala, ugweme ukudibanisa nezinto eziphazamisayo, kwaye ugweme ukubanda.Kodwa yintoni esifanele sinikele ingqalelo kuyo xa imozulu itshintsha ebusika?
1.Okokuqala, kufuneka sigxininise ekumiseleni amayeza.
Kwinkqubo yokuxilongwa kweklinikhi kunye nenkqubo yonyango, ndifumene ukuba izigulane ezininzi azizange zilawule amayeza ngokufanelekileyo, oko kukuthi, zafumana iinaliti xa isifo esibuhlungu senzeka, kwaye onke amayeza ayekwa xa ephuculwe.Izigulane ezine-COPD zihlala zifuna ukunyanzelisa ukusetyenziswa kweyeza lokuphefumla ixesha elide, kwaye ebusika xa isifo sithambekele ekumiseni ichiza okanye ukunciphisa umthamo ngentando Xa usulelo lwemiphunga lusenzeka, qiniseka ukuba ubeke ingqalelo ebhedini. phumla kwaye ulandele imiyalelo kagqirha ukunyanga izifo ngenkuthalo, ukukhulula i-spasm kunye ne-asthma, kwaye uthathe amayeza ngexesha.
2. Okwesibini, umthambo ofanelekileyo wokumelana nokubanda.
Izigulana "ezidala ezicothayo" zoyika kakhulu ukubanda ebusika kwaye ziyakwazi ukubanda.Iimpawu zonyuka emva kosulelo ngalunye lokuphefumla kunye nokusebenza kwemiphunga nako kuchaphazeleka.Ukwenza umthambo wokumelana nokubanda kunokuphucula ukuxhathisa kwesigulane (izigulane ezininzi ezindala xa imozulu itshintsha) Nokuba ikati isekhaya, unganqikazi ukuya naphi na, oku kuphosakele), uqeqesho olufanelekileyo lokumelana nokubanda kunokunciphisa umngcipheko wokubamba umkhuhlane kunye nokuphefumla. usulelo.Kodwa kwangaxeshanye, kufuneka kuqatshelwe ukuba ukuziqhelanisa nokubanda akunakwenziwa ngobumfama.Ayizizo zonke izigulane ezineCOPD ezifanelekileyo ukuba zeziphi na uhlobo lwezigulane ezinokuthi zenziwe kwaye zenziwe njani.Qhagamshelana nogqirha oqeqeshiweyo kwiimeko ezithile.
3. Imisebenzi efanelekileyo yomzimba kufuneka nayo yenziwe.
Ngokwamandla omzimba wesigulana, unokuthatha inxaxheba ngokusebenzayo kwimisebenzi ethile yomzimba efanelekileyo.Umzekelo, ukunkcunkca, njengenye yezona ndlela zigqibeleleyo zokuzilolonga ezilungelelanisiweyo, kunokonyusa umthamo wemiphunga kunye nonyamezelo, kugcine nokuphefumla xa ubaleka, kwaye uvumele ioksijini eyaneleyo ukuba ingene emzimbeni.I-Tai Chi, abantu abaneminyaka ephakathi kunye nabakhulileyo i-aerobics, ukuhamba, njl.Kakade ke, kwakhona simele sinikele ingqalelo ukuze siphephe umsebenzi ongaphaya kwamandla ethu wokunciphisa umthwalo osentliziyweni nemiphunga.
Umsebenzi olula wokubuyisela imiphunga kwisimo sangaphambili.
Eminye imisebenzi yokubuyisela imiphunga kwisimo sangaphambili ilula kakhulu kwaye iyonga.Umzekelo, ezi ndlela zimbini zilandelayo zisetyenziswa ngokuqhelekileyo:
① Ukuphefumla ukufinyezwa komlomo, okunokulawula iimpawu ze-dyspnea kwizigulana ezininzi, ke ngoko kubandakanyiwe kwiinkqubo ezininzi zokubuyisela imiphunga.Iindlela ezithe ngqo: Vala umlomo wakho kwaye uphefumlele ngempumlo, kwaye emva koko ngemilebe, ukhuphe kancinci ngomlomo njengempempe imizuzwana emi-4 ~ 6.Iqondo lokuncipha komlomo linokuhlengahlengiswa nguwe xa ukhupha umoya, ungekho mkhulu okanye umncinci kakhulu.
② Ukuphefumla kwesisu, le ndlela inokunciphisa ukunyakaza kwesifuba, ukuphucula ukuhamba kwesisu, ukuphucula ukuhanjiswa komoya kunye nokunciphisa ukusetyenziswa kwamandla okuphefumla.Ukuphefumla kwesisu kuqhutyelwa ekuxokeni, ukuhlala, kunye neendawo zokuma, kunye nendlela "yokufunxa kunye ne-deflating", ngesandla esinye esifubeni kunye nesinye isandla kwisisu, isisu sibuyiselwa ngokusemandleni, kwaye isisu siphakanyiswe ngokuchasene. uxinzelelo lwesandla xa uphefumla Ixesha lokuphefumula li-1 ukuya ku-2 ixesha elide kunexesha lokuphefumla.
Unyango lwe-oksijini yasekhaya kunye nonyango olungelulo olungena-invasive
Kwizigulane ezineCOPD kunye nokungaphumeleli kokuphefumla okungapheliyo, ukuqaphela isifo kufuneka kuphakanyiswe nakwixesha elizinzile.Ukuba iimeko zoqoqosho zivuma, kunokwenzeka ukuthenga iijenereyitha ze-oksijini kunye ne-ventilators ezingenayo i-ventilators yonyango lwe-oxygen yasekhaya kunye nokungena komoya okungenasiphelo ngokwemeko.Unyango olufanelekileyo lwe-oksijini lunokuphucula i-hypoxia yomzimba (ifuna unyango lwe-oksijeni yasekhaya imihla ngemihla ukuhamba okuphantsi kwe-oksijini yokuphefumla ixesha elingaphezu kweeyure ze-10-15), ukucotha ukwenzeka okanye ukuqhubela phambili kweengxaki ezifana nesifo senhliziyo se-pulmonary.Isixhobo sokungenisa umoya esingasebenzisiyounyango lunokuphumla imisipha yokuphefumla yokukhathala okungapheliyo, ukuphucula umsebenzi wokuphefumula, ukutshintshiselana kwegesi, kunye nezibonakaliso zegesi yegazi.Ukungena komoya okungenasiphelo ebusuku kunokuphucula imeko ye-hypoventilation ebusuku, ukuphucula umgangatho wokulala, kwaye ekugqibeleni kuphucule ukusebenza kakuhle kunye nomgangatho wobomi botshintshiselwano lwegesi emini, kunye nokunciphisa ukuphindaphindeka kokunyuka okubukhali.Oku akunako nje ukunceda izigulana ukuba zihlupheke kancinci, kodwa kunciphise neendleko zonyango.
Ixesha lokuposa: Jul-13-2020