Yu tink se i nɔ kin izi fɔ yu fɔ blo we yu de waka ɔp wan stej, waka kwik kwik wan, ɔ ivin du smɔl wok na os? Yu fil se yu chɛst dɔn kɔnstrikt ɛn yu nɔ de blo fayn? Yu kin tink se dɛn tin ya nɔrmal wae yu de liv wit wan sik wae de kam pan yu lɔng tɛm lɛk asma ɔr COPD. Sɔntɛm yu go ebul fɔ ridyus di tin dɛn we yu de du ɛn de na os. Bɔt fɔ tru, wan spɛshal program de we go ɛp yu fɔ mek yu layf izi, fɔ blo izi, ɛn fɔ du mɔ. Tide wi de tɔk bɔt wan tritmɛnt we bɔku pipul dɛn nɔ no bɔt, bɔt i rili valyu, ɛn dat na pulmonary rehabilitation.
Wetin na Pulmonary Rihabiliteshɔn?
Fɔ tɔk am simpul wan, dis na spɛshal wɛlbɔdi program we dɛn mek fɔ mek pipul dɛn we gɛt krɛse sik na dɛn lɔng layf bɛtɛ bay we dɛn de kɔntrol dɛn sik dɛn. Dis nɔto jɔs fɔ du ɛksɛsayz. I pas dat fa fawe. Wan tim we gɛt wɛlbɔdi biznɛs, we gɛt dɔktɔ dɛn, fisiotɛrapist dɛn, ɛn pipul dɛn we de mɛn pipul dɛn we de ɛp yu fɔ blo, kin kam togɛda fɔ tich yu aw fɔ kɔntrol aw yu de blo we yu de du ɛksɛsayz, ɛdyukeshɔn, ɛn tin dɛn we yu de du ɛvride, we dɛn mek fɔ yu kɔndishɔn ɛn pan di lɛvul we yu go ebul fɔ bia wit.
Tink bɔt am dis we. Yu nɔ de waka bɔku bikɔs yu nɔ de blo fayn. Dɔn yu leg, yu an, ɛn ivin di mɔsul dɛn we de ɛp yu fɔ blo kin wik smɔl smɔl. We yu mɔsul dɛn wik, yu kin fil taya ivin we yu de du smɔl smɔl wok dɛn, ɛn i kin at fɔ blo. I tan lɛk saykl. Wan tin de lid to ɔda tin. Pulmonary rihabiliteshɔn de brok dis bad bad saykl ɛn ɛp yu fɔ tinap bak pan yu fut sef ɛn sloslo. Pan ɔl we i nɔ go mɛn yu lɔng sik kpatakpata, yu go si se yu nɔ kin ebul fɔ blo bɛtɛ, yu bɔdi gɛt mɔ trɛnk, ɛn layf kin izi fɔ yu.
Us kayn tin wae dis tritmɛnt kin ɛp wit?
di pulmonari rihabiliteshכn na bεnεfit fכ nכmba כf kכndishכn dεm we de afekt di lכng fכnshכn fכ lכng tεm. If yu gɛt ɛni wan pan di tin dɛn we de na dis list, i fayn fɔ mek yu tɔk bɔt dis wit yu dɔktɔ.
| Di sik stetmɛnt | Wan simpul ɛksplen |
|---|---|
| COPD (Krכnik Obstrכktiv Pulmonari Disiz) . | Wan kɔmɔn tin we kin mek i nɔ izi fɔ blo ɛn kɔf. |
| Intastitial Lɔng sik (ɛgz. Sarkoidosis, Pulmonary Fibrosis) . | Sik dεm we de mek i at fכ brith bikoz fכ di lכng tisu dεm we de at. |
| Asma we gɛt asma | I nɔ izi fɔ blo bikɔs di say dɛn we di briz de blo de swel ɛn smɔl. |
| Sistik Faybrosis we pɔsin kin gɛt | Na jεnεtik sik we de afekt di lכng dεm bikoz di bכdi de prodyuz tik mכkus. |
| Bronchiectasis we dɛn kɔl Bronchiectasis | wan kכndishכn we di aywe dεm kin dilayt fכ כltεm, we kin mek mכkus kin gɛda εn i kin mek di risk fכ infεkshכn go כp. |
| Pulmonari Haypatɛnshɔn | Di ay blɔd prɛshɔn na di blɔd vesel dɛm we de kɛr blɔd go na di lɔng. |
| Kansa na di Lɔng | Fɔ di mɛnejɛmɛnt fɔ di prɔblɛm we pɔsin kin gɛt we i de blo we kansa kin kam ɛn di tritmɛnt we i kin gi. |
| Afta dɛn dɔn transplant dɛn lɔng ɔ ɔpreshɔn | Fɔ gɛt trɛnk bak ɛn fɔ mek di lɔng dɛn wok fayn fayn wan afta dɛn dɔn du di ɔpreshɔn. |
Wetin kin rili apin na rihabiliteshɔn program?
Dis program nɔto fɔ ɔlman. Dɛn mek am spɛshal fɔ yu, bay aw yu kɔndishɔn, yu bɔdi trɛnk, ɛn yu gol dɛn (fɔ ɛgzampul, "A want fɔ ple wit mi granpikin" ɔ "A want fɔ ebul fɔ go na di stoa mi wan"). Dɛn go asɛs yu bifo ɛn afta di program. Dis go inklud fɔ mɛzhɔ yu sik dɛn, ɔksijɛn lɛvɛl, ɛn ɔmɔs ɛksesaiz yu kin du.
Bɔku men pat dɛn de fɔ di program:
1. Ɛksesaiz
Dis na di men ɛn impɔtant pat pan di program. Bɔt nɔ wɔri, dis nɔto sɔntin we yu nɔ go ebul fɔ du. Dɛn kin du ɔl dis ɔnda di ful sɔpɔtishɔn fɔ wan pɔsin we sabi du dɛn wok.
- Bɔku tɛm, tu ɔ tri ɛksesaiz dɛn kin de insay di wik.
- Start wit rili smɔl, shɔt wokɔt, ɛn smɔl smɔl, yu fɔ ɛksesaiz mɔ ɛn mɔ as yu de gɛt mɔ trɛnk.
- Dɛn go de chɛk yu brith ɛn taya ɔltɛm we yu de du ɛksɛsayz.
Di kayn ɛgzampul dɛn we dɛn kin du:
- Wom-ap ɛn Kul dɔŋ: Fɔ pripia ɛn gɛt bak di bɔdi bifo ɛn afta ɛksɛsayz.
- Flɛksibiliti trenin: Fɔ strɛch ɛksesaiz dɛn we de mek di mɔsul dɛn ebul fɔ chenj mɔ.
- Respiratory muscle training: Na ɛksesaiz we de mek di mɔsul dɛn strɔng we de ɛp yu fɔ blo. Dis kin min fɔ tek briz kwik kwik wan insay ɛn kɔmɔt na do bay we yu de yuz smɔl tin we yu kin ol wit yu an.
- Trenin fɔ bia: Ɛksesaiz we de mek di at ɛn di lɔng dɛn gɛt mɔ trɛnk. Fɔ ɛgzampul, tin dɛn lɛk fɔ rayd baysikul ɔ fɔ waka na tredmil.
- Resistans trenin: Ɛksesaiz we de mek di mɔsul dɛn strɔng we yu de yuz wet. Dɛn kin yuz layt wet ɛn rɛsistɛns band dɛn.
- NMES (Transcutaneous neuromuscular electrical stimulation): Sɔntɛnde, na we fɔ mek di mɔsul dɛn strɔng bay we dɛn de mek dɛn kɔntrakt bay we dɛn de yuz smɔl ilɛktrik kɔrɛnt.
2. Edukeshon ɛn awɛshɔn (Education) .
Jɔs lɛk ɛksɛsayz, i impɔtant bak fɔ no aw fɔ liv wit yu kɔndishɔn. Insay dis pat, wi go tich yu bɔt:
- Aw fɔ kɔntrol di shɔt briz ɛn ɔda sayn dɛm?
- Dɛn go ɛksplen us mɛrɛsin dɛn dɔn gi yu, aw fɔ yuz dɛn kɔrɛkt wan, ɛn wetin na dɛn sayd ɛfɛkt dɛn.
- If yu de yuz ɔksijɛn, dɛn go tich yu aw fɔ chɛk in lɛvɛl ɛn ustɛm dɛn nid ɔksijɛn.
- Aw fɔ mek yu nɔ gɛt flawa/ɛxacerbation ɛn infɛkshɔn? Wetin fɔ du if dɛn apin.
- Aw fɔ yuz di mɛrɛsin we dɛn kin yuz na os fayn fayn wan (e.g. nebulizer).
3. Fɔ tren bak fɔ blo
Dis na pat we rili yusful. Dɛn de tich spɛshal we fɔ blo ya fɔ ɛp fɔ kɔntrol di shɔt briz we yu de du ɛvride wok, lɛk fɔ klaym stej.
- di tεknik dεm fכ brith we dεn kכntrol: lεk `(diaphragmatic breathing)` (dip brith yuz di dayafragm) εn `(pursed lip breathing)` (fכ brith sכmtεm, lεk fכ blo kandul, wit yu mכt klos). Dɛn tin ya kin ɛp bɔku fɔ ridyus di shɔt briz.
- Tɛknik fɔ rilaks: Na we fɔ ridyus strɛs ɛn rilaks di bɔdi.
- we yu shɔt brith, poshכn dεm de we kin εp fכ ridyus am (e.g., ``tripod posishכn'' - fכ le fכdכn εn put yu an dεm pan tebul).
4. Chɛst fisiotɛrapi ɛn di klia we aw di briz de kɔmɔt
If yu mεdikal kכndyushכn de mek tik tik mכkus de kכmכt na yu lכng εn yu rεspiretכri trakt, dis pat go rili implεnt fכ yu. Na sɔm izi we dɛn fɔ klin di mכkus.
- di tεknik dεm fכ kכf εn brith: fכ klin mכkus tru spεshal tεknik dεm fכ kכf lεk `(Huff cough)`.
- PEP (Positive expiratory pressure) divays dεm: Dis na sכm sכm tin dεm we de mek sכm rεsistεns we yu de blo, we de opin yu aywe dεm εn mek i izi fכ klia mכkus.
- Airway clearance vest: Na tin we tan lɛk vest we dɛn kin wɛr na di bɔdi. Dis de shek shek ɛn lɔs di mכkus na di chεst.
- Postural drainage and percussion: Na we fɔ pul di blɔd bay we yu sidɔm na sɔm pozishɔn dɛn ɛn mek ɔda pɔsin tap di chɛst ɛn bak jisnɔ.
5. Sɔpɔt fɔ wɛlbɔdi biznɛs
Fɔ liv wit sik we dɔn te, kin mek yu taya na yu maynd. Dis program kin ɛp bak fɔ kɔntrol wɔri, pwɛl hat, ɛn strɛs. I kin gɛt fɔ du wit advays, sɔpɔt grup, ɛn ivin mɛrɛsin if nid de.
6. Fɔ it tin dɛn fɔ it
I impɔtant fɔ it di rayt tin fɔ mek yu bɔdi kɔntinyu fɔ gɛt trɛnk ɛn fɔ mek yu gɛt mɔsul dɛn. Wan pɔsin we sabi bɔt it go gi advays bɔt us it dɛn we fayn fɔ yu sik, if yu fɔ it mɔ prɔtin, ɛn if yu fɔ it smɔl smɔl tin dɛn bɔku tɛm insay di de instead fɔ it bɔku tin dɛn wan tɛm.
Wetin na di bɛnifit dɛn we dis program de gi?
Di tin dɛn we kin apin we pɔsin tek pat pan dis program rili wɔndaful. I kin mek big chenj na yu layf.
Di men bɛnifit dɛn we dɛn kin si pan di wan dɛn we dɔn kɔmplit pulmonari rihabiliteshɔn na:
- Big big ridɔkshɔn pan di sayn dɛm lɛk fɔ blo shɔt ɛn fɔ kɔf.
- Ridyus nid fɔ ripit ɔspitul.
- Ridyus pan di nɔmba fɔ di exacerbations.
- Di kwaliti fɔ layf rili fayn. Tin dɛn lɛk fɔ wok na os, fɔ go na gadin fɔ pik flawa, ɔ fɔ go shɔt trip nɔto big prɔblɛm, bɔt dɛn kin du am izi wan .
- I go ebul fɔ du ɛksɛsayz ɛn waka mɔ ɛn mɔ.
- Impruv mental wɛlbɔdi. I nɔ kin gɛt bɛtɛ filin fɔ wɔri ɛn fred.
- I kin mek di bɔdi nɔ taya bɛtɛ ɛn i kin mek i gɛt mɔ ɛnaji.
Aw wi go bɛnifit mɔ pan di program?
Dɛn advays ya go ɛp yu fɔ gɛt di bɛst pan dis program:
- Tɔk ɔnɛs wit yu dɔktɔ ɛn di wan dɛn we de mɛn yu.If ɛksesaiz at, if yu taya, se so. Tɔk to dɛn bɔt di tin dɛn we yu op fɔ ɛn di tin dɛn we yu want fɔ du.
- Atɛnd ɛni sɛshɔn. If yu nɔ dɔn di program, yu rizɔlt kin ridyus.
- Tink bɔt we dɛn fɔ mek i izi fɔ du ɛksɛsayz. Sɔntɛm yu kin du ɛksɛsayz we yu de lisin to myuzik, wɛr fan, ɔ aks if yu kin ɛksesaiz na do.
- Ivin afta di program dɔn, kɔntinyu fɔ du wetin dɛn bin tich yu na os. Dis na di tin we impɔtant pas ɔl. Fɔ mek yu kɔntinyu fɔ gɛt di tin dɛn we yu dɔn du, yu nid fɔ mek dis bi pat pan yu layf.
- Mek yu fambul ɛn padi dɛn no bɔt dis. Di sɔpɔt we dɛn go gi yu, go mek yu gɛt bɔku trɛnk.
Fɔ dɔn, i nɔ kin izi fɔ ivin tink bɔt fɔ du ɛksɛsayz we yu gɛt prɔblɛm fɔ blo. Bɔt dɛn mek dis program fɔ ɛp yu fɔ gɛt trɛnk sef wan ɛn yu yon pawa. I nɔ jɔs de du ɛksɛsayz, na fayn we fɔ tek kɔntrol pan yu layf bak, fɔ du yu yon tin we yu nɔ abop pan ɛni ɔda pɔsin. If yu gɛt krɛse sik, aks yu dɔktɔ bɔt dis pulmonary rihabiliteshɔn program tide.
Mɛsej we dɛn kin kɛr go na os
- Pulmonary Rehabilitation na wan sef, we dɔktɔ de sɔpɔt, we dɛn mek spɛshal fɔ pipul dɛn we gɛt lɔng tɛm lɔng sik.
- Pan ɔl we dis nɔ kin mɛn di sik ɔltogɛda, i kin mek pɔsin nɔ ebul fɔ blo fayn, i kin mek i gɛt mɔ trɛnk, ɛn i kin mek pɔsin in layf bɛtɛ bad bad wan.
- Dis nɔto jɔs fɔ ɛksesaiz; i kin inklud bak fɔ tich bɔt di sik, aw fɔ blo fayn, aw fɔ it, ɛn fɔ sɔpɔt pɔsin in maynd.
- Fɔ mek di program kɔntinyu fɔ gɛt di tin dɛn we yu dɔn lan fɔ lɔng tɛm, i impɔtant fɔ mek yu kɔntinyu fɔ du wetin yu dɔn lan as pat pan yu layf ivin afta di program dɔn.
- If yu gɛt prɔblɛm bak we yu de blo fɔ lɔng tɛm, mek shɔ se yu tɔk to yu dɔktɔ fɔ si if dis tritmɛnt we yu de du fayn fɔ yu.
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