Thâwk harsa i tuar bawk em? Pulmonary Rehabilitation chungchang i zir chiang ang u

Stairs pakhata i kal lai te, chak taka i kal lai te, a nih loh leh in lama hna tlemte i tih lai te pawh hian thawk harsa i ti em? I rilru a hrual a, thawk a harsa ang tih i hria em? Hun rei tak chhunga lung natna, asthma emaw COPD emaw ang chi i neih hian heng thilte hi thil pangngai tak niin i ngai mai thei. I thiltih chu i tihtlem thei a, in lamah i awm thei mai thei. Mahse a takah chuan i nun awlsam zawk, thawk hahdam leh active zawka i awm theih nan program bik a awm a ni. Vawiin hian mi tam takin an hriat loh, mahse a hlu em em, chu chu pulmonary rehabilitation a ni.

Pulmonary Rehabilitation tih hi eng nge ni?

A awlsam zawngin sawi ila, hei hi health program bik a ni a, lung natna khirh tak nei te nunphung tihchangtlun nan an symptoms control a ni. Hei hi exercise chauh a ni lo. Chu aia tam a ni. Health professional team, doctor, physiotherapist, leh thawkna lama thawktute pawh an tel a, exercise, zirna leh nitin thiltih hrang hranga i thawk dan control dan tur an zirtir che a, i dinhmun ang zela siamin leh i tuar theih tur level-ah an zirtir che a ni.

Hetiang hian han ngaihtuah teh. Thâwk a tlakchham vangin i kal vak lo. Tichuan, i ke te, i kutphah te, leh thawk chhuahna tura puitu i taksa ruhte pawh a chak lo zauh zauh a. I taksa ruhte a chak loh chuan hna tenau i thawh lai pawhin i chau hle a, thawk a harsa zual thin. Cycle ang mai a ni. Thil pakhat chuan thil dang a thlen a ni. Pulmonary rehabilitation hian he vicious cycle hi a titawp a , him tak leh zawi zawiin i kea ding leh turin a pui che a ni. I lung natna chu a tidam kim lo mai thei a, mahse i thawk harsatna a tlahniam a, i taksain chakna a nei tam zawk a, nun a awlsam phah hle tih i hmu ang.

He enkawlna hian eng dinhmun chi hrang hrangah nge a puih?

Pulmonary rehabilitation hi hun rei tak chhunga lung hnathawh tichhe thei dinhmun engemaw zat tan a hlawkpui hle. He list-a condition awm zawng zawng hi i neih chuan i doctor nen sawiho a tha hle.

Rehabilitation program-ah hian eng nge thleng tak tak?

He programme hi mi zawng zawng tan a ni lo. I dinhmun, i taksa chakna leh i thil tum (entir nan, "Ka tu leh fate nen inkhelh ka duh" emaw "Keimah chauhin dawrah ka kal thei ka duh" emaw) a zirin i tan bik a siam a ni. Programme neih hma leh zawhah assessment i ni ang. Hei hian i natna lan chhuah dan te, oxygen level te, leh exercise i tih theih zat te tehna a huam ang.

Programme-ah hian thil pawimawh engemaw zat a awm a:

1. Exercise tih tur a ni

Hei hi programme bulpui leh pawimawh ber a ni. Mahse, lungngai suh, hei hi i tuar theih loh thil a ni lo. Heng zawng zawng hi professional enkawlna kimchang hnuaia tih a ni.

• Kar khatah exercise vawi hnih emaw vawi thum emaw a awm tlangpui.
• Workout tenau tak tak, tawi tak tak hmangin tan la la, i chakna a san chhoh zel chuan exercise hun leh tam zawi zawiin tipung rawh.
• Exercise i tih lai hian i thawk dan leh i hah dan an check reng ang.

Exercise chi hrang hrang: 1.1.

• Warm-up leh Cool down: Exercise hma leh exercise zawh hnua taksa buatsaih leh siam that.
• Flexibility training: Stretching exercise hmanga taksa peng hrang hrang (muscle flexibility) tihpun.
• Respiratory muscle training: Thâwk chakna tichaktu exercise a ni. Hei hian kut zungtang te tak te hmanga thawk chhuah leh chhuah rang tak a huam thei a ni.
• Endurance training: Thinlung leh lung chakna tipungtu exercise hi. Entirnan, cycle khalh emaw, treadmill-a kal emaw ang chi thil.
• Resistance training: Thil rit hmanga taksa ruh tichaktu exercise. Light weight leh resistance band te hman a ni.
• NMES (Transcutaneous neuromuscular electrical stimulation): A then phei chuan electrical current tlemte hmanga taksa ruhte tihchak dan a ni.

2. Zirna leh hriatthiamna (Education) .

Exercise ang bawkin i dinhmun nena nun dan tur hriat a pawimawh bawk. Hemi section-ah hian:

• Thâwk harsa leh natna dangte chu engtin nge kan enkawl ang?
• Eng damdawi nge i pek tih te, a hman dan dik tak te, a side effects te chu an hrilhfiah ang che.
• Oxygen i hman a nih chuan a level enfiah dan tur leh oxygen mamawh hun tur te zirtir i ni ang.
• Engtin nge flares/exacerbations leh infection te hi kan ven theih ang? An lo thleng a nih chuan eng nge tih tur.
• In lama damdawi hmanrua (e.g. nebulizer) dik taka hman dan tur.

3. Thâwk lak dan zirtirna (retraining).

Hei hi section tangkai tak a ni. Hetah hian nitin hna, stairs chhoh ang chi hna thawh laiin thawk hah lutuk enkawlna atana pui turin thawk dan bik zirtir a ni.

• Controlled breathing techniques: `(diaphragmatic breathing)` (diaphragm hmanga thawk thuk) leh `(pursed lip breathing)` (zawi zawiin thawk chhuah, candle puak ang maia, i hmui khar) te ang chi. Hengte hian thawk hahna tihziaawmna kawngah nasa takin a pui thei a ni.
• Relaxation techniques: Stress tihziaawmna tur leh taksa tih hahdam dan tur.
• Thâwk hahna a awm chuan a tihziaawm thei tur posture a awm (e.g., ``tripod position'' - hmalam pan a, kut dawhkan chunga dah).

4. Chest physiotherapy leh thawkna kawng clearance

I damdawi lam dinhmun avang hian i lung leh thawkna kawngah mucus thick tak a awm khawm a nih chuan he section hi i tan a pawimawh hle ang. Mucus tihfai dan awlsam tak tak te chu hetiang hi a ni.

• Khuh leh thawk dan: Khuh dan bik `(Huff cough)` hmanga mucus tihfai.
• PEP (Positive expiratory pressure) devices: Hengte hi thil te tak te te an ni a, thawk chhuah hunah resistance tlem a siam a, i thawkna kawng a hawng a, mucus tihfai a awlsam phah a ni.
• Airway clearance vests: Vest ang chi, taksaa bun thin. Hei hian rilru chhunga mucus a ti vibrate a, a tizau bawk.
• Postural drainage leh percussion: Hmun thenkhata thut a, mi dangin a rilru leh hnungzang zawi zawia tap tir a, phlegm lakchhuah dan.

5. Rilru hriselna lama tanpuina

Hun rei tak natna nena khawsak hi rilru hahthlak tak a ni thei. He program hian lungkhamna, lungngaihna leh lungkhamna te pawh a enkawl thei bawk. Counselling, support group, leh a tul chuan damdawi pawh a huam thei.

6. Ei leh in tur

I taksa chakna vawng nung tur leh taksa ruh siam that nan ei leh in mumal hi a pawimawh hle. Nutritionist chuan i dinhmun nena inmil ei tur eng nge ni tih te, protein tam zawk ei tur nge tih te, vawi khata ei tam ai chuan ni khatah vawi tam tak chaw te te ei tur nge tih te chu thurawn a pe ang.

He programme hian eng hlawkna nge a neih?

Pulmonary rehabilitation zo tawhte zinga hlawkna hmuh chhuah ber chu:

• Thâwk harsa leh khuh ang chi symptoms nasa taka tihtlem.
• Damdawi ina dah nawn leh ngai a tlem.
• Exacerbation awm zat tihtlem.
• Nunphung quality a tha hle mai. In lama hnathawh te, huana pangpar la tura chhuah te, emaw, zin rei vak lo kal te hi thil harsa tak a ni lo va, mahse awlsam takin tih theih a ni .
• Exercise leh kea kal theihna tihpun.
• Rilru hriselna tihchangtlun. Lungkhamna leh hlauhna a tlahniam.
• Taksa hahna a tihziaawm a, chakna a tipung bawk.

Engtin nge programme atanga hlawkna tam ber kan hmuh theih ang?

Heng tips te hian he program atanga hlawkna tam ber i hmuh theih nan a pui ang che:

• I doctor leh therapist te nen rinawm takin inbiakna nei rawh.Exercise a harsat chuan, i chau a nih chuan sawi rawh. I beiseina leh i thil tumte sawipui rawh.
• Session tinah tel ve thin ang che. Programme i zawh loh chuan i result a tlahniam mai thei.
• Exercise tih awlsam dan tur ngaihtuah rawh. Music ngaihthlak laiin exercise la emaw, fan vuah emaw, pawn lama exercise i tih theih leh theih loh zawt emaw pawh a ni thei.
• Programme a zawh hnuah pawh in lama zirtirna i pek ang kha ti chhunzawm zel ang che. Hei hi a pawimawh ber a ni. I result i neihte chu vawng reng i duh chuan hei hi i nunah i siam a ngai a ni.
• Hemi chungchang hi i chhungte leh i thiante hnenah hriattir rawh. An thlawpna hi i tan chakna nasa tak a ni ang.

A tawp berah chuan thawk harsatna i neih lai pawhin exercise neih hi ngaihtuah pawh a harsa khawp mai. Mahse he program hi him taka leh i duh ang anga chak zawka i awm theih nan ruahman a ni. Exercise mai a ni lo, i nun thunun leh theihna kawng tha tak a ni a, midang rinchhan lova mahni thil tih theihna tur a ni. Lung natna rei tak i neih chuan vawiin hian i doctor hnenah he pulmonary rehabilitation program chungchang hi zawt la.