Kodi mumavutika kupuma komanso muli ndi chifuwa chosatha? Chikhoza kukhala COPD (Chronic Obstructive Pulmonary Disease)!

Kodi nthawi zambiri mumamva kupuma movutikira, kupsinjika pachifuwa? Kapena muli ndi chifuwa chomwe chimabwera ndi phlegm kwa nthawi yayitali? Mungaganize kuti ichi ndi chimfine wamba, kapena matenda monga mphumu. Koma ngati zizindikirozi zikupitirira, zitha kukhala COPD (Chronic Obstructive Pulmonary Disease) , matenda a m'mapapo omwe tonsefe tiyenera kudziwa. Musadandaule, tikambirana izi mwatsatanetsatane lero, ngati kuti tikulankhula ndi mnzanu.

Kodi matenda a COPD (Chronic Obstructive Pulmonary Disease) ndi chiyani?

Mwachidule, COPD ndi matenda osachiritsika omwe amawononga mapapo athu ndi njira zopumira (njira zopumira), zomwe zimachepetsa pang'onopang'ono ntchito yawo ndikupangitsa kuti zikhale zovuta kupuma. Monga chubu chakale cha rabara, timatumba tating'ono ta mpweya (alveoli) m'mapapo athu ndi njira zopumira timataya kulimba kwawo. Amatupanso ndikudzazidwa ndi mamina, kutseka njira zopumira zathu. Taganizirani ngati chitoliro chamadzi chomwe chimatsekedwa ndi dothi, zomwe zimapangitsa kuti madzi aziyenda movutikira.

Pa COPD, mapapo anu ndi njira zopumira zimatha kusintha motere:

• Kutaya kusinthasintha kwa mpweya m'matumba a mpweya (alveoli) ndi njira zopumira m'mapapo.
• Kutupa, zipsera (fibrosis), ndi kuchepa kwa njira zopumira.
• Kuchuluka kwa mamina m'njira yopumira.
• Makoma pakati pa matumba a mpweya (alveoli) amawonongeka, amakula, ndipo mpweya wopumira umatsekeredwa mkati.

Anthu omwe ali ndi COPD nthawi zambiri amakhala ndi nthawi zomwe zizindikiro zawo zimakula mwadzidzidzi. Timazitcha "kuwonjezera." Munthawi imeneyi, kupuma kumakhala kovuta, mamina amadzaza, kupuma movutikira kumachitika, ndipo kukhosomola kumawonjezeka. Nthawi zina, ngati vutoli likukula, mungafunike kupita kuchipatala .

Matenda a COPD ndi matenda omwe amakula pang'onopang'ono pakapita nthawi. Koma izi zimasiyana malinga ndi munthu ndi munthu. Anthu ena sangasinthe kwambiri kwa zaka zambiri, pomwe ena angapitirire mofulumira.

Kodi mitundu ikuluikulu ya COPD ndi iti?

Pali matenda awiri akuluakulu omwe amagwera pansi pa dzina loti COPD. Nthawi zambiri, munthu amene ali ndi COPD amakhala ndi zizindikiro zonse ziwiri.

Emphysema

Apa ndi pamene timatumba tating'onoting'ono ta mpweya (alveoli) m'mapapo mwanu timawonongeka ndikukulitsidwa. Izi zimapangitsa kuti zikhale zovuta kupuma. Chizindikiro chachikulu ndi kupuma movutikira (dyspnea) , komwe kumakhala ngati kupuma movutikira ngakhale mutachita khama pang'ono.

Matenda a bronchitis osatha

Apa ndi pamene njira zazikulu zopumira (machubu a bronchial) m'mapapo mwanu zimatupa. Izi zimapangitsa kuti njira zopumira zichepetseke ndipo zimapangitsa kuti mamina ambiri azisonkhana. Chizindikiro chachikulu ndi chifuwa chosatha, makamaka chifuwa chokhala ndi mamina .

Kodi zizindikiro za COPD ndi ziti?

Tsopano tiyeni tiwone zizindikiro zomwe munthu amene ali ndi COPD angasonyeze. Ganizirani ngati muli ndi zizindikiro izi:

• Chifuwa cha nthawi yayitali chokhala ndi mamina (chifuwa chomwe chimatenga miyezi itatu nthawi imodzi, kwa zaka zosachepera ziwiri).
• Kuvuta kupuma mozama.
• Kupuma movutikira , makamaka mukamachita zinthu za tsiku ndi tsiku kapena mukumva kutopa pang'ono.
• Kupuma movutikira kapena mawu ena osazolowereka m'mapapo.
• Chifuwa chooneka ngati mbiya (pamene matendawa ali aakulu).
• Nthawi zina pamakhala kusintha kwa mtundu wa khungu (cyanosis) , makamaka milomo ndi zikhadabo (pamene mpweya m'magazi mulibe wokwanira).

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndikofunikira kwambiri kufunafuna upangiri wa dokotala.

Kodi ndi zifukwa ziti za COPD?

Chifukwa chachikulu komanso chofala kwambiri cha COPD ndi kusuta . Utsi wochokera ku ndudu, ndudu, ndi beedis umalowa m'mapapu athu ndikuwononga. Ngati ndinu wosuta, muyenera kuganizira izi.

Koma anthu osasuta fodya nawonso akhoza kukhala ndi COPD. Zina mwa zifukwa zake ndi izi:

• Kusowa kwa Alpha-1 antitrypsin: Imeneyi ndi matenda obadwa nawo. Pamene mapuloteniwa ali ochepa, amatha kuwononga mapapo.
• Utsi wosuta fodya: Ngakhale simusuta, ngati nthawi zambiri mumakhala m'malo omwe anthu amasuta, utsiwo ungakukhudzeninso.
• Kuipitsidwa kwa mpweya: Zinthu monga utsi wochokera m'mafakitale ndi magalimoto.
• Kukumana ndi fumbi ndi utsi wochokera kuntchito kapena zosangalatsa: Fumbi ndi utsi wochokera m'mafakitale ena (ogwira ntchito zamigodi, migodi, mafakitale a nsalu) ndi zosangalatsa zina (kukonza matabwa, kuwotcherera) nazonso ndi zovulaza.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kusuta fodya ndiye chinthu chachikulu chomwe chimayambitsa chiopsezo, si aliyense amene amasuta amene ali ndi COPD. Komabe, mungakhale pachiwopsezo chachikulu chotenga COPD ngati:

• Ngati ndinu mkazi (kafukufuku waposachedwapa akusonyeza kuti akazi nawonso ali pachiwopsezo chachikulu).
• Ngati muli ndi zaka zoposa 65 .
• Ngati nthawi zambiri mumakhala ndi vuto la mpweya woipa .
• Ngati ntchito yanu ikukupatsani mankhwala, fumbi, kapena utsi .
• Ngati muli ndi vuto la alpha-1 antitrypsin .
• Ngati mwakhala mukudwala matenda opatsirana m'mapapo nthawi zambiri muli mwana .

Kodi ndi mavuto otani omwe angabwere chifukwa cha COPD?

Matenda a COPD angayambitse mabakiteriya kudziunjikira m'mapapo, zomwe zimayambitsa matenda. Angalepheretsenso thupi kupeza mpweya wokwanira ndikuchotsa mpweya woipa m'thupi. Izi zingayambitse mavuto aakulu. Ena mwa iwo ndi awa:

• Chibayo: Matenda a m'mapapo.
• Mu magaziKuwonjezeka kwa carbon dioxide m'thupi (hypercapnia).
• Mpweya wochepa m'magazi (hypoxemia).
• Kulephera kupuma: Matenda omwe mapapo sangathe kugwira ntchito okha.
• Kuthamanga kwa magazi m'mapapo: Kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha yamagazi m'mapapo.
• Kulephera kwa mtima kumbali yakumanja (`cor pulmonale`): Mavuto m'mapapo amakhudza mbali yakumanja ya mtima.
• Pneumothorax: Mpweya umatuluka m'mapapo ndipo umasonkhana m'chifuwa.
• Polycythemia: Thupi limapanga maselo ofiira ambiri (pamene mpweya ulibe).

Ichi ndichifukwa chake ndikofunikira kwambiri kufunafuna chithandizo choyenera ndikutsatira malangizo a dokotala ngati muli ndi COPD.

Kodi matenda a COPD (Chronic Obstructive Pulmonary Disease) amapezedwa bwanji?

Ngati mukuganiza kuti muli ndi zizindikiro za COPD, ndi bwino kupita kwa dokotala kuti akakufufuzeni. Dokotalayo adzakufufuzani, adzakufunsani mafunso okhudza mbiri yanu ya thanzi, ndipo angachitenso mayeso ena kuti aone momwe mapapu anu akugwirira ntchito.

Dokotala angakufunseni mafunso monga:

• Kodi mumasuta? Kodi munayamba mwasutapo?
• Kodi mwakhala mukuvutika ndi fumbi ndi mpweya kwa nthawi yayitali?
• Kodi pali aliyense m'banja mwanu amene ali ndi COPD, matenda ena a m'mapapo, kapena matenda a chiwindi?
• Kodi mumasowa mpweya wokwanira mukamachita masewera olimbitsa thupi? Kodi zimachitika ngakhale mutangoyima chilili?
• Kodi mumakhala ndi chifuwa kwa nthawi yayitali ndipo mumamva phokoso lochokera pachifuwa panu?
• Kodi phlegm imatuluka mukatsokomola?

Kodi ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira COPD?

Dokotala wanu angagwiritse ntchito mayeso otsatirawa kuti atsimikizire COPD:

• Mayeso a ntchito ya m'mapapo: Mayeso akulu pano amatchedwa spirometry . Izi zimayesa kuchuluka kwa mpweya womwe mungatulutse ndi kuuma kwake mukamapuma kamodzi. Izi zingakuuzeni kuchuluka kwa mpweya womwe mumapuma.
• Kuyeza kwa pulse oximetry: Kuyeza kosavuta komwe kumayesa kuchuluka kwa mpweya m'magazi mwa kuyika chinthu chonga chogwirira pa chala chanu.
• Kujambula pachifuwa X-ray kapena CT scan: Zithunzi izi zitha kusonyeza kusintha kwa mapapo komwe kumachitika chifukwa cha COPD.
• Kuyesa mpweya wa m'magazi: Iyi ndi njira yoyesera yomwe imatenga chitsanzo cha magazi ndipo imatha kudziwa molondola kuchuluka kwa mpweya ndi mpweya wa carbon dioxide m'magazi.
• Kuyesa masewera olimbitsa thupi: Izi zimachitika kuti muwone ngati mpweya m'magazi mwanu umachepa mukamachita masewera olimbitsa thupi.
• Electrocardiogram (ECG kapena EKG): Izi zimathandiza kudziwa ngati kupuma movutikira kumachitika chifukwa cha matenda a mtima komanso kuwona momwe mtima umagwirira ntchito.
• Mayeso a magazi:Mukhoza kuyesa kuchuluka kwa mapuloteni anu a AAT kuti muwone ngati muli ndi vuto la 'Alpha-1 antitrypsin deficiency'.
• Kuyezetsa majini: Kuyezetsa kumeneku kungachitike ngati dokotala akukayikira kuti mapapo akhudzidwa ndi vuto la majini.

Kodi magawo a COPD ndi ati?

Dokotala wanu akhoza kudziwa siteji ya COPD kutengera zotsatira za mayeso anu a spirometry, makamaka kuchuluka kwa FEV1 (Forced Expiratory Volume in one sec) . Izi zimakuuzani kuchuluka kwa njira zanu zopumira zomwe zatsekedwa.

Magawo a COPD, kutengera kuopsa kwa matendawa, ndi awa:

• Gawo 1: Mtengo wa FEV1 ndi 80% kapena kuposerapo. (Chizindikiro chofatsa)
• Gawo 2: Kuchuluka kwa FEV1 pakati pa 50% ndi 79% (gawo lapakati)
• Gawo 3: Kuchuluka kwa FEV1 pakati pa 30% ndi 49% (koopsa)
• Gawo 4: Mtengo wa FEV1 ndi wochepera 30%. (Mwayi woopsa kwambiri)

Kuphatikiza apo, dokotala wanu angakugawireni m'magulu A, B, kapena E kutengera zizindikiro zanu ndi chiopsezo cha kukulirakulira:

• A: Zizindikiro zochepa, chiopsezo chocheperako cha kufalikira.
• B: Zizindikiro zambiri, chiopsezo chowonjezeka chichepa.
• E: Chiwopsezo cha kukwera kwa chiwerengero cha anthu ndi chachikulu.

Gawo lanu la matendawa ndi zizindikiro zanu sizigwirizana nthawi zonse. Mwachitsanzo, mungakhale ndi zizindikiro zochepa ngakhale mutakhala mu gawo lachitatu kapena lachinayi. Dokotala wanu adzaganizira zonsezi kuti adziwe chithandizo chabwino kwambiri kwa inu.

Kodi COPD imachiritsidwa bwanji?

Mwatsoka, COPD si matenda ochiritsika kwathunthu . Kuwonongeka kwa mapapo sikungathe kubwezeretsedwa. Komabe, pali njira zambiri zothandizira zomwe zingathandize kuwongolera zizindikiro, kukonza moyo wabwino, komanso kuchepetsa kuopsa kwa matenda .

Dokotala wanu angakulangizeni njira zotsatirazi:

• Mapulogalamu oletsa kusuta: Ngati ndinu wosuta, ichi ndiye chinthu chofunikira kwambiri komanso choyamba chomwe muyenera kuchita . Kusiya kusuta kungachepetse kwambiri chiopsezo cha COPD.
• Mankhwala opumira mpweya: Mankhwala monga bronchodilators ndi steroids amatha kumwedwa kudzera mu inhaler kapena ngati madzi kudzera mu nebulizer. Izi zimachepetsa kutupa m'njira zopumira mpweya, kuzitsegula, komanso zimapangitsa kuti kupuma kukhale kosavuta.
• Chithandizo cha okosijeni: Ngati mpweya m'magazi mwanu uli wochepa, mungafunike kulandira mpweya wowonjezera.
• Kubwezeretsa mapapo: Iyi ndi pulogalamu yochita masewera olimbitsa thupi komanso yophunzitsa yomwe imathandiza kulimbitsa mapapo ndikukuthandizani kuzolowera kukhala ndi COPD.
• Mankhwala a Corticosteroids:Pa nthawi yowonjezereka, mapiritsi a steroid kapena jakisoni angaperekedwe kwa kanthawi kochepa kuti achepetse kutupa.
• Chithandizo chabwino cha kuthamanga kwa mpweya: Dokotala wanu angakulangizeni kugwiritsa ntchito makina a `BiPAP` kuti akuthandizeni kupuma, makamaka nthawi ya kupsinjika.
• Mankhwala Opha Utoto: Ngati muli ndi matenda opatsirana pafupipafupi m'mapapo, mankhwala opha tizilombo angaperekedwe kuti apewe matendawa ndikuchepetsa kufalikira kwa matendawa.
• Opaleshoni kapena njira yochepetsera kuchuluka kwa mapapo (LVR): Kwa iwo omwe ali oyenerera komanso omwe ali ndi matenda oopsa, opaleshoni kapena njira yoyika valavu ikhoza kuchitidwa kuti achepetse kuchuluka kwa mpweya womwe umatsekeredwa m'mapapo.
• Mayeso azachipatala: Maphunziro omwe amayesa momwe mankhwala atsopano alili otetezeka komanso ogwira mtima. Ngati pali mankhwala atsopano omwe angakhale oyenera kwa inu, dokotala wanu angakutumizireni ku mankhwalawo.

Kodi munthu amene ali ndi COPD angachiritsidwe?

Kuwonongeka kwa mapapo anu chifukwa cha COPD n'kosatha ndipo sikungathetsedwe. Komabe, pali njira zothanirana ndi zizindikiro zanu, ndipo nthawi zina zimatha kuzikonza, ndikukhala ndi moyo wautali. Mwa kutsatira malangizo a dokotala wanu mosamala ndikutenga nawo mbali mu pulogalamu yobwezeretsa mapapo, mutha kuchepetsa zizindikiro zanu ndikukweza moyo wanu.

Kodi n'zotheka kukhala ndi moyo wautali ndi COPD?

Kutalika kwa nthawi yomwe mumakhala ndi COPD kumadalira kuopsa kwa matendawa komanso momwe imakulirakulira mofulumira. Anthu ambiri amakhala ndi moyo kwa zaka zambiri atapezeka ndi matendawa , makamaka ngati chithandizo chayamba msanga. Akuti anthu omwe ali ndi gawo lachitatu kapena lachinayi la matendawa akhoza kukhala ndi moyo wochepera zaka zisanu ndi chimodzi mpaka zisanu ndi zinayi kuposa munthu wamba. Koma izi zimasiyana malinga ndi munthu aliyense.

Kodi COPD ndi matenda oopsa?

Ngakhale kuti COPD ndi matenda omwe amakula pakapita nthawi, nthawi zina samakhala oopsa . Kuchuluka kwa matendawa kumawonjezeka mofulumira kumasiyana malinga ndi munthu ndi munthu. Pakapita nthawi (nthawi zambiri zaka, nthawi zina zaka makumi ambiri), anthu ambiri omwe ali ndi COPD amalephera kupuma okha. Koma anthu ena amakhala nthawi yayitali popanda zizindikiro zoopsa.

Kodi COPD ingapewedwe?

Njira yabwino yopewera COPD ndiyo kupewa kusuta fodya komanso kudziteteza ku utsi wosuta ndi zinthu zina zodetsa zomwe zingawononge mapapo anu.

Anthu omwe ali ndi COPD ali pachiwopsezo chachikulu chotenga matenda opatsirana m'mapapo. Matendawa angayambitse chibayo kapena kukulitsa zizindikiro. Mutha kuchita izi kuti mudziteteze ku matenda:

• Pezani katemera onse omwe dokotala wanu akulangiza. Zitsanzo zake ndi monga katemera wa chimfine (flu), katemera wa pneumococcal pneumonia (pneumococcal pneumonia), ndi katemera wa COVID-19 (COVID-19).
• Sambani m'manja nthawi zambiri.
• Thirani mankhwala ophera tizilombo pamalo omwe mumapezeka nthawi zambiri.
• Ngati dokotala wanu akulangizani, valani chigoba mukakhala pafupi ndi anthu ena.
• Pewani malo odzaza anthu , makamaka nthawi ya mliri wa chimfine ndi chimfine komanso nthawi ya mliri wa COVID.

Ngati ndili ndi COPD, ndingadzisamalire bwanji?

Ngati muli ndi COPD, tsatirani malangizo awa kuti mudzisamalire bwino:

• Pewani zinthu zomwe zingawononge mapapo ndipo zingawonjezere zizindikiro. Izi zikuphatikizapo kusuta fodya, utsi wogwiritsidwa ntchito ndi munthu wina, fumbi, kuipitsidwa kwa mpweya, ndi zonunkhira zamphamvu.
• Chitani nawo mbali pa maphunziro obwezeretsa thanzi la m'mapapo. Izi zikuphatikizapo masewera olimbitsa thupi, chithandizo cha ntchito, ndi mapulogalamu ophunzitsa. Pitirizani ndi dongosololi ngakhale maphunzirowo atatha.
• Lankhulani ndi katswiri wodziwa bwino zakudya. Iye angakuthandizeni kumvetsetsa zakudya zabwino pa thanzi lanu, zomwe muyenera kudya, komanso zomwe muyenera kupewa.
• Imwani mankhwala anu onse monga mwalembedwera, pa nthawi zomwe mwalembedwera. Bweretsani mankhwala anu a tsiku ndi tsiku asanafike nthawi yokwanira.
• Konzani dongosolo la kuphulika kwa matenda. Lankhulani ndi dokotala wanu ndipo pangani dongosolo la zomwe mungachite ngati zizindikiro zanu zayamba kuonekera, mankhwala omwe muyenera kumwa, komanso nthawi yoti mupite kuchipatala.
• Phunzirani momwe mungagwiritsire ntchito zida zanu zachipatala moyenera. Izi zikuphatikizapo zinthu monga ma inhalers, nebulizers, ndi makina a CPAP. Funsani dokotala wanu kuti akuwonetseni momwe mungagwiritsire ntchito izi moyenera.
• Samalani thanzi lanu la maganizo. Kukhala ndi matenda osatha kungakhale kovuta. Pitani kwa dokotala wa matenda amisala, katswiri wa zamaganizo, kapena mlangizi kuti mukambirane za izi.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi COPD, musachedwe kupita kwa dokotala . Kuzindikira matenda msanga ndi chithandizo kungathandize kuchepetsa chiopsezo cha matenda anu kukulirakulira.

Ngati muli kale ndi COPD, pitani kwa dokotala nthawi yomweyo ngati muwona zizindikiro zilizonse za matenda kapena kusintha kwa zizindikiro zanu:

• Kuvuta kupuma kwambiri: Ngati mukumva ngati simungathe kuyenda mtunda womwe munkayenda kale, ngati mukuvutika kupuma usiku, kapena ngati muyenera kugwiritsa ntchito mankhwala anu opumira (mankhwala, opumira) pafupipafupi kuposa masiku onse.
• Kusintha kwa mamina: Kusintha kwa mtundu wa mamina, mamina otuluka magazi, fungo loipa, mamina ambiri kuposa masiku onse, kapena mamina okhuthala.
• Kuchuluka kwa chifuwa kapena kufinya pachifuwa.
• Kutupa kwatsopano kapena koipa kwambiri m'makandawo, mapazi, kapena miyendo. Uzani dokotala wanu ngati kutupako sikutsika ngakhale mutagona ndi miyendo yanu yokwezedwa usiku.
• Kuchepetsa thupi kapena kuwonjezeka popanda chifukwa.
• Kupweteka mutu pafupipafupi kapena chizungulire m'mawa.
• Popanda chifukwaKumva kutopa kwambiri kapena kufooka. Uzani dokotala wanu ngati izi zitha kupitirira tsiku limodzi.
• Malungo kapena kuzizira.
• Zizindikiro zina za matenda: zinthu monga kupweteka pakhosi, mphuno yosazolowereka, mphuno yotsekeka, mutu, kapena kupweteka m'dera lapamwamba la tsaya.

Kodi ndiyenera kupita ku chipinda chadzidzidzi liti?

Ngati muli ndi zizindikiro izi, pitani ku chipinda chapafupi chadzidzidzi nthawi yomweyo:

• Malungo aakulu (oposa 103 Fahrenheit/40 Celsius).
• Kupuma movutikira kapena movutikira kwambiri.
• Kusakhazikika, chisokonezo, kuiwala, kapena kukwiya.
• Kulankhula molakwika.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Zingakhale zothandiza kufunsa mafunso ngati awa mukapita kwa dokotala wanu:

• Kodi njira zabwino kwambiri zodzisamalira bwino ndi ziti?
• Kodi ndingathe kusintha zizindikiro zanga?
• Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
• Kodi ndingagwiritse ntchito bwanji inhaler yanga, nebulizer, kapena chipangizo china chachipatala?
• Ndiyenera kukuonaninso liti?
• Kodi ndiyenera kupita ku chipinda chadzidzidzi liti?

Kukhala ndi matenda osatha a m'mapapo monga COPD nthawi zina kumakhala kovuta, koopsa, kokhumudwitsa, komanso kosungulumwa. Koma pali njira zosungira minofu ya m'mapapo mwanu kukhala yolimba nthawi yayitali komanso kuthana ndi zizindikiro zanu. Kugwira ntchito ndi gulu lanu lazaumoyo kuti mupange dongosolo loti mukhale athanzi ndikuchepetsa kuphulika kwa magazi kungakuthandizeni kuthana ndi vuto lanu. Lankhulani ndi okondedwa anu za momwe mungawathandizire komanso zomwe mungachite ngati vuto lanu likuipiraipira.

Kumbukirani, ngati mukuvutika kupuma nthawi zonse, mukutsokomola kosalekeza, kapena mukumva kutopa msanga, musazengereze kupita kwa dokotala. Kuzindikira msanga kungakuthandizeni kukhala ndi moyo wabwino komanso kukhala ndi thanzi labwino kwa zaka zambiri.

Pomaliza, zinthu zoti muzikumbukira

Choncho, COPD si chinthu choopa, komanso si chinthu chopepuka . Chofunika kwambiri ndikupempha upangiri wa dokotala nthawi yomweyo ngati muli ndi zizindikiro, ndipo ngati mukusuta, tsimikizani kuti musiye lero.

• Siyani kusuta - Iyi ndi njira yayikulu komanso yabwino kwambiri yolimbana ndi COPD.
• Gwiritsani ntchito mankhwala omwe dokotala wanu wakupatsani moyenera . Phunzirani momwe mungagwiritsire ntchito bwino inhaler yanu.
• Zingakhale zothandiza kwambiri ngati mungatenge nawo mbali mu mapulogalamu obwezeretsa matenda a m'mapapo .
• Khalani ndi zakudya zabwino komanso kuchita masewera olimbitsa thupi (monga momwe dokotala wanu walangizira).
• Pezani katemera ndipo chitani zinthu zabwino zodzitetezera ku matenda .

Simuli nokha. Pali madokotala, anamwino, ndi achibale omwe angakuthandizeni. Choncho khalani olimba mtima, tsatirani malangizo awa, ndipo yesani kukhala ndi moyo wabwino ndi COPD.

Matenda a m'mapapo, matenda a m'mapapo, kupuma movutikira, matenda a bronchitis osatha, emphysema, kusuta fodya, matenda opuma