Ngaba nawe ukhohlela rhoqo kwaye uphefumla kancinci? Makhe sithethe ngale 'Chronic Bronchitis'!

Ngaba nawe uhlala ukhwehlela kwaye i-phlegm iphuma kule mihla? Ngaba uziva uphelelwa ngumphefumlo? Mhlawumbi oku bekungenzeki kangangeveki okanye ezimbini, kodwa kangangeenyanga, kwaneminyaka. Leyo yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yi-'chronic bronchitis.' Makhe sibone ukuba yintoni, kutheni ikhula, kunye nendlela yokuyiphepha.

Yintoni i-Chronic Bronchitis?

Ngamafutshane, i-bronchitis engapheliyo kukudumba kwexesha elide kwendlela yomoya emiphungeni yakho, ebizwa ngokuba yi-trachea , i-bronchi, kunye neengxowa zomoya ezincinci ezibizwa ngokuba yi-bronchioles. Oku kubangela ukuba ube nokukhohlela kunye nobunzima bokuphefumla ubuncinane iinyanga ezintathu zonyaka, okanye iminyaka emibini nangaphezulu, uninzi lweentsuku zenyanga.

Enyanisweni, nangona sibiza ngokuba yi-'chronic bronchitis', oogqirha ngoku babhekisa kule meko njengenxalenye yeqela elibanzi lezifo ezibizwa ngokuba yi- 'COPD - Chronic Obstructive Pulmonary Disease ' . Oko kukuthi, sisifo esihlala ixesha elide esivala imigudu yomoya emiphungeni. Nangona sibizwa nje ngokuba yi-'chronic bronchitis', sidla ngokuba yinxalenye yemeko ethi '(COPD)'. Bambalwa kakhulu abantu abane-bronchitis engapheliyo ngaphandle kokuba imigudu yomoya ivaliwe, yi-bronchitis engapheliyo kuphela.

Yintoni umahluko phakathi kwe-Acute Bronchitis kunye ne-Chronic Bronchitis?

Mhlawumbi ukhe weva nge-'bronchitis' ngaphambili. Kukho iintlobo ezimbini zayo.

• I-Bronchitis ebukhali:Le yi-bronchitis eyenzeka ngequbuliso, yexesha elifutshane. Idla ngokubangelwa yintsholongwane, njengomkhuhlane okanye umkhuhlane. Ihlala iphela kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa.
• I-Bronchitis Engapheliyo: Le yimeko yexesha elide esithetha ngayo namhlanje. Ukuba uneempawu ze-bronchitis ezihlala zikho kangangeminyaka emibini nangaphezulu, yi-bronchitis engapheliyo. Isizathu esiphambili soku kukutshaya . Ingabangelwa nazezinye izinto eziyingozi emiphungeni (umz. uthuli, umsi weekhemikhali).

Yintoni umahluko phakathi kwe-bronchitis engapheliyo kunye ne-emphysema?

I-bronchitis engapheliyo kunye ne-emphysema zombini zikwiqela elinye lezifo ezibizwa ngokuba yi-COPD. Nangona iimpawu zazo zombini zifana kakhulu, iindawo zemiphunga ezichaphazelekileyo zahlukile.

• Kwi -bronchitis engapheliyo , iityhubhu ezithwala umoya ongena nophuma emiphungeni yakho (i-bronchi) ziyadumba zize zizaliswe yi-mucus.
• I-Emphysema yimeko apho iingxowa ezincinci zomoya (i-alveoli) ezisekupheleni kwendlela yomoya zonakala kwaye zincipha.

Rhoqo, umntu one-COPD uya kuba neempawu zazo zombini ezi meko, nto leyo ethetha ukuba kusenokubakho umonakalo kwindlela yomoya kunye nemiphunga.

Ngubani ochaphazeleka kakhulu yile meko?

I-bronchitis engapheliyo, okanye i-COPD, idla ngokuchaphazela:

• Kwabo batshayayo nabo batshayayo ngaphambili, le yeyona nto iphambili ebangela umngcipheko .
• Kwabo bakufutshane nomntu otshayayo (ukutshaya ngaphandle kokutshaya).
• Kwabo bahlala bechatshazelwa kungcoliseko lomoya, uthuli, kunye nomsi weekhemikhali. Cinga ngabantu abasebenza kwezinye iifektri, abatshayela izitalato, okanye abapheka kwizitovu zeenkuni (ingakumbi kwiikhitshi apho umsi ungaphumi kakuhle).
• Le ngozi ikwaphezulu nakubantu abanezinye izifo zokuphefumla , ezifana ne -asthma .

Kwenzeka ntoni xa kuvela i-bronchitis engapheliyo?

I-bronchitis engapheliyo yimeko ebangela ukukhohlela okungapheliyo kunye nobunzima bokuphefumla ngenxa yomonakalo kwimiphunga yakho. Nantsi into eyenzekayo:

Xa into enobungozi (umz. umsi wecuba , uthuli) ingena kwiindlela zakho zomoya, inkqubo yomzimba wethu yokuzikhusela iyasebenza kwaye ibangele ukuba ezo ndawo zidumbe. Kwakhona, iiseli ezivelisa i-mucus ezibizwa ngokuba zii-goblet cells ziyanda ngenani, nto leyo ebangela ukuba i-mucus eninzi iqokeleleke.

I-bronchitis idla ngokuba yeyokwexeshana. Nangona kunjalo, xa ezi ndlela zomoya zihlala zicaphuka (umzekelo, ngokutshaya icuba ngalo lonke ixesha), kwenzeka umonakalo. Lo monakalo ubangela ukuba iiseli ezivelisa i-mucus (iiseli zegoblet) zikhule kakhulu. Ukongeza, kukho izakhiwo ezintle, ezifana neenwele (cilia) kwiindlela zethu zomoya ezisusa i-mucus ngaphandle. Ngamanye amaxesha ezi (cilia) azisebenzi kakuhle. Ngenxa yoko, iindlela zomoya ziyadumba kwaye zizaliswe yi-mucus, nto leyo ebangela ukuba ukhohlele rhoqo kwaye ube nobunzima bokuphefumla.

Xa unesi sifo, unamathuba amaninzi okufumana usulelo oluhlukeneyo lweentsholongwane kunye neebhaktheriya emiphungeni yakho, nto leyo enokwenza iimpawu zakho zibe zimbi ngakumbi.

Zithini iimpawu?

Uphawu oluphambili lwe-bronchitis engapheliyo (COPD) kukukhwehlela okungapheliyo, okuhlala ubuncinane iminyaka emibini .

Ezinye iimpawu zezi:

• Ukuphefumla sisandi somlozi esiphuma esifubeni xa uphefumla.
• Ubunzima bokuphefumla, ukuphefumla kancinci (Dyspnea). Oku kunokuba kubi ngakumbi xa udiniwe kancinci, okanye xa unyuka izinyuko.
• Ukubetha kwentliziyo ngokukhawuleza (iTachycardia).
• Ukuziva udiniwe kwaye udiniwe ngalo lonke ixesha (Ukudinwa).

Zithini izizathu?

Ukutshaya yeyona nto iphambili ebangela i-bronchitis engapheliyo (COPD). Oko kuthetha ukusebenzisa izinto ezifana neecuba kunye ne-bidis.

Ukwengeza:

• Izinto ezingcolisayo emoyeni (umsi wesithuthi, umsi wefektri).
• Ezinye izifo zemiphunga ezifana ne-asthma.
• Ngamanye amaxesha, izinto ezibangela ufuzo nazo zinokudlala indima.
• Kwiimeko ezingaqhelekanga, unobangela usenokungafumaneki.

Ngaba i-bronchitis engapheliyo iyosulela?

Hayi. I-bronchitis engapheliyo / `(COPD)` ayisosifo esosulelayo. Oko kuthetha ukuba ayinakusasazeka ukusuka komnye umntu ukuya komnye.

Nangona kunjalo, ukuba une-bronchitis engapheliyo, ukufumana isifo esosulelayo njengomkhuhlane okanye umkhuhlane kunokwenza iimpawu zakho ze-bronchitis zibe mandundu (zibe mandundu) , ngoko ke kubalulekile ukuba ulumke.

Uyibona njani le nto?

Ugqirha wakho uza kukuxelela ngokuchanekileyo ukuba une-bronchitis engapheliyo / (COPD) okanye akunjalo. Uza kujonga ukuba imiphunga yakho isebenza kakuhle kangakanani na.

Ugqirha:

• Baza kukubuza ngembali yakho yezonyango (izifo zangaphambili, ukuba kukho nabani na kusapho lwakho okhe waba nezigulo ezifanayo, nokuba uyatshaya, njl.njl.).
• Ndibuza ngeempawu zakho.
• I-stethoscope imamela intliziyo yakho kunye nemiphunga.
• Uvavanyo lomsebenzi wemiphunga luyalelwe.
• Usenokucelwa ukuba wenze i-X-ray yesifuba okanye olunye uvavanyo lomfanekiso.

Uvavanyo lomsebenzi wemiphunga

Olu vavanyo lunokunika ugqirha wakho umbono wokuba imiphunga yakho isebenza kakuhle kangakanani. I-Spirometry lolunye uvavanyo olunjalo. Kolu vavanyo, uvuthela umoya kwityhubhu encinci. Ilinganisa ukuba imiphunga yakho inokungenisa umoya ongakanani, ukuba inokukhupha umoya ngokukhawuleza kangakanani, kunye nokuba imiphunga yakho inokugcina umoya kakuhle kangakanani.

I-X-ray yesifuba okanye i-CT scan

Olu vavanyo `(Imifanekiso)` lunokunceda ugqirha wakho abone ukuba kukho umonakalo okanye iingxaki emiphungeni yakho. Bathatha imifanekiso yentliziyo yakho nemiphunga yakho. Bakwajonga nezinye izifo ezinokubangela iimpawu zakho.

Uvavanyo lwegazi

Ugqirha wakho angenza uvavanyo lwegazi ukujonga impilo yakho ngokubanzi. Ngamanye amaxesha, angenza uvavanyo lwegazi olukhethekileyo olubizwa ngokuba luvavanyo lwegesi yegazi . Oku kuquka ukuthatha igazi elincinci kumthambo (i-artery) engalweni yakho kunye nokujonga amanqanaba ayo eoksijini kunye nekharbon dioxide.

I-ECG okanye i-EKG

Ugqirha wakho angenza uvavanyo lwe-ECG (ECG/EKG) ukuze abone ukuba intliziyo yakho isebenza kakuhle kangakanani, njengoko ezinye izifo zemiphunga zinokuchaphazela intliziyo.

Zithini iindlela zonyango?

Eyona nto iphambili kunyango lwe-chronic bronchitis (COPD) kukulawula iimpawu. Ngokuxhomekeke kubukhali beempawu zakho, ugqirha wakho unokucebisa unyango olwahlukileyo.

Bazi:

• Ukuyeka ukutshaya: Ukuba ungumntu otshayayo, eyona nto ingcono onokuyenza kukuyeka. Oku kuya kwenza kube lula kuwe ukuphefumla kwaye kunokunciphisa umngcipheko wokuba imeko yakho ibe mandundu.
• Iibronchodilators: La ngamayeza avula indlela yakho yomoya kwaye enze kube lula ukuphefumla. Adla ngokuthathwa nge-inhaler.
• IiSteroids: Ugqirha wakho angakunika ii-corticosteroids ukunciphisa ukudumba kwimiphunga yakho. Ezi zinokunikwa njenge-inhaler okanye njengeepilisi.
• Ukuvuselelwa kweMiphunga: Le yinkqubo ekhethekileyo ekufundisa umthambo wokuphefumla kunye neendlela zokukunceda uphile nesi sifo sakho. Ingaphucula umgangatho wobomi bakho.
• Unyango lweoksijini: Ukuba i-bronchitis yakho engapheliyo imbi kakhulu, usenokungafumani oksijini eyaneleyo. Ugqirha wakho angagqiba ekubeni akunike oksijini eyongezelelweyo. Oku kungenziwa ngemaski ebusweni bakho okanye ngetyhubhu efakwe empumlweni yakho.
• Ii-antibiotics: Ekubeni unokufumana usulelo rhoqo xa une-bronchitis engapheliyo, ukuba ugqirha wakho ucinga ukuba unesulelo, unokukunika ii-antibiotics.

Ihlala ixesha elingakanani i-bronchitis engapheliyo?

Oogqirha babiza i-bronchitis ngokuthi "yi-chronic" (ixesha elide) ukuba uneempawu ubuncinane iinyanga ezintathu ngonyaka. Iimpawu zakho ngamanye amaxesha zinokuba ngcono okanye zibe mandundu. Kodwa, ngokungafaniyo ne-acute bronchitis (i-short-term bronchitis), i-chronic bronchitis ayipheli ngokupheleleyo . Inokuba mandundu ngokuhamba kwexesha.

Ungazikhusela njani koku?

Izinto ezilungileyo onokuzenza ukunciphisa umngcipheko wakho wokuba ne-bronchitis engapheliyo (i-COPD) zezi:

• Musa ukutshaya. Ukuba uyatshaya, yeka. Kwakhona, kuphephe ukuhlala kwiindawo apho abanye abantu betshaya khona.
• Ziphephe iikhemikhali, ungcoliseko lomoya, nezinye izinto eziyingozi emiphungeni kangangoko unako (umz., iindawo ezinothuli, iindawo ezikhupha umsi omkhulu kwiimoto, umsi weekhemikhali).
• Ukuba uneengxaki zokuphefumla ezifana ne-asthma, zilawule. Landela imiyalelo kagqirha wakho.

Iyintoni ingqikelelo ye-bronchitis engapheliyo? Ngaba inokunyangeka?

I-bronchitis engapheliyo (i-COPD) isenokuba buthathaka kwabanye abantu, kodwa inokuba yingozi kakhulu kwabanye. Oku kuthetha ukuba imiphunga yakho yonakele, kwaye loo monakalo unokuba mandundu ngokuhamba kwexesha.

Lo monakalo awunakuguqulwa, oko kukuthi, uphiliswe ngokupheleleyo.

Kodwa ungakhathazeki! Ugqirha wakho angakunceda ulawule iimpawu zakho, anciphise isantya sokuqhubeka kwesifo, aze anciphise ukudumba kwamalungu omzimba. Ugqirha wakho uza kukuxelela into omawuyenze ngokwemeko yakho ethile.

Ndingazinyamekela njani?

Eyona nto ingcono onokuyenza kukusebenzisana nogqirha wakho ukuze uyile isicwangciso sonyango esifanelekileyo kwimeko yakho. Ukuba awuboni tshintsho nangona ulandele unyango kunye namayeza achazwe ngugqirha wakho, thetha nogqirha wakho ngayo loo nto.

Ngokuziphepha izifo zokuphefumla, unganciphisa amathuba okuba iimpawu zakho zibe mandundu (ii-exacerbations).

• Iigonyo ezifunekayoFumana (umz. inaliti yomkhuhlane, inaliti ye-pneumonia).
• Hlamba izandla zakho kakuhle rhoqo.
• Ziphephe iindawo ezinabantu abaninzi , ingakumbi ngexesha lobhubhane womkhuhlane kunye nomkhuhlane.

Ezi zinto ziya kukunceda ukunciphisa ubukhali besifo sakho kwaye zinciphise umngcipheko wakho wokugula kakhulu.

Ufanele uye nini kugqirha?

Ukuba ucinga ukuba une-bronchitis engapheliyo, bonana nogqirha ngokukhawuleza. Ukufumana isicwangciso sonyango ngokukhawuleza kunokunceda ukulawula ukonakala kwemeko kwaye kuphucule umgangatho wobomi bakho.

Ukuba unezi mpawu zilandelayo, bona ugqirha:

• Ukuba ukhwehlela okuhlala iiveki ezingaphezu kwezintathu okanye okwenzeka rhoqo.
• Ukuba uhlala unengxaki yokuphefumla okanye uva isandi sokuphefumla siphuma esifubeni sakho.
• Ukuba unomkhuhlane ophezulu (ngaphezulu kwama-39.4 degrees Celsius / 103 degrees Fahrenheit) okanye umkhuhlane ohlala iintsuku ezingaphezu kwesihlanu.
• Ukuba ukhwehlela igazi.

Yeyiphi imibuzo omele uyibuze ugqirha?

Kufuneka ube nolwazi oluhle ngesicwangciso sakho sonyango, indlela yokusebenzisa amayeza, kunye nendlela yokusebenzisa izixhobo zonyango ezifana ne-inhaler.

Eminye imibuzo onokuyibuza ugqirha:

• Ngaba imeko yam iya kuba mandundu ekuhambeni kwexesha?
• Ndingalindela ukuba imeko yam iphucuke kangakanani ngonyango?
• Kuza kuthatha ixesha elingakanani ukuba iimpawu zam ziphucuke?
• Zeziphi iimpawu ezintsha okanye eziya ziba mandundu ekufuneka ndiziqaphele?
• Ndingenza ntoni ukuba ndivakalelwa kukuba isicwangciso sam sonyango asisebenzi?

Kuqhelekile ukuziva usoyika kwaye uxhalabile xa ufumanisa ukuba unesifo esihlala ixesha elide esifana ne-chronic bronchitis / (COPD). Kodwa khumbula, izibalo azinakwazi ukuqikelela ukuba kuya kwenzeka ntoni kuwe kwimeko yakho ethile. Ngokuthetha ngokunyaniseka nogqirha wakho, unokufumana umbono wento omawuyilindele njengoko ulawula imeko yakho. Kukho unyango kunye nemfundo enokunceda ukunciphisa impembelelo ye-chronic bronchitis ebomini bakho.

Isishwankathelo (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyiqonda ngcono i-bronchitis engapheliyo esithethe ngayo namhlanje.

Khumbula, eyona nto ibalulekileyo kukuyeka ukutshaya ngokupheleleyo. Kwakhona, zikhusele kangangoko unako kwizinto eziyingozi kwimiphunga yakho.

Ukuba uneempawu ezifana nokukhohlela okungapheliyo okanye ukuphefumla kancinci, musa ukuzityeshela kwaye funa ingcebiso kagqirha ngoko nangoko . Ukuxilongwa kwangoko kunye nonyango kunokukunceda kakhulu ekukuncedeni uphile ubomi obungcono. Ungakhathazeki, oogqirha balapha ukukunceda.