Skip to main content

Ingaba nawe unengxaki yokuphefumla kwaye ukhwehlela ixesha elide? Isenokuba yiCOPD (Chronic Obstructive Pulmonary Disease)!

Ingaba nawe unengxaki yokuphefumla kwaye ukhwehlela ixesha elide? Isenokuba yiCOPD (Chronic Obstructive Pulmonary Disease)!

Ngaba uhlala uziva uphelelwa ngumoya, uxinezelekile esifubeni? Okanye ngaba ukhwehlela ixesha elide? Usenokucinga ukuba oku kumkhuhlane nje oqhelekileyo, okanye imeko efana ne-asthma. Kodwa ukuba ezi mpawu ziyaqhubeka, isenokuba yi -COPD (Chronic Obstructive Pulmonary Disease) , isifo semiphunga ekufuneka sonke sisiqaphele. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha namhlanje, ngokungathi sithetha nomhlobo.

Yintoni iCOPD (iSifo esingapheliyo sokuQonda iiPulmonary)?

Ngamafutshane, i-COPD yimeko engenakulungiseka eyonakalisa imiphunga yethu kunye neendlela zomoya (iindlela zokuphefumla), inciphisa kancinci kancinci ukusebenza kwazo kwaye yenze kube nzima ukuphefumla. Njengetyhubhu endala yerabha, iingxowa zomoya ezincinci (i-alveoli) ezikwimiphunga yethu kunye neendlela zomoya zilahlekelwa bukuqina kwazo. Ziyadumba kwaye zizaliswe yi-mucus, zivale iindlela zethu zomoya. Cinga ngayo njengombhobho wamanzi ovalwe luthuli, okwenza kube nzima ukuba amanzi ahambe.

Nge-COPD, imiphunga yakho kunye neendlela zomoya zinokufumana utshintsho olufana nolu:

  • Ukulahlekelwa kukuqina kweengxowa zomoya (i-alveoli) kunye neendlela zomoya zemiphunga.
  • Ukudumba, amanxeba (fibrosis), kunye nokucutheka kweendlela zomoya.
  • Ukuqokelelwa kwe-mucus engqindilili kwindlela yokuphefumla.
  • Iindonga eziphakathi kweengxowa zomoya (ii-alveoli) ziyatshatyalaliswa, ziyakhula, kwaye umoya ophefumliweyo uvaleleke ngaphakathi.

Abantu abane-COPD badla ngokuba namaxesha apho iimpawu zabo ziba mandundu ngequbuliso. Sizibiza ngokuba "zizinto ezibangela uxinezeleko." Ngala maxesha, ukuphefumla kuba nzima ngakumbi, ukwakheka kwe-mucus, ukuphefumla kuyaphuma, kwaye ukukhwehlela kuyanda. Ngamanye amaxesha, ukuba le meko iba mandundu, unokufuna ukulaliswa esibhedlele .

I-COPD sisifo esiqhubekayo esiba mandundu ngokuhamba kwexesha. Kodwa oku kuyahluka kumntu nomntu. Abanye abantu basenokungafumani naluphi na utshintsho olubalulekileyo kangangeminyaka, ngelixa abanye banokufumana ukuqhubela phambili ngokukhawuleza kwesi sifo.

Ziziphi iintlobo eziphambili zeCOPD?

Kukho iimeko ezimbini eziphambili eziwela phantsi kwegama elibanzi le-COPD. Rhoqo, umntu one-COPD unokuba neempawu zazo zombini.

I-Emphysema

Kulapho ke iingxowa zomoya ezincinci (i-alveoli) ezikwimiphunga yakho zonakala kwaye zanda. Oku kwenza kube nzima ukuphefumla. Uphawu oluphambili kukuphefumla kancinci (i-dyspnea) , okufana nokuphefumla kancinci nokuba usebenzisa amandla amancinci.

I-bronchitis engapheliyo

Kulapho iindlela zomoya ezinkulu (iityhubhu zebronchial) emiphungeni yakho zivuvukala khona. Oku kubangela ukuba iindlela zomoya zinciphe kwaye kubangele ukuba i-mucus eninzi iqokeleleke. Uphawu oluphambili kukukhwehlela okungapheliyo, ingakumbi ukukhwehlela okune-mucus .

Ziziphi iimpawu zeCOPD?

Ngoku makhe sijonge iimpawu ezinokuthi zibonakaliswe ngumntu one-COPD. Cinga ngokuba unayo na kwezi mpawu:

  • Ukukhohlela ixesha elide okune-mucus (ukukhohlela okuhlala ubuncinane iinyanga ezintathu ngexesha, ubuncinane iminyaka emibini).
  • Ubunzima bokuphefumla nzulu.
  • Ukuphefumla kancinci , ingakumbi xa usenza imisebenzi yemihla ngemihla okanye uziva udiniwe kancinci.
  • Ukuphefumla okanye ezinye izandi ezingaqhelekanga zemiphunga.
  • Isifuba esimile njengebhareli (xa isifo sinzima).
  • Ngamanye amaxesha kukho umbala oluhlaza okwesibhakabhaka eluswini (i-cyanosis) , ingakumbi imilebe kunye neenzipho (xa kungekho oxygen yaneleyo egazini).

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kugqirha.

Zithini izizathu zeCOPD?

Eyona nto iphambili neyona ixhaphakileyo yeCOPD kukutshaya . Umsi weecuba, iicuba, kunye neebeedis ungena ngqo emiphungeni yethu kwaye uyonakalise. Ukuba ungumtshayi, ngokuqinisekileyo kufuneka ucinge ngale nto.

Kodwa abantu abangatshayiyo nabo banokuba ne-COPD. Ezinye izizathu ziquka:

  • Ukungabikho kwe-Alpha-1 antitrypsin: Esi sisifo esibangelwa lufuzo. Xa le protein incinci, inokonakalisa imiphunga.
  • Umsi otshaya umntu otshayayo: Nokuba awutshayi, ukuba uhlala uchitha ixesha kwiindawo apho abantu batshaya khona, unokukuchaphazela nawe.
  • Ungcoliseko lomoya: Izinto ezifana nomsi ovela kwimizi-mveliso nakwizithuthi.
  • Ukuchanabeka eluthulini nakwimisi evela emsebenzini okanye kwizinto ozithandayo: Uthuli kunye nemisisi evela kweminye imizi-mveliso (yokwemba, yemigodi, yemizi-mveliso yelaphu) kunye nezinye izinto ozithandayo (ukusebenza ngomthi, ukuwelda) nazo ziyingozi.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Nangona ukutshaya kuyingozi enkulu, ayinguye wonke umntu otshayayo ofumana i-COPD. Nangona kunjalo, unokuba sengozini enkulu yokufumana i-COPD ukuba:

  • Ukuba ungumfazi (uphando lwakutshanje lubonisa ukuba abafazi nabo basengozini enkulu).
  • Ukuba uneminyaka engaphezu kwama-65 ubudala .
  • Ukuba uhlala ujongene nongcoliseko lomoya .
  • Ukuba umsebenzi wakho ukuchanaba kwiikhemikhali, uthuli, okanye umsi .
  • Ukuba une -alpha-1 antitrypsin deficiency .
  • Ukuba ubusoloko unezifo zokuphefumla usengumntwana .

Ziziphi iingxaki ezinokwenzeka ngenxa yeCOPD?

I-COPD inokubangela ukuba iibhaktheriya ziqokeleleke emiphungeni, nto leyo ebangela usulelo. Ingathintela nomzimba ekufumaneni ioksijini eyaneleyo kwaye isuse i-carbon dioxide emzimbeni. Oku kunokubangela iingxaki ezinkulu. Ezinye zazo ziquka:

  • I-Pneumonia: Usulelo lwemiphunga.
  • EgaziniAmanqanaba aphezulu e-carbon dioxide (hypercapnia).
  • Amanqanaba aphantsi eoksijini egazini (i-hypoxemia).
  • Ukungasebenzi kakuhle kokuphefumla: Imeko apho imiphunga ingakwaziyo ukusebenza yodwa.
  • Uxinzelelo lwegazi oluphezulu kwimiphunga: Uxinzelelo oluphezulu kwimithambo yegazi yemiphunga.
  • Ukusilela kwentliziyo kwicala lasekunene (`cor pulmonale`): Iingxaki kwimiphunga zichaphazela icala lasekunene lentliziyo.
  • I-Pneumothorax: Umoya uvuza emiphungeni uze uqokeleleke esifubeni.
  • I-Polycythemia: Umzimba uvelisa iiseli ezibomvu zegazi ezininzi kakhulu (xa kukho ukunqongophala kweoksijini).

Yingakho kubaluleke kakhulu ukufuna unyango olufanelekileyo nokulandela ingcebiso kagqirha ukuba une-COPD.

I-COPD (iSifo esingapheliyo sokuQonda imiphunga) sifunyanwa njani?

Ukuba ucinga ukuba uneempawu zeCOPD, kungcono ukubona ugqirha ukuze akuhlole. Ugqirha uza kukuxilonga, akubuze imibuzo malunga nembali yakho yempilo, kwaye angenza novavanyo oluthile ukuze abone ukuba imiphunga yakho isebenza kakuhle kangakanani.

Ugqirha angakubuza imibuzo efana nale:

  • Ngaba uyatshaya? Ngaba wakha watshaya?
  • Ingaba sele uchithe ixesha elide ujongene nothuli nomoya ongcolileyo?
  • Ngaba kukho umntu kusapho lwakho oneCOPD, ezinye izifo zemiphunga, okanye isifo sesibindi?
  • Ngaba uyaphelelwa ngumphefumlo xa uzilolonga? Ngaba kuyenzeka nokuba umile nje?
  • Ingaba ukhe wakhwehlela ixesha elide kwaye uva isandi sokuphefumla esiphuma esifubeni sakho?
  • Ingaba i-phlegm iyaphuma xa ukhohlela?

Ziziphi iimvavanyo ezisetyenziselwa ukuxilonga i-COPD?

Ugqirha wakho angasebenzisa ezi mvavanyo zilandelayo ukuqinisekisa i-COPD:

  • Uvavanyo lomsebenzi wemiphunga: Uvavanyo oluphambili apha lubizwa ngokuba yi-spirometry . Olu vavanyo luvavanya ukuba unzima kangakanani kwaye ungakanani umoya onokuwukhupha ngokuphefumla kube kanye. Oku kunokukuxelela ukuba imigudu yakho yomoya ivaliwe kangakanani.
  • I-pulse oximetry: Uvavanyo olulula olulinganisa inqanaba le-oksijini egazini ngokubeka into efana ne-clip emnweni wakho.
  • I-X-ray yesifuba okanye i-CT scan: Le mifanekiso ingabonisa utshintsho kwimiphunga olubangelwa yi-COPD.
  • Uvavanyo lwegesi yegazi olusebenzisa imithambo yegazi: Olu luvavanyo oluthatha isampuli yegazi kwaye lunokuchonga ngokuchanekileyo amanqanaba eoksijini kunye nekharbon diokside egazini.
  • Uvavanyo lokuzilolonga: Oku kwenzelwa ukubona ukuba amanqanaba e-oksijini egazini lakho ayancipha na xa uzilolonga.
  • I-Electrocardiogram (ECG okanye EKG): Oku kunceda ekuqinisekiseni ukuba ukuphefumla kancinci kungenxa yesifo sentliziyo kwaye kujonge ukusebenza kwentliziyo.
  • Uvavanyo lwegazi:Ungavavanya amanqanaba akho eproteni ye-AAT ukuze ubone ukuba unayo na i-'Alpha-1 antitrypsin deficiency'.
  • Uvavanyo lwemfuza: Olu vavanyo lunokwenziwa ukuba ugqirha ukrokrela ukuba imiphunga ichatshazelwe sisifo semfuza.

Zithini izigaba zeCOPD?

Ugqirha wakho unokufumanisa inqanaba le-COPD ngokusekelwe kwiziphumo zovavanyo lwakho lwe-spirometry, ngakumbi ixabiso lakho le-FEV1 (i-Forced Expiratory Volume ngomzuzwana omnye) . Oku kukuxelela ukuba ingakanani na indlela yakho yomoya evalekileyo.

Amanqanaba e-COPD, ngokuxhomekeke kubunzima besifo, ngala alandelayo:

  • Inqanaba loku-1: Ixabiso le-FEV1 liyi-80% nangaphezulu. (Icala elincinci)
  • Inqanaba lesi-2: Ixabiso le-FEV1 liphakathi kwama-50% nama-79% (inqanaba eliphakathi)
  • Inqanaba lesi-3: Ixabiso le-FEV1 liphakathi kwama-30% nama-49% (elibi kakhulu)
  • Inqanaba lesi-4: Ixabiso le-FEV1 lingaphantsi kwama-30%. (Imeko enzima kakhulu)

Ukongeza, ugqirha wakho unokukwahlula kwiindidi A, B, okanye E ngokusekelwe kwiimpawu zakho kunye nomngcipheko wokwanda:

  • A: Iimpawu ezimbalwa, umngcipheko omncinci wokuba mandundu.
  • B: Iimpawu ezingaphezulu, umngcipheko omncinci wokuba mandundu.
  • E: Umngcipheko wokunyuka kwexabiso uphezulu.

Inqanaba lakho lesifo kunye neempawu zakho azisoloko zihamba kunye. Umzekelo, usenokuba neempawu ezimbalwa nokuba ukwinqanaba lesi-3 okanye lesi-4. Ugqirha wakho uza kukuqwalasela konke oku ukuze akhethe unyango olulungele wena.

Iphathwa njani i-COPD?

Ngelishwa, i-COPD ayisosifo esinokunyangeka ngokupheleleyo . Umonakalo owenzeka emiphungeni awunakuguqulwa. Nangona kunjalo, kukho unyango oluninzi olunokunceda ukulawula iimpawu, ukuphucula umgangatho wobomi, kunye nokunciphisa ukwenzeka kwamaqhuqhuva .

Ugqirha wakho angacebisa unyango olufana nolu:

  • Iinkqubo zokuyeka ukutshaya: Ukuba ungumntu otshayayo, le yeyona nto ibalulekileyo neyokuqala ekufuneka uyenze . Ukuyeka ukutshaya kunokunciphisa kakhulu umngcipheko wokuba i-COPD ibe mandundu.
  • Amayeza afunxwayo: Amayeza anjenge-bronchodilators kunye nee-steroids anokuthatyathwa nge-inhaler okanye njengolwelo nge-nebulizer. La mayeza anciphisa ukudumba kwimibhobho yomoya, ayivule, kwaye enze kube lula ukuphefumla.
  • Unyango lweoksijini: Ukuba amanqanaba eoksijini egazini lakho aphantsi, unokufuna ukufumana ioksijini eyongezelelweyo.
  • Ukuvuselelwa kweMiphunga: Le yinkqubo yokuzilolonga neyokufundisa enceda ukuqinisa imiphunga kwaye ikuncede uqhelane nokuphila neCOPD.
  • IiCorticosteroids:Ngexesha lokunyuka kwesifo, iipilisi ze-steroid okanye iinaliti zinokunikwa ixesha elifutshane ukunciphisa ukudumba.
  • Unyango olufanelekileyo loxinzelelo lomoya: Ugqirha wakho unokucebisa ukuba usebenzise umatshini we-'BiPAP' ukukunceda uphefumle, ingakumbi ngamaxesha oxinzelelo olukhulu.
  • Ii-antibiotics: Ukuba unezifo ezibangelwa ziintsholongwane ezihlala zikho emiphungeni, ii-antibiotics zinganikwa ukuthintela nokunciphisa ukudumba kwazo.
  • Utyando okanye inkqubo yokunciphisa umthamo wemiphunga (LVR): Kwabo bafanelekileyo kwaye banesifo esinzima, utyando okanye inkqubo yokubeka ivalvu ingenziwa ukunciphisa ubungakanani bomoya ovaleleke emiphungeni.
  • Uvavanyo lwezonyango: Izifundo ezivavanya indlela unyango olutsha olukhuselekileyo nolusebenza ngayo. Ukuba kukho unyango olutsha olunokuba lufanelekile kuwe, ugqirha wakho unokukuthumela kulo.

Ngaba umntu one-COPD angaphila?

Umonakalo owenzeka emiphungeni yakho ngenxa yeCOPD uhlala uhleli kwaye awunakuguqulwa. Nangona kunjalo, kukho iindlela zokulawula iimpawu zakho, kwaye ngamanye amaxesha uziphucule, kwaye uphile ixesha elide. Ngokulandela imiyalelo kagqirha wakho ngononophelo kwaye uthathe inxaxheba kwinkqubo yokuvuselela imiphunga, unokunciphisa iimpawu zakho kwaye uphucule umgangatho wobomi bakho.

Ngaba kunokwenzeka ukuba uphile ixesha elide une-COPD?

Ixesha ohlala ngalo ne-COPD lixhomekeke kubukhulu besifo kunye nokuba sikhawuleza kangakanani na ukuba sibi kakhulu. Abantu abaninzi baphila amashumi eminyaka emva kokuba befunyaniswe ukuba banesifo , ingakumbi ukuba unyango luqalwe kwangethuba. Kuqikelelwa ukuba abantu abanesigaba sesi-3 okanye sesi-4 sesi sifo banokuphila iminyaka emithandathu ukuya kwesithoba ngaphantsi komntu oqhelekileyo. Kodwa oku kuyahluka kumntu nomntu.

Ngaba i-COPD sisifo esibulalayo?

Nangona i-COPD sisifo esiba mandundu ngokuhamba kwexesha, asisoloko sibulala . Indlela esiba mandundu ngayo iyahluka ukusuka kumntu nomntu. Ekuhambeni kwexesha (ngesiqhelo iminyaka, ngamanye amaxesha amashumi eminyaka), abantu abaninzi abane-COPD abakwazi ukuphefumla bodwa. Kodwa abanye abantu baphila ixesha elide bengenazo iimpawu eziqatha.

Ngaba i-COPD ingathintelwa?

Eyona ndlela ilungileyo yokuthintela i-COPD kukuphepha ukutshaya nokuzikhusela kumsi ophuma komnye umntu kunye nezinye izinto ezingcolisayo ezinokwenzakalisa imiphunga yakho.

Abantu abane-COPD banamathuba amaninzi okufumana usulelo lokuphefumla. Olu sulelo lunokukhokelela kwi-pneumonia okanye lwenze iimpawu zibe mandundu. Ungenza ezi zinto ukunceda ukuzikhusela kwiintsholongwane:

  • Fumana zonke izitofu ezicetyiswa ngugqirha wakho. Imizekelo ibandakanya isitofu somkhuhlane (umkhuhlane), isitofu somkhuhlane we-pneumococcal (umkhuhlane we-pneumococcal), kunye nesitofu somkhuhlane we-COVID-19 (COVID-19).
  • Hlamba izandla zakho rhoqo.
  • Hlambulula iintsholongwane kwiindawo oqhele ukuya kuzo.
  • Ukuba ugqirha wakho uyacebisa, nxiba imaski xa uphakathi kwabanye abantu.
  • Ziphephe iindawo ezinabantu abaninzi , ingakumbi ngexesha lobhubhane womkhuhlane kunye nomkhuhlane kunye nexesha lokuqhambuka kwe-COVID.

Ukuba ndineCOPD, ndingazinyamekela njani?

Ukuba une-COPD, landela la macebiso ukuze uzinyamekele kakuhle:

  • Ziphephe izinto eziyingozi emiphungeni neziya kwenza iimpawu zibe mandundu. Ezi ziquka ukutshaya, umsi osetyenziswa ngabanye abantu, uthuli, ungcoliseko lomoya, kunye neziqholo ezinamandla.
  • Thatha inxaxheba kwiiseshoni zokuvuselela imiphunga. Oku kuquka ukuzilolonga ngokwasemzimbeni, unyango lomsebenzi, kunye neenkqubo zemfundo. Qhubeka nesicwangciso nokuba iiseshoni ziphelile.
  • Thetha nogqirha wezokutya obhalisiweyo. Angakunceda uqonde ukuba zeziphi ukutya ezilungileyo kwimpilo yakho, oko ufanele ukutye, kunye noko ufanele ukuphephe.
  • Sela onke amayeza akho njengoko kuyalelwe, ngamaxesha amiselweyo. Zisa amayeza akho emihla ngemihla ngaphambi kokuba aphele.
  • Yenza isicwangciso sokudumba kwesikhumba. Thetha nogqirha wakho uze wenze isicwangciso malunga nento omawuyenze xa iimpawu zakho ziqala ukudumba, amayeza omawuwasebenzise, ​​kunye nexesha lokuya esibhedlele.
  • Funda indlela yokusebenzisa izixhobo zakho zonyango ngokufanelekileyo. Oku kuquka izinto ezifana nee-inhaler, ii-nebulizer, kunye noomatshini be-CPAP. Cela ugqirha wakho akubonise indlela yokusebenzisa ezi zinto ngokufanelekileyo.
  • Nyamekela impilo yakho yengqondo. Ukuphila nesifo esinganyangekiyo kunokuba yingxaki. Bonana nogqirha wengqondo, ingcali yezengqondo, okanye umcebisi ukuze uthethe ngale nto.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba unokuba ne-COPD, musa ukulibazisa ukubona ugqirha . Ukuxilongwa kwangoko kunye nonyango kunokunceda ukunciphisa umngcipheko wokuba iimpawu zakho zibe mandundu.

Ukuba sele une-COPD, bona ugqirha wakho ngoko nangoko ukuba ubona nayiphi na kwezi mpawu zosulelo okanye utshintsho kwiimpawu zakho:

  • Ukwanda kobunzima bokuphefumla: Ukuba uziva ngathi awukwazi ukuhamba umgama obukade ukwazi ukuhamba ngawo, ukuba unengxaki yokuphefumla ebusuku, okanye ukuba kufuneka usebenzise unyango lwakho lokuphefumla (amayeza, ii-inhalers) rhoqo kunesiqhelo.
  • Utshintsho kwi-mucus: Utshintsho kumbala we-mucus, i-mucus enegazi, ivumba elibi, i-mucus eninzi kunesiqhelo, okanye i-mucus etyebileyo.
  • Ukukhohlela okwandayo okanye ukuqina kwesifuba.
  • Ukudumba okutsha okanye okubi ngakumbi emaqatheni akho, ezinyaweni, okanye emilenzeni. Xelela ugqirha wakho ukuba ukudumba akuyehli nokuba sele ulele imilenze yakho iphakanyisiwe ebusuku.
  • Ukunciphisa umzimba okanye ukuzuza ngaphandle kwesizathu.
  • Intloko ebuhlungu rhoqo okanye isiyezi kusasa.
  • Ngaphandle kwesizathuUkuziva udiniwe kakhulu okanye ubuthathaka. Xelela ugqirha wakho ukuba oku kuthatha ixesha elingaphezu kosuku.
  • Umkhuhlane okanye ukubanda.
  • Ezinye iimpawu zosulelo: izinto ezifana nomphimbo obuhlungu, impumlo evuzayo engaqhelekanga, impumlo exineneyo, intloko ebuhlungu, okanye intlungu kwindawo engasentla yesidlele.

Ndingaya nini kwigumbi longxamiseko?

Ukuba unayo nayiphi na kwezi mpawu, yiya kwigumbi likaxakeka elikufutshane ngoko nangoko:

  • Umkhuhlane ophezulu (ngaphezulu kwe-103 Fahrenheit/40 Celsius).
  • Ubunzima bokuphefumla ngequbuliso okanye obuqatha.
  • Ukungazoli, ukudideka, ukulibala, okanye ukucaphuka.
  • Intetho engacacanga.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kunganceda ukubuza imibuzo efana nale xa ubona ugqirha wakho:

  • Zeziphi iindlela ezilungileyo zokuzinyamekela kakuhle?
  • Ndingaziphucula na iimpawu zam?
  • Ndingayisebenzisa njani le mithi?
  • Ndingayisebenzisa njani i-inhaler yam, i-nebulizer, okanye esinye isixhobo sezonyango?
  • Ndingakubona nini kwakhona?
  • Ndingaya nini kwigumbi likaxakeka?

Ukuphila nesifo semiphunga esingapheliyo njenge-COPD ngamanye amaxesha kunokuziva kungaphaya kwamandla, kuyoyikisa, kuyacaphukisa, kwaye kukwanesizungu. Kodwa kukho iindlela zokugcina izihlunu zemiphunga yakho zomelele ixesha elide kangangoko kunokwenzeka kwaye ulawule neempawu zakho. Ukusebenza neqela lakho lezempilo ukwenza isicwangciso sokukugcina usempilweni kunye nokunciphisa ukudumba kunokukunceda ulawule imeko yakho. Thetha nabantu obathandayo malunga nendlela onokubaxhasa ngayo kunye nento omawuyenze ukuba imeko yakho iba mandundu.

Khumbula, ukuba uhlala unengxaki yokuphefumla, ukhohlela rhoqo, okanye uzive udiniwe lula, musa ukulibazisa ukubona ugqirha. Ukufunyaniswa kwangoko kunokuphucula umgangatho wobomi bakho kwaye kukuncede uhlale usempilweni iminyaka ezayo.

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, i-COPD ayisiyonto yokoyika, kodwa ayiyonto emele ithathwe lula . Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngokukhawuleza ukuba uneempawu, kwaye ukuba uyatshaya, zibophelele ngokuqinileyo ekuyekeni namhlanje.

  • Yeka ukutshaya - Eli lelona nyathelo likhulu nelingcono onokulithatha nxamnye neCOPD.
  • Sebenzisa amayeza achazwe ngugqirha wakho ngokuchanekileyo . Funda indlela yokusebenzisa i-inhaler yakho ngokufanelekileyo.
  • Kungaluncedo kakhulu ukuba ungathatha inxaxheba kwiinkqubo zokubuyisela impilo yemiphunga .
  • Gcina ukutya okunempilo kunye nemikhwa yokuzilolonga (njengoko kuyalelwe ngugqirha wakho).
  • Gonyelwa kwaye uziqhelise imikhwa emihle yempilo ukuze uzikhusele kwiintsholongwane .

Awuwedwa. Kukho oogqirha, abahlengikazi, kunye namalungu osapho anokukunceda. Ngoko ke hlala uqinile, landela la macebiso, kwaye uzame ukuphila ubomi obuhle ne-COPD.


I- COPD, isifo semiphunga, ubunzima bokuphefumla, i-bronchitis engapheliyo, i-emphysema, ukutshaya, isifo sokuphefumla

Frequently Asked Questions (FAQ)

Ziziphi iimvavanyo ezisetyenziselwa ukuxilonga i-COPD?

Ugqirha wakho angasebenzisa ezi mvavanyo zilandelayo ukuqinisekisa i-COPD:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.

Faka uluvo lwakho

Nceda ubale: 2 + 1 =
Ingaba nawe unengxaki yokuphefumla kwaye ukhwehlela ixesha elide? Isenokuba yiCOPD (Chronic Obstructive Pulmonary Disease)!
Izifo kunye neemekoJulayi 16, 2026

Ingaba nawe unengxaki yokuphefumla kwaye ukhwehlela ixesha elide? Isenokuba yiCOPD (Chronic Obstructive Pulmonary Disease)!

Ngaba uhlala uziva uphelelwa ngumoya, uxinezelekile esifubeni? Okanye ngaba ukhwehlela ixesha elide? Usenokucinga ukuba oku kumkhuhlane nje oqhelekileyo, okanye imeko efana ne-asthma. Kodwa ukuba ezi mpawu ziyaqhubeka, isenokuba yi -COPD (Chronic Obstructive Pulmonary Disease) , isifo semiphunga ekufuneka sonke sisiqaphele. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha namhlanje, ngokungathi sithetha nomhlobo.

Yintoni iCOPD (iSifo esingapheliyo sokuQonda iiPulmonary)?

Ngamafutshane, i-COPD yimeko engenakulungiseka eyonakalisa imiphunga yethu kunye neendlela zomoya (iindlela zokuphefumla), inciphisa kancinci kancinci ukusebenza kwazo kwaye yenze kube nzima ukuphefumla. Njengetyhubhu endala yerabha, iingxowa zomoya ezincinci (i-alveoli) ezikwimiphunga yethu kunye neendlela zomoya zilahlekelwa bukuqina kwazo. Ziyadumba kwaye zizaliswe yi-mucus, zivale iindlela zethu zomoya. Cinga ngayo njengombhobho wamanzi ovalwe luthuli, okwenza kube nzima ukuba amanzi ahambe.

Nge-COPD, imiphunga yakho kunye neendlela zomoya zinokufumana utshintsho olufana nolu:

  • Ukulahlekelwa kukuqina kweengxowa zomoya (i-alveoli) kunye neendlela zomoya zemiphunga.
  • Ukudumba, amanxeba (fibrosis), kunye nokucutheka kweendlela zomoya.
  • Ukuqokelelwa kwe-mucus engqindilili kwindlela yokuphefumla.
  • Iindonga eziphakathi kweengxowa zomoya (ii-alveoli) ziyatshatyalaliswa, ziyakhula, kwaye umoya ophefumliweyo uvaleleke ngaphakathi.

Abantu abane-COPD badla ngokuba namaxesha apho iimpawu zabo ziba mandundu ngequbuliso. Sizibiza ngokuba "zizinto ezibangela uxinezeleko." Ngala maxesha, ukuphefumla kuba nzima ngakumbi, ukwakheka kwe-mucus, ukuphefumla kuyaphuma, kwaye ukukhwehlela kuyanda. Ngamanye amaxesha, ukuba le meko iba mandundu, unokufuna ukulaliswa esibhedlele .

I-COPD sisifo esiqhubekayo esiba mandundu ngokuhamba kwexesha. Kodwa oku kuyahluka kumntu nomntu. Abanye abantu basenokungafumani naluphi na utshintsho olubalulekileyo kangangeminyaka, ngelixa abanye banokufumana ukuqhubela phambili ngokukhawuleza kwesi sifo.

Ziziphi iintlobo eziphambili zeCOPD?

Kukho iimeko ezimbini eziphambili eziwela phantsi kwegama elibanzi le-COPD. Rhoqo, umntu one-COPD unokuba neempawu zazo zombini.

I-Emphysema

Kulapho ke iingxowa zomoya ezincinci (i-alveoli) ezikwimiphunga yakho zonakala kwaye zanda. Oku kwenza kube nzima ukuphefumla. Uphawu oluphambili kukuphefumla kancinci (i-dyspnea) , okufana nokuphefumla kancinci nokuba usebenzisa amandla amancinci.

I-bronchitis engapheliyo

Kulapho iindlela zomoya ezinkulu (iityhubhu zebronchial) emiphungeni yakho zivuvukala khona. Oku kubangela ukuba iindlela zomoya zinciphe kwaye kubangele ukuba i-mucus eninzi iqokeleleke. Uphawu oluphambili kukukhwehlela okungapheliyo, ingakumbi ukukhwehlela okune-mucus .

Ziziphi iimpawu zeCOPD?

Ngoku makhe sijonge iimpawu ezinokuthi zibonakaliswe ngumntu one-COPD. Cinga ngokuba unayo na kwezi mpawu:

  • Ukukhohlela ixesha elide okune-mucus (ukukhohlela okuhlala ubuncinane iinyanga ezintathu ngexesha, ubuncinane iminyaka emibini).
  • Ubunzima bokuphefumla nzulu.
  • Ukuphefumla kancinci , ingakumbi xa usenza imisebenzi yemihla ngemihla okanye uziva udiniwe kancinci.
  • Ukuphefumla okanye ezinye izandi ezingaqhelekanga zemiphunga.
  • Isifuba esimile njengebhareli (xa isifo sinzima).
  • Ngamanye amaxesha kukho umbala oluhlaza okwesibhakabhaka eluswini (i-cyanosis) , ingakumbi imilebe kunye neenzipho (xa kungekho oxygen yaneleyo egazini).

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kugqirha.

Zithini izizathu zeCOPD?

Eyona nto iphambili neyona ixhaphakileyo yeCOPD kukutshaya . Umsi weecuba, iicuba, kunye neebeedis ungena ngqo emiphungeni yethu kwaye uyonakalise. Ukuba ungumtshayi, ngokuqinisekileyo kufuneka ucinge ngale nto.

Kodwa abantu abangatshayiyo nabo banokuba ne-COPD. Ezinye izizathu ziquka:

  • Ukungabikho kwe-Alpha-1 antitrypsin: Esi sisifo esibangelwa lufuzo. Xa le protein incinci, inokonakalisa imiphunga.
  • Umsi otshaya umntu otshayayo: Nokuba awutshayi, ukuba uhlala uchitha ixesha kwiindawo apho abantu batshaya khona, unokukuchaphazela nawe.
  • Ungcoliseko lomoya: Izinto ezifana nomsi ovela kwimizi-mveliso nakwizithuthi.
  • Ukuchanabeka eluthulini nakwimisi evela emsebenzini okanye kwizinto ozithandayo: Uthuli kunye nemisisi evela kweminye imizi-mveliso (yokwemba, yemigodi, yemizi-mveliso yelaphu) kunye nezinye izinto ozithandayo (ukusebenza ngomthi, ukuwelda) nazo ziyingozi.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Nangona ukutshaya kuyingozi enkulu, ayinguye wonke umntu otshayayo ofumana i-COPD. Nangona kunjalo, unokuba sengozini enkulu yokufumana i-COPD ukuba:

  • Ukuba ungumfazi (uphando lwakutshanje lubonisa ukuba abafazi nabo basengozini enkulu).
  • Ukuba uneminyaka engaphezu kwama-65 ubudala .
  • Ukuba uhlala ujongene nongcoliseko lomoya .
  • Ukuba umsebenzi wakho ukuchanaba kwiikhemikhali, uthuli, okanye umsi .
  • Ukuba une -alpha-1 antitrypsin deficiency .
  • Ukuba ubusoloko unezifo zokuphefumla usengumntwana .

Ziziphi iingxaki ezinokwenzeka ngenxa yeCOPD?

I-COPD inokubangela ukuba iibhaktheriya ziqokeleleke emiphungeni, nto leyo ebangela usulelo. Ingathintela nomzimba ekufumaneni ioksijini eyaneleyo kwaye isuse i-carbon dioxide emzimbeni. Oku kunokubangela iingxaki ezinkulu. Ezinye zazo ziquka:

  • I-Pneumonia: Usulelo lwemiphunga.
  • EgaziniAmanqanaba aphezulu e-carbon dioxide (hypercapnia).
  • Amanqanaba aphantsi eoksijini egazini (i-hypoxemia).
  • Ukungasebenzi kakuhle kokuphefumla: Imeko apho imiphunga ingakwaziyo ukusebenza yodwa.
  • Uxinzelelo lwegazi oluphezulu kwimiphunga: Uxinzelelo oluphezulu kwimithambo yegazi yemiphunga.
  • Ukusilela kwentliziyo kwicala lasekunene (`cor pulmonale`): Iingxaki kwimiphunga zichaphazela icala lasekunene lentliziyo.
  • I-Pneumothorax: Umoya uvuza emiphungeni uze uqokeleleke esifubeni.
  • I-Polycythemia: Umzimba uvelisa iiseli ezibomvu zegazi ezininzi kakhulu (xa kukho ukunqongophala kweoksijini).

Yingakho kubaluleke kakhulu ukufuna unyango olufanelekileyo nokulandela ingcebiso kagqirha ukuba une-COPD.

I-COPD (iSifo esingapheliyo sokuQonda imiphunga) sifunyanwa njani?

Ukuba ucinga ukuba uneempawu zeCOPD, kungcono ukubona ugqirha ukuze akuhlole. Ugqirha uza kukuxilonga, akubuze imibuzo malunga nembali yakho yempilo, kwaye angenza novavanyo oluthile ukuze abone ukuba imiphunga yakho isebenza kakuhle kangakanani.

Ugqirha angakubuza imibuzo efana nale:

  • Ngaba uyatshaya? Ngaba wakha watshaya?
  • Ingaba sele uchithe ixesha elide ujongene nothuli nomoya ongcolileyo?
  • Ngaba kukho umntu kusapho lwakho oneCOPD, ezinye izifo zemiphunga, okanye isifo sesibindi?
  • Ngaba uyaphelelwa ngumphefumlo xa uzilolonga? Ngaba kuyenzeka nokuba umile nje?
  • Ingaba ukhe wakhwehlela ixesha elide kwaye uva isandi sokuphefumla esiphuma esifubeni sakho?
  • Ingaba i-phlegm iyaphuma xa ukhohlela?

Ziziphi iimvavanyo ezisetyenziselwa ukuxilonga i-COPD?

Ugqirha wakho angasebenzisa ezi mvavanyo zilandelayo ukuqinisekisa i-COPD:

  • Uvavanyo lomsebenzi wemiphunga: Uvavanyo oluphambili apha lubizwa ngokuba yi-spirometry . Olu vavanyo luvavanya ukuba unzima kangakanani kwaye ungakanani umoya onokuwukhupha ngokuphefumla kube kanye. Oku kunokukuxelela ukuba imigudu yakho yomoya ivaliwe kangakanani.
  • I-pulse oximetry: Uvavanyo olulula olulinganisa inqanaba le-oksijini egazini ngokubeka into efana ne-clip emnweni wakho.
  • I-X-ray yesifuba okanye i-CT scan: Le mifanekiso ingabonisa utshintsho kwimiphunga olubangelwa yi-COPD.
  • Uvavanyo lwegesi yegazi olusebenzisa imithambo yegazi: Olu luvavanyo oluthatha isampuli yegazi kwaye lunokuchonga ngokuchanekileyo amanqanaba eoksijini kunye nekharbon diokside egazini.
  • Uvavanyo lokuzilolonga: Oku kwenzelwa ukubona ukuba amanqanaba e-oksijini egazini lakho ayancipha na xa uzilolonga.
  • I-Electrocardiogram (ECG okanye EKG): Oku kunceda ekuqinisekiseni ukuba ukuphefumla kancinci kungenxa yesifo sentliziyo kwaye kujonge ukusebenza kwentliziyo.
  • Uvavanyo lwegazi:Ungavavanya amanqanaba akho eproteni ye-AAT ukuze ubone ukuba unayo na i-'Alpha-1 antitrypsin deficiency'.
  • Uvavanyo lwemfuza: Olu vavanyo lunokwenziwa ukuba ugqirha ukrokrela ukuba imiphunga ichatshazelwe sisifo semfuza.

Zithini izigaba zeCOPD?

Ugqirha wakho unokufumanisa inqanaba le-COPD ngokusekelwe kwiziphumo zovavanyo lwakho lwe-spirometry, ngakumbi ixabiso lakho le-FEV1 (i-Forced Expiratory Volume ngomzuzwana omnye) . Oku kukuxelela ukuba ingakanani na indlela yakho yomoya evalekileyo.

Amanqanaba e-COPD, ngokuxhomekeke kubunzima besifo, ngala alandelayo:

  • Inqanaba loku-1: Ixabiso le-FEV1 liyi-80% nangaphezulu. (Icala elincinci)
  • Inqanaba lesi-2: Ixabiso le-FEV1 liphakathi kwama-50% nama-79% (inqanaba eliphakathi)
  • Inqanaba lesi-3: Ixabiso le-FEV1 liphakathi kwama-30% nama-49% (elibi kakhulu)
  • Inqanaba lesi-4: Ixabiso le-FEV1 lingaphantsi kwama-30%. (Imeko enzima kakhulu)

Ukongeza, ugqirha wakho unokukwahlula kwiindidi A, B, okanye E ngokusekelwe kwiimpawu zakho kunye nomngcipheko wokwanda:

  • A: Iimpawu ezimbalwa, umngcipheko omncinci wokuba mandundu.
  • B: Iimpawu ezingaphezulu, umngcipheko omncinci wokuba mandundu.
  • E: Umngcipheko wokunyuka kwexabiso uphezulu.

Inqanaba lakho lesifo kunye neempawu zakho azisoloko zihamba kunye. Umzekelo, usenokuba neempawu ezimbalwa nokuba ukwinqanaba lesi-3 okanye lesi-4. Ugqirha wakho uza kukuqwalasela konke oku ukuze akhethe unyango olulungele wena.

Iphathwa njani i-COPD?

Ngelishwa, i-COPD ayisosifo esinokunyangeka ngokupheleleyo . Umonakalo owenzeka emiphungeni awunakuguqulwa. Nangona kunjalo, kukho unyango oluninzi olunokunceda ukulawula iimpawu, ukuphucula umgangatho wobomi, kunye nokunciphisa ukwenzeka kwamaqhuqhuva .

Ugqirha wakho angacebisa unyango olufana nolu:

  • Iinkqubo zokuyeka ukutshaya: Ukuba ungumntu otshayayo, le yeyona nto ibalulekileyo neyokuqala ekufuneka uyenze . Ukuyeka ukutshaya kunokunciphisa kakhulu umngcipheko wokuba i-COPD ibe mandundu.
  • Amayeza afunxwayo: Amayeza anjenge-bronchodilators kunye nee-steroids anokuthatyathwa nge-inhaler okanye njengolwelo nge-nebulizer. La mayeza anciphisa ukudumba kwimibhobho yomoya, ayivule, kwaye enze kube lula ukuphefumla.
  • Unyango lweoksijini: Ukuba amanqanaba eoksijini egazini lakho aphantsi, unokufuna ukufumana ioksijini eyongezelelweyo.
  • Ukuvuselelwa kweMiphunga: Le yinkqubo yokuzilolonga neyokufundisa enceda ukuqinisa imiphunga kwaye ikuncede uqhelane nokuphila neCOPD.
  • IiCorticosteroids:Ngexesha lokunyuka kwesifo, iipilisi ze-steroid okanye iinaliti zinokunikwa ixesha elifutshane ukunciphisa ukudumba.
  • Unyango olufanelekileyo loxinzelelo lomoya: Ugqirha wakho unokucebisa ukuba usebenzise umatshini we-'BiPAP' ukukunceda uphefumle, ingakumbi ngamaxesha oxinzelelo olukhulu.
  • Ii-antibiotics: Ukuba unezifo ezibangelwa ziintsholongwane ezihlala zikho emiphungeni, ii-antibiotics zinganikwa ukuthintela nokunciphisa ukudumba kwazo.
  • Utyando okanye inkqubo yokunciphisa umthamo wemiphunga (LVR): Kwabo bafanelekileyo kwaye banesifo esinzima, utyando okanye inkqubo yokubeka ivalvu ingenziwa ukunciphisa ubungakanani bomoya ovaleleke emiphungeni.
  • Uvavanyo lwezonyango: Izifundo ezivavanya indlela unyango olutsha olukhuselekileyo nolusebenza ngayo. Ukuba kukho unyango olutsha olunokuba lufanelekile kuwe, ugqirha wakho unokukuthumela kulo.

Ngaba umntu one-COPD angaphila?

Umonakalo owenzeka emiphungeni yakho ngenxa yeCOPD uhlala uhleli kwaye awunakuguqulwa. Nangona kunjalo, kukho iindlela zokulawula iimpawu zakho, kwaye ngamanye amaxesha uziphucule, kwaye uphile ixesha elide. Ngokulandela imiyalelo kagqirha wakho ngononophelo kwaye uthathe inxaxheba kwinkqubo yokuvuselela imiphunga, unokunciphisa iimpawu zakho kwaye uphucule umgangatho wobomi bakho.

Ngaba kunokwenzeka ukuba uphile ixesha elide une-COPD?

Ixesha ohlala ngalo ne-COPD lixhomekeke kubukhulu besifo kunye nokuba sikhawuleza kangakanani na ukuba sibi kakhulu. Abantu abaninzi baphila amashumi eminyaka emva kokuba befunyaniswe ukuba banesifo , ingakumbi ukuba unyango luqalwe kwangethuba. Kuqikelelwa ukuba abantu abanesigaba sesi-3 okanye sesi-4 sesi sifo banokuphila iminyaka emithandathu ukuya kwesithoba ngaphantsi komntu oqhelekileyo. Kodwa oku kuyahluka kumntu nomntu.

Ngaba i-COPD sisifo esibulalayo?

Nangona i-COPD sisifo esiba mandundu ngokuhamba kwexesha, asisoloko sibulala . Indlela esiba mandundu ngayo iyahluka ukusuka kumntu nomntu. Ekuhambeni kwexesha (ngesiqhelo iminyaka, ngamanye amaxesha amashumi eminyaka), abantu abaninzi abane-COPD abakwazi ukuphefumla bodwa. Kodwa abanye abantu baphila ixesha elide bengenazo iimpawu eziqatha.

Ngaba i-COPD ingathintelwa?

Eyona ndlela ilungileyo yokuthintela i-COPD kukuphepha ukutshaya nokuzikhusela kumsi ophuma komnye umntu kunye nezinye izinto ezingcolisayo ezinokwenzakalisa imiphunga yakho.

Abantu abane-COPD banamathuba amaninzi okufumana usulelo lokuphefumla. Olu sulelo lunokukhokelela kwi-pneumonia okanye lwenze iimpawu zibe mandundu. Ungenza ezi zinto ukunceda ukuzikhusela kwiintsholongwane:

  • Fumana zonke izitofu ezicetyiswa ngugqirha wakho. Imizekelo ibandakanya isitofu somkhuhlane (umkhuhlane), isitofu somkhuhlane we-pneumococcal (umkhuhlane we-pneumococcal), kunye nesitofu somkhuhlane we-COVID-19 (COVID-19).
  • Hlamba izandla zakho rhoqo.
  • Hlambulula iintsholongwane kwiindawo oqhele ukuya kuzo.
  • Ukuba ugqirha wakho uyacebisa, nxiba imaski xa uphakathi kwabanye abantu.
  • Ziphephe iindawo ezinabantu abaninzi , ingakumbi ngexesha lobhubhane womkhuhlane kunye nomkhuhlane kunye nexesha lokuqhambuka kwe-COVID.

Ukuba ndineCOPD, ndingazinyamekela njani?

Ukuba une-COPD, landela la macebiso ukuze uzinyamekele kakuhle:

  • Ziphephe izinto eziyingozi emiphungeni neziya kwenza iimpawu zibe mandundu. Ezi ziquka ukutshaya, umsi osetyenziswa ngabanye abantu, uthuli, ungcoliseko lomoya, kunye neziqholo ezinamandla.
  • Thatha inxaxheba kwiiseshoni zokuvuselela imiphunga. Oku kuquka ukuzilolonga ngokwasemzimbeni, unyango lomsebenzi, kunye neenkqubo zemfundo. Qhubeka nesicwangciso nokuba iiseshoni ziphelile.
  • Thetha nogqirha wezokutya obhalisiweyo. Angakunceda uqonde ukuba zeziphi ukutya ezilungileyo kwimpilo yakho, oko ufanele ukutye, kunye noko ufanele ukuphephe.
  • Sela onke amayeza akho njengoko kuyalelwe, ngamaxesha amiselweyo. Zisa amayeza akho emihla ngemihla ngaphambi kokuba aphele.
  • Yenza isicwangciso sokudumba kwesikhumba. Thetha nogqirha wakho uze wenze isicwangciso malunga nento omawuyenze xa iimpawu zakho ziqala ukudumba, amayeza omawuwasebenzise, ​​kunye nexesha lokuya esibhedlele.
  • Funda indlela yokusebenzisa izixhobo zakho zonyango ngokufanelekileyo. Oku kuquka izinto ezifana nee-inhaler, ii-nebulizer, kunye noomatshini be-CPAP. Cela ugqirha wakho akubonise indlela yokusebenzisa ezi zinto ngokufanelekileyo.
  • Nyamekela impilo yakho yengqondo. Ukuphila nesifo esinganyangekiyo kunokuba yingxaki. Bonana nogqirha wengqondo, ingcali yezengqondo, okanye umcebisi ukuze uthethe ngale nto.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba unokuba ne-COPD, musa ukulibazisa ukubona ugqirha . Ukuxilongwa kwangoko kunye nonyango kunokunceda ukunciphisa umngcipheko wokuba iimpawu zakho zibe mandundu.

Ukuba sele une-COPD, bona ugqirha wakho ngoko nangoko ukuba ubona nayiphi na kwezi mpawu zosulelo okanye utshintsho kwiimpawu zakho:

  • Ukwanda kobunzima bokuphefumla: Ukuba uziva ngathi awukwazi ukuhamba umgama obukade ukwazi ukuhamba ngawo, ukuba unengxaki yokuphefumla ebusuku, okanye ukuba kufuneka usebenzise unyango lwakho lokuphefumla (amayeza, ii-inhalers) rhoqo kunesiqhelo.
  • Utshintsho kwi-mucus: Utshintsho kumbala we-mucus, i-mucus enegazi, ivumba elibi, i-mucus eninzi kunesiqhelo, okanye i-mucus etyebileyo.
  • Ukukhohlela okwandayo okanye ukuqina kwesifuba.
  • Ukudumba okutsha okanye okubi ngakumbi emaqatheni akho, ezinyaweni, okanye emilenzeni. Xelela ugqirha wakho ukuba ukudumba akuyehli nokuba sele ulele imilenze yakho iphakanyisiwe ebusuku.
  • Ukunciphisa umzimba okanye ukuzuza ngaphandle kwesizathu.
  • Intloko ebuhlungu rhoqo okanye isiyezi kusasa.
  • Ngaphandle kwesizathuUkuziva udiniwe kakhulu okanye ubuthathaka. Xelela ugqirha wakho ukuba oku kuthatha ixesha elingaphezu kosuku.
  • Umkhuhlane okanye ukubanda.
  • Ezinye iimpawu zosulelo: izinto ezifana nomphimbo obuhlungu, impumlo evuzayo engaqhelekanga, impumlo exineneyo, intloko ebuhlungu, okanye intlungu kwindawo engasentla yesidlele.

Ndingaya nini kwigumbi longxamiseko?

Ukuba unayo nayiphi na kwezi mpawu, yiya kwigumbi likaxakeka elikufutshane ngoko nangoko:

  • Umkhuhlane ophezulu (ngaphezulu kwe-103 Fahrenheit/40 Celsius).
  • Ubunzima bokuphefumla ngequbuliso okanye obuqatha.
  • Ukungazoli, ukudideka, ukulibala, okanye ukucaphuka.
  • Intetho engacacanga.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kunganceda ukubuza imibuzo efana nale xa ubona ugqirha wakho:

  • Zeziphi iindlela ezilungileyo zokuzinyamekela kakuhle?
  • Ndingaziphucula na iimpawu zam?
  • Ndingayisebenzisa njani le mithi?
  • Ndingayisebenzisa njani i-inhaler yam, i-nebulizer, okanye esinye isixhobo sezonyango?
  • Ndingakubona nini kwakhona?
  • Ndingaya nini kwigumbi likaxakeka?

Ukuphila nesifo semiphunga esingapheliyo njenge-COPD ngamanye amaxesha kunokuziva kungaphaya kwamandla, kuyoyikisa, kuyacaphukisa, kwaye kukwanesizungu. Kodwa kukho iindlela zokugcina izihlunu zemiphunga yakho zomelele ixesha elide kangangoko kunokwenzeka kwaye ulawule neempawu zakho. Ukusebenza neqela lakho lezempilo ukwenza isicwangciso sokukugcina usempilweni kunye nokunciphisa ukudumba kunokukunceda ulawule imeko yakho. Thetha nabantu obathandayo malunga nendlela onokubaxhasa ngayo kunye nento omawuyenze ukuba imeko yakho iba mandundu.

Khumbula, ukuba uhlala unengxaki yokuphefumla, ukhohlela rhoqo, okanye uzive udiniwe lula, musa ukulibazisa ukubona ugqirha. Ukufunyaniswa kwangoko kunokuphucula umgangatho wobomi bakho kwaye kukuncede uhlale usempilweni iminyaka ezayo.

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, i-COPD ayisiyonto yokoyika, kodwa ayiyonto emele ithathwe lula . Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngokukhawuleza ukuba uneempawu, kwaye ukuba uyatshaya, zibophelele ngokuqinileyo ekuyekeni namhlanje.

  • Yeka ukutshaya - Eli lelona nyathelo likhulu nelingcono onokulithatha nxamnye neCOPD.
  • Sebenzisa amayeza achazwe ngugqirha wakho ngokuchanekileyo . Funda indlela yokusebenzisa i-inhaler yakho ngokufanelekileyo.
  • Kungaluncedo kakhulu ukuba ungathatha inxaxheba kwiinkqubo zokubuyisela impilo yemiphunga .
  • Gcina ukutya okunempilo kunye nemikhwa yokuzilolonga (njengoko kuyalelwe ngugqirha wakho).
  • Gonyelwa kwaye uziqhelise imikhwa emihle yempilo ukuze uzikhusele kwiintsholongwane .

Awuwedwa. Kukho oogqirha, abahlengikazi, kunye namalungu osapho anokukunceda. Ngoko ke hlala uqinile, landela la macebiso, kwaye uzame ukuphila ubomi obuhle ne-COPD.


I- COPD, isifo semiphunga, ubunzima bokuphefumla, i-bronchitis engapheliyo, i-emphysema, ukutshaya, isifo sokuphefumla

Frequently Asked Questions (FAQ)

Ziziphi iimvavanyo ezisetyenziselwa ukuxilonga i-COPD?

Ugqirha wakho angasebenzisa ezi mvavanyo zilandelayo ukuqinisekisa i-COPD:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.

Faka uluvo lwakho

Nceda ubale: 2 + 1 =