Ngaba nawe unengxaki yokuphefumla kancinci? Masifunde ngePulmonary Rehabilitation

Ngaba ukufumanisa kunzima ukuphefumla xa unyuka izinyuko, uhamba ngokukhawuleza, okanye wenza umsebenzi omncinci wasekhaya? Ngaba uziva ngathi isifuba sakho sixinene kwaye uphelelwa ngumoya? Unokucinga ukuba ezi zinto ziqhelekile xa uphila nesifo semiphunga esihlala ixesha elide njenge-asthma okanye i-COPD. Usenokukwazi ukunciphisa imisebenzi yakho kwaye uhlale ekhaya. Kodwa eneneni kukho inkqubo ekhethekileyo enokukunceda wenze ubomi bakho bube lula, uphefumle lula, kwaye usebenze ngakumbi. Namhlanje sithetha ngonyango abantu abaninzi abangalwaziyo, kodwa oluxabiseke kakhulu, kwaye olo lunyango lokuvuselela imiphunga.

Yintoni iPulmonary Rehabilitation?

Ngamafutshane, le yinkqubo ekhethekileyo yezempilo eyenzelwe ukuphucula umgangatho wobomi babantu abanesifo semiphunga esingapheliyo ngokulawula iimpawu zabo. Oku akupheleli nje ekuzilolongeni. Kungaphezulu koko. Iqela leengcali zempilo, kuquka oogqirha, iingcali zonyango lomzimba, kunye neengcali zokuphefumla, ziyadibana ukuze zikufundise indlela yokulawula ukuphefumla kwakho kumthambo, imfundo, kunye nemisebenzi yemihla ngemihla, eyenzelwe imeko yakho nakwinqanaba onokulinyamezela.

Cinga ngale ndlela. Awuhambi kakhulu kuba uphelelwa ngumoya. Emva koko imilenze yakho, iingalo, kwanezihlunu ezikuncedayo ukuphefumla ziyaphela kancinci kancinci. Xa izihlunu zakho zibuthathaka, uziva udiniwe nangona usenza imisebenzi emincinci, kwaye kuba nzima ukuphefumla. Kufana nomjikelo. Into enye ikhokelela kwenye. Ukuvuselelwa kwepulmonary kuyaphula lo mjikelo unzima kwaye kukunceda ukuba ubuyele ezinyaweni zakho ngokukhuselekileyo nangokucothayo. Nangona kusenokungasinyangi ngokupheleleyo isifo sakho semiphunga, uya kufumanisa ukuba ubunzima bakho bokuphefumla buyancitshiswa, umzimba wakho unamandla angakumbi, kwaye ubomi buba lula kakhulu.

Ziziphi iintlobo zeemeko olu nyango olunceda kuzo?

Ukuvuselelwa kwe-pulmonary kuluncedo kwiimeko ezininzi ezichaphazela ukusebenza kwemiphunga ixesha elide. Ukuba unayo nayiphi na kwezi meko kolu luhlu, kufanelekile ukuxoxa ngale nto nogqirha wakho.

Kwenzeka ntoni ngokwenene kwinkqubo yokubuyisela kwimeko yesiqhelo?

Le nkqubo ayilungelanga wonke umntu. Yenzelwe wena ngokukodwa, ngokusekelwe kwimeko yakho, amandla akho omzimba, kunye neenjongo zakho (umzekelo, "Ndifuna ukudlala nomzukulwana wam" okanye "Ndifuna ukukwazi ukuya evenkileni ndedwa"). Uza kuvavanywa ngaphambi nasemva kwenkqubo. Oku kuya kubandakanya ukulinganisa iimpawu zakho, amanqanaba eoksijini, kunye nobungakanani bomthambo onokuwenza.

Kukho iinxalenye eziphambili zenkqubo:

1. Ukuzilolonga

Le yeyona nxalenye iphambili neyona ibalulekileyo yenkqubo. Kodwa ungakhathazeki, le asinto ongenakukwazi ukuyisingatha. Konke oku kwenziwa phantsi kweliso elipheleleyo lengcali.

• Kudla ngokubakho iiseshoni zokuzilolonga ezimbini okanye ezintathu ngeveki.
• Qala ngokuzilolonga okuncinci kakhulu, okufutshane, uze unyuse kancinci ixesha kunye nobungakanani bokuzilolonga njengoko amandla akho esanda.
• Baza kuhlala bejonga indlela ophefumla ngayo kunye nokudinwa kwakho ngelixa usenza umthambo.

Iintlobo zokuzilolonga:

• Ukuzifudumeza Nokuzipholisa: Ukulungiselela nokubuyisela umzimba kwimeko yawo yangaphambili nasemva kokuzilolonga.
• Uqeqesho lokuzivumelanisa nezimo: Ukuzilolonga okonyusa ukujiya kwezihlunu.
• Uqeqesho lwemisipha yokuphefumla: Ukuzilolonga okuqinisa izihlunu ezikunceda ukuphefumla. Oku kunokubandakanya ukuphefumla ngokukhawuleza ngaphakathi nangaphandle usebenzisa isixhobo esincinci esiphathwa ngesandla.
• Uqeqesho lokunyamezela: Ukuzilolonga okwandisa amandla entliziyo nemiphunga. Umzekelo, izinto ezifana nokukhwela ibhayisekile okanye ukuhamba nge-treadmill.
• Uqeqesho lokuxhathisa: Umthambo oqinisa izihlunu usebenzisa iintsimbi. Kusetyenziswa iintsimbi ezilula kunye neebhendi zokuxhathisa.
• I-NMES (i-Transcutaneous neuromuscular electrical stimulation): Kwezinye iimeko, yindlela yokuqinisa izihlunu ngokuzibangela ukuba zifinyele kusetyenziswa umbane omncinci.

2. Imfundo nokwazisa (Imfundo)

Njengokuzilolonga, kubalulekile ukwazi indlela yokuphila nemeko yakho. Kweli candelo, siza kukufundisa malunga noku:

• Ungayilawula njani i-coma yokuphefumla kunye nezinye iimpawu?
• Baza kuchaza ukuba zeziphi amayeza ozinikiweyo, indlela yokuwasebenzisa kanye kanye, kunye neziphumo zawo ezingalindelekanga.
• Ukuba usebenzisa ioksijini, uza kufundiswa indlela yokujonga inqanaba layo kunye nexesha ioksijini efunekayo ngalo.
• Ungazithintela njani iindudumo/ukudumba kunye nosulelo? Yintoni omawuyenze ukuba ziyavela.
• Indlela yokusebenzisa ngokufanelekileyo izixhobo zonyango zasekhaya (umz. i-nebulizer).

3. Uqeqesho lokuphinda uphefumle

Eli licandelo eliluncedo kakhulu. Iindlela ezikhethekileyo zokuphefumla zifundiswa apha ukunceda ukulawula ukuphefumla okuncinci ngelixa usenza imisebenzi yemihla ngemihla, njengokunyuka izinyuko.

• Iindlela zokuphefumla ezilawulwayo: Ezifana `(ukuphefumla nge-diaphragmatic)` (ukuphefumla nzulu usebenzisa i-diaphragm) kunye `(ukuphefumla ngomlomo otyhafileyo)` (ukuphefumla kancinci, njengokucima ikhandlela, umlomo wakho uvaliwe). Ezi zinokunceda kakhulu ekunciphiseni ukuphefumla okufutshane.
• Iindlela zokuphumla: Iindlela zokunciphisa uxinzelelo kunye nokuphumla komzimba.
• Xa kukho ukuphefumla okufutshane, kukho iindlela zokuma ezinokunceda ukunciphisa (umz., "isikhundla se-tripod" - ukugoba phambili nokubeka izandla zakho etafileni).

4. Unyango lwesifuba kunye nokususwa komoya ongcolileyo

Ukuba imeko yakho yempilo ibangela ukuba i-mucus etyebileyo iqokeleleke emiphungeni yakho nakwindlela yokuphefumla, eli candelo liza kuba libaluleke kakhulu kuwe. Nazi ezinye zeendlela ezilula zokususa i-mucus.

• Iindlela zokukhohlela nokuphefumla: Ukususa i-mucus ngokusebenzisa iindlela ezikhethekileyo zokukhohlela ezifana ne-`(Huff cough)`.
• Izixhobo ze-PEP (Positive air pressure): Ezi zizixhobo ezincinci ezidala ukumelana okuncinci xa uphefumla, zivula imigudu yakho yomoya kwaye zenze kube lula ukucoca i-mucus.
• Iivesti zokucoca umoya: Isixhobo esifana nevesti esinxitywa emzimbeni. Esi singcangcazela kwaye sikhulule umhluzi esifubeni.
• Ukukhupha amanzi emzimbeni kunye nokubetha: Indlela yokususa i-phlegm ngokuhlala kwiindawo ezithile uze omnye umntu acofe kancinci isifuba nomqolo.

5. Inkxaso yempilo yengqondo

Ukuphila nesigulo esihlala ixesha elide kunokuba nzima engqondweni. Le nkqubo ikwanceda ekulawuleni ixhala, ukudakumba, kunye noxinzelelo. Ingabandakanya iingcebiso, amaqela enkxaso, kwanamayeza ukuba kuyimfuneko.

6. Isondlo

Ukutya okufanelekileyo kubalulekile ukugcina umzimba wakho unamandla kwaye wakhe izihlunu. Ingcali yesondlo iya kukunika iingcebiso malunga nokutya okufanelekileyo kwimeko yakho, nokuba kufuneka utye iiproteni ezingaphezulu, nokuba kufuneka utye ukutya okuncinci izihlandlo ezininzi ngemini endaweni yokutya kakhulu ngaxeshanye.

Zithini iingenelo zale nkqubo?

Iingenelo eziphambili ezibonwa phakathi kwabo bagqibezela ukuvuselelwa kwemiphunga zezi:

• Ukuncipha okukhulu kweempawu ezifana nokuphefumla okukhawulezileyo nokukhohlela.
• Ukuncipha kwesidingo sokulaliswa esibhedlele ngokuphindaphindiweyo.
• Ukunciphisa inani lee-exacerbations.
• Umgangatho wobomi ulungile kakhulu. Izinto ezifana nomsebenzi wasekhaya, ukuphuma uye egadini uyokukha intyatyambo, okanye ukuya kuhambo olufutshane aziyongxaki inkulu, kodwa zingenziwa lula .
• Ukwanda kwamandla okwenza umthambo nokuhamba.
• Impilo yengqondo ephucukileyo. Ukunciphisa iimvakalelo zokukhathazeka noloyiko.
• Ukudinwa komzimba okunciphileyo kunye namandla anyukileyo.

Ungayifumana njani eyona nto ibalulekileyo kule nkqubo?

Ezi ngcebiso ziya kukunceda ufumane okuninzi kule nkqubo:

• Thetha ngokunyaniseka nogqirha wakho kunye nabagqirha bezonyango.Ukuba umthambo unzima, ukuba udiniwe, yitsho. Thetha nabo ngamathemba akho kunye neenjongo zakho.
• Yiya kwiseshoni nganye. Ukuba awuyigqibi inkqubo, iziphumo zakho zisenokuncitshiswa.
• Cinga ngeendlela zokwenza umthambo ube lula. Mhlawumbi zenze umthambo ngelixa umamele umculo, unxibe ifeni, okanye ubuze ukuba ungakwazi na ukuzilolonga ngaphandle.
• Nokuba inkqubo iphelile, qhubeka nokwenza oko ukufundisiweyo ekhaya. Le yeyona nto ibalulekileyo. Ukuba ufuna ukugcina iziphumo ozifumeneyo, kufuneka ukwenze oku kube yinxalenye yobomi bakho.
• Yazisa usapho lwakho nabahlobo bakho ngale nto. Inkxaso yabo iya kuba ngumthombo omkhulu wamandla kuwe.

Okokugqibela, kunzima nokucinga ngokuzilolonga xa unengxaki yokuphefumla. Kodwa le nkqubo yenzelwe ukukunceda womelele ngokukhuselekileyo nangesantya sakho. Ayikokuzilolonga nje kuphela, yindlela entle yokulawula ubomi bakho kwakhona, ukuze wenze into yakho ngaphandle kokuthembela komnye umntu. Ukuba unesifo semiphunga esingapheliyo, buza ugqirha wakho ngale nkqubo yokuvuselela imiphunga namhlanje.