Ingabe nawe unenkinga yokuphefumula kanye nokukhwehlela okungapheli? Kungaba yi-COPD (Isifo Sokuvinjelwa Okungapheli Kwamaphaphu)!

Ingabe uvame ukuzizwa uphelelwa umoya, ukuqina kwesifuba? Noma ingabe ukhwehlela okuhambisana ne-phlegm isikhathi eside? Ungase ucabange ukuthi lokhu kumane nje kuyisifo somkhuhlane ovamile, noma isimo esifana ne-asthma. Kodwa uma lezi zimpawu ziqhubeka, kungaba yi-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) , isifo samaphaphu okudingeka sonke sisiqaphele. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe namuhla, njengokungathi sikhuluma nomngane.

Kuyini i-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu)?

Kalula nje, i-COPD yisimo esingenakuguqulwa esilimaza amaphaphu ethu kanye nemigudu yokuphefumula (imigudu yokuphefumula), kancane kancane sinciphisa ukusebenza kwawo futhi senze kube nzima ukuphefumula. Njengepayipi elidala lerabha, amasaka amancane omoya (i-alveoli) emaphashini ethu kanye nemigudu yokuphefumula alahlekelwa ukunwebeka kwawo. Aphinde avuvuke futhi agcwale ulwelwesi, avale imigudu yokuphefumula. Cabanga ngakho njengepayipi lamanzi elivalekile ngothuli, okwenza kube nzima ngamanzi ukugeleza.

Nge-COPD, amaphaphu akho kanye nezindlela zomoya zingase zithole izinguquko ezifana nalezi:

• Ukulahlekelwa ukunwebeka kwama-air sac (alveoli) kanye nemigudu yokuphefumula yamaphaphu.
• Ukuvuvukala, izibazi (i-fibrosis), kanye nokuncipha kwemigudu yomoya.
• Ukuqongelela kwamafinyila aminyene endleleni yokuphefumula.
• Izindonga eziphakathi kwezikhwama zomoya (i-alveoli) ziyabhidlika, ziyakhula, futhi umoya ophefumulwayo uvaleleke ngaphakathi.

Abantu abane-COPD bavame ukuba nezikhathi lapho izimpawu zabo ziba zimbi ngokuzumayo. Lokhu sikubiza ngokuthi "ukubhebhetheka." Phakathi nalezi zikhathi, ukuphefumula kuba nzima kakhulu, amafinyila ayaqoqana, ukukhwehlela kuyaphuma, futhi ukukhwehlela kuyakhula. Ngezinye izikhathi, uma lesi simo siba sibi kakhulu, kungadingeka ukuthi ulaliswe esibhedlela .

I-COPD yisifo esiqhubekayo esiba sibi kakhulu ngokuhamba kwesikhathi. Kodwa lokhu kuyahlukahluka kumuntu nomuntu. Abanye abantu bangase bangabi nazinguquko ezibalulekile iminyaka eminingi, kanti abanye bangase babhekane nokuqhubeka ngokushesha kwalesi sifo.

Yiziphi izinhlobo eziyinhloko ze-COPD?

Kunezimo ezimbili eziyinhloko eziwela ngaphansi kwegama elihlanganisa i-COPD. Ngokuvamile, umuntu one-COPD angaba nezimpawu zazo zombili.

I-Emphysema

Lokhu kwenzeka lapho amasaka amancane omoya (i-alveoli) emaphashini akho ewohloka futhi ekhula. Lokhu kwenza kube nzima ukuphefumula. Uphawu oluyinhloko ukuphefumula okufushane (i-dyspnea) , okufana nokuphefumula okufushane ngisho noma uzikhandla kancane.

I-bronchitis engapheli

Lokhu kwenzeka lapho imigudu yomoya emikhulu (amapayipi e-bronchial) emaphashini akho evuvukala. Lokhu kubangela ukuthi imigudu yomoya inciphe futhi kubangele ukuthi amafinyila amaningi aqongelelane. Uphawu oluyinhloko ukukhwehlela okuqhubekayo, ikakhulukazi ukukhwehlela okunamafinyila .

Ziyini izimpawu ze-COPD?

Manje ake sibheke izimpawu umuntu one-COPD angase azibonise. Cabanga ngokuthi unazo yini lezi zimpawu:

• Ukukhwehlela isikhathi eside okune-mucus (ukukhwehlela okuhlala okungenani izinyanga ezintathu ngesikhathi, okungenani iminyaka emibili).
• Ubunzima bokuphefumula ngokujulile.
• Ukuphelelwa umoya , ikakhulukazi uma wenza imisebenzi yansuku zonke noma uzizwa ukhathele kancane.
• Ukuphefumula noma eminye imisindo engavamile yamaphaphu.
• Isifuba esimise okwebhareli (uma isifo sinzima).
• Ngezinye izikhathi kuba nokushintsha kombala wesikhumba (i-cyanosis) , ikakhulukazi izindebe nezinzipho (lapho kungekho oxygen eyanele egazini).

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.

Ziyini izimbangela ze-COPD?

Imbangela eyinhloko nevame kakhulu ye-COPD ukubhema . Intuthu kagwayi, ugwayi, kanye ne-beedis ingena ngqo emaphashini ethu bese iyawalimaza. Uma ubhema, kufanele ucabange ngalokhu nakanjani.

Kodwa abantu abangabhemi nabo bangaba ne-COPD. Ezinye izimbangela zifaka:

• Ukuntuleka kwe-Alpha-1 antitrypsin: Lesi yisifo esibangelwa izakhi zofuzo. Uma le phrotheni iphansi, ingalimaza amaphaphu.
• Ukubhema okubhenywa ngumuntu obhemayo: Ngisho noma ungabhemi, uma uhlala ezindaweni lapho abantu bebhema khona, kungakuthinta nawe.
• Ukungcoliswa komoya: Izinto ezifana nentuthu evela ezimbonini nasezimotweni.
• Ukuchayeka othulini nasentuthwini evela emsebenzini noma ezintweni ozithandayo: Uthuli nasentuthwini evela kwezinye izimboni (ezokumba, ezimayini, ezimbonini zezindwangu) kanye nezinye izinto ozithandayo (ukusebenza ngokhuni, ukushisela) nazo ziyingozi.

Ubani osengozini enkulu yokuthola lesi sifo?

Nakuba ukubhema kuyisici esikhulu sengozi, akuwona wonke umuntu obhemayo othola i-COPD. Kodwa-ke, ungase ube sengozini enkulu yokuthola i-COPD uma:

• Uma ungowesifazane (izifundo zakamuva zibonisa ukuthi abesifazane nabo basengozini enkulu).
• Uma uneminyaka engaphezu kwengu-65 ubudala .
• Uma uvame ukuchayeka ekungcolisweni komoya .
• Uma umsebenzi wakho ukuchaya kumakhemikhali, uthuli, noma intuthu .
• Uma une -alpha-1 antitrypsin deficiency .
• Uma uke waba nezifo zokuphefumula njalo useyingane .

Yiziphi izinkinga ezingaba khona ngenxa ye-COPD?

I-COPD ingabangela ukwakheka kwamagciwane emaphashini, okubangela ukutheleleka. Ingavimbela nomzimba ekutholeni umoya-mpilo owanele futhi isuse i-carbon dioxide emzimbeni. Lokhu kungaholela ezinkingeni ezinkulu. Ezinye zazo zifaka:

• I-pneumonia: Ukutheleleka kwamaphaphu.
• EgaziniAmazinga e-carbon dioxide akhuphukile (i-hypercapnia).
• Amazinga aphansi omoya-mpilo egazini (i-hypoxemia).
• Ukwehluleka kokuphefumula: Isimo lapho amaphaphu engakwazi ukusebenza ngokwawo.
• Umfutho wegazi ophezulu wamaphaphu: Ukwanda kwengcindezi emithanjeni yegazi yamaphaphu.
• Ukwehluleka kwenhliziyo ngakwesokudla (`cor pulmonale`): Izinkinga emaphashini zithinta uhlangothi lwesokudla lwenhliziyo.
• I-Pneumothorax: Umoya uvuza emaphashini bese uqoqana esifubeni.
• I-Polycythemia: Umzimba ukhiqiza amangqamuzana abomvu egazi amaningi kakhulu (uma kunokuntuleka komoya-mpilo).

Yingakho kubaluleke kakhulu ukufuna ukwelashwa okufanele nokulandela iseluleko sezokwelapha uma une-COPD.

I-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) sitholakala kanjani?

Uma ucabanga ukuthi unezimpawu ze-COPD, kungcono ukubona udokotela ukuze akuhlole. Udokotela uzokuxilonga, akubuze imibuzo mayelana nomlando wakho wezempilo, futhi angase enze nokuhlolwa okuthile ukuze abone ukuthi amaphaphu akho asebenza kahle kangakanani.

Udokotela angase akubuze imibuzo efana nale:

• Uyabhema? Wake wabhema?
• Ingabe usuvele ubhekene nothuli kanye nokungcoliswa komoya isikhathi eside?
• Ingabe ukhona emndenini wakho one-COPD, ezinye izifo zamaphaphu, noma isifo sesibindi?
• Ingabe uyaphelelwa umoya uma uzivocavoca? Ingabe kuyenzeka noma umane umile?
• Ingabe ukhwehlela isikhathi eside futhi uzwa umsindo wokuphefumula uphuma esifubeni sakho?
• Ingabe i-phlegm iyaphuma uma ukhwehlela?

Yiziphi izivivinyo ezisetshenziswa ukuxilonga i-COPD?

Udokotela wakho angase asebenzise izivivinyo ezilandelayo ukuqinisekisa i-COPD:

• Ukuhlolwa kokusebenza kwamaphaphu: Ukuhlolwa okuyinhloko lapha kubizwa ngokuthi i-spirometry . Lokhu kuhlola ukuthi unzima kangakanani nokuthi ungakhipha umoya ongakanani ngokuphefumula okukodwa. Lokhu kungakutshela ukuthi imigudu yakho yomoya ivinjiwe kangakanani.
• I-pulse oximetry: Ukuhlolwa okulula okukala izinga lomoya-mpilo egazini ngokubeka into efana ne-clip emunweni wakho.
• I-X-ray yesifuba noma i-CT scan: Lezi zithombe zingabonisa izinguquko emaphashini ezibangelwa yi-COPD.
• Ukuhlolwa kwegesi yegazi lemithambo: Lokhu ukuhlolwa okuthatha isampula yegazi futhi okunganquma ngokunembile amazinga omoya-mpilo kanye ne-carbon dioxide egazini.
• Ukuhlolwa kokuzivocavoca: Lokhu kwenzelwa ukubona ukuthi amazinga akho e-oxygen egazini ayancipha yini uma uzivocavoca.
• I-Electrocardiogram (ECG noma EKG): Lokhu kusiza ekunqumeni ukuthi ukuphelelwa umoya kubangelwa yisifo senhliziyo nokuhlola ukusebenza kwenhliziyo.
• Ukuhlolwa kwegazi:Ungahlola amazinga akho e-AAT protein ukuze ubone ukuthi unesifo 'sokuntuleka kwe-Alpha-1 antitrypsin'.
• Ukuhlolwa kofuzo: Lokhu kuhlolwa kungenziwa uma udokotela esola ukuthi amaphaphu athintwe yisimo sofuzo.

Ziyini izigaba ze-COPD?

Udokotela wakho anganquma isigaba se-COPD ngokusekelwe emiphumeleni yokuhlolwa kwakho kwe-spirometry, ikakhulukazi inani lakho le-FEV1 (i-Forced Expiratory Volume ngomzuzwana owodwa) . Lokhu kukutshela ukuthi imigwaqo yakho yomoya ivaliwe kangakanani.

Izigaba ze-COPD, kuye ngokuthi lesi sifo sibucayi kangakanani, zimi kanje:

• Isigaba 1: Inani le-FEV1 lingu-80% noma ngaphezulu. (Icala elincane)
• Isigaba 2: Inani le-FEV1 liphakathi kuka-50% no-79% (isigaba esimaphakathi)
• Isigaba 3: Inani le-FEV1 liphakathi kuka-30% no-49% (elibi kakhulu)
• Isigaba 4: Inani le-FEV1 lingaphansi kuka-30%. (Isimo esibi kakhulu)

Ngaphezu kwalokho, udokotela wakho angakuhlukanisa ngezigaba A, B, noma E ngokusekelwe ezimpawu zakho kanye nengozi yokubhebhetheka:

• A: Izimpawu ezimbalwa, ingozi ephansi yokubhebhetheka.
• B: Izimpawu ezengeziwe, ingozi encane yokubhebhetheka.
• E: Ingozi yokwanda kwesimo iphezulu.

Isigaba sakho sesifo kanye nezimpawu zakho azihambisani ngaso sonke isikhathi. Isibonelo, ungase ube nezimpawu ezimbalwa noma ngabe usesigabeni sesi-3 noma sesi-4. Udokotela wakho uzocabangela konke lokhu ukuze anqume ukwelashwa okungcono kakhulu kuwe.

Iphathwa kanjani i-COPD?

Ngeshwa, i-COPD ayisona isifo esingelapheki ngokuphelele . Umonakalo emaphashini awunakuguqulwa. Kodwa-ke, kunezindlela eziningi zokwelapha ezingasiza ekulawuleni izimpawu, ukuthuthukisa ikhwalithi yokuphila, nokunciphisa ukubhebhetheka .

Udokotela wakho angase asikisele izindlela zokwelapha ezinjengalezi:

• Izinhlelo zokuyeka ukubhema: Uma ubhema, lena yinto ebaluleke kakhulu futhi yokuqala okufanele uyenze . Ukuyeka ukubhema kunganciphisa kakhulu ingozi yokuba ne-COPD eyanda.
• Imithi ephefumulwayo: Imithi efana nama-bronchodilator nama-steroid ingathathwa nge-inhaler noma njengoketshezi nge-nebulizer. Lokhu kunciphisa ukuvuvukala emigudwini yomoya, kuyivule futhi kwenze kube lula ukuphefumula.
• Ukwelashwa nge-oxygen: Uma amazinga akho e-oxygen egazini ephansi, kungadingeka uthole i-oxygen eyengeziwe.
• Ukuvuselelwa kwamaphaphu: Lolu uhlelo lokuzivocavoca kanye nokufundisa olusiza ukuqinisa amaphaphu futhi lukusize ujwayele ukuphila ne-COPD.
• Ama-Corticosteroids:Ngesikhathi sokukhushulwa, amaphilisi noma imijovo ye-steroid ingase inikezwe isikhathi esifushane ukuze kuncishiswe ukuvuvukala.
• Ukwelashwa okuhle kokucindezeleka komoya: Udokotela wakho angase ancome ukusebenzisa umshini we-'BiPAP' ukuze akusize uphefumule, ikakhulukazi ngezikhathi zokubhebhetheka.
• Ama-antibiotic: Uma unezifo ezibangelwa amagciwane ezivame ukwenzeka emaphashini, unganikezwa ama-antibiotic ukuze uwavimbele futhi unciphise ukubhebhetheka kwawo.
• Ukuhlinzwa noma inqubo yokunciphisa umthamo wamaphaphu (i-LVR): Kulabo abafanelekayo futhi abanesifo esibi kakhulu, inqubo yokuhlinzwa noma yokufaka ivalvu ingenziwa ukuze kuncishiswe inani lomoya ovaleleke emaphashini.
• Izivivinyo zemitholampilo: Izifundo ezihlola ukuthi ukwelashwa okusha kuphephile futhi kusebenza kahle kangakanani. Uma kukhona ukwelashwa okusha okungase kukufanele, udokotela wakho angakudlulisela kukho.

Ingabe umuntu one-COPD angalulama?

Umonakalo emaphashini akho ngenxa ye-COPD uhlala unomphela futhi awunakuguqulwa. Kodwa-ke, kunezindlela zokuphatha izimpawu zakho, futhi ngezinye izikhathi uzithuthukise, futhi uphile isikhathi eside. Ngokulandela imiyalelo kadokotela wakho ngokucophelela nangokuhlanganyela ohlelweni lokuvuselela amaphaphu, unganciphisa izimpawu zakho futhi uthuthukise ikhwalithi yokuphila kwakho.

Kungenzeka yini ukuphila isikhathi eside ne-COPD?

Ukuthi uhlala isikhathi esingakanani ne-COPD kuncike ebunzimeni besifo nokuthi siba sibi kangakanani ngokushesha. Abantu abaningi baphila amashumi eminyaka ngemva kokuxilongwa , ikakhulukazi uma ukwelashwa kuqalwe kusenesikhathi. Kulinganiselwa ukuthi abantu abanesigaba sesi-3 noma sesi-4 salesi sifo bangaphila iminyaka engaphansi kweyisithupha kuya kweyisishiyagalolunye kunomuntu ojwayelekile. Kodwa lokhu kuyahlukahluka kuye ngomuntu nomuntu.

Ingabe i-COPD iyisifo esibulalayo?

Nakuba i-COPD iyisifo esiba sibi kakhulu ngokuhamba kwesikhathi, ayibulali ngaso sonke isikhathi . Ukuthi iba sibi kangakanani ngokushesha kuyahlukahluka kuye ngomuntu nomuntu. Ngokuhamba kwesikhathi (ngokuvamile iminyaka, ngezinye izikhathi amashumi eminyaka), abantu abaningi abane-COPD abakwazi ukuphefumula bodwa. Kodwa abanye abantu baphila isikhathi eside bengenazo izimpawu ezinzima.

Ingabe i-COPD ingavinjelwa?

Indlela engcono kakhulu yokuvimbela i-COPD ukugwema ukubhema nokuzivikela ekubhemeni intuthu kagwayi kanye nezinye izinto ezingcolisayo ezingalimaza amaphaphu akho.

Abantu abane-COPD banamathuba amaningi okuthola izifo zokuphefumula. Lezi zifo zingaholela e-pneumonia noma zenze izimpawu zibe zimbi kakhulu. Ungenza lezi zinto ukuze uzivikele ezifweni:

• Thola yonke imijovo udokotela wakho ayincomayo. Izibonelo zifaka phakathi umuthi wokugomela umkhuhlane (umkhuhlane), umuthi wokugomela i-pneumococcal pneumonia (i-pneumococcal pneumonia), kanye nomuthi wokugomela i-COVID-19 (i-COVID-19).
• Geza izandla zakho njalo.
• Hlanza izindawo lapho uvame ukuya khona.
• Uma udokotela wakho ekuncoma, gqoka imaski uma uphakathi kwabanye abantu.
• Gwema izindawo ezinabantu abaningi , ikakhulukazi ngesikhathi sobhubhane lomkhuhlane kanye nomkhuhlane kanye nangesikhathi sokuqubuka kwe-COVID.

Uma ngine-COPD, ngingazinakekela kanjani?

Uma une-COPD, landela lawa macebiso ukuze uzinakekele kahle:

• Gwema izinto eziyingozi emaphashini futhi ezikhulisa izimpawu. Lokhu kufaka phakathi ukubhema, intuthu ebhemayo, uthuli, ukungcola komoya, kanye nama-perfume anamandla.
• Bamba iqhaza emihlanganweni yokuvuselelwa kwamaphaphu. Lokhu kuhlanganisa ukuzivocavoca umzimba, ukwelashwa ngokomsebenzi, kanye nezinhlelo zemfundo. Qhubeka nohlelo ngisho nangemva kokuba imihlangano isiphelile.
• Khuluma nochwepheshe wezokudla obhalisiwe. Angakusiza uqonde ukuthi yikuphi ukudla okuhle empilweni yakho, okufanele ukudle, nokuthi yini okufanele uyigweme.
• Thatha yonke imithi yakho njengoba uyalelwe, ngezikhathi ezibekiwe. Letha imithi yakho yansuku zonke ngaphambi kokuba iphele.
• Yenza uhlelo lokuvuvukala kwesikhumba. Khuluma nodokotela wakho bese wenza uhlelo lokuthi yini okufanele uyenze uma izimpawu zakho ziphakama, ukuthi yimiphi imithi okufanele uyithathe, nokuthi kufanele uye nini esibhedlela.
• Funda ukuthi ungayisebenzisa kanjani imishini yakho yezokwelapha ngendlela efanele. Lokhu kufaka phakathi izinto ezifana ne-inhaler, i-nebulizer, kanye nemishini ye-CPAP. Cela udokotela wakho akubonise ukuthi ungayisebenzisa kanjani ngendlela efanele.
• Nakekela impilo yakho yengqondo. Ukuphila nesifo esingamahlalakhona kungaba yinto ekucindezelayo. Bheka udokotela wezifo zengqondo, isazi sokusebenza kwengqondo, noma umeluleki ukuze uxoxe ngalokhu.

Kufanele ngimbone nini udokotela?

Uma ucabanga ukuthi ungaba ne-COPD, ungephuzi ukuya kudokotela . Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekunciphiseni ingozi yokuba izimpawu zakho zibe zimbi kakhulu.

Uma usuvele une-COPD, bheka udokotela wakho ngokushesha uma ubona noma yiziphi zalezi zimpawu zokutheleleka noma izinguquko ezimpawu zakho:

• Ukwanda kobunzima bokuphefumula: Uma uzizwa sengathi awukwazi ukuhamba ibanga owawukwazi ukuhamba ngalo, uma unenkinga enkulu yokuphefumula ebusuku, noma uma kufanele usebenzise izindlela zakho zokuphefumula (imithi, ama-inhaler) kaningi kunokujwayelekile.
• Izinguquko ku-mucus: Ukushintsha kombala we-mucus, i-mucus enegazi, iphunga elibi, i-mucus eningi kunokuvamile, noma i-mucus ejiyile.
• Ukukhwehlela okwandayo noma ukuqina kwesifuba.
• Ukuvuvukala okusha noma okubi kakhulu emaqakaleni akho, ezinyaweni, noma emilenzeni. Tshela udokotela wakho uma ukuvuvukala kungapheli ngisho nangemva kokulala imilenze yakho iphakanyisiwe ebusuku.
• Ukwehlisa isisindo noma ukuzuza ngaphandle kwesizathu.
• Ubuhlungu bekhanda noma isiyezi njalo ekuseni.
• Ngaphandle kwesizathuUkuzizwa ukhathele kakhulu noma ubuthakathaka. Tshela udokotela wakho uma lokhu kuthatha isikhathi esingaphezu kosuku.
• Umkhuhlane noma ukubanda.
• Ezinye izimpawu zokutheleleka: izinto ezifana nomphimbo obuhlungu, ikhala eligelezayo elingavamile, ikhala elicijile, ikhanda elibuhlungu, noma ubuhlungu endaweni engenhla yesihlathi.

Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Uma unezinye zalezi zimpawu, iya ekamelweni lezimo eziphuthumayo eliseduze ngokushesha:

• Umkhuhlane ophezulu (ngaphezu kuka-103 Fahrenheit/40 Celsius).
• Ukuphefumula okuphuthumayo noma okunzima.
• Ukungahlaliseki, ukudideka, ukukhohlwa, noma ukucasuka.
• Inkulumo engaqondakali.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kungaba usizo ukubuza imibuzo efana nalena uma ubona udokotela wakho:

• Yiziphi izindlela ezingcono kakhulu zokuzinakekela kahle?
• Ngingazithuthukisa yini izimpawu zami?
• Kufanele ngiyisebenzise kanjani le mithi?
• Ngingayisebenzisa kanjani i-inhaler yami, i-nebulizer, noma enye idivayisi yezokwelapha?
• Kufanele ngiphinde ngikubone nini futhi?
• Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Ukuphila nesifo samaphaphu esingamahlalakhona njenge-COPD ngezinye izikhathi kungazizwa kukhungathekisa, kusabisa, kukhungathekisa, futhi kunesizungu. Kodwa kunezindlela zokugcina imisipha yamaphaphu akho iqinile isikhathi eside ngangokunokwenzeka futhi kulawule ngisho nezimpawu zakho. Ukusebenza nethimba lakho lezokunakekelwa kwempilo ukudala uhlelo lokukugcina uphilile futhi unciphise ukuqubuka kwesifo kungakusiza ukuphatha isimo sakho. Khuluma nabathandekayo bakho ngokuthi ungabasekela kanjani nokuthi yini okufanele uyenze uma isimo sakho siba sibi kakhulu.

Khumbula, uma uhlala unenkinga yokuphefumula, ukhwehlela njalo, noma uzizwa ukhathele kalula, ungalibali ukubona udokotela. Ukutholwa kusenesikhathi kungathuthukisa ikhwalithi yempilo yakho futhi kukusize uhlale uphilile iminyaka eminingi ezayo.

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, i-COPD akuyona into okufanele uyesabe, kodwa akuyona into okufanele ithathwe kalula . Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma unezimpawu, futhi uma ubhema, zibophezele ngokuqinile ukuyeka namuhla.

• Yeka ukubhema - Lesi yisinyathelo esikhulu nesingcono kakhulu ongasithatha ngokumelene ne-COPD.
• Sebenzisa umuthi udokotela wakho awunikezayo ngendlela efanele . Funda ukuthi ungayisebenzisa kanjani i-inhaler yakho ngendlela efanele.
• Kungaba usizo kakhulu uma ungahlanganyela ezinhlelweni zokuvuselela amaphaphu .
• Gcina ukudla okunempilo kanye nemikhuba yokuzivocavoca (njengoba kuqondiswe udokotela wakho).
• Goma futhi uzijwayeze imikhuba emihle yezempilo ukuze uzivikele ezifweni .

Awuwedwa. Kukhona odokotela, abahlengikazi, namalungu omndeni abangakusiza. Ngakho-ke hlala uqinile, landela lawa macebiso, bese uzama ukuphila impilo enhle ne-COPD.

I- COPD, isifo samaphaphu, ubunzima bokuphefumula, i-bronchitis engapheli, i-emphysema, ukubhema, isifo sokuphefumula