Ingabe ngezinye izikhathi ukuthola kunzima ukuphefumula, uzizwe ucindezelekile esifubeni sakho, noma uzizwa uphelelwa umoya ngisho nangemva kokuzivocavoca umzimba okulula? Ingabe uvame ukuzizwa ukhathele ngendlela engavamile? Lezi zimpawu zingabangelwa izimbangela ezahlukene, kodwa into eyodwa ebalulekile eyisisekelo kungaba ukuthi amaphaphu akho abambe umoya omningi kakhulu, isimo odokotela abasibiza ngokuthi ama-Hyperinflated Lungs . Namuhla, ake sixoxe ngalokhu ngendlela eningiliziwe kodwa elula, lapha eNirogi Lanka.
Ayini ngempela amaphaphu agcwele umoya?
Kalula nje, lokhu kwenzeka lapho imigudu yomoya emincane ngaphakathi kwamaphaphu akho ivalekile, okwenza kube nzima ukuthi umoya uphume ngemva kokuphefumula. Ngenxa yokuthi umoya awukwazi ukukhishwa ngokuphelele, uhlala ubambeke kanye ne-mucus. Cabanga ngakho njengebhaluni: uma uwufutha kodwa umoya ungakwazi ukuphuma, uhlala weluliwe futhi uvalelekile. Yilokhu okwenzeka ngaphakathi kwamaphaphu akho.
Uma umoya kanye ne-mucus kubhajwa, ukuphefumula kuba nzima, futhi amaphaphu akho akhula ngaphezu kwamandla awo ajwayelekile. Ngokuhamba kwesikhathi, lokhu kungaholela ekulimaleni kwamaphaphu unomphela, ekucindezelekeni kwenhliziyo, kanye nokuntuleka komoya-mpilo owanele emzimbeni wakho . Ngakho-ke, lesi simo sidinga ukunakekelwa kwezokwelapha.
Udokotela angakuxilonga lokhu ngokuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe njenge-X-ray. Izindlela zokwelapha ezibhedlela zivame ukufaka ama-inhaler, ama-nebulizer , izivivinyo zokuphefumula ezikhethekile, futhi ezimweni ezimbi kakhulu, ukungenelela kokuhlinzwa.
Kungani amaphaphu eba nomfutho wegazi ophezulu? Ziyini izimbangela?
Imbangela eyinhloko yokwanda kwe -COPD , noma i-Chronic Obstructive Pulmonary Disease . Lesi akusona isifo esisodwa, kodwa yiqembu lezimo zamaphaphu, esivelele kakhulu:
1. I-Bronchitis Engapheli: Lokhu kuhilela ukuvuvukala okungapheli kanye nokuvuvukala kwe -bronchi yakho (imigudu yomoya). Lokhu kunciphisa indlela yokungena, okwenza ukuphefumula kube nzima futhi kuholele ekukhiqizweni kwamafinyila amaningi.
2. I-Emphysema: Lokhu kuhilela ukulimala kwama -air sac athambile (ama-alveoli) emaphashini akho, agcina elahlekelwa ukunwebeka kwawo futhi awe. Lawa ma-sac abalulekile ekudluliseni umoya-mpilo egazini lakho nasekususeni i-carbon dioxide. Uma onakele, umoya uvaleleka ngaphakathi.
Ngaphandle kwe-COPD, ezinye izifo zamaphaphu eziphazamisa ukuphuma komoya nazo zingaholela ekukhuphukeni kwamandla emali, okuhlanganisa:
- I-asthma : Njengoba kungenzeka wazi, i-asthma inciphisa imigudu yomoya, okungaholela kulesi simo.
- I-Cystic Fibrosis: Isimo sofuzo lapho ulwelwesi olujiyile nolunamathelayo luqongelela khona emaphashini, okwenza kube nzima ukuphefumula.
- I-Bronchiectasis: Isimo lapho imigudu yomoya ivuleka unomphela, okuholela ekuqongeleleni kwamafinyila kanye nokutheleleka okuvamile.
- I-Bronchiolitis: Ukuvuvukala kwemigudu yomoya emincane kakhulu emaphashini, okuvamile ezinganeni ezincane.
Sivame kangakanani lesi simo?
Ukwanda komfutho wegazi emaphashini kuvame ukubonakala ezigulini ezine-COPD. Emazweni afana ne-US, abantu abayizigidi ezingu-15-20 baphila ne-COPD. Nakuba izibalo ezithile zomhlaba wonke mayelana nokwanda komfutho wegazi zingahlukaniswanga ngaso sonke isikhathi, kuyinto evame kakhulu emtholampilo phakathi kweziguli ezine-COPD.
Ziyini izimpawu?
Izimpawu zokwanda kwe-lung inflation zifana nezezinye izimo zamaphaphu ezingamahlalakhona:
- Ukuphefumula kanzima : Ukuzizwa uphefumula kanzima ngemva kokuhamba kancane noma ukukhuphuka izitebhisi. Ngezinye izikhathi, kungaba nzima ukuphefumula ngisho nalapho uphumule.
- Ukuphefumula okungajulile: Ukungakwazi ukuphefumula ngokujulile nangokugcwele.
- Ukukhathala okuqhubekayo nokuntuleka kwamandla: Ukuzizwa ukhathele njalo noma ungenawo amandla okwenza imisebenzi yansuku zonke.
- Ukuminyana kwesifuba: Umuzwa wokuqina noma isisindo esifubeni, ovame ukuhlotshaniswa nokunqwabelana kwamafinyila.
Lezi zimpawu zingavela ngisho nangaphandle komzamo onzima. Uma uthola ukuthi imisebenzi yansuku zonke—njengokwenza imisebenzi yasekhaya noma ukuya esitolo ngokushesha—ikushiya uphefumula kanzima futhi ukhathele, sekuyisikhathi sokubonana nodokotela.
Ubani osengozini enkulu?
Labo abanezimo zokuphefumula ezikhona kakade njenge-COPD, i-asthma, kanye ne-emphysema basengozini enkulu kakhulu.
Ukubhema kuyisici esiyingozi kakhulu. Ukubhema kubangela umonakalo oqondile emaphashini, okwenza ube sengozini enkulu yokuthola i-COPD kanye nokwanda okukhulu kwamazinga okushisa kwamaphaphu.
Ngaphezu kwalokho, kunezici zofuzo, njengokuntuleka kwe-Alpha-1 antitrypsin , isimo esidluliselwa emindenini esingandisa kakhulu ingozi ye-emphysema kanye nokwanda okukhulu kwe-lung inflation. Uma unezimpawu ezinzima, sicela uxhumane nezinsizakalo eziphuthumayo zasendaweni yakho ngokushesha.
Yiziphi izinkinga ezingavela kulesi simo?
Enye yezinkinga ezinkulu kakhulu zokwanda kwe-inflation yamaphaphu ukucindezeleka okubeka enhliziyweni yakhoNjengoba inhliziyo yakho ihlezi ngqo phakathi kwamaphaphu akho, amaphaphu agcwele ngokweqile angayicindezela. Ngokuhamba kwesikhathi, lokhu kucindezela kungaphazamisa ikhono lenhliziyo yakho lokupompa igazi ngempumelelo emaphashini akho, okungagcini nje ngokwandisa ingozi yokwehluleka kwenhliziyo kodwa futhi okungaholela emazingeni aphansi omoya-mpilo egazini lakho .
Ngaphezu kwalokho, ukwanda okukhulu kwe-lung inflation kungaphazamisa kakhulu impilo yakho yansuku zonke. Ngenxa yokuthi ukuphefumula kuba nzima, ungase uthole ngisho nemisebenzi elula iyinselele, okungathinta kabi ikhwalithi yokuphila kwakho iyonke.
Kutholakala kanjani lokhu?
Udokotela wakho uzobuyekeza umlando wakho wezokwelapha, ahlole izimpawu zakho, futhi enze ukuhlolwa ngokomzimba. Besebenzisa i-stethoscope, bazolalela inhliziyo namaphaphu akho ngenkathi becela ukuthi uphefumule kaningana. Phakathi nalokhu kuhlolwa, bangase baqaphele ukuthi isifuba sakho asikhuli futhi asinciphi kahle njengoba uphefumula.
Ngemva kwalokhu, udokotela wakho angase acele ukuhlolwa okwengeziwe kokuhlola ukusebenza kwamaphaphu akho, okufana nalokhu:
- I-X-ray yesifuba: Lokhu kunikeza isithombe samaphaphu akho, inhliziyo, kanye nomgodi wesifuba, okusiza ekuboneni izimpawu zokunyuka okukhulu kwentengo yamaphaphu.
- I-computerized tomography (CT) scan: Lokhu kunikeza isithombe esinemininingwane kakhulu nesicacile samaphaphu akho nenhliziyo kune-X-ray ejwayelekile.
- Ukuhlolwa kokusebenza kwamaphaphu (ama-PFT): Lokhu kuhlolwa kulinganisa ukuthi amaphaphu akho angabamba umoya ongakanani nokuthi asebenza kahle kangakanani.
Udokotela wakho oyinhloko angakudlulisela ku -Pulmonologist (uchwepheshe wezifo zokuphefumula).
Ingabe ukwehla kwamandla emali emaphashini kuyisimo esibucayi?
Yebo, ukwanda okukhulu kwe-lung inflation kuyisimo esibucayi sezokwelapha . Ngaphandle kokulimaza izicubu zamaphaphu nokunciphisa ikhwalithi yempilo yakho, kungabeka ingcindezi enkulu enhliziyweni yakho, okungase kuholele ezinkingeni ezifana nokwehluleka kwenhliziyo. Ngakho-ke, ukuphathwa okusebenzayo ngochwepheshe bethu baseNirogi Lanka kubalulekile.
Yiziphi izindlela zokwelapha ezitholakalayo?
Izinhlelo zokwelapha zincike ebunzimeni bezimpawu zakho kanye nempilo yakho iyonke. Ukwelashwa okuvamile kuhlanganisa:
- Ama-Bronchodilator: Le mithi ikhulula imisipha ezungeze izindlela zakho zokuphefumula, igcine ivulekile ukuze umoya ovalelekile ukwazi ukukhishwa kalula. Ngokuvamile inikezwa nge-inhaler noma i-nebulizers.
- Amasu okuphefumula: Udokotela wakho angakufundisa izivivinyo ezithile, njengokuphefumula ngezindebe ezigobile, ukusiza ukugcina imigudu yokuphefumula ivulekile. Izinhlelo zokuvuselela amaphaphu nazo ziwusizo kakhulu ekuphatheni izimo ezifana ne-COPD.
- Ukwelashwa nge-oxygen: Ezinye iziguli zidinga i-oxygen eyengeziwe ethunyelwa nge-cannula yamakhala noma i-mask yobuso ukuqinisekisa ukuthi imizimba yazo ithola i-oxygen eyanele.
- Amadivayisi okusekela ukuphefumula: Imishini efana nama-nebulizer kanye nemishini ye-CPAP ingasiza ekwenzeni ukuphefumula kube lula.
- Ukuhlinzwa kokunciphisa umthamo wamaphaphu:Lokhu kuvame ukubhekwa njengenketho yokugcina uma ezinye izindlela zokwelapha zingaphumeleli; kuhilela ukususa izicubu zamaphaphu ezonakele ukuze kuvunyelwe izicubu ezisele eziphilile ukuthi zisebenze kangcono.
Ingabe lesi simo siyalungiseka?
Ngeshwa, umonakalo odalwe emaphashini uvame ukuba ngowaphakade , okusho ukuthi angase angabuyeli esimweni sawo sokuqala. Kodwa-ke, ukwelashwa okufanele kungaphatha izimpawu ngempumelelo futhi kunciphise kakhulu isidingo sokwamukelwa esibhedlela noma ukuvakashelwa umnyango ophuthumayo (ED) . Nakuba ukwelashwa kuthuthukisa ikhono lakho lokuphefumula, izicubu zamaphaphu ngokwazo azivuseleli ngokugcwele.
Iyini inhloso yalesi simo?
Ngokunakekelwa okufanele kanye nesiqondiso esivela eqenjini laseNirogi Lanka, usengaphila impilo ekhiqizayo neyanelisayo . Nakuba singenakukwazi ukuguqula ngokuphelele umonakalo, singakwazi ukusebenzisa amasu okuvimbela ukwanda kwamandla emali okuqhubekayo nokuvimbela ukulimala okwengeziwe kwamaphaphu ukuthi kwenzeke.
Kubalulekile ukuqaphela ukuthi ngaphandle kokungenelela kwezokwelapha, ukwehla okukhulu kwamaphaphu kungaholela ekucindezelekeni okukhulu kwenhliziyo kanye nokwehluleka kwenhliziyo. Ukuzibophezela ohlelweni lwakho lokwelashwa kubalulekile.
Lokhu kungavinjelwa kanjani?
Indlela engcono kakhulu yokuvimbela ukunyuka okukhulu kwentengo yamaphaphu ukuthatha izinyathelo zokugwema noma ukuphatha i-COPD. Cishe ama-90% amacala e-COPD ahlotshaniswa nokubhema ugwayi. Ngakho-ke, ukuyeka ukubhema nokugwema intuthu ebhemayo kuyizindlela eziphumelela kakhulu zokuvimbela i-COPD kanye nomonakalo wamaphaphu ohlobene. Ngaphezu kwalokho, ukunciphisa ukuchayeka ekungcolisweni komoya kubalulekile empilweni yakho yamaphaphu yesikhathi eside.
Kufanele ubonane nini nodokotela?
Uma ubhekene nobunzima bokuphefumula—ikakhulukazi uma unesifo samaphaphu esaziwayo njenge-COPD noma i-asthma—kubalulekile ukubonana nodokotela ngokushesha . Sicela ufune iseluleko sezokwelapha uma ubona lezi zimpawu ezilandelayo:
- Ukuphefumula okungapheli.
- Ubunzima bokuphefumula noma ukuzizwa sengathi awukwazi ukuthola umoya owanele.
- Ukukhathala noma ukukhathala okungajwayelekile, ngisho nangemva kokuzikhandla okuncane ngokomzimba.
Kufanele uye nini eGumbini Lezimo Eziphuthumayo (ER)?
Uma ubunzima bakho bokuphefumula bungathuthuki naphezu kwemizamo yakho evamile yokuphatha, sicela uye emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze ngokushesha . Nakuba iningi labantu abanokwehla okukhulu kwamaphaphu bethola impumuzo ngokwelashwa okufanele, ukucindezeleka okukhulu kokuphefumula kuyisimo esiphuthumayo sezokwelapha esidinga ukungenelela okuphuthumayo. Uma unenkinga yokuphefumula, shayela izinsizakalo eziphuthumayo (isib. 911) ngokushesha.
` ## Inothi lokugcina elivela e-Nirogi Lanka
Ukuphila nesifo samaphaphu esingamahlalakhona kungaba yinselele futhi kungathinta kakhulu imisebenzi yakho yansuku zonke. Ukwanda kokunyuka kwamandla emaphashini kuyinkinga eyaziwayo ehlotshaniswa nezimo ezifana ne-COPD kanye ne-asthma. Udokotela wakho noma isazi sezifo zamaphaphu angasebenza nawe ukudala uhlelo lokwelashwa oluqondene nawe ukusiza ukuphatha lezi zimpawu ngempumelelo.
> **Kubalulekile ukulandela uhlelo lwakho lwemithi olunikezwe ngudokotela njengoba nje luqondisiwe.** Nakuba ezinye izimo zamaphaphu ziqhubeka, ungalawula ngokuyeka ukubhema, ugweme intuthu ebhemayo, futhi unciphise ukuchayeka ekungcoleni komoya. Impilo yakho iza kuqala kithi.
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Ukwanda komoya emaphashini, ukuphelelwa umoya, i-COPD, i-asthma, isifo samaphaphu, impilo yokuphefumula, ukuyeka ukubhema
