Isifo se-Chronic obstructive pulmonary

Isifo samaphaphu esingamahlalakhona, esifushanisiwe ngokuthi yi-COPD, yisifo samaphaphu esibeka impilo yethu engozini kancane kancane, esidala ubunzima bokuphefumula (ekuqaleni kube nzima kakhulu) futhi sibe sibi kalula futhi sibangele izifo ezimbi kakhulu.Ingathuthuka ibe yisifo senhliziyo yamaphaphu kanye nokuhluleka kokuphefumula.Iphephabhuku lezokwelapha eligunyazwe ngamazwe ngamazwe elithi "The Lancet" ngokokuqala ngqa lathi isibalo seziguli ezinezifo ezingamahlalakhona ezivimbela amaphaphu ezweni lami silinganiselwa ezigidini eziyi-100, futhi sesiphenduke isifo esingamahlalakhona “ezingeni elifanayo” nomfutho wegazi ophakeme nesifo sikashukela.

I-World Health Organization iveza ukuthi alikho ikhambi lesifo esingelapheki se-obstructive pulmonary, kodwa ukwelashwa kungaqeda izimpawu, kuthuthukise izinga lokuphila futhi kunciphise ingozi yokufa.

Izimpawu zesifo esingamahlalakhona se-obstructive pulmonary ukuwohloka kancane kancane kanye nobunzima bokuphefumula obuhlala isikhathi eside lapho usebenzisa amandla, okugcina kuholela ekuphelelweni umoya lapho uphumule.Lesi sifo sivame ukubhekwa kancane futhi singabeka impilo engozini.

I-ventilation engahlanyisi kanye ne-ventilator yasekhaya

Njengoba lesi sifo siba sibi kakhulu, iziguli eziningi zizoba ne-hypoxemia.I-Hypoxemia iyimbangela eyinhloko ye-pulmonary hypertension kanye nesifo senhliziyo yamaphaphu.Futhi kuyimbangela ebalulekile yokuphazamiseka kwe-metabolic kanye nokungasebenzi kahle kwezitho ezibalulekile.Ukwelashwa komoyampilo wesikhathi eside wasekhaya kanye nokungena komoya okungavamisile nge-ventilator kungathuthukisa izimpawu ze-hypoxia futhi kulawule izimpawu zeziguli ezine-COPD.Izindlela ezibalulekile zokuthuthukiswa kwezifo.

Ukungenisa komoya okungahlaseli kubhekisela ekungeneni komoya ocindezelayo lapho umshini wokungenisa umoya uxhunywe esigulini ngomlomo noma ngemaski yamakhala.Lo mshini uhlinzeka ngokugeleza komoya ocindezelwe ukuvula indlela yokuphefumula evimbekile, ukwandise ukungena komoya we-alveolar, nokunciphisa umsebenzi wokuphefumula, ngaphandle kwesidingo sokusungula indlela yokuphefumula yokwenziwa ehlaselayo.

Isifo se-chronic obstructive pulmonary disease singashiwo njengesifo esingaphenduki ngokuphelele.Ekulawulweni kokwelashwa komndeni, ukwelashwa kuyadingeka, futhi ukubambisana kwe-double level non-invasive ventilator kubaluleke ngokufanayo.Ukusetshenziswa kwe-bi-level non-invasive ventilator kunganciphisa ukugcinwa kwe-carbon dioxide ngenkathi kuhlangatshezwana nezidingo zokunikezwa komoyampilo wesiguli, futhi kunomphumela omuhle wokuvikela emaphashini esiguli, inhliziyo nezinye izicubu nezitho;ngesikhathi esifanayo, kunciphisa isikhathi sokuhlaselwa kwesiguli futhi kunciphisa ngokungaqondile ukulaliswa esibhedlela.Inani lezikhathi nezindleko ezinkulu zezokwelapha zithuthukisa izinga lempilo yeziguli.