Okokuqala, wonke umuntu kufanele aqonde, yini "slow obstructive lung"?Kubantu abaningi, "amaphaphu avimbela kancane" azwakala angajwayelekile, kodwa "igatsha elidala elihamba kancane" kanye "ne-pulmonary emphysema" ajwayelekile kuwo wonke umuntu.Eqinisweni, "amaphaphu avimbela kancane" "igatsha elidala elinensayo" kanye "ne-pulmonary" I-Emphysema yisifo esingelapheki sokuphefumula esikhula ikakhulukazi ngenxa yokuncipha kokusebenza kwamaphaphu.Izimpawu zomtholampilo zihlanganisa ukuncipha kokubekezelela umsebenzi, ukukhwehlela, ukushaywa umoya, nokuphefumula kanzima.Kuphinde kube yisifo esithinteka kakhulu izinga lokushisa, izinga eliphezulu lokungena ebusika.Ukwanda okunamandla ngakunye kwesiguli kubonisa ukuwohloka okwengeziwe kwesimo samaphaphu, okubuye kube ukushaya okuqhubekayo ekusebenzeni kwamaphaphu esiguli.Iziguli ezinjalo ziye zanda kancane kancane ukusebenza okufana nokushaywa umoya, ukuphefumula kanzima, nokushuba kwangemva komsebenzi, futhi azibuyiseleki emuva ngokuphelele.Ngakho-ke, ukululama ekhaya kanye nokuvimbela iziguli ze-COPD kubaluleke kakhulu.
Ekuphileni kwansuku zonke, qaphela ukuyeka ukubhema notshwala, gwema ukuthintana nezinto ezicasulayo, futhi ugweme ukubanda.Kodwa yini okufanele siyinake lapho isimo sezulu sishintsha ebusika?
1.Okokuqala, kufanele sigcizelele ekulinganiseni imithi.
Enqubweni yokuxilongwa nokwelashwa emtholampilo, ngathola ukuthi iziguli eziningi azizange zilawule imithi ngendlela enengqondo, okungukuthi, zathola imijovo lapho isifo esibi kakhulu senzeka, futhi yonke imithi yayekwa lapho iba ngcono.Iziguli ezine-COPD ngokuvamile zidinga ukugcizelela ekusetshenzisweni kokwelashwa kwezidakamizwa eziphefumula isikhathi eside, futhi ebusika lapho isifo sithambekele ekumiseni umuthi noma ukunciphisa umthamo ngokuthanda kwakho Lapho ukutheleleka kwamaphaphu kwenzeka, qiniseka ukuthi unaka embhedeni. phumula futhi ulandele imiyalelo kadokotela yokwelapha ngenkuthalo izifo, ukukhulula i-spasm ne-asthma, futhi uphuze imithi ngesikhathi.
2. Okwesibili, ukuzivocavoca okufanele kokumelana nokubanda.
Iziguli "ezindala eziphuza kancane" zesaba kakhulu amakhaza ebusika futhi zivame ukungenwa umkhuhlane.Izimpawu zanda ngemva kokutheleleka ngakunye kokuphefumula kanye nokusebenza kwamaphaphu nakho kuyathinteka.Ukwenza izivivinyo zokumelana nokubanda kungathuthukisa ukumelana nesiguli (iziguli eziningi ezindala lapho isimo sezulu sishintsha) Ngisho noma ikati lisekhaya, alinge lingayi ndawo, lokhu akulungile), ukuqeqeshwa okufanele kokumelana nokubanda kunganciphisa ingozi yokubamba umkhuhlane nokuphefumula. izifo.Kodwa ngesikhathi esifanayo, kufanele kuqashelwe ukuthi ukuvivinya umzimba okubandayo akukwazi ukwenziwa ngokungaboni.Akuzona zonke iziguli ezine-COPD ezifanele ukuthi hlobo luni lweziguli ezingayenza nokuthi zenziwe kanjani.Xhumana nodokotela ochwepheshe ngezimo ezithile.
3. Imisebenzi efanele yomzimba kufanele futhi yenziwe.
Ngokwamandla omzimba wesiguli, ungakwazi ukuhlanganyela ngokugcwele emisebenzini ethile yomzimba efanele.Isibonelo, ukugijima, njengokunye kokuzivocavoca okuphelele okudidiyelwe okuhlelekile, kungakhuphula umthamo wamaphaphu nokukhuthazela, kugcine ngisho nokuphefumula ngesikhathi sokugijima, futhi kuvumele umoya-mpilo owanele ukuba ungene emzimbeni.I-Tai Chi, abantu abaneminyaka ephakathi nabadala i-aerobics, ukuhamba, njll kungathuthukisa impilo yomzimba, futhi iziguli eziye zasebenzisa iminyaka eminingi zingakwazi ukugcina impilo kunalabo abaphumula kakhulu futhi bahambe kancane.Yebo, kumelwe futhi sinake ukuze sigweme umsebenzi ongaphezu kwamandla ethu wokunciphisa umthwalo osenhliziyweni namaphaphu.
Ukuzivocavoca okulula kokuvuselela amaphaphu.
Ezinye izivivinyo zokuvuselela amaphaphu zilula kakhulu futhi ziyonga.Isibonelo, izindlela ezimbili ezilandelayo ezivame ukusetshenziswa:
① Ukuphefumula kokufinyezwa kwezindebe, okungalawula izimpawu ze-dyspnea ezigulini eziningi, ngakho-ke kufakwe ezinhlelweni eziningi zokuvuselela amaphaphu.Izindlela eziqondile: Vala umlomo wakho bese udonsa umoya ngekhala, bese uphuma ngezindebe, ukhiphe kancane kancane ngomlomo njengokungathi ushaya ikhwela imizuzwana engu-4 ~ 6.Izinga lokuncipha kwezindebe lingalungiswa uwena lapho ukhipha umoya, hhayi elikhulu kakhulu noma elincane kakhulu.
② Ukuphefumula kwesisu, le ndlela inganciphisa ukunyakaza kwesifuba, ithuthukise ukunyakaza kwesisu, ithuthukise ukusatshalaliswa komoya omncane futhi inciphise ukusetshenziswa kwamandla okuphefumula.Ukuphefumula kwesisu kwenziwa ngokuqamba amanga, ukuhlala, nokuma, ngendlela "yokuncela nokwehlisa", ngesandla esisodwa esifubeni nesinye isandla esiswini, isisu siyahlehla ngangokunokwenzeka, futhi isisu siphakanyiswe ngokumelene nokuphefumula kwesisu. ukucindezela kwesandla lapho uhogela Isikhathi sokukhipha umoya sidlula izikhathi ezi-1 kuye kweziyi-2 kunesikhathi sokuphefumula.
Ukwelashwa komoyampilo wasekhaya kanye nokwelashwa okungahlanyisi kwe-ventilator
Ezigulini ezine-COPD kanye nokwehluleka ukuphefumula okungapheli, ukuqwashisa ngesifo kufanele kuphakanyiswe ngisho nasenkathini ezinzile.Uma izimo zomnotho zivuma, kuyenzeka uthenge amajeneretha komoyampilo kanye nama-ventilators angahlaseli ukuze uthole ukwelashwa komoyampilo wasekhaya kanye nokungenisa komoya okungavamisile kuye ngokwesimo.Ukwelashwa komoyampilo okufanele kungathuthukisa i-hypoxia yomzimba (kudinga ukwelashwa komoyampilo wasekhaya nsuku zonke isikhathi sokuhogela komoya-mpilo okugeleza okuphansi esingaphezu kwamahora angu-10-15), kubambezele ukwenzeka noma ukuqhubeka kwezinkinga ezifana nesifo senhliziyo yamaphaphu.I-ventilator engahlaseliukwelashwa kungaphumuza imisipha yokuphefumula yokukhathala okungapheli, kuthuthukise umsebenzi wokuphefumula, ukushintshaniswa kwegesi, nezinkomba zegesi yegazi.Ukungena komoya okungavamisile ebusuku kungase futhi kuthuthukise isimo sokungenwa umoya ebusuku, kuthuthukise izinga lokulala, futhi ekugcineni kuthuthukise ukusebenza kahle kanye nekhwalithi yokuphila kokushintshisana kwegesi phakathi nosuku, futhi kunciphise imvamisa yokwanda okubabazekayo.Lokhu akukwazi nje ukusiza iziguli ukuthi zihlupheke kancane, kodwa futhi kunciphise izindleko zezokwelapha.
Isikhathi sokuthumela: Jul-13-2020