Maonedwe: 0 Wolemba: Mkonzi Wosindikiza Nthawi: 2025-01-07. Tsamba
Matenda a m'mapapo osokoneza bongo (CopD) ndi gawo lapapapaku lomwe limalumikizidwa makamaka kusuta ndi kuwonongeka kwa mpweya. Monga chachitatu chotsogolera imfa padzikoli, zimakhudza anthu pafupifupi mamiliyoni 300, malingana ndi dziko la World Worganisation (ndani).
Copd imadutsa m'magawo anayi, aliyense amadziwika ndi zizindikiro zapadera ndi njira zamankhwala. Kugwiritsa Ntchito Bwino Kuyang'ana Pachizindikiro, Kuwongolera Ntchito Yogwira Ntchito, ndipo Kuchepetsa Matenda:
Gawo I: Wofatsa
Zizindikiro: nthawi zina kutsokomola komanso kufupika pang'ono.
Kuwongolera: Kusuta Kusuta, Kulimbitsa thupi, komanso bronzodilators yochepa.
Gawo ii:
Zizindikiro: Kusandulika kutsokomola ndi kupuma, kusintha zochitika tsiku ndi tsiku.
Kuwongolera: Broncodilators yanthawi yayitali, kukweza kwapa m'mapapo, ndipo inricostenam incalods.
Gawo III: Wamphamvu
Zizindikiro: Kutsokomola kosalekeza, kupuma kofunikira, komanso zovuta zopumira, makamaka m'mawa.
Kuwongolera: Kupukusa Corticosteroids, mankhwala ochiritsira okonzera, komanso kukonza mapamphepete mwa m'mapapo.
Gawo IV: Wambiri
Zizindikiro: Mapuwa amapukutidwa kwambiri komanso osavuta kupuma.
Kuwongolera: Kutalika kwa orsoygen mankhwala ndipo, nthawi zina, mapapu am'mapapo.
Pangano la kayendetsedwe ka Copd lili m'mankhwala ndi kusintha kwa moyo:
Broncodilators : Kufupikira- ndi zazitali zolimbitsa thupi kumatsitsimutsa minofu ya ndege, kukonza magetsi.
Anticholineergics yayitali (mamas) : Chepetsani Airway Conviction ndi Bronchossms.
Corticosteroids : kutsika kwa mpweya wam'mimba ndikupewa kuchuluka kwa pachimake (kugwiritsidwa ntchito moyang'aniridwa ndi achipatala).
Maantibayotiki : Athandizeni mabakiteriya koma osasintha kukula kwa Cople.
Kuzindikira molondola kumathandizanso kuwunikira zizindikiro zamankhwala komanso kuchititsa kuyesedwa kwa dianosticutic:
Kuyeserera kwapapu : Assometry anakakamiza voliyumu ya 1 yachiwiri (nyama) ndikukakamiza mphamvu yofunika (FVC).
Magazi okoka a okosijeni : Kuyika oximetry kumayesa kuchuluka kwa oxygen m'magazi.
Kulingalira : Chesi X-Rays ndi CT Scans amapeza zovuta monga epphysema.
Zizindikiro kuwunika : kutsokomola kosatha, kudzipuma, komanso kusuta mbiri yosuta iyenera kufufuzanso.
Kubayisa
Katemera wa chibayo (pcv20 / pcv15) : kuteteza ku matenda a chibayo.
Katemera wa chimfine : amachepetsa zovuta zokhudzana ndi chimfine.
Katemera wa TDI : amalepheretsa Trutussis ndi matenda ena opumira.
Katemera wa Shingles : Chepetsa zoopsa za anthu wamba.
Katemera wa Covid-19 : Kuteteza ku Covil-19 zotsatira za odwala omwe a Copd.
Nebuliliza mankhwala
nebulilization amatembenuza mankhwala amadzimadzi munjira yabwino yoperekera ndege. Mankhwala akuphatikizapo:
Broncodilators (mwachitsanzo, salbutamol): Amachepetsa kupuma mwa misewu yankhondo.
Corticosterolosteroids (mwachitsanzo, magesideside): amachepetsa kutupa komanso kumachepetsa zizindikiro.
Jobilizery Neblizer amagwiritsa ntchito ukadaulo wapamwamba kuti atomize mankhwala kukhala tinthu tomwe tinthu tating'onoting'ono (<5μm), kuwonetsetsa kuti mukukafika m'mapapu. Kusintha kwapang'onopang'ono mitundu - chigoba kapena pakamwa - kuperekanso kutonthoza komanso kusinthasintha kwa odwala.
Pomwe Nebuliliza mankhwala amachira kwambiri bwino madandaulo, njira yathunthu ndiyofunika:
Lekani Kusuta : Chosakhalitsa chothandiza kwambiri pakuyenda pang'onopang'ono.
Kuchita masewera olimbitsa thupi pafupipafupi : kumawonjezera mphamvu ndi kupirira kwa thupi.
Zakudya zoyenera : Zimathandizira kulemera kwathanzi ndipo kumalimbitsa chitetezo chokwanira.
Pewani zodetsa : Chepetsani kuwonekera kwa kuipitsidwa kwa mpweya ndi mkwiyo.
Ngakhale kuti Cop ilibe moyo wosakhazikika, odwala amatha kusintha moyo wabwino komanso kusintha kwa moyo. Ndi Joytech Neblizezer, odwala omwe ali ndi odwala omwe amapezeka kuti athe kugwiritsa ntchito njira zothandiza, ogwiritsa ntchito ogwiritsa ntchito poyendetsa zizindikiro ndi kubweza kupuma kwa kupuma.
Sankha Joirtech ma nebilizer kuti mupume mosavuta komanso moyo wathanzi.