Reba: 0 Umwanditsi: Muhinduzi Yurubuga Itanga Igihe: 2025-01-07 Inkomoko: Urubuga
Indwara zidakira zidakira (COPD) ni imiterere yimpanuka yiganje cyane cyane yahujwe no kunywa itabi n'ikirere. Nk'iteraniro rya gatatu rikomeye ry'urupfu ku isi, rigira ingaruka ku bantu bagera kuri miliyoni 300, nk'uko bivuga ku bantu barenga miliyoni 300.
Coupd itera imbere mubyiciro bine bitandukanye, buri muntu arangwa n'ibimenyetso byihariye no kuvura ingamba zo kuvura. Gucunga neza byibanda ku butabazi, kuzamura imikorere y'ibihaha, no gutinda gutera indwara:
Icyiciro I: Kwitonda
Ibimenyetso: Inkorora rimwe na rimwe yo guhumeka no guhumeka neza.
Gucunga: Guhagarika itabi, kongera ibikorwa byumubiri, hamwe na bronchodiatile ngufi.
Icyiciro II: Gishyira mu gaciro
Ibimenyetso: Byibi cyane kandi bihumeka, bigira ingaruka mubikorwa bya buri munsi.
Gucunga: Bronchodietodiotori, gusubiza mu buzima busanzwe, kandi uhumeka Corticosteroide.
Icyiciro cya III: Birakabije
Ibimenyetso: Gukorora guteka, guhumeka cyane, hamwe ninkuru zubuhumekesha, cyane mugitondo.
Gucunga: Guhumeka CorticoSteroide, uburyo bwa ogisijeni, hamwe no gusubiza mu buzima busanzwe.
Icyiciro IV: Birakabije
Ibimenyetso: Imikorere yibihaha yimbitse ubumuga no guhumeka bikabije.
Gucunga: Gutivu na ogisijeni ndende kandi, mubihe bimwe, guhindura ibihaha.
Ibuye rikomeza imfuruka ryimicungire iryamye mumiti no guhindura imibereho:
Bronchodietors : abakozi bagufi- kandi ndende baruhuka imitsi iwahumana, biteza imbere indege.
Gukora igihe kirekire anticholinergics (LAMAS) : Kugabanya imbogamizi zamanuka na bronchosms.
CorticoSteroide : gutwika inzira yo hasi no gukumira ibitero bikabije (bikoreshwa mubuvuzi).
Antibiyotike : Indwara ya bagiteri ya bagiteri ariko ntugahindurwe gutera imbere.
Isuzuma ryukuri ririmo gusuzuma ibimenyetso byubuvuzi no gukora ibizamini byo gusuzuma:
Ibihembo byimikorere : Spirometry Isuzuma ryimibumbe yo kurangira ku gahato mu masegonda 1 (FEV1) no ku gahato (FVC).
Amaraso yamaraso arazungura : Pulse oximetry ipima urwego rwa ogisijeni mumaraso.
Gutekereza : Igituza x-Imirasire na CT scan bamenya ingorane nka emphysema.
Isuzumabumenyi ry'ibimenyetso : gukorora karande, guhumeka, no kunywa amateka yatanareza iperereza.
Gukingirwa
Inkingo ya pnemococcl (PCV20 / PCV15 + PPSV23) : Kurinda indwara zangiza pnemococ.
Urukingo rw'ibicurane : Kugabanya ibibazo bingana.
Urukingo rwa Tdap : birinda Pertussis n'izindi ndwara z'ubuhumekero.
ShIngles Urukingo : mibiri rufite ingaruka ku bantu ku giti cyabo.
Urukingo rwa Covigh-19 : Gurinda ibizava hafi ya Covid-19 mu barwayi ba CHDD.
Nebulisap Nerapy
Nebulisasiyo ihindura imiti y'amazi mu gihu cyiza kugirango itange Awaintway. Imiti ikubiyemo:
Bronchodietors (urugero, Salbuamamal): Yorohereze umwuka uhumeka.
CorticoSteroide (urugero, Budenesnide): igabanya gutwika no kugabanya ibimenyetso.
Nembach Nebulizers ikora ikoranabuhanga rihanishwa kugirango ishyireho imiti mu bice byiza bya ultra-byiza (<5μm), kwemeza gukora neza kubihaha. Guhumeka duhuriramo-mask cyangwa umunwa-gutanga umusaruro wongeyeho ihumure no guhinduka kubarwayi.
Mugihe cyo kuvura nebulisation kinoza cyane imicungire yubuyobozi, uburyo bwuzuye kubuzima ni ngombwa:
Kureka itabi : intervention imwe nziza yo gutabara buhoro buhoro buhoro.
Imyitozo isanzwe : Imbaraga zongera ubushobozi no kwihangana kumubiri.
Indyo yuzuye : ishyigikira uburemere bwiza kandi ikomeza ubudahangarwa.
Irinde polltats : Mugabanye guhura no kwanduza ikirere no kurakara.
Nubwo abapolisi batabishoboye, abarwayi barashobora kugera ku mibereho myiza binyuze mu kuvura no kuvura no guhindura imibereho ifatika. Hamwe na nebulizers, Joytech Nebulizers, Abarwayi ba CHD barashobora kubona ibisubizo bifatika, abakoresha-byinshuti yo gucunga ibimenyetso no kugarura ubuzima bwubuhumekero.
Hitamo Indwara ya Joytech yo guhumeka neza hamwe nubuzima bwiza, bwuzuye.