Iimbono: 0 Umbhali: Umhleli we-Godpap yokupapasha ixesha: 2025-01-07 Imvelaphi: Indawo
Isifo esinganyangekiyo esingapheliyo se-pulmonary (COPD) sisimo esibuhlungu esixhaswayo ngokudibeneyo nokutshaya kunye nongcoliseko lomoya. Njengesithathu esikhokelayo sokufa jikelele, sichaphazela malunga nezigidi ezingama-300, ngokombutho wezeMpilo weHlabathi (i-WHO).
I-Copd iqhubela phambili ngamanqanaba amane ahlukileyo, nganye ibonakaliswa ziimpawu ezizodwa kunye neendlela zonyango. Ulawulo olusebenzayo lujolise kuqeqesho lwempawu, ukuphucula ukusebenza kwe-lung, kunye nokuqhubela phambili kwesifo:
Inqanaba I:
Iimpawu: Ukukhohlisa ngamanye amaxesha kunye nokuphefumla okufutshane.
Ulawulo: Ukutshaya, ukwanda komzimba, kunye ne-broncchodiators emfutshane.
Inqanaba II: Elinganayo
Iimpawu zikhohlela ukukhohlela kunye nokuphefumla, ukwenza imisebenzi yemihla ngemihla.
Ulawulo: I-Broncchodilailay yeBroncchodiators i-Broncchodiators, ukubuyiselwa kwe-pulmonary, kunye ne-corticosteroids.
Inqanaba lei:
Iimpawu zokukhohlela, ukuphefumla okuqhubekayo, ukungaphefumli okubonakalayo, kunye nobunzima obuphefumlayo, ngakumbi ekuseni.
Ulawulo: I-inhanser corticosteroids, unyango lweoksijini, kunye nokuhlaziywa kwe-pulmonity ephezulu.
Inqanaba IV: Litha kakhulu
Iimpawu: Ukungakhathaleli umsebenzi onzulu kakhulu kunye nobunzima obukhulu bokuphefumla.
Ulawulo: Ixesha elide leoksijini inyanga kwaye, kwezinye iimeko, ukuthunyelwa kwemiphunga.
Ilitye leliko lolawulo lwe-COPD lilele kumayeza kunye nendlela yokuphila:
Abaphathi beBroncchodiators : Iiarhente ezimfutshane- kunye nexesha elide zifumana izihlunu zendlela, ukuphucula inqwelo moya.
I- anticholinergin
I-corticosteroids : I-Airway esezantsi ye-Airway kunye nokukhusela ukwandiswa okungamandla (kusetyenziswe phantsi kweliso lonyango).
Iintsholongwane : Idilesi yosulelo lwe-bacterial kodwa ungatshintshi inkqubela phambili yekopi.
Uxilongo oluchanekileyo lubandakanya ukuvavanya iimpawu zeklinikhi kunye nokuqhuba iimvavanyo zokuxilonga:
lwe-Lung FungUvavanyo
Igazi le-oxygen satgegegen yegazi : hlamba i-oxtimetry ngamanqanaba e-oxegen kwinqanaba legazi.
Ukucinga : I-B-RICY X-RAYS kunye ne-CT Scans fumana iingxaki ezinje nge-EMPHYMAMA.
Uvavanyo oluphambili : Ukukhohlela okungapheliyo, ukungaphefumla, kunye nokutshaya kwembali yophando.
Ugonyo
I-Pneumococlines yogonyo (PCV20 / PCV15 + PPSV23) : Ukukhusela ngokuchasene nosulelo lwePneumococy.
Isitofu sokugonya ukhula : inciphisa iingxaki ezinxulumene nomkhuhlane.
I-TDAP yogonyo : Thetha i-pertussis kunye nezinye izifo zokuphefumla.
I-Shingles Revoine : ithonte ingozi kwimingcipheko emnandi yabantu.
I-Covid-19 uStonine : Ikhusela kwiziphumo ezinzima ze-19s-19 kwizigulana zeqela.
I-Nebulity ye-
nebulize iguqula amayeza olwelo kwimpazamo entle yokuthengisa ngokuthe ngqo. Amayeza abandakanya:
Abaphathi broncchodiators (umzekelo, i-salbutamol): Ukuphefumla kokuphefumla ngokuthambisa umoya.
I-corticosteroids (umz., Budyanide): Kunciphisa ukuvuvukala kunye nokunciphisa iimpawu.
I-Neculizers Ibizers isebenzisa itekhnoloji ye-Appling kwi-Atomize i-Atomize ifumaneke kwi-Ultra-Meriles (<8μm), ukuqinisekisa ukuhanjiswa ngokufanelekileyo kwimiphunga. Iimodyuli ze-winal-mahala okanye imaspiec okanye i-Ementrice-Ementrice yongezelelekile kwintuthuzelo kunye nokuguquguquka kwezigulana.
Ngelixa unyango lwe-nebulction luphucula kakhulu ulawulo lwempawu, indlela ebanzi yempilo ibalulekile:
Yeka ukutshaya : Ukungenelela okukodwa okusebenzayo kwinkqubela phambili yekopi ecothayo.
Ukuzivocavoca rhoqo : Ukuphucula amandla e-wings kunye nonyamezelo lwempilo.
Ukutya okulinganayo : Ixhasa ubunzima esempilweni kwaye yomeleza ugonyo.
Kulumkele ukungcola : ukunciphisa ukubonakaliswa kongcoliseko lomoya kunye nokucaphukisa.
Nangona u-COCD uhlala enganyangeki, abaguli banokufumana umgangatho wokuphucula umgangatho wobomi ngokusebenzisa unyango kunye nendlela yokuphila esebenzayo. Ngee-neulizers, abaguli beekopi bafumana izisombululo ezifanelekileyo, ezisebenziseka lula zokulawula iimpawu kunye nokubuyisela impilo yokuphefumla.
Khetha I-Gaytech Nebulizers yokuphefumla ngokulula kunye nobomi obunempilo, obuzalisayo.