Ukuhlangana okufika ngesikhathi: Ukusekela iziguli zeCopd ekuphefumuleni izimpilo ezingcono neziphilayo eziphilayo

Isifo esingama-pulmonary pulmonary sifo esingamahlalakhona (i-Copd) yisimo esivamile samaphaphu ngokukhethekile esihlotshaniswa nokubhema nokungcoliswa komoya. Njengembangela yesithathu ehamba phambili yokufa emhlabeni jikelele, kuthinta abantu ababalelwa ezigidini ezingama-300, ngokusho kweWorld Health Organisation (WHO).

Ukuqonda izigaba ezine zeCopd

ICopd iqhubeka ngezigaba ezine ezihlukile, ngalinye libonakala ngezimpawu ezihlukile namasu okulashwa. Ukuphathwa okusebenzayo kugxile ekuphumuleni kwezimpawu, ukuthuthukisa umsebenzi wamaphaphu, kanye nokunciphisa ukuqhubeka kwezifo:

1. Isiteji I: Imnene

• Izimpawu: ngezikhathi ezithile ukukhwehlela nokuphefumula okumnene.

• Ukuphathwa: Ukubhema Ukuyeka, Ukukhuphula Umsebenzi Womzimba, kanye ne-bronchodilators abasebenza ngokufushane.

2. Isigaba II: Okumaphakathi

• Izimpawu: Ukukhwehlela okuba yimbi nokuphefumula, okuthinta imisebenzi yansuku zonke.

• Abaphathi: Ama-bronchodilitators esikhathi eside, ukuvuselelwa kwamaphaphu, kanye nama-corticosteroids ane-inhalicored.

3. Isiteji III: Kunzima

• Izimpawu: Ukukhwehlela okuqhubekayo, ukuphefumula okukhulu, kanye nobunzima bokuphefumula, ikakhulukazi ekuseni.

• Abaphathi: I-Corticosteroids eninsizwa, i-oxygen therapy, kanye nokuvuselelwa kwe-pulmonary ethuthukile.

4. Isigaba IV: Kunzima kakhulu

• Izimpawu: Ukulimazeka okusebenzayo kweLung Function kanye nobunzima obukhulu bokuphefumula.

• Ukuphathwa: Therapy yesikhathi eside ye-oxygen futhi, kwezinye izimo, ukufakelwa kwamaphaphu.

Izinketho zokwelashwa zeCopd

Itshe le-Corner Management lilele emithini nasezilungiselelweni zendlela yokuphila:

• I-BronChodilators : ama-ejenti amafushane futhi asebenza isikhathi eside aphumule ahamba ngezinyawo, athuthukisa ukuhamba komoya.

• I-AnticColinergics esebenza isikhathi eside (i-LAMAS) : Yehlisa i-Airway Compliction kanye ne-Bronchospasms.

• I-CortiCoReids : Ukuvuvukala kwe-Airway okuphansi nokuvimbela ukwanda okukhulu (okusetshenziswe ngaphansi kokuqashwa kwezokwelashwa).

• Ama-antibiotic : Ikheli izifo ezinamagciwane kepha ungaguquli ukuqhubeka kwe-COPD.

Ukuxilonga I-COPD

Ukuxilongwa okunembile kuhlanganisa ukuhlola izimpawu zemitholampilo nokwenza izivivinyo zokuxilonga:

• Ukuhlolwa komsebenzi weLung : I-Spirometry ihlola ivolumu ephoqelelwe ngokuphoqelelwa ku-1 Second (FEV1) kanye ne-Forced Amandla Asemqoka (FVC).

• I-Oxygen Oximetation : I-pulse oximetry ilinganisa amazinga we-oksijini egazini.

• Ukulingisa : isifuba ama-X-ray kanye nama-CT Scans athola izinkinga ezinjenge-emphysema.

• Ukuhlaziywa Kwezimpawu : Ukukhwehlela okungapheli, ukuphefumula, kanye nokubhema umlando kwakugunyaza ukubhekana nophenyo.

Ukungenelela okubalulekile kokuphathwa koCopd

1. Ukugcaba

• Imithi yokugoma ye-pneumoCoccal (PCV20 / PCV15 + PPSV23) : Ukuvikelwa kwezifo ze-pneumococcal.

• Umuthi wokugomela umkhuhlane : kunciphisa izinkinga ezihlobene nomkhuhlane.

• Umuthi wokugomela i-TDAP : Vimbela i-pertussis nezinye izifo zokuphefumula.

• Umuthi wokugomela i-Shingles : Ukunciphisa ubungozi babantu abangagunyaziwe.

• Isithelo sokugomela i-Covil-19 : Kuvikela ekulweni nemiphumela emibi enzima-19 ezigulini zeCopd.

2. Ukwelashwa kwe-Nebulization
   kuguqula imishanguzo ye-liquid ibe yiphutha elihle lokulethwa komoya okuqondile. Imithi ifaka:

• Ama-bronchodilators (isib., I-salbutamol): inciphisa ukuphefumula ngokunciphisa imigwaqo yomoya.

• Ama-corticosteroids (isib. I-Budesonide): Yehlisa ukuvuvukala kanye nokudambisa izimpawu.

Ama-nebulizers asebenzisa ubuchwepheshe obuthuthukile emithini ye-athotize emithini ye-atomize ibe izinhlayiya ze-Ultra-ezinhle (<5 5μm), iqinisekisa ukulethwa okusebenzayo emaphashini. Izinhlobo ze-inhalation ezimbaxambili-mask noma umlomo-anikela ngenduduzo engeziwe nokuguquguquka kweziguli.

Ukuhlanganisa ukumiswa kwendlela enempilo enempilo

Ngenkathi ukwelashwa kwama-nebulization kuthuthukisa kakhulu ukuphathwa kwezimpawu, indlela ephelele yezempilo ibalulekile:

• Yekani ukubhema : ukungenelela okukodwa okusebenzayo kakhulu ekuqhubekeni kwe-Copd.

• Ukuzivocavoca njalo : Kuthuthukisa amandla amaphaphu nokukhuthazela ngokomzimba.

• Ukudla okulinganiselayo : Usekela isisindo esinempilo futhi uqinise ukungavikeleki.

• Gwema ukungcola : nciphisa ukuvezwa kokungcoliswa komoya kanye nokucasulayo.

Yize iCopd ihlala ingalapheki, iziguli zingafinyelela ikhwalithi yempilo ethuthukisiwe ngokusebenzisa izindlela zokwelapha ezenziwe kanye nezinguquko zokuphila okusebenzayo. Nge-Joytech Nebulizers, iziguli zeCopd zithola ukufinyelela kwezixazululo ezisebenzayo, ezisebenziseka kalula zokulawula izimpawu nokubuyisela impilo yokuphefumula.

Qoka Ama-nebulizer we-joytech wokuphefumula okulula nempilo enempilo, egcwele.