Choyamba, aliyense ayenera kumvetsetsa, "pang'onopang'ono obstructive mapapo" ndi chiyani?Kwa anthu ambiri, "mapapo oletsa kupuma pang'onopang'ono" amamveka osazolowereka, koma "nthambi yakale yochedwa" ndi "pulmonary emphysema" ndizodziwika bwino kwa aliyense.Ndipotu, "pang'onopang'ono obstructive m'mapapo" ndi "wakale wosakwiya nthambi" ndi "m'mapapo mwanga" Emphysema ndi aakulu kupuma matenda akufotokozera makamaka chifukwa utachepa m'mapapo ntchito.Zizindikiro zachipatala zimaphatikizapo kuchepa kwa kulolerana kwa ntchito, kutsokomola, kupuma movutikira, komanso kupuma movutikira.Ndilonso matenda omwe amakhudzidwa kwambiri ndi kutentha, zochitika zambiri m'nyengo yozizira.Kuwonjezeka kulikonse kwachimake kwa wodwalayo kumayimira kuwonongeka kwina kwa m'mapapo, komwe kumakhalanso kuphulika kwapang'onopang'ono kwa mapapu a wodwalayo.Odwala oterowo akuwonjezeka pang'onopang'ono monga kupuma, kupuma movutikira, ndi kuwonjezereka kwapambuyo pazochitikazo, ndipo sikusinthika kwathunthu.Chifukwa chake, kuchira kunyumba ndi kupewa kwa odwala COPD ndikofunikira kwambiri.
M'moyo watsiku ndi tsiku, samalani ndi kusiya kusuta ndi mowa, pewani kukhudzana ndi zinthu zokhumudwitsa, ndipo pewani kuzizira.Koma kodi tiyenera kulabadira chiyani nyengo ikasintha m’nyengo yozizira?
1.Choyamba, tiyenera kuumirira muyezo wa mankhwala.
Pakafukufuku wa zachipatala ndi njira ya chithandizo, ndinapeza kuti odwala ambiri sankayendetsa bwino mankhwala, ndiko kuti, analandira jakisoni pamene matenda aakulu anachitika, ndipo mankhwala onse anaimitsidwa atachira.Odwala COPD nthawi zambiri ayenera kuumirira pa ntchito yaitali kuchita pokoka mankhwala mankhwala, ndipo m'nyengo yozizira pamene matenda sachedwa kusiya mankhwala kapena kuchepetsa mlingo mwa chifuniro Pamene matenda m'mapapo zimachitika, onetsetsani kuti kulabadira bedi. kupuma ndi kutsatira malangizo a dokotala mwachangu kuchiza matenda, kuthetsa kuphipha ndi mphumu, ndi kumwa mankhwala pa nthawi.
2. Kachiwiri, kuchita masewera olimbitsa thupi koyenera.
Odwala "okalamba ochedwa" amawopa kwambiri kuzizira m'nyengo yozizira komanso amatha kuzizira.Zizindikiro zimawonjezeka pambuyo pa matenda aliwonse opuma komanso mapapu amakhudzidwanso.Kuchita masewera olimbitsa thupi ozizira kumatha kukulitsa kukana kwa wodwala (odwala ambiri akale nyengo ikasintha) Ngakhale mphaka ali kunyumba, musayerekeze kupita kulikonse, izi ndizolakwika), kuphunzitsidwa koyenera kuzizira kumatha kuchepetsa chiopsezo chotenga chimfine komanso kupuma. matenda.Koma nthawi yomweyo, ziyenera kudziwidwa kuti masewera olimbitsa thupi ozizira sangathe kuchitidwa mwakhungu.Sikuti wodwala aliyense yemwe ali ndi COPD ndi woyenera kwa odwala omwe angachite komanso momwe angachitire.Funsani dokotala pazochitika zinazake.
3. Zochita zolimbitsa thupi zoyenera ziyeneranso kuchitika.
Malingana ndi mphamvu za thupi la wodwalayo, mukhoza kutenga nawo mbali pazochitika zina zoyenera zolimbitsa thupi.Mwachitsanzo, kuthamanga, monga imodzi mwazochita zolimbitsa thupi zoyendetsedwa bwino, kumatha kuwonjezera mphamvu zamapapo ndi kupirira, kukhalabe ndi kupuma ngakhale pothamanga, komanso kulola mpweya wokwanira kulowa m'thupi.Tai Chi, azaka zapakati ndi achikulire aerobics, kuyenda, ndi zina zotero zimatha kupititsa patsogolo thanzi la thupi, ndipo odwala omwe akhala akuchita masewera olimbitsa thupi kwa zaka zambiri amatha kukhala ndi thanzi labwino kusiyana ndi omwe amapumula kwambiri ndikusuntha pang'ono.Inde, tiyeneranso kulabadira kupeŵa ntchito yoposa mphamvu yathu yochepetsera katundu pamtima ndi m’mapapo.
Ntchito yosavuta yokonzanso mapapu.
Zochita zina zobwezeretsa mapapu ndizosavuta komanso zotsika mtengo.Mwachitsanzo, njira ziwiri zotsatirazi zomwe zimagwiritsidwa ntchito kwambiri:
① Kupumira kwa milomo, komwe kumatha kuwongolera zizindikiro za dyspnea mwa odwala ambiri, motero kumaphatikizidwa m'mapulogalamu ambiri okonzanso mapapu.Njira zenizeni: Tsekani pakamwa panu ndikulowetsa m'mphuno, ndiyeno kudzera m'milomo, tulutsani pang'onopang'ono mkamwa ngati mluzu kwa masekondi 4 ~ 6.Mlingo wa kuchepa kwa milomo kumatha kusinthidwa nokha mukatulutsa mpweya, osati wokulirapo kapena wocheperako.
② Kupuma kwa m'mimba, njirayi imatha kuchepetsa kusuntha kwa chifuwa, kupititsa patsogolo kayendedwe ka m'mimba, kupititsa patsogolo kagayidwe ka mpweya wabwino komanso kuchepetsa kupuma kwamphamvu.Kupumira kwa m'mimba kumachitidwa pakunama, kukhala, ndi kuyimirira, ndi njira ya "kuyamwa ndi kupukuta", ndi dzanja limodzi pachifuwa ndi dzanja limodzi pamimba, mimba imachotsedwa momwe zingathere, ndipo mimba imakwezedwa motsutsana. kupanikizika kwa dzanja pokoka Nthawi yotulutsa mpweya ndi nthawi 1 mpaka 2 kuposa nthawi yopuma.
Thandizo la okosijeni wakunyumba komanso chithandizo chosasokoneza mpweya
Kwa odwala omwe ali ndi COPD ndi kulephera kupuma kwapang'onopang'ono, chidziwitso cha matendawa chiyenera kukwezedwa ngakhale panthawi yokhazikika.Ngati mkhalidwe wa zachuma ulola, ndizotheka kugula ma jenereta a okosijeni ndi ma ventilator osawononga operekera mpweya wapanyumba ndi mpweya wosavutikira malinga ndi momwe zilili.Oyenera okosijeni mankhwala akhoza kusintha thupi hypoxia (amafunika kunyumba okosijeni mankhwala tsiku ndi tsiku otaya mpweya mpweya mpweya nthawi yoposa 10-15 maola), kuchepetsa zochitika kapena kupita patsogolo kwa mavuto monga m`mapapo mwanga matenda.Nonvasive ventilatormankhwala akhoza kumasuka kupuma minofu ya kutopa aakulu, kusintha kupuma ntchito, kuwombola mpweya, ndi zizindikiro magazi mpweya.Mpweya wabwino wausiku ungathenso kuwongolera mkhalidwe wa hypoventilation yausiku, kuwongolera kugona, ndipo pamapeto pake kumapangitsa kuti pakhale moyo wabwino komanso wamoyo wakusinthana kwa gasi masana, ndikuchepetsa kuchuluka kwa kuchulukirachulukira.Izi sizingathandize odwala kuvutika pang'ono, komanso kuchepetsa ndalama zachipatala.
Nthawi yotumiza: Jul-13-2020