Ukulindela Ukuphila Kwe-COPD

Uma unayo COPD (isifo samaphaphu esingamahlalakhona) ngokwakho noma uma unakekela othile onakekelayo, mhlawumbe ukhathazekile ngeminyaka yokuphila.

I-COPD yisifo samaphaphu esingamahlalakhona esiba sibi kakhulu ngokuhamba kwesikhathi. Ngeshwa, alikho ikhambi le-COPD. Nokho, kukhona izindlela zokwelapha ezingasiza ekunciphiseni isivinini lapho izimpawu ziba zimbi kakhulu. Ngakho, lezi zindlela zokwelapha zingathuthukisa izinga lempilo yeziguli. Njengezinye izifo, ochwepheshe basebenzisa izindlela ezahlukene ukubikezela ukuthi ungaphila isikhathi esingakanani ne-COPD.

Izandla ezibambe amaphaphu angokomfanekiso

Isikhathi sokuphila se-COPD sinqunywa kanjani?

Ubude besikhathi sokuphila kweziguli ezine-COPD siyehluka kakhulu ngoba kunezici eziningi ezihlukene ezihilelekile. Isibonelo, ezinye izici zingezakho izimpawu, iminyaka yakho, impilo yakho, nokuthi usezingeni elinjani ohlelweni lweGOLIDE. Esinye isici esibalulekile ukuthi uye wabhema yini phakathi nokuphila kwakho, futhi uma kunjalo, isikhathi eside kangakanani.

Ukuze kuhlolwe ubukhali be-COPD, odokotela basebenzisa uhlelo lwe-Global Initiative on Obstructive Lung Disease (GOLD). Ngokukhethekile, le sistimu isebenzisa ukuhlolwa kwevolumu ephoqelekile yokuphelelwa umoya (FEV1) ukuze ubone ukuthi ungakanani umoya ongawuphefumula ngomzuzwana owodwa ngemva kokuvuthela ku-spirometer.

Ngokohlelo lweGOLIDE, zikhona izigaba ezine zeCOPD:

  1. I-COPD encane = IGOLIDE 1 (Ingaphezulu noma elilingana no-80% FEV1)
  2. I-COPD emaphakathi = IGOLIDE 2 (50-80% FEV1)
  3. I-COPD enzima = IGOLIDE 3 (20-50% FEV1)
  4. I-COPD enzima kakhulu = IGOLIDE 4 (Ngaphansi kuka-30% FEV1)

Ngaphezu kwalokho, uhlelo lweGOLIDE luphinde lucubungule ezinye izici ezifana nezinkinga zakho ezithile zokuphefumula kanye nenani lokuvutha ovame ukuba nakho. Ekugcineni, lapho isikolo sakho siphezulu esikalini ESIGOLIDE, iminyaka yakho yokuphila ye-COPD cishe izoba phansi.

Siyini isilinganiso seCOPD BODE?

Esinye isikali esivame ukusetshenziswa sihlanganiswe neGOLD isikali se-BODE. I-BODE imele inkomba yesisindo somzimba, ukuvinjelwa kokugeleza komoya, i-dyspnea (ukuphelelwa umoya), namandla okuzivocavoca. Ngokuqondile, lesi sikali sibheka ukuthi i-COPD yakho iyithinta kanjani impilo yakho nokuthi uthola kanjani amaphuzu ezicini ezahlukahlukene, okuhlanganisa:

  • I-BMI (inkomba yomzimba) - njengoba ukuba ne-COPD kungadala izinkinga ngokuphathwa kwesisindo
  • Izinga lobunzima bokuphefumula - lokhu kukhombisa ukuthi unenkinga engakanani ngokuphefumula kwakho
  • Ukuzivocavoca umzimba - isilinganiso sokuthi uyakwazi ukuhamba ibanga elingakanani ngemizuzu eyisithupha, okukhombisa ukuthi ungalawula kangakanani umzimba
  • Ukuvinjwa kokugeleza komoya - isikali se-BODE siphinde sicabangele imiphumela evela ku-FEV1 nokunye ukuhlola ukusebenza kwamaphaphu ukuze kuhlolwe ukuthi kungakanani ukugeleza komoya wakho okuvinjwe.

Uma zonke izici sezicatshangelwe, ugcina unamaphuzu e-BODE aphakathi kuka-0 no-10. Abantu abathola amaphuzu angu-10 banezimpawu ezimbi kakhulu futhi kungenzeka babe nesikhathi esifushane sokuphila.

Ngisho noma amathuluzi okuhlola e-COPD ewusizo futhi angasiza ekuboniseni isikhathi esingase sibe khona sokuphila, kubalulekile ukukhumbula ukuthi ayisilinganiso kuphela.

Ingabe i-COPD ibhekwa njengokugula okungapheli?

I-COPD ayisona isifo esingelapheki kodwa isifo esingalapheki esiba sibi nakakhulu ngokuhamba kwesikhathi. Nakuba lingekho ikhambi le-COPD, ukugula kungaba yimpumelelo ephethwe ikakhulukazi uma ibonwa kusenesikhathi.

Ucwaningo luye lwabonisa ukuthi izinga lokuncipha komsebenzi wamaphaphu ezigulini ezine-COPD lingancishiswa uma a ukuxilongwa kwenziwa ezigabeni zokuqala zesifo futhi uma ukwelashwa kuqala ngaphandle kokulibala. Ngaphezu kwalokho, izinguquko zendlela yokuphila zinganciphisa isivinini lapho izimpawu ze-COPD ziba zimbi kakhulu. Isibonelo, ucwaningo olulodwa lwathola ukuthi ukuyeka ukubhema ngemva kokuxilongwa kwe-COPD kubambezele ukukhula kwesifo. Nakuba lokhu kwakunjalo kuzo zonke izigaba ze-COPD, izenzo zangaphambili zibe nomthelela omkhulu kakhulu.

Ungaphila iminyaka eyi-10 noma engama-20 nge-COPD?

Ubude obuqondile besikhathi ongaphila ne-COPD buncike eminyakeni yakho, impilo, kanye nezimpawu. Ikakhulukazi uma i-COPD yakho itholwe kusenesikhathi, uma une-COPD yesigaba esincane, futhi isifo sakho silawulwa kahle futhi silawulwa, ungase ukwazi ukuphila iminyaka engu-10 noma engu-20 ngemva kokuxilongwa. Isibonelo, ucwaningo olulodwa lwathola ukuthi abantu abatholakala bene-COPD yesigaba esithambile, noma isigaba 1 SEGOLD, babengenaso isikhathi sokuphila esifushane kunabantu abanempilo.

Lokhu kunjalo ikakhulukazi uma ungabhemi: Olunye ucwaningo luthole ukuthi iminyaka yokuphila ne-COPD yehliswa kakhulu kwababhemayo bakudala nabamanje.

Abantu abane-COPD yesigaba esinzima, balahlekelwa cishe iminyaka eyisishiyagalombili kuya kweyisishiyagalolunye yokuphila ngokwesilinganiso .

Ugwayi usike izingxenye ezimbili

Yini engasiza ukuthuthukisa isikhathi sokuphila se-COPD?

Ukuyeka ukubhema kungaba nomthelela omuhle esikhathini osiphila kuso uma uyabhema futhi une-COPD. Ngokwesibonelo, ucwaningo oluningi lusikisela ukuthi ababhemayo abane-GOLD isigaba 1 noma 2 (i-COPD emnene futhi elinganiselayo) balahlekelwa iminyaka embalwa yokuphila lapho beneminyaka engu-65. Ngaphezu kwalokho, kuboniswe ngocwaningo ukuthi abantu abanezigaba 3 noma 4 (i-COPD) inzima futhi inzima kakhulu) I-COPD ilahlekelwa kusukela eminyakeni eyisithupha kuya kweyisishiyagalolunye yeminyaka yokuphila ngenxa yokubhema. Ngokuphawulekayo, lokhu kulahlekelwa kweminyaka yokuphila kungaphezu kweminyaka emine yokuphila elahlekelwa yinoma ubani obhemayo.

Uma ungakaze ubheme, ungazisiza ngokwenza isiqiniseko sokuthi izimpawu zakho zilawuleka kahle nokuthi uhlale uhlolwa. Isibonelo, ukuhlolwa kwegazi okujwayelekile kungasiza ekulawuleni ukuvuvukala futhi kungasiza ukuxazulula izinkinga ezingase zibe zimbi ngaphambi kokuba zibe zimbi kakhulu.

Izinguquko zokuphila ezilula njengokunciphisa umzimba, ukudla okunempilo, kanye ukuzivocavoca umzimba ngokuphepha, lapho kungenzeka, kungakusiza futhi ukuba ugcine impilo enhle.

Nge-COPD enzima, zokwelapha njengokwelashwa komoya-mpilo, ukuhlinzwa kokuncishiswa kwevolumu yamaphaphu nokufakelwa kwamaphaphu nakho kungasiza ekwandiseni isikhathi sokuphila.

Zifa kanjani iziguli eziningi ze-COPD?

Nge-COPD, isimo nempilo yawo wonke umuntu kumuntu ngamunye futhi kuhlukile futhi ayikho indlela eyodwa yokusho ukuthi iziguli zingafa kanjani. Kodwa-ke, ucwaningo oluthile luye lwathola ukuthi kubantu abane-COPD emnene, izimbangela zokufa ngokuvamile ziyizifo zenhliziyo.

Ngokuphambene, ezimweni ezinzima ze-COPD, ucwaningo luye lwabonisa ukuthi izimbangela ezinkulu zokufa zihlanganisa ukuhluleka kwenhliziyo, ukwehluleka ukuphefumula, ukutheleleka kwamaphaphu, i-lung embolism, i-arrhythmia yenhliziyo, nomdlavuza wamaphaphu.

Nakuba kukuhle ukuhlala unethemba futhi ungagxili ekufeni, uma isimo sakho siba sibi kakhulu futhi siba sibi kakhulu, kungenzeka ukuthi udokotela wakho noma umhlengikazi wakho azokhuluma ngokunakekelwa kwe-palliative kanye nokuphela kokuphila. Ngaphezu kwalokho, ukuxoxa ngesimo sakho nodokotela womkhaya wakho kungakusiza wenze izinqumo futhi unakekele izidingo zakho ezingokwenyama, ezingokomzwelo, zezenhlalo nezingokomoya. Njengoba ukunakekelwa kwe-palliative kugxile esigulini nasemndenini, kungasiza ekuvimbeleni futhi kudambise ukuhlupheka.

Kwa-GAAPP, sifuna ukunika iziguli amandla ngoba wonke umuntu ufanelwe ukuphila ngokukhululeka ngaphandle kokuthi izimpawu zabo ziphazamise izimpilo zabo. Thola okwengeziwe mayelana Nomqulu wethu Weziguli lapha.

izandla ezindala ezithintayo

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