Izimpawu ze-COPD

Isifo esingapheliyo se-pulmonary disease (COPD) yisimo esibi samaphaphu esibangela uhla lwezimpawu ezikhubazayo. COPD kubangela ukuthi izindlela zomoya zinciphise, zivuthe futhi zivinjwe, okuholele ebunzimeni ngokuphefumula. 

Lo mbhalo uzokusiza uqonde izimpawu ongase uhlupheke ngazo nge-COPD, kanye nokusiza ekuboneni izimpawu ezingaba khona ezihlobene nesifo futhi zisize ngokuxilongwa. Yize lungekho ikhambi eliphelele le-COPD, ukuxilongwa kusenesikhathi kubalulekile, njengoba ukwelashwa kusenesikhathi kungasiza ekuvimbeleni izimpawu ukuthi zingabi zimbi.

Izimpawu eziyinhloko ze-COPD

Izibalo ziphakamisa ukuthi i-COPD ithinta abantu abangafika ezigidini ezingama-251 emhlabeni jikelele, okwenza ukuphefumula kube kubi kakhulu. Izimpawu ezisemqoka zesifo samaphaphu esingamahlalakhona ezingelapheki zingavela ngaso sonke isikhathi, noma zingaqhamuka ezindaweni ezithile, ngokwesibonelo lapho usabela esimweni sezulu esibandayo, uma uphethwe yisifo noma ngenxa yokuchayeka ezintweni ezicasulayo, ezifana njengentuthu noma intuthu. Ngakho-ke ababhemayo bangaba sengozini enkulu zokuthuthukisa izimpawu ze-COPD.

Izimpawu eziyinhloko ze-COPD yilezi: 

  • Ukuphefumula, ikakhulukazi lapho wenza imisebenzi (kusuka emsebenzini wasendlini kuya ekuhambeni)
  • Ukutheleleka njalo kwesifuba, ikakhulukazi ebusika 
  • Ukushisa
  • Ukukhwehlela okuqhubekayo kwesifuba okungeke kucace
  • Ukukhwehlela isikhwehlela.

Lezi zinkinga zingaba nezimpawu zezinye izimo, ngakho-ke akusho ukuthi une-COPD. Kodwa-ke, akukaze kube yinto ejwayelekile ukuba nezimpawu ezinjalo, ngakho-ke, uma uthintwa noma iyiphi yazo, bheka udokotela womndeni wakho ukuxoxa ngakho. Bazokwazi ukukudlulisela kwezinye izivivinyo noma benze ukuxilongwa. 

Ezinye izimpawu ze-COPD

Kungenzeka futhi ukuzwa ezinye izimpawu nge-COPD, ikakhulukazi uma lesi sifo siba nzima kakhulu, noma unezinye izinkinga zezempilo, noma ama-comorbidities, futhi. 

Ezinye izibonelo zezinye izimpawu ezingavamile kakhulu zifaka:

  • Ukukhathala nokuntuleka kwamandla 
  • Ukwandisa ukuphefumula nganoma yimuphi umsebenzi
  • Amaqakala, imilenze nezinyawo ezivuvukile, okubangelwa ukwakheka koketshezi (lokhu kwaziwa njenge-edema)
  • Ukwehlisa isisindo ungahlosile 
  • Ukuzwa ubuhlungu besifuba
  • Ukukhwehlela igazi - yize lokhu kungaba uphawu lokunye, ngakho-ke ukuhlolwa okuningi kungadingeka ukukhipha ezinye izimo. 

Uma une-COPD futhi izimpawu zakho ziba zimbi, noma ungaqiniseki uma okuthile kuxhunyaniswe ne-COPD noma cha, bheka udokotela ukuze uthole iseluleko.

Yiziphi izimpawu zokuqala zokuxwayisa ze-COPD?

I-COPD ikhula kancane eminyakeni eminingi, ngakho-ke akuyona into engavamile ukungazi ukuthi unayo. Ungacabanga ukuthi ukuphelelwa umoya kumane nje kungenxa yokukhula noma ukungafaneleki, kanti empeleni imbangela kungaba yi-COPD. Izimpawu nezimpawu zivame ukubonakala uma usukhulile, iningi labantu litholwa lapho liseneminyaka engama-50.  

Kunezigaba ezine ze-COPD

  • Imnene - lapho ukuphuma kwakho komoya kukhawulelwe kancane, kepha ungahle ungazi ukuthi une-COPD
  • Maphakathi nendawo - lapho uvame ukuzwa uphefumula kanzima lapho usebenza
  • Kunzima - lapho ukuphefumula okuncane nokuphefumula komoya kuba kubi kakhulu
  • Kubi kakhulu - lapho uzoba nokuphefumula ngokweqile nganoma ikuphi ukuzikhandla futhi impilo yakho ejwayelekile yansuku zonke iyathinteka. Lokhu kwesinye isikhathi kubizwa ngokuthi isigaba sokugcina seCOPD.

Iningi labantu lifuna izeluleko kudokotela lapho i-COPD yabo ifinyelela esigabeni esilinganisiwe, ngoba kulapho-ke bezokwazi khona ukuqaphela izimpawu zokuphefumula. Ngokufanelekile, noma kunjalo, uma usheshe uhlangabezana nezinguquko empilweni yakho, kungakuhle ukuthi ubone udokotela womndeni wakho ukuze noma yiziphi izimo eziyimbangela zitholakale futhi ziphathwe ngokushesha.

Ngingazihlola kanjani i-COPD?

Ukuphela kwendlela enokwethenjelwa yokuhlolwa kahle futhi utholwe une-COPD ukubona udokotela. Bazokwazi ukuhlelela ukuthi uhlolwe i-spirometry, uhlobo lokuhlola lokuphefumula olinganisa amandla akho wamaphaphu nokuthi ungaphefumula ngokushesha kangakanani. 

Kodwa-ke, kunendlela eyodwa elula ongazihlola ngayo ubone ukuthi amaphaphu akho angathinteka yini. Zama ukuzivocavoca okulandelayo:

  • Thatha umoya ophelele bese uwubamba umzuzwana owodwa
  • Qala isitophuwashi bese, uvule umlomo wakho, uqhume ngokushesha nangamandla ngangokunokwenzeka.

Ngokufanelekile kufanele ukwazi ukugcwalisa ngokugcwele amaphaphu akho omoya kumasekhondi amane kuya kwayisithupha. Uma kukuthatha isikhathi eside, lokhu kuyisibonakaliso sokuthi ukuhamba kwakho komoya kungavinjelwa noma kukhawulelwe. Lokhu kungahle kungabi ngenxa yeCOPD, kepha ungayilandela ngokubona udokotela ukuze ahlolwe i-spirometry lung.

Ngabe umuntu one-COPD angaba ngcono?

Ngokudabukisayo, umuntu one-COPD ngeke abe ngcono ngokuphelele, njengoba uma usunayo i-COPD umonakalo emaphashini akho awunakuguqulwa ngokuphelele. Kodwa-ke, kukhona izindlela zokwelashwa ezingasiza ukunciphisa izimpawu zakho nokulungiswa kwendlela yokuphila ongayenza ukuphatha izimpawu zakho ngokufanelekile. Lesi esinye sezizathu zokuthi kungani kubalulekile ukuthola ukuxilongwa kusenesikhathi, ngoba ngokushesha lapho wazi ukuthi i-COPD iyimbangela, izimpawu zakho zingalashwa ngokushesha. Ngokuxilongwa kokuqala kwe-COPD kanye nombuso wokwelashwa ofanele, ungagcina ikhwalithi enhle yokuphila iminyaka eminingi ezayo. 

 

SOURCES

I-American Lung Association - Funda Nge-COPD.

I-BMJ Best Practice - Izifo Eziphuthumayo Zokuvimbela Izifo (COPD)

I-British Lung Foundation - Izibalo ze-Chronic Obstructive Pulmonary Disease (COPD)

Isisekelo se-Emphysema - Ukuhlolwa kwesiguli: Ukuhlolwa kwakho njengesiguli se-COPD esingenzeka. 

UFrits ME Franssen, uCarolyn L. Rochester. Ama-comorbidities ezigulini ezine-COPD kanye nokuvuselelwa kwamaphaphu: ingabe zibalulekile? Ukubuyekezwa Kokuphefumula KweYurophu Mashi 2014, 23 (131) 131-141; INGOZI: 10.1183 / 09059180.00007613.

UMirza S, Clay RD, Koslow MA, Scanlon PD. Izinkombandlela ze-COPD: Ukubuyekezwa kombiko we-GOLD ka-2018. I-Mayo Clin Proc. 2018 Okthoba; 93 (10): 1488-1502. i-doi: 10.1016 / j.mayocp.2018.05.026. I-PMID: 30286833.

Incwadi ye-MSD. Izifo Ezingapheli Zokuvimbela Amaphaphu (COPD).

NHS - Izifo Eziphuthumayo Zokuvimbela Izifo (COPD). 

KUHLE. Isifo esingapheliyo sokuvimbela kwamaphaphu kubantu abadala

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