Kusunga Zinthu Zowonongeka
Cystic fibrosis ndi matenda omwe palibe mankhwala omwe amadziwika. Zolinga za chithandizo ndi kuchepetsa zizindikiro, kuchepetsa kukula kwa matendawa, kuchepetsa mavuto, ndi kuwonjezera umoyo wa wodwala wa CF.
Gulu la Njira
Kafukufuku wasonyeza kuti zotsatira ziri bwino pamene odwala a cystic fibrosis amalandira chithandizo ndi gulu la akatswiri ophunzitsidwa bwino pa imodzi mwa malo 115 ovomerezeka a CF ku United States.
Amembala a timu ya CF nthawi zambiri ndi awa:
- Madokotala
- Anamwino
- Nutritionists
- Antchito Achikhalidwe
- Olemba Mankhwala
- Odwala Opaleshoni
- Akatswiri a zamaganizo
- Amishonale
Mankhwala
Anthu omwe ali ndi cystic fibrosis ayenera kumwa mankhwala kwa moyo wawo wonse. Zina mwa mankhwala omwe anthu wamba ndi awa:
Mankhwala opha majeremusi: Kutengedwa kuti athetse kapena kuchiza matenda. Nthawi zina maantibayotiki amatengedwa pakamwa, ndipo nthawi zina amakhala madzi omwe amawotcha madzi ndi kuwasakaniza pogwiritsa ntchito makina otchedwa nebulizer.
Anti-inflammatory: An anti-inflammatory ndi mankhwala omwe amachepetsa kukwiya ndi kutupa. Mankhwala osokoneza bongo angaperekedwe kwa odwala CF kuti achepetse kutupa m'mapapo ndi kupuma.
Steroids ndi mtundu umodzi wa mankhwala odana ndi kutupa, koma sagwiritsidwa ntchito nthawi zambiri mu mankhwala a CF chifukwa amatha kuyambitsa matenda a shuga ndi impso ndi mafupa. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga ibuprofen, amadziwika kwambiri mu mankhwala a CF.
Mapuloteni: Imodzi mwa mavuto omwe amachititsidwa ndi CF ndikuti mphulupulu zowonongeka zimateteza kuti asatuluke mavitamini omwe thupi liyenera kukumba. Ngati chakudya sichikudya, thupi silingakhoze kulandira zakudya zina. Anthu omwe ali ndi CF amafunika kumwa mapiritsi omwe ali ndi mavitamini oyenera pamaso pa chakudya.
Mucolytics: Mucolytics ndi mankhwala omwe amathandiza kuchepetsa ntchentche ndikupangitsa kuti chifuwa chikhale chosavuta. Nthawi zambiri amalembedwa kwa odwala a cystic fibrosis kuti awathandize kufotokozera njira zawo zowonongeka, zomwe zimayambitsa CF. Nthawi zina zimapangidwa ndi pakamwa ndipo nthawi zina zimakanizidwa pogwiritsa ntchito nebulizer.
Kusamutsidwa kwa Airway
Mbali yofunikira ya mankhwala a cystic fibrosis ndiyo kugwiritsa ntchito njira zosiyanasiyana kuti atulutse ndi kuchotsa ntchentche. Odwala a Cystic fibrosis ayenera kukhala ndi mankhwalawa kangapo patsiku. Thandizoli lidzaphatikizapo njira imodzi kapena ingapo:
Chifuwa Chithandizo Chamankhwala (CPT): Mankhwalawa amagwiritsira ntchito njira yotchedwa kukambirana yomwe imaphatikizapo kugwirana kwamasamba a manja pazinthu zoyenera pachifuwa. Ndi odwala atsopano omwe ali ndi matenda a CF, opaleshoni ya kupuma kapena namwino kawirikawiri amachita CPT koma makolo adzaphunzitsidwa momwe angachitire kuti athe kuchipatala kunyumba. Msonkhano wachigawo wa CPT umatha pafupifupi mphindi 30 ndipo uyenera kuchitidwa kasanu ndi kamodzi patsiku.
Kudzudzula: Njira ina yomwe nthawi zina imachitidwa pamodzi ndi kukambirana pa CPT ndikumveka. Izi zimachitidwanso ndi manja, koma monga dzina limatanthawuzira, kugwedeza kwagwedezeka kumagwiritsidwa ntchito m'malo moyendetsa.
Mtsinje wa Postural: Pa CPT, wodwalayo amaikidwa pamalo omwe amalola mphamvu yokoka kuthandizira kutsekemera kumatuluka m'mapapo. Izi zimadziwika ngati ngalande zam'madzi.
Chipangizo Chothandizira Pachilombo: Nthawi zina, m'malo mwa CPT, njira yothandizira komanso yowonetsera ndege idzagwiritsidwa ntchito. Chovalacho chimatulutsa ndi kutulutsa mwamsanga kuti amasule ntchentche mwa kuyendetsa bwino. Phindu logwiritsa ntchito chovalacho ndilo kuti wodwala angathe kuchiza popanda thandizo, ndipo magawo amatha mphindi 20 zokha.
Flutter Chipangizo: Chidziwitso chotchedwa valve valve, chipangizo chaching'ono chomwe chimagwiritsidwa ntchito ndi manja chikuwoneka mofanana ndi inhaler.
Wodwala amaika pakamwa pake pakamwa pake ndipo amawombera mwamphamvu. Chipangizocho chimagwiritsa ntchito mpweya wotulutsa mpweya kuti chigwedeze mfupa.
Zakudya
Anthu omwe ali ndi cystic fibrosis samadya zakudya zokwanira zomwe amadya, ndipo ntchito yopuma imawotcha mafuta owonjezera. Mayi awiriwa amachititsa kuti munthu asadye zakudya zowonongeka komanso kuti akule bwino. Pofuna kuthana ndi mavuto okhudzana ndi zakudya, odwala CF amafunika zopatsa 50% zambiri kuposa anthu ena a msinkhu wawo. Nutritionist imapanga zokhazokha zakudya zomwe zimagwirizana ndi zosowa za wodwala aliyense, koma kawirikawiri, anthu omwe ali ndi cystic fibrosis angathe kuyembekezera:
- Idyani zakudya zitatu ndi masabata atatu pa tsiku
- Idya zakudya zamapuloteni ndi mafuta
- Imwani zakudya zabwino kamodzi kapena kawiri patsiku
- Tengani mavitamini othandizira mavitamini, makamaka mavitamini A, D, E, ndi K, omwe samasungidwa bwino mwa anthu omwe ali ndi CF.
Kuchita masewera olimbitsa thupi
Zochita zathupi zimapindulitsa kwa kanthawi kochepa komanso kwa nthawi yaitali kwa anthu omwe ali ndi cystic fibrosis. Phindu lenileni ndiloti kuchita masewera olimbitsa thupi kumalimbikitsa mpweya kupyolera m'mapapu ndikuthandizira kumasula. Phindu lachitetezo cha nthawi yaitali ndilokuti limathandiza kuti thupi likhale ndi thanzi labwino komanso kupirira, zomwe zimapangitsa thupi kuti likhale lolimba polimbana ndi zotsatira za CF.
Kupaka Mapira
Pamene cystic fibrosis ikupita ndipo imayambitsa kuwonongeka kwa mapapo, mapuloteni amatha kukhala chithandizo kwa anthu omwe amakwaniritsa. Ngakhale kutsekemera kwa mapapo sikungatheke kwa aliyense, zatsimikizira kuti zimakhala bwino kwambiri kwa odwala ena a CF. Anthu opitirira 1600 omwe ali ndi cystic fibrosis alandira mapuloteni a mapapu, ndipo pafupifupi theka la iwo apulumuka kwa zaka zosachepera zisanu atalandira mapapu atsopano.
Zotsatira:
Bilton, D. (2008). Cystic fibrosis. Mankhwala. 36, 273 - 278.
Pitts, J., Flack, J., & Goodfellow, J. (2008). Kukulitsa zakudya m'thupi la cystic fibrosis. Journal of Health Care Care. 22, 137-140.