Mafunso Othandizani Kuti Muwawonetse
Chithandizo cha bronchitis chosatha ndi chizoloŵezi chokhala ndi chifuwa chomwe chimapezeka masiku ambiri a mweziwo, osachepera miyezi itatu pachaka, ndipo chimatenga zaka ziwiri. Izi zimatengedwa kuti zimatanthauzidwa ndi kutanthauza kuti dokotala wanu ayenera kuonetsetsa kuti zizindikiro zanu sizikuyambitsa matenda ena monga chifuwa cha mphumu. Zizindikiro zimayambitsidwa ndi kutupa ndi kukwiya kwa airways m'mapapo.
Kodi ndi COPD?
COPD kapena matenda osokoneza bongo amatha kugwiritsidwa ntchito pofotokoza munthu yemwe ali ndi matenda a bronchitis, emphysema, kapena osakaniza. Anthu awiri akhoza kukhala ndi COPD, koma munthu mmodzi akhoza kukhala ndi zizindikiro zomwe zimagwirizana ndi matenda a khate pomwe wina akhoza kukhala ndi zizindikiro zambiri za emphysema. Odwala Emphysema amavutika ndi kupuma pang'ono kusiyana ndi chifuwa chachikulu.
Zizindikiro zowonjezera za bronchitis osatha zingaphatikizepo:
- Kuwonjezeka kwa kupanga ntchentche
- Chifuwa chokhumudwitsa chimene chimakhala choipa kwambiri kuposa ine
- Kuwopsya ndege
- Kuchepetsa mpweya wa mpweya
- Kuphulika kwa mapapo
Zizindikiro nthawi zambiri zimapita patsogolo ndipo odwala angazindikire nthawi iliyonse ya chifuwa komanso kupanga mankhwala a ntchentche mutatha kutenga matenda a tizilombo kumatenga nthawi yaitali ndikupita nthawi yaitali kuti tipeze.
Ngati simukudziwa ngati muli ndi matenda a mphumu, kuyankha mafunso asanu otsatirawa kungakuthandizeni kuzindikira chifukwa chomwe chimayambira:
1. Kodi mudakhala ndi zizindikiro za matenda a chifuwa kapena mphumu ali mwana? Ngakhale kuti mphumu ikhoza kupezeka kwa odwala m'zaka makumi anayi, ambiri a asthmatics amapezeka kuti ali ana akadakali aang'ono kapena achinyamata. Ndipotu, kafukufuku amasonyeza kuti madokotala oyang'anira nthawi zambiri amawalemba okalamba omwe ali ndi mphumu pamene ali ndi COPD, emphysema kapena bronchitis.
Kaya izi zingatheke chifukwa cha chisokonezo chomwe chimayambitsa matenda okhudzana ndi fodya kapena chifukwa china sichidziwika.
2. N'chiyani chimapangitsa kuti zizindikiro zanga ziwonjezere? Zizindikiro za mphumu zowonjezereka ndi kuwonetseredwa ndi zokopa. Ngakhale zovuta zimachititsa kuti munthu azikhala wosiyana ndi munthu, kuwonjezereka kwa zizindikiro za mphumu pambuyo poyang'anitsitsa pazomwe zili m'munsizi zikutheka kuti akuwonetsa mphumu:
- Kusuta fodya
- Dander wanyama
- Mafumbi
- Mitsinje
- Mold
- Nyongolotsi
- Mvula yamkuntho
- Kuchita masewera olimbitsa thupi
- Kusokonezeka maganizo
- Mankhwala ena
Komabe, matenda a bronchitis amatha kusokonezedwa ndi zina mwa izi. Matenda opatsirana pogwiritsa ntchito mpweya amawopsa kwambiri.
3. Kodi ndimasuta tsopano kapena ndasuta kale? Ngakhale kuti matenda a mphuno ndi mphumu yambiri imakhala pamodzi, khate lachilendo limakhala lofala kwambiri kwa osuta fodya, omwe kale anali kusuta fodya komanso anthu omwe amavutika kwambiri ndi utsi wa fodya.
4. Kodi ndakhalapobe wopanda chizindikiro? Monga momwe akufotokozera kutanthauzira kwa matenda a bronchitis, matendawa amafunika zizindikiro nthawi zonse. Wodwala wodwala matenda a bronchitis nthawi zambiri amakhala ndi zizindikiro zowonjezereka ndipo sangayembekezere kukhala ndi nthawi yowonjezereka. Komabe, odwala a mphumu amavutika kwambiri ndi kutayirira komanso kuchepa kwa zizindikiro. Chofunika kwambiri, asthmatics ikhoza kukhala ndi nthawi yayitali yokwanira malinga ndi kulamulira kwa mphumu .
5. Kodi mapapu anga amagwira ntchito yobwereranso pakati pa zovuta? Mu mphumu zonse ndi matenda a bronchitis, dokotala wanu adzayesa mapiritsimayimayeso monga spirometry ndi FEV1 . Pamene mphumu ikuyendetsedwa bwino ndipo simukuona kuti mapapu anu akugwira ntchito adzakhala pafupi. Mapapo a mthupi la mchimwene wa bronchitis sangabwererenso kuchipatala.
> Zosowa
> Celli BR, MacNee W, ATS / ERS Task Force. Miyezo yowunikira ndi chithandizo cha odwala omwe ali ndi COPD: chidule cha pepala la malo a ATS / ERS. Eur Respir J. 2004; 23 (6): 932.
> National Heart, Lung, ndi Blood Institute. Report of Panel Panel 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kugonjetsa Kachilombo Anapezeka pa May 23, 2015.
> American Thoracic Society. Matenda Ovutitsa Matenda (COPD). Idapezeka pa May 24, 2015.
> Tinkelman DG, Price DB, Nordyke RJ, Halbert RJ. Kusokonezeka kwa matenda a COPD ndi mphumu pa chisamaliro chapakati odwala azaka 40 ndi kupitirira. J Nthenda. 2006 Jan-Feb; 43 (1): 75-80.
> Kuebler KK, PC Buchsel, Balkstra CR. Kusiyanitsa matenda osokoneza bongo omwe amabwera chifukwa cha mphumu. J Amaphunziro a Nurse Pract. 2008 Sep; 20 (9): 445-54.