Kukonzekera Kwazitsulo kwa Anthu Amene Ali ndi Khansa Yam'mimba

Mankhwala Otha Kupuma Angathandize Odwala Ena Odwala Matenda Okhaokha

Zosamvetsetseka kuti kubwezeretsedwa ndi mbali ya njira yothetsera matenda ambiri, komabe kukonzanso kwapang'onopang'ono kwa anthu omwe ali ndi kansa ya m'mapapo silimaperekedwa kawirikawiri. Chifukwa chake sikutaya mphamvu-rehab kungapange kusiyana kwakukulu kwa anthu ena omwe ali ndi khansara yamapapo. Tilibe chidziwitso chochuluka pa gawo lake ndi khansa ya m'mapapu, koma kukonzanso mapulitsi kwa anthu omwe ali ndi COPD posachedwapa amadziwika kuti ndi gawo lofunikira pa dongosolo la mankhwala a COPD.

Kodi ndi liti pamene chithandizo chamapiritsi chingawathandize, ndipo muyenera kudziwa chiyani mukayankhula ndi dokotala wanu?

Kodi Kukonzekera kwa Pulmonary ndi chiyani?

Kukonzekera kwa kayendetsedwe ka mankhwala ndi njira yothandizira kukonzanso umoyo wa moyo umene umagwiritsa ntchito luso lazambiri zapadera. Zina mwazi ndi odwala opuma opaleshoni, odwala matupi, opaleshoni, ogwira ntchito zamaganizo, akatswiri a maganizo, ochita masewera olimbitsa thupi, ndi zina zambiri. Ngakhale kuti "kupuma mosavuta" kungakhale cholinga chimodzi chokhazikika, timadziwa kuti zinthu zambiri zimagwirira ntchito pamodzi kuti zithetse kapena kuthetsa khalidwe la moyo mwa anthu omwe ali ndi khansa.

Kukonzekera kwazitsulo ndi kosiyana ndi chifuwa cha thupi (chomwe chimatchedwa chifuwa physiotherapy). Chifuwa cha mankhwala chimaphatikizapo njira zomwe zimagwiritsidwa ntchito pochotsa ntchentche m'mapapo.

Zomwe Zimachitika Panthawi ya Kukonzekera Kwachimuna

Pali zigawo zikuluzikulu zamapangidwe a pulmonary. Chofunika kwambiri cha mankhwalawa ndi maphunziro. Izi zingaphatikizepo zambiri zokhudza khansara, chidziwitso cha zakudya, njira zopuma, komanso njira zothetsera vuto la matenda a khansa.

Maphunziro omwe ali ndi katswiri wamakono otha kuyimitsa pulmonary angaphatikizepo:

• Mayeso oyenda. Asanayambe rehab, wodwala nthawi zambiri amayang'ana mayeso anu oyendera mapapu . Akhoza kuchita chinthu china choyesa kuyenda pamphindi 6 kuti ayang'ane mtunda womwe ungayende pamtunda kwa mphindi zisanu ndi chimodzi.

• Malangizo mu njira zopuma. Mwachitsanzo, njira yotchedwa diaphragmatic kupumitsa khungu ndi kuchepetsa kutopa, ndi kupuma mpweya kuti zithandize kuchepetsa kupuma kwa mpweya.
• Kugwiritsa ntchito mphamvu zamagetsi. Izi zingaphatikizepo njira zowonjezereka ndi kupuma pang'ono. Mwachitsanzo, mungaphunzitsidwe za malangizo omwe mungapewe kupewa kupuma pang'ono pamene mukudya .
• Malangizo pogwiritsa ntchito mankhwala othandiza kupuma.
• Zochita masewera olimbitsa thupi monga kuyenda pa treadmill kapena kugwiritsa ntchito njinga yochita masewera olimbitsa thupi kuti mupirire chipiriro ndikuwonjezera mphamvu zamapapu .
• Kulemera kwa thupi kuti mupangitse mphamvu pakupuma minofu.
• Phunzitsani minofu yopuma kupatsira kupuma.
• Njira zotsegula ndi njira zothetsera mavuto.
• Malangizo othandizira.
• Thandizo la maganizo kumakuthandizani kumvetsetsa momwe maganizo ndi nkhawa zimakhudzira kupuma kwanu.

Mmene Zimathandizira Anthu Amene Ali Ndi Khansa Yam'mimba

Ngakhale kuti sizinaphunzire monga khansara ya m'mapapo monga momwe zilili ndi COPD, kafukufuku apeza kuti kukonzanso mapulaneti (nthawi yoyenera komanso panthawi yoyenera)

• Kuwonjezera luso lochita masewera olimbitsa thupi ndikuchita zochitika tsiku ndi tsiku.
• Zovuta zochepa za opaleshoni ya khansa yamapapo (onani m'munsimu).

• Tsambitsani ntchito yamapulmonary.
• Kukulitsa umoyo wa moyo.
• Kupuma pang'ono kochepa.
• Limbikitsani mphamvu zochepa.
• Kupititsa patsogolo chithandizo chamankhwala chomwe chilipo. Si zachilendo kuti anthu omwe ali ndi khansa ya m'mapapo akhalenso ndi emphysema komanso bronchitis. Kafukufuku apeza kuti mwa anthu awa, mapangidwe a pulmonary amatha kupuma pang'ono, kuchita bwino masewera olimbitsa thupi, komanso umoyo wabwino wokhudzana ndi thanzi.

Kukonzekera Kwazitsulo Pasanachitike Opaleshoni Yopewera Lung

Kafukufuku wayamba kuyang'ana pa ntchito yowonongeka kwa mapulitsire pa zotsatira za opaleshoni. Kupenda kafukufuku wa 2017 mpaka lero, komabe, kumasonyeza kuti mankhwala opanga mapapata asanachitike opaleshoni ya khansa yamapapu ingathandize m'njira zingapo.

Zimene tikuphunzira pano ndikuti rehab akhoza:

• Pewani mavuto pambuyo pa opaleshoni. Zovuta za opaleshoni ya khansa yamapapo ndizofala ndipo zingaphatikizepo kudalira kwambiri kwa mpweya wabwino, matenda, kutuluka kwa magazi, mavuto a mtima, kuvula magazi, matenda a ululu wa thoracotomy, ndi zina zambiri.
• Kupititsa patsogolo kupuma kotero kuti opaleshoni ya khansa ya m'mapapo yowonongeka ikhoza kuchitidwa.
• Mwinamwake kusintha zotsatira pambuyo pa opaleshoni ya khansa ya m'mapapo.
• Kafukufuku wochepa chabe anapeza kuti anthu omwe anali ndi rehab asanayambe opaleshoni anali ndi nthawi yayitali yachipatala, kuchepetsa matenda (kutanthauza matenda) pafupi ndi nthawi ya opaleshoni, ndipo anali ndi nthawi yayitali yofuna chifuwa chofufuzira pambuyo pa opaleshoni.

Pomwe Kukonzekera Kwazomwe Kuyenera Kuyamba Kuyamba

Katswiri wanu wa opaleshoni, dokotala wa opaleshoni, kapena wa pulmonologist adzafunika kugwira ntchito ndi inu kuti adziwe nthawi yabwino yowonzanso mapulaneti. Kafukufuku wina anapeza kuti posakhalitsa pambuyo pa thoracotomy inachititsa kuti ululu uwonjezeke, ndipo analonjeza kuti zingakhale bwino kuyembekezera 3 kapena 4 miyezi pambuyo pa opaleshoni yapamtima kuti ayambe kubwezeretsa.

Nanga Bwanji Anthu Amene Ali ndi Khansa Yopanda Matumbo?

Ngakhale anthu omwe ali ndi khansara yamapapu apamwamba angathe kupindula ndi mpweya wabwino. Kuonjezera apo, anthu ambiri omwe ali ndi siteji yachinayi sachitidwa opaleshoni ndipo amatha kuyamba pulogalamu yowonongeka popanda kuyembekezera zochitika za opaleshoni kuchiritsa.

Momwe Mungayambire

Malo abwino kwambiri oti muyambe ndi kulankhula ndi madokotala anu a khansa yamapapu kuti mudziwe za mapulitsikidwe akonzedwe ka pulmonary m'dera lanu. Ambiri mwa malo akuluakulu a khansa amapereka chithandizo chimenechi kwa odwala komanso odwala matenda opatsirana pogonana. Ngati madokotala anu sakudziwa mapulogalamu, mukhoza kuwona:

• Ku California, California Society for Pulmonary Rehabilitation ili ndi mndandanda womwe mungathe kufufuza otsogolera.
• Ku Canada, bungwe la Canadian Lung Association lili ndi mndandanda wa mapulogalamu a mapulaneti.
• Ku UK, mukhoza kuyang'ana ndi British Lung Foundation yokhudzana ndi magwero a rehab.

Ngozi

Ngozi zomwe zimagwirizanitsidwa ndi kukonzanso mapulitsi ndizoopsa zomwe zimakhala ndi pulogalamu iliyonse yochita masewera olimbitsa thupi. Ngati wina ali ndi matenda a mtima osasinthasintha, kuchita masewera olimbitsa thupi kungawononge chiopsezo cha mtima wamantha kapena matenda a mtima. Kwa anthu omwe ali ndi matenda otupa mitsempha, chiopsezo cha kuvulaza mafupa chiyenera kuganiziridwa. Ichi ndifunikanso kulingalira ngati muli ndi metastases. Kwa omwe amagwiritsa ntchito chemotherapy, chiopsezo chotenga kachilombo mukakambirana ndi ena chiyenera kuganiziridwa. Kwa anthu amene achitidwa opaleshoni, ndibwino kuti malo opaleshoni apulumuke kuti asatenge chiopsezo chotsegula opaleshoni.

Kodi inshuwalansi imapereka chithandizochi?

Ndikofunika kufufuza ndi wothandizira inshuwalansi kuti muwone zomwe zidzachitike ndi dongosolo lanu. Ngati mankhwala sakuphimbidwa, mungafune kulingalira kulowa m'gulu la mayesero omwe akuphunzira kupindula kwa anthu omwe ali ndi khansara yamapapu. Ngati simukudziwa kumene mungayambire, pali Lung Cancer Clinical Trial Matching Service yomwe imapereka thandizo laulere pofufuza mayesero a chipatala omwe alipo padziko lonse lapansi.

Chifukwa Chimene Inu Simungamvepo za Rehab Yoyendetsa Madzi

Chimodzi mwa chifukwa chake ndi kusowa kuzindikira za misonkhanoyi ngakhale madokotala. Kafukufuku watchulidwanso mndandanda wautali wowerengera monga chifukwa chimodzi. Chifukwa chachikulu ndi chakuti phindu la kukonzanso anthu omwe ali ndi kansa ya m'mapapo yangoyamba kuphunziridwa monga momwe ziliri ndi zina monga COPD.

Mfundo Yofunika Kwambiri pa Kukonzekera kwa Anthu Omwe Amakhala ndi Khansa Yam'mimba

Ndimadokotala ambiri tikuphunzira kuti kukonzanso kungapangitse kusiyana kwakukulu kwa moyo. Kwa iwo amene ali ndi vuto la mtima, kupweteka, kapena kupsinjika kwa chiuno, zakhala pafupifupi nthawi zonse. Koma ife tikungoyamba kuphunzira za zopindulitsa zotheka kwa anthu omwe ali ndi khansa ya m'mapapo. Akachitidwa opaleshoni yamapapo, zikuwoneka kuti kukonzanso mapulitsi kungachepetse mavuto ena omwe amapezeka. Ngakhale iwo amene apita ku khansa yamapapu apita kuti apindule. Ngati simunaperekedwe kwa rehab, kambiranani ndi madokotala anu. Mwina mungafunikire kukhala mlembi wanu ndikuwonekeratu zomwe zingatheke panthawi ino, ngakhale kuti nthawi zina mutha kukhala ndi chizoloŵezi chokhazikika m'tsogolomu.

> Zotsatira:

> Cavalheri, V., ndi C. Granger. Maphunziro Ogwira Ntchito Zochita Zochita Zolimbitsa Thupi kwa Odwala ndi Khansa Yopanda Kulimbana ndi Cell. Dongosolo la Cochrane la Zosintha Zogwirizana . 2017. 6: CD010202.

> Glattki, G. et al. Kukonzekera kwa anthu odwala khansa m'magazi omwe sali ang'onoting'onoting'ono a kansalu akatha. American Journal of Clinical Oncology . 2012. 35 (2): 120-5.

> Morano, M. et al. Preoperative pulmonary rehabilitation mogwirizana ndi chifuwa chenicheni chenicheni kwa odwala akudwala khansa resection: woyesedwa woyendetsa mayesero. Archives of Physical Medicine ndi Kukonzanso . 2013. 94 (1): 53-8.

> Rivas-Perez, J., ndi P. Nana-Sinkam. Kugwirizanitsa kukonzanso mapulitsi kumayendedwe a mitundu yambiri ya khansa ya m'mapapo: ndemanga. Mankhwala Opuma . 2015. 109 (4): 437-42.

> Schmidt-Hansen, M., Page, R., ndi E. Hasler. Zotsatira za kutha kwa kusuta fodya kapena kusamalidwa bwino kwapoponomu pamapeto pa zotsatira za opaleshoni ya khansa ya m'mapapo: kuwonetsetsa mwachidwi. Khansara Yam'mimba Yamakono . 2013. 14 (2): 96-102.

> Shannon, V. Udindo wa kukonzanso mitsempha m'mayendedwe a odwala khansa ya m'mapapo. Malingaliro enieni mu Pulmonary Medicine . 2010. 16 (4): 334-9.

> Stiqt, J. et al. Chiyeso chosagwiritsidwa ntchito mosasinthika cha kusintha kwa postthoracotomy pulmonary rehabilitation kwa odwala omwe ali ndi kansa ya m'mapapo yokwanira. Journal of Thoracic Oncology . 2013. 8 (2): 214-21.