4 Zinthu Zomwe Zimatsimikizira Kufa ndi Kukhalitsa Misonkho
Kuyembekeza kwa moyo wa munthu amene ali ndi matenda osapatsirana ammimba ( COPD ) ndi mutu womwe anthu ambiri samafuna kuti akambirane. Koma ngati inu kapena wokondedwa wanu mwapezeka kuti muli ndi matendawa , ndiye kuti mwakhala mukukhala ndi nthawi yochuluka mukuganiza za izo.
Kumvetsetsa zotsatira za matenda ( matenda ) kungathe kuchititsa anthu kusintha kwambiri zomwe zingawathandize kukhala ndi moyo wathanzi komanso kuwathandiza kukhala moyo wautali.
Pamapeto pake, chiwerengero cha moyo wa anthu omwe ali ndi COPD ndi otero. Nthawi zambiri mumatha kupambana zomwe mukuyembekeza poyang'anira ndikukwaniritsa zinthu zomwe mungasinthe.
Mmene Mungayankhire Moyo Wotheka
Ngakhale kuti palibe malamulo ovuta komanso omveka omwe amalamulira kuti munthu angakhale ndi COPD nthawi yaitali bwanji, dongosolo lomwe limatchedwa Index Index la BODE lapangidwa ngati njira yolongosolera nthawi zowonjezera zogwirizana ndi zinthu zinayi zomwe zinalembedwa BODE:
- B ndi mchere wa thupi lanu (BMI).
- O ndi chivomezi cha kutuluka kwa mpweya monga momwe amayendera ndi kuchuluka kwa mpweya kuthamangitsidwa.
- D ndi chifukwa cha dyspnea (kupuma pang'ono),
- E ndi kulekerera zochita zolimbitsa thupi pogwiritsa ntchito mayeso a maola asanu ndi limodzi.
Malingana ndi mfundo izi, munthu adzalumikizidwa pa mlingo wa 0 mpaka 10, ndi machesi apansi ofanana ndi nthawi yochulukirapo komanso sukulu yapamwamba yofanana ndi nthawi yayitali yopulumuka. Ndi ziwerengero izi, wodwala akhoza kulingalira zomwe zotsatira zanu zidzakhale ndi kupereka njira zowonjezera pa kuika kwanu kwa BODE.
Chiwerengero cha BODE chikulingalira kuti mungathe kupulumuka kwa zaka zinayi malinga ndi magawo otsatirawa:
- Mapu 0 mpaka 2: 80 peresenti
- Mfundo 3 mpaka 4: 67 peresenti
- Mfundo 5 mpaka 6: 57 peresenti
- Mfundo 7 mpaka 10: 18 peresenti
Kuwononga Index BODE
Kuti mumvetse momwe izi zimathandizira kuti anthu azikhala ndi matenda a COPD, yang'anani payekha pazochitika za matenda:
- Thupi la misala ya thupi (BMI) ndi chida chogwiritsa ntchito kuyeza kuchuluka kwa mafuta omwe mumakhala nawo poyerekeza ndi kutalika kwake ndi kulemera kwake. Low BMI (kukhala woonda kwambiri) yakhala ikugwirizana ndi zotsatira zosauka kwa anthu omwe ali ndi COPD.
- Kukaniza kwa ndege kumayesedwa ndi mayeso osavuta otchedwa spirometry . Chigawo chimodzi cha mayesero ndi kuchuluka kwa mpweya womwe mungathe kutulutsa mumphindi umodzi (wotchedwa kuti kuthamangitsidwa kwa voliyumu, kapena FEV1 ). FEV1 ndikulingalira mwamphamvu kwa anthu omwe ali ndi COPD. Anthu omwe ali ndi vuto lotha kupititsa patsogolo mpweya wa okosijeni kwa nthawi yaitali amakhala ndi moyo wathanzi (pafupifupi 70 peresenti pachaka chimodzi, 50% pachaka chaka, ndi 43 peresenti pachaka).
- Dyspnea kufufuza mtengo momwe munthu amaonera zizindikiro zawo za COPD ndikumasulira malingaliro awo kukhala mtengo woyezera. MMRC dyspnea imawerengetsa matendawa pamtunda wa 0 mpaka 4 (0 kukhala wopepuka kwambiri mpaka 4). Ngakhale kuti FEV1 yatsimikiziridwa kuti ndiyo njira yabwino yodziwiritsira ntchito imfa ya COPD, mlingo wa dyspnea ukhoza kukhala wofunika kwambiri pakulosera za kupulumuka.
- Kuchita masewera olimbitsa thupi kungathe kuchepetsedwa kwambiri pamaso pa COPD. Ikhoza kuyesedwa pogwiritsa ntchito mayeso a maola asanu ndi limodzi omwe angapereke chiwerengero cha kufa ndi maziko omwe anthu angathe kusintha kusintha kwa moyo wawo.
Mmene Mungakulitsire BODE Yanu Grade
Chofunika kwambiri pa ndondomeko ya BODE sikuti imanena nthawi yaitali kuti mukhale ndi moyo koma zomwe mungachite kuti mupeze moyo wathanzi. Mmodzi wa iwo akusuta. Palibe chinthu china chosinthika chomwe chimakhudza kwambiri nthawi yanu yopulumuka kusiyana ndi chizolowezi chowunika.
Ngati muli wosuta ndi COPD, pali zolinga zitatu zomwe muyenera kuzikumbatira:
- Kusiya kusuta ndi njira imodzi yokha yogwiritsira ntchito (yotsika mtengo) yotetezera COPD kapena kuchepa kwa matenda. Kuwongolera kwa ntchito kumatha kuchepetsa komanso kuimirira nthawi yomweyo mutasiya, mosasamala za msinkhu wanu, kulemera kwanu, kapena kugonana kwanu.
- Kupewa kusuta fodya kumatanthawuza kuchitapo kanthu kuti musangolankhula ndi kusuta kwanu koma anthu omwe mukukhala nawo pafupi. Palibe chifukwa chokhala mwaulemu ngati mpweya womwe mumapuma uli ndi mafungo a khungu.
- Kulowa limodzi ndi gulu lothandizira kusuta kumawonjezera mwayi wanu wosiya ndi kusuta fodya. Kulowera nokha, ngakhale kumwa mankhwala, kumakhala kovuta kwambiri ngati sikulephera kuthana ndi zovuta za maganizo.
Kusintha kumeneku, pamodzi ndi ndondomeko yoyenera, yomwe ikutsogolera dokotala, imapereka njira zabwino zowonjezera moyo wanu ngati muli ndi COPD.
> Zotsatira:
> Shavelle RM, Chipuldo DR, Kush SJ, Mannino DM, Strauss DJ. Zoyembekeza za moyo ndi zaka zambiri za moyo zinatayika mu matenda osokoneza bongo aakulu: Zofufuza kuchokera ku NHANES III Kuphunzira Kuphunzira. Magazini Yachilendo Yopanda Kulepheretsa Matenda Opatsirana . 2009; 4: 137-148.
> Torres JPD, Casanova C, Marín JM, et al. Kusanthula kwa anthu odwala COPD: GOLD 2011 motsutsana ndi BODE ndi COPD comorbidity index COTE. Nthano . 2014; 69 (9): 799-804. lembani: 10.1136 / thoraxjnl-2014-205770.