Kodi Kunenepa Kwambiri Kumakhudza Bwanji Anthu Okhala ndi COPD?
Kodi kunenepa kumakhudza bwanji anthu omwe ali ndi matenda osokoneza bongo (COPD)? Kodi kutaya thupi kumapangitsa kusiyana, ndipo ngati ndi choncho, ndichuluka bwanji? Kodi njira yabwino kwambiri yochepetsera thupi ngati mukulimbana ndi COPD?
Mwachidule
Kodi kunenepa kwambiri ndi COPD zimagwirizana bwanji? Choyamba, zonsezi ndizofala kwambiri. COPD panopa ikuonedwa kuti ndiyo yachitatu yomwe imayambitsa imfa ku United States, kumbuyo kwa matenda okhaokha komanso khansa.
Sikuti izi ndizofala, koma zikuwoneka kuti kuchuluka kwa chiwerengero cha imfa kuchokera ku COPD chikuwonjezeka.
Kunenepa kwambiri ndi kovuta kufotokozera monga sikumayang'aniratu mobwerezabwereza ngati chifukwa cha imfa. Komabe kunenepa kwambiri ndiko chifukwa chachikulu cha matenda a mtima (chomwe chimayambitsa imfa ku United States) ndipo ikuyandikira (ndipo mwinamwake kusuta fodya) ndicho chiwopsezo chachikulu cha khansa; chifukwa chachiŵiri chosowa imfa ku US
Zonse za COPD ndi kunenepa kwambiri zikuwonjezeka, koma zimagwirizana bwanji? Kodi kunenepa kumakhudza bwanji ku COPD komanso momwe COPD ingapangire chiopsezo cha kunenepa kwambiri? Ndipotu munthu yemwe ali ndi COPD ndi wochepa kwambiri.
Mmene Kutaya Kwambiri Kumakhudzira COPD
Ngakhale kuti muli ndi chithunzi chilichonse m'maganizo mwanu munthu wochuluka kwambiri wodwala okosijeni, kunenepa kwambiri kumakhala ndi ntchito yofunikira komanso yofunika kwambiri pa matenda osokoneza bongo (COPD).
Ngakhale kuti kunenepa kwambiri, paokha, sikungakhale kovuta kwa COPD, monga momwe ziliri ndi zina zambiri, pali umboni wokhudzana ndi matenda omwe umasonyeza kuti pali ubale wamphamvu pakati pa awiriwo.
Kunenepa kwambiri kumabweretsa chiwonongeko cha zizindikiro za COPD , ndipo kuchepa kwa zonse zolimbitsa thupi ndi khalidwe la moyo. Kulemera kwa thupi, komabe, kungapereke chithunzithunzi, chowoneka bwino.
Anthu omwe ali ndi COPD omwe ali olemera kwambiri kapena olemera kwambiri amakhala pachiopsezo cha obstructive sleep apnea.
Momwe COPD imakhudzira kunenepa kwambiri
Kukhala ndi COPD, mofananamo, kungathandize kuti mukhale wonenepa kwambiri.
Ngati muli ndi COPD, mukudziwa momwe zingakhudzire ntchito yanu kulekerera, ndipo kukhala pansi ndi chinthu chofunika kwambiri chokhutira kwambiri. Pa chifukwa chomwecho, kuyesera kuchepetsa thupi ndi COPD kungakhale kovuta.
Tanthauzo la Kunenepa Kwambiri
Kunenepa kwambiri kumatha kufotokozedwa poyerekezera ndi chiwerengero cha thupi (BMI), chomwe chimalongosola ubale pakati pa kulemera ndi kutalika. Malangizo otsatirawa adzakuthandizani kudziwa ngati ndinu olemera kwambiri kapena olemera kwambiri, malinga ndi muyezo wa BMI .
- Kunenepa kwambiri:> 18.5
- Zachibadwa: 18.5 mpaka 24.9
- Kunenepa kwambiri: 25 mpaka 29.9
- Zosavuta: 30.0 kapena 39.9
- Kutopa kwambiri: 40 ndi apamwamba
Mchitidwe wa BMI si wangwiro pamene sungaganizire mtundu wa thupi ndi kumanga, koma ndi malo abwino kuyamba. Mutha kuyankhula ndi dokotala wanu, yemwe angaganizire zina mwazosiyana siyana ndikukupatsani kulingalira za kulemera kwako.
Ziwerengero Zolemera
Pokhala ndi BMI ya 25 kapena yaikulu kuposa kuchepa kunenepa ndi BMI zoposa 30 zosonyeza kunenepa kwambiri, anthu oposa 1 biliyoni kuzungulira dziko lonse ndi olemera kwambiri kapena olemera kwambiri. Kulemera kwambiri ndi chiwopsezo chachikulu cha matenda a mtima, matenda a shuga , nyamakazi ya khansa ya khansa ndi khansa ndipo imayang'anira pafupifupi 10 peresenti ya ndalama zothandizira. Komano zimayambitsa bwanji mavuto kwa anthu omwe ali ndi COPD makamaka?
Zotsatira za Kunenepa Kwambiri M'mapangidwe Anu
Kukhala olemera kwambiri kapena ochepa kwambiri kumakhudza mapapo kumagwira ntchito m'njira zambiri. Mankhwala olemera kwambiri, omwe amapezeka ku kunenepa kwambiri, amalepheretsa kupuma kwa onse akulu ndi ana. Kunenepa kwambiri kumathandizanso kuchepetsa mayesero a mapiritsi ambiri kuphatikizapo:
- Mavoti opatsirana opaleshoni mumphindi umodzi ( FEV1 )
- Kulimbikitsidwa kwambiri ( FVC )
- Mphamvu yamapapo yonse ( TLC )
Popeza kunyamula katundu wolemera kwambiri kumapangitsa ntchito kupuma, pali kugwirizana pakati pa kunenepa kwambiri ndi kupuma pang'ono, kapena dyspnea , yomwe imadziwidwanso ngati chizindikiro chodziwika cha COPD.
Kunenepa kwambiri kumagwirizanitsidwa kwambiri ndi kuchepa kwa kupirira kulekerera. Pamodzi ndi matenda omwe amapezeka chifukwa cholephera kugwira ntchito, kusakhoza kuchita masewero olimbitsa thupi kungakhudze kwambiri moyo.
Ubwino Wathanzi wa Kutaya Kwambiri
Podziwa kuti kuchepetsa kunenepa kungawononge zizindikiro zanu, ndi phindu lanji lomwe lawonetsedwa kwa anthu omwe ali ndi COPD amene ataya kulemera? Ena mwa awa ndi awa:
- Kuwonjezeka kwa mphamvu
- Kuchepetsa makilogalamu
- Kuchepetsa kuthamanga kwa magazi
- Kuchepetsa kupweteka
- Kuyenda bwino
- Kugona mokwanira
- Kupewa angina, kapena kupweteka pachifuwa chifukwa cha kuchepa kwa oxygen pamtima
- Kuchepetsa kufala kwadzidzidzi kuchokera ku matenda a mtima kapena kupwetekedwa mtima
- Kuchepetsa chiopsezo chokhala ndi shuga ya mtundu 2
- Kupititsa patsogolo shuga wa magazi
Njira Zothandizira Odwala Odwala COPD
Kuchepetsa kuchepetsa thupi, ngati ndinu olemera kwambiri kapena ochepa kwambiri, ndi njira yabwino yathanzi kwa anthu omwe akudwala COPD. Izi zikhoza kuchitika mwa kuphatikiza zakudya, kuchuluka kwa zochitika zolimbitsa thupi komanso (nthawi zina) mankhwala. Pali zotsatira zochepa zophunzira ndi ndondomeko za njira zowononga kwa anthu omwe ali ndi matenda opuma, monga COPD. Zimene taphunzira ndikuti kukhazikitsa ndi kusunga pulogalamu yochita masewero olimbitsa thupi n'kofunika kwambiri. Mudzaphunziranso mwamsanga kuti kuchita masewero olimbitsa thupi kumathandiza anthu omwe ali ndi COPD m'njira zambiri zomwe zimapita mopitirira malire.
Kuphatikizapo kukonzanso mapulitsi m'kati mwa mankhwala anu a COPD ndi dongosolo lochepera kulemera kwake silinaphunzire mwatsatanetsatane koma lingakhale lothandiza m'njira zambiri. Wodwala wamapiritsi angagwire ntchito nanu kuti apeze njira zowonjezera ntchito yanu kulekerera .
Kupeza munthu woti azichita masewera olimbitsa thupi ndi njira yotsimikizirika yogwirizana ndi pulogalamu. Zimakhala zovuta "kusiya" kapena kuyamba kusinthasintha kachitidwe kanu kawirikawiri mukayankha mlandu kwa munthu wina.
Mitundu yabwino kwambiri ya masewera olimbitsa thupi, m'kupita kwa nthaŵi, idzakhala yomwe mumakonda kwambiri. Ganizilani zomwe mumachita zomwe zikugwira ntchito koma zomwe simukuziwona ngati "masewera olimbitsa thupi." Kwa anthu ena, ikuyenda. Kuti muwonjezere pang'ono, mungafune kuyamba "geocaching." Kwa ena, ndi munda wamaluwa, ndipo ndithudi, kumunda kungakhale njira yabwino kwambiri yochita masewera olimbitsa thupi komanso kuwonongera thanzi. Tengani nthawi kuti muphunzire za machitidwe abwino kwambiri kwa anthu omwe ali ndi COPD .
Ponena za zakudya, nthawi zambiri kulamulira gawo kumakhala kofunikira. M'malo moyamba "zakudya" ganizirani za kusintha kosatha zomwe mungachite kuti mudye. Mofanana ndi kuchita masewero olimbitsa thupi, ngati mungapeze njira yodyerera yosangalala, mumakhala bwino. Kuyesera maphikidwe atsopano kuchokera ku Mediterranean zakudya cookbook kungakhale chiyambi chachikulu.
Pansi pa Kunenepa Kwambiri ndi COPD
Zili zoonekeratu kuti kunenepa kwambiri kumakhudza anthu omwe ali ndi COPD, ndipo COPD ikhoza kuyambitsa munthu kukhala wochuluka chifukwa cha kuchepa kwake. Kuchepetsa kutaya thupi kungathandize ndipo kuyenera kuganiziridwa ndi kuphatikiza zizoloŵezi zabwino zodyera komanso kuchita masewera olimbitsa thupi.
> Zotsatira:
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: Maphunziro a Mc Graw-Hill, 2015. Print.
> O'Donnell, D., Ciavaglia, C., ndi J. Neder. Pamene Kunenepa Kwambiri Ndi Matenda Opatsirana Odwala Matenda Ozunguza Magulu aphwanyidwa. Zotsatira zaumoyo ndi Zotsatira zamakono. Annals wa American Thoracic Society . 2014. 11 (4): 635-44.
> Park, J., Lee, J., Heo, E., Kim, D., ndi H. Chung. Zotsatira za Kunenepa Kwambiri kwa Odwala Omwe Amasokoneza Matenda Opatsirana Matenda: Zotsatira za KNHANES 2010 mpaka 2012. Magazini Yachilendo Yopanda Kulepheretsa Matenda Opatsirana . 2017. 12: 757-763.