Ngati mwapezeka ndi COPD , mwina muli ndi mafunso ambiri kwa dokotala wanu za matendawa. Nchiyani chimayambitsa izo? Kodi amachizidwa bwanji? Kodi mukuganiza chiyani? Mndandanda ungawoneke wopanda malire. Ngati simukudziwa kuti ndi mafunso ati omwe mungapemphe, ganizirani mndandanda wa mafunso khumi (ndi mayankho) omwe mungakambirane ndi dokotala panthawi yanu yotsatira.
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Kodi COPD N'chiyani?Mukafunsa funsoli, mukhoza kudziwa kuti COPD ndi matenda osapulumutsidwa, koma otetezeka komanso ochiritsidwa omwe amachititsanso machitidwe ena m'thupi lanu.
Nthendayi ikupita patsogolo, kutanthauza kuti nthawi zambiri imakula kwambiri panthawi. Pakadali pano, palibe mankhwala omwe akutsimikiziridwa kuti apitirize kupulumuka ku COPD.
Kafukufuku amasonyeza kuti kusuta fodya, mpweya wokhawokha (womwe umagwiritsidwa ntchito kwa maola 15 kapena kuposerapo pa tsiku) ndi kukonzanso mapulitsi kumatha kuchepetsa kupita patsogolo kwa COPD.
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Nchiyani chimayambitsa COPD?Ngakhale kusuta ndiko nambala imodzi ya COPD , dokotala wanu akhoza kukufotokozerani kuti pali zifukwa zina zoopsa zomwe muyenera kuziganizira. Zina mwaziopsezozi ndizofala, pamene zina sizili wamba.
Kudziwa zowopsa kwa matendawa kungakuthandizeni kupeza chithandizo cham'mbuyomu ndikuchiritsidwa mwamsanga popeza odwala omwe akudziwa kuti akhoza kuikapo zizindikiro za COPD zawo asanadziwe.
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Kodi Ndingatani Kuti Ndikhale ndi COPD Pamene Sindinasambe Ndasuta?Mosiyana ndi chikhulupiliro chofala, kusuta siko chifukwa chokha cha COPD . Dokotala wanu adzatsimikizira kuti osuta fodya sangakhalenso ndi matendawa. Ndipotu, kafukufuku wina akusonyeza kuti pafupifupi 25 peresenti ya anthu amene amapezeka ndi COPD sanafume konse.
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Kodi Ndingatani Kuti Ndisamavutike Kwambiri?Ngakhale kuti palibe amene anganeneratu molondola za moyo wanu pambuyo pa matenda a COPD, kutsegula kwa matendawa kumadalira zinthu zingapo-makamaka chofunika, kaya simukusuta.
Ngati mupitiriza kusuta mutatha kuchipatala, mapapu anu amatha kuchepa mofulumira ndipo matendawa adzapita mofulumira kuposa ngati mutasiya. Zinthu zina zokhudzana ndi nthawi ya moyo wa COPD ndizolepheretsa kuchuluka kwa dera lanu, mlingo wanu wa dyspnea , thupi lanu mchere (BMI), ndi kupirira kwanu.
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N'chifukwa Chiyani Ndiyenera Kusiya Kusuta Ngati Ndakhala ndi COPD?Mwinamwake mukudabwa chifukwa chake muyenera kusiya kusuta fodya mukakhala utasuta kwa zaka makumi ambiri ndipo kuwonongeka kwa mapapo anu kwachitika kale.
Akatswiri azachipatala amavomereza, komabe, kuti kusiya ndi njira yoyamba ya COPD. Ndipotu, kafukufuku wina amasonyeza kuti mapapu amatha kuchepa pambuyo pa kutha kwa kusuta kwenikweni, kumachepetsa mofanana ndi wina aliyense wa kugonana, msinkhu, kutalika, ndi kulemera kwake.
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Kodi Zotsatira za Mwayeso Wanga Wachilengedwe Ndi Chiyani?Spirometry ndiyeso ya ntchito ya pulmonary yomwe imagwiritsidwa ntchito pozindikira COPD ndikuzindikira kuuma kwake. Momwemo, dokotala wanu ayenera kukufotokozerani bwino zotsatira zanu mwa njira yomwe mungathe kumvetsetsa. Tsoka ilo, izi sizichitika nthawi zonse.
Pali zinthu zitatu zomwe zimayambira mu spirometry zomwe ziri zofunika kwambiri kuti apange matenda a COPD: mphamvu yanu yolimbikitsidwa (FVC), mphamvu yanu yochotsera opaleshoni mumphindi umodzi (FEV1) ndi chiwerengero cha FEV1 anu FVC ( FEV1 / FVC ). Kuwunika zotsatira zanu m'kupita kwa nthawi kumathandiza dokotala kudziwa ngati COPD yanu ikukula, kukhala chimodzimodzi, kapena kuwonjezereka.
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Ndili Mtengo Wotani?Malingana ndi Global Initiative for Obstructive Lung Disease, COPD yagawidwa mu magawo anayi: ofatsa , ochepa , ovuta , ndi oopsa kwambiri . Dokotala wanu adzagwiritsa ntchito zotsatira zanu za spirometry kuti adziwe malo omwe muli nawo.
Komabe, ziribe kanthu pangakhale seti yomwe matenda anu opatsirana amanena, matendawa amakhudza aliyense mosiyana. Momwe mukumvera komanso ntchito yomwe mungathe kupirira imadalira pazinthu zingapo, kuphatikizapo ngati simukupitirizabe kusuta kapena kuchita masewera olimbitsa thupi omwe mumadya.
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Kodi Ndiyenera Kukhala Oxygen?Sikuti aliyense amene ali ndi COPD amafunikira mpweya wambiri. Dokotala wanu adzayesa kuchuluka kwa mpweya m'magazi anu pogwiritsa ntchito magazi kuchokera mu mitsempha ya m'manja mwanu ndikukutumiza ku labu kuti awononge, kapena pogwiritsira ntchito chipangizo chomwe chimatchedwa oximeter pulse.
Cholinga chachikulu cha mankhwala a COPD ndikuteteza mpweya wanu wa oxygen pamwamba pa 88 peresenti. Ngati nthawi zonse imakhala pansi, dokotala angakulimbikitseni kuyamba mankhwala okosijeni.
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Kodi Ndingatani Kuti Ndizipewa Matenda Aakulu?Funsani dokotala zomwe mungachite kuti matenda anu asapitirire kuwonjezeka. Monga tinayankhulira kale, kusuta fodya ndizofunikira kwambiri ngati mumasuta. Koma, kusiya kusuta ndilo gawo loyamba. Kuphatikizapo zina zofunika kusintha moyo ndikufunikanso.
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Kodi Kupaleshoni Kumandithandiza Kukhala Ndi Moyo Wosatha Ndikumva Bwino?Njira yothandizira opaleshoni ndiyo njira ya kagulu kakang'ono ka odwala omwe amakwaniritsa zoyenera.
Pali mitundu itatu ya opaleshoni yamapapo dokotala angakambirane nanu pamene matenda anu ali ovuta kwambiri ndipo mwakhala mukufika poyambira kwambiri pa matendawa: bullectomy, opaleshoni yochepetsa opaleshoni yopaleshoni, ndi kukweza mapapo .
Kukhala ndi mapapo angapangitse umoyo wanu ndikukulolani kuti muchite ntchito zambiri, koma kukulitsa mapapo sikukuwonetseratu kuti kuwonjezeka kwa nthawi yaitali (zaka zisanu kapena kuposerapo) ku COPD. Mosiyana ndi zimenezi, anthu odwala COPD omwe amatha kupuma m'mapapo ndi 80 peresenti mpaka 90 peresenti ndikupitirizabe kusintha.
Chitsime:
Aziz F et al. Kuika mapuloteni m'magulu odwala matenda obwera m'magazi (COPD) omwe amatha kumapeto. Journal of Thoracic Disease. Vol. 2, No. 2 (June 2010).