Matenda owopsa olepheretsa matendawa (COPD) amagawidwa m'magulu anayi malinga ndi kuuma kwake, ndi COPD yochepetsetsa yomwe imaonedwa gawo lachiwiri la matendawa.
Zowonongeka za Moderate COPD
Ngati mwapezeka kuti muli ndi COPD yochepa, malinga ndi Global Initiative for Obstructive Lung Disease (GOLD), chiwerengero chanu chotsitsimula (FEV1) ku chiwerengero chokhwima (FVC) -chiyesedwa ndi mayeso omwe amadziwika ngati spirometry - ayenera kukhala osachepera 70 peresenti; ndipo FEV1 yanu iyenera kukhala pakati pa 50 peresenti ndi 79 peresenti ya zikhalidwe zomwe zanenedweratu za anthu abwino.
Ngati mwafika pa sitepi yachiwiri, mwina mukungodziwa zizindikiro zanu-kupuma pang'ono kumene kumawonjezeka ndi ntchito. Mungayambenso kuzindikira kuti mukutsokomola kwambiri ndipo mumakhala ndi ntchentche kuposa momwe mumachitira.
Mwinamwake mukudabwa ngati siteji yachiwiri ya COPD yocheperapo imathandizidwa mosiyana ndi magawo ena. Mwamwayi, GOLD ili ndi ndondomeko zamankhwala pa malo onse a COPD ndipo pamene matenda anu akupita, njira zothandizira zowonjezera zikhoza kuwonjezeredwa kuti muthe kusamalira bwino zizindikiro zanu.
Kuchiza
Awa ndi malangizo othandizira pulogalamu ya II, COPD yochepa:
Kusuta Fodya
N'chifukwa chiyani mukusiya kusuta ngati muli ndi COPD? Kusuta fodya ndi cholinga chimodzi cha mankhwala, ziribe kanthu kaya muli kutali bwanji ndi matendawa. Kusiya pa sitejiyi kungathe kuchepetsa kukula kwa COPD kukulolani kukhala ndi khalidwe lapamwamba la moyo ndikukhala motalika. Kuphatikizanso apo, palinso ubwino wambiri wathanzi posiya.
Katemera wa chifuwa ndi chibayo
Malangizo a GOLD amalimbikitsa katemera ndi matenda a chibayo pa gawo lililonse la mankhwala a COPD. Kuthamanga kwa mfuti kumachepetsa chiopsezo chanu cha kuchulukitsidwa kwa COPD , pamene katemera wa chibayo amathandiza kuteteza chibayo chababa , chomwe chimayambitsa vuto la COPD.
Bronchodilators Yachidule
Mankhwala otchedwa bronchodilators omwe amachititsa nthawi yayitali amatchulidwa ngati kupulumutsira inhalers .
Mankhwala monga albuterol ndi Proventil akulimbikitsidwa pa maziko omwe akufunikira kuti athetse zizindikiro za COPD zosalekeza kapena zoipitsa.
Bronchodilators Zakalekale
Mankhwalawa amachititsa kuti anthu omwe ali ndi COPD azipewa kapena kuchepetsa zizindikiro. Mankhwalawa amawonjezeredwa kuchipatala mukadzafika pa sitepe yachiwiri, COPD yochepa. Malingana ndi GOLD, kuphatikizapo mankhwala opangira mankhwala osiyana siyana angakhale othandiza kusiyana ndi kugwiritsa ntchito bronchodilator imodzi yokha, komanso zochepa kuposa kuwonjezera mlingo wa inhaler imodzi.
Zitsanzo za anthu omwe amagwiritsa ntchito mankhwala osiyana-siyana omwe amagwiritsa ntchito njira zosiyanasiyana zimaphatikizapo agonists omwe amatenga nthawi yaitali monga Perforomist (formoterol), Arcapta Neohaler (indacaterol), ndi olodaterol, komanso anticholinergics monga Serevent (salmeterol), Atrovent (ipratropium bromide), ndi Spiriva ( tiotropium bromide).
Kukonzekera Kwazitsulo
Kukonzekera kwazitsulo kumagwiritsa ntchito gulu lonse lachipatala kuti likhale ndi malo osiyanasiyana pa chithandizo chanu. Kafukufuku amasonyeza kuti kupuma kwa pulmonary kumathandiza kuchepetsa zizindikiro, kumachepetsa moyo wanu, kumachepetsa kudzipatula, ndi kuwonjezeka kupulumuka. Pulogalamuyi imaphatikizapo kupambana maphunziro, masewera olimbitsa thupi, maphunziro, ndi uphungu kuti athe kukwaniritsa zolinga zake.
Chakudya Choyenera
Zakudya zathanzi nthawi zambiri zimanyalanyazidwa pokonzekera pulogalamu ya mankhwala. Zakudya zopatsa thanzi zimangokuthandizani kuti muwoneke bwino ndikupatsani mphamvu yowonjezera yomwe mukufunikira kuti mufike tsiku lanu ndikupuma mosavuta. Kudya zakudya zathanzi kungachepetse chiopsezo cha matenda a mapapu , chifukwa chofala cha kuchuluka kwa COPD.
> Chitsime
> Njira Yoyamba Yopewera Matenda a Mitsempha (GOLD). GOLD 2017 Global Strategy for Discover, Management, and Prevention of COPD.