Zosavuta, Kudzipenda Kungakuuzeni zambiri za chikhalidwe chanu
Pali mayankho ambiri omwe madokotala amagwiritsa ntchito kuti aone kuopsa kwake ndi zotsatira za matenda osokoneza bongo (COPD) . Mmodzi wa iwo amatchedwa kuyesa koyezetsa COPD, komwe kumadziwika kuti CAT. Lili ndi mafunso asanu ndi atatu omwe odwala amayesa zizindikiro zawo zonse ndi mlingo wolephereka.
Chifukwa chake CAT Ndi Yofunika
Chaka cha 2011 chinali kusintha kwa nyanja momwe COPD inayambira.
Panthawiyo, komiti ya sayansi ya Global Initiative for Obstructive Lung Disease (GOLD) inalangiza kuti COPD sayenera kuchitidwa kokha malinga ndi mayesero monga matenda a spirometry . Komiti ya GOLD inadziŵa kuti mayeserowa, ngakhale ofunika, anali ndi zofooka pa kuthekera kwawo kuti aone zomwe munthu akukumana nazo.
Nthawi zina, munthu amene ali ndi COPD akhoza kupezeka ndi vuto laling'ono ndipo sangathe kuyenda pa masitepe. Mosiyana ndi zimenezi, munthu amene ali ndi vuto loyendetsa bwino amatha kugwira bwino ntchito kuposa momwe mayesero amachitira.
Ndondomeko yowonjezereka yotsimikizira kuti mawu a COPD amachokera ku zinthu zambiri zophatikizapo, kuphatikizapo kulepheretsa kupuma, kuchuluka kwa kuchulukitsa , komanso momwe munthu amadziwira yekha matenda ake.
Momwe CAT Imagwirira Ntchito
CAT nthawi yomweyo imakhala yosavuta komanso yofotokozera kwambiri.
Mafunso asanu ndi atatuwa aliwonse awerengedwa pamlingo wa 0 mpaka 5. Nambalayi imatha kupeza chiwerengero cha 0 mpaka 40. Kuposa chiwerengerocho, kumakhala kovuta kwambiri. Mafunso osiyanasiyana akukhudzana ndi mbali zosiyanasiyana za matendawa, motere:
- Chiwombankhanga - chiwerengero cha 0 kuti "Sindinayambe ndasuta" mpaka 5 chifukwa "Ndimafufuzika nthawi zonse"
- Mucus - anawerengera kuchokera ku 0 kuti "Ndilibe mankhwalawa" mpaka 5 "Chifuwa changa chimadzaza ndi ntchentche"
- Kuyika kwa chifuwa - kuwerengedwa kuchokera ku 0 kuti "Chifuwa changa sichimva cholimba" kwa 5 "Chifuwa changa chimakhala cholimba kwambiri"
- Mpweya wochepa - wowerengeka kuchokera ku 0 kuti "Ndikamayenda pa masitepe amodzi, sindikuwombera" ku 5 kuti "Ndikamayenda pa masitepe amodzi ndikupuma kwambiri"
- Kuletsedwa kwa ntchito panyumba - kuwerengedwa kuchokera ku 0 chifukwa "Sindikuchita zochitika pakhomo pokhapokha" ku 5 chifukwa "Ndikuchita zinthu zochepa pakhomo"
- Kuletsedwa kwa ntchito kunja kwa nyumba - kuwerengedwa kuchokera ku 0 kuti "Ndili ndi chikhulupiriro chochoka panyumba pokhapokha ngati ndili ndi mapapo" kwa 5 chifukwa "Sindikukhulupirira kuti ndikuchoka panyumba chifukwa cha matenda anga"
- Zotsatirapo pa tulo - timayambira kuchokera ku 0 kuti "Ndigona mokwanira" ku 5 chifukwa "Sindigona mokwanira chifukwa cha matenda anga"
- Zotsatira za mphamvu - ziliyeso kuchokera ku 0 kuti "Ndili ndi mphamvu zambiri" ku 5 chifukwa "Sindikutha mphamvu"
Zimene Zotsatira Zimatiuza
Ngakhale kuti CAT sichigwiritsidwe ntchito pozindikira kuti COPD , ndiyothandiza kudziwa momwe chithandizocho chiyenera kukhazikitsidwa, ndi mankhwala angati omwe ayenera kulangizidwa, komanso momwe munthu akuyankhira bwino mankhwalawo.
Malinga ndi ndondomeko ya GOLD, anthu omwe ali ndi zoposa 10 ayenera kulandira mankhwala tsiku ndi tsiku mwamsanga.
Komanso, kuwonjezeka kulikonse koposa ziŵiri-kaya ndikumwamba kapena pansi-kumatengedwa kuti ndikusintha kwakukulu mu ulamuliro wa matenda. Chizoloŵezi chilichonse chokwera chimaonedwa kuti chikuwonongeka pamene kugwa pansi kumaonedwa kukhala kusintha.
Ngakhale kuti asayansi onse adalandira CAT pazochitika zawo za tsiku ndi tsiku, kafukufuku wina wasonyeza kuti zingakhale zothandiza poyesa chiopsezo cha kuchulukitsa, kupititsa patsogolo maganizo, ndi kupitirira kwa matenda opatsirana.
> Zotsatira:
> Karloh, M ;; Mayer, A .; Maurici, R. et al. "Mayeso a Kuyezetsa COPD: Kodi Tidziwa Motani Kwambiri?" Chifuwa J. 2016; 149 (2): 413-25. DOI: 10.1378 / chifuwa.15-1752.
> Rodriguez-Roisin, R .; Rabe, K .; Vestbo, J. et al. "Kuyambira Padziko Lonse Kulimbana Kwambiri ndi Matenda Opatsirana (GOLD) Mwezi wa 20: Mbiri yachidule ya nthawi." Int Resp J. J. 2017; 50: 1700671. DOI: 10.1183 / 13993003.00671-2017.