Njira 6 Zothandizira Bronitis Yambiri

Zikhalidwe, mapiritsi, ndi physio zomwe zimathandiza kuthetsa zizindikiro

Matenda otchedwa bronchitis ndi matenda a matenda osokoneza bongo (COPD) . Izi zimatanthauzidwa ngati chifuwa chomwe chimapanga chiphaso tsiku lililonse kwa miyezi itatu mzere ndikuchitika kwa zaka zosachepera ziwiri.

COPD tsopano ndi nambala yachitatu yowononga ku US. Zina mwazinthu zikuphatikizapo emphysema ndi bronchiectasis . Ngakhale kuti utsi ndiwowopsa kwambiri wa COPD, kuwonetsa utsi wothandizira, kutayika, kapena kupweteka kwa mpweya kungayambitsenso vutoli.

Matenda otchedwa bronchitis amatha kukhala osiyana kwambiri ndi a bronchitis oopsa, omwe amachititsa kuti matendawa asakhalenso ndi nthawi yochepa chifukwa cha matendawa. Matenda a bronchitis ndi matenda osatha omwe amayamba chifukwa cha kupweteka kwa mapapo.

Ngati mwapezeka kuti muli ndi matenda a bronchitis, dokotala wanu amafotokoza zina kapena zotsatirazi:

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Kusuta Fodya

Kusiya kusuta ndikofunika kwambiri, komabe kawirikawiri kumanyalanyazidwa, mbali ya kuchiza matenda a bronchitis.

Kusuta kumayambitsa chinthu china chotchedwa bronchoconstriction chimene chimapangitsa kuti tizilombo tating'ono, tomwe timatetezera (kutchedwa cilia) yomwe imayendera mpweya. Pa nthawi yomweyi, kutupa kumene kumayambitsa ndudu kumayambitsa kuperewera kwa ntchentche. Chifukwa chakuti cilia ndi ofunika pochotsa zinthu m'mapapo, kuwonongeka kwa kusuta kumabweretsa kuphulika kwa mpweya komanso kulepheretsa mpweya kumapapo.

Osuta fodya amakhalanso ndi matenda opatsirana m'mapapo, omwe amapezeka mwa anthu omwe ali ndi COPD.

Ngakhale ngati muli mu magawo ena a COPD, sikuchedwa kwambiri kusiya. Sikuti kungosiya kuthandiza pang'onopang'ono matenda amayamba kuchepa, thanzi limangowonjezera nthawi yokha. Kawirikawiri, zizindikiro za dyspnea (kupuma pang'ono) zidzacheperachepera miyezi isanu ndi umodzi kapena isanu ndi umodzi yokha.

Pali mitundu yambiri yosiyanasiyana ya kusuta fodya yomwe ikupezeka masiku ano, zambiri zomwe zili ndi inshuwaransi.

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Zojambulajambula

Zojambulajambula zimathandizira kuchotsa ziphuphu zamphepete mwachitsulo pothana ndi bronchospasm komanso kuchepetsa kuthamanga kwa ndege. Pochita zimenezi, mpweya wabwino umagawanika m'mapapu ndipo kupuma kumakhala bwino.

Kupulumutsa anthu , omwe ali ndi ma bronchodilators ochepa omwe amagwira ntchito ngati Proventil (albuterol), angathandize anthu omwe ali ndi matendawa chifukwa cha matendawa. Mankhwalawa ndi gawo la chisamaliro cha magawo onse a COPD.

Albuterol ndi mankhwala a beta-agonist omwe amathandiza minofu kuzungulira mpweya wanu kuyenda bwino. Mosiyana ndi mawonekedwe a nthawi yaitali , opulumutsira mavitamini amagwiritsidwa ntchito pochita zozizwitsa za mpweya wochepa wokhudzana ndi bronchospasm.

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Glucocorticoids

Ngati munthu sakuyankha mankhwala ochiritsira, glucocorticoids (kalasi ya steroids) ingaperekedwe ngati gawo la dongosolo la mankhwala. Glucocorticoids amadziwika kuti ali ndi phindu lalikulu pothana ndi vutoli komanso amapezedwanso ndi zoopsa zambiri .

Ngakhale kuti mankhwala akugwiritsidwa ntchito ndi glucocorticoids akadakali kutsutsana, Global Initiative for Obstructive Lung Disease (GOLD) amalimbikitsa ntchito yawo mu mawonekedwe osakanizidwa pamene munthu afika ku Stage III COPD ndipo akuvutika ndi kuchulukitsidwa kobwerezabwereza.

Mankhwala a glucocorticoids angagwiritsidwe ntchito pochiza COPD pamene zizindikiro zimakula mofulumira. Steroid yosakanizidwa imagwiritsidwa ntchito pochiza zizindikiro zolimba kapena pamene zizindikiro zikukulirakulira.

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Phosphodiesterase-4 Inhibitors

Phosphodiesterase-4 (PDE4) inhibitors ndi gulu la mankhwala omwe amachititsa kutupa kwa COPD. Mankhwala amodzi a tsiku ndi tsiku, PDE4 inhibitors amathandiza kuchepetsa kuchulukitsa kwa COPD ndi zotsatira zochepa.

Mankhwalawa amagwira ntchito pochepetsa kutupa kwa airway kwa anthu omwe sagwirizana ndi mankhwala ochizira. Pochita izi, kuchepa kwapang'ono kumapangidwira, zomwe zimapangitsa kuti pang'onopang'ono kusungidwa ndi kutsekedwa kwa ndime za mlengalenga.

Daliresp (roflumilast) ndiye yekha PDE4 inhibitor amavomerezedwa ku United States. Zotsatira zoyipa za PDE4 zowononga zimakhala ndi kutsegula m'mimba, kupweteka, ndi mutu.

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Chifuwa Physiotherapy ndi Postural Draining

Chifuwa chotchedwa physiotherapy, chomwe chimatchulidwanso ngati chifuwa, ndi njira yomwe imaphatikizapo kukwapula pachifuwa ndi / kapena kubwerera kuti athandize kumasula chifuwa komanso kuti zikhale zosavuta kuti chifufuze. Kawirikawiri amagwiritsidwa ntchito pogwiritsa ntchito ngalande zamtunduwu ndipo akhoza kuchitidwa pogwiritsa ntchito manja ophimbidwa kapena chipangizo chololedwa.

Mtsinje wa Postural , mosiyanitsa, ndi njira yomwe amagwiritsa ntchito mphamvu yokoka pofuna kuthandizira kuchotsa ntchentche kuchokera ku airways. Zomwe thupi lachifuwa limagwira komanso ntchito yamtunduwu imakhala yabwino kwambiri pambuyo pa mankhwala a bronchodilator.

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Zipangizo Zowonongeka kwa Airway

Zipangizo zoyendetsera ndege zimagwiritsidwa ntchito mogwirizana ndi chifuwa cha mankhwala ndi mitsempha yowonjezereka kuti zitsimikizire kuti mapepala amachotsedwa. Zida zakhala zikuwonetseratu bwino zotsatira poyerekeza ndi physiotherapy ndi ngalande yokha. Zonsezi, zimakhala zotsika mtengo komanso zosavuta kugwiritsa ntchito.

Zosankha zikuphatikizapo:

• makina opatsirana opuma (PEP) omwe mumapuma motsutsana ndi mpweya
• zipangizo zamakono zothamanga, monga Flutter Mucus Clearance Device ndi Acapella Vibratory PEP Device yomwe imalimbikitsa mofulumira misewu yaing'ono ndi yaikulu
• Mphuno Yam'mimba , chipangizo chogwira dzanja chomwe chimapangitsa mafunde a phokoso lochepa kuti alowe mumlengalenga

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