Ubwino wa Thandizo la Oxygen

Zifukwa Zogwiritsira Ntchito Oxygen Yowonjezera Kutengera COPD

Ngakhale kuti phindu lalikulu la mpweya wa oxygen (LTOT), wochuluka kwambiri, umapangitsa kuti anthu asamangokhalira kuchipatala. Kwa odwala omwe ali ndi matenda osokoneza bongo (COPD), izi zingathe kulepheretsa kusamalira.

Zifukwa Zopanda Kugwirizana ndi Thandizo la Oxygen

Ngati inu kapena wokondedwa wanu simukugwirizana ndi chithandizo cha mpweya wanu, mukhoza kukhala nacho chimodzi kapena zifukwa izi:

• Zikuwoneka zovuta kuzigwiritsa ntchito
• Mumadzimva nokha kapena mumamva kuti pali vuto lachisankho
• Simukumvetsa bwino momwe zimapindulira
• Mukuda nkhawa kuti mukutsatira zotsatirapo

Ngati izi zikumveka bwino ndipo simukugwiritsa ntchito oxygen yowonjezerapo monga mwalembedwera, kuzindikira ubwino wa mankhwala okosijeni, m'malo moganizira zinthu zoipa, zingakuthandizeni kuthana ndi zopinga zanu kuti mukhale ndi thanzi labwino.

Pano tiyang'anenso bwino za ubwino wa mankhwala otalika kwa oxygen kwa COPD:

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Kupulumuka kwakukulu

Pakadali pano, phindu lofunika kwambiri la chilolezo cha anthu omwe ali ndi COPD ndikuti limapitiriza kutalikitsa moyo wanu ngati muli ndi hypoxemia (mpweya wotsika m'magazi anu). Izi zimapindulitsa makamaka ngati mumagwiritsa ntchito mpweya nthawi zonse osati usiku kapena nthawi zina, ngakhale kupeza oxygen yowonjezera bwino kusiyana ndi palibe.

Ngakhale pali umboni umenewu, kafukufuku amasonyeza kuti maola ochuluka omwe odwala amagwiritsa ntchito mpweya wambiri tsiku ndi tsiku amakhala ochepa kuposa zomwe dokotala wanena. Ngati simugwiritsa ntchito oksijeni monga momwe mwafunira, izi zimachepetsa mphamvu zake.

Ngati mwalangizidwa kuti mulowe, ndizofunika kuti muzindikire ngati simukutsatira ndondomeko yanu yothandizira okosijeni komanso kuti mukambirane njira zowonjezeretsa zowonjezera mpweya ndi wothandizira zaumoyo wanu.

Ngati muli ndi hypoxemia yopumula, oxygen ikhoza kuthandiza mbali zina za COPD, koma maphunziro asonyeza kuti sikutambasula moyo wanu.

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Zothetsera mavuto a COPD

COPD imakhudzana ndi mavuto ambiri omwe angakhudze kwambiri moyo wanu, kuphatikizapo pulmonary hypertension , secondary polycythemia , ndi cor pulmonale , mtundu wa mtima wosalimba .

Mpweya wothandizira umathandiza kuchepetsa mavuto a COPD mwa kuchepetsa kupatsirana kwa magazi, kuchepetsa chiwerengero chachiwiri cha polycythemia, ndi kuchepa kwa arrhythmias (kusagwirizana kwa mtima mtima) ndi zotsatira za ECG zomwe zimasonyeza kuti myocardial ischemia (kusowa kwa oxygen mpaka mtima).

Kuonjezerapo, malinga ndi bungwe la American Lung Association, mankhwala a oxygen amateteza kupezeka kwa mtima kwa anthu omwe ali ndi matenda akuluakulu a m'mapapo monga COPD.

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Zizindikiro zochepa za COPD

Dyspnea , kapena mpweya wochepa, sikuti ndi chizindikiro chodziwika bwino cha COPD , ndipo chimakhalanso cholepheretsa komanso chovuta kuchilamulira.

Owonjezera mpweya ungathandize kuthetsa dyspnea ndi zizindikiro zina zokhudzana ndi COPD, kuphatikizapo kutopa , chizungulire, ndi kuvutika maganizo.

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Kulimbitsa Moyo Wokhudzana ndi Umoyo

Ngati simungapeze mpweya wochuluka wokwanira, chiwalo chilichonse m'thupi lanu chimakhudzidwa, chomwe chimadzetsa umoyo wanu ndi thanzi lanu.

Kugwiritsa ntchito oxygen yothandizira kumathandiza kwambiri pa umoyo wanu wokhudzana ndi thanzi. Sikuti zimangowonjezera tulo ndi kugona kwanu, zimapangitsanso kuti mukhale osamala komanso kuti mukhale ndi mphamvu, kuti mukhale ndi nthawi yochuluka.

Komanso, mpweya wawonetseredwa kuti uchepetse kuchuluka kwa zizindikiro (kuwonjezereka kwa zizindikiro) ndi hospitalizations zogwirizana ndi COPD.

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Kuwonjezera Kupirira Kulimbitsa Thupi

Kuchita masewera olimbitsa thupi ndi chimodzi mwa zinthu zofunika kwambiri pa kayendetsedwe ka COPD. Ndipotu, pulogalamu yamaphunziro yowonjezera ingakuthandizeni kuti mupulumuke komanso kuti mukhale ndi moyo wabwino ndi COPD.

Odwala ambiri omwe ali ndi COPD, ali ndi chizoloŵezi cholekerera zolimbitsa thupi zomwe zimalepheretsa kwambiri kuchita masewera olimbitsa thupi. Kafukufuku amasonyeza kuti kugwiritsa ntchito mpweya pazochita zolimbitsa thupi kumawathandiza kupirira, kumapangitsa kuti thupi lizichita masewera olimbitsa thupi, ndipo pamapeto pake limachepetsanso kuvutika maganizo.

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Kulimbitsa Moyo Wogonana

Kafukufuku sadziwa momveka bwino ngati chithandizo cha oxygen chingathandize kuthetsa mavuto monga kugonana, koma ngati mpweya wothandizira umakuthandizani pa nthawi yochita masewera olimbitsa thupi, mwayi ndi wabwino kukuthandizani kupuma mosavuta panthawi yogonana.

Kuwonjezera apo, kugwiritsa ntchito oxygen yowonjezera panthawi yogonana kungakuthandizeni kupititsa patsogolo ubwenzi, phindu lina kwa onse awiri. Kambiranani ndi dokotala wanu za kuwonjezera mpweya wanu pa nthawi yogonana.

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Ulendo Wosatetezeka wa Air

Si zachilendo kwa odwala omwe ali ndi COPD kukhala ndi hypoxemia yoyipa pamene akuyenda pa ndege. Mpweya wothandizira paulendo woyenda panyanja umakuthandizani kupewa matenda a hypoxemia ndipo angapindule odwala ambiri a COPD, ngakhale omwe sagwiritsa ntchito oksijeni.

Ngati muli ndi zizindikiro zoopsa za COPD mukamayenda, lankhulani ndi wothandizira zaumoyo wanu pogwiritsa ntchito mpweya wochulukitsa pamene mukuuluka.

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Kulimbitsa Moyo Wathanzi

Kodi COPD imasokoneza kangati moyo wanu wa chikhalidwe? Ngati kupuma kumakulepheretsani kusangalala ndi kanema kapena kuyitanidwa kwa chakudya chamadzulo, mwinamwake ndi nthawi yoti muyang'ane pogwiritsa ntchito mpweya wothandizira kudzera mwa mpweya wabwino wa oxygen.

Zomwe zimakhala zosavuta kwambiri komanso zowonongeka, zotulutsa mpweya wabwino zimakhala zogwirizana kwambiri ndi anzawo, zomwe zimakupatsani ufulu ndi ufulu wochita malonda anu mwachizoloŵezi. Ndipo ambiri amalipidwa ndi Medicare.

Ngati COPD kawirikawiri imaika zojambula pazolinga zanu, lankhulani ndi wothandizira zaumoyo wanu za kupita patsogolo.

> Zotsatira:

> Association of Lung America. Supplemental Oxygen. Idasinthidwa November 15, 2016.

> Güell Rous MR. Thandizo la Oxygen Yakalekale: Kodi Tikulemba Moyenerera? Magazini Yachilendo Yopanda Kulepheretsa Matenda Opatsirana . 2008; 3 (2): 231-237.

> Shah SA, Velardo C, Farmer A, Tarassenko L. Kuwonjezereka kwa Matenda Opatsirana Opatsirana Opatsirana Matenda: Kuzindikiritsa ndi Kulosera Kugwiritsa Ntchito Dongosolo la Zaumoyo. Eysenbach G, ed. Journal of Medical Internet Research . 2017; 19 (3): e69. lembani: 10.2196 / jmir.7207.

> Wokonda JK, Panos RJ, Krachman S, Doherty DE, Pangani B, Pulogalamu Yowunika Kafukufuku Oxygen Yoyamba Kwambiri. Thandizo la Oxygen kwa Odwala Ndi COPD: Umboni Weniweni ndi Kuyesedwa kwa Oxygen kwa Nthawi yaitali. Chifuwa . 2010; 138 (1): 179-187. lembani: 10.1378 / chest.09-2555.

> Gulu lofufuza kafukufuku wa okosijeni wa nthawi yaitali. Mayesero Osinthika a Oxygen Yakale Kwambiri kwa COPD ndi Kutha Kutayika Kwambiri. Magazini ya mankhwala a New England . 2016; 375 (17): 1617-1627. onetsani: 10.1056 / NEJMoa1604344.