Kuchuluka kwa ntchentche ndizofala kawirikawiri ya matenda osokoneza bongo (COPD). Kusonkhanitsa kwa ntchentche nkhaniyi kumakhala kovuta kuti mpweya uzilowa m'mapapo. Izi zimapangitsa kuti thupi likhale loyendayenda, kutsokomola, ndi mpweya wochepa umene timabwera kuti tizindikire ngati matenda obwera m'mapapo, kuphatikizapo bronchitis ndi emphysema.
Njira zoyendetsera ndege (ACT) ndizo zomwe zimafuna kuchotsa sputum (kuphatikizapo ntchentche ndi saliva) m'mapapu anu. Njira zovomerezeka zoyendetsera ndege zimaphatikizapo njira ya chifuwa cha Huff , kukhwimitsa , chifuwa cha thupi , ndi chithunzi chamtambo . Izi ndizo njira zothandiza koma nthawi zambiri zimakhala zoperewera popereka chithandizo chokhachokha.
Njira zowonetsera ndege , mosiyana, zimapereka zowonjezera zowonjezera ngati zogwiritsidwa ntchito potsatira chikhalidwe cha ACT. Zilipo zambiri, zosavuta kuzigwiritsa ntchito, komanso zotsika mtengo. Pofuna kutsogolera chithandizo, bronchodilator inhaler nthawi zambiri amagwiritsidwa ntchito popititsa maulendo apansi pomwe phokoso lopanda mankhwala limagwiritsidwa ntchito kuti likhale lofiira.
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Flutter Mucus Ndondomeko YoyeneraPogwiritsa ntchito mankhwala a PEP omwe ali ndi-high-frequency oscillation, Flutter Mucus Clearance Device imapereka mawonekedwe odzitetezera omwe amachititsa kuti pang'onopang'ono mphepo ikuluikulu ndi yaing'ono iwonongeke. Izi zimawathandiza kumasula ntchentche kuchokera kumapiri akudzidzimutsa pamene kufulumizitsa mpweya wa mpweya kukuthandizani kukweza chilolezo.
Zosakanikirana zonga izi zimalimbikitsa kuthamanga pamene mutuluka. Pambuyo popyola chipangizocho kangapo, munthu amatha kutsokomola ndi kutulutsa chiphuphu.
Ngakhale chipangizo cha Flutter chiri wotsika mtengo komanso chosavuta kuchigwiritsa ntchito, anthu omwe amalepheretsa kuyenda mofulumira kwambiri sangathe kupanga mpweya wokwanira wokwanira kuti zipangizozi zizigwira bwino ntchito.
Zipangizo zofanana zimagulitsidwa pansi pa mayina a Acapella , Cornet, ndi Aerobika OPEP.
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Kupatsirana Kwachidwi Kwambiri (PEP)Mankhwala othandiza odwala opaleshoni (PEP) anapangidwa m'zaka za m'ma 1970 monga njira yowonjezereka ya thupi (CPT).
Pogwiritsa ntchito chigoba kapena nkhope, odwala amakhala ndi mpweya wabwino ndipo amachoka pamtunda umodzi kuti asamatsutse. Chipangizocho chimapereka mpweya wambiri m'mphepete mwazing'ono ndipo potero zimapangitsa kuti phokoso lichoke mosavuta. Imeneyi ndizovuta zomwe zimapangitsa kuti phokoso liziyenda pamsewu waukulu, kuti zikhale zosavuta kuchotsa.
Mu maphunziro azachipatala, chipangizo cha PEP chinawonetsedwa kuti:
- kusintha kumusule
- yonjezerani chitonthozo cha mthupi poyerekeza ndi muyezo wa CPT
- kuchepetsa matenda a mapapu ndi ntchito za antibiotic
- kusintha khunyu
- kuchepetsa kuchepa kwa chipatala
Zina mwazipangizo zotchuka kwambiri zimagulitsidwa pansi pa mayina a Astra PEP, Pari PEP, ndi AeroPEP.
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High-Frequency Chest Wall Oscillation (HFCWO)Khoma lapamwamba la chifuwa (HFCWO) limapangidwa ndi chovala chodzipiritsa chotengera chomwe chimagwiritsa ntchito mpweya kuti chisamalire pakhoma. Izi zimapangitsa mpweya kutuluka m'magulu ang'onoang'ono ndi zothandizira pakusungidwa kwa ntchentche.
Zipangizo za HFCWO ndizosavuta kuzigwiritsa ntchito ndipo zasonyezedwa kuti zikhale ndi ntchentche kuposa CPT.
Kawirikawiri, munthu amatha kugwiritsa ntchito chovalacho kwa mphindi zisanu panthawi ndikukakamira ndikukweza kuti awononge msuzi womasuka. Misonkhano imatha kwa mphindi 20 mpaka 30.
Zitsanzo za chipangizo cha HFCWO chikuphatikizapo njira yowonongeka ya Airest and System Medestse Respiratory Vest System.
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Chipangizo Chamakono Chothandizira Chipangizo ChamakonoFlute Lungali ndi chipangizo chogwiritsira ntchito dzanja chomwe chimapangitsa mafunde a phokoso lochepa kutuluka m'mphepete mwa ndege pamene munthuyo amatha kutulutsa mwachangu pamtsenga wa bango (mofanana ndi kuwombera mu clarinet). Mafunde akuyenda kupita kumtunda wa m'mphepete mwa nyanja ndipo amachititsa kuti asamalowe.
Lung Flute ndi FDA yovomerezedwa kuti agwiritsidwe ntchito komanso mankhwala omwe amagwiritsidwa ntchito nthawi zonse.
Kuti akwaniritse zotsatira zabwino, wodwalayo angafunikire kulimbikira mu Mphutsi Yam'mimba kwa maselo awiri mpaka awiri. Monga ndi chithandizo chilichonse cha ACT, munthuyo ayenera kuyamba pang'onopang'ono ndi kumanga chiwerengero cha kubwereza nthawi.
Kuphatikiza pa COPD, Flute Lungwe imavomerezedwa kuti ikugwiritsidwe ntchito pochiza bronchitis, chibayo, mphumu, emphysema, ndi matenda ena odwala kupuma.
Kusankha Chipangizo Chotsuka Chotsatira cha Airway
Kusankha kachipangizo kabwino kowonongeka kwa mpweya ndikumasankha yekha. Aliyense ali ndi njira zosiyanasiyana zomwe anthu ena amakonda komanso ena sazichita. Choncho, musazengereze kupempha malangizo kwa dokotala kapena opaleshoni yopuma. Mosiyana, mukhoza kutumiza uthenga ku bolodi ladera la COPD kuti mudziwe kuchokera kwa ena omwe angagwiritse ntchito chipangizo.
> Zotsatira:
> Holland, A. ndi Button, M. "Kodi pali njira yothetsera njira zoyendetsera ndege mu matenda osokoneza bongo?" Chron Respir Dis. 2006; 3 (2): 83-91.
> Hristara-Papadopoulou, A .; Tsanakas, J; Diomou, J ;; et al. "Njira zamakono za kupuma thupi." Hippokratia Medical Journal 2008; 12 (4): 211-220.
> Osadnik, C., McDonald, C ;; Jones, A .; et al. "Njira zamagetsi zoyendetsera ndege za matenda osokoneza bongo." Cochrane Database Rev Rev 2012; (3): CD008328