Zimayambitsa ndi Chithandizo cha Matope Owonjezera Ndi COPD
Mucus (wotchedwanso sputum) kupanga ndi chizindikiro cha mitundu yambiri ya matenda osokoneza bongo (COPD) . Kukhumudwa kwa zachilengedwe ndi zinthu zina zingayambitse kuchuluka kwa mankhwala osokoneza bongo ndi maselo omwe amatchedwa maselo a goblet ndipo amachepetsa kuthetsa mapapo a mucus .
Mwachidule
Kuchuluka kwa mankhwala a ntchentche ndi momwe mapapu amakhudzidwira kuti azikhala okhumudwa mobwerezabwereza monga utsi wa ndudu kapena kuipitsa mpweya.
Mucusi, kapena msuti, ndi yosiyana ndi msuzi ndipo amapangidwa ndi maselo akufa ndi zowonongeka kuchokera m'munsi mwa kupuma. Mwanjira imeneyi, ntchentche ili ndi ntchito. Amamanga zinyama ndi zamoyo monga mabakiteriya kuti athe kutsukidwa, kapena kutsekedwa, kuchokera m'mapapu.
Kuwonjezeka kwa kuchuluka kwa ntchentche yomwe imapangidwa m'mapapo ndi yofunika koma komanso kusintha kwina, monga kusiyana kwa mtundu wa nthimba, ndi kuika kwake - kutanthauza kulemera kwake kapena kusungunuka kwa ntchentche.
Zimayambitsa
Pali zinthu zambiri zomwe zimayambitsa kukula kwa ntchentche ndipo zimatha kumvetsa chifukwa chake izi zimachitika. Izi zikuphatikizapo:
- Kuchulukanso kwa mankhwala osokoneza bongo
- Kusamalidwa kwa ntchentche kuchokera ku maselo otsekemera ndi magulu a submucosal
- Kuchepetsa mphamvu yakuchotsa ntchentche mwina chifukwa cha kuwonongeka kwa cilia mumlengalenga, zomwe zimakhala ngati tsitsi lomwe limathandiza kuti ntchentche zisamuke m'mapapo ndi pakamwa, komanso kuchepa kukhoza, monga momwe zingakhalire ndi atrophy minofu yogwirizana ndi chifuwa.
Zinthu Zogwirizana
Kuchulukitsidwa kwa magazi, kutentha kwa magazi, ndi kuchepa kwachangu kumalongosola njira zomwe sputum imasonkhanitsa m'mapapu, koma n'chifukwa chiyani izi zimachitika? Kawirikawiri ndizokwiyitsa zachilengedwe zomwe zimachititsa kuti maselo amtunduwu apangitse ndi kusungunula phokoso pamene kuwononga mlengalenga komanso makamaka cilia kumapangitsa kukhalapo kwake m'mapapo (m'malo mokhala ngati mphukira.) Ndi COPD, Kuphatikizidwa kwa zinthu zomwe zimathandizanso, kumvetsetsa momwe chithandizo chingathandizire.
Kawirikawiri amakwiya ndi:
- Kusuta fodya, kutsogolo kosautsa komwe kumayambitsa ntchentche.
- Kutuluka kwa mpweya kunja
- Kuwonongeka kwa mpweya wamkati, ambiri amaganiza kuti kuipitsa mpweya kunja kwapangitsa kuti zizindikiro izi, koma nthawi zina, komanso nthawi zambiri, mpweya wamkati ndi woipa kwambiri
Zotsatira Zogwirizana
Zinthu zomwe zimapangidwira mobwerezabwereza zimakhala monga:
- Bronchitis yachilendo: Mwachidziwitso, matenda a bronchitis amatha kukhala ndi mankhwala ochulukirapo m'mapapu, chifukwa matendawa amafunikanso kukhala ndi chifuwa ndi zokolola masiku onse kwa miyezi itatu.
- Bronchiectasis: Bronchiectasis ndi matenda omwe matenda opatsirana amachititsa kuti kuwonjezeka kwazomwekuyenda. Bronchiectasis nthawi zambiri imapanga mphukira yowopsya, yoipitsa.
- Edemuline edema: Ndi mpweya wamapema, mfuti nthawi zambiri imakhala "yofiira" ndipo imakhala ndi mtundu wa pinki chifukwa cha kukhalapo kwa magazi.
Kuchiza ndi Kulimbana
Monga momwe pali njira zambiri zomwe zimagwirira ntchito palimodzi kuti pakhale kuchuluka kwa kupanga ntchentche, kuphatikiza njira zosiyana kumakhala bwino kwambiri polimbana ndi zizindikiro.
Kupewa Irritants Opuma
Mosakayikira kusuta fodya ndi kusuta fodya ndi chinthu chofunikira choyamba chochepetsera kutentha kwa mapapo komwe kumayambitsa kuphulika.
Kupewa nthawi yina kunja pamene zowonongeka ndipamwamba zingakhale zothandiza. Monga taonera pamwambapa, mpweya wamkati ukhoza kukhala wofunikira, kapena ayi, kuposa mpweya wakunja.
Kodi mukudziwa kuti pali njira yosangalatsa komanso yokondweretsa kukonza mpweya wanu wamkati? Onetsetsani zipinda zapakhomo zomwe zapezeka - pogwiritsa ntchito kafukufuku wochitidwa ndi NASA - kukonza mpweya wamkati.
Mwinanso mutha kuyang'anitsitsa ubwino ndi zoyipa za machitidwe oyeretsa mpweya omwe angagwiritsidwe ntchito m'nyumba mwanu.
Njira Zokonzera Ndege
Njira zogwiritsira ntchito ndege zimagwiritsidwa ntchito pofuna kuthetsa zizindikiro za mucus wamphongo ndipo zingaphatikizepo:
- Kukhomerera kolamulidwa - Kukhotakhota kolamulidwa ndi njira yabwino kwambiri yopezera njira zopezeka pamsewu.
- Madzi otsika - Postural drainage ndi njira yomwe imagwiritsa ntchito mphamvu yokoka pofuna kuthandizira mwamsanga kuchoka m'mapapo.
- Chifuwa cha physiotherapy - Chifuwa cha physiotherapy kapena chifuwa chowoneka ngati chobisika kwa anthu omwe ali ndi bronchiectasis ndipo akhoza kupereka mpumulo.
- Otsutsa - Muzikhala ogula mosamala mukamaganizira zofufuza. Ngakhale malonda okongola amasonyeza kuti mankhwalawa ndi othandiza kwambiri, kafukufuku wambiri amasonyeza kuti pazinthu zowonjezerapo zowonjezera kuti mankhwala opanga ntchentche ndi COPD sagwire ntchito.
- Mucolytics - mankhwala osokoneza bongo. Amagwiranso ntchito pothetsa zida zothandizira mankhwala m'thupi mwachinsinsi, kuziphwanya kuti zikhale zosavuta
> Zotsatira:
> Lee, A., Burge, A., ndi A. Holland. Njira zothandizira ndege za bronchiectasis. Dongosolo la Cochrane la Zosintha Zogwirizana . 2015. 11 >: CD008351 >.
> Osadnik, C., McDonald, C., Jones, A., ndi A. Holland. Njira zothetsera magetsi zowopsa > matenda osokoneza bongo. Dongosolo la Cochrane la Zosintha Zogwirizana . 2012. 3 >: CD008328 >.
> Poole, P., Chong, J., ndi C. Cates. Mucolytic wothandizira potsitsimutsa matenda a chronic bronchitis kapena matenda osokoneza bongo. Dongosolo la Cochrane la Zosintha Zogwirizana . 2015. 7 >: CD001287 >.
> Rubin, B. Kusunga katundu, chilolezo, ndi chithandizo pa matenda a pandege. Mankhwala omasuliridwa otanthauzira kupuma . 2014. 2: 6.