Zipangizo Zowonongeka kwa Airway kwa Cystic Fibrosis

Pambuyo pa Buku la Chest Physiotherapy

Buku lachifupa la physiotherapy (CPT), madzi osungira thupi, kupuma kupuma, kukokera-zonsezi ndizo njira zoyenera zoyendetsera ndege zomwe aliyense yemwe ali ndi cystic fibrosis (CF) ayenera kudziwa momwe angachitire. Potsirizira pake, anthu ambiri omwe ali ndi CF adzagwiritsanso ntchito zipangizo zothandizira kuti awathandize kupeza ntchitoyi. Izi ndi zina mwa zipangizo zamagetsi zomwe zimagwiritsidwa ntchito kwambiri.

Kutsitsimula Kwabwino

Zida zabwino zowonjezera (PEP) zipangizo zonyamulidwa, zotsika mtengo ndipo sizifuna magetsi. Chipangizo cha PEP chimakhala chigoba kapena chogwirana ndi dzanja chokhala ndi njira imodzi yokha yomwe imalola mpweya kuyenda mosavuta koma imapangitsa kukana panthawi yopuma. PEP imathandizira kutsegula mpweya kumbuyo kwa ntchentche m'mapapu ndikuyendetsa panjira, kotero ntchentche ikhoza kuthamangitsidwa. PEP imapangidwa mwa kupuma ndi kutuluka kudzera mu chipangizo kangapo, kenako kukung'ung'udza kuchotsa msuzi womasuka.

Mitundu ina, monga PARI PEP, ikhoza kugwirizanitsidwa ndi nebulizer kuti iphatikize mankhwala a PEP ndi bronchodilators osathamanga . Powapatsa mankhwala awiri nthawi yomweyo, nebulizers amafupikitsa nthawi imene amathera kuchipatala.

Kusokoneza Kupanikizika Kwambiri Kwambiri

Mofanana ndi zipangizo za PEP, kusokoneza makina osokoneza bongo (osokoneza PEP) ndizochepa, zosavuta komanso zotsika mtengo zopanda magetsi.

Oscillating PEP amagwira ntchito mofanana ndi PEP ndi bonasi yowonjezera: PEP osasunthira amagwiritsanso ntchito kugwedeza kuti athandize kusuntha mosakaniza. Kuthamanga kumapangidwa ndi mpweya ukuyenda pamwamba pa mpira wa zitsulo kapena magnet mkati mwa chipangizo panthawi yopuma.

Zina mwazinthu zofala zowonjezera zipangizo za PEP:

• Flutter (Axcan Scandipharm) - sangagwiritsidwe ntchito ndi nebulizer

• Acapella (Smiths Medical) - angagwiritsidwe ntchito ndi nebulizer
• Cornet (R. Cegla, yomwe ilipo kokha ku Canada ndi Europe) - ingagwiritsidwe ntchito ndi nebulizer

High-Frequency Chest Wall Oscillation

Mphepete mwa khoma lamakono (HFCWO) amagwiritsa ntchito chovala chomwe chimatulutsa ndi kusokoneza mofulumira kuti amasule ntchentche. Chovalacho chimagwiritsidwa ntchito mmalo molemba CPT. Phindu lake lalikulu ndilosavuta chifukwa HFCWO ndi yofulumira kuposa buku la CPT ndipo silikufuna thandizo la munthu wina. Chisangalalo sichingabwere mtengo, komabe. Chovalacho ndi chokwera mtengo ndipo nthawi zonse sichisungidwa ndi inshuwaransi.

_Chitsime:

_{Maliko, JH "Zipangizo Zowonongeka kwa Airways ku Cystic Fibrosis". Maphunziro a Zokwanira za Kuzizira . 2007; 8: 17-23. 20e.}