I-COPD - lawula izidakamizwa

Lawula imithi yesifo esingapheliyo se-pulmonary disease (COPD) yizidakamizwa ozithathayo ukulawula noma ukuvimbela izimpawu ze-COPD. Kufanele usebenzise le mithi nsuku zonke ukuze isebenze kahle.

Le mithi ayisetshenziselwa ukwelapha ukuqhuma. Ama-flare-ups alashwa ngezidakamizwa zokusiza ngokushesha (ukutakula).

Ngokuya ngomuthi, ukulawula izidakamizwa kukusiza uphefumule kalula ngo:

• Ukukhulula imisipha ku-airways yakho
• Ukunciphisa noma yikuphi ukuvuvukala ezindleleni zakho zomoya
• Ukusiza amaphaphu ukuthi asebenze kangcono

Wena nomhlinzeki wakho wezokunakekelwa kwempilo ningenza uhlelo lwemithi yokulawula okufanele niyisebenzise. Lolu hlelo luzobandakanya ukuthi kufanele uzithathe nini nokuthi kufanele uthathe malini.

Ungahle udinge ukuthatha le mithi okungenani inyanga ngaphambi kokuthi uqale ukuzizwa ungcono. Yithathe noma ngabe uzizwa ulungile.

Buza umhlinzeki wakho ngemiphumela emibi yanoma yimiphi imithi oyinikiwe. Qiniseka ukuthi uyazi ukuthi yimiphi imiphumela emibi ebucayi ngokwanele ukuthi udinga ukubiza umhlinzeki wakho khona manjalo.

Landela imiyalo yokuthi ungayisebenzisa kanjani ngendlela efanele imithi yakho.

Qiniseka ukuthi ugcwaliswa umuthi wakho ngaphambi kokuphela.

Ama-inhaler anticholinergic afaka:

• I-Aclidinium (Tudorza Pressair)
• I-Glycopyrronium (Seebri Neohaler)
• Ipratropium (Atrovent)
• I-Tiotropium (Spiriva)
• I-Umeclidinium (Incruse Ellipta)

Sebenzisa i-anticholinergic inhalers yakho nsuku zonke, noma ngabe awunazo izimpawu.

Ama-inhalers e-Beta-agonist afaka:

• I-Arformoterol (Brovana)
• IFormoterol (Foradil; Perforomist)
• I-Indacaterol (Arcapta Neohaler)
• I-Salmeterol (Serevent)
• I-Olodaterol (Striverdi Respimat)

Ungasebenzisi i-spacer ne-beta-agonist inhalers.

Ama-corticosteroids ahlanganisiwe afaka:

• I-Beclomethasone (Qvar)
• I-Fluticasone (Flovent)
• I-Ciclesonide (Alvesco)
• I-Mometasone (Asmanex)
• I-Budesonide (Pulmicort)
• I-Flunisolide (i-Aerobid)

Ngemuva kokusebenzisa le mithi, hlambulula umlomo wakho ngamanzi, ukugoqa nokukhafula.

Imithi yenhlanganisela ihlanganisa imishanguzo emibili futhi ihogelwe. Kubandakanya:

• I-Albuterol ne-ipratropium (I-Combivent Respimat; iDuoneb)
• I-Budesonide ne-formoterol (Symbicort)
• I-Fluticasone ne-salmeterol (i-Advair)
• I-Fluticasone ne-vilanterol (uBreo Ellipta)
• I-Formoterol ne-mometasone (iDulera)
• I-Tiotropium ne-olodaterol (i-Stiolto Respimat)
• Umeclidinium ne-vilanterol (Anoro Ellipta)
• I-Glycopyrrolate ne-formoterol (Bevespi Aerosphere)
• I-Indacaterol ne-glycopyrrolate (Utibron Neohaler)
• I-Fluticasone ne-umeclidinium ne-vilanterol (iTrelegy Ellipta)

Kuyo yonke le mithi, eminye imikhiqizo ejwayelekile isivele itholakala noma izotholakala maduze nje, ngakho-ke amagama ahlukene angaba khona futhi.

I-Roflumilast (i-Daliresp) ithebhulethi egwinywayo.

I-Azithromycin yithebhulethi eliginywayo.

Isifo esingapheliyo sokuvimbela kwamaphaphu - lawula izidakamizwa; Ama-Bronchodilators - i-COPD - lawula izidakamizwa; I-Beta agonist inhaler - i-COPD - lawula izidakamizwa; I-anticholinergic inhaler - i-COPD - lawula izidakamizwa; I-inhaler esebenza isikhathi eside - i-COPD - lawula izidakamizwa; I-Corticosteroid inhaler - i-COPD - lawula izidakamizwa

U-Anderson B, uBrown H, uBruhl E, et al. Iwebhusayithi ye-Institute for Clinical Systems Improvement. Umhlahlandlela Wokunakekelwa Kwezempilo: Ukuxilongwa Nokuphathwa Kwezifo Ezingapheli Zokuvimbela Amaphaphu (COPD). Uhlobo lwe-10. www.icsi.org/wp-content/uploads/2019/01/COPD.pdf. Kubuyekezwe uJanuwari 2016. Kufinyelelwe ngoJanuwari 23, 2020.

UHan MK, uLazaru SC. I-COPD: ukuxilongwa komtholampilo nokuphathwa. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 44.

Global Initiative for Chronic Obstructive Lung Disease (GOLD) iwebhusayithi. Isu lomhlaba jikelele lokuxilongwa, ukuphathwa, kanye nokuvinjelwa kwezifo zamaphaphu ezingapheli: umbiko we-2020. goldcopd.org/wp-content/uploads/2019/12/GOLD-2020-FINAL-ver1.2-03Dec19_WMV.pdf. Kufinyelelwe ngoJanuwari 22, 2020.

• Isifo esingapheliyo se-pulmonary disease (COPD)
• Isifo samaphaphu

• Isifo esingapheliyo sokuvimbela kwamaphaphu - abadala - ukukhipha
• I-COPD - okufanele ubuze udokotela wakho
• Ukudla ama-calories amaningi lapho ugula - abantu abadala
• Ungaphefumula kanjani uma ushoda ngokuphefumula
• Ungayisebenzisa kanjani i-nebulizer
• Ungayisebenzisa kanjani i-inhaler - akukho spacer
• Ungayisebenzisa kanjani i-inhaler - ene-spacer
• Uyisebenzisa kanjani imitha yakho yokugeleza okuphezulu
• Ukuphepha kwe-oksijeni
• Ukuhamba nezinkinga zokuphefumula
• Usebenzisa i-oxygen ekhaya
• Usebenzisa i-oxygen ekhaya - ukuthi ubuze ini kudokotela wakho

• I-COPD