Ukubhema neCOPD

Ukubhema kuyimbangela ehamba phambili yesifo samaphaphu esingamahlalakhona (COPD). Ukubhema nakho kuyimbangela yokuqhuma kweCOPD. Ukubhema kulimaza izikhwama zomoya, izindiza, nolwelwesi lwamaphaphu akho. Amaphaphu alimele anenkinga yokuhambisa umoya owanele angene nangaphandle, ngakho-ke kunzima ukuphefumula.

Izinto ezenza izimpawu ze-COPD zibe zimbi kakhulu zibizwa ngokuthi izimbangela. Ukwazi ukuthi yiziphi izimbangela zakho nokuthi ungazigwema kanjani kungakusiza uzizwe ungcono. Ukubhema kuyimbangela yabantu abaningi abane-COPD. Ukubhema kungadala ukukhuphuka, noma ukuqhuma kwezimpawu zakho.

Akudingeki ukuthi ubhemele ukubhema ukuze kulimaze. Ukuvezwa kokubhema komunye umuntu (okubizwa ngokuthi intuthu kagwayi) nakho kuyimbangela yokuqhuma kweCOPD.

Ukubhema kulimaza amaphaphu akho. Uma une-COPD futhi ubhema, amaphaphu akho azolimala ngokushesha okukhulu kunalokho uma uyeka ukubhema.

Ukuyeka ukubhema kuyinto engcono kakhulu ongayenza ukuvikela amaphaphu akho nokugcina izimpawu zakho zeCOPD zingabi zimbi kakhulu. Lokhu kungakusiza ukuthi uhlale usebenza ngokwengeziwe futhi ujabulele impilo.

Tshela abangane bakho nomndeni wakho ngomgomo wakho wokuyeka. Thatha ikhefu kubantu nasezimeni ezikwenza ufune ukubhema. Zigcine umatasa nezinye izinto. Thatha usuku olu-1 ngesikhathi.

Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi akusize uyeke. Kunezindlela eziningi zokuyeka ukubhema, kufaka phakathi:

• Imithi
• Ukwelashwa kokufaka esikhundleni seNicotine
• Amaqembu okusekela, ukwelulekwa ngokomqondo, noma amakilasi okubhema ayeke mathupha noma ku-inthanethi

Akulula, kepha noma ngubani angayeka. Imithi nezinhlelo ezintsha kungasiza kakhulu.

Bhala izizathu zokuthi ufuna ukuyeka. Bese usetha usuku lokuyeka. Ungahle udinge ukuzama ukuyeka kaningi. Futhi kulungile. Qhubeka uzame uma ungaphumeleli ekuqaleni. Lapho uzama kakhulu ukuyeka, maningi amathuba okuthi uphumelele.

Ukubhema okulandelayo kuzodala ukuqhuma okukhulu kwe-COPD futhi kudale umonakalo omkhulu emaphashini akho. Ngakho-ke udinga ukuthatha izinyathelo zokugwema intuthu kagwayi.

• Yenza izindawo zakho ezingabhemi ekhaya nasemotweni yakho. Tshela abanye onabo ukuthi balandele lo mthetho. Thatha imikhondo yomlotha endlini yakho.
• Khetha izindawo zokudlela ezingenamusi, imigoqo nezindawo zokusebenza (uma kungenzeka).
• Gwema izindawo zomphakathi ezivumela ukubhema.

Ukusetha le mithetho kunga:

• Nciphisa inani lentuthu kagwayi ophefumula ngayo wena nomndeni wakho
• Kukusiza uyeke ukubhema futhi uhlale ungabhemi

Uma kunabantu ababhemayo emsebenzini, buza umuntu ngezinqubomgomo maqondana nokuthi ukubhema kuvunyelwe nini futhi kuphi. Izeluleko zokusiza ngentuthu kagwayi emsebenzini yilezi:

• Qiniseka ukuthi kuneziqukathi ezifanele ababhemayo zokulahla izinqamu zikagwayi wabo nomentshisi.
• Cela osebenza nabo ababhemayo ukuthi bagcine amajazi abo kude nezindawo zokusebenza.
• Sebenzisa ifeni bese ugcina amawindi evulekile, uma kungenzeka.
• Sebenzisa enye indlela yokuphuma ukugwema ababhemayo ngaphandle kwesakhiwo.

Isifo esingapheliyo sokuvimbela kwamaphaphu - ukubhema; I-COPD - intuthu kagwayi

• Ukubhema kanye ne-COPD (okungamahlalakhona kokuphazamiseka kwemiphunga)

UCelli BR, uZuwallack RL. Ukuvuselelwa kwamaphaphu. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 105.

UCcriner GJ, uBourbeau J, uDiekemper RL, et al. Ukuvimbela ukukhushulwa okukhulu kwe-COPD: I-American College of Chest Physicians kanye nomhlahlandlela weCanada Thoracic Society. Isifuba. 2015; 147 (4): 894-942. I-PMID: 25321320 www.ncbi.nlm.nih.gov/pubmed/25321320.

Global Initiative for Chronic Obstructive Lung Disease (GOLD) iwebhusayithi. Isu lomhlaba jikelele lokuxilongwa, ukuphathwa, kanye nokuvinjelwa kwezifo zamaphaphu ezingapheli: umbiko we-2019. goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf. Kufinyelelwe ngo-Okthoba 22, 2019.

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.

• I-COPD
• Ukubhema