I-COPD - ukulawula ukucindezeleka nemizwa yakho

Abantu abanesifo esingelapheki se-pulmonary disease (COPD) banengozi enkulu yokudana, ukucindezeleka nokukhathazeka. Ukucindezelwa noma ukucindezelwa kungenza izimpawu ze-COPD zibe zimbi kakhulu futhi kwenze kube nzima ukuzinakekela.

Uma une-COPD, ukunakekela impilo yakho engokomzwelo kubaluleke njengokukhathalela impilo yakho engokomzimba. Ukufunda indlela yokubhekana nokucindezeleka nokukhathazeka nokufuna ukunakekelwa kwengcindezi kungakusiza ukuphatha i-COPD futhi uzizwe ungcono ngokujwayelekile.

Ukuba ne-COPD kungathinta imizwa nemizwelo yakho ngezizathu eziningana:

• Awukwazi ukwenza zonke izinto obukade uzenza.
• Ungadinga ukwenza izinto kancane kakhulu kunangaphambili.
• Ungahle uzizwe ukhathele.
• Ungaba nobunzima bokulala.
• Ungazizwa unamahloni noma uzisole ngokuba ne-COPD.
• Ungahle uhlukaniswe nabanye ngoba kunzima ukuphuma wenze izinto.
• Izinkinga zokuphefumula zingacindezela futhi zesabise.

Zonke lezi zinto zingakwenza uzizwe ucindezelekile, ukhathazekile noma ucindezelekile.

Ukuba ne-COPD kungashintsha indlela ozizwa ngayo ngawe. Futhi ukuthi uzizwa kanjani ngawe kungathinta izimpawu ze-COPD nokuthi uzinakekela kahle kangakanani.

Abantu abane-COPD abacindezelekile bangaba nama-flare-ups amaningi futhi kungadingeka baye esibhedlela kaningi. Ukucindezeleka kudla amandla akho kanye nogqozi. Uma ucindezelekile, ungahle ube mancane amathuba okuba:

• Yidla kahle futhi usebenzise umzimba.
• Thatha imithi yakho njengokuyalelwa.
• Landela uhlelo lwakho lokwelashwa.
• Phumula ngokwanele. Noma, ungathola ukuphumula okuningi.

Ingcindezi iyimbangela ye-COPD eyaziwayo. Lapho uzizwa unengcindezi futhi ukhathazekile, ungaphefumula ngokushesha, okungakwenza uzizwe uphelelwa umoya. Lapho kunzima ukuphefumula, uzizwa ukhathazeka kakhulu, futhi umjikelezo uyaqhubeka, okuholela ekutheni uzizwe ubi kakhulu.

Kunezinto ongazenza futhi okufanele uzenze ukuvikela impilo yakho engokomzwelo. Ngenkathi ungeke ususe konke ukucindezeleka empilweni yakho, ungafunda ukuthi ungakulawula kanjani. Lezi ziphakamiso zingakusiza ukuthi unciphise ukucindezeleka futhi uhlale unethemba.

• Thola abantu, izindawo nezimo ezibangela ukucindezeleka. Ukwazi ukuthi yini ekucindezelayo kungakusiza ukuvika noma ukulawule.
• Zama ukugwema izinto ezikwenza ukhathazeke. Isibonelo, UNGEKE uchithe isikhathi nabantu abakucindezelayo. Esikhundleni salokho, funa abantu abakukhulisayo nabakusekelayo. Hamba uyothenga ngezikhathi ezithule lapho kunethrafikhi encane nabantu abambalwa eduze.
• Prakthiza izivivinyo zokuphumula. Ukuphefumula okujulile, ukubona ngeso, ukuyeka imicabango engemihle, nokuzivocavoca kwemisipha konke kuyizindlela ezilula zokukhipha ukungezwani nokunciphisa ukucindezeleka.
• UNGATHATHI ngokweqile. Zinakekele ngokuyeka futhi ufunde ukuthi cha. Isibonelo, mhlawumbe uvame ukwamukela abantu abangama-25 kusihlwa sokubonga. Sika emuva ku-8. Noma okungcono, cela omunye umuntu azosingatha. Uma usebenza, khuluma nomphathi wakho ngezindlela zokuphatha umthwalo wakho ukuze ungazizwa ukhungathekile.
• Hlala uhilelekile. UNGAZIHLUPHELI. Yenza isikhathi masonto onke sokuchitha isikhathi nabangane noma ukuya emicimbini yokuzijabulisa.
• Prakthiza imikhuba emihle yempilo yansuku zonke. Vuka ugqoke njalo ekuseni. Hambisa umzimba wakho nsuku zonke. Ukuzivocavoca umzimba kungenye yezinto ezihamba phambili zokuxineka nezikhuthazi zemizwa ezungeze. Yidla ukudla okunempilo futhi ulale ngokwanele njalo ebusuku.
• Khulumisanani. Yabelana ngemizwa yakho nomndeni othembekile noma abangane. Noma khuluma nelungu labefundisi. UNGAGCINI izinto zifakwe ngaphakathi.
• Landela uhlelo lwakho lokwelashwa. Lapho i-COPD yakho iphethwe kahle, uzoba namandla amaningi wezinto ozijabulelayo.
• UNGALIBALI. Thola usizo lokudangala.

Ukuzizwa uthukuthele, ucasukile, udabukile noma ukhathazekile ngezinye izikhathi kuyaqondakala. Ukuba ne-COPD kushintsha impilo yakho, futhi kungaba nzima ukwamukela indlela entsha yokuphila. Kodwa-ke, ukucindezeleka kungaphezu kokudabuka noma ukukhungatheka ngezikhathi ezithile. Izimpawu zokucindezeleka zifaka:

• Isimo esiphansi isikhathi esiningi
• Ukucasulwa njalo
• Ukungayijabuleli imisebenzi yakho ejwayelekile
• Inkinga yokulala, noma ukulala kakhulu
• Ushintsho olukhulu ekudleni, imvamisa ngokuzuza kwesisindo noma ngokulahleka
• Ukukhathala okwandayo nokungabi namandla
• Imizwa yokungabi nalutho, ukuzizonda nokuzizwa unecala
• Inkinga yokugxila
• Ngizizwa ngingenathemba noma ngingenakuzisiza
• Imicabango ephindaphindwayo yokufa noma yokuzibulala

Uma unezimpawu zokucindezeleka ezihlala amasonto ama-2 noma ngaphezulu, shayela udokotela wakho. Akudingeki uphile nale mizwa. Ukwelashwa kungakusiza uzizwe ungcono.

Shayela u-911, umugqa oshisayo wokuzibulala, noma uye egumbini lezimo eziphuthumayo eliseduze uma ucabanga ukuzilimaza wena noma abanye.

Shayela udokotela wakho uma:

• Uzwa amazwi noma eminye imisindo engekho.
• Ukhala kaningi ngaphandle kwesizathu.
• Ukudana kwakho kuthinte umsebenzi wakho, isikole, noma impilo yomndeni isikhathi eside kunamasonto ama-2.
• Unezimpawu ezi-3 noma ngaphezulu zokucindezeleka (ezibalwe ngenhla).
• Ucabanga ukuthi omunye wemithi yakho yamanje kungenzeka ukuthi ukukwenza uzizwe ucindezelekile. Ungashintshi noma uyeke ukuthatha noma yimiphi imithi ngaphandle kokukhuluma nodokotela wakho.
• Ucabanga ukuthi kufanele unciphise ukuphuza noma ukusebenzisa izidakamizwa, noma ilungu lomndeni noma umngane ukucele ukuthi wehlise.
• Uzizwa unecala ngenani lotshwala obuphuzayo, noma uphuza utshwala okokuqala ekuseni.

Kufanele futhi ushayele udokotela wakho uma izimpawu zakho ze-COPD ziba zimbi kakhulu, yize ulandela uhlelo lwakho lokwelashwa.

Isifo samaphaphu esingapheliyo - imizwa; Ukucindezeleka - COPD; Ukucindezeleka - i-COPD

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 M, uLazaru SC. I-COPD: Ukuxilongwa nokuphathwa kwemitholampilo. 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