I-COPD nokukhathazeka

-Delile

• Umjikelezo wokuphefumula-wokukhathazeka
• Ukubhekana nokukhathazeka
• Ukuqeqeshwa kabusha komoya
• Ukwelulekwa nokwelashwa
• Ukuthatha
• Ukuhlaselwa ukwethuka: I-Q & A.
• Q:
• A:

Abantu abaningi abane-COPD banokukhathazeka, ngezizathu ezahlukahlukene. Uma unenkinga yokuphefumula, ubuchopho bakho busetha i-alamu ukukuxwayisa ukuthi kukhona okungahambi kahle. Lokhu kungadala ukukhathazeka noma ukwethuka ukungena.

Imizwa yokukhathazeka nayo ingavela lapho ucabanga ngokuba nesifo samaphaphu esiqhubekayo. Ungakhathazeka ngokuthola isiqephu sokuphefumula kanzima. Imithi ethile esetshenziselwa ukwelapha i-COPD nayo ingadala imizwa yokukhathazeka.

Umjikelezo wokuphefumula-wokukhathazeka

Ukukhathazeka ne-COPD kuvame ukudala umjikelezo wokuphefumula. Imizwa yokuphefumula ingadala ukwethuka, okungakwenza uzizwe ukhathazekile kakhulu futhi kungenze kube nzima ngisho nokuphefumula. Uma ubanjwa yilomjikelezo wokuphefumula-ukukhathazeka-ukuphefumula, ungaba nobunzima bokuhlukanisa izimpawu zokukhathazeka nezimpawu ze-COPD.

Ukuba nokukhathazeka okuthile uma unesifo esingelapheki kungaba yinto enhle. Kungakhuthaza ukuthi ulandele uhlelo lwakho lokwelashwa, unake izimpawu zakho, futhi wazi ukuthi ungaluthola nini usizo lwezokwelapha. Kodwa ukukhathazeka ngokweqile kungathinta kakhulu izinga lempilo yakho.

Ungagcina ngokuya kudokotela noma esibhedlela kaningi kakhulu kunalokho okudingayo. Ungagwema nezinto ezithandekayo zenhlalo nezokungcebeleka ezingadala ukuphefumula kanzima, njengokuhamba inja noma ingadi.

Ukubhekana nokukhathazeka

Abantu abangenayo i-COPD kwesinye isikhathi banikezwa imishanguzo yokulwa nokukhathazeka njenge-diazepam (Valium) noma i-alprazolam (Xanax). Kodwa-ke, le mithi ingadala ukwehla kokuphefumula, okungenza i-COPD ibe nzima, futhi ingaxhumana neminye imithi oyisebenzisayo. Ngokuhamba kwesikhathi, le mithi ingadala nezinkinga zokuncika nokulutha.

Ungathola ukukhululeka ngemithi yokulwa nokukhathazeka enganqamuki engaphazamisi ukuphefumula, njenge-buspirone (BuSpar). Ama-anti-depressant, afana ne-sertraline (Zoloft), i-paroxetine (Paxil), ne-citalopram (i-Celexa), nawo anciphisa ukukhathazeka. Udokotela wakho angakusiza ukunquma ukuthi imuphi umuthi ozokusebenzela kangcono. Khumbula, yonke imithi inamandla emiphumela emibi.Ukukhathazeka okwengeziwe, ukucasuka kwamathumbu, ikhanda elibuhlungu, noma isicanucanu kungenzeka lapho uqala le mithi. Buza udokotela wakho ngokuqala ngomthamo ophansi futhi usebenze ngendlela yakho. Lokhu kuzonikeza umzimba wakho isikhathi sokuzijwayeza umuthi omusha.

Ungakhuphula ukusebenza kwemithi ngokuyihlanganisa nezinye izindlela zokunciphisa ukukhathazeka. Buza udokotela wakho ukuthi angakudlulisela ohlelweni lokuvuselelwa kwamaphaphu. Lezi zinhlelo zinikela ngemfundo mayelana ne-COPD namasu wokubhekana nokubhekana nokukhathazeka kwakho. Enye yezinto ezibaluleke kakhulu ozifunda ekuvuseleleni i-pulmonary yindlela yokuphefumula ngempumelelo.

Ukuqeqeshwa kabusha komoya

Izindlela zokuphefumula, njengokuphefumula ngomlomo, kungakusiza:

• khipha umsebenzi ekuphefumuleni
• yehlisa ukuphefumula kwakho phansi
• gcina umoya uhamba isikhathi eside
• funda ukukhululeka

Ukuze wenze ukuphefumula ngomlomo okulandelwayo, phumuza umzimba wakho ongaphezulu bese uphefumulela phezulu ngamakhala akho ukubala okubili. Bese uhlanza izindebe zakho kube sengathi uzoshaya ikhwela bese uphefumulela ngaphandle kancane ngomlomo wakho ukubala ezine.

Ukwelulekwa nokwelashwa

Abantu abaningi abane-COPD bathola ukuthi ukwelulekwa ngazinye kuyasebenza ekunciphiseni ukukhathazeka. Ukwelashwa kokuziphatha kwengqondo kungokwelashwa okuvamile okusiza ukunciphisa izimpawu zokukhathazeka ngokusebenzisa izindlela zokuphumula nokuzivocavoca kokuphefumula.

Ukwelulekwa ngamaqembu kanye namaqembu okusekela nakho kungakusiza ukuthi ufunde ukuthi ungabhekana kanjani ne-COPD nokukhathazeka. Ukuba nabanye ababhekene nezinkinga ezifanayo zezempilo kungakusiza ukuthi uzizwe ungaphansi kwesizungu.

Ukuthatha

I-COPD ingacindezela ngokwanele yodwa. Ukubhekana nokukhathazeka ngaphezulu kwayo kungaxaka izinto, kepha unezinketho zokwelashwa. Uma uqala ukubona izimpawu zokukhathazeka, khuluma nodokotela wakho bese uthola ukwelashwa ngaphambi kokuthi kuqale ukuthinta impilo yakho yansuku zonke.

Ukuhlaselwa ukwethuka: I-Q & A.

Q:

Buyini ubudlelwane phakathi kokuhlaselwa ukwethuka ne-COPD?

Isiguli esingaziwa

A:

Uma une-COPD, i-panic attack ingazizwa ifana kakhulu nokuqhamuka kwezinkinga zakho zokuphefumula. Ungazizwa ngokungazelelwe inhliziyo yakho igijima futhi ukuphefumula kwakho kuba nzima. Ungaqaphela ukuba ndikindiki nokuhayiza, noma ukuthi isifuba sakho sizwakala siqinile. Noma kunjalo, ukuhlaselwa ukwesaba kungayeka ngokwakho. Ngokuba nohlelo lokuthi ungabhekana kanjani nokuhlaselwa kwakho ukwethuka, ungakwazi ukulawula izimpawu zakho futhi ugweme uhambo olungadingekile oluya egumbini lezimo eziphuthumayo.

• Sebenzisa ukuphazamiseka ngokugxila emsebenzini. Isibonelo: ukuvula nokuvala izingqindi, ukubala uye ku-50, noma ukufunda izinhlamvu zamagama kuzophoqelela ingqondo yakho ukuthi igxile kokunye ngaphandle kokuthi uzizwa kanjani.
• Ukuphefumula ngezindebe noma ezinye izivivinyo zokuphefumula kungalawula izimpawu zakho. Ukuzindla noma ukucula kungasiza futhi.
• Izithombe ezinhle: Faka isithombe endaweni ongathanda ukuba njengebhishi, idlelo elivulekile, noma umfudlana osentabeni. Zama ukuzicabanga ulapho, unokuthula nokuphefumula kalula.
• Ungaphuzi utshwala noma i-caffeine, noma ubheme ngesikhathi sokuhlaselwa uvalo. Lokhu kungakhulisa izimpawu zakho. Ama-inhalers awanconywa.
• Thola umeluleki wosizo onguchwepheshe angakufundisa amanye amathuluzi wokulawula ukukhathazeka nokwethuka

UJudith Marcin, MD Family MedicineIzimpendulo zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.