Yiziphi Izingozi Zokuthola I-COPD ne-Pneumonia?

-Delile

• I-COPD nokwazi ukuthi unayo yini inyumoniya
• Izinkinga ze-pneumonia ne-COPD
• I-pneumonia iphathwa kanjani kubantu abane-COPD?
• Imithi elwa namagciwane
• Ukuphuza ama-steroid
• Imishanguzo yokuphefumula
• Ingabe i-pneumonia ingavinjelwa?
• Umbono

I-COPD nenyumoniya

Isifo esingapheliyo se-pulmonary pulmonary disease (COPD) iqoqo lezifo zamaphaphu ezidala imigwaqo yomoya evimbekile futhi okwenza ukuphefumula kube nzima. Kungaba nezinkinga ezinkulu.

Abantu abane-COPD banamathuba amaningi okuthuthukisa i-pneumonia. I-pneumonia iyingozi kakhulu kubantu abane-COPD ngoba idala ingozi eyengeziwe yokwehluleka kokuphefumula. Lokhu kulapho umzimba wakho ungatholi i-oxygen eyanele noma ungasusi ngempumelelo isikhutha.

Abanye abantu abaqiniseki ukuthi izimpawu zabo zivela ku-pneumonia noma ku-COPD ebhebhetheka. Lokhu kungadala ukuthi balinde ukufuna ukwelashwa, okuyingozi.

Uma une-COPD futhi ucabanga ukuthi ungahle ubonise izimpawu zenyumoniya, shayela udokotela wakho khona manjalo.

I-COPD nokwazi ukuthi unayo yini inyumoniya

Ukuqhuma kwezimpawu ze-COPD, okwaziwa njengokukhula, kungadidaniswa nezimpawu zenyumoniya. Lokho kungenxa yokuthi ziyefana kakhulu.

Lokhu kungafaka ukuphefumula okuncane nokuqina kwesifuba sakho. Imvamisa, ukufana kwezimpawu kungaholela ekutholakaleni kwesifo se-pneumonia kulabo abane-COPD.

Abantu abane-COPD kufanele babheke ngokucophelela izimpawu ezivelele kakhulu pneumonia. Lokhu kufaka phakathi:

• Ukugodola
• eqhaqhazela
• ukwanda kobuhlungu besifuba
• umkhuhlane omkhulu
• ikhanda nokuqaqamba komzimba

Abantu ababhekana ne-COPD kanye ne-pneumonia bavame ukuba nenkinga yokukhuluma ngenxa yokushoda komoya-mpilo.

Kungenzeka futhi babe nesikhwehlela esijiyile nesimnyama ngebala. Isikhwehlela esijwayelekile simhlophe. Isikhohlela kubantu abane-COPD ne-pneumonia singaba luhlaza, siphuzi, noma sinegazi.

Imithi kadokotela evame ukusiza izimpawu ze-COPD ngeke isebenze kwizimpawu ze-pneumonia.

Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nalezi zimpawu ezingenhla ezihambisana nenyumoniya. Kufanele futhi ubone udokotela uma izimpawu zakho ze-COPD ziba zimbi kakhulu. Kubalulekile ukuqaphela:

• ukwanda kokuphefumula kanzima, ukuphefumula okuncane, noma ukuphefumula
• ukungahlaliseki, ukudideka, ukukhuluma kabi, noma ukucasuka
• ubuthakathaka obungachazeki noma ukukhathala okuhlala isikhathi esingaphezu kosuku
• izinguquko ezikhwehlelweni, kufaka phakathi umbala, ubukhulu, noma inani

Izinkinga ze-pneumonia ne-COPD

Ukuba nakho kokubili i-pneumonia ne-COPD kungaholela ezinkingeni ezinkulu, kubangele ukulimala okuhlala isikhathi eside ngisho nokuhlala unomphela emaphashini akho nakwezinye izitho ezinkulu.

Ukuvuvukala okuvela emphefumulweni kunganciphisa ukuhamba kwakho komoya, okungalimaza amaphaphu akho. Lokhu kungadlulela ekuhlulekeni okukhulu kokuphefumula, isimo esingabulala.

I-pneumonia ingadala ukuncipha komoya-mpilo, noma i-hypoxia, kubantu abane-COPD. Lokhu kungaholela kwezinye izinkinga, kufaka phakathi:

• ukulimala kwezinso
• izinkinga zenhliziyo, kufaka phakathi isifo sohlangothi nesifo senhliziyo
• ukulimala kobuchopho okungenakulungiswa

Abantu abanecala eliphambili kakhulu le-COPD basengozini enkulu yezinkinga ezinkulu ezivela ku-pneumonia. Ukwelashwa kusenesikhathi kungasiza ekunciphiseni lezi zingozi.

I-pneumonia iphathwa kanjani kubantu abane-COPD?

Abantu abane-COPD ne-pneumonia bavame ukungeniswa esibhedlela ukuze bathole ukwelashwa. Udokotela wakho angalawula i-chest-x-ray, i-CT scan, noma umsebenzi wegazi ukuthola i-pneumonia. Bangabuye bahlole isampula yesikhwehlela sakho ukuze babheke ukutheleleka.

Imithi elwa namagciwane

Udokotela wakho angakunikeza ama-antibiotics. Lokhu kungenzeka kunikezwe ngemithambo yegazi lapho usesibhedlela. Ungadinga futhi ukuqhubeka nokuthatha ama-antibiotic ngomlomo ngemuva kokubuyela ekhaya.

Ukuphuza ama-steroid

Udokotela wakho angakunikeza ama-glucocorticoids. Banganciphisa ukuvuvukala emaphashini akho futhi bakusize uphefumule. Lokhu kunganikezwa nge-inhaler, iphilisi, noma ngomjovo.

Imishanguzo yokuphefumula

Udokotela wakho uzokunikeza nemithi kuma-nebulizers noma kuma-inhalers ukuze uqhubeke nokusiza ukuphefumula kwakho futhi uphathe nezimpawu ze-COPD.

Ukwengeza oksijini ngisho nama-ventilator kungasetshenziswa ukukhulisa inani le-oxygen oyitholayo.

Ingabe i-pneumonia ingavinjelwa?

Lokhu kuncoma ukuthi abantu abane-COPD bathathe izinyathelo zokuvimbela inyumoniya uma kungenzeka. Ukugeza izandla njalo kubalulekile.

Kubalulekile futhi ukugonyelwa:

• umkhuhlane
• inyumoniya
• i-tetanus, i-diphtheria, i-pertussis, noma ukukhwehlela: I-Tdap booster iyadingeka kanye njengomuntu omdala bese kufanele uqhubeke nokuthola umuthi wokugomela isifo sokuqina kwemisipha kanye ne-diphtheria (Td) njalo eminyakeni eyishumi

Kufanele uthole umuthi wokugomela umkhuhlane unyaka nonyaka lapho usutholakala.

Izinhlobo ezimbili zemigomo yokugomela i-pneumonia sezinconyelwa cishe wonke umuntu oneminyaka engama-65 nangaphezulu. Kwezinye izimo, imijovo yokugomela i-pneumonia inikezwa ngaphambi kwesikhathi kuye ngesimo sempilo yakho kanye nezimo zakho zezokwelapha, ngakho-ke khuluma nodokotela wakho mayelana nokukufanele kakhulu.

Thatha imishanguzo yakho ye-COPD njengoba unqunyelwe udokotela wakho. Lokhu kungukhiye ekuphatheni isifo sakho. Imithi ye-COPD ingasiza ekwehliseni inani lokukhushulwa, yehlise ukuqhubeka kokulimala kwamaphaphu, futhi ithuthukise ikhwalithi yempilo yakho.

Kufanele usebenzise kuphela imithi ye-over-the-counter (OTC) enconywe udokotela wakho. Eminye imithi ye-OTC ingaxhumana nemithi kadokotela.

Imithi ethile ye-OTC ingenza izimpawu zakho zamanje zamaphaphu zibe zimbi kakhulu. Bangakubeka engcupheni yokozela nokulala, okungaphinda kuqinise i-COPD.

Uma une-COPD, sebenza eduze nodokotela wakho ukuvimbela izinkinga. Yeka ukubhema uma ungakakwenzi lokho. Wena nodokotela wakho ningaqhamuka nohlelo lwesikhathi eside lokusiza ukunciphisa ukukhuphuka kwe-COPD yakho kanye nengozi yakho yokuba nenyumoniya.

Umbono

Uma une-COPD, usengozini enkulu yokuthuthukisa inyumoniya kunaleyo engenayo i-COPD. Abantu abane-COPD exacerbation kanye ne-pneumonia banamathuba amaningi okuba nezinkinga ezinkulu esibhedlela kunalabo abane-COPD exacerbation ngaphandle kwe-pneumonia.

Ukutholwa kokuqala kwe-pneumonia kubantu abane-COPD kubalulekile. Ukuxilongwa kusenesikhathi kuvame ukuletha imiphumela engcono kanye nezinkinga ezimbalwa. Ngokushesha uthola ukwelashwa futhi uthole izimpawu ezilawulwayo, mancane amathuba okuthi uzolimaza amaphaphu akho.