I-COPD nokuphakama okuphezulu

-Delile

• Kuyini ukuphakama okuphezulu?
• Kuyini ukugula kokuphakama?
• Uzokhuluma nini nodokotela wakho
• Ngabe abantu abane-COPD bangathuthela ezindaweni eziphakeme kakhulu?

Ukubuka konke

Isifo esingapheliyo se-pulmonary disease (COPD), luhlobo lwesifo samaphaphu esenza kube nzima ukuphefumula. Isimo ngokuvamile sibangelwa ukuvezwa isikhathi eside kwizicasuli zamaphaphu, njengomusi kagwayi noma ukungcoliswa komoya.

Abantu abane-COPD bavame ukuzwa ukuphefumula, ukuphefumula nokukhwehlela.

Uma une-COPD futhi ujabulele ukuhamba, khona-ke kungenzeka ukuthi usuvele wazi ukuthi ukuphakama okuphezulu kungenza izimpawu ze-COPD zibe zimbi kakhulu. Ekuphakameni okuphezulu, umzimba wakho udinga ukusebenza kanzima ukuthatha isilinganiso esifanayo somoya-mpilo njengoba wenza ezindaweni eziphakeme ezisondele olwandle.

Lokhu kuhlunga amaphaphu akho futhi kwenze kube nzima ukuphefumula. Ukuphefumula ezindaweni eziphakeme kungaba nzima kakhulu uma une-COPD kanye nesinye isimo, esifana nomfutho wegazi ophakeme, isifo senhliziyo, noma isifo sikashukela.

Ukudalula izimo eziphakeme kakhulu izinsuku ezingaphezu kwezinsuku eziningi kungathinta nenhliziyo nezinso.

Ngokuya ngobukhulu bezimpawu zakho ze-COPD, kungadingeka ukuthi ungeze ukuphefumula kwakho ne-oxygen ezindaweni eziphakeme, ikakhulukazi ngaphezu kwamamitha angu-5 000. Lokhu kungasiza ukuvimbela ukushoda komoya-mpilo.

Umfutho womoya ojwayelekile ezindizeni zezindiza ezithengiswayo ulingana namamitha angu-5 000 kuya ku-8,000 ngaphezu kogu lolwandle. Uma udinga ukuletha i-oxygen eyengeziwe ngaphakathi, kuzodingeka wenze amalungiselelo nenkampani yezindiza ngaphambi kwendiza yakho.

Kuyini ukuphakama okuphezulu?

Umoya ezindaweni eziphakeme uyabanda, awuminyene kakhulu, futhi uqukethe ama-molecule e-oxygen ambalwa. Lokhu kusho ukuthi udinga ukuthatha ukuphefumula okuningi ukuze uthole inani elilinganayo le-oksijeni njengoba uzokwenza ezindaweni eziphansi. Ukuphakama kuphakama, kuba nzima kakhulu ukuphefumula.

Ngokusho komtholampilo waseCleveland, izindawo eziphakeme ngaphezu kogu lolwandle zihlukaniswe ngale ndlela elandelayo:

• ukuphakama okuphezulu: amamitha ayi-8,000 kuye kwayi-12,000 (2,438 to 3,658 metres)
• ukuphakama okuphezulu kakhulu: amamitha ayi-12,000 kuye kwayi-18,000 (amamitha ayi-3,658 kuye kumamitha ayi-5,486)
• ukuphakama ngokweqile: kungaphezu kwamamitha ayi-18,000 noma amamitha ayi-5,486

Kuyini ukugula kokuphakama?

Ukugula okuyingozi ezintabeni, okwaziwa nangokuthi ukuphakama kokuphakama, kungakhula ngesikhathi sokulungiswa kwezinguquko zekhwalithi yomoya ezindaweni eziphakeme. Ngokuvamile kwenzeka cishe ezinyaweni ezingama-8,000, noma amamitha angu-2,438, ngaphezu kolwandle.

Ukugula kwe-altitude kungathinta abantu abangenayo i-COPD, kepha kungaba nzima kakhulu kubantu abane-COPD noma olunye uhlobo lwesimo samaphaphu. Abantu abazikhandlayo ngokwenyama nabo banamathuba amaningi okuthola ukugula okuphezulu.

Ukugula kwe-Altitude kungaba mncane kuya kokubi. Izimpawu zayo zokuqala zingabandakanya:

• ukuphelelwa umoya
• isiyezi
• ukukhathala
• ubumhlophe
• ikhanda
• isicanucanu
• ukuhlanza
• ukushaya ngokushesha noma ukushaya kwenhliziyo

Lapho abantu abanokugula okuphezulu bahlala ezindaweni eziphakeme, izimpawu zingaba nzima kakhulu futhi ziqhubeke zithinte amaphaphu, inhliziyo, nohlelo lwezinzwa. Uma lokhu kwenzeka, izimpawu zingabandakanya:

• ukudideka
• isiminyaminya
• ukukhwehlela
• ukuqina kwesifuba
• kwehle ukwazi
• ukuphaphatheka noma ukuguquka kwesikhumba ngenxa yokushoda komoya-mpilo

Ngaphandle komoya-mpilo owengeziwe, ukugula kokuphakama kungaholela ezimweni eziyingozi, njenge-high-altitude cerebral edema (HACE) noma i-high-altitude pulmonary edema (HAPE).

I-HACE idalwa lapho uketshezi oluningi lwanda emaphashini, kuyilapho i-HAPE ingakhula ngenxa yokwakheka koketshezi noma ukuvuvukala kobuchopho.

Abantu abane-COPD kufanele ngaso sonke isikhathi balethe i-oxygen eyengeziwe ngesikhathi sezindiza ezindizayo nezohambo oluya ezintabeni. Lokhu kungasiza ukuvimbela ukugula kokuphakama kusuka ekuthuthukiseni nasekugcineni izimpawu ze-COPD zingabi nzima kakhulu.

Uzokhuluma nini nodokotela wakho

Ngaphambi kokuhamba, kubalulekile ukuhlangana nodokotela wakho ukuze nixoxe ngokuthi uhambo lwenu lungazithinta kanjani izimpawu zakho ze-COPD. Udokotela wakho angaqhubeka nokuchaza ukugula kokuphakama, ukuthi kungakuthinta kanjani ukuphefumula kwakho, nokuthi ungazilungiselela kanjani kangcono.

Bangakutshela ukuthi uthathe imishanguzo eyengeziwe noma ulethe i-oxygen eyengeziwe uma usohambweni lwakho.

Uma ukhathazekile ngokuthi izimpawu zakho ze-COPD zingakhuliswa kanjani yizimo eziphakeme kakhulu, cela udokotela wakho ukuthi enze isilinganiso se-hypoxia ephezulu. Lokhu kuhlolwa kuzohlola ukuphefumula kwakho emazingeni e-oksijini afaniswe nalawo asezingeni eliphakeme.

Ngabe abantu abane-COPD bangathuthela ezindaweni eziphakeme kakhulu?

Ngokuvamile, kungcono ukuthi abantu abane-COPD bahlale emadolobheni noma emadolobheni aseduze nolwandle. Umoya uba mncane ezindaweni eziphakeme, okwenza kube nzima kakhulu ukuphefumula. Lokhu kuyiqiniso ikakhulukazi kubantu abane-COPD.

Badinga ukuzama kanzima ukuthola umoya owanele emaphashini abo, ongahlupha amaphaphu futhi aholele kwezinye izimo zezempilo ngokuhamba kwesikhathi.

Odokotela bavame ukweluleka ngokuthuthela ezindaweni eziphakeme kakhulu. Ngokuvamile kusho ikhwalithi yempilo encishisiwe kubantu abane-COPD. Kepha imiphumela yokuphakama okuphezulu kwizimpawu ze-COPD ingahluka kumuntu nomuntu.

Khuluma nodokotela wakho uma ucabanga ukuthuthela unomphela edolobheni noma edolobheni endaweni ephakeme. Ungaxoxa ngobungozi bokuhamba okunjalo kanye nomthelela ongaba nawo kuzimpawu zakho ze-COPD.