ICystic fibrosis: kuyini, izimpawu eziyinhloko, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izinkinga ezingenzeka
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• 1. Ukusetshenziswa kwemithi
• 2. Ukulungiswa kokudla
• 3. Isikhathi sePhysiotherapy
• 4. Ukuhlinzwa

ICystic fibrosis yisifo sofuzo esithinta iphrotheni emzimbeni, esaziwa nge-CFTR, esiholela ekukhiqizeni uketshezi olunamandla kakhulu futhi olubukhali, okunzima ukuluqeda futhi ngaleyo ndlela kugcine kuqoqana ngaphakathi kwezitho ezahlukahlukene, kepha ikakhulukazi emaphashini umgudu wokugaya ukudla.

Lokhu kunqwabelana kwezimfihlo kungagcina kudala izimpawu ezithinta ikhwalithi yempilo, njengobunzima bokuphefumula, umuzwa oqhubekayo wokuphefumula nokuphefumula okuvamile. Ngaphezu kwalokho, kungahle kube nezimpawu eziningana zokugaya ukudla, njengokukhiqizwa kwesitokisi esinamandla, esinamafutha nesinukayo noma ukuqunjelwa.

Esikhathini esiningi, izimpawu ze-cystic fibrosis zivela ebuntwaneni futhi lesi sifo sitholakala kusenesikhathi, kepha-ke kukhona nabantu abangenazo izimpawu futhi, ngakho-ke, bangathola ukuxilongwa kamuva. Kunoma ikuphi, ukwelashwa kufanele kuqale ngaso sonke isikhathi, ngoba kuvimbela lesi sifo ukuthi sikhule futhi kusize ukulawula izimpawu, lapho zikhona.

Izimpawu eziyinhloko

Izimpawu ze-cystic fibrosis zivame ukuvela ngesikhathi sobuntwana, kepha zingahluka kumuntu nomuntu. Uphawu oluphawuleka kakhulu lwe-cystic fibrosis ukuqoqwa kwamafinyila ezindleleni zomoya, okuthanda ukuqoqwa kwama-microorganism nokuphindaphinda okukhulu kwezifo zokuphefumula, okuholela ekuveleni kwezinye izimpawu ezinjenge:

• Ukuzwa ukuphefumula okuncane;
• Ukukhwehlela okungapheli, nge-phlegm noma ngegazi;
• Ukushaya lapho uphefumula;
• Ubunzima bokuphefumula ngemuva kokuzivocavoca;
• Sinusitis engapheli;
• Inyumoniya kanye ne-bronchitis ejwayelekile;
• Izifo eziphindaphindiwe zamaphaphu;
• Ukwakhiwa kwama-polyp nasal, okuhambelana nokukhula okungavamile kwezicubu ezibeka ikhala. Qonda ukuthi iyini i-polyp ekhaleni nokuthi uyiphatha kanjani.

Ngaphezu kwalokho, abanye abantu bangabuye bahlakulele izimpawu zokugaya ukudla, njenge:

• Izindle ezinephunga elibi, ezinkulu futhi ezinamafutha;
• Uhudo oluqhubekayo;
• Isikhumba esiphuzi namehlo;
• Kunzima ekutholeni isisindo;
• Ukhuluphele;
• Ukuqunjelwa njalo;
• Ukuqunjelwa;
• Ukungondleki okuqhubekayo.

Ngaphezu kwalezi zimpawu, kujwayelekile ukuthi abantu abane-cystic fibrosis bezwe ubuhlungu bamalunga, kwandiswe amazinga kashukela egazini nokujuluka okunosawoti.

Izinkinga ezingenzeka

Izinkinga ze-cystic fibrosis zithinta kakhulu izindlela zokuphefumula, zokugaya ukudla nezokuzala. Ngakho-ke, kungahle kube nokuthuthuka kwe-bronchitis, i-sinusitis, i-pneumonia, ama-polyp nasal, i-pneumothorax, ukwehluleka ukuphefumula, isifo sikashukela, ukuvinjelwa kwemigudu yenyongo, izinkinga zesibindi nezokugaya ukudla, i-osteoporosis nokungabi nenzalo, ikakhulukazi endodeni.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-cystic fibrosis kungenziwa ngesikhathi sokuzalwa ngokuhlolwa kwesithende. Kodwa-ke, ukuze kuqinisekiswe ukuxilongwa, kuyadingeka ukwenza umjuluko nokuhlolwa kwezakhi zofuzo okuvumela ukuhlonza ukuguquka kwesibopho okubhekene nalesi sifo.

Ngaphezu kwalokho, kungenzeka ukuthi ukuhlolwa kwesithwali kuyenziwa, okuqinisekisa ubungozi bokuthi abashadikazi babe nezingane ezine-cystic fibrosis, futhi lolu vivinyo lwenziwa ikakhulukazi ngabantu abanomlando womndeni wesifo.

Lapho umuntu engatholakali lapho ezalwa noma ezinyangeni zokuqala zokuphila, ukuxilongwa kungenziwa ngokuhlolwa kwegazi ngenhloso yocwaningo lokuguqula isimo sesifo, noma ngesiko lamasampula ento evela ngomphimbo ngenhloso yokuhlola ubukhona bama-bacterium futhi, ngaleyo ndlela, ukuvumela ukuxilongwa, ngaphezu kokuhlolwa kwegazi ukuhlola ama-enzyme athile.

Ukuhlolwa kokusebenza kwamaphaphu kungabuye ku-odolwe ngudokotela, kanye nesifuba se-X-ray noma i-computed tomography. Lezi zivivinyo zivame ukuhlelelwa intsha nabantu abadala abanezimpawu zokuphefumula ezingapheli.

Yelashwa kanjani

Ukwelashwa kwe-cystic fibrosis kuvame ukwenziwa ngokudla imithi enikezwe udokotela, i-physiotherapy yokuphefumula kanye nokuqapha okunomsoco, ukulawula lesi sifo nokwenza ngcono impilo yomuntu.

Ngaphezu kwalokho, ukuhlinzwa kungasetshenziswa kwezinye izimo, ikakhulukazi uma kukhona ukuvinjelwa komsele noma lapho kuba nezinkinga ezinkulu zokuphefumula.

1. Ukusetshenziswa kwemithi

Amakhambi e-cystic fibrosis asetshenziswa ngenhloso yokuvikela izifo, evumela umuntu ukuthi aphefumule kalula futhi agweme ukuvela kwezinye izimpawu. Ngakho-ke, imithi eyinhloko engakhonjiswa udokotela yile:

• Ama-enzyme epancreatic, okumele yenziwe ngomlomo, futhi ehlose ukwenza lula inqubo yokugaya ukudla nokumunca izakhi zomzimba;
• Imithi elwa namagciwane ukwelapha nokuvikela ukutheleleka kwamaphaphu;
• Ama-Bronchodilators, ezisiza ukugcina imigwaqo yomoya ivulekile futhi ikhulule imisipha ye-bronchial;
• Ama-Mucolytics ukusiza ukukhulula amafinyila;

Ezimweni lapho uhlelo lokuphefumula luba lubi futhi isiguli sinezinkinga ezifana ne-bronchitis noma i-pneumonia, ngokwesibonelo, kungadingeka ukuthi ithole i-oksijeni ngemaski. Kubalulekile ukuthi ukwelashwa okukhonjiswe ngudokotela kulandelwe ngokomyalelo kadokotela ukuze izinga lomuntu lokuphila lithuthuke.

2. Ukulungiswa kokudla

Ukuqapha okunomsoco ku-cystic fibrosis kubalulekile, ngoba kujwayelekile ukuthi lezi ziguli zibe nobunzima ekutholeni isisindo nokukhula, ukuswela ukondleka komzimba futhi, kwesinye isikhathi, nokungondleki. Ngakho-ke, kubalulekile ukweluleka isazi sokudla ukuze sengeze ekudleni futhi siqinise amasosha omzimba, silwe nezifo. Ngakho-ke, ukudla komuntu one-cystic fibrosis kufanele:

• Ukunotha ama-calories, njengoba isiguli singakwazi ukugaya konke ukudla esikudlayo;
• Ceba emafutheni nasemaprotheni ngoba iziguli azinawo wonke ama-enzyme wokugaya ukudla futhi ziphinde zilahlekelwe yilezi izakhi esitobhini;
• Yengezwa ngezithasiselo zamavithamini A, D, E no-K, ukuze isiguli sibe nazo zonke izakhamzimba esizidingayo.

Ukudla kufanele kuqale ngokushesha lapho kutholakala i-cystic fibrosis, futhi iguqulwe ngokuya ngokuguquka kwesifo. Funda kabanzi mayelana nokondla i-cystic fibrosis.

3. Isikhathi sePhysiotherapy

Ukwelashwa kwe-Physiotherapeutic kuhlose ukusiza ukukhipha uketshezi, ukwenza ngcono ukushintshaniswa kwegesi emaphashini, ukusula imigwaqo yomoya nokwenza ngcono ukuphelelwa isikhathi, ngokuzivocavoca nokuphefumula.Ngaphezu kwalokho, i-physiotherapy isiza nokuhlanganisa amalunga nemisipha yesifuba, emuva namahlombe ngokuzivocavoca umzimba.

Udokotela wezifo zomzimba kufanele anakekele ukulungisa amasu ngokuya ngezidingo zomuntu ukuze athole imiphumela engcono. Kubalulekile ukuthi ukwelashwa ngokomzimba kwenziwe kusukela ngesikhathi kutholakala lesi sifo, futhi kungenziwa ekhaya noma ehhovisi.

4. Ukuhlinzwa

Lapho ukwelashwa ngemithi kunganele ukudambisa izimpawu nokuvimbela ukuqhubeka kwezifo, udokotela angakhombisa isidingo sokufakelwa kwamaphaphu. Ngaphezu kwalokho, ukuhlinzwa kungaboniswa lapho amafinyila evimbela umsele, uphazamisa ukusebenza komzimba. Qonda ukuthi ukufakelwa kwamaphaphu kwenziwa kanjani nokuthi kunesidingo nini.