Izinketho zokwelashwa ezi-5 ze-COPD Exacerbation

-Delile

• Ama-Bronchodilators
• Ama-Corticosteroids
• Imithi elwa namagciwane
• Ukwelashwa kwe-oxygen
• Ukulaliswa esibhedlela
• Ukuvimbela ukukhushulwa

Ukubuka konke kwe-COPD

I-COPD, noma isifo samaphaphu esingapheliyo, siyindlela ejwayelekile yesifo samaphaphu. I-COPD ibangela ukuvuvukala emaphashini akho, anciphisa umoya wakho. Izimpawu zingabandakanya ukuphefumula, ukuphefumula, ukukhathala, kanye nokutheleleka okuvamile kwamaphaphu njenge-bronchitis.

Ungaphatha i-COPD ngemithi nangokushintsha kwendlela ophila ngayo, kepha kwesinye isikhathi izimpawu ziba zimbi kakhulu. Lokhu kwanda kwezimpawu kubizwa ngokuthi yi-exacerbation noma i-flare-up. Izindlela zokwelapha ezilandelayo zingakusiza ukubuyisa ukuphefumula kwakho okujwayelekile ngesikhathi seCOPD flare-up.

Ama-Bronchodilators

Uma une-COPD, kufanele ube nohlelo lwesenzo kudokotela wakho. I-action plan isitatimende esibhaliwe sezinyathelo okufanele uzithathe uma kwenzeka kuba nokuqubuka.

Uhlelo lwakho lokusebenza luzovame ukukuqondisa ku-inhaler yakho esebenza ngokushesha. I-inhaler igcwele umuthi obizwa nge-bronchodilator esebenza ngokushesha. Lo muthi usiza ukuvula imigwaqo yakho yomoya evinjiwe. Kungakwenza ukuthi uphefumule kalula kalula kungakapheli imizuzu embalwa. Ama-bronchodilator asebenza ngokujwayelekile afaka phakathi:

• albuterol
• ipratropium (Atrovent)
• i-levalbuterol (i-Xopenex)

Udokotela wakho angaphinde anikeze i-bronchodilator esebenza isikhathi eside ukuthi isetshenziselwe ukwelashwa kwesondlo. Le mithi ingathatha amahora ambalwa ukusebenza, kepha ingakusiza uphefumule ngokukhululeka phakathi kokuqhuma.

Ama-Corticosteroids

ICorticosteroids yimithi elwa nokuvuvukala eyehlisa ngokushesha ukuvuvukala ezindleleni zakho zomoya. Ngesikhathi sokuqhuma, ungathatha i-corticosteroid efomini lepilisi. I-Prednisone iyi-corticosteroid enqunyelwe kabanzi kuma-flare-ups e-COPD.

ICorticosteroids inemiphumela emibi eminingi engaba khona. Lokhu kufaka ukuzuza kwesisindo, ukuqunjelwa, nezinguquko kushukela wegazi nomfutho wegazi. Ngalesi sizathu, ama-corticosteroids omlomo asetshenziswa kuphela njengesixazululo sesikhashana esifushane seziqephu ze-COPD.

Imithi ye-Corticosteroid kwesinye isikhathi ihlanganiswa nemithi ye-bronchodilator ibe yi-inhaler eyodwa. Udokotela wakho kungenzeka ukuthi usebenzise le mithi yokuhlanganiswa ngesikhathi sokuqhuma. Izibonelo zifaka:

• i-budesonide / formoterol (Symbicort)
• i-fluticasone / i-salmeterol (i-Advair)
• i-fluticasone / vilanterol (uBreo Ellipta)
• i-mometasone / formoterol (iDulera)

Imithi elwa namagciwane

Uma une-COPD, amaphaphu akho akhiqiza amafinyila amaningi kunamaphaphu omuntu ojwayelekile. I-mucus eyeqile inyusa ingozi yokutheleleka ngamagciwane, futhi ukuqhuma kungaba uphawu lokutheleleka ngamagciwane. Eqinisweni, ucwaningo luye lwabonisa ukuthi cishe amaphesenti ama-50 amasampula amaswidi athathwe ngesikhathi sokuhlolwa kwe-COPD flare-ups ahlola amagciwane.

Ama-antibiotic angaqeda ukutheleleka okusebenzayo, nakho okunciphisa ukuvuvukala komoya. Udokotela wakho angakunika incwadi kadokotela yama-antibiotic ukuze uyigcwalise lapho kuqala uphawu lokushiswa.

Ukwelashwa kwe-oxygen

Nge-COPD, ungahle ungatholi i-oxygen eyanele ngenxa yenkinga yokuphefumula.Njengengxenye yokwelashwa kwakho okuqhubekayo, udokotela wakho angakunikeza ukwelashwa komoya-mpilo.

Ukwelashwa kwe-oksijeni kusiza ukukhulula ukuphefumula okufushane okwenzeka ngesikhathi sokuqhuma. Uma unesifo samaphaphu esithuthukile, ungadinga ukwelashwa komoya-mpilo ngaso sonke isikhathi. Uma kungenjalo, ungahle udinge kuphela usizo olwengeziwe ngesikhathi se-flare-up. Ukwelashwa kwe-oxygen yakho kungenzeka ekhaya noma esibhedlela ngokuya ngokuthi i-flare-up inzima kangakanani.

Ukulaliswa esibhedlela

Uma ngabe uhlala ne-COPD isikhashana, kungenzeka ukuthi ujwayele ukuphatha ngezikhathi ezithile ekhaya. Kepha kwesinye isikhathi, ukuqhuma kungaba nzima noma kusongele impilo. Kulezi zimo, ungadinga ukwelashwa esibhedlela.

Uma unanoma iyiphi yalezi zimpawu, shayela udokotela wakho ngokushesha:

• ubuhlungu besifuba
• izindebe eziluhlaza okwesibhakabhaka
• ukungaphenduli
• ukuyaluza
• ukudideka

Uma izimpawu zakho zinzima noma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ukuvimbela ukukhushulwa

Yize konke lokhu kwelashwa kungasiza, kungcono kakhulu ukungabi nokuqubuka ekuqaleni. Ukugwema ukuqhuma, yazi futhi ugweme okubangela wena. I-trigger ngumcimbi noma isimo esivame ukudala ukuqhuma kwezimpawu zakho ze-COPD.

Umuntu ngamunye one-COPD unezimbangela ezihlukile, ngakho uhlelo lokuvikela wonke umuntu luzohluka. Nawa amanye amathiphu wokugwema izimbangela ezivamile:

• Yeka noma ugweme ukubhema, futhi ugweme intuthu kagwayi.
• Cela osebenza nabo ukuthi bangagqoki iphunga elinamandla eduze kwakho.
• Sebenzisa imikhiqizo yokuhlanza engenasisekelo ekhaya lakho.
• Vala ikhala lakho nomlomo ngenkathi uphuma esimweni sezulu esibandayo.

Ngaphezu kokugwema izimbangela zakho, gcina indlela yokuphila enempilo ukusiza ukuvimbela ukuqhuma. Landela ukudla okunamafutha amancane, okuhlukahlukene, thola ukuphumula okuningi, bese uzama ukuzivocavoca ngobumnene lapho ukwazi. I-COPD yisimo esingelapheki, kepha ukwelashwa okufanele nokuphathwa kungakugcina uzizwa umuhle ngangokunokwenzeka.