6 Nzira Dzokubata Bronchitis Isingaperi

Maitiro, mapiritsi, uye physio zvinobatsira kugadzirisa zviratidzo

Chronic bronchitis is complication of chronic obstructive pesmary disease (COPD) . Icho chinoratidzirwa chinotsanangurwa sekukanganiswa kunobereka chinokonzera mazuva ose kwemwedzi mitatu mumutsara pawakaitika kwemakore maviri mumutsara.

COPD ikozvino yechitatu yekutungamirira kwekufa muU.S. Mamwe mafomu anosanganisira emphysema uye bronchiectasis . Kunyange zvazvo utsi ndicho chikonzero chinowanzoitika cheCOPD, kusvitsa utsi hwechipiri, kusvibiswa, kana zvimwe zvinopesana nemhepo zvinogona kukonzera izvi.

Chronic bronchitis yakasiyana neharukoni yakaoma, iyo yekupedzisira iyo inokonzerwa nehutachiona hwehutachiona kana hutsinye hwemagariro. Chronic bronchitis, nenzira yakasiyana, chirwere chisingaperi chinokonzerwa nekuparara kwemapapu asingadzivisiki.

Kana iwe uine chirwere chisingarapiki chinonzi bronchitis, chiremba wako anorongedza zvimwe kana kuti zvose zvinotevera zvirongwa zvekurapa:

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Kusvuta Kupedza

Kurega kusvuta ndiko kunonyanya kukosha, asi kunowanzokwekwekwa, chikamu chekurapa chirwere chisingaperi chine bronchitis.

Kusvuta kunokonzera chimwe chinhu chinonzi bronchoconstriction chinoparadza zviduku, zvidziviriro (zvinonzi cilia) zvinotenderera kumhepo. Panguva imwecheteyo, kuputika kunokonzerwa nemidzanga kunokonzera kudengenyeka kwekasi. Nokuti cilia inokosha mukubvisa zvinhu kubva kumapapu, mhirizhonga inokonzerwa nekusvuta inokonzera kuunganidza kukomba uye kuvharirwa kwemhepo kumapapu.

Vakasvuta vanogonawo kutengesa zvirwere zvemapapu, izvo zvinozivikanwa nevanhu vane COPD.

Kunyangwe iwe uri muzvikamu zvekare zveCOPD, hazvina kunonoka kusiya. Kwete kungomira rubatsiro chirwere chinononoka kufambira mberi, hutano hunobatsira chete kukura sezvo nguva inofamba. Muzviitiko zvizhinji, zviratidzo zve dyspnea (kupfupika kwefemhepo) zvishoma nezvishoma mumwedzi mitanhatu kusvika kupfumbamwe yekumira.

Kune huwandu hwemarudzi akasiyana-siyana ekurega kusvuta kushandiswa kwemazuva ano, mazhinji ayo akafukidzwa neshuwarisi.

Zvimwe

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Bronchodilators

Bronchodilators vanobvisa kubvisa zvipfeko zvisingabatsiri pavanenge vachibvisa bronchospasm nekuderedza kuparara kwemhepo. Nokuita kudaro, mamwe okisijeni anogoverwa kumapapu uye kufema kunovandudzwa.

Kununura inhalers , ine maitiro emagetsi anonyanya kuita seProventil (albuterol), anogona kubatsira vanhu vane chirwere chisingarapiki kuchengetedza zviratidzo zvechirwere ichi. Iyi mishonga inhengo yehutano hwekutarisira zvikamu zvose zveCOPD.

Albuterol ibhi-agonist-class-drug inobatsira misi miviri yakapoteredza mhepo yako inozorora. Kusiyana nekugara kwenguva refu , kuregererwa kunoshandiswa kurapa zviitiko zvenguva pfupi zvekufema kunobatana ne bronchospasm.

Zvimwe

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Glucocorticoids

Kana munhu asingateereri kurapwa kwakanyanya, glucocorticoids (kirasi ye steroid) inogona kupiwa sechikamu cherongwa hwekurapa. Glucocorticoids inozivikanwa kuva nezvikomborero zvizhinji mukurapa mamiriro asi asi inosanganisirawo njodzi dzakawanda , zvakare.

Kunyange zvazvo kurapwa ne glucocorticoids kuchiri kunongopesana, Global Initiative for Obstructive Lung Disease (GOLD) inokurudzira kushandiswa kwavo muhuwandu hwekugadziriswa kamwechete kana munhu awana Stage III COPD uye ari kutambura kazhinji kuwedzera.

Mamwe mavara glucocorticoids angashandiswa kurapa COPD apo zviratidzo zvinowedzera kuwedzera. Inhaled steroids inowanzoshandiswa kurapa zviratidzo zvakasimba kana apo zviratidzo zvinowedzera kuwedzera.

Zvimwe

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Phosphodiesterase-4 Inhibitors

Phosphodiesterase-4 (PDE4) inhibitors ikirasi yemishonga inobata kuvhiringidza kune COPD. Rimwe remishonga yemuromo kamwechete-zuva rimwe nerimwe, PDE4 inhibitor inobatsira kuderedza kuwedzera kweCOPD uye kazhinji zvisingabatsiri migumisiro.

Mishonga inoshanda kuburikidza nekuderedza kuputika kwevhiriji kune vanhu vasingagamuchirwi nemishonga inorapwa. Nokuita kudaro, kudonhedzana kuduku kunokonzerwa, zvichiita kuti zvishoma zviwedzere uye kuvharwa kwemhepo zvinyorwa.

Daliresp (roflumilast) ndiye chete PDE4 inhibitor iye zvino anogamuchirwa muUnited States. Izvozvo zvinokonzera migumisiro ye PDE4 inhibitor dzinosanganisira kurara, kusuruvara, uye musoro.

Zvimwe

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Chest Physiotherapy uye Postural Draining

Chifuyo chepotheotherapy, iyo inonziwo chifukidzo chechifukidzo, inzira inosanganisira kurova pachifukidzo uye / kana kudzoka kuti ibatsire kusunungura muto uye kuita kuti zvive nyore kukwezva. Iyo inowanzoshandiswa neyemvura inoshandiswa mumvura uye inogona kuitwa kuburikidza kushandiswa nemaoko kana kuti chigadzirwa chekudzivirira ndege.

Zvinyorwa zvemashure , zvinopesana, inzira inoshandisa simba rekuvhenekera kuti ibatsire kubviswa kwemanzi kubva mumhepo. Zvose zviri muchifuyo physiotherapy uye postural drainage zvinoshanda zvakanyanya mushure mekurapwa kwebronchodilator.

Zvimwe

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Airway Clearance Devices

Kushandiswa kwemagetsi emhepo kunoshandiswa pamwe chete nechifuyo chetachipatara uye chitubu chemashure kuitira kuti zviri nani zvive nechokwadi chekumuchengetedza mumapapu. Izvo zvigadzirwa zvave zvichiratidzwa kuti zvigadzirise zvikuru zviyero zvichienzanisa ne physiotherapy uye mvura yakasviba yoga. Zvose mune zvose, zvinenge zvisingakwanisi uye zviri nyore kushandisa.

Zvimwe zvinosanganisira:

• rakanaka kupera simba (PEP) zvishandiso mauri kufema pamusoro pemhepo inoshandiswa
• high-frequency oscillating devices, zvakadai seFututter Mucus Clearance Device uye Acapella Vibratory PEP Device iyo inonyadzisa kufamba kwemhepo duku uye huru
• Mhepo Yakagadzika , chigadziro chine ruoko chinoita kuti pfuure-mafunguri emhepo asvike mumhepo

Zvimwe