9 Kurapa Zvokudya zveSiteji IV COPD

Mishonga uye maitiro ekutungamira

Chirwere chekudzivirira chirwere chepachimona (COPD) chirwere chinoputika chemapapu chinodzivirira kubuda kwemukati mukati uye kunze kwemapapu. COPD inorondedzerwa nezvikamu zvezvirwere izvo zvinotibatsira kuziva nzira yakanakisisa yekurapa uye kufanotaura zvingave zvichiitika (kufungidzira) kwechirwere.

Nhanho IV inofungidzirwa kuti ndiyo inonyanya kuipa yeCOPD uye inoratidzirwa nekupfupika kwefema ( dyspnea ). Panguva ino, mushonga wako haugoni kushanda sezvawaimboita, mabasa akaoma achakusiya ufe, uye iwe uchava nehuwandu hwehutachiona hwemapapu, zvinetso zvekufema, nekushaya kuputika.

Sezvo COPD isingabvumirwi, chiitiko ichi chechirwere chinowanzotaurwa se "mugumo wekupedzisira COPD." Izvi hazvirevi kuti hakuna nzira dzokurapa mamiriro acho ezvinhu. The Global Initiative for Obstructive Lung Disease (GOLD) inokurudzira kushandiswa kwemishonga inotevera uye maitiro kuitira kutarisira danho IV COPD.

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Kusiya Cigaretti

Kunyange kana iwe uchitaridzirwa neCOPD yakasimudza, haambofi yakanyanyisa kukohwa mibairo yekurega kusvuta . Hakusi kungosiya kubatsira kukurumidza kufambira mberi kwechirwere, hutano hunobatsira chete kuramba huchiwedzera sezvo nguva inofamba.

Mushure memavhiki maviri, yakaipisisa yekuti nicotine kurega zviratidzo zvinotanga kupera. Mumwedzi mishomanana inotevera, njodzi yekurwa kwemwoyo inoderera sezvo kupararira kwako kuri nani.

Pashure pemwedzi mitanhatu kusvika kumapfumbamwe, iwe uchatanga kunzwa uchinge usiri kupfupika uye uine matambudziko mashomanana neuchivi chisungo.

Zvimwe

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Flu uye Pneumonia Vaccines

Flu uye zvirwere zvepneumonia ndezvimwe zvemitemo yeGOLD yekurapa kwezvikamu zvose zvechirwere. Gore negore zvirwere zvinoshandiswa zvinobatsira vanhu kuderedza dambudziko rekuwedzera kweCOPD apo chirwere chepineumonia chinoderedza zvikuru mikana yako yekuwana bhakitiriya pneumonia.

Zvidzidzo zvakaratidza kuti gore rega furudzi rinopfurikidza riri roga rinoderedza ngozi yekurwara uye rufu kune vanhu vane COPD neanenge 50 muzana.

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Bhuku-Richiita Bronchodilators

Kununura inhalers , ine vhudzi shomanana vakaita seProventil (albuterol), vabatsire vanhu vane COPD kuchengetedza zviratidzo zvinoramba zvichiramba kana zvekuwedzera zvechirwere. Iyi mishonga inhengo yehutano hwekutarisira zvikamu zvose zveCOPD.

Albuterol ibhi-agonist-class-drug inobatsira misi miviri yakapoteredza mhepo yako inozorora. Proventil inowanzoshandiswa kurapa zviitiko zvenguva pfupi zvekufema kunobatana ne bronchospasm.

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Bharchodilators kwenguva refu

Sezvo COPD yako ichifambira mberi, chiremba wako anogona kuwedzera rimwe kana kuti mamwe maitiro anoramba achiita bronchodilators kuti abatsire kudzivirira kana kuderedza kuonekwa kwezviratidzo. Paunenge uchishanda kamwe chete kwenguva refu bhatiro rinonzi rakachengeteka, kurapa pamwe chete kunowanzobudirira uye kwakaenzana nehuwandu hwemigumisiro.

Long-acting beta-agonists imwe yemhando ye bronchodilator ine mishonga salmeterol kana formoterol. Yenguva refu yekuita anticholinergics chimwe chimiro chinoshandisa Atrovent, Spiriva , kana Combivent.

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Kuvandudza Pulmonary

Kuvandudzwa kwepulmonary inowanzowedzerwa panguva yechikamu chechipiri COPD uye yakaramba ichienderera mberi sezvo chirwere chichipfuurira. Inosanganisira kurovedza muviri, kuporesa maitiro ekufema , mazano ekudya , uye kutsigirwa mupfungwa kubatsira vanhu zviri nani kubata nemamiriro avo.

Kugadziriswa kwepulmonary kunogona kubatsira kuderedza zviratidzo zvezvirwere , kuvandudza hutano hwehupenyu, kuderedza kusarurana kwevanhu, uye kuwedzera kupona nguva. Purogiramu inoshandisa boka rezvirongwa zvevanamukoti, varapi vezvemuviri uye vashandi, vanachiremba, nevadzidzisi.

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Steroid Mishonga

Kurapa ne glucocorticoids (inowanzonzi steroids) inokakavadzana, asi GOLD inokurudzira mufomu yakanyungudutswa kana ukasvika kuStatu III uye uri kutambura kazhinji kunowedzera.

Oral steroid inogona kushandiswa kurapa COPD apo zviratidzo zvinowedzera kuwedzera. Inhaled steroids , nenzira yakasiyana, inowanzoshandiswa kurapa zviratidzo zvakasimba kana apo zviratidzo zvinowedzera kuwedzera.

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Oxygen Therapy

Oxygen therapy inokurudzirwa mumutambo we IV kana zvichienderera mberi, munguva yekurovedza muviri, uye / kana kuti kubvisa zviitiko zvenguva pfupi zve dyspnea.

Kuenderera mberi oksijeni inowanzokurudzirwa kune avo vane PaO2 (yakaenzana nemafuta eropa ropa ) 55 mm HG kana kuti vashoma kana kuti mazinga ayo ekugadzirisa oksijeni haasi pasi kana anokwana 88 muzana.

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Lung Surgery

Kune mhando mitatu yekuvhiya kwemapapu inowanikwa kune avo vanowana zvinonyanya kutsanangurwa nechitanhatu IV COPD. Dzinosanganisira bullectomy inoshandiswa kurapa nzvimbo huru yemhepo mumapapu emapapu, mapapu ekuderedza kuputika (LVRS) anoshandiswa kubvisa chirwere chemapfupa, uye mapapu ekugadzirwa .

Matambudziko anonzi Postoperative anowanzoonekwa, kunyanya kune avo vanorema, vane utano husina kunaka, vakwegura, kana kusvuta.

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Chikafu Chakanaka Chakakwirira muCalories

Chikafu chakakosha chinonyanya kukosha kune vanhu vane gweta IV COPD sezvo chirwere chacho chinokonzera kushungurudzika kukuru pamuviri uye chinopisa zvakakwana mafuta ose aunowana kubva pakudya. Sezvo vakadaro, vanhu vane COPD vachada kuwedzera huwandu hwavo hwema caloric , zvakakwana nezvokudya zvine utano zvakapfuma mune antioxidants uye phytochemicals.

Kudya zvakanaka kunogonawo kukurudzira masimba ako ezvirwere uye, zvakare, kubatsira kurwa nechipfuva zvirwere zvinowanikwa nevanhu vane COPD.

> Source

• > Global Initiative Yokudzivirira Dambudziko reMakumbo (GOLD). " Uchapupu Mukutsigira Kudzivirira uye Maintenance Therapy ." Pocket Guide kuCOPD Kuziva, Kutungamira, nekudzivirira: Mutungamiri weVashandi Vekuchengetedza Utano. 2017: 9-18.