Chirwere chekudzivirira chirwere chepachimona (COPD) chirwere chinoputika chinoratidzwa nekudziviswa kwemhepo. kupinda uye kubva kunze kwemapapu. Inobata vanhu vanopfuura mamiriyoni mazana matanhatu munyika yose uye vanokwana vanopfuura mamiriyoni mana vakafa gore negore.
The Global Initiative for Obstructive Lung Disease (GOLD) inotarisa COPD muzvikamu zvina , neine chimiro chinonyanya kuva chikwata I uye chinonyanya kuve chikamu IV.
Kana iwe ukaonekwa kuti une chirongwa cheCape III COPD, zvinoreva kuti mapapu ako basa rakakanganisika nekuwedzera kufema, kufema, uye kuneta kuita basa rezuva nezuva kunowedzera kuoma. Zviratidzo zvinogona kunge zvakaguma mune imwe kana kupfuura zvipatara.
Kunyangwe pane iri danho rakanyanya kupfuura reCOPD, pane zvinhu zvaunogona kuita kuti uchengetedze kufema kwako uye udzivirire (kana kuti zvishoma nezvishoma) kuwedzera kufambira mberi kwechirwere.
Bvisa Cigaretti
Kusiya kusvuta ndicho chinhu chimwe chete chaunoda kuita pane imwe nzvimbo yechirwere. Haisi kungosiya chete kukuita kuti uchinzwe zviri nani mumuviri uye mupfungwa, zvinogona kukurumidza kuderedza kufambira mberi kwechirwere. Kusvuta kunokanganisa mabhodhi e air, airways, uye kubatana kwemapapu ako, kukuvadzwa kwacho kunogona kuita kuti zvive nyore kubudisa uye kubudisa. Kusvuta kunogonawo kukonzera COPD kupera-ups.
Kurega kunogona kuva noutano, asi kune maitiro ezvimwe unogona kuvimba nayo kuti uwane kubudirira kukuru:
- Kuisa zvose panguva imwechete pane kugadzirisa pasi kana kushanduka ku-low-tar / low-nicotine brand ndiyo nzira yakakosha. Kunyora pasi kunowedzera kuita kuti zvive nyore kuwira panhengo.
- Dzivisa vamwe vanoputa kana nzvimbo iyo vanhu vanosvuta. Kunze kwekuti iyo inogona kukukurudzira kusvuta, nei uchideredza chikonzero chacho nekuzviisa kune fodya yechipiri?
Tora Flu yako uye Pneumonia Shots
Maererano neGOLD, gore negore zvirwere zvinogona kuderedza dambudziko rekurwara nekufa kune vanhu vane COPD nevanenge makumi mashanu kubva muzana. Iyo pneumonia vaccine inokurudzirwawo kuti vanhu vane makore makumi matanhatu nemakore ekuberekwa vanatsire zviri nani njodzi yebhakitiriya pneumonia.
Vanhu vane COPD vakanganisa maitiro emapapu uye, saizvozvi, vari pangozi yakakura yekuwana chirwere. Apo chirwere chinoputika chikafu, kukanganisa kunokonzerwa kumapapu kunogona kusakanganiswa. Kana uri kurarama neStart III COPD, kudzivirira chirwere chepiramu uye chipembenene chinonzi chinokosha nokuti kana chirwere chepapu chikaitika, chero kukanganisa kunokonzerwa kuchagadziriswa uye kunongopfuurira chirwere chako zvakanyanya.
Nguva dzose Ramba Uchinge Uchirwira Inhaler Swedera Pedyo
Kunyange zvazvo bronchodilators ichiita zvishomanana kuderedza kufambira mberi kweCOPD, chiremba wako achakurudzira mumwe kuti atore chero upi zvake-kana kupererwa kwemhepo. Maitiro mashoma anoita bronchodilators akafanana neAluterol or Proventil (anozivikanwawo sekuponesa inhalers ) anoshandiswa pane zvinodiwa zvakasununguka zvekununurwa kwezvirwere zvinopfuurira kana zvinowedzera kuwedzera.
Pakupedzisira, kusanyanya kudzvinyirira kwaunoisa pamapapu ako pano uye ikozvino, kuderedza kusagadzikana kunowanzoita kuti uende mberi.
Shandisa Bronchodilators Yenyu Yenguva Yakareba Sezvakanyorwa
Kubvira kwenguva yakaita bronchodilator inowanzoshandiswa sezvo chirwere chinowedzera kukubatsira kudzivisa kana kuderedza zviratidzo.
Chiremba wako anogona kukurudzira kuti unobatanidza bronchodilator nemhando dzakasiyana-siyana dzekuita nokuti iyi nzira inogona kuva yakanyatsobudirira, yakaenzana kana yakawandisa migumisiro, pane kushandisa imwe chete bronchodilator chete. Long-acting beta-agonists imwe yemhando ye bronchodilator ine mishonga salmeterol kana formoterol. Yenguva refu yekuita anticholinergics chimwe chimiro chinoshandisa Atrovent, Spiriva , kana Combivent.
Usakanganwa Zvaunofunga
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.
Tora Kuremekedza Pulmonary Seriously
Kuvandudzwa kwepulmonary inowanzowedzerwa panguva yechikamu chechipiri COPD uye yakaramba ichienderera mberi sezvo chirwere chichipfuurira. Inosanganisira kurovedza muviri, kuporesa, maitiro ekufema , kubvumirwa kwemhepo , uye kugutsikana mupfungwa kubatsira vanhu zviri nani kubata nemamiriro avo ezvinhu. Pakati pezvinangwa ndechokudzivirira kudiwa kweropai yeakisijeni inoratidzwa muchitambo IV COPD.
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.
Taura Newachiremba Wako NezveGlucocorticoids
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.
Idya Utano Hwakanaka Kuti Uvandudze Basa reMupfu
Kunyange zvazvo kudya kwakagadzikana kusingagoni kuporesa COPD, inogona kukubatsira kunzwa uchinaka uye kupa simba rakawedzerwa pamabasa ako ezuva nezuva, kusanganisira kufema. Ichokwadi chaicho ndechokuti COPD inonyanya kunetseka mumuviri wako uye inopisa zvakakwana mafuta ose aunowana kubva pakudya. Sezvo zvakadaro, vanhu vane COPD vanowanzodikanwa kuwedzera kudya kwavo kwema caloric , zvakakwana nezvokudya zvine utano zvakapfuma mune antioxidants uye phytochemicals.
Kudya zvakanaka kunogonawo kukurudzira maitiro ezvirwere zvemuviri wako, uyewo, kubatsira kurwisana chero zvirwere zvepachifu zvinowanzoonekwa pakati pevanhu vane COPD.
> Kwakabva:
> 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.