Kuwanda kwekugadzirwa kwemasukisi kune chinhu chinowanzoonekwa chechirwere chisingaperi cheplmmm (COPD). Iko kuunganidza kwemascus mabhuku mune chikamu chikuru chekudzivirirwa kwemweya kupinda nekubuda mumapapu. Izvi zvinoita kuti tive nemafungiro ekufema, kukwezva, uye kuperevedza kwepfupa yatakasvika kuti tione sev obsttive zvirwere zvemapapu, kusanganisira chirwere chisingaperi chisingagoneki uye emphysema.
Maitiro ekudzivirira magetsi (ACT) ndiyo iyo inotarisa kubvisa sputum (kusanganiswa kwekamu uye saliva) kubva kumapapu ako. Nzira dzakakokorodzwa dzokugadziriswa kwemugwagwa dzinosanganisira nzira yekukanganiswa kweHuff , yekudzora kuora , chifuyo chepachiotherapy , uye chitubu chemvura . Idzi idzi inzira dzinobatsira asi dzinowanzoperekera mukupa chero chinhu kunze kwekusununguka kunononoka.
Nzvimbo dzekudzivirira ndege , nenzira yakasiyana, inopa kudzoka kwakanyanya kana ikashandiswa paunobatana nechetsika ACT. Zvinowanikwa zviripo, zviri nyore kushandisa, uye zvisingadhuri. Kuti zviri nani kuti zvifambise chibvumirano, bronchodilator inhaler inowanzoshandiswa kuparadzira ndima dzepamhepo apo chidimbu chinonzi mucolytic chinoshandiswa kuti chigadzikane.
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Flutter Mucus Clearance SystemKubatanidza utachiona hwePEP ne-high-frequency oscillation, Flutter Mucus Clearance Device inopa hutachiona hunodzora hunoita kuti zvinyoronyoro zvinopisa huru uye zviduku. Izvi zvinobatsira kusunungura maruva kubva kumadziro emakona paunenge uchiwedzera kukurumidza kwemhepo kuti zvive nani kukurudzira chibvumirano.
Zvisungo zvinosvibisa sezvizvi zvinokurudzira kudengenyeka paunenge uchibudisa. Mushure mekunge mhepo ichifambisa kambani kakawanda, munhu anowanzokwanisa kufukorora uye kubvisa kunze kwemukoko.
Kunyange zvazvo chipfeti cheFutter chiri chisingatengi uye chiri nyore kushandisa, vanhu vane kugadzikana kwakanyanya kwemhepo kunogona kunge vasingakwanisi kuunza kukwana kwemhepo kunobvumira kuti shanduro ishande zvakanaka.
Zvimwe zviyero zvakashambadzirwa pasi pemazita maAcapella , Cornet, uye Aerobika OPEP.
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Positive Expiratory Pressure (PEP) TherapyMaitiro akanaka ekudzivirira kupera (PEP) therapy yakagadzirwa mumakore ekuma1970 sechimwe chimwe chechifu chechipiotherapy (CPT).
Kushandisa chiso chemasikati kana kuti chirevo, varwere vanotora kufema kwemazuva ose uye vobva vashandura mune imwe nzira yevhavha yekurwisana nekunyarara. Chigadzirwa chacho chinobvumira mhepo yakawanda mumhepo miduku miduku kuitira kuti iite kukumanikidza kunyatsodzima mucus. Icho chinodzvinyirira icho pakupedzisira chinokonzera kukomba kumhepo huru kumhepo, zvichiita kuti zvive nyore kudzinga.
Mune zvidzidzo zvekliniki, chipikisi chePEP chakaratidzwa ku:
- Kuvandudza mucus kubvumirwa
- kuwedzera murwere kunyaradza kuenzaniswa nehuwandu hweCCT
- kuderedza zvirwere zvemapapu uye kushandiswa kwemishonga inouraya
- kunatsiridza kurwisa
- kuderedza kugara kwechipatara
Zvimwe zvezvigadzirwa zvakakurumbira zvinotengeswa pasi pemazita mazita Astra PEP, Pari PEP, uye AeroPEP.
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High-Frequency Chest Wall Oscillation (HFCWO)Nzvimbo yakakwirira -yepamusoro pfupa yekufukura (HFCWO) inosanganisira chipfeko chinokonzerwa nemhepo chinoshandisa simba remhepo kuti zvinyatsogadzirisa rusvingo rwechifuva. Izvi zvinowedzera kuenderera kwemweya kune zvinyorwa zviduku uye rubatsiro mukubviswa kwemukoko.
HFCWO zvishandiso zviri nyore kushandisa uye zvakaratidzwa kuti zvigadzire hurumende yakawanda kupfuura CPT yakawanda.
Kazhinji, munhu achashandisa jira racho kwemaminitsi mashanu panguva uye ozofukorora uye huff kuti abvise tsvina yakasununguka. Misangano inopera kwemaminitsi 20 kusvika ku30.
Mienzaniso yeHFCWO iyo inosanganisira Vest Airway Clearance System uye Medpulse Respiratory Vest System.
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Lung Flute Acoustic Induction DeviceMuchengetedzwa weLung Flute isimbi inobata ruoko iyo inogadzira mafasi-e-sound frequency mumhepo iyo munhu wacho anonyatsopedza kuburikidza nemutsanga wemutsara (zvakadai sokupinza mujekiti). Mafungu anoenda kumhepo yakadzika uye anofambisa kuburitsa mumusasa.
ILung Flute is FDA inogamuchirwa kuti uongorore pamwe chete nekushandiswa kwerapa uye inowanzoshandiswa mumabhati ekubatsira kubata sampuli yeputum kuti iongorore.
Kuti zvive nezvibereko zvakanakisisa, murwere aizoda kurira muMupunga weLung kusvika kune makumi maviri emakwikwi maviri ega. Sezvo nemhando ipi neipi yeAIDS, munhu wacho anofanira kutanga kutanga zvishoma uye kuvaka nhamba yekudzokorora munguva.
Mukuwedzera kune COPD, Flung Flute inogamuchirwa kuti ishandiswe mukurapa bronchitis, pneumonia, asthma, emphysema, nezvimwe zvirwere zvisingaperi zvinopfutidza.
Kusarudza Kodzero Dzakasununguka Dhiyabhorosi
Kusarudza chakanaka chipfeko chekudzivirira kwemhepo ndicho pakupedzisira sarudzo yega. Mumwe nomumwe ane nzira dzakasiyana dzekuita, izvo vamwe vanhu vakaita sevamwe nevamwe vasingaiti. Sezvo zvakadaro, usazeza kubvunza chiremba wako kana chiremba wekuporesa mazano. Zvimwe, iwe unogona kutumira shoko pane bhodhi revanhu veCOPD kuti uwane mamwe mazano kubva kune vamwe vangangodaro vakashandisa chigadzirwa.
> Sources:
> Holland, A. uye Button, M. "Pane nzira inobatsira nzira dzekudzivirira magwagwa mumararamiro asingazivikanwi ekupora maperembudzi?" Chron Respir Dis. 2006; 3 (2): 83-91.
> Hristara-Papadopoulou, A .; Tsanakas, J; Diomou, J .; et al. "Maikirwo epanguva yekuporesa physiotherapy." Hippokratia Medical Journal 2008; 12 (4): 211-220.
> Osadnik, C., McDonald, C .; Jones, A .; et al. "Maitiro ekudzivirira kumhepo kwechirwere chisingaperi chinokonzera kupora maperembudzi." Cochrane Database Database Rev. 2012; (3): CD008328