Pamusoro peMabhuku Chest Physiotherapy
Bhuku rekushandisa chechipiotherapy (CPT), mushure mekudonha mvura, kufema kupfugama, kukwezva-zvose izvi ndezvenzira dzekudzivirira kwemhepo dzokuti munhu wose ane cystic fibrosis (CF) anofanira kuziva kuti angaita sei. Pakupedzisira, kunyange zvakadaro, vanhu vakawanda vane CF vachashandisawo zvigadziro zvekubatsira kuti vawane basa racho. Idzi idzi dzedzimwe nzira dzinowanzoshandiswa pakugadzirisa ndege.
Chinhu Chinoyevedza Kuda Kufuridzira
Maitiro akanaka ekufemerwa (PEP) zvigadzirwa zvinotakura, zvisingadhuri uye hazvitsvaki magetsi. PEP device inogona kunge iri masikisi kana kuti zvinyorwa zviduku zvinotambanudzwa nemaoko ane imwe nzira yevhavha inobvumira mweya kutenderera nyore nyore asi inoita kupikisa panguva yekudzima. PEP inobatsira mhepo inoputika inopinda mushure mutsvina mumapapu uye inobata mhepo inovhurika, saka mukoko unogona kusundirwa kunze. PEP inopedzwa nekufema mukati nekubuda kuburikidza nechigadzirwa kanoverengeka, ndokubva wanyongedza kubvisa kusunungura kwakasununguka.
Mamwe mavara, akadai sePARI PEP, anogona kushandiswa kune nebulizer kusanganisira chirwere chePEP neaerosolized bronchodilators . Nokurwira mishonga miviri kamwechete, PEP nebulizers inoderedza nguva yakashandiswa pakurapwa.
Kusvibisa Kunakidza Kudzvinyirira Kunetseka
Kungofanana nePEP zvigadzirwa, kusvibisa mafungiro akanaka ekudzivirira kupfurikidza (kushambadzira kwePEP) zvishandiso zviduku, zvigadzirwa uye zvisingatengi zvemuromo zvisingadi magetsi.
Oscillating PEP inoshanda nenzira imwecheteyo nePEP nebhonasi yakawedzerwa: kusvibisa PEP inoshandisawo kudedera kuti ibatsire kusunungura kusunungura kwemuchu. Izvi zvinogadzirwa nemhepo inoyerera pamusoro pebhandi resimbi kana magnet mukati memutambo panguva yekudzima.
Zvimwe zvinowanzozivikanwa zvekutengesa PEP zvigadzirwa:
- Flutter (Axcan Scandipharm) - haigoni kushandiswa nebulibulizer
- Acapella (Smiths Medical) - inogona kushandiswa nebulibulizer
- Cornet (R. Cegla, iripo chete muCanada neEurope) - inogona kushandiswa nebulibulizer
High-Frequency Chest Wall Oscillation
Nzvimbo yakakwirira-pfupa yemadziro ekudengenyeka (HFCWO) inoshandisa chipfeko chinokurumidza kudonhedzera uye chinosvibisa kuti chisununguke chishuvo kuburikidza nekudengenyeka. Ivharo rinoshandiswa rinoshandiswa panzvimbo yekutora CPT. Kubatsira kwacho chikuru ndechimwe nyore nokuti HFCWO inokurumidza kukurumidza kupfuura Bhuku reCPT uye haritsvaki rubatsiro rweumwe munhu. Kunaka hakusviki, asi. Iyo jira inodhura zvikuru uye haisi nguva dzose yakafukidzwa nenishuwarenzi.
Kunobva:
Marks, JH "Airway Clearance Devices muCystic Fibrosis". Chirwere Chekuporesa Kuongorora . 2007; 8: 17-23. 20e.