4 Zviitiko Zvinosarudza Kufa uye Kupona Mari
Chirongwa chehupenyu hwemunhu ane chirwere chisingaperi chisingakonzera chirwere cheplm ( COPD ) inyaya iyo vanhu vakawanda vangasada kutaura nezvazvo. Asi kana iwe kana munhu waunoda akawanikwa ane chirwere , ipapo iwe wakambove wakapedza nguva yakawanda uchifunga nezvazvo.
Kunzwisisa zvinogona kuitika ( kufungidzira ) kwechirwere kunowanzoita kuti vanhu vaite zvinoda kuchinja zvinogona kuvandudza hupenyu hwavo uye kuvabatsira kurarama kwenguva refu.
Pakupedzisira, chiyero chehupenyu hwevanhu vane COPD inongova iyo-chiyero. Iwe unogona kudarika zvinotarisirwa nekutora uye kutarisa zvinhu izvo zvaunogona kuchinja.
Nzira Yokufananidzira Nayo Upenyu Kutarisira
Kunyange zvazvo pasina mitemo yakaoma-uye-yakareba iyo inotarisira kuti munhu angararama kwenguva yakareba sei neCOPD, hurongwa hunonzi BODE Index hwakagadziridzwa senzira yekufanotaura nguva yekupona yakabva pane zvinhu zvina zvakataurwa BODE yakanyorwa:
- B ndeyemutumbi wako guru index (BMI).
- O ndeyekudzivirira kwemhepo sezvinoyerwa nehuwandu hwemhepo yakadzingwa.
- D ndeyekuoma kwe dyspnea (kukurumidza kufema),
- E ndeyekutsungirira kwedzidzo yekuita maitiro ekufamba kwemaminitsi matanhatu.
Kubva pazvinhu izvi, munhu achabatanidzwa pachiyero che 0 kusvika ku10, uye makirasi maduku anowirirana nekugara kwenguva yakareba uye makorosi akaenzana anowanikwa nguva shomanana yekupona. Nezviwero izvi, chiremba anokwanisa kufanotaura kuti zvichaguma sei uye achapa nzira dzekuvandudza pahuwandu hweBODE.
Nhamba yeBODE inofungidzira kuti iwe unogona kurarama kwemakore mana zvichienderana nezvikamu zvinotevera:
- 0 kusvika 2 pfumbamwe: 80 muzana
- 3 kusvika ku 4 pfungwa: 67 muzana
- 5 kusvika ku 6 pfungwa: 57 muzana
- 7 kusvika ku10 pfungwa: 18 muzana
Kuparadzanisa Nhamba yeBODE
Kuti unzwisise kuti izvozvi zvinokonzera sei kufa kune vanhu vane COPD, tarisa mumwe nomumwe mukati mekutenderera kwezvirwere:
- Muviri mass index (BMI) chigadziriswa chinoshandiswa chienzanisa chiyero chemafuta emuviri wako ane chokuita nekukwirira kwako nekurema. Low BMI (kuva yakaonda kwazvo) yakabatanidzwa nemigumisiro yevarombo mune vanhu vane COPD.
- Kuvharidzira kwemhepo kunotaridzwa nemuedzo wakajeka unonzi spirometry . Chimwe chikamu chemuedzo chinoderedza huwandu hwemhepo iwe unokwanisa kudzinga mune imwe yechipiri (inozivikanwa sekumanikidzirwa kupera, kana FEV1 ). FEV1 isimboti yakasimba yekupona kune vanhu vane COPD. Vaya vane chirwere chakasimba chekudzivirira kumhepo kwenguva refu yei-oxygen therapy vane mararamiro ekudzivirira pasi (anenge makumi manomwe kubva kune rimwe gore rimwe chete, 50 kubva kune rimwe gore maviri, uye 43 kubva kune rimwe gore gore matatu).
- Dyspnea kuongorora mafungiro ekuonekwa kwevanhu kwezviratidzo zvavo zveCOPD uye kushandura maonero aya muchiyero chinotaridzika. IkoMMRC dyspnea scale grade ye disorder pamwero we 0 kusvika ku4 (0 kunge usina kufema kusvika 4 kuva yakanyanya). Kunyange zvazvo FEV1 yave ichionekwa seipi nzira yakanakisisa yekufanotaura nezvekufa kweCOPD, dyspnea level inogona kuva yakakosha pakufanotaura kupona.
- Kudzidzisa muviri kunogona kuderedzwa zvikuru mukuvapo kweCOPD. Inogona kuyerwa kuburikidza nekuedza maminitsi matanhatu ekuedza kuedza kunogona kupa zvose maonero ekufa uye nheyo yepamusoro iyo vanhu vanogona kuita maitiro akanaka ehupenyu hunochinja.
Nzira Yokuvandudza BODE Yako Grade
Chinhu chakakosha pamusoro peBODE Index haisi iyo inotaurira kwenguva yakareba kuti iwe unofanira kurarama asi matanho aungatora kuti uwane hupenyu hwakanaka. Mukuru pakati peiyi ari kusvuta. Hapana chimwe chinogona kuchinja chinokonzera kukurusa kwako nguva yekupfuura pane tsika yekuvhenekera.
Kana iwe uri kusvuta neCOPD, pane zvinangwa zvitatu zvaunoda kubvuma:
- Kurega kusvuta ndeimwe nzira inobatsira (uye inodhura) yekudzivirira COPD kana kukurumidza kufambira mberi kwechirwere. Kuremara kwebasa kunopera kunogona kumira uye kunyange kurongedza kana iwe ukarega, pasinei nezera rako, uremu, kana hutano.
- Kudzivisa kusvuta utsi kunoreva kutora matanho kuti usangotarisana chete nekusvuta kwako asi kune avo vanokupoteredza. Hazvina maturo pakugara zvakasununguka kana mhepo yaunofema ine mhepo inokonzerwa nemakemikari.
- Kubatana neboka rekusimudzira kusvuta kunowedzera mikana yekurega uye kusara fodya. Kuenda uri woga, kunyange nekuguma kwemishonga, zvinowanzoomera kana zvisingakwanisi kugadzirisa zvikamu zvepfungwa zvekudhakwa.
Izvi zvinoshandiswa, pamwe chete neyakakodzera, chirongwa chinotungamirirwa nachiremba-chinotungamirirwa, chinopa nzira dzakanakisisa yekuvimbisa huri nani huri hupenyu kana uine COPD.
> Sources:
> Shavelle RM, Paculdo DR, Kush SJ, Mannino DM, Strauss DJ. Upenyu huripo uye makore ehupenyu akarasikirwa nechirwere chisingaperi chisingagadziriswi chepemmona: Tsvaga kubva kuNHANES III Kudzidza-Kudzidza. International Journal of Chronic Obstructive Pulmonary Disease . 2009; 4: 137-148.
> Torres JPD, Casanova C, Marín JM, et al. Prognostic kuongorora kwevarwere veCOPD: GOLD 2011 inopesana neBODE uye COPD comorbidity index COTE. Thorax . 2014; 69 (9): 799-804. doi: 10.1136 / thoraxjnl-2014-205770.