Kukonzera Kubudirira Ndicho Chinhu Chakanakisisa Chekubuda Kwemhepo

Nzira Yokuita Nayo Kubudirira uye Huff Nzira Dzokunyangadza

Kufambisa kwemhepo kune chikamu chinokosha muupenyu hwezuva nezuva kuvanhu vane cystic fibrosis. Haasi munhu wose anoshandisa nzira imwe chete yekudzivirira kumigwagwa yemhepo (ACT) kana kusanganiswa kwemaitiro, asi kukwezva kunowanzobatanidzwa muitiro.

Nayo pachayo, kukwezva haisi iyo nzira inonyanya kubudirira yekufambisa kwemhepo kune avo vane CF - asi inhanho inokosha pakubvisa kukomba kwakasunungurwa nemamwe MITA.

Nokuda kwechikonzero ichi, kudzora kukwezva kunogona kutaridzirwa kuti ndiyo inonyanya kukosha iyo vanhu vane cystic fibrosis (CF) vanogona kushandisa.

Kubudirira Kugunzva

Kushungurudza kunofungidzira kuti vanhu vose vane utano hwakanaka hwehutachiona hweeuromuscular . Majeko anokonzerwa nemuviri kana zvichida kubvisa kusuruvara uye kukonzera kubva mumhepo. Vanhu vane chikwama cheCF vanofungisisa sezvinongoitwa nevanhu vose, asi kugunun'una kunoratidzika kune zvakasiyana nerudzi rwekukanganiswa kunoitwa semutemo.

Kusiyana nekukanganiswa kunofungidzira, izvo dzimwe nguva kungava spasmodic uye isina kujeka, KUTACHA KUNA kunobatsira, kwakadzika, uye kudzora. Mushure mokunge dzimwe nzira dzasunungura musikana, kukwezva kunoshanda kuchabatsira kuburitsa. Chinangwa ndechokuti uwane mweya wakawanda mushure mekumucheka sezvinobvira, saka simba rekukanganisa richaita kuti rive kunze. Kuti uite mukukanganiswa kunobudirira, zviito zvina zvinotevera zvinokurudzirwa:

  1. Tora kufema kwakadzika, chinangwa chako kuva kuzadza mapapu zvakakwana zvakakwana.
  1. Ngwarira kubvumirana (shingairira) mumatumbo emumusoro.
  2. Dzinga (simbisa kunze) mhepo yose uchishandisa chikwata chimwe chakasimba.
  3. Dzokorora chirongwa chekukanganiswa kamwe kana kaviri kusvikira kusvina kwakasunungurwa kuchibviswa kubva kumhepo.

Edza kuzvikanda mumuviri kuitira kuti usaparadzira majeremusi, uye udzikande mhuka uye ushambidze maoko ako (kana kushandisa doro-based hand gel) pakarepo mushure mekunge.

Kurwisana vs. Huffing

Mune vamwe vanhu vane cystic fibrosis , simba rekukanganwa rinogona kuita kuti mhepo dzomumhepo dziparare. Muchiitiko ichi, unogona kushandisa Forced Expiratory Technique (FET) inozivikanwa sekunonoka panzvimbo yekukanganiswa. Mune izvo zvinogona kushivirira kukwezva, huffing inogonawo kushandiswa senhanho yekutanga yekuunza mucus kumhepo yepamusoro-soro, inoteverwa nekukanda kwakasimba kunounza kubhururuka kwese kubuda. Kunyunyisa kwakafanana nekukandira asi haisi kusimba. Kuita maitiro ekukanganiswa kwekukomba edza matanho aya:

  1. Gara wakananga, svinudza muromo wako ugoisa chinja chako mberi mberi zvishoma.
  2. Tora huru, inononoka uye yakadzika kufema, kuzadza mapapu anenge anenge anenge 75% ehutano hwavo.
  3. Tora mweya wako kwemaminitsi maviri kana matatu.
  4. Ridzai mhepo inononoka, inokonzera kuputika mumuromo wakashama pachiti "hu," sekunge uri kuridza mhepo pane girazi.
  5. Dzokorora nhanho 1-4 dzimwe nguva shomanana mushure mekunge uine chifukidziro chakasimba chokubvisa tsvina kubva mumhepo huru.
  6. Sezvimwe chikamu chekudzivirira kwemhepo kwemazuva ose, ita mararamiro emakumbo mana kusvika mashanu.

Kunyangwe huffing isiri yakasimba sechifuva, inoramba ichishanda uye inogona kunge isina kunetsa. Kuputika uye kubata kufema kwako kunobvumira mweya kuti uite shure kwemukamu mumapapu uye unouparadzanisa kubva pamapapu kuitira kuti iwe unogona kuuputira kunze kwenzira yako yepamhepo uye udzivise mukoko.

Kunobva:

McCool, FD MD, FCCP, uye Rosen, MJ MD, FCCP. "Nonpharmacologic Airway Clearance Therapies: ACCP Evidence-Based Clinical Practice Guidelines". Chest. 2006; 129: 250S-259S.

Cystic Fibrosis Foundation. Kushungurudza uye Kufukura.