Chirwere chekudzivirira chirwere chepachimona (COPD) chirwere chemapapu chisingaverengeki izvo vatsvakurudzi vasati vawana nzira yekurapa. Zvisinei, zvakasiyana-siyana zvemishonga uye mararamiro emararamiro anogona kubatsira kutarisa zviratidzo -kubudirira kufema, kuputika, kukwezva, uye kugadzirwa kwechigunun'una, kana kuputika-uye kuderedza ngozi yeimwe mamiriro ezvinhu anowanikwa neCOPD, zvakadai se emphysema uye chronic bronchitis.
Kutarisira COPD kunokoshawo pakudzivirira kukwidza kweCOPD , kubuda kwezviratidzo umo kunonyorera, kuputika, uye kupera kwekufema kunowedzera kuipa, michero yekusimudzira inowedzera, uye masikiti angashandura muvara kubva pakachena kusvika kune tsvuku, tema, tani, kana kuti ropa. Kuwedzererwa kweCOPD kunowanzokonzerwa nehutachiona, kunogona kugara kwemazuva mazhinji, uye kunogona kukugadzirisa iwe muchipatara, saka kugara uine hutano muhuwandu kunokosha mukubata neCOPD sekurapa zviratidzo.
Mishonga Yekumba uye Upenyu Hwokuchinja
Iwe unogona kuita mararamiro ehupenyu hunochinja uye nzvimbo dzekugara kuti ubatsire nezviratidzo zvako zveCOPD uye uchengetedze kuwedzera kune zvishoma.
Rega Kusvuta
Kicking tsika yefodya ndeye CHITATHO chakakosha zvikuru chaunogona kutora kuti ubatsire kutarisira COPD, uye kune vamwe vanhu, danho rimwe chete ndiro ravanoda kuti varambe vachiita zviratidzo zveCOPD munzvimbo uye vadzivirire kuti irege kuipa. Zvisinei, hazvisi nyore kusiya, kunyanya kana wave uchisvuta kwemakore.
Kana kuenda kunotonhorera kunenge kusingashandi kwauri, funga zvimwe zvingasarudzwa zvekusiya , zvakadai seicicinine replacement therapy uchishandisa mabhuku akadai segamu, inhalers, mahwendefa, mazamu, kana mapiritsi emasipira kuti kuderedza zvido; kutora mishonga yakadai sebupropion, Chantix (varenicline), kana clonidine , mishonga yehutachiona yepamusoro inofungidzirwa kuti inobatsira mukurapa nicotine kubvisa zviratidzo; uye kupa mazano kana kuti boka remishonga.
Nguva dzose Kudzidzira muviri
Kuita muviri nguva dzose nguva dzose kunobatsira hutano hwako hwose uye hukama hwepfungwa. Inogona kukubatsirawo kuchengetedza simba rako uye kutsungirira. Taura nachiremba wako nezvekuti rudzi rwekuvhidzira runokubatsira iwe.
Wana Makori Makakwana
Mishonga yeCOPD, kuneta, nekuoma kufema kunogona kuita kuti uve nechingwa chiduku kana simba shoma kuti udye, saka taura nachiremba wako nezvenzira dzaunokwanisa kurwisa kusakosha kwezvokudya. Kuwana makirogiramu akakwana kunogona kuita kuti zviratidzo zvako zveCOPD zviwedzere uye zvisiye iwe pangozi yezvirwere, izvo zvinoita kuti zviratidzo zvako zviwedzere. Kudya kazhinji, kudya zviduku uye / kana kutora mavitamini uye zvinowedzera zvinogona kuva nzira yekuwana chikafu chaunoda.
Nzira Dzokufema
Kudzidza kufema maitiro ekukubatsira kufema zvakanakisisa kunogona kukubatsira kupumha uye kupa mapapu ako kanguva kamuviri. Kumbira chiremba wako kana chiremba wako wekupumha kuti uwane mamwe mashoko.
Tora Pneumonia Vaccine
Pneumococcal pneumonia chirwere chepapu chinokonzerwa nebhakitiriya Streptococcus pneumoniae . Vanhu vane COPD nedzimwewo zvirwere zvisingagumi zvehutano zviri pahuwandu hwekuwedzera pneumonia, izvo zvinogona kuita kuti zviratidzo zvenyu zveCOPD zviwedzere. Kuwana chirwere kunogona kubatsira kudzivirira chirwere ichi asi tarisa nechiremba wako kutanga.
Wana Flu Shot yako
Kune dingindira yekuratidza kuti chirwere chechirwere hachirevi kungochera nhamba yezvipatara nekushanyira kwachiremba kana iwe une COPD, uyewo vanoderedza ngozi yehutano uye kunyange rufu. Kunyangwe kana zvinoreva kutora rwendo rwakawedzerwa kune chiremba kana nzvimbo yekurapa yemunharaunda, zvakakosha kuti usapinda zvinetso zvinogona kubuda kubva pakuwana chirwere. Sezvakaita nepneumonia vaccine, chengetedza nachiremba wako kuti ave nechokwadi chokuti wakakwanisa kuwana chirwere chepfu.
Ramba Uchisarudzwa
Iva nechokwadi chekuti unoona chiremba wako nokuda kwekugadzirirwa kwako nguva dzose, kunyange iwe unonzwa zvakanaka. Zvakakosha kuti iye arikuongorora iwe kuti uone kufambira mberi kwako, mapapu ako, uye kuramba uri pamusoro pemishonga yako.
Zvinyorwa
Mishonga inoshandiswa kurapa COPD uye zvinetso zvehutano zvakabatana zvinopinda mumisasa miviri mikuru: Mishonga yekutarisa zviratidzo zvehutano hwako uye kurapwa kwezvirwere izvo, kana zvisiyiwa zvisina kutorwa, zvinogona kuita kuti COPD yako iwedzere kuipa.
Bronchodilators
Bronchodilators dzinobatsira kusunungura mishonga mumasvingo edzimhepo yako kuitira kuti zvive nyore kufuridzira, kuderedza kugunzva uye kupera kwepfungwa. Pane marudzi maviri e- bronchodilators ekurapa COPD:
- Kushanda-kuita-bronchodilator: Mishonga iyi inoshanda mukati memaminitsi gumi nemashanu kusvika pamakumi maviri ekugadzirisa kufema kwekufema, asi zvinoguma zvinopedza 4 kusvika kuawa matanhatu. Mienzaniso inosanganisira Ventolin uye ProAir (albuterol), Atrovent (ipratropium), uye Xopenex (levalbuterol).
- Kubata kwenguva yakareba bronchodilator: Mishonga iyi inoshandiswa kubatsira kuchengetedza mhepo yako yakavhurika uye yakasununguka kwenguva yakareba (usiku hwose, somuenzaniso). Kunyange zvazvo migumisiro inoguma kwenguva refu, kubva maawa 12 kusvika ku24, mishonga iyi inotanga kushanda zvishoma nezvishoma. Mienzaniso yemhando iyi ye bronchodilator inosanganisira Brovana (arformoterol), Arcapta (indacaterol), Serevent (salmeterol), uye Spiriva (tiotropium).
Iwe unogona kungoda rudzi rumwe chete kana zvose, zvichienderana nezviratidzo zvako. Bronchodilator inowanzotarisirwa pamwe neine inhaler kana kuti kuburikidza nemishonga inonzi aerosol, iyo mishonga inopiwa mufananidzo wemafuta akanaka kuburikidza nechimbo chinonzi nebulizer .
Inhaled Corticosteroids
Kana iwe unowedzera kuwedzera, chiremba wako anogona kupa chirwere chezuva nezuva chakakonzerwa nekristicosteroid. Izvi zvinogona kubatsira kuchengetedza kuputika kwako pasi uye kuderedza nhamba yezvakawandisa zvaunayo. Mienzaniso inosanganisira Flovent (fluticasone) uye Pulmicort (budesonide). Zvimwe zvinokonzerwa nemigumisiro inotyisa, zvirwere mumuromo mako, uye ganda rinopwanya.
Kusanganiswa Inhalers
Kana COPD yako yakaoma uye / kana iwe unowedzera kuwedzera, chiremba wako anogona kupa chirongwa chemuchina kana nebulized iyo inobatanidza bronchodilator uye corticosteroid. Mienzaniso yekubatanidza inhalers inosanganisira Symbicort, iyo inosanganiswa ye formoterol uye budesonide, uye Advair, kusanganisa salmeterol uye fluticasone.
Oral Corticosteroids
Munguva yeCOPD kuwedzera, muromo corticosteroids inogona kupfupisa nguva yako yekugadzirisa, kuvandudza mapapu ako, nekudzikisa hypoxemia (pasi mashoma e okisijeni muropa). Izvo zvinogona kuderedza dambudziko rekudzokazve, kudzivirira kupererwa kwehutano, uye, kana iwe ukapera muchipatara, pfupisa nguva yaunenge uripo. Kushandiswa kwenguva refu kwemukanwa corticosteroids kunogona kukonzera madambudziko makuru, zvisinei, saka izvi zvinowanzoshandiswa kwenguva pfupi. Prednisone mumwechete muenzaniso wakadaro wemuromo corticosteroid. Zvimwe zvinokonzera zvinosanganisira osteoporosis, chirwere cheshuga, kuwedzerwa ngozi yeutachiona, hutachiona, uye kuwedzerwa kuwedzera.
Phosphodiesterase-4 (PDE4) Inhibitors
COPD (pamwe nehupimma) inogona kukonzera kudengenyeka kwee enzyme inowedzera kuvhiringidza pamapapu anonzi phosphodiesterase-4 (PDE4). PDE4 inhibitors , iyo inovhara enzyme iyi, inotorwa kamwe kamwe pazuva mufomu yeplateti uye inobatsira kuderedza kuwedzera kweCOPD kune vanhu vane chirwere chisingaperi chisingarapiki, nhoroondo yekuwedzera, uye yakanyanya kuoma zvikuru COPD. Daliresp (roflumilast) ndeimwe yakadaro PDE4 inhibitor. Migumisiro inogona kusanganisira kubuda, kuora kurasikirwa, kurwadziwa mumimba, kukanganisa kurara, kuora mwoyo, kurasikirwa kwechido, uye musoro.
Antibiotics
Kana iwe uchinge uchinge uine bhakitiriya kupemha chirwere chakadai sebronchitis kana pneumonia, chiremba wako anogona kupa mishonga inorwisa mabhakitiriya. Iyi mishonga inoita zvinopesana nebhakitiriya asi kwete mavairasi; mune mamwe mazwi, havazogoni kubvisa firingi yakawanda kana chirwere. Kana iwe wakanyorerwa maitiro emishonga inorwisa mabhakitiriya, zvakakosha kutora mishonga yose, kunyange mushure mokunge watanga kunzwa zviri nani. Kusapedza chirongwa chacho kunogona kuwedzera njodzi yekurapa maitiro.
Ongororo dzekare dzakaratidza kuti kutora mishonga inorwisa mabhakitiriya hakurevi kubatsira kukura. Zvisinei, kutsvakurudza kutsva kwakaratidza kuti kutora Zithromax (azithromycin) kana Erythrocin (erythromycin) kwegore zvakaderedza nhamba yezvakawanda kune vanhu vaimbova nadzo kakawanda. Hapana humwe uchapupu hwekuti kurapwa kupfuura gore kunobatsira.
Lung Therapy
Kana uine COPD inotarisa kana yakaoma, chiremba wako angashandisa chirwere chemapapu muwedzera kune mishonga.
Oxygen Therapy
Zvichienderana nezvinodiwa iwe pachako, oksijeni yakawedzera inogona kunge yakakosha maawa 24 pazuva, chete usiku, kana pane imwe nzvimbo pakati. Kuwedzera oksijeni kwete kungowedzera kuponeswa kwevarwere vane COPD, asi kunogona kuderedza zviratidzo zvako nekuvandudza hutano hwehupenyu nekukubatsira kurara zviri nani usiku, kuva wakangwarira masikati, uye kuita mabasa ane zviratidzo zvishomanana. Izvi zvinogona kunge zvakakosha kunogona kupera kwehupiritsi ye oksijeni: inoda kuve neanal cannula (yakagadziriswa midzi miduku inopa oxygen kuburikidza nemhino mumhepo) kana maski, uyewo kusangana nemakisikiti emakisikiti.
Kuvandudza Pulmonary
Izvi zvinopindira kune vanhu vane COPD, iyo inosanganisira kuongorora, kurovedza muviri, dzidzo, uye kugutsikana kwepfungwa, inobatsira zvikuru kune avo vane zviratidzo zvakadaro zvinokanganisa havakwanisi kuita mabasa avo ezuva nezuva sekugara. Nekubatsira kweboka reongorori, iro rinogona kusanganisira vanachiremba, vanachiremba, mapfupa ekuputira, masayendisiti epanyama, dietitians, vashandi vezvemishonga, uye vepfungwa dzepfungwa, unogona kuva nezviratidzo zvishoma, unofarira hupenyu hwezuva nezuva huripo, uye kunyange uine uwandu huri hwehutano hwehutano .
Kugadziriswa kwepulmonary kunofanirwa kupedzisa kwenguva yakareba zvakakwana kuti zvive nehuwandu hunobatsira pasina kuve mutoro. Kune vamwe vanhu, izvi zvinogona kutora zvishomanana semazuva gumi, asi vamwe vanogona kudikanwa kwemwedzi 18 kuti varatidze kuvandudzwa.
Surgeries
Kana mishonga isiri kuvandudza zviratidzo zvako uye inoramba ichioma, chiremba wako anogona kukurudzira kuvhiyiwa. Zvisinei, havasi vose vanobvumirwa nekuvhiyiwa kwemapapu, saka izvi zvingasava nzira yako.
Bullectomy
Izvi zvinosanganisira kubviswa kwebhurae, iyo nzvimbo huru yemhepo inoumba apo masvingo emabhazi enyu emhepo anoparadzwa, akadai seCOPD. Kubvisa imwe kana imwe yeizvi bullae kunogona kubatsira kuvandudza mweya wako.
Chiremera Chiri Kupera Kuvhiya
Mukuvhiya uku, zvipembenene zvakakuvadza zvinobviswa kubva kumucheto wepamusoro wemapapu ako. Izvi zvinobvumira mapapu ako kuti awedzere mberi zvekuti iwe unogona kufema zviri nyore uye zvinogona kutowedzera hupenyu hwako.
Lung Transplant
Uku ndiko kuvhiyiwa kukuru kunosanganisira kutora mapapu ako akarasika nemapapu ane utano kubva kune anopa. Inogona kuva sarudzo kana mapapu ako akakuvadzwa zvikuru kune mamwe mavhivhi. Kunyangwe kuiswa kwemapapu kunogona kuvandudza hupenyu hwako huripo, kune ngozi, kusanganisira kuti muviri wako ucharamba mapapu emupi. Iwe uchadikanwa kutora mishonga inopedza simba rako rekudzivirira muviri nekuda kwehupenyu hwako zvakare, izvo zvinokusiya iwe kuti uzarurire njodzi yehutachiona.
Over-the-Counter Therapies
Kune humwe mavitamini uye zvinowedzera zvinogona kubatsira kuderedza zviratidzo zvako, asi iva nechokwadi chokuti utaure nachiremba wako usati wawedzera chimwe chinhu pane chirongwa chenyu chekurapa.
Vitamine C uye E
Chidzidzo cheKorea-based based chinoratidza kuti kuwedzera kudya kwako kwevhitamine C uye E, zvose zviri zviviri zvinorwisa antioxidants, zvinogona kugadzirisa mapapu, kunyanya nevarume. Hazvizivikanwi kuti chii chinodiwa kuti zvibatsirwe, asi izvi zvinowedzera zvinogona kuva chimwe chinhu chokufunga.
Eucalyptus Oil
Mafuta eucalyptus anowanzowanikwa mukukanganiswa kwekukanganiswa uye kuonekwa sekukwanisa kusunungura mucus. Mune chidzidzo chekubudirira kwemafuta eucalyptus mukurapa COPD, vatori vechikamu vakapiwa makapisile e cineole, iyo inoshandiswa muyucalyptus mafuta, katatu pazuva kwemwedzi mitanhatu, pamwe chete nemishonga yavo yenguva dzose uye kurapwa. Haisi kungowedzera kuwedzera kunowanzoitika, kusanyanya kuoma, uye kupfupika, asi cineole yakabatsira kuzarura mhepo yepamhepo uye kuderedza kuputika kwemhepo, kuderedza kufema kwekufema uye kuneta.
Kuwedzera Mushonga Muchirapa
Kune dzimwe nzira dzokurapa dzinobatsira dzinogona kubatsira kuvandudza hutano hwako hwehupenyu huripo paunowedzera pane chirongwa chako chekurapa. Vamwe vanhu vanoedza mishonga yemishonga kuti vabatsire zviratidzo zvavo zveCOPD, asi hapana kuongororwa kukuru pamusoro pekubudirira kwavo. Iva nechokwadi chekutaura nachiremba wako usati waedza chero ipi zvedzimwe nzira idzi.
Yoga
IAmerican College of Chest Physicians (CHEST) inoti yoga inobatsira kana une COPD. Muchidzidzo chiduku chevanhu vane COPD yakagadzikana, mushure mevhiki yegumi nemaviri ye yoga kudzidziswa, mapapu avo aishanda, kuperevedza kwepfungwa, huwandu hupenyu hwehupenyu, nekuputika kwakanyatsonaka.
Acupuncture
Kushandiswa kwekugadzira mishonga, kuisa nhete dzakatetepa muzvikamu zvakananga mumuviri, zvingava imwe nzira inobatsira yekuongorora iyo iwe une COPD. Chimwe chekudzidza kwevanhu vane COPD vachishandisa mishonga chete uye vanhu vanoshandisa zvose mishonga uye acupuncture kwemavhiki masere vakawana kuti kune avo vanoshandisa kuwirirana, kufema kwepfuuriro nekushingaira uye hupenyu hwehupenyu hwakanyatsogadziridzwa. Chimwe chidzidzo, chakaitwa kwevhiki dzinopfuura gumi, yakaratidza migumisiro yakafanana.
Nemhaka yekuti acupuncture ine ngozi shomanana, zvingave zvakakodzera kuedza kuona kana zvichigona kubatsira kuvandudza zviratidzo zvako. Zvimwe zvinowedzera mikana inobatsira zvinosanganisira kurara zviri nani, kubvisa kuzvidya mwoyo, nekuvandudza mafungiro ako.
Lung Flute
ILung Flute inofambisa chipfuti chinoputika icho chakave chakabvumirwa neDain and Drug Administration (FDA) kubatsira kubvisa mapapu ako emucheka. Inoshanda kuburikidza nekugadzikana kwema-frequency vibrations zvakadzika mumapapu ako kana iwe uchirova zvakaoma mumuromo. Izvi zvinobatsira kuputsa kukanganisa, zvichiita kuti zvive nyore kwauri kuti ufukidze uye udzinga.
Chimwe chekudzidza kune vanhu vane maronchitisi asingagumi chakaratidza kuti kushandiswa kweFung Flute kwakabatisa mune zvishoma zvishoma, kuvandudzwa kwekufema kwekufema kana nguva yekuzorora uye kana yakashanda, uye chifukidziro chiduku nekugadzira phlegm. Vatori vechikamu vakataurawo kuti vakaona kuti yakabudirira uye vaida kuramba vachiishandisa nguva dzose. Mheta yeLung inowanika chete nemishonga muUnited States, saka taura nachiremba wako nezvekuti kana kwete izvi zvingava kuwedzera kwakanaka kune arsenal yako yekurapa.
> Sources:
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> Joshi P, Kim WJ, Lee SA. Migumisiro yeDetary Antioxidant pamatambudziko eCOPD: KoGES (Ansan-Anseong) Cohort yemunharaunda. International Journal of Chronic Obstructive Pulmonary Disease . 2015; 10: 2159-2168. doi: 10.2147 / COPD.S91877.
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