Kuporesa Kwokurapa Kunogona Kubatsira Vamwe Vanorwara Mucherechedzo yeCarcer
Zvinonzwisisika kuti kugadziriswa chikamu chekudzorera kwehutano hwehutano huzhinji, asi kugadziriswa kwemapurimari kwevanhu vane kenza yemapapu hawanzogadziriswa. Chikonzero chacho hachisi kushaya kwekuita-rehab kunogona kuita kusiyana kwakakura kune vamwe vanhu vane kenza yemapapu. Hatina ruzivo rwakawanda pamusoro pebasa raro nekenza yemapapu, asi kugadziriswa kwemapurmari kwevanhu vane COPD vachangobva kuzivikanwa senhengo inokosha yeCOPD chirongwa chekurapa.
Ndezvipi zvingaita mapirmita rehab kubatsira, uye chii chaunofanira kuziva kana iwe uchitaura nachiremba wako?
Chii chinonzi Pulmonary Rehabilitation?
Kugadziriswa kwepulmonary inzira yakarongeka yekuvandudza mararamiro ehupenyu anoshandisa unyanzvi hwehuwandu hunokosha. Mimwe yeiyi inosanganisira mafiropu ekuputira, masayendisiti epanyama, masayendisiti emabasa, nutritionist, psychologists, maitiro ekurovedza muviri, nezvimwewo. Kunyange zvazvo "kufema kufema" kunogona kuva chimwe chinangwa chekugarazve, tinoziva kuti zvinhu zvakawanda zvinoshanda pamwechete kuti zvivandudze kana kudzivirira hupenyu hwehupenyu kune vanhu vane kenza.
Kugadziriswa kwepulmonary kwakasiyana nechifuyo chemuviri werapi (inonziwo chest physiotherapy). Chep therapy physically inosanganisira nzira dzinoshandiswa kubvisa zvakanyanya mucus mumapapu.
Chii Chinoitika Panguva Yokuvandudza Pulmonary
Kune zvikamu zvakawanda zvezvikamu zvepammonary rehab. Chirongwa chekurapa iyi ndedzidzo. Izvi zvinogona kusanganisira ruzivo nezvekenza yako, ruzivo rwekudya, maitiro ekufema, uye nzira dzokugadzirisa kushungurudzika kwekenza kuongororwa.
Zvidzidzo zvinosangana nemapurmonary rehab specialist zvinogona kusanganisira:
- A test walk. Usati watanga rehab, mumwe chiremba anowanzotarisa bhenekeri yako yekuongorora mapfumo. Anogonawo kuita chimwe chinhu chinonzi maminitsi matanhatu ekufamba kwechikwata chinotarisa kure iwe unogona kufamba panzvimbo yakasimba kwemaminitsi matanhatu zvakanaka.
- Mirayiridzo mumagadzirirwo ekufema. Semuenzaniso, iyo nzira inozivikanwa seyokufema kwemafiragmatic kusimbisa diaphragm nekuderedza kuneta kwokufema, uye kunamatira-kufema kufema kubatsira kubatsira kuderedza kufungidzira kwekufema.
- Simba rekuchengetedza maitiro. Izvi zvinogona kusanganisira nzira dzekushanda nesimba nekupfupika kwekupema. Somuenzaniso, unogona kurayirirwa mazano ekudzivisa kupererwa kwepfudzi uchidya .
- Mirayiridzo mukushandiswa kwemishonga yekubatsira kufema.
- Basa reAerobic rakafanana nekufamba pachitsika chekushandisa kana kushandisa bhasikoro rekuvhiya kuti uwedzere kutsungirira uye kuwedzera simba remapapu .
- Weightlifting kuvaka simba mukufema kwemisumbu.
- Kudzidzisa kusvibiswa kwemhepo kunobatsira kupfutidza.
- Maitiro ekuzorodza uye nzira dzokugadzirisa nadzo.
- Kurapa kwekupa mazano.
- Kutsigira kwepfungwa kunobatsira kuti unzwisise kuti manzwiro uye mafungiro epfungwa angakanganisa sei kufema kwako.
Iyo Inobatsira Sei Vanhu Vane Kanzwa Yemaronda
Kunyange zvazvo isina kumbove yakadzidzwa seyakanyanya kumapapu emapapu sezvazvakaitwa neCOPD, zvidzidzo zvakawana kuti kuparadzari kugadziriswa (mumamiriro ezvinhu akanaka uye panguva yakakodzera panguva yekurapa) kunogona:
- Kuvandudza ruzivo rwekuita muviri uye kuita zuva nezuva mabasa.
- Zvidzidzo zvishoma zvekuvhiya kwemapapu emapapu (ona pasi apa).
- Kuvandudza pulmonary basa.
- Kuvandudza hupenyu hwehupenyu.
- Kushoma kwekufema kwefema.
- Kuvandudza simba rakaderera simba.
- Kuvandudza hutano huripo huripo. Hazvisi zvisingazivikanwi kuti vanhu vane kenza yemapapu vanewo emphysema uye bhuronitis isingaperi. Zvidzidzo zvakawana kuti kune vanhu ava, kugadziriswa kwepammari kunoguma mukupfupika kwepfufuro, kubatsiridza muviri, uye hutano hwakanaka hune hutano hwehupenyu.
Kuvandudza Kurapa Kwemapurisa Pamberi Kwokuvhiyiwa Kwekenza
Kutsvakurudza kuri kungotanga kutarisa mubasa rekutanga kushanda kwepirmonary rehab pakutsvaga kwezviitiko. A 2017 kudzokorora zvidzidzo kusvika nhasi, zvisinei, zvinoratidza kuti kurapa kwemapirmari mberi kwekuvhiyiwa kwekenza yemapapu kunogona kubatsira munzira dzakawanda.
Zvatiri kudzidza kusvika pano ndezvokuti rehab may:
- Deredza kudzvinyirira mushure mekuvhiyiwa. Matambudziko anobva kumapurogiramu emapapu emapapu anowanzoshandiswa uye angasanganisira nguva yakareba ventilator kuzvidzora, zvirwere, kubuda ropa, zvinetso zvemoyo, ropa revha, post-thoracotomy pain syndrome, nezvimwewo.
- Kuvandudza kufema kuitira kuti kurapwa kwekenza yemapapu kunogona kuita.
- Zvichida kuvandudza migumisiro mushure mekuvhiyiwa kwekenza yemapapu.
- Zvishoma zvidzidzo zvishomanana zvakaratidza kuti vanhu avo vainge vakagadziriswa vasati vavhiyiwa vaine nguva shomanana yekugara muchipatara, zvishoma kuderedza (izvo zvinoreva kurwara) pedyo nenguva yekuvhiyiwa, uye vaine nguva shoma yekuda chikwama chechipfuva mushure mekuvhiyiwa.
Apo Kuvandudza Pulmonary Kunofanira Kutanga
Your oncologist, chirwere chechirachi, kana kuti pulmonologist inoda kushanda newe kuti uone nguva yakanakisisa yekugadzirisa mapurmita. Chimwe chidzidzo chakawana kuti rehab nguva pfupi mushure mokunge thoracotomy yakaguma nekurwadziwa kwakanyanya, uye yakaratidza kuti zvingava zviri nani kumirira mwedzi 3 kana 4 mushure mekunge chirwere chikuru chekuita chirwere chekutanga chikadzoka.
Ko Zvakadini Nevanhu Vasingakwanisi Kuvhara Mvura?
Kunyange vanhu vane mhumbu yemapapu yakakura vanogona kubatsirwa nemapurmari rehabhi. Mukuwedzera, vanhu vazhinji vane chirwere chechirwere chechina havakwanisi kuvhiyiwa saka vanogona kukwanisa kuronga purogiramu yekugadzirisa pakarepo kunze kwekumirira kugadziriswa kwekuvhiya kuchirapa.
Nzira Yokutanga Nayo
Nzvimbo yakanakisisa yokutanga ndeyokutaura navanachiremba vemapapu emapapu kuti vazive nezvemapurogiramu ekuvandudza mapurogiramu munzvimbo yako. Mazhinji emakirini makuru emukenza anopa mazano aya kune mumwe munhu kunze kwechirwere pamwe chete nechirwere chepfungwa. Kana vanachiremba vako vasingazivi nezvezvirongwa, unogona kutarisa:
- MuCalifornia, California California for Pulmonary Rehabilitation ine urongwa iwe unogona kutsvaga vatengi.
- MuCanada, reCanada Lung Association rine urongwa hwemapurogiramu ekugadzirisa zvirongwa zvepammonary.
- MuUnited States, unogona kutarisa neBrithani Lung Foundation pamusoro pezvakabva kune imwe nzvimbo.
Ngozi
Ngozi dzinosangana nehutachiona hwekugadzirisa zvirwere zvinonyanya kuipa kwehutano nehurongwa chero upi zvake hwekuita basa. Kana mumwe munhu ane chirwere chemwoyo chisingachinji, kurovedza muviri kunogona kuwedzera mukana wekusagadzikana kwemwoyo mafungiro kana kuora mwoyo. Kune vanhu vane osteoporosis , ngozi yepfupa yekukuvara inofanira kuonekwa. Izvi zvakakoshawo kuti uone kana iwe une mapasita magetsi. Kune avo vane chemotherapy, njodzi yehutachiona kana musangana nevamwe vanofanira kuonekwa. Kune vanhu vakambovhiyiwa, zvakakosha kuti nzvimbo yekuvhiya inoporesa zvakanaka kuti isapinda mukana wekuvhara kwekuvhara.
Inishuwarenzi Inobvisa Ichi Chirapa Here?
Zvakakosha kutarisa neunishuwarenzi wako kuti aone kuti chii chichave chakafukidzwa nechirongwa chako. Kana kurapwa kusina kuvharwa, iwe ungada kufungidzira kupinda mune rimwe remakiriniki anoedza kuongorora kubatsirwa kwepammonary rehab kuvanhu vane cancer yemapapu. Kana iwe usingazivi kuti unotangira kupi, pane Lung Cancer Clinical Trial Matching Service iyo inopa rubatsiro rusununguko mukutsvaga miedzo yekliniki inowanikwa pasi rose.
Chikonzero Nei Iwe Usingave Wakazvinzwa Pamusoro peRehabrimary Rehab
Chikamu chechikonzero ndechokushaikwa kwekuziva pamusoro pezvibvumirano kunyange nevarapi. Kutsvakurudza kwakatsanangurawo nguva refu yekumirira sechikonzero chimwe. Chikonzero chikuru ndechokuti zvipo zvekudzorerwa kwevanhu vane chirwere chemapapu zvinongotanga kuongororwa sezvakave kune mamwe mamiriro akaita seCOPD.
Pasi Pasi Pamusoro Pokugadzirisa Kwemapurisa Kwevanhu Vane Kanhu Yemawere
Nehutano hwakawanda hwatinenge tichidzidza kuti kugadziriswa kunogona kuita kusiyana kukuru muhupenyu hwehupenyu. Kune avo vane chirwere chepfungwa, kurohwa, kana kuputika kwechikafu, yava kusvika nguva dzose. Asi isu tinongotanga kudzidza pamusoro pezvinobatsira kune vanhu vane kenza yemapapu. Painoitwa vasati vavhiyiwa mapapu, zvinoratidzika kuti kugadziriswa kwemapurmari kunogona kuderedza zvimwe zvinetso zvinowanzoitika. Kunyange avo vakagadzirwa nekenza yemapapu vakawanikwa kuti vabatsirwe. Kana iwe usati wapiwa rehab, taura navanachiremba vako. Iwe unogona kuve iwe uri mupepeti wako uye unounza kukwanisa panguva iyi, kunyange zvingave zvichiitika kuti rehab ichava tsika yakawanda munguva yemberi.
> Sources:
> Cavalheri, V., uye C. Granger. Preoperative Kudzidzira Kudzidzira Kurapa kwevarwere nevasingadiki Madiki. Cochrane Database yekuongorora kwakarongeka . 2017. 6: CD010202.
> Glattki, G. et al. Kugadziriswa kwepulmonary muchechi asiri maduku emuchirwere wemapapu mushure mekunge apedza kurapwa. American Journal of Clinical Oncology . 2012. 35 (2): 120-5.
> Morano, M. et al. Preoperative pulmonary rehabilitation vs. chest physiotherapy in varwere vane chirwere chepenza yemapapu resection: mutyairi we randomised trial. Archives of Physical Medicine uye Kuvandudza . 2013. 94 (1): 53-8.
> Rivas-Perez, J., naP. Nana-Sinkam. Kubatanidza kugadziriswa kwemapurmoni mumatongerwo emarudzi akawanda ekurapa kenza yemapapu: kuongorora. Respiratory Medicine . 2015. 109 (4): 437-42.
> Schmidt-Hansen, M., Page, R., uye E. Hasler. Mhedzisiro yekugadzirisa kusvuta kushandiswa kana kushandiswa kwemapirmoni kugadziriswa pamigumisiro pashure pekuvhiyiwa kwekenza yemapapu: kurongeka kwakarongeka. Clinical Lung Cancer . 2013. 14 (2): 96-102.
> Shannon, V. Basa rekugadzirisa mishonga mumapurisa evarwere vane kenza yemapapu. Nhasi Maonero muPulmonary Medicine . 2010. 16 (4): 334-9.
> Stiqt, J. et al. Chirwere chisina kuongororwa chinotungamirirwa ne postthoracotomy pulmonary rehabilitation muvarwere vane kenza yemapapu yakagadzika. Nyaya yeTraracic Oncology . 2013. 8 (2): 214-21.