Chokutanga pane zvose, munhu wose anofanira kunzwisisa, chii chinonzi "slow obstructive lung"?Kune vanhu vazhinji, "mapapu anononoka" anonzwika asina kujairika, asi "bazi rinononoka" uye "pulmonary emphysema" dzinozivikanwa kune wese.Muchokwadi, "inononoka inodzivirira mapapu" ndeye "kare inononoka bazi" uye "pulmonary" Emphysema chirwere chisingaperi chekufema chinokura zvakanyanya nekuda kwekuderera kwekushanda kwemapapu.Kuratidzira kwekiriniki kunosanganisira kuderera kwekuita basa, kukosora, kufema, uye kupfupika kwekufema.Ichowo chirwere chinokonzerwa zvakanyanya nekushisa, kunyanya kuitika munguva yechando.Kuwedzera kwega kwega kwemurwere kunomiririra kuwedzera kuderera kwemamiriro emapapu, kunovawo kurova kunoenderera mberi kwekushanda kwemapapu emurwere.Varwere vakadai vakawedzera zvishoma nezvishoma maitiro akadai sekufema, kupfupika kwekufema, uye mushure mekuita basa rekuwedzera, uye hazvigadziriswi zvachose.Naizvozvo, kudzoreredzwa kwemba uye kudzivirira kwevarwere veCOPD kwakakosha zvikuru.
Muhupenyu hwezuva nezuva, teerera kurega kusvuta uye doro, kudzivisa kusangana nezvinhu zvinogumbura, uye kudzivisa kutonhora.Asi chii chatinofanira kuteerera kana mamiriro okunze achichinja muchando?
1.Kutanga, tinofanira kuomerera pakuenzanisa mishonga.
Mukuongororwa kwekiriniki uye kurapwa, ndakaona kuti varwere vazhinji vaisadzora mushonga zvine musoro, ndiko kuti, vakabayiwa majekiseni pakaitika chirwere chakakomba, uye mishonga yese yakamiswa payakagadziridzwa.Varwere vane COPD vanowanzoda kuomerera pakushandiswa kwekurapa kwenguva refu inhalation zvinodhaka, uye munguva yechando apo chirwere chinenge chakanyanya kumisa mushonga kana kuderedza dose pamadiro Kana hutachiona hwemapapu huchiitika, iva nechokwadi chekuteerera pamubhedha. zorora uye tevera mirairo yechiremba kushingaira kurapa zvirwere, kubvisa spasm uye asima, uye kutora mishonga nenguva.
2. Chechipiri, kurovedza kutonhora kwakakodzera.
"Vakwegura vanononoka-bazi" varwere vanonyanya kutya kutonhora munguva yechando uye vanowanzoita kutonhora.Zviratidzo zvinowedzera mushure mokunge chirwere chekufema chega chega uye basa remapapu rinokanganiswawo.Kuita maekisesaizi ekudzivirira kutonhora kunogona kuvandudza kuramba kwemurwere (vazhinji varwere vekare kana mamiriro ekunze achinja) Kunyangwe katsi iri kumba, usatya kuenda chero kupi, izvi hazvina kunaka), kudzidziswa kwakaringana kutonhora kunogona kuderedza njodzi yekubata dzihwa nekufema. zvirwere.Asi panguva imwecheteyo, zvinofanirwa kucherechedzwa kuti kutonhora kwekudzivirira maitiro hakugone kuitwa neupofu.Haasi murwere wese ane COPD akakodzera rudzi rwevarwere vanogona kuita uye kuti vangazviita sei.Bvunza chiremba ane ruzivo nezvemamiriro ezvinhu chaiwo.
3. Mabasa emuviri akakodzera anofanirawo kuitwa.
Maererano nesimba remuviri wemurwere, unogona kushingaira kutora chikamu mune mamwe mabasa emuviri akakodzera.Semuenzaniso, kumhanya, seimwe yeakazara systemic yakarongeka maekisesaizi, inogona kuwedzera simba remapapu uye kutsungirira, kuchengetedza kunyangwe kufema panguva yekumhanya, uye kubvumira oxygen yakakwana kupinda mumuviri.Tai Chi, vanhu vezera repakati uye vakwegura aerobics, kufamba, nezvimwewo zvinogona kuvandudza hutano hwepanyama, uye varwere vave vachidzidzira kwemakore akawanda vanogona kuchengetedza hutano kupfuura avo vanotora kuzorora uye kufamba zvishoma.Chokwadika, tinofanirawo kungwarira kudzivisa basa rinopfuura mano edu rokuderedza mutoro uri pamwoyo nemapapu.
Chiitwa chiri nyore chekudzorera mapapu.
Zvimwe zviitwa zvekuvandudza mapapu zviri nyore uye zvine mari.Semuenzaniso, nzira mbiri dzinowanzo shandiswa dzinotevera:
① Kufembera kwemiromo, iyo inogona kudzora zviratidzo zvedyspnea muvarwere vazhinji, saka inosanganisirwa muzvirongwa zvakawanda zvekuvandudza mapapu.Yakananga nzira: Vhara muromo wako uye inhale mumhino, uye ipapo kuburikidza nemiromo, zvishoma nezvishoma buritsa nemuromo semuridzo kwe4 ~ 6 masekonzi.Iyo dhigirii yemuromo shrinkage inogona kugadziriswa iwe pachako kana iwe uchifemesa, kwete yakanyanya kukura kana kudiki.
② Kufema kwemudumbu, iyi nzira inogona kuderedza kufamba kwechipfuva, kuwedzera kufamba kwedumbu, kunatsiridza kugovera kwemhepo uye kuderedza kufema simba rekushandisa.Kufema kwemudumbu kunoitwa mukureva nhema, kugara, uye kumira, nenzira ye "kuyamwa nekudzikisa", neruoko rumwe pachipfuva uye rumwe ruoko padumbu, dumbu rinodzoserwa zvakanyanya sezvinobvira, uye dumbu rinosimudzwa richipikisa. kudzvinyirirwa kweruoko paunenge uchifema Nguva yekufema ndeye 1 kusvika ku2 nguva yakareba kupfuura nguva yekufema.
Kurapa kweokisijeni yemumba uye kusingapindike mhepo-kubatsirwa kurapwa
Kune varwere vane COPD uye kusingaperi kutadza kufema, kuziva kwechirwere kunofanirwa kusimudzwa kunyangwe munguva yakagadzikana.Kana mamiriro ehupfumi achibvumira, zvinokwanisika kutenga majenareta eokisijeni uye mavheti asingapindire ekurapa okisijeni kumba uye kufefetedza kusingapindike zvinoenderana nemamiriro acho.Yakakodzera oxygen therapy inogona kuvandudza hypoxia yemuviri (inoda kurapwa kweokisijeni kumba zuva nezuva kuyerera kweokisijeni yekufema kwemaawa anopfuura 10-15), kunonoka kuitika kana kufambira mberi kwematambudziko akadai sechirwere chemoyo chemapapu.Non-invasive ventilatorkurapwa kunogona kuzorodza tsandanyama dzekufema dzekuneta kusingaperi, kuvandudza basa rekufema, kuchinjanisa gasi, uye zviratidzo zvegasi reropa.Husiku husina kuvharisa mhepo inogona zvakare kuvandudza mamiriro ehusiku hypoventilation, kuvandudza kunaka kwekurara, uye pakupedzisira kugadzirisa kushanda uye hupenyu hwekuchinjana gasi mukati mezuva, uye kuderedza kuwanda kweacute exacerbations.Izvi hazvingobatsiri varwere kutambura zvishoma, asiwo kuderedza mari yekurapa.
Nguva yekutumira: Jul-13-2020