COPD - kudzora zvinodhaka

Chengetedza mishonga yechirwere chisingaperi chepemoni (COPD) mishonga yaunotora kudzora kana kudzivirira zviratidzo zveCOPD. Unofanirwa kushandisa mishonga iyi mazuva ese kuti ishande zvakanaka.

Iyi mishonga haishandiswe kurapa kuputika. Flare-ups anorapwa nekukurumidza-kununura (kununura) zvinodhaka.

Zvichienderana nemushonga, kudzora zvinodhaka kunokubatsira kufema nyore ne

• Kuzorodza mhasuru mumhepo yako nzira
• Kuderedza chero kupi kuzvimba mumhepo yako nzira
• Kubatsira mapapu kushanda zvirinani

Iwe nemubatsiri wako wehutano munogona kuita chirongwa chekudzivirira zvinodhaka zvamunofanira kushandisa. Urongwa uhwu hunosanganisira nguva yaunofanira kuvatora uye kuti unofanira kutora zvakadii.

Ungangoda kutora mishonga iyi kweinenge mwedzi usati watanga kunzwa zvirinani. Tora ivo kunyangwe iwe uchinzwa zvakanaka.

Kumbira mupiki wako nezve mhedzisiro yemimwe mishonga yaunorayirwa. Ive neshuwa iwe unoziva kuti ndeipi mhedzisiro yakakomba zvakakwana zvekuti iwe unoda kufonera mupi wako ipapo ipapo.

Tevedza rairo yekuti ungashandise sei mishonga yako nenzira kwayo.

Ita shuwa kuti iwe unozadza mushonga wako usati wapera.

Anticholinergic inhalers inosanganisira:

• Aclidinium (Tudorza Pressair)
• Glycopyrronium (Seebri Neohaler)
• Ipratropium (Atrovent)
• Tiotropium (Spiriva)
• Umeclidinium (Incruse Ellipta)

Shandisa anticholinergic inhalers mazuva ese, kunyangwe iwe usina zviratidzo.

Beta-agonist inhalers inosanganisira:

• Arformoterol (Brovana)
• Formoterol (Foradil; Perforomist)
• Indacaterol (Arcapta Neohaler)
• Salmeterol (Serevent)
• Olodaterol (Striverdi Respimat)

Usashandise spacer ine beta-agonist inhalers.

Inhaled corticosteroids inosanganisira:

• Beclomethasone (Qvar)
• Fluticasone (Mhepo)
• Ciclesonide (Alvesco)
• Mometasone (Asmanex)
• Budesonide (Pulmicort)
• Flunisolide (Aerobid)

Mushure mekushandisa mishonga iyi, sukurudza muromo wako nemvura, gargle, uye pfira mate.

Mishonga yekubatanidza inobatanidza mishonga miviri uye inhaled. Zvinosanganisira:

• Albuterol uye ipratropium (Combivent Respimat; Duoneb)
• Budesonide uye formoterol (Symbicort)
• Fluticasone uye salmeterol (Advair)
• Fluticasone uye vilanterol (Breo Ellipta)
• Formoterol uye mometasone (Dulera)
• Tiotropium uye olodaterol (Stiolto Respimat)
• Umeclidinium uye vilanterol (Anoro Ellipta)
• Glycopyrrolate uye formoterol (Bevespi Aerosphere)
• Indacaterol uye glycopyrrolate (Utibron Neohaler)
• Fluticasone uye umeclidinium uye vilanterol (Trelegy Ellipta)

Pamishonga iyi yese, mamwe mageneric generic achangove kana kuzowanikwa munguva pfupi iri kutevera, nekudaro mazita akasiyana anogona kunge aripo.

Roflumilast (Daliresp) piritsi rinomedzwa.

Azithromycin piritsi rinomedzwa.

Chisingaperi obstructive pulmonary chirwere - kudzora zvinodhaka; Bronchodilators - COPD - kudzora zvinodhaka; Beta agonist inhaler - COPD - kudzora zvinodhaka; Anticholinergic inhaler - COPD - kudzora zvinodhaka; Yakareba-inoshanda inhaler - COPD - kudzora zvinodhaka; Corticosteroid inhaler - COPD - kudzora zvinodhaka

Anderson B, Brown H, Bruhl E, uye al. Institute for Clinical Systems Kuvandudza webhusaiti. Hutano Hutano Nhungamiro: Kuongororwa uye manejimendi eChisingaperi Kupwanya Pulmonary Chirwere (COPD). 10th edition. www.icsi.org/wp-content/uploads/2019/01/COPD.pdf. Yakagadziridzwa Ndira 2016. Yakasvika munaNdira 23, 2020.

Han MK, Razaro SC. COPD: kliniki kuongororwa uye manejimendi. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 44.

Global Initiative yeChisingaperi Dziviriro Lung Chirwere (GOLD) webhusaiti. Sangano repasi rose rekuongororwa, manejimendi, uye kudzivirira kwechirwere chisingaperi chisingabvumirwe chemapapu: 2020 mushumo. goldcopd.org/wp-content/uploads/2019/12/GOLD-2020-FINAL-ver1.2-03Dec19_WMV.pdf. Yakasvika muna Ndira 22, 2020.

• Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD)
• Chirwere chemapapu

• Chisingaperi obstructive pulmonary chirwere - vanhu vakuru - buditsa
• COPD - chii chekubvunza chiremba wako
• Kudya mamwe macalorie kana uchirwara - vakuru
• Nzira yekufema kana iwe uchinge uchinge uchishaya mweya wekufema
• Mashandisiro aungaita nebulizer
• Mashandisiro ekushandisa inhaler - hapana spacer
• Mashandisiro ekushandisa inhaler - ine spacer
• Mashandisiro ekushandisa yako yepamusoro kuyerera mita
• Okisijeni chengetedzo
• Kufamba nematambudziko ekufema
• Kushandisa oxygen kumba
• Uchishandisa oxygen kumba - chii chekubvunza chiremba wako

• COPD