COPD kuputika-kumusoro

Zvirwere zvisingaperi zvekudzivirira mapapu zviratidzo zvinogona kukurumidza kuitika. Unogona kuzviwana zvakaoma kufema. Iwe unogona kukosora kana kufefetera zvakanyanya kana kuburitsa yakawanda phlegm. Iwe unogona zvakare kunzwa kunetseka uye uchinetseka kurara kana kuita zviitiko zvako zvezuva nezuva. Dambudziko iri rinonzi chisingaperi obstructive pulmonary disease (COPD) exacerbation, kana COPD flare-up.

Zvimwe zvirwere, kutonhora, uye hutachiona hwemapapu kubva kuhutachiona kana bhakitiriya zvinogona kutungamira mukukwira. Zvimwe zvikonzero zvinogona kusanganisira:

• Kuva padhuze nehutsi kana zvimwe zvinosvibisa
• Mamiriro ekunze anochinja
• Kuita basa rakawandisa
• Kuva kumhanya-pasi
• Kunzwa kushushikana kana kunetseka

Iwe unogona kazhinji kubata kuputika-kumusoro ipapo nemishonga uye kuzvitarisira. Shanda nemubatsiri wako wezvehutano pane chirongwa chekuita kwekuwedzera kweCOPD kuitira kuti iwe uzive zvekuita.

Svika pakuziva yako yakajairwa COPD zviratidzo, yekurara mapatani, uye kana iwe uine akanaka kana akaipa mazuva. Izvi zvinogona kukubatsira iwe kuti udzidze mutsauko pakati pezvakanaka zveCOPD zviratidzo uye nezviratidzo zvekuputika.

Zviratidzo zveCOPD flare-up yekupedzisira mazuva maviri kana kupfuura uye zvakanyanya kusimba kupfuura ako echinyakare zviratidzo. Zviratidzo zvinowedzera uye hazvipere. Kana iwe uine kuwedzera kwakazara, iwe ungangoda kuenda kuchipatara.

Kazhinji zviratidzo zvekutanga zvinosanganisira:

• Dambudziko rekubata mweya wako
• Ruzha, kufema kurira kunonzwika
• Kukosora, dzimwe nguva uine mucus wakawandisa kupfuura unowanzoitika kana shanduko muvara remhasuru yako

Zvimwe zviratidzo zvinogona kuitika zvekusanganisa zvinosanganisira:

• Kusakwanisa kutora mweya wakadzika
• Kunetseka kurara
• Mangwanani kutemwa nemusoro
• Marwadzo emudumbu
• Kufunganya
• Kuzvimba kwemakumbo kana makumbo
• Grey kana ganda rakachenuruka
• Miromo yebhuruu kana yepepuru kana matipi ezvipikiri
• Kunetseka kutaura mumitauro izere

Pakutanga chiratidzo chemoto-up:

• Haufaniri kutya. Iwe unogona kukwanisa kuchengetedza zviratidzo kubva pakuwedzera.
• Tora mishonga seyakarairwa kumoto-kumusoro. Izvi zvinogona kusanganisira yekukurumidza-kununura inhalers, steroid kana maantibhakitiriya aunotora nemuromo, anti-kunetseka mishonga, kana mushonga kuburikidza nebulizer.
• Tora mishonga inorwisa mabhakitiriya sezvakarairwa kana mupi wako akaraira.
• Shandisa oxygen kana yakatemwa.
• Shandisa kuteedzera kwemuromo kufema kuchengetedza simba, kunonoka kufema kwako, uye kukubatsira kuzorora.
• Kana zviratidzo zvako zvikasava nani mukati memaawa makumi mana nemasere, kana zviratidzo zvako zvichiramba zvichiwedzera, fonera mupi wako kana kuenda kuchipatara.

Kana iwe uine COPD:

• Regedza kuputa uye dzivisa hutsi hwefodya. Kudzivisa utsi ndiyo nzira yakanakisa yekudzora kukuvara mumapapu ako. Kumbira mupi wako nezve mapurogiramu ekumira-kuputa uye zvimwe sarudzo, senge nicotine-kutsiva kurapa.
• Tora mishonga yako sekurairwa.
• Kumbira mupiki wako nezve pulmonary rehabilitation. Ichi chirongwa chinosanganisira kurovedza muviri, kufema, uye matipi ezvehutano.
• Ona mupiki wako ka1 kana ka2 pagore kuti utarise, kana kazhinji kana zvichitaurwa.
• Shandisa okisijeni kana mupi wako achikurudzira.

Dzivisa kutonhora uye dzihwa, iwe unofanirwa:

• Gara kure nevanhu vane dzihwa.
• Shamba maoko ako kazhinji. Takura sipo yekuchenesa ruoko yenguva dzausingakwanise kugeza maoko ako.
• Tora majekiseni ako ese akakurudzirwa, kusanganisira nefuru inoputika gore rega rega.
• Dzivisa mweya unotonhora kwazvo.
• Chengetedza zvinosvibisa mweya, senge hutsi hwemoto uye guruva, kubva pamba pako.

Rarama hupenyu hune hutano:

• Ramba uchishingaira sezvinobvira. Edza kufamba kupfupi uye kurema-kudzidzisa. Taura nemupi wako nezvenzira dzekurovedza muviri.
• Tora kazhinji mabhureki mukati mezuva rese. Zorora pakati pezviitiko zvezuva nezuva kuchengetedza simba rako uye kupa mapapu ako nguva yekudzoka.
• Idya kudya kunovaka muviri kune mapuroteni akaonda, hove, michero uye miriwo. Idya zvidiki zvidiki pazuva.
• Usanwa zvinwiwa pamwe nekudya. Izvi zvinokutadzisa kuti unzwe kuzara zvakanyanya. Asi, ive shuwa kunwa zvinwiwa pane dzimwe nguva kuti usaone kupera mvura.

Mushure mekutevera yako COPD chiito chirongwa, fonera mupi wako kana kufema kwako kuchiri:

• Kuwedzera kuoma
• Nokukurumidza kupfuura kare
• Yakadzika uye haugone kuwana mweya wakadzika

Danaidza mupiki wako kana:

• Unofanirwa kusendamira kumberi kana wakagara kuti ufeme zviri nyore
• Uri kushandisa mhasuru dzakakomberedza mbabvu dzako kuti ubatsire kufema
• Iwe uri kutemwa nemusoro kazhinji
• Unonzwa hope kana kuvhiringidzika
• Une fever
• Uri kukosora rima mamota
• Miromo yako, zvigunwe zvemunwe, kana ganda rakakomberedza nzara dzako bhuruu
• Iwe une kurwadziwa kwepfupa kana kusagadzikana
• Iwe haugone kutaura mumitsara izere

Kuwedzera kweCOPD; Chisingaperi obstructive pulmonary chirwere kuwedzera; Emphysema kuwedzera; Chisingaperi bronchitis kuwedzera

Criner GJ, Bourbeau J, Diekemper RL, et al. Kudzivirira kwekuwedzera kwakanyanya kweCOPD: American College of Chest Physicians uye Canadian Thoracic Society nhungamiro. Chest. 2015; 147 (4): 894-942. PMID: 25321320 www.ncbi.nlm.nih.gov/pubmed/25321320.

Global Initiative yeChisingaperi Dziviriro Lung Chirwere (GOLD) webhusaiti. Yepasi rose zano rekuongororwa, manejimendi, uye kudzivirira kweCOPD: 2019 mushumo. goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf. Yakasvika Gumiguru 22, 2019.

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.

• COPD