Munyori: Tamara Smith
Zuva Rekusika: 27 Ndira 2021
Gadziridza Zuva: 28 Chikumi 2024
Anonim
Pulmonary Emphysema inorapwa sei - Utano
Pulmonary Emphysema inorapwa sei - Utano

Zvemukati

Kurapa kwepulmonary emphysema kunoitwa nekushandiswa kwemishonga yemazuva ese yekuwedzera nzira dzekufamba nendege, senge bronchodilators uye inhaled corticosteroids, inoratidzwa nepulmonologist.Izvowo zvakakosha kuti utore mararamiro ane hutano, kunyanya kudzivisa kuputa, mukuwedzera kune yekufema ekuvandudza maitiro .

Pulmonary emphysema, inova imwe yemhando dzechirwere chisingaperi chisingabvumirwe chemapapu (COPD), chirwere chisingaperi chekufema chisina kurapwa, uye kurapwa kwacho kwakakosha kudzikisa zviratidzo nekuderedza kuwedzera kwechirwere ichi, kuwedzera mukuvandudza mamiriro. mamiriro ehutano uye rusununguko rwemunhu akabatwa. Ziva maitiro ekuziva zviratidzo zve pulmonary emphysema.

Muzviitiko zvakakomba zvakanyanya, zvinogona kuve zvakakodzera kushandisa iyo oxygen mask, kwemaawa mashoma kana kuenderera, pamwe nekuvhiyiwa kudzikisa huwandu hwemapapu kana kunyatsoiswa kwemapapu.

1. Bronchodilators

Iko kushandiswa kwemishonga iyo inowedzera nzira yemhepo ndiyo nzira huru yekurapa emphysema, kazhinji kunoitwa muchimiro chemweya wekupumha. Mimwe mienzaniso ndeiyi:


  • Ipfupi-inoshanda beta-2-agonists, senge Fenoterol, Salbutamol uye Terbutaline: anoshandiswa kubva kumatanho ekutanga echirwere, uye anofanirwa kufemetwa pese pazvinenge zvakakodzera kana kana zviratidzo zvanyanya;
  • Yakareba-inoshanda beta-2-agonists, senge Formoterol: anonyanya kushandiswa muchikamu chepakati chechirwere, umo zviratidzo zvinowedzera kuwanda, zvinowanzo shandiswa zuva nezuva;
  • Anticholinergics, senge Ipratropium Bromide: inowanzo shandiswa pamwe chete ne beta-2-agonists, kusimudzira kuwedzera mapapu;
  • Methylxanthines, senge Aminophylline uye Theophylline: inogona kuve imwe sarudzo mune dzakakomba kesi, kugadzirisa kugona kufema, zvisinei, nekuti inokonzeresa mhedzisiro yakawanda, senge kusvotwa, kudedera uye nekukurumidza kurova kwemoyo, inofanirwa kushandiswa nekungwarira uye nekugara uchiongorora kurapwa.

Mishonga firecrackers inogona kunge yatove nemubatanidzwa webronchodilators kana musanganiswa necorticosteroids, kuita kuti mashandisirwo ashandiswe uye kuderedze huwandu hwedosi, senge mune yechiitiko senge Seretide kana Alenia, semuenzaniso.


2. Glucocorticoids

Corticoid mishonga inoshandiswa kunyanya mune inhaled fomu. Kuenderera mberi kwekushandisa kwemishonga iyi, pamwe nebronchodilators, kunogona kudzikisira kuwedzera kwekushanda kwemapapu uye njodzi yezvinetso, uye kunofanirwa kuratidzwa nepulmonologist.

Ivo anowanzo shandiswa kaviri pazuva, uye anogona kutove akabatanidzwa ne bronchodilator mune imwechete mishonga. Zvinokurudzirwa kushambidza muromo wako mushure mekushandisa kuti uderedze njodzi yekutapukirwa nemuromo, senge remuromo candidiasis.

Corticosteroids iri pahwendefa haina kukurudzirwa kuti ishandiswe nekuenderera mberi, nekuti inokonzeresa mhedzisiro uye mashoma mabhenefiti pakurapa chirwere, uye inofanirwa kushandiswa mukuwedzera kwechirwere ichi nehutachiona, uye inogona kuunza mabhenefiti ekupora.

3. Kugadziriswa kwepulmonary

Ichi chirongwa chezvekurapa chinosanganisira kurovedza muviri kusimbisa mhasuru dzechipfuva nekuvandudza kugona kufema, senge kurovedza muviri kwekuwedzera kwemapapu, kutambanudza tsandanyama, kufema, kuziva mamiriro uye kufema chaiko, zvichipa kugona kuri nani kwekuita zviitiko zve zuva nezuva. Dzidza zvakawanda nezve rudzi urwu rwekurapa.


Uye zvakare, zvinokurudzirwa kuti uite maekisesaizi epanyama, sekufamba pamwe nekutariswa nehunyanzvi, mushure mekurudziro yezvechiremba, kugadzirisa mamiriro emuviri, kuwedzera kugona kufema uye kudzikisa zviratidzo.

4. Oxygen

Iko kushandiswa kwepamhino okisijeni catheter kunoratidzirwa chete mumatambudziko akaipisisa, umo mapapu asingachagone kupa oxygenation yemuviri yega. Izvo zvinoratidzwa nachiremba, uye zvinogona kudiwa kwemaawa mashoma kana zuva rese.

5. Majekiseni

Vanhu vane pulmonary emphysema vari panjodzi yekuwedzera yekutapukirwa nezvirwere zvekufema, izvo zvinofanirwa kudzivirirwa, zvese nekuti zvinonyanya kuve zvakanyanya muvarwere ava uye nekuti zvinokonzeresa kuwedzera emphysema panguva yematambudziko.

Naizvozvo, zvinoratidzwa kuti vanhu vane COPD vanogamuchira furuwenza jekiseni gore rega, uye nekurwisa pneumococcal hutachiona, vachidzivirira zviitiko zvemabayo uye kutyisidzira hupenyu. Zvirwere zvefuruwenza zvinoratidzwawo pagore.

6. Mimwe mishonga

N-acetyl-cysteine ​​inogona kuratidzwa muzviitiko zvakawanda, nekuda kweayo antioxidant uye mamasi-ekuderedza zvivakwa.

Mishonga inorwisa mabhakitiriya inogona kudikanwa kana paine hutachiona hwekupemha hunokonzerwa nehutachiona, izvo zvisingawanzoitika kune varwere vane COPD.

7. Kuvhiya

Kunyangwe iri isingawanzoitika, mune zvimwe zviitiko zvakakomba, chiremba anogona kuraira kuti avhiyiwe kubvisa zvikamu zvakakanganiswa zvakanyanya zvemapapu, zvichibvumira matunhu ane hutano kuti awedzere zvirinani uye ashande zvakanyanya, zvisinei, kuvhiya uku kunoitwa chete mune mamwe zvakakomba zviitiko uye umo munhu anogona kutsungirira maitiro aya.

Kugadziriswa kwemapapu kunogona zvakare kuve mukana mune chaiwo kesi, sekuratidzwa nachiremba.

8. Regedza kusvuta

Kunyangwe isiri iyo chaiyo kurapwa, kuputa ndicho chimwe chezvikonzero zvikuru zve pulmonary emphysema uye, nekudaro, vanhu vanotambura nemapapu yemphysema vanofanira kurega kushandisa midzanga.

Kunyangwe hutsi hwechipiri kana hweutsi hwemaindasitiri inhalation, kusvibiswa, iri njodzi mukukura kweemphysema. Nekudaro, zvinodhaka zvinobatsira kudzikisa kana kumisa kushandiswa kwefodya zvinogona kuverengerwa pakurapwa, chimwe chezvinangwa zvikuru zvekurapa kuve kuita kuti munhu ane pulmonary emphysema arege kuputa zvachose.

9. Kudya

Chikafu chinogona zvakare kubatsira zvakanyanya kusimudzira kufema, sezvo makabhohaidhiretsi, mafuta uye mapuroteni, kana achinge adya, anodya oxygen uye achiburitsa carbon dioxide. Uye sezvo vanhu vane pulmonary emphysema vane dambudziko nekuchinjana kwegesi mumapapu, chikafu chinogona kubatsira zvakare kuita izvi.

Imwe yemanyuturu ayo anonyanya kushandisa oxygen uye kuburitsa kabhoni dhayokisaidhi ndiyo makabhohaidhiretsi. Nekudaro, zvinokurudzirwa kuti vanhu vane emphysema vadzikise huwandu hwe makabhohaidhiretsi muzvikafu zvavo, kunyanya shuga yakapusa, irimo mune zvekudya zvakaita semakuki, zviwitsi, makeke uye mamwe maswiti. Naizvozvo, sarudzo inofanirwa kupihwa kune chikafu chine fibre uye nemafuta akanaka, ayo anodya mashoma oksijeni, senge makotapeya, salmon, tuna, sardines kana maorivhi.

Chero zvazvingaitika, zvakakosha kuti ubvunze nyanzvi yezvokudya kuti igadzire chirongwa chakakwana chehutano chinosangana nezvose zvinodiwa. Izvi zvinodaro nekuti, vanhu vane zvirwere zvekufema uye vanorapwa necorticosteroids vanogona kunge vakadzikira huwandu hwecalcium uye vhitamini D, iyo inogona kutsiviwa nechikafu.

Zviratidzo zvekuvandudza

Emphysema haina mushonga, saka zviratidzo hazvipere zvachose. Nekudaro, kana kurapwa kwacho kukaitwa nemazvo, mushure memazuva mashoma zvinokwanisika kucherechedza kuderera kwezvinenge zviratidzo zvese, sekufema kwekufema, kurwadziwa pachipfuva kana kukosora.

Uye zvakare, pamwe nekurapwa, panogona kunge paine kushomeka kuita zviitwa zvaneta zvakanyanya, sekutora kufamba.

Zviratidzo zvekuwedzera

Zviratidzo zvekuwedzera zvakanyanya kuwanda muzviitiko apo kurapwa kusiri kukwana kana kana chirwere ichi chichifambira mberi uye chikave chakakomba zvakanyanya, izvo zvinowanzoitika muzviitiko apo kuongororwa kwakanonoka.

Zviratidzo izvi zvinosanganisira kunetsekana kwakanyanya mukufema, zvigunwe zvebhuruu, kumeso kwakatsvukuruka uye kufema zvakanyanya kana uchifema. Mune zviitiko izvi, zvinokurudzirwa kuenda kuchipatara nekukurumidza kunotanga kurapwa kwakakodzera uye kudzivirira kunetsekana kwakakomba, senge kusungwa kwemoyo.

Natural kurapwa sarudzo

Mushonga wepemmonary emphysema uyo unogona kuitirwa pamba, kudzidza physiotherapy kurovedza muviri kunonzi balm yemuromo uye kuzviita kanoverengeka pazuva, senzira yekuzadzisa kurapa kunotungamirwa nachiremba, usingambozvitsiva. Kuti uite izvi, ingo tora mweya wekufema uye rega mweya ubude nemuromo wako nemeno ako akapatsanurwa uye miromo yako ipatsanurane kuitira kuti uvafambise nemhepo inobuda mumuromo mako.

Ichi chiitiko chakareruka chinosimbisa kufema kwemhasuru uye chinobatsira kubvisa zvachose mweya kubva mumapapu, zvichibvumira yakawanda okisijeni kupinda mune inotevera kurudziro uye, zviri nani, inofanirwa kutungamirwa neiyo physiotherapist.

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