Ayyuka, kwayoyi, da kuma physio wanda ke taimakawa wajen sarrafa bayyanar cututtuka
Binciken fata na yau da kullum shine ƙwayar cuta mai cututtuka na kullum (COPD) . Ana kwance asibiti kamar tari wanda yake samar da sputum a kowace rana don watanni uku a jere yayin da ya faru na akalla shekaru biyu a jere.
COPD yanzu shine shine mafi girma na uku na mutuwar a Amurka Wasu siffofin sun hada da emphysema da bronchiectasis . Duk da yake hayaki shine mafi mahimmanci na COPD, shan taba zuwa hayaki na biyu, gurɓatawa, ko wasu nau'in halayen iska yana iya haifar da wannan yanayin.
Maƙarƙin fata na yau da kullum ya bambanta da m mashako, wanda ƙarshen shi ne yanayin wucin gadi wanda ke haifar da kamuwa da kwayar cutar hoto ko muhalli. Binciken na yau da kullum shine, ta bambanta, cutar ta dindindin ta haifar da lalacewar cutar huhu.
Idan an gano ku tare da ciwon daji na kullum, likitanku ya tsara wasu ko duk waɗannan maganin zaɓuɓɓuka masu biyowa:
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Cessation SmokingKashe shan taba shine mafi mahimmanci, duk da haka mafi yawancin abin da aka saba shukawa, wani ɓangare na magance ciwon daji na kullum.
Shan taba yana haifar da wani abu da ake kira bronchoconstriction wadda ke nuna alamar ƙananan ƙanƙara, gashi mai karewa (wanda ake kira cilia) wanda ke layi da hanyoyi. Bugu da kari, ƙonawa da aka sa a kan taba sigari ya haifar da ƙaddamar da ƙuduri. Saboda cilia yana da mahimmanci wajen cire abubuwa daga huhu, lalacewar da shan taba ke haifarwa cikin haɗuwa da ƙwaƙwalwa da kuma hana iska ga huhu.
Masu shan taba ma sun fi kamuwa da cututtuka na huhu, wadanda suke cikin mutane tare da COPD.
Ko da kun kasance a cikin matakai na karshe na COPD, ba shi da latti don barin. Ba wai kawai tsayawar taimakawa wajen rage ci gaba na ciwo ba, amfanin lafiyar jiki kawai ya karu kamar yadda lokaci ya wuce. A yawancin lokuta, alamun cututtuka na dyspnea (takaicin numfashi) zai rage cikin watanni shida zuwa tara na tsayawa.
Akwai wasu nau'o'in daban-daban iri-iri na shan taba wanda ake samuwa a yau, yawancin abin da inshora ke rufewa.
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BronchodilatorsBronchodilators na taimakawa wajen cire ɓoye na jiki kamar yadda yake taimakawa wajen rage bronchospasm da kuma rage tasirin jirgin sama. Ta yin haka, an rarraba yawan oxygen a cikin huhu kuma an inganta numfashi.
Masu haɓakawa masu ceto, masu dauke da ƙwayoyin hanzari irin su Proventil (albuterol), zasu iya taimaka wa mutanen da ke ciwon suturar jiki su rika nuna alamun rashin lafiya ko cutar. Wadannan magunguna suna daga cikin kula da duk matakai na COPD.
Albuterol wani maganin beta-agonist ne wanda ke taimaka wa tsokoki a cikin kullunku. Ba kamar masu shawo kan lokaci ba , ana amfani da masu ƙwaƙwalwar ceto don magance yanayi na gajere na numfashi dangane da bronchospasm.
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GlucocorticoidsLokacin da mutum bai amsa maganin mafi mahimmanci ba, glucocorticoids (wani nau'i na steroids) za'a iya tsara shi a matsayin ɓangare na shirin maganin. Glucocorticoids sun san suna da amfani mai yawa wajen magance yanayin amma suna haɗuwa da yawancin haɗari , kazalika.
Yayin da ake kula da maganin glucocorticids a matsayin mai kawo rigima, Cibiyar Gudanar da Harkokin Kwayoyin cuta ta Duniya (GOLD) ta ba da shawarar yin amfani da su a cikin takarda a lokacin da mutum ya isa mataki na III COPD kuma yana fama da damuwa da yawa.
Ana iya amfani da glucocorticoids ta hanyar magance COPD lokacin da bayyanar cututtuka ta ci gaba da muni. Magungunan steroid sunyi amfani da ita don amfani da alamar alamar cutar ko kuma lokacin da bayyanar cututtuka suna ci gaba da karuwa.
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Phosphodiesterase-4 Masu hanawaPhosphodiesterase-4 (PDE4) masu hanawa sune magungunan miyagun ƙwayoyi wanda ke bi da kumburi da ke hade da COPD. Dandalin magani na yau da kullum, PDE4 inhibitors taimaka rage COPD exacerbation da yawanci kadan sakamako na illa.
Magunguna sunyi aiki ta hanyar rage yawan kullun iska a cikin mutanen da suke da tsayayyar maganin kwantar da hankula. Ta hanyar yin haka, ƙananan ƙuduri ya haifar, yana haifar da ƙananan ruɗuwa da kuma hana ƙananan iska.
Daliresp (roflumilast) shine kawai mai hana PDE4 a halin yanzu an yarda a Amurka. Babban mawuyacin sakamako na PDE4 masu haɗaka sun hada da zawo, tashin zuciya, da ciwon kai.
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Chest Physiotherapy da Gidan WutaMasanin ilimin lissafi, wanda ake kira kirkirar kirji, wata hanya ce wadda ta shafi haɗawa a kan kirji da / ko baya don taimakawa wajen janye ƙananan ƙwaƙwalwa kuma ya sa ya fi sauki ga tari. An yi amfani dashi akai-akai tare da magudanar ruwa kuma ana iya yin amfani da shi ta amfani da hannayen hannayen hannu ko na'urar haya mai iska.
Ruwan gidaje , ta bambanta, wata hanya ne da ke amfani da nauyi don taimakawa wajen kawar da ƙuƙwalwa daga hanyoyi. Dukansu nau'o'in kwakwalwa da gyaran ƙwayar katako suna aiki mafi kyau bayan maganin magunguna.
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Airway Clearance DevicesAna amfani da na'urori masu amfani da Airway tare da haɗin gwiwar ƙwaƙwalwa da kuma shinge mai layi don tabbatar da ƙwarewa daga ƙwayoyin cuta. An nuna na'urorin da yawa don inganta sakamakon idan aka kwatanta da ilimin lissafi da magudanai kadai. Dukkansu, suna da inganci mai sauƙi kuma masu sauki don amfani.
Zabuka sun haɗa da:
- Kyakkyawan motsi na iska (PEP) wanda kuke numfashi daga iska
- na'urorin oscillating mai tsayi, irin su na'ura mai ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ta Flutter da na'urar na'ura mai kwakwalwa ta Acapella Vibratory wadda ta yi waƙa da ƙaramin ƙananan hanyoyi
- Fitilar Lung , na'urar da aka yi da hannu wadda ta haifar da sauti a cikin iska