9 Jiyya Zɓk. Don Stage IV COPD

Ka'idoji da ayyuka don gudanarwa

Kwanakin cututtukan cututtuka na yau da kullum (COPD) wani mummunar cututtuka ne daga cikin huhu wanda ke hana jigilar iska zuwa ciki da kuma daga cikin huhu. COPD an rarraba shi ta hanyar matakai na cutar wanda zai taimake mu mu gano kyakkyawan magani kuma muyi la'akari da sakamakon da zai yiwu (cututtuka) na cutar.

Sashe na IV an dauke shi mafi nau'i na COPD kuma an nuna shi ta rashin ƙarfi na numfashi ( dyspnea ). A wannan mataki, shan magani ba zai yi aiki ba kamar yadda suke amfani dasu, ayyuka masu sauki zasu bar ku rashin ƙarfi, kuma za ku sami kamuwa da cutar kututtuka, matsalolin numfashi, da rashin lafiya na numfashi.

Saboda COPD ba shi da kariya, wannan lokaci na cutar shine ake kira "COPD". Wannan ba yana nufin babu hanyoyin da za a bi da yanayin ba. Shirin Duniya na Ƙwayar Ciwon Cutar Kwayoyin cuta (GOLD) ya bada shawarar yin amfani da hanyoyin kwantar da hanyoyi da ayyuka don gudanarwa mafi kyau a mataki na IV COPD.

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Citre Cigarettes

Ko da idan an gano ku tare da COPD mai ci gaba, ba a daɗe ba don girbin ladaran shan taba . Ba wai kawai barin barin taimakon rage jinkirin cutar ba, amfanin lafiyar na ci gaba da ƙarawa yayin da lokaci ya wuce.

Bayan kimanin makonni biyu, mummunar alamar rashin lafiyar nicotine za su fara shiga. A cikin 'yan watanni masu zuwa, haɗarin ƙuƙwalwa na zuciya ya ragu lokacin da yanayinku ya bunkasa.

Bayan watanni shida zuwa tara, zaku fara jin kadan na numfashi kuma kuna da matsaloli kaɗan tare da nutsewar sinus.

Kara

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Magunguna da ciwon huhu

Magunguna da ƙwayoyin cutar ciwon huhu sune daga cikin ka'idojin kula da ka'idoji na GOLD a kowane mataki na cutar. Rawan jini na yau da kullum zai taimaka wa mutane su rage haɗarin COPD yayin da cutar rigakafi ta rage yawan damar samun kwayar cutar pneumonia.

Nazarin da aka nuna ya nuna cewa harbin da aka yi a shekara guda yana rage rashin lafiya da mutuwa a cikin mutane tare da COPD ta hanyar kashi 50 cikin 100.

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Ƙananan Bronchodilators

Masu haɓakawa masu tserewa, masu dauke da ƙwayoyin hanzari irin su Proventil (albuterol), taimaka wa mutanen da COPD ke gudanar da alamar cutar ko kuma mummunar cututtuka na 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. Ana amfani da kwayar cutar ta hanyar magance yanayi na gajeren numfashi wanda ya danganci bronchospasm.

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Ma'aikatan Bronchodilators Masu Tsayi

Yayin da COPD ya ci gaba, likitanku zai iya ƙara daya ko fiye da magunguna don taimakawa wajen hana ko rage bayyanar bayyanar cututtuka. Yayinda kake yin amfani da kawai mai amfani da ƙwaƙwalwa mai tsawon lokaci yana da aminci, haɗin haɗakarwa yakan fi tasiri tare da daidaituwa kadan.

Bita-agonists-lokaci-lokaci sune irin magungunan bronchodilator dauke da magunguna kamar salmeterol ko formoterol. Tsarin tsaka-tsakin tsaka-tsakin wani nau'i ne ta amfani da Atrovent, Spiriva , ko Combivent.

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Gyaran gyaran jini

An cigaba da gyaran gyare-gyare na yau da kullum a lokacin II na COPD kuma ya ci gaba kamar yadda cutar ta ci gaba. Ya haɗa da motsa jiki, shakatawa na motsa jiki , shawara mai gina jiki , da taimakon gogewa don taimakawa mutane su magance yanayin su.

Hanyoyin kwakwalwa na iya taimakawa wajen rage cututtukan cututtuka , inganta yanayin rayuwa, rage rabuwar zamantakewa, da kuma ƙara yawan lokacin rayuwa. Shirin yana amfani da ƙungiyar masu aikin jinya na mahalli, masu kula da jiki da na aikin likita, masu cin abinci, da masu ba da shawara.

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Magunguna masu magani

Jiyya tare da glucocorticoids (wanda aka fi sani da steroids) yana da rigima, amma GOLD yana bada shawarar su a cikin takarda a lokacin da suka isa Stage III kuma suna shan wahala daga damuwa.

Za a iya amfani da kwayoyin maganin maganin COPD a yayin da bayyanar cututtuka ta ci gaba da muni. Magunguna masu ƙwayar cuta, da bambanci, ana amfani dasu akai-akai don tabbatar da alamar kwanciyar hankali ko kuma lokacin da bayyanar cututtuka suna ci gaba da ƙara muni.

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Oxygen Far

Hanyoyin maganin oxygen suna bada shawarar a mataki na IV a kan ko dai wani mahimmanci akai-akai, a lokacin motsa jiki, da kuma / ko don taimakawa aukuwa na dyspnea.

Kullum an yi amfani da iskar oxygen na ci gaba ga waɗanda waɗanda PaO2 (kamar yadda aka auna ta hanyar jini mai zurfi ) yana da 55 mm HG ko žasa ko wanda nauyin saturation na oxygen ya kasa ko kuma daidai da kashi 88.

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Ciwon Toshe

Akwai nau'i uku na aikin tiyata wanda ya dace da waɗanda suka hadu da ka'idodin musamman da mataki na COPD. Sun haɗa da bullectomy da ake amfani dasu wajen kula da manyan sararin samaniya a cikin huhu, ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta (LVRS) da ake amfani dasu don cire ƙwayar cuta mai cututtuka, da kuma tsire-tsire .

Rashin gwadawa na yau da kullum yana da mahimmanci, musamman ma wadanda ke da kariya, marasa lafiya, tsofaffi, ko hayaki.

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Kyakkyawan Abincin Kwayoyi a Calories

Abincin abinci mai kyau yana da mahimmanci ga mutanen da ke da matsayi na IV COPD kamar yadda cututtukan ke sanya damuwa mai tsanani a jikin jiki kuma yana ƙone duk man fetur da ka samu daga cin abinci. Saboda haka, mutanen da ke da COPD suna bukatar su kara yawan abincin su na caloric , wanda ya dace da abinci masu lafiya da ke cikin antioxidants da phytochemicals.

Cin abinci mai kyau zai iya inganta tsarin rigakafin ku, kuma, bi da bi, taimakawa wajen magance cututtuka na zuciya tare da mutane tare da COPD.

> Source

• > Gudun Duniya na Ƙwayar Ciwon Cutar Dama (GOLD). " Shaida ta Nasara da Rigakafin da Cibiyar Kulawa ." Jagora na Pocket zuwa COPD ganewar asali, Gudanarwa, da Rigakafin: Jagora ga Ma'aikatan Kula da Lafiya. 2017: 9-18.