Kuna gwada magunguna daban-daban don magance alamar cututtuka na COPD kuma babu abin da ya yi aiki? Idan daidaito na COPD ya kasa ku kuma kuna ci gaba da gwagwarmaya don numfashi, to, magani ga COPD na iya zama wani abu da ya kamata ku tattauna tare da mai kulawa na farko.
Types of Intervention Intervention
Akwai nau'o'i daban-daban guda uku wanda zai iya zama wani zaɓi ga mai haƙuri tare da karshen COPD, wanda ke shan wahala mai tsanani.
Bullectomy
Ana kara girman harsashi (fiye da 1 cm) a cikin cikin huhu wanda wasu lokuta na sakandare zuwa COPD. Sakamakon haɗari ne a cikin tubes ko bronchus. Gilashi babba yana haifar da matsin lamba a kan abin da ke ciki, kwayar cutar da ke cikin jiki, wanda hakan ya rage jini da iskar oxygen zuwa huhu. Wannan yana haifar da rashin ƙarfi na numfashi.
Da zarar an cire bullae ta hanyar dabarar da ake kira bullectomy , jakar iska a cikin huhu zai iya fadada kuma numfashi zai zama sauƙi.
Dan takarar dangi na bullectomy ya hada da marasa lafiya wadanda ke shan wahala daga dyspnea mai tsanani , haɗari ko ƙwayar cuta. Kwararka zai iya tsara wadannan gwaje-gwaje a matsayin hanya na kimantawa na aikin da kake ciki kafin aikin tiyata:
- Chef x-ray
- Ct Cunk
- Gwaje-gwajen aikin gwaji
- Samun iska / infusion (VQ) scan
- Angiography na huhu (ga wasu marasa lafiya)
Abubuwan da zasu haifar da ƙyamar samun bullectomy sun hada da:
- Kasancewar mahara, karamin bullae
- Advanced emphysema a cikin wadanda ba bullous kusa da huhu
- Hypercapnia
- Gidan harsashi
- Lokacin da FEV1 ya kasance ƙasa da 40% annabta ko 500 ml
Kodayake wannan hanya zai yiwu, ba a yi amfani da bullectomy ba, don kawai ƙananan ƙananan marasa lafiya da emphysema suna da bullae mai girma.
A cewar Chest , haɗarin mutuwa a lokacin ko nan da nan bayan tiyata ne 0-22% a cikin sharuɗɗan da aka buga. Sauran rikitarwa sun hada da ambaliyar iska mai tsayi, ƙwayar huhu da nakasawa na numfashi .
Ƙarƙashin ƙwanƙwasa ƙwayar tiyata (LVRS)
LVRS ya shafi cire kimanin kashi 30 cikin nau'in dabbar da ke dauke da cutar wanda zai iya aiki da kyau sosai. Yana da hanyar da ke taimaka wa mutanen da ke da karfi mai ƙarfi na numfashi suyi kyau don haka zasu iya haifar da rayuwa mai mahimmanci.
Magunguna waɗanda zasu amfana da yawa daga wannan hanya sune wadanda ke da babbar damuwa a cikin ƙananan lobes na huhu, wadanda basu da haɗari ga tiyata kuma waɗanda ba su amsa da kyau ba don gyaran jini kafin aikin tiyata. Nasarar LVRS tana da alaƙa da alaka da ƙwararrun marasa lafiya waɗanda suka dace da waɗannan ka'idoji.
Wani babban binciken ya ƙaddara cewa wadanda ke fama da mummunan ƙwaƙwalwa a cikin ƙananan lobes na ƙwayar cuta da kuma ƙananan haɗari don tiyata, amma waɗanda ba su amsa maganin gyara kafin a tilasta su ba, za su amfana da yawa daga LVRS. Binciken ya kuma nuna cewa marasa lafiya a babban haɗari don tiyata da waɗanda suke da emphysema a wasu sassa na huhu za su sami komai mafi mahimmanci kuma za'a iya cutar da su (nazarin NETT).
Don a yi la'akari da LVRS, marasa lafiya sun cika ka'idodi masu zuwa:
- Samun tarihi na emphysema
- Ba shan taba ba har watanni hudu kafin da kuma cikin aikin gwajin
- Ba a da LVRS baya ba
- Ba tare da ci gaba da ɓacin jini na baya ba ko wasu yanayin zuciya
Bugu da ƙari, mai haƙuri dole ne ya shafe magungunan huhu a gabanin da kuma bayan tiyata.
Ya kamata a bayyana cewa yayinda aikin tiyata na LVRS ya nuna don taimakawa wajen ƙarfafa numfashi, ƙarfin huhu, da kuma kyakkyawan rayuwa. Ba ya tsawanta rayuwa.
Tsuntsu mai layi
An yi amfani da tsire-tsire mai laushi a matsayin magungunan ƙwayar cuta ga cututtuka da dama da suka hada da fibrosis da kuma jini na jini.
COPD, duk da haka, shine mafi yawan alamun da aka nada don shuka dashi.
Marasa lafiya wadanda basu kasa da shekara 65 ba tare da wani mataki na COPD ba tare da wasu cututtuka masu muhimmanci ba dole ne a yi la'akari da ƙwaƙwalwar ƙwayar ƙwayar zuma da kuma kulawa. Wasu shirye-shiryen zasuyi la'akari da marasa lafiya wadanda suka tsufa fiye da shekaru 65, amma dole ne a cika sharuddan ma'auni domin la'akari.
Wadanda za su girbe mafi girma daga sakamako daga tsire-tsire da ƙwayoyin tumatir sun hada da marasa lafiya waɗanda ke nuna waɗannan abubuwa masu zuwa:
- Sakamakon FE1 na 20% ko žasa na annabta
- Hypercapnia
- Wadanda suke da alaka da hawan jini na jini
- Wadanda suke da damar samun tsira zasu fi girma idan suna da dashi na jiki fiye da idan basu
Bugu da ƙari, 'yan takara masu tsauraran ra'ayi za su zama kwakwalwa, nauyin da ya dace, da kuma karfafawa sosai tare da tsarin tallafi masu dacewa.
Yana da ban sha'awa a lura cewa bullectomy na baya ko LVRS ba ƙyama ba ne don dasa dashi. Wadannan hanyoyi zasu iya taimaka wajen taimaka wa marasa lafiya.
Yayin da dashi na jiki ba ya inganta rayuwa a cikin marasa lafiya COPD, amfani da kututtukan kwayar halitta dole ne a duba su dangane da aiki da kuma inganci-in-rai.
Layin Ƙasa
Matsayin da COPD ke sanya a kan mai haƙuri zai iya tasiri mai kyau na rayuwa. Ga wadanda suke da COPD na ƙarshe wanda ba su dace da maganin magani ba, ƙwaƙwalwar shiga zai iya zama wani zaɓi. Sai kawai mai kula da ku na farko zai iya ƙayyade idan za ku iya zama dan takarar kirki na irin wannan tiyata.
Sources
Ƙungiyar Lung Association ta Amurka. LVRS Fact Sheet. Agusta 2005.
Kamfanin {asar Amirka, Thoracic, Society of Thoracic Society. 2004. Dalilai don ganewa da kuma kula da marasa lafiya tare da COPD. Shafin 1.2. 2005. Akwai a http://www.thoracic.org.
Huang FRCPC, Max MD, Singer, FRCPC, Lianne G. MD. "Ayyukan Gudanarwa na COPD". Geriatrics Aging. 2005; 8 (3): 40-46.
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