Idan wani ya tambayi abin da ya hana ka daga yin amfani da shi lokacin da kake da COPD , zai yiwu ka ce dyspnea (wanda ake kira rashin ƙarfi). A COPD, dyspnea da tsoka da tsoka sune mahimmanci na farko don fara shirin motsa jiki . Wannan abin takaici ne saboda hanya mafi kyau don inganta haƙuri da motsa jiki da kuma rage numfashi a cikin COPD shine yin aiki akai-akai.
Don haka, yaya za ku gudanar da motsa jiki idan kunyanku ya ba ku kuma ba za ku iya samun numfashinku ba?
Kodayake koda yaushe ya kamata ka ziyarci likitanka kafin a aiwatar da duk wani hanyoyi da aka jera a ƙasa, hanyoyin da za su iya taimaka maka wajen yin aiki da tsayi kuma rage rashin ƙarfi lokacin motsa jiki:
Ƙungiyar Rashin Kwafi Mai Rashin Kyau
Ko da yake wani abu mai ban sha'awa, nazarin ya nuna cewa mutanen da suke yin amfani da kai a kai a kai ta hanyar amfani da iska mai karfin gaske (NIPPV) na iya samun horo akan wadanda ba su da. Ba wai kawai NIPPV ba ta bari marasa lafiya na COPD su cigaba da yin tsayi, amma sun sami damar kai gagarumar aiki a lokacin zaman horo fiye da lokacin da suka yi aiki ba tare da wani aiki ba. Da fatan, ci gaba a fasahar likita zai haifar da isar da oxygen a yayin NIPPV, maimakon mahimmin ƙuƙwalwar hanci.
Amfani da NIPPV da dare yana iya kasancewa amsar da ya fi dacewa.
Nazarin ya nuna cewa idan an hade shi tare da gyaran kwayoyin cutar, marasa lafiya da suke amfani da NICPV ba su hanu ba ne a cikin gwajin motsa jiki na minti 6 , FEV1 , hyperinflation tsauri da jini na jini . Marasa lafiya na iya ganin haɓakawa a cikin aikin jiki, aiki na zamantakewa, lafiyar hankali, da kuma karfi.
Tsarin lantarki
COPD marasa lafiya waɗanda suka fi ƙarfin maganin tsoka da ƙwayar tsoka suna iya amfana daga ƙananan ƙarfin neuromuscular lantarki (hf-NMES). Nazarin ya bayar da shawarar cewa inganta yanayin motsa jiki ta hanyar barin marasa lafiya su yi haƙuri a kan ƙarfin motsa jiki. Zai kuma iya inganta numfashi.
Hanyar mafi kyau ta kusanci hf-NMES shine amfani da shi kafin ɓararen nama (na kowa a COPD ci gaba), ko da yake yana iya zama da amfani ga marasa lafiya waɗanda ke fama da matsananciyar nakasa tare da dyspnea ba tare da dadi ba.
Ana iya amfani da wutar lantarki a cikin gida, ko kuma wani ɓangare na tsari, tsarin gyaran kwalliya.
Oxgen Ƙarin
Wani binciken da aka buga a Thorax ya nuna cewa karin oxygen a lokacin motsa jiki yana ba da kyauta kadan daga dyspnea kuma baya yin sauki don haɓaka motsa jiki a COPD. Duk da haka, nazarin binciken ya nuna cewa zai iya inganta jarabawar motsa jiki, rage fahimtar dyspnea da rage karfin jini a cikin marasa lafiya tare da daidaitattun jini oxygen matakan.
Akwai bayani mai gudana game da abin da hanya na bayarwa - ƙwayar hanyoyi ko ƙwararraki - mafi kyau a lokacin motsa jiki. Bincike da goyon bayan yin amfani da hanya mai zurfi yana da dadewa; Duk da haka, masu goyon bayan sassan oxygen bayarwa sun yarda da imanin cewa yana aiki mafi kyau.
Gyaran gyaran jini
Gyaran gyaran jini na da muhimmanci a COPD kuma an bada shawarar ga dukkan marasa lafiya wadanda suke cikin matsakaici zuwa matsanancin matakai na COPD. Hanyoyin rigakafi na iya taimakawa marasa lafiya COPD :
- Inganta zaman lafiya
- Rage numfashi
- Inganta ingancin rayuwa
- Rage asibiti da lokacin asibiti
- Rage tashin hankali da damuwa
- Inganta aikin hannu
- Inganta ƙarfin ƙwayar jijiyar jiki (idan an hade shi tare da babban motsa jiki)
Magunguna
Akwai magunguna da yawa waɗanda aka nuna don inganta halayyar motsa jiki da rage rage numfashi a cikin COPD.
Mafi yawan karatun sune:
- Albuterol - Daya daga cikin halaye na COPD shine iyakokin iska. Tsarin hyperinflation mai zurfi shine babban sakamako na rage yawan iska a lokacin motsa jiki a cikin COPD kuma wani muhimmin mai ba da gudummawa ga numfashi. Bincike ya nuna cewa maganin albuterol, wanda ke yin bita, ya rage karfin motsa jiki da kuma inganta wasu ayyuka masu mahimmanci.
- Spiriva - Haɗuwa da tsarin gyaran jini, mai amfani da magungunan jini Spiriva (tiotropium) na karfafa motsa jiki, rashin ƙarfi, da kuma halin lafiyar idan aka kwatanta da yin amfani da gyaran kwayoyin halitta kadai.
- Salmeterol - Salmeterol, mai tsayayyen beta, yana inganta numfashi a lokacin motsa jiki kuma ba dole ba ne ya kara yawan lokaci.
- Nebulized ipratropium bromide - Idan aka kwatanta da wani placebo, nebulised ipratropium bromide (anticholinergic) ƙara ƙarfin motsa jiki lokaci, rage dyspnea da rage rage hyperinflation dynamic. Bugu da ƙari, bayan yin amfani da bromide ipratropium, marasa lafiya a binciken binciken asibiti sun nuna karuwa a FEV1, FVC da ƙarfin motsa jiki (ƙarar iska da za a iya kwantar da shi bayan an fitar da shi).
Cibiyar Nazarin
A lokacin horo horo, mai haƙuri ya sake yin jerin ayyukan motsa jiki mai zurfi da suka hada da aikin motsa jiki (mafi yawan binciken a COPD) ko hutawa. Taron horo a cikin COPD yana haifar da sakamakon horarwa na musamman ga wasu marasa lafiya kuma ana amfani da su a matsayin ɓangare na shirin gyaran kwalliya.
Sources
Belman MJ, et.al. Magunguna masu ƙwayar cuta sun rage ragewar hyperinflation a lokacin motsa jiki a marasa lafiya da cututtuka na nakasa. Am J Respir Crit Care Med1996; 153: 967-75
Calverley, PMA. Rashin rashin lafiya a lokacin motsa jiki a COPD: yaya kwayoyi suke aiki? Thorax 2004; 59: 455-457 Doi: 10.1136 / thx.2004.023150.
Casaburi R., et.al. Inganta cikin halayyar motsa jiki tare da haɗuwa da tiotropium da gyaran jini a marasa lafiya tare da COPD .CHEST 2005; 127 (3): 809-817.
Napolis, Lara Maris et al. Kwayoyin Neuromuscular yana karfafa haɓaka aikin haƙuri a cikin marasa lafiya marasa lafiya na marasa lafiya wanda ke dauke da mafi kyawun kariya. Clinics [online]. 2011, vol.66, n.3 [cited 2012-07-02] 401-406.
Neder, JA et. al. Gidajin neuromuscular gida na gida wanda ya haifar da sabon tsarin sabuntawa ga marasa lafiya marasa lafiya wanda ke fama da ciwon huhu (COPD). Thorax 2002; 57: 4 333-337 da: 10.1136 / thorax.57.4.333.
O'Donnell DE, et.al. Hanyoyin sararin samaniya na inganta cigaba a cikin aikin motsa jiki bayan maganin rigakafi a cikin cututtuka na nakasa. Am J Respir Crit Care Med 1999; 160: 542-9.
Schönheit, Köhnlein T. et. al. Ƙara iska mai banbanci a cikin kwaskwarima na kwantar da marasa lafiya na COPD. Zazzafa Mad. 2009; 103 (9): 1329.
Somfay, A. et.al. Ayyukan da za a yi na oxygen a kan hyperinflation da kuma jimrewa a cikin marasa lafiya COPD nonhypoxaemic. ERJ Yuli 1, 2001 vol. 18 ba. 1 77-84.
Wesmiller SW da.al. Aminci haɗin gwiwa a lokacin canal na hanci da kuma bayarwa na oxygen. Am Rev Respir Dis. 1990 Mar; 141 (3): 789-91.