
Ukuphefumla, okwabizwa ngokuba yi-dyspnea, luphawu oluqhelekileyo noxinzelelo kubantu abaphila nomhlaza wemiphunga. Isebenza unyango lokuphefumla kumhlaza wemiphunga ihlala ibandakanya iindlela ezininzi, ukudibanisa ukungenelela kwezonyango, unyango oluxhasayo, kunye nokulungiswa kwendlela yokuphila. Esi sikhokelo siphonononga iinketho ezikhoyo kwaye sibonelela ngengqiqo ekulawuleni olu phawu lucelomngeni, lujolise ekuphuculeni umgangatho wobomi bezigulane.Ukuqonda Ukungaphefumli kuMhlaza WemiphungaYintoni ebangela ukuphefumla kuMhlaza wemiphunga?Zininzi izinto ezinokubangela ukuphefumla nzima kubantu abanomhlaza wemiphunga. Ezi ziquka: Ukukhula Kwethumba: I-tumor ngokwayo inokuthintela i-airways okanye icinezele izicubu zemiphunga, yenze kube nzima ukuphefumla. I-Pleural Effusion: Ukufumba kolwelo olujikeleze imiphunga (i-pleural effusion) kunokuthintela ukwanda kwemiphunga. Usulelo lwemiphunga: Umhlaza wemiphunga unokuwenza buthathaka amajoni omzimba, okonyusa ukungenwa lusulelo olufana nenyumoniya, enokubangela ukuphefumla. I-anemia: Ukubalwa kweeseli ezibomvu zegazi (i-anemia) kunokunciphisa ukuhanjiswa kweoksijini emzimbeni, okukhokelela ekuphefumleni. Iziphumo ebezingalindelekanga zoNyango: Olunye unyango lomhlaza, olufana nechemotherapy kunye nonyango lwemitha, lunokubangela umonakalo wemiphunga kunye nokuphefumla. Iimeko zemiphunga ephantsi: Iimeko esele zikhona ngaphambili ezifana neCOPD okanye isifuba sombefu zinokwenza ukungaphefumli mandundu.Uvavanyo lokungaphefumli.Kubalulekile ukuvavanya ngokuchanekileyo ubungqongqo kunye nefuthe lokuphefumla. Oogqirha basebenzisa iindlela ezahlukeneyo, kuquka: Imbali yesigulana: Ukubuza malunga nokuqala, ubude bexesha, kunye nezinto ezibangela ukuphefumla. Uvavanyo loMzimba: Ukumamela izandi zemiphunga kunye nokuvavanya iipatheni zokuphefumla. Iimvavanyo zokuSebenza kwemiphunga (PFTs): Ukulinganisa umthamo wemiphunga kunye nokuhamba komoya. Uvavanyo lomfanekiso: I-X-ray yesifuba okanye i-CT scans ukujonga imiphunga kunye nokuchonga oonobangela abanokubakho. UkuJonga ukuGcina iOxygen: Ukusebenzisa i-pulse oximeter ukulinganisa inqanaba le-oksijini egazini.Unyango loNyango lokungaphefumli Ukujongana nonobangela osisiseko Ukunyangwa oyena nobangela wokuphefumla kudla ngokuba yeyona njongo iphambili. Oku kunokubandakanya: Unyango loMhlaza: I-Chemotherapy, unyango lwe-radiation, unyango olujoliswe kuyo, okanye i-immunotherapy yokunciphisa i-tumor kunye nokunciphisa uxinzelelo kwi-airways. Unyango oluthile luya kuxhomekeka kuhlobo kunye nenqanaba lomhlaza wemiphunga. Iziko loPhando ngoMhlaza laseShandong Baofa (https://baofahospital.com) uzinikele ekuphandeni nasekuphuhliseni unyango lomhlaza olutsha. Ulawulo lwePleural Effusion: Ukukhupha ulwelo olujikeleze imiphunga (thoracentesis) okanye ukufaka umbhobho wesifuba ukuthintela ukugcwala kolwelo. Unyango lokosulela: I-Antibiotics yosulelo lwebhaktheriya, amayeza e-antiviral yosulelo lwentsholongwane. Ulawulo lwe-Anemia: Utofelo-gazi okanye amayeza okwandisa ukuveliswa kweeseli ezibomvu zegazi.ULawulo lweSiymptomXa ukujongana nonobangela osisiseko akusebenzi ngokupheleleyo, okanye ngelixa ulinde ukuba unyango lusebenze, iindlela zokulawula iimpawu zinokubonelela ngesiqabu. Unyango ngeoksijini: Ioksijini eyongezelelweyo inokunyusa amanqanaba e-oxygen egazini kwaye yenza lula ukuphefumla. Ioksijini inokuhanjiswa nge-nasal cannula, imaski, okanye ezinye izixhobo. Iibronchodilators: Amayeza akhulula izihlunu kwiindlela zomoya, okwenza kube lula ukuphefumla. Imizekelo eqhelekileyo ibandakanya i-albuterol kunye ne-ipratropium. IiCorticosteroids: Amayeza okulwa nokudumba anokunciphisa ukudumba kwimizila yomoya. IiOpioids: Amanani aphantsi ee-opioids, afana ne-morphine, anokunciphisa imvakalelo yokuphefumla. Ii-opioids kufuneka zisetyenziswe ngononophelo ngenxa yeziphumo ebezingalindelekanga. Anxiolytics: Amayeza okunciphisa unxunguphalo, nto leyo enokwenza kube mandundu ukuphefumla.IiNyango eziXhasayo zoKuphefumla Ukuphefumla Ukuvuselelwa kwemiphunga yinkqubo ecwangcisiweyo equka uqeqesho lokuzilolonga, imfundo, kunye nenkxaso yokunceda abantu abaneemeko zemiphunga baphucule ukuphefumla kwabo kunye nomgangatho wobomi bubonke. Amacandelo aphambili abandakanya: Uqeqesho lokuzilolonga: Ukomeleza imisipha esetyenziselwa ukuphefumla. Iindlela zokuphefumla: Ubuchule bokufunda obufana nokuphefumla ngemilebe egximfiziweyo kunye nokuphefumla ngediaphragmatic ukuphucula ukuhamba komoya. Amaqhinga ogcino lwamandla: Iindlela zokufunda zokugcina amandla kunye nokunciphisa ukuphefumla ngexesha lemisebenzi yemihla ngemihla.Iindlela zokuphefumla Iindlela ezikhethekileyo zokuphefumla zinokunceda ukulawula ukuphefumla: Ukuphefumla uMlebe: Ukuphefumla ngempumlo kwaye uphefumle kancinci ngemilebe ekhutshiweyo. Obu buchule bunceda ukucothisa ukuphefumla kwaye kuthintela ukuvalelwa komoya emiphungeni. Ukuphefumla nge-diaphragmatic: Ukuphefumla nzulu kwi-diaphragm, eyisihlunu esikhulu esisezantsi kwemiphunga. Obu buchule bunceda ekwandiseni umthamo wemiphunga kunye nokuphucula ioksijini intake.Positioning and PostureIzikhundla ezithile zinokwenza ukuphefumla kube lula: Ukuhlala ngokuthe tye: Ukuxhomekeka phambili etafileni okanye kwisitulo kunokunceda ukwandisa isifuba nokuphucula ukuhamba komoya. Ukuma neNkxaso: Ukwayama eludongeni okanye kwikhawuntara kunokubonelela ngenkxaso kunye nokunciphisa umgudu ofunekayo wokuphefumula. Ukulala ngentloko ephakanyisiweyo: Ukusebenzisa imiqamelo eyongezelelweyo ukuphakamisa intloko kunye nesifuba kunokunceda ukuthintela ukuphefumla ebusuku. Iindlela zokulawula ixhala ziquka: Iindlela zokuPhumla: Ukucamngca, imithambo yokuphefumla nzulu, kunye nokuphumla kwezihlunu okuqhubekayo. Iingcebiso okanye unyango: Ukuthetha nogqirha okanye umcebisi kunokunceda abantu bajamelane nemingeni engokweemvakalelo yokuphila nomhlaza wemiphunga kunye nokungaphefumli. Ukuyeka UkutshayaUkuba uyatshaya, kubalulekile ukuyeka ukutshaya. Ukutshaya kuyonakalisa ngakumbi imiphunga kwaye kwenza ukuphefumla nzima. Izibonelelo ziyafumaneka ukukunceda ukuba uyeke, kuquka: Unyango lokuTshintsho lweNikotini: Iipetshi, iitshungama, iilozenji, okanye ii-inhalers ukunceda ukunciphisa inkanuko yenikotini. Amayeza: Imithi yonyango efana ne-bupropion okanye i-varenicline yokunceda ukunciphisa izifiso kunye neempawu zokuhoxiswa. Amaqela eNkxaso: Amaqela enkxaso anokubonelela ngenkuthazo kunye nenkxaso ngexesha lokuyeka inkqubo.IsondloUkugcina ukutya okunempilo kubalulekile kwimpilo yonke kwaye kunokunceda ukuphucula ukuphefumla. Iingcebiso zokutya okunempilo ziquka: Ukutya okuncinci, ukutya okuqhelekileyo: Oku kunokunceda ukuthintela ukutya kakhulu kunye nokunciphisa uxinzelelo kwimiphunga. Ukunqanda ukutya okwenziwa ngerhasi: Ukutya okubangela igesi kunokwenza kube nzima ukuphefumla. Ukuhlala kuHyiliwe: Ukusela ulwelo oluninzi kunokunceda ukubhitya umfinya kwaye kwenze kube lula ukukhohlela. Kufuneka ufune nini unyangoKubalulekile ukuba ufune unyango ukuba ufumana nayiphi na kwezi zilandelayo: Ukuphefumla ngokukhawuleza okanye okuMandundu: Oku kunokuba ngumqondiso wemeko yempilo enzima. Ukuphefumla ngakumbi: Ukuba ukuphefumla kwakho kuya kuba kubi ngakumbi nangona unyango. Iintlungu zesifuba: Intlungu yesifuba ehamba nokuphefumla inokuba luphawu lwengxaki yentliziyo okanye yemiphunga. Ukukhohlela Ngegazi: Ukukhohlela igazi luphawu olunzima olufuna unyango olukhawulezileyo. Umkhuhlane: Umkhuhlane okhatshwa kukungaphefumli inokuba luphawu losulelo.Isishwankathelo soNyango lweeKhetho zoNyango lweCandelo imizekelo yeeNzuzo zoNyango lwezoNyango (Isizathu esisisiseko) I-Chemotherapy, iRadiation Therapy, iThoracentesis Ukunciphisa ubungakanani bethumba, ukukhupha ulwelo, ukunyanga izifo Unyango lwezoNyango (Ulawulo lweempawu) Unyango lweOxygen, iBronchodilators, i-Opioids yokunciphisa umoya, i-Opioids yokunciphisa umoya, i-Opioids yokuphumla. Unyango lokuBuyiselwa kwemiphunga, ubuChwephesha bokuphefumla Ukuphucula ukuphefumla kakuhle, ukomeleza izihlunu zokuphefumla Indlela yokuphila Uhlengahlengiso Ukuyeka ukutshaya, uLawulo lweNxiwa, Ukutya okunempilo Ukuphucula impilo yemiphunga, ukunciphisa uxinzelelo, ukugcina impilo yonke Ukulawula. unyango lokuphefumla kumhlaza wemiphunga ifuna indlela ebanzi ebandakanya unyango lwezonyango, unyango oluxhasayo, kunye nohlengahlengiso lwendlela yokuphila. Ngokusebenza ngokusondeleyo neqela lakho lezempilo, unokuphuhlisa isicwangciso somntu siqu sokulawula iimpawu zakho kunye nokuphucula umgangatho wobomi bakho.
ecaleni>
umzimba>