Ingabe uvame ukukhwehlela, ukukhwehlela kanye nokuphefumula ngomsindo lapho kufika ubusika? Ngakho-ke qaphelaisifo esingamahlalakhona sokuvimbela amaphaphu (COPD)!
Isifo Sokuvinjelwa Kwezinhlungu Ezingamahlalakhona, noma i-COPD ngamafuphi, yisifo sokuphefumula esingamahlalakhona esivamile, esingavinjelwa futhi esingelapheka esibonakala ngokunciphisa ukuhamba komoya okuqhubekayo. Izifundo zithole ukuthi ngokwehla ngakunye kwe-degree Celsius ekushiseni okujwayelekile kwansuku zonke, izinga elijwayelekile lokukhuphuka kwezimpawu ezigulini ezine-COPD likhuphuka ngo-0.8%!
Kungani ukwehla kwezinga lokushisa kubangela isifo samaphaphu esingamahlalakhona esivimba amaphaphu?
Umgudu wethu wokuphefumula ufana nepayipi, ngaphansi kwezimo ezivamile umoya ungageleza kahle ungena futhi uphume emaphashini, futhi i-cilia yomoya izoshintsha njalo ukuze isunduze umucu, kanye nothuli, amagciwane, nezinye izinto zangaphandle ezinamathele kuwo, ziye emphinjeni ukuze zikhishwe emzimbeni.
Uma izinga lokushisa lehla, indlela yokuphefumula yomuntu izoba nokusabela kokufinyela ngokomzimba, okuholela ekuncipheni kwendlela yokuphefumula. Uma indlela yokuphefumula ngokwayo inamazinga ahlukene okuvinjelwa nokuvuvukala, kuzokwandisa izinga lokuncipha kwendlela yokuphefumula, futhi ngesikhathi esifanayo, kuzovuselela ulwelwesi lwamafinyila lwendlela yokuphefumula, okuholela ekukhiqizweni okukhulu kwezindlala ze-mucus kanye nokuncipha kokunyakaza kwe-cilia, okuzokwenza kube lula ukuthi isikhwehlela nezinye izinto ezikhipha umoya ziqongelelane ngaphakathi kwendlela yokuphefumula, zivale indlela yokuphefumula futhi zizalane ngamagciwane, njengebhaktheriya namagciwane, okuzokwenza lokhu kubangele ukuvuvukala kube kubi futhi kukhuthaze ukuthuthukiswa kwesifo samaphaphu esingapheli.
Ngaphezu kwalokho, lapho izinga lokushisa lehla, imithambo yegazi yomzimba engaphandle izoncipha, okuhlanganisa nemithambo yegazi emaphashini. Ngemva kokuba imithambo yegazi incipha, ukujikeleza kwegazi kuzoncipha, inani legazi eligeleza emaphashini nakwezinye izicubu liyancipha, okuletha amangqamuzana omzimba angaphansi, izakhamzimba, njll., okwenza amandla okuvikela amasosha omzimba emaphashini anciphe, okubangela kalula ukutheleleka kokuphefumula, okuholela ekuphindeni nasekuqhubekeni kwesifo samaphaphu esingamahlalakhona.
Ngingakuvimbela kanjani isifo samaphaphu esingamahlalakhona esivimba amaphaphu?
Kuhle ukusho ukuthi ugwayi kanye nothuli oluphuma emoyeni nakho kuyacasula imigudu yomoya futhi kungandisa ingozi yesifo samaphaphu esingapheli. Kulokhu, ungazama okulandelayo ukuvimbela isifo samaphaphu esingapheli:
1. Gcina kufudumele
Zigcine ufudumele futhi ugqoke isikhafu ukuvimba umoya obandayo ukuthi ungacasuli izindlela zakho zokuphefumula.
2. Yeka Ukubhema Futhi Ugweme Ukubhema Okubhemayo
Izifundo zaphesheya kwezilwandle zithole ukuthi ingozi yokuthola isifo samaphaphu esingamahlalakhona (i-COPD) phakathi kwababhemayo iphakeme ngokuphindwe ka-10.92 kuneyabantu abangabhemi! Ukuyeka ukubhema kusenesikhathi kunganciphisa ingozi yokuthola lesi sifo.
3. Thatha izinyathelo zokuphepha ezinhle ngokumelene nokungcoliswa komoya ngaphakathi nangaphandle
Unganciphisa ukuphuma noma ukugqoka imaski esimweni sezulu esibandayo.
4. Gxila ekuhlanzekeni komuntu siqu
Mboza umlomo nekhala lakho ngethishu noma ngendololwane uma ukhwehlela noma uthimula ukuze ugweme amaconsi asakaze amagciwane futhi uvimbele ukusabalala kanye nokuvela kwezifo zokuphefumula.
Ucwaningo luthole ukuthi ukukhanya okubomvu kusebenza kahle ekunciphiseni izimpawu zesifo samaphaphu esingamahlalakhona esivimba amaphaphu.
Inani elikhulu lezincwadi ezigunyaziwe kanye nezifundo zezokwelapha lithole ukuthi ukwelashwa ngokukhanya okubomvu kungakhuthaza i-metabolism ngokuthuthukisa umsebenzi we-enzyme kanye nokuthuthukisa i-microcirculation, futhi kulawule ukusebenza komzimba wokuzivikela komzimba ukuze kwandiswe ukuzwela kwemizwa ye-sympathomimetic futhi kuncishiswe ukusabela komoya. Ngesikhathi esifanayo, kungathuthukisa ukugcwala komoya-mpilo egazini, ukuze ukunikezwa kwegazi kanye nokunikezwa komoya-mpilo kweziguli ezinesifo samaphaphu esingamahlalakhona kunganda, okunciphisa kakhulu ukuvuvukala kwangaphakathi, kunciphisa ukwenzeka kwezinkinga futhi kuthuthukise umsebenzi wokuphefumula weziguli, ngaleyo ndlela kufinyeze inkambo yesifo futhi kuthuthukise izinga lokuphulukiswa.
I-MERICANIkhabhini yezempilo, ngokukhanyisa umzimba wonke, ingadlala indima ehlukahlukene yezinto eziphilayo, ivuselele kancane izicubu ezijulile kanye neziphetho zemizwa, ilawule umsebenzi wokuhambisa imizwa, inciphise ukusabela komoya, futhi ithuthukise ukujikeleza kwegazi kwamaphaphu, ithuthukise umsebenzi we-phagocytosis, futhi ikhuthaze ukumuncwa kokukhishwa kwamaphaphu, ngaleyo ndlela ilwa ngempumelelo nokuvuvukala, inciphise ukumelana komoya futhi inciphise ukukhishwa kokuphefumula, futhi inciphise izimpawu zokungakhululeki.

Ngaphezu kwalokho, ikhabhini yezempilo yaseMERICAN ifaka ubuchwepheshe be-ion ye-oxygen engemihle, okuvumela ukuthi ama-ion e-oxygen engemihle asatshalaliswe ngokulinganayo kuyo yonke indawo yekhabhini, ngaleyo ndlela kwandiswe ukugcwala kwe-oxygen egazini, kuqiniswe umsebenzi wamaseli, kuthuthukiswe amasosha omzimba, futhi kuthuthukiswe kangcono ukujikeleza kwegazi emaphashini, ukufinyela komoya kanye nokuvuselelwa kokusebenza kwemisipha yokuphefumula.

Umoya obandayo uvame ukufika ebusika, isifo samaphaphu esingamahlalakhona esivimbelayo sivame ukwenzeka, ngakho-ke, thuthukisa amasosha omzimba, wenze umsebenzi omuhle wezinyathelo zokuvimbela azinakwa, uma izimpawu zokuphelelwa umoya, ukukhwehlela, ukuphefumula kanzima, ubuhlungu besifuba, njll., kunconywa ukuthi ukufinyelela ngesikhathi sokunakekelwa kwezokwelapha!