Emlandweni wezifo COPD. Ukwahlukanisa COPD. Nesifo samaphaphu

Okwamanje, izifo umgudu wokuphefumula sekuvame. Lokhu eziyimbangela Yiqiniso, odokotela elishaqisayo. Abazincomayo ukuthi abantu sina kakhudlwana ngempilo yabo.

Abane COPD

ochwepheshe International ukuqhubeka COPD ukuhlukanisa izigaba eziningana:

- Grade 0 (okwamanje isifo). Lena esigabeni sokuqala lapho kunobungozi eliphezulu COPD, kodwa Ukwesaba okunjalo ngokuvamile akukhona njalo nyama. Man ngokuvamile ngincipha ukhwehlela up phlegm. Kulesi Ukwahlukaniswa COPD isiqala nje. Yini elandelayo?

- Degree mina (Yiqiniso omnene zesifo). Libhekene izinguquko obstructive encane, uhlale ukhwehlela futhi expectoration ka isikhwehlela.

- Degree II (i-hepatitis ngokulinganisela). izinguquko Obstructive bathuthuke. Man kokuziklinya uma uhamba, njengoba izimpawu zokwelapha, nakakhulu phakathi umzimba.

- Degree III (Yiqiniso ezinzima zalesi sifo). Kwandisa komoya izivimbelo lapho umuntu exhales. Isiguli is nakakhulu kokuziklinya ngesikhathi ukuzikhandla exacerbations zenzeka kaningi. Kulesigaba abantu umgudu wokuphefumula, kungaba yingozi.

- Degree IV (Yiqiniso kakhulu lesi sifo). Elinesimo ifomu eyinkimbinkimbi ukuvimbela bronchial, okuvame esesongelwa. Kukhona nokuvaleka kwemigudu yokuphefumula, kukhona inhliziyo yamaphaphu.

ekwelapheni COPD

Ukwelashwa ukugula kunqunywa degree yokuthi liyinkimbinkimbi ngendlela. Kufanele kuqondwe kahle ukuthi imithi ivumela kuphela ukubambezela yonke ukuqhubeka kwesifo, kanye ukwenza kube phakathi esitebeleni. Uma ungenalo ukuqeda okuyizici ezinomthelela le ukuqhubeka kwesifo (isibonelo, ugwayi), ukuphathwa kungenzeka ukuletha imiphumela oyifunayo. Uhlu imithi, inombolo yabo kanye nokwenzeka ngokuhlanganisa nezinye izindlela kwemithi inquma udokotela. On izifo zamaphaphu ngokukhethekile Pulmonologist. Ikakhulu, liyaziwa Ukwahlukaniswa COPD, njengoba wazi indlela yokuphatha kahle lezi zifo.

Ukwelashwa isifo ngokulinganisela kobukhulu

Lapho izimpawu ebonakalayo Ukuphelelwa nesineke zingase zikhalele usebenzisa bronchodilators imuncwe. Udokotela angase anikeze isiguli imithi ezilandelayo: "Salbutamol" "Ventolin", "Berotek", "terbutaline", "fenoterol". Kodwa awukwazi ukuthatha labo tachyarrhythmias, Upu, isifo sikashukela decompensated, ukufiphala kwamehlo myocarditis, stenosis yomthambo i-aorta, kanye-hyperthyroidism. Isiguli abakwazi ukuthatha imithi engaphezu kuka-kane ngosuku. Akufanele ukwenze njalo. COPD kuyisifo, ukwelashwa eyenziwa kuze kufe isiguli, ke odinga isimo sengqondo wemfanelo.

Kuyadingeka ukuba enze kahle ephefumula. Uma uke ebhalisiwe ngokokuqala le ndlela yokwelapha, kufanele enze inqubo okokuqala udokotela kangangokuthi uye unolwazi mayelana kungenzeka wokwenza okubi. isidingo nomuthi imuncwe emlonyeni (ujova) ncamashi ezingeni emnyango: ngoba ifinyelela ncamashi bronchi, hhayi nje awela emphinjeni. Emva inqubo, kudingeka ukubamba umoya wakho ngoba umoya futhi ahlale njengoba amasekhondi angu-5-10.

Yini okumele uyenze uma une isifo ngokulinganisela ezinzima?

Lapha-ke ngeke izidakamizwa ngokwanele engabelwe COPD ngokulinganisela. Ngaphandle kwabo, udinga ukuthatha imithi ukuthuthukisa IBamba bronchi kanye eside. Ngaso sonke isikhathi kufanele ukuwathenga. isifo Broncho-yamaphaphu ngokuvamile ebizayo.

Ikakhulukazi, lesi sidakamizwa "Serevent" inikezwa. It ikhiqizwa ngesimo a alinganisiwe umthamo nesifutho. I elikhulu umthamo nsuku zonke abadala - 50-100 mg kabili ngelanga. Inhalation kufanele kwenziwe kuhambisana zonke iziqondiso.

Odokotela futhi linqume izindlela "Formoterol". It ikhiqizwa amaphilisi, okuyizinto powder inhalable. Inqubo vpyolnyaetsya ngedivaysi handihaler. Ngokuvamile, udokotela ebekiwe mg 12 kabili ngosuku. Kufanele kuqashelwe ukuthi ekwelapheni isifo samaphaphu akusho ngaso sonke isikhathi ukukhiqiza umphumela oyifunayo. Kuyadabukisa kodwa kuyiqiniso.

yokugula okunzima

Kulesi sigaba, umuntu kudinga okuqhubekayo yokwelapha anti-inflammatory. Bhala imithamo nokulinganisela eliphezulu glucocorticosteroids ngoba ephefumula. Inikezwe ngu- imithi ezilandelayo :. "Beclason", "benacort", "Fliksotid", "bekotid" "Pulmicort", njll ekhiqizwa ngesimo aerosols alinganisiwe noma ephefumula izixazululo injected emphinjeni ngokusebenzisa nebulizer. By endleleni, lokhu idivayisi Ukugunda kakhulu. Uma une isifo samaphaphu (COPD), ungakwazi ukuthenga it.

Ngaphezu kwalokho, kuleli nesigaba lesi sifo imithi okuxubile angabelwa, ezifaka hlangana ukuhlahluba izidakamizwa eside esebenza futhi efinyelela bronchi kanye nokwelapha ngama-corticosteroid ngoba ephefumula. Udokotela wakho angase akunikeze imithi "Symbicort" noma "Seretide". izidakamizwa ezixutshiwe okwamanje kubhekwe imithi esebenza ngempumelelo kakhulu ekwelapheni isifo samaphaphu kulesi sigaba. Empeleni ngibabheka njengomndeni okufanele siqashelwe. Nesifo samaphaphu ungayeka ukuthuthukiswa kwazo ukusetshenziswa kwazo.

isigaba ezinzima kakhulu COPD: yini okufanele uyenze?

Ngaphezu imithi esigabeni okunzima isifo, yengezwe yokwelapha mpilo (ephefumula umoya equkethe okuningi oksijini, eyenziwa njalo). Ukuze le nqubo, ezitolo ezithengisa imikhiqizo yezokwelapha, noma Pharmacy emikhulu angathengwa njengendlela idivayisi kunalokho enkulu ukusebenza izimele, futhi amathini encane. Lesi sakamuva singabangela ukuthatha nawe emgwaqeni futhi ukusebenzisa, uma iqala ukuba azwakale ukushoda emoyeni. Asthma - COPD, futhi esisongela ukuphila kwakho, ukuze uhlale kusadingeka athwale ikani.

Uma umuntu akuyona endala kakhulu futhi sisesimweni eyanelisayo, kungenzeka ukuba afeze ukuhlinzwa. Ngesikhathi isimo esibucayi isiguli kungase kudingeke ukupholisa lokukhanda.

Indlela yokuvimbela ukuthuthukiswa COPD?

Nokuvinjelwa kwezifo umgudu wokuphefumula kubaluleke kakhulu. Esokuqala futhi isenzo ezimbi kakhulu ukuze kuvinjelwe izifo zamaphaphu iyona ukuqedwa sokuphila kwayo ugwayi. Lesi isilinganiso siyasebenza ngoba ukuvimbela izifo, futhi ukumisa ukuthuthukiswa sifo sekuqalile kakade. Uma umsebenzi wakho lihlotshaniswa ezingumphumela womkhiqizo, lapho njalo uya eziningi aerosol metal noma uthuli zezimboni, qiniseka iphendukele usebenzisa izinto zokuzivikela. Kodwa isilinganiso esebenza kakhulu yokuvimbela ukutheleleka isifo - ukuxoshwa emsebenzini elimazayo. Ngo ezinezifo ezingamahlalakhona umgudu wokuphefumula, kufanele ngaso sonke isikhathi ukuya kudokotela futhi zihlolwe.

Isibonelo umlando ukugula

Labo nesithakazelo COPD, umlando wezempilo yokwelapha nawo ungase ubonakale ukwazi. Ake sibheke isibonelo.

I. Ulwazi kusukela ipasipoti

igama 1. Lesiguli: Sergeev uVladimir Kuzmich.

2. Ubulili Iziguli: Owesilisa.

3. Ubudala: '53.

4. Indawo: Omsk, ul. Red Road, 18/7.

5. Angiqashiwe.

6. Inombolo kanye isikhathi sokufika esibhedlela: 19.02.2014 at 14:55.

7. Usuku kokushiya esibhedlela noma komunye umtholampilo -.

8. Ngubani othumele i-nesineke: silethwe abasebenzi ambulensi.

9. Isiphetho sokuthi umuntu uphethwe e isikhungo zilethwe isiguli: umphakathi atholwe kwesokudla emaceleni lobar nenyumoniya.

10. Nokugula ku yokuvuma: esingamahlalakhona zokuphefumula esigabeni sokuqala. Kwesokudla emaceleni lobar inyumoniya, umphakathi-kuluthola.

II. Izikhalazo eyinhloko isiguli

Isiguli ibika ukuthi izinga lokushisa lomzimba wakhe ifinyelela 39,5 ° C. Futhi, ngaso sonke isikhathi lapho ukhwehlela futhi ekhononda ka isikhwehlela serous okunzima otharknut. Lokhu kungase kube uphawu lwe ukuze umgudu wokuphefumula.

III. Secondary izikhalazo isiguli

Isiguli ukhathazekile prostration ukucobeka, umzimba ethuthumela, ukungakwazi kahle ukufeza umsebenzi wabo, ukujuluka, migraine.

Poll umgudu wokuphefumula

Dyspnea: kwenzeka uma umsebenzi ngokomzimba is kuhlangene uhlamvu.

Khwehlela akagcini usuku lonke, e ukulinganisela labelwe expectoration lwamafinyila. Kunzima otharknut.

Isikhwehlela: lapho, okusaluketshezi, expectoration esindayo, ¼ inkomishi kosuku, akuxhomekile yokuma nesineke, iphunga zingezona ezibonakalayo yakhe (njengoba ibonakaliswa izifo eziningi zokuphefumula).

IV. nemlandvo wetekwelashwa

Ukugula waqala ngokuzumayo Februwari 13, 2014 ngemuva kokuhlala isikhathi eside emakhazeni lapho izinga lokushisa lesiguli wasukuma ukuze 39,5ºS futhi kwakukhona isifuba esomile. Isiguli akazange aphuze noma yiluphi nemithi. Ngemva kwezinsuku ezimbili labo ukukhwehlela wamanziswa kakade futhi isikhwehlela esindayo expectorated. Amazinga futhi ayizange ithuthuke izinsuku ezine. Februwari 19, 2014 isiguli okuthiwa i-ambulensi waphuthunyiswa Omsk esibhedlela yedolobha. Etshelwa ukuthi une-umphakathi-atholwe kwesokudla emaceleni lobar nenyumoniya. Isiguli ibingabhalisiwe. Wathi ngaphambilini akazange abe iyiphi izifo umgudu wokuphefumula, ngaphezu sibi zokuphefumula igciwane lohlobo. Lokhu kuphetha umlando ngokulinganisela COPD sifo.

V. Iziguli Life

Sergeev uVladimir Kuzmich wazalwa ngo-1961 edolobheni lase-Omsk. WayeyiZwi ingane yokuqala abazali bakhe. Isisindo sayo emva kokuzalwa kwaba 2700 Umama isiguli ngesikhathi sokuzalwa kwakhe eneminyaka engu-20 ubudala, futhi uyise - 28. nesineke ayekade ibele. Ngo ekilasini lokuqala waya lapho eneminyaka engu-6 ubudala. Ngatadisha ikakhulukazi ezinganeni zakhe ezine. Ngemva kwesikole engena ekolishi. Waziqeqesha njengomakhi.

Ulwazi mayelana umsebenzi. Isiguli wathatha umsebenzi eneminyaka engu-22, wathola iziqu ungumakhi. Izingozi: umsebenzi emgwaqeni, uthuli, sindisa ngokomzimba nangokomzwelo. Esikhathini esingeside esidlule, wawuyeka umsebenzi wakhe.

Izimo zokuphila ezivamile. Impahla kuyinto efulethini nesineke okulala isakhiwo kusuka isitini. Ngaphambi ukuvela umgudu wokuphefumula, uhlala ngokuthula futhi akazange alindele enkingeni.

Abagulayo ngiseyingane, olele akakhumbuli. Imibiko ukuthi wahlupheka kanye acute izifo zokuphefumula ezibangelwa amagciwane. Izimangalo ukuthi ungaguli noma isifo sofuba noma izifo ezithathelana ngokocansi noma AIDS noma i-hepatitis.

VI. Ucwaningo we umzimba

Isimo jikelele isiguli kungenziwa ngokuthi ukuba othobile, kuba isikhundla iyasebenza, futhi ukwazi - hhayi empunga yinoma yini. sobuso evamile, ekubonakalisweni uhlanyiswa futhi bayasangana kungukuthi uyalandelwa. Gait Easy. Yakha egculisayo. Ngokusho ngaphansi kwesisekelo sombuso ngowokuvikela normostenik. Ubukhulu entanyeni, izandla nezinyawo wakhona obuphelele umzimba. Ukuphakama - 165 cm; isisindo - 73 kg. Isiguli sinelungelo esisindo kakhulu, ukukhuluphala kungaba ngokushesha ukuthuthukisa.

System ebonakalayo nolwelwesi lwamafinyila kanye isikhumba

Isikhumba ukukhanya luhlaza pink, nolwelwesi lwamafinyila, ukuhlolwa etholakalayo (amehlo, izindebe, ikhala, umlomo) nangebala. lesikhumba Buhlungu ezitholakele. Skin ngokwanele nokunwebeka. Ingabe ikhona turgor. umswakama isikhumba kuyinto evamile. Kwakuphakathi ukuphenywa kokuphulwa edema jikelele atholakala. Umzimba kungekho ukuqubuka, akukho izibazi, akukho uyaxebuka, akukho show ngokusebenzisa capillary isikhumba.

Ukuhlola esifubeni

Thorax libhekisela normostenicheskaya hlobo. engela Epigastric iqondile. Labetibambile uvalwe esifubeni izindwani. IziNyathelo imiphetho iqondile. izikhala obonakalayo phakathi kwazo. Ingqwababa kuchazwa kanye, kancane izimbobo ebonakalayo ngaphansi nangaphezulu kubo. On esifubeni ukuvundulula kungekho uhlevane azilingani noma concavities. Ukugobeka komhlandla ayivezi.

Okukha phezulu palpation besisu

Uma uyikha phezulu le, ephenya ngokuthengwa nesineke ayinazo ukungakhululeki, esiswini uthambile, ningagcini iyiphi imisipha onezinkinga noma hernia mabhamuza. Uphawu Shchetkina-Blumberg is hhayi ukuqinisekisile. Inguinal futhi indandatho enkabeni evamile.

Ukubukeka esiswini isiguli elele emhlane wakhe

Esiswini kubonakala emikhulu ngenxa izicubu okunamafutha ongama, ezakheke kuyinto evamile, lesinesitfombe-sibuko, kuyilapho ukuphefumula liphuma khona. kwakungekho peristalsis appreciable ezitholakele. Kube inethiwekhi emithambo yegazi ngaphansi kwesikhumba ezinhlangothini esiswini emhlabeni inkaba. Ukungafani imisipha rectus futhi hernias ezitholakele. I umbilicus idwetshwa.

VII. Isiphetho sokuthi umuntu uphethwe presumptive

Ngesisekelo indaba lesiguli, umlando sifo, ulwazi ngokuphila nocwaningo umgomo isiguli zingabekwa uphethwe presumptive elilandelayo pneumonia ka engxenyeni engezansi yamaphaphu kwesokudla, okuyinto umphakathi-kuluthola. Lesi sifo ngokulinganisela. Kukhona inkinga, okuyimali esiteji ukwehluleka kuqala zokuphefumula. Ngaphezu kwalokho, umlando isifo COPD ungenza okuningi iziphetho ezibaluleke.

VIII. Kulandzelana kwalokucuketfwe lokuhleliwe survey nesineke

1. Gcwalisa segazi.

2. ultrasound ukuhlola izitho akhiwe ngaphakathi komgodi ongaphakathi kwamathumbu.

3. Uhlaziyo igazi biochemistry (amaprotheni, urea, glucose, creatinine).

4. Ubude umchamo.

5. Igazi Wasserman.

6. Electrocardiogram.

7. Radiography izitho etholakala esifubeni.

8. indle ngoba khona izikelemu.

9. bacteriological Ukuhlola isikhwehlela.

XI. Imiphumela yaloku kuhlola okungenhla sokugcina futhi incazelo yalo

Ngesisekelo indaba lesiguli, emlandweni wezifo, ukuhlolwa wezinsimbi futhi laboratory zingafakwa eduze isiguli kwatholakala ukuthi unesifo samakhaza engxenyeni engezansi yamaphaphu kwesokudla, okuyinto umphakathi-kuluthola. Lesi sifo ngokulinganisela. Yethula esingamahlalakhona zokuphefumula esigabeni sokuqala.

XII. ukwelashwa ezidingekayo

1. Isikhathi Febrile kudinga esiqinile embhedeni ukuphumula.

2. Isiguli kufanele siphuza neziphuzo kakhudlwana kanye nenombolo Ukudla 15 Pevsner.

3. esiyimbangela ukwelashwa - imithi elwa namagciwane yohlobo "+ isikhathi esimatasa izinsuku 5-7 of."

Esinye isibonelo emlandweni wezifo COPD

Cabangela esinye umlando kunjalo, kuyathakazelisa lokungekho ngephansi. odokotela Novice kuyoba usizo wakhe ukufunda futhi uhlaziye.

I. Ulwazi lomuntu siqu

igama 1. Lesiguli: Ivanov, uPyotr Ilyich.

2. Ubulili Iziguli: Owesilisa.

3. Usuku lokuzalwa: 1958 (iminyaka engu-56 ubudala).

4. Umsebenzi: umakhi.

5. Ezemfundo: amakhono.

6. Indawo: Omsk, ul. Marx, 23/2.

7. Inombolo kanye isikhathi sokufika esibhedlela: 04.15.2014 at 20:15.

8. Ihlahlubo: exacerbation okukhulu ukucinana kwemithambo yomoya emaphashini. ukuhluleka zokuphefumula we esigabeni sokuqala.

9. Okunye izifo: umfutho wegazi ophakeme, degree of mina, ingozi II.

II. Ulwazi mayelana nomsebenzi lesiguli

Umuzwa jikelele - iminyaka engu-40 umsebenzi okukhethekile - 27.

Incazelo izimo zokusebenza. Ubude nemini ngokushikashikeka nokukhandleka - 8 amahora aphambane - imizuzu 60. Isiguli angaya eholidini ngendlela esifike ngesikhathi. The main okukhethekile - makhi.

III. Indaba isimo nesineke yakhe

Lapho efika esibhedlela, isiguli libike ukuthi wayenobuhlobo imfiva, azizwa ezizwa engaphilile, yena ohlukunyezwayo isikhwehlela nokukhwehlela, futhi uqala ukuba kuminyanise ngesikhathi umzimba. Kulesi emlandweni wezifo COPD akusona isimanga, kuba impela ejwayelekile.

IV. Ulwazi mayelana nokuphila lesiguli

Lithi nesineke ukuthi akayena ogulayo kwanoma iyiphi STD noma isifo sikashukela noma kwezinso lezinceku noma kugula ngokwengqondo. Wabuye wathi Akaphindanga izimila kanye neoplasms. Kusukela amazwi isiguli, izihlobo zakhe futhi Awunawo izifo kulolu hlu. Isiguli libike ukuthi njengoba ingane ahlupheka ngegciwane (okungukuthi nesimungumungwane), ngaphezu, wayenobuhlobo abandayo kanye nenyumoniya ngo-2008. eziluthayo eziyingozi: ukubhema, ngezikhathi ezithile uthatha utshwala (ngoba izinsuku ezibalulekile). Wazalwa ngo-1958. WayeyiZwi ingane yesibili emkhayeni. Ngakhulela iphinde ithuthukiswe ngendlela impilo enhle nezimo zenhlalo. Wafunda esikoleni, ngaphothula ekolishi ngezinga e wokwakha. Waqala ukusebenza ngo-1985.

V. Survey Iziguli

Isisindo - 95 kg, ukuphakama - 188 esimweni esasivamile cm lesiguli kungokwemvelo, isimo uyasebenza futhi abalazi empunga ..

Isikhumba ukukhanya pink umthunzi, efudumele. Turgor futhi kuyaqina of evamile. Ongama amafutha ungqimba kungenziwa ngokuthi ukuba othobile, it is basakaza kulingana. nolwelwesi lwamafinyila kufinyeleleke ukuhlolwa, azange abe yikuphi ukuphulwa. Neuropathy lymph node: palpated ezihambayo, elase landile, hhayi eziphothene kuya nezicubu eziseduze nabo. Phakathi luhlolo isiguli bengahlushwa ukungakhululeki.

Isakhiwo ukukhubazeka lwamathambo atholakele. Amalunga abe ifomu evamile, ukunyakaza awugcini, akukho ubuhlungu kuzo. I degree of ukuthuthukiswa imisipha, nesimo sabo namandla azo kungaphezu egculisayo.

Ngokuqondene indlala yegilo, kuba olingene, hhayi soldered kuya nezicubu eziseduze ke, iselula, bushelelezi, aliveli lapho libhekwa ukungakhululeki. Examination kuyadingeka ukuze kuhlonzwe, eyodwa kuphela emlandweni wezifo COPD ibingeke yanele.

Iziphathimandla obhekene ukuphefumula

I thorax kuyinto ziyalingana, ifomu evamile, izinhlangothi ezimbili bahlanganyele kulingana enqubeni ukuphefumula. Ukuhlolwa imigodi kwenziwa ngaphansi nangaphezulu ingqwababa. Ziyakwazi kahle ngokuphawulekayo futhi izinhlangothi zazo ziyalingana. Izikhala phakathi izimbambo uzwakalise ngokuphelele, ikhululekile, lapho uzithinta emizweni ezingemnandi Isiguli asivelanga.

izitho zokugaya

Belly ifomu evamile. Phakathi kumba ebusweni ethambile. Abukho ubuhlungu. Phakathi ukwephulwa ezijulile kumba atholakele. Isibindi has zosayizi ojwayelekile, khona-ke aluphumeleli ngalé komngcele lwaleli costal. Lapho ephenya ngokuthengwa ubuhlungu ayenzeki. Uma kubhekwa ukhulise Kurlov onqenqemeni. Nenyongo sesinye kanye ubende Uphenyo engenakwenzeka. Isiguli uya ethoyilethi njalo, kanye ngosuku, isenzo sokuzikhulula kuyinto evamile.

VI. Imiphumela yaloku kuhlola okungenhla olwandulelayo

Ngesisekelo indaba lesiguli ukuthi ubophekile ngesikhathi umsebenzi ngokomzimba (ukuthatha izitebhisi at 3-4 phansi), lapho Ayinambala isikhwehlela lwamafinyila nokukhwehlela, esifubeni ukungakhululeki, idatha kusuka anamnesis (isiguli Sizohlola umnyango zokugula emsebenzini, kwatholakala ukuthi ayenakho ukucinana kwemithambo yomoya emaphashini) nendikimba ucwaningo (endaweni palpation ukuqhathanisa phezu kwezihloko ukukhanya ibhokisi izwi lingezwakali, ngesikhathi auscultation phezu yonke imigwamanda kuchazwe ukuphefumula kanzima; kukhona ezingavamile ezomile ie kwesifuba) kungashiwo ukuthi Ivanov exacerbation of ukucinana kwemithambo yomoya emaphashini. Ngakho, odokotela waqinisekisa ukufunisela. Uma nokuvimbela isifo samaphaphu futhi ubelokhu, hhayi esigulini kubasizile.

VII. inhlolovo uhlelo

1. Umchamo Ubude: egculisayo.

2. Ukuhlolwa kwegazi biochemistry: evamile.

3. Spirography: ekunciphiseni Tiffno Inkomba.

4. Jikelele igazi ukuhlaziywa: egculisayo.

5. Radiography izitho ise thorax: umdwebo ocacile kakhulu yamaphaphu.

Sitholakele "exacerbation of ukucinana kwemithambo yomoya emaphashini," wabeka ngalezi zizathu ezilandelayo:

1. Indaba lesiguli ayenakho kanjani isikhwehlela lwamafinyila, ukukhwehlela kanye iphika ngesikhathi umzimba.

2. Ulwazi mayelana nokuphila lesiguli: yena ebhema, anakho ukucinana kwemithambo yomoya emaphashini.

3. Ukuhlolwa isiguli ngesikhathi okwambula rales ezomile kanye ukuphefumula kanzima.

4. Laboratory izifundo lapho kusungulwa Tiffno Inkomba ukunciphisa, ukuncishiswa isiqongo expiratory ukugeleza rate, lapho roentgen - umdvwebo esicacile yamaphaphu.

VIII. ukwelashwa

1. imodi edingekayo: ezivamile.

2. Ukudla: Inombolo 15.

3. Ukulungiselela "Macropen" - iphilisi elilodwa kathathu ngosuku. mg 400.

4. Syrup "Haliksol" - isipuni esisodwa esikhulu kathathu ngosuku.

5. Amavithamini "Revit" - ambalwa amaphilisi kabili ngelanga.

6. Tablets "Bromhexine" - kathathu ngosuku, 0,008 g

7. Physiotherapy asebenza ngebhethri phezu kwesifuba, kanye iontophoresis.

Kumelwe sikhumbule ngaso sonke, indlela eziyingozi COPD. Umlando ukwelapha lesi sifo ngokugcwele iyakufakazela lokhu.