Imbali yesifo COPD. Ukwahlukanisa COPD. isifo semiphunga Chronic

Okwangoku, izifo zesimo sokuphefumula zenzeka rhoqo. Le meko yeemeko, ke, iingxaki zoogqirha. Bakhuthaza abantu ukuba bathathe impilo yabo ngokugqithiseleyo.

COPD ezine

Iingcali zamazwe ngamazwe ekuqhubekeni kweCOPD zihlukanisa izigaba eziliqela:

- IsiGanga se-0 (asikho isifo). Le nqanaba lokuqala, apho kukho umngcipheko ophezulu weCOPD, kodwa ukwesaba akusoloko kusesikweni. Umntu uvame ukukhwehlela kwaye ukhwehlela i-phlegm. Kuloluhlu lweCOPD luqala kuphela. Yintoni elandelayo?

- I-Degree I (inkqubo yokulinganisa yesifo). Ibonakala ngeenguqu ezincinci zokuguquka, ukukhwehlela okuqhubekayo kunye nokuchithwa kwe-sputum.

- IsiGaba II (isiqhelo esilinganiselweyo sesi sifo). Iinguqulelo ezivakalayo ziyaqhubeka. Umntu uyaxhala xa ehamba, kwaye iimpawu zekliniki ziyabonakala, zandisa ngexesha lomsebenzi.

- IsiGaba se-III (inkqubo enzima yesifo). Umngcipheko wokungena kwemoya ukwanda xa umntu ephuma. Isigulane sinokubhokoxa ngakumbi ekuziphatheni komzimba, kwaye ukunyanzeliswa kuqhubekile kaninzi. Kule nqanaba yesifo, inkqubo yokuphefumula yomntu inokuba yingozi kakhulu.

- IsiGaba se-IV (inkqubo enzima yesifo). Eyona nto ifana nesimo esiyinkimbinkimbi somqobo, obesoloko esongelwa ukufa. Kukhona ukungakwazi ukuphefumula, kukho intliziyo yeplmonari.

Unyango lweCOPD

Ulwaphulo lwesi sifo lugqitywe lizinga lobunzima balo. Kufuneka kuqondwe ngokucacileyo ukuba unyango lweziyobisi lunokuthi luthintele inkqubela yesifo, kwaye luze luqhube ikhosi. Ukuba awukhupheli izinto ezibangela ukuqhubela phambili kwesi sifo (umzekelo, ugwayi), kwaye unyango alukwazi ukuzisa iziphumo ezifunwayo. Uluhlu lwamachiza, inani labo kunye nenokwenzeka yokudibanisa namanye amajelo e-pharmacological agqitywe ngugqirha. Kwizifo zamapulmoni, i-pulmonologist igxile. Ngokukodwa, uyazi ukuhlelwa kweCOPD, uyazi nendlela yokunyanga kwezi zifo.

Ulwaphulo lwesifo esilinganiselweyo

Ngeempawu ezibonakalayo zokuphefumula, isigulane sinokubhenela ekuncedeni i-bronchodilators engabonakaliyo. Ugqirha unokumisela amayeza alandelayo: Salbutamol, Ventolin, Berotek, Terbutalin, Fenoterol. Kodwa azinako ukuthathwa ngabantu abane-tachyarrhythmia, i-CHD, i-diabetes mellitus, i-glaucoma, i-myocarditis, i-aortic stenosis kunye ne-thyrotoxicosis. Isigulane singathabatha amayeza angaphezu kwesine ngosuku. Musa ukwenza oku rhoqo. Izifo zeCOPD, unyango olwenziwa kuze kube sekufeni kwesigulane, kufuna isimo sengqondo.

Kubalulekile ukwenza inhalation ngokufanelekileyo. Ukuba unqunyelwe le nyango okokuqala, kufuneka wenze inkqubo yokuqala kunye nogqirha, ukuze anike ingxelo ngokungaziphathi kakuhle. Amachiza kufuneka anxweme emlonyeni (inject) ngokusemgangathweni kwinqanaba lomnyango: ngoko kuya kufinyelela kwi-bronchi, kwaye kungekhona nje ukuwela emqaleni. Ekupheleni kwenkqubo, kuyimfuneko ukubamba ukuphefumla kwakho ekuphumuleni kwaye uhlale imizuzwana emi-5-10.

Kuthekani ukuba unesifo esiphathelene nesifo?

Apha awukwazi ukufumana ngamachiza afunekayo kwiCOPD ephakathi. Ukongeza kubo, kufuneka uthabathe imishanguzo ejongene ne-bronchi kunye nexesha elide. Kubalulekile ukuzithenga. Izifo ze-broncho-pulmonary zifuna iindleko eziphezulu.

Ngokukodwa, isilwanyana "uSerevent" sichazwe. Iveliswa ngendlela ye-inhaler ye-metered-dose. Umthamo wemihla ngemihla kubantu abadala u-50-100 μg kabini ngosuku. Inhalation kufuneka yenziwe ngokuhambelana nayo yonke imigaqo.

Kananjalo, oogqirha babala iFomoterolol. Iveliswa kuma-capsules, apho i powder engenako ifumaneka khona. Inkqubo ifakwa kusetyenziswa i-handyhaler yesixhobo. Oogqirha abaqhelekileyo banikeze i-12 mcg kabini ngosuku. Kufuneka kuqatshelwe ukuba unyango lwezifo zemiphunga alisoloko lunikeza impembelelo efunwayo. Kubuhlungu, kodwa kuyinyaniso.

Isifo esibi

Kule nqanaba, umntu ufuna i-anti-inflammatory therapy. Amanqanaba amodareyitha kunye neenkulu zeglucocororostosteroids zokunyuselwa komzimba ziyalelwe. Amachiza alandelayo anqunywe: iBelala, iBenacort, iFliksotid, i-Bekotid, i-Pulmicort, njl. Yenziwe ngefom ye-aerosols okanye iisombululo ezifakwe emqaleni ngomnxeba. Ngendlela, eli sixhobo esilula kakhulu. Ukuba unesifo semiphunga (COPD), ungayithenga.

Ukongezelela, imichiza edibeneyo inokumiselwa kule nqanaba yesi sifo, kubandakanywa iziyobisi ezisebenza ixesha elide elinciphisa i-bronchi kunye ne-corticosteroid ye-inhalation. Ugqirha unokumisela iziyobisi "Symbicort" okanye "Seretid." Iziyobisi ezixutywayo zibhekwa njengamayeza asebenzayo kunyango lwezilwanyana zamapulmesi kweli nqanaba. Ziyakufanelekela ingqalelo. Isifo sesifo sengculazi singasima ukuphuhliswa kwayo xa sisetyenziswe.

I-COPD kakhulu: yintoni oyenzayo?

Ukongezelela kwiziyobisi ezibekwe kwisigaba esinzima sesifo, i-oksijeni yonyango ifakwe (inhalation of air containing oxygen eninzi, eyenziwa rhoqo). Kule nkqubo, kwiindawo apho iirhwebo zonyango zithengiswa khona, okanye kwii-pharmacy ezinkulu, ungathenga zombini izixhobo ezinkulu ezinokuzisebenzisa, kunye namanqana amancinci. Ezi zilandelayo zingathathwa kwisitalato kwaye zisetyenziswe xa kunqongophala komoya. I-asthma yi-COPD, kwaye isongela ubomi, ngoko kufuneka uhlale uqhuba ibhaluni.

Ukuba umntu akadala kakhulu kwaye unesimo esonelisayo, utyando luyakwenziwa. Ukuba isigulane sisesimweni esibucayi, kunokufuneka ukuba usebenzise umoya wokungenisa umoya.

Unokuthintela njani ukuphuhliswa kweCOPD?

Ukukhusela izifo zenkqubo yokuphefumula kubaluleke kakhulu. Isenzo sokuqala nesona sithintelo ekujoliswe ekukhuseleni izifo zamaphaphu kukukhutshwa koogwayi ebomini babo. Lo mlinganiselo uphumelela kokubili ukukhusela isifo, kunye nokuyeka ukuphuhliswa kwe-pathology esele iqalile. Ukuba umsebenzi wakho unxulumene nayo nayiphi na imveliso, apho kukho i-aerosol yintsimbi okanye uthuli lwamafama amaninzi, rhoqo usebenzise izixhobo zokukhusela. Kodwa inqanaba elifanelekileyo kakhulu lokuthintela izifo lugxothwa emsebenzini onobungozi. Ngenxa yezifo ezingapheliyo zenkqubo yokuphefumula, kufuneka uhambe kugqirha ngezikhathi kwaye uhlolwe.

Umzekelo wembali yesifo

Kwabo banomdla kwiCOPD, imbali yonyango yonyango ingabonakala ifuna ukwazi. Makhe sibone umzekelo.

I. Ulwazi kwipaspoti

Igama elipheleleyo lomguli: USergeev Vladimir Kuzmich.

Ukulala ngesigulane: indoda.

3. Ubudala: iminyaka engama-53.

4. Indawo yokuhlala: i-Omsk, ul. I-Red Way, 18/7.

5. Iingcali: abangasebenzi.

6. Inani kunye nexesha lokufika esibhedlele: 19.02.2014 ngo-14:55.

7. Umhla wokushiya isibhedlele okanye udluliselwe kwelinye ikliniki: -.

8. Ngubani othumele isigulane: eziswe yi-ambulensi.

9. Ukuxilongwa okwenziwa yiziko elinikezela isigulane: i-pneumonia ephantsi kwesibhedlele esingaphantsi kwesibhedlele.

10. Isifo sokwamkelwa: ukuphefumula kokuphefumula kwesigaba sokuqala. I-pneumonia engaphantsi kwesibhedlele esingaphantsi kwesibhedlele.

II. Izikhalazo eziphambili zesigulane

Isigulane sichaza ukuba ubushushu bomzimba wakhe bufikelela ku-39.5 ° C. Ukhohlela lonke ixesha kunye nezikhalazo ze-serous sputum, ezinokuba nzima ukuzilindela. Oku kungabonakalisa inkqubo yokuphefumula.

III. Izikhalazo eziqhelekileyo zesigulane

Isigulane sikhathazekile ngokuncipha kwamandla, ukusabalala, ukuthuthumela komzimba, ukungakwazi ukwenza umsebenzi wabo ngokugqibeleleyo, ukunyakaza, ukuxhamla.

Ukuphendula kwindlela yokuphefumula

Ukuphefumula okubonakalayo: kubonakala ngomsebenzi wenyama, unomlinganiso odibeneyo.

Isikhumba: asiyeki yonke imihla, ngobuninzi obukhulu be-sputum ye-mucus yabelwe. Kunokuba nzima ukulindela.

I-sputum: ikhona, i-slimy, ikhupha nzima, ¼ indebe ngosuku, ayixhomekeke kwimeko yesigulane, inkohlakalo ayinakwenzeka (izifo ezininzi zesimo sokuphefumula zibonakalisa ngokwazo).

IV. Imbali yembali

Ukugula kwaqala ngokungalindelekanga ngoFebhuwari 13, 2014 emva kokuhlala ixesha elide kubanda, xa ubushushu begulane benyukela kwi-39.5 ° C kwaye kubonakala ukukhwehlela komile. Isigulane asizange siphuze nayiphi na amayeza. Emva kweentsuku ezimbini, ukukhwehlela kwakusele kumanzi, kwaye i-sputum yaqina. Iqondo lokushisa alizange litshintshwe iintsuku ezine. NgoFebruwari 19, 2014, isigulane sabiza i-ambulensi kwaye sithathwa kwisibhedlele sase-Omsk City Central Clinic. Wafunyaniswa ukuba une-side-floor-floor-floor pneumonia. Isigulane sasingekho kwirejista. Uxela ukuba ngaphambili wayengenaso isifo seenkqubo zokuphefumula, ngaphandle kokusuleleka kwintsholongwane yentsholongwane yokuphefumula. Oku kugqibezela imbali yeCOPD yexinzelelo enomlinganiselo.

V. Ubomi bomonde

USergeev Vladimir Kuzmich wazalwa ngo-1961 kwisixeko sase-Omsk. Wayengumntwana wokuqala wabazali bakhe. Ubunzima bakhe emva kokuzalwa kwaba ngu-2700 g. Unina wesigulane ngexesha lokuzalwa kwakhe wayeneminyaka engama-20 ubudala, kunye noyise-28. Kwiklasi yokuqala wangena xa wayeneminyaka engama-6 ubudala. Wafunda ngokubanzi kwizine. Emva kwesikolo ndangena esikolweni sobugcisa. Ndafunda kumakhi.

Ulwazi ngolwazi. Isigulane sathola umsebenzi ngo-22, waba ngumakhi. Izinto ezinobungozi: sebenze kwisitrato, uthuli, ukunyuka komzimba kunye nomoya. Kungekudala, wayeka umsebenzi.

Iimeko zezindlu ziqhelekileyo. Kwipropati yesigulane yindlu yegumbi ezintathu kwisakhiwo sezitena. Ngaphambi kokuqala kwesi sifo senkqubo yokuphefumula, wayehlala apho ethule kwaye akazange alindele ingxaki.

Kunokuba aphumele okanye agule; wayegula ebuntwaneni, akayikhumbuli. Uxela ukuba wayeke wahlushwa i-HIV epilatory infection. Uthi akahlupheki ngesifo sofuba, ii-STD, i-AIDS, okanye i-viral hepatitis.

VI. Ukufunda komzimba

Umqathango jikelele wesigulane unokuthiwa ulinganisekile, isikhundla sakhe sisebenza, kunye nokuqonda - akukho nto ifihliweyo. Ubume obusiso buqhelekileyo, akukho nto ibonakalisa i-paranoia kunye ne-schizophrenia. Umvuzo ulula. Umgaqo-siseko unelisayo. Ngokomgaqo-siseko, yi-normostenic. Ubungakanani bentamo, iingalo nemilenze zilingana nobude bomzimba. Ubukhulu - 165 cm, ubunzima - 73 kg. Isigulane sinesisindo esikhulu somzimba, kungekudala ukukhuluphala kunokukhula.

Inkqubo yeembrane ezibonakalayo kunye nesikhumba

Isikhumba somthunzi obomvu obomvu, iimbumba ezinamaqabunga, kufumaneke ukuhlolisiswa (iso, imilomo, impumlo, umlomo), wombala ofanayo. I-pigmentation enzima ayizange ifumaneke. Ulusu lukhulu kakhulu. Kukho i-turgor. Ubumanzi besikhumba buqhelekileyo. Ngethuba lokufunda, i-edema jikelele ayifumanekanga. Emzimbeni, akukho misonto, ayikho izicenga, akukho ukucubungula, akukho kuphalala kwesikhumba.

Uvavanyo lweChest

I-thorax ibhekisela kuhlobo lwe-normosten. I-epigastric angle ichanekile. Ukuxinwa ngokuxhomekeke kwisifuba se-scapula. Inkambo yezimbambo ichanekileyo. Ngaba izikhala ezibonakalayo phakathi kwazo. I-clavicles nayo ibonakaliswe kakuhle, imihlathi engentla nezantsi kwayo ibonakala ngokubonakalayo. Ebuseni bentloko akukho amaqhosha angagqibekanga. I-Scoliosis ayitholakali.

I-palpation esiswini esiswini

Ngomlenze ongathandabuzekiyo, isigulane asinayo imvakalelo engathandekiyo, isisu sisithambile, asikho misonto ephazamisekileyo, ayikho ihlunu. I-Symptom Shchetkin-Blumberg ayiqinisekanga. Ingqungquthela yokuqhafaza kunye neyongqangi iyinto evamile.

Ukubonakala kwesisu xa isiguli sigxile emva

Isisu sibonakala sikhulu ngenxa yamanqatha amanqamle angamaqatha, ukuma kwayo kuyinto eqhelekileyo, iyafana xa iphefumula. Kwakungabikho i-peristalsis ebonakalayo. Kukho umnatha onobuncwane phantsi kwesikhumba ehlangene namacala omzimba kunye nentshonalanga. Ukungafani kwezihlunu ze-rectus, kunye ne-hernias, akufumananga. Inkaba iyabuyiselwa.

VII. Ukuxilongwa

Ngokusekelwe kwimbali yesigulane, imbali yesi sifo, ulwazi malunga nokuphila, kunye nokufunda ngokusisigxina kwesigulane, ukuxilongwa okulandelayo okukwenziwe kungenziwa: i-pneumonia engxenyeni engezantsi yepompha elifanelekileyo, elingaphandle kwesibhedlele. Esi sifo sinzima kakhulu. Kukho inkxalabo, oko kukuphefumula kokuphefumula kwinqanaba lokuqala. Ukongezelela, uninzi lwezinto ezifunyanwe zifunyenwe kwimbali yeCOPD.

VIII. Ukulandelelana kokuhlolwa kwesigulane

1. Ukuhlalutya ngokubanzi igazi.

Ukuhlolwa kwe-ultrasound yeenxalenye ezikulo mzimba wesisu.

3. Ukuhlolwa kwegazi kwi-biochemistry (iprotheni, urea, i-glucose, creatinine).

4. Uvavanyo jikelele lomchamo.

5. Igazi kwimpendulo yeWasserman.

6. I-Electrocardiogram.

7. I-X-ray yezitho ezikhoyo kwi-thorax.

8. Amancinci ngokufumaneka kweempethu.

9. Uvavanyo lweBacteriological of sputum.

XI. Ukugqalwa kokugqibela kunye nenkcazo yayo

Ngokusekelwe kwimbali yesigulane, imbali yesi sifo, i-instrumental kunye neemvavanyo zelabhoratri, isigulane sinokufunyanwa ngolu hlobo lulandelayo: i-pneumonia engxenyeni engezantsi yemiphunga efanelekileyo, engaphandle kwesibhedlele. Esi sifo sinzima kakhulu. Kukhona ukungakwazi ukuphefumula kwesigaba sokuqala.

XII. Ulwaphulo oluyimfuneko

1. Ixesha elimnyama lifuna ukuphumla okulalayo.

2. Isigulana sidinga ukusela kakhulu kwaye sihambelana nesondlo esinguNombolo 15 ngokwePevzner.

3. Ulwaphulo lwe-Etiotropic - ukufumana i-antibiotics ngokohlobo "ixesha elinesibindi + iintsuku ezingama-5-7".

Omnye umzekelo wembali yeCOPD

Makhe sicinge ngenye imbali yonyango, ayikho into enomdla. Kuya kuba luncedo kumgqirha onqwenela ukufunda nokuhlalutya.

I. Ulwazi Lwakho

Igama elipheleleyo lomguli: Ivanov Petr Ilyich.

Ukulala ngesigulane: indoda.

3. Unyaka wokuzalwa: 1958 (iminyaka engama-56).

4. Izodwa: i-mason.

5. Imfundo: ezizodwa ezizodwa.

Indawo yokuhlala: i-Omsk, ul. Marx, 23/2.

7. Inani kunye nexesha lokufika esibhedlele: 15.04.2014 ngo-20: 15.

8. Ukuxilonga: ukunyanzeliswa kwe-bronchitis engapheliyo. Ukungaphumeleli kokuphefumula kwesigaba sokuqala.

9. Ezinye izifo: isifo somngcipheko wegazi, ibakala 1, umngcipheko II.

II. Ulwazi malunga nomsebenzi wesigulane

Ubungakanani benkonzo - iminyaka engama-40, sebenzela okhethekileyo - 27.

Inkcazo yeemeko zokusebenza. Umhla wokusebenza uhlala kwiiyure eziyi-8, ikhefu liyimitha engama-60. Isigulana sinokuhamba ngeeholide ngexesha. Ubungcali obuphambili ngumasoni.

III. Ibali lomguli ngesimo sakhe

Xa efika esibhedlele, isigulane sichaza ukuba wayenomkhuhlane, wayeziva ephilileyo, wayekhathazeka ngesiphuphu kunye nokukhwehlela, kwaye ngexesha lomsebenzi waqala ukutshatyalaliswa. Kule meko yeCOPD, akukho nto iyamangalisa, kuyafana.

IV. Ulwazi malunga nobomi besigulane

Isigulane sithi akasagulwanga kunye ne-STD, isifo sikashukela, i-pathologies yelifa okanye isifo sengqondo. Ukwazisa ukuba akanalo izicubu kunye neeplasms. Ngokutsho kwesigulane, izalamane nazo azikho nesifo esisodwa kuloluhlu. Isigulane sigxeka ukuba ebuntwaneni wafumana isifo (i-measles), ngaphezu koko, wayenobanda, kunye ne-pneumonia ngo-2008. Izibhengezo eziyingozi: ukutshaya, ngamaxesha ngamaxesha kuthatha utywala (ngemihla ebalulekileyo). Wazalelwa ngo-1958. Ngaba umntwana wesibini kwintsapho. Ukukhula kwaye kuphuhliswe kwiimeko ezifanelekileyo zasekhaya nezentlalo. Wafunda esikolweni, waphumelela kwisikolo sobugcisa, i-mason. Waqala ukusebenza ngo-1985.

V. Ukuhlolwa kwesigulane

Weight - 95 kg, ukuphakama - 188 imeko jikelele cm yesigulane eziqhelekileyo, urhulumente iyasebenza kwaye abalazi ingqongwe ..

Isikhumba ukukhanya pink umthunzi, kufudumele. Turgor kunye luthambe oluqhelekileyo. Ongama fat layer ingabizwa ngcathu, oko abelwa kulingana. ngenwebu yangaphakathi lula ukuba sihlolwe, akazange abe naziphi na ukunyhashwa. iindawo nkovu neuropathy: iviwe uhambisa, nesilima, hayi nge welding, ukuba inyama ezaziwangqongile. Ngethuba loviwo isigulane abanazo ubuhlungu.

Ubume be-iziphene skeletal zifunyenweyo. Amalunga ube uhlobo eqhelekileyo, intshukumo abupheleli, akukho ntlungu kuyo. Ubungakanani wophuhliso izihlunu, imvakalozwi kunye namandla zifanelekile.

Njengoko kuba nobubovu lengqula, oko kukuthi ubungakanani eqhelekileyo, hayi soldered ukuya izihlunu zilurhangqile, mobile, agudileyo, aliveli xa zijongwe ebubini. Uviwo kuyimfuneko ngenxa uxilongo, ukuba mnye kuphela imbali sifo COPD wayeza ngokwaneleyo.

Oogunyaziwe abanoxanduva ukuphefumla

Isifuba yile macala, ifomu yesiqhelo, emacaleni aso omabini bathathe inxaxheba kulingana kwinkqubo uphefumlayo. igcwale lokuhlolwa lwaqhutywa ngasentla ngezantsi collarbone. Bona ziphawulwe kakuhle kwaye macala. Izikhewu phakathi iimbambo ngayo ngokugqibeleleyo, ukuba bhetyebhetye, xa kubo touch mizwa ekhathazayo kwi isigulane asivelanga.

izitho zokugaya

Esiswini ifomu yesiqhelo. Ngeli zokuhlola kumphezulu ethambileyo. Akukho ntlungu. Xa ephule ezinzulu obaluleke zifunyenweyo. Isibindi uba ubungakanani eqhelekileyo, ayithethi kugqitha phezu komda Arch costal. Xa zokuhlola akwenzeki intlungu. Xa kujongwa ukhulise Kurlov buthelezi. Nenyongo lwesinyi udakada probe engenakwenzeka. Isigulane iya yangasese rhoqo, kanye ngosuku, isenzo defecation eqhelekileyo.

VI. diagnosis lokuqala

Ngenxa yebali yomguli ukuba suffocated ngexesha umsebenzi ngokwasemzimbeni (ukuthatha kwizinyuko 3-4 kumgangatho), nguye isikhohlela ezingenambala uxakaxa kunye ukukhohlela, kwesifuba, data evela anamnesis (isigulane eso ndimncinile kwisebe ngezifo occupational, kufunyaniswe ukuba waba kwemigudu yomoya) kunye umzimba uphando (in a Ngokucofa lothelekiso phezu ezincotsheni yesandi ibhokisi ukukhanya beva, ngexesha auscultation zonke imizimba ezichazwe ukuphefumla nzima, kukho azixhaphakanga ezomileyo okt ukutswina) ayikwazanga Kungaphikiswa ukuba ivanov exacerbation yomoya ezigulo ezondeleyo. Ngenxa yoko, oogqirha yaqinisekisa uqikelelo. Ukuba ekuthinteleni izifo wemiphunga kuye, umguli oko kuye kwandinceda.

VII. plan survey

1. Umchamo Iyonke: ngokwanelisayo.

2. Uhlalutyo ngamachiza igazi: eqhelekileyo.

3. Spirography: ekunciphiseni Tiffno index.

4. Uhlalutyo igazi Jikelele: ngokwanelisayo.

5. amalungu ray akhiwe Isifuba: umzobo ecacileyo kakhulu miphungeni.

Lokufunyaniswa "exacerbation yomoya esinganyangekiyo," kubeka phezu zizathu zilandelayo:

1. sendaba yesigulane ukuthi naye uxakaxa isikhohlela, ukhohlokhohlo kwakunye nokubamba-bamba umphefumlo ngexesha eyahlukahlukeneyo.

2. Ulwazi malunga ngobomi yomguli: yena uyatshaya, ke kwemigudu yomoya.

3. Ukuhlolwa isigulane apho kutyhilwa rales ezomileyo kunye nokuphefumla nzima.

4. Izifundo zeLebhu esekwe apho Tiffno isalathiso ukuncitshiswa, ukuncitshiswa waxa lokuhamba expiratory, xa roentgen - umzobo ecacileyo kakhulu miphungeni.

VIII. unyango

1. Indlela efunekayo: eqhelekileyo.

2. Ukutya: Inombolo 15.

3. Ukulungiswa "Macropen" - tablet ngokuphindwe kathathu ngemini. 400 mg.

4. isiraphu "Haliksol" - lwalunye ukhamba enkulu kathathu ngemini.

5. Vitamins "Revit" - ezimbalwa iipilisi kabini ngemini.

6. Amacwecwe "Bromhexine" - kathathu ngemini, 0,008 g

7. Physiotherapy zwi phezu kwesifuba, ngokunjalo iontophoresis.

Kufuneka sikhumbule, ukuba esiyingozi COPD. Imbali yonyango esi sifo ngokupheleleyo iyakungqina oku.