Positive expiratory pressure (PEP) kurapwa

June 21, 2019

Chinangwa che physiotherapy yekubvisa chifuva ndechekubvisa yakawandisa secretions iyo inogadzirwa nemapapu mukupindura kutapukira, hutachiona kana chepfu kubva kune fungal stimulus. Nguva dzose kuchengetedza kurapwa kwakakosha kuchengetedza chipfuva chakajeka uye kuderedza kudiwa kwekudzokorora makosi emishonga inorwisa mabhakitiriya.

Zvinangwa Zvitatu zveChest Clearance ndezvekukwidziridza muco-cilary escalator, kuchengetedza mhepo yakavhurika ichidzikisa kufefetera, uye kugadzira kuyerera kwemhepo mumhepo, kuwana mhepo kuseri kwephlegm kuti ibatsire kukwidza kumusoro kubva kunzira diki dzemhepo kuenda kumuromo. Chinangwa che physiotherapy ndechekuita zvese izvi zvinhu nenzira ine simba uye nguva inoshanda. Izvi hazvina kuomerwa neruzha uye physiotherapist yako ichakubatsira iwe kuvaka hurongwa hwemunhu kuti ushande zvakanyanya nemapapu ako, muenzaniso wekuchengetedza chipfuva physiotherapy chirongwa chekurapa chinoratidzwa pazasi.

 

  1. Gadzirisa mucocilary escalator: Hypertonic Saline (Ona pazasi), wedzera oral hydration uye kunwa mvura.
  2. Chengetedza nzira dzemhepo dzakavhurika kubvumira kukwira kumusoro sputum: Bronchodilators / inhalers inobatsira kuzorora uye kuvhura nzira diki dzemhepo uye kuderedza wheeze, uye Pari O.-PEP uchaatsemurawo kana uchifuridza PEP Device.
  3. Gadzira kuyerera kwemhepo mumigwagwa yemhepo: Zviitwa zvekufema zvakadzika zvinopinza mhepo kuseri kwesputum kusunda kana kubva pasi mumigwagwa kuenda kumusoro muchipfuva, kuzhamba kubva kuO.PEP mudziyo unobatsira nekuwedzera mhirizhonga mumigwagwa yemhepo.

 

Muenzaniso weMurwere wePhysiotherapy Kurapa Chirongwa

Seretide 250 Evohaler
(Tiotropium) Spiriva Respimat 2.5 mg
Salbutamol (Ventolin) inhaler MDI Sezvinodiwa
(Shandisa sezvinodiwa pakusunga/kuhwihwidza; rangarira kusiya masekonzi makumi matatu pakati pese pese).

Inhaled Bronchodilator therapies inobatsira kuvhura uye kuzorodza nzira dzemhepo usati wabvisa phlegm kubva pachipfuva chako.

Nebuliser

Hypertonic Saline 7% nebuliser kuburikidza nerukova rweparutivi nemuromo
Mucolytics inogona kubatsira kusunungura uye kusunungura phlegm kubva mumhepo kuitira kuti zvive nyore kufamba uye kujekesa kubva. chipfuva.

Airway Clearance Techniques: Pari OPEP

Chinangwa chekuchenesa nzira yemhepo ndeyekuunganidza phlegm yakawanda sezvinobvira uye kuikosora kunze nenzira inodzorwa uye ine simba. Chinangwa ndechekuchenesa chipfuva chako kuitira kuti ugone kufema zvakanyanya uye uchinge uine simba rekuita zviitiko zvaunoda mushure.

 

Step 1: Tanga kubvisa nzira yako yekufamba nemhepo nekuita imwe nguva yakareba, inononoka, yakadzika kufema mukati uye kunze paunenge wakagara. Gomera uye 'kushingaira' kurega mweya wekufema - ita approx. Kufema kashanu usati waenda kunhanho yechipiri.  

 

Woedza kurara nedivi

Danho 2; Pari OPEP Edza kutora kufema kwakadzika mumhino dzako, uchizadza mapapu ako zvakanyanya sezvinobvira. Furidzira mweya wakareba, unononoka kuburikidza neOPEP yako; edza kuita kuti nguva yekufema mukati nekubuda igare kwenguva yakareba sezvaunokwanisa, furidzira kunze kwaunokwanisa usingakosori. Edza kuchengeta matama ako akaoma uye unzwe kudengenyeka kwakadzika mukati mechipfuva chako. Dzokorora kunoverengeka kweiyi kufema kukuru kuzadza mapapu ako wozoenderera mberi kuedza kumwe kufema kudiki. Unogona kuita izvi nekuita kakufemera zvishoma zvishoma, wobva wafuridza nepamudziyo wako weOPEP, a simba shoma, kufema kwenguva refu kunze– furidza nepaunogona napo usingakosore. Tora kufema kudiki kana hafu uye ramba uchifemera kunze kusvika paunogona usingakosore.

Iyo Pari O-PEP inobatsira kutsemuka kuvhura tunzira tudiki twunofema paunenge uchifema, zvichiita kuti dhayamita renzira yemhepo ive huru, zvichiita kuti pave nenzvimbo yakawanda uye kumisa phlegm kuti isabatwa munzira diki dzemhepo. Iyo O-PEP inogadzirawo kutenderera kana kuzunguzika kunokonzera kusagadzikana mukati menzira dzemhepo, masimba ekugera aya anosunungura phlegm nekuikwevera kumusoro kunzira dzemhepo huru uko inogona kukosora kumusoro nekubuda muchipfuva.  

Danho rechitatu: Kuchenesa   Paunonzwa sputum ichikwira edza kufemereka nekukosora. Kufemera mukati wobva wafuridzira mweya une simba, mupfupi uye unokurumidza kubuda nemuromo wakashama. Edza kureba kwenguva refu 'garlic breath' huff kana pfupi, inopinza nekukurumidza huff.

 

Postural Drainage; Dzokorora kutenderera kumusoro kune rimwe divi.

Kana kufema kwako kwapora dzokorora danho 2 ne3 kusvika chipfuva chako chave kujeka. 

Rangarira-  Edza kudzora kukosora kwako- dzora kufema kwako mushure mekukosora kwako kuti kusava kukurumidza, kupinza mweya wekufema.

 

Kukosora zvakanyanya kunogona kukonzera kushatirwa kwemhepo uye kuwedzera kufema kana kusimba kwechipfuva, kana ukasakosora chero chinhu mushure mekukosora kamwe chete kana maviri unofanirwa kudzoka kune mamwe maekisesaizi ekufema kufambisa phlegm kumusoro zvishoma usati waedza kukosora zvakare.

                                                                           Notes

Dzokorora yako yakakodzera inhaler, nebulisers uye airway clearance kaviri zuva rega rega, kamwe chete mangwanani uye kamwe mu

manheru sezvakakurukurwa pakusangana kwenyu.

Rangarira kugeza OPEP yako uye nebuliser midziyo mumvura inopisa ine sipo uye wosiya kuti mhepo yakaoma.

  • Rangarira kufashaidza mumvura kwemaminitsi mashanu kamwechete pasvondo. Ndapota usazeza kubata nesu pano pa
    National Aspergillosis Center(NAC) kana iwe uchida chero rairo rinoenderera mberi.

 

Hypertonic Saline mushonga unotorwa kuburikidza nebuliser yaunofema, ine yakakwira munyu munyu unoshanda pazvikamu zvemucus mumhepo dzako. Iyo mucolytic zvinoreva kuti inokubatsira kuti ubvise phlegm kubva muchipfuva chako, unogona kunge wakambozviedza kana iwe wakaita sputum induction maitiro nema physiotherapists mukiriniki. Mucolytics inovhiringidza chimiro chemucus gel, nokudaro kuderedza viscosity yayo uye elasticity. Chinangwa chemucolytic therapy ndechekuita kuti viscoelasticity yemhepo yakavanzika ive nani kubatsira kubviswa kwavo kubva mumhepo.

 

7% Hypertonic Saline Nebusal vhidhiyo: https://youtu.be/wTOpTnhA6no (Kumwe kutarisisa uye mabhureki aripo)

 

Mudziyo wePari O-PEP iOscillating Positive Expiratory Pressure device inobatsira nekubvisa mhepo, kune marudzi akati wandei ezvekuwedzera uye nzira dzekufema izvo zvinogona kukubatsira kubvisa chipfuva chako. Physiotherapist wako achafunga nezvehuwandu hwe sputum yaunayo, mabatiro emhepo yako pakubata nekukosora uye chipfuva chako xrays uye CT inoshuma paunenge uchifunga kuti ndeipi nzira yekubvisa mhepo inofanira kukushandira zvakakunakira. Kune matekiniki akadai seA Active Cycle of Breathing Techniques, Autogenic Drainage, Postural Drainage nemimwe michina yakaita seAerobika kana Acapella Choice.

Aerobika Airway Clearance Adjunct Vhidhiyo: https://youtu.be/iy2oYadhF9Q

 

Zvidzidzo zvekutsvagisa zvakaratidza kuti kurapwa kwechifuva nguva dzose kunobatsirwa ne hypertonic saline kuchaita kuti sputum yako (phlegm) ive nyore kukosora. Izvi zvinoreva:

• unogona kunge uine kuputika kushoma kwechipfuva chako

• unogona kuva nevashoma vanopinda muchipatara

• zviratidzo zvako zvinogona kuita nani

• mapapu ako anogona kugara aine hutano kwenguva yakareba

• kuchengetedza kana kuvandudza kushanda kwemapapu ako

Physiotherapist yako inogona kubatsira kukuita iwe yakasarudzika chipfuva kugadzirisa maitiro kuti ugone kukwenenzvera chipfuva chako. Usazeze kubvunza chikwata kana uchida kutaura nechikwata chePhysiotherapy pakiriniki yako nguva inotevera.   

Zvashandiswa kugutsikana