Chronic Obstructive Pulmonary Disease (COPD) ke lefu le ntseng le tsoela pele ho phefumoloha le amang batho ba limilione lefatšeng ka bophara. Sehlooho sena se ikemiselitse ho fana ka tlhaloso ea kliniki ea mekhoa ea hona joale ea phekolo ea COPD Turkey, e totobatsang bohlokoa ba ho hlahlojoa kapele, tlhokomelo ea mefuta e mengata, le mekhoa e tsoetseng pele ea phekolo. Ho kopanngoa ha mekhoa e mecha ea phekolo ea meriana le e seng ea meriana, e kopantsoeng le tsebo ea litsebi tsa bophelo bo botle ba Turkey, e fana ka mokhoa o pharaletseng le o sebetsang oa tsamaiso ea COPD.
Selelekela:
Chronic Obstructive Pulmonary Disease (COPD) ke boloetse bo rarahaneng le bo fokolisang ba ho hema bo khetholloang ke ho thibela ho phalla ha moea le ho fokotseha ho tsoelang pele ha tšebetso ea matšoafo. Ka sekhahla se phahameng sa ho ata lefatšeng ka bophara, COPD e baka mathata a bohlokoa lits'ebetsong tsa tlhokomelo ea bophelo bo botle, haholo-holo mabapi le tsamaiso le kalafo. Naheng ea Turkey, lefapha la tlhokomelo ea bophelo bo botle le hatetse pele haholo ho fana ka tlhokomelo ea boemo bo holimo ea COPD ka mokhoa o fapaneng oa mekhoa e mengata, le sebelisa motsoako oa liphekolo tse ncha tsa meriana le tseo e seng tsa meriana. Sengoliloeng sena se tla hlahloba likarolo tse fapaneng tsa kalafo ea COPD naheng ea Turkey, se shebane le pono ea bongaka le mekhoa e mecha ea kalafo.
Tlhahlobo le Tekolo ea Pele:
Tlhahlobo ea pele ea COPD ke ea bohlokoa bakeng sa liphello tse atlehileng tsa phekolo. Turkey, litsebi tsa tlhokomelo ea bophelo li khomarela tataiso ea GOLD (Global Initiative for Chronic Obstructive Lung Disease) bakeng sa tlhahlobo ea COPD, e kenyeletsang tlhahlobo ea spirometry ho netefatsa tšitiso ea moea le ho fumana hore na lefu le matla hakae. Ts'ebetso ea tlhahlobo e boetse e kenyelletsa ho lekola matšoao a mokuli, nalane ea ho mpefala, le mathata a mang ho theha moralo o felletseng oa kalafo o lumellanang le litlhoko tsa motho ka mong.
Kalafo ea Pharmacological:
Tsamaiso ea Pharmacological ke motheo oa Phekolo ea COPD Turkey. Sepheo sa mantlha ke ho kokobetsa matšoao, ho ntlafatsa tšebetso ea matšoafo, le ho thibela ho mpefala. Bafani ba tsa bophelo bo botle ba Turkey ba sebelisa meriana e latelang, ebang ke monotherapy kapa ka kopanelo, ho fihlela sepheo sena:
Bronchodilators: Li-β2-agonists tsa nako e telele (LABAs) le bahanyetsi ba nako e telele ba muscarinic (LAMAs) ke tsona tse ka sehloohong tsa phekolo ea COPD, ho fana ka bronchodilation e tsitsitseng le phomolo ea matšoao.
Inhaled corticosteroids (ICS): ICS hangata e laeloa hammoho le LABA kapa LAMAs bakeng sa bakuli ba nang le ho mpefala khafetsa kapa lefu le matla.
Phosphodiesterase-4 (PDE-4) inhibitors: Roflumilast, PDE-4 inhibitor, e sebelisoa e le phekolo ea phekolo bakeng sa bakuli ba nang le COPD e matla le bronchitis e sa foleng.
Systemic corticosteroids le lithibela-mafu: Meriana ena e fanoa nakong ea ho mpefala ho matla ho laola ho ruruha le tšoaetso.
Kalafo eo e seng ea Pharmacological:
Ntle le pharmacotherapy, bafani ba tlhokomelo ea bophelo ba Turkey ba sebelisa mekhoa e fapaneng e seng ea meriana bakeng sa tsamaiso ea COPD:
Pulmonary Rehabilitation: Lenaneo lena le felletseng le kenyelletsa koetliso ea boikoetliso, thuto, tlhabollo ea phepo e nepahetseng, le ts'ehetso ea kelello ho ntlafatsa bophelo bo botle ba 'mele le maikutlo a mokuli.
Phekolo ea oksijene: Phekolo ea nako e telele ea oksijene e laeloa ho bakuli ba nang le hypoxemia e matla ho fokotsa matšoao le ho fokotsa kotsi ea mathata.
Non-invasive ventilation (NIV): NIV e sebelisetsoa ho fana ka tšehetso ea phefumoloho ho bakuli ba nang le bothata ba ho hema ka matla kapa bo sa foleng, haholo-holo nakong ea ho mpefala.
Ho khaotsa ho tsuba: Kaha ho tsuba ke sesosa se ka sehloohong sa kotsi ea COPD, litsebi tsa tlhokomelo ea bophelo li hatisa bohlokoa ba ho khaotsa ho tsuba le ho fana ka tšehetso ka tlhabollo le phekolo ea meriana.
Ho fokotsa molumo oa matšoafo: Mekhoa ea ho buoa le ea bronchoscopic ea ho fokotsa molumo oa matšoafo e sebelisoa ho bakuli ba khethiloeng ho ntlafatsa tšebetso ea matšoafo le matla a ho ikoetlisa.
Ho fetisetsa matšoafo: Bakeng sa bakuli ba nang le COPD ea ho qetela, phetisetso ea matšoafo e ka nkoa e le khetho ea ho qetela ea phekolo.
fihlela qeto ena:
Kalafo ea COPD Turkey e kenyelletsa mekhoa e mengata ea mekhoa e mengata e kopanyang tlhahlobo ea pele, tlhokomelo e lebisitsoeng ho mokuli, le motsoako oa mekhoa ea phekolo ea meriana le e seng ea meriana. Ka ho khomarela tataiso ea GOLD le ho sebelisa mekhoa ea phekolo ea morao-rao, litsebi tsa bophelo bo botle ba Turkey li leka ho fana ka tsamaiso e phethahetseng le e sebetsang ea COPD. Patlisiso e ntseng e tsoela pele le tšebelisano-mmoho kahare ho lefapha la tlhokomelo ea bophelo bo botle li netefatsa hore Turkey e lula e le ka pele ho tsoelopele ea kalafo ea COPD. Tsoelo-pele ea nakong e tlang ea meriana ea motho ka mong, mekhoa ea phekolo ea meriana, le mekhoa e mecha ea ho buoa e tla tsoela pele ho theha boemo ba tlhokomelo ea COPD Turkey, ho fana ka tšepo le bophelo bo ntlafetseng bakeng sa bakuli ba anngoeng ke lefu lena le fokolisang.
Ka lebaka la mokhoa o mocha oa kalafo o nang le tokelo ea molao Turkey, ho itšetleha ka oksijene ho felile COPD bakuli. U ka ikopanya le rona bakeng sa tlhahisoleseding e eketsehileng mabapi le phekolo ena e khethehileng.
