Sabbin Jiyya na yau da kullun don COPD

Wadatacce

• Dogaro da aikin maye gurbin aiki
• Aramin aikin bronchodilators
• Inhalers na Anticholinergic
• Inhalers na haɗin gwiwa
• Magungunan baka
• Tiyata
• Amintattun abubuwa
• Tiyata rage girman girma
• Tiyata bawul na Endobronchial
• Jiyya na gaba don COPD
• Awauki

Ciwo na huhu na huɗu (COPD) wata cuta ce ta huhu mai kumburi wanda ke haifar da alamomi kamar wahalar numfashi, ƙarar samarwar gamsai, matsewar kirji, numfashi, da tari.

Babu magani ga COPD, amma magani don yanayin zai iya taimaka maka sarrafa shi da rayuwa mai tsawo. Da farko, kuna buƙatar barin shan sigari idan kun kasance sigari. Hakanan likitanka zai iya ba da umarnin mai amfani da bronchodilator, wanda zai iya zama gajere ko aiki na dogon lokaci. Wadannan magunguna suna kwantar da tsokoki a kusa da hanyoyin iska don taimakawa bayyanar cututtuka.

Hakanan zaka iya ganin ci gaba tare da ƙarin hanyoyin kwantar da hankali kamar maganin shaƙatawa, maganin baka, da maganin rigakafi, tare da sauran magunguna na yanzu da sababbi na COPD.

Inhalers

Dogaro da aikin maye gurbin aiki

Ana amfani da dogon lokaci don yin amfani da maganin maye gurbin don sarrafa alamun. Wadannan magunguna suna taimakawa bayyanar cututtuka ta hanyar shakatawa tsokoki a cikin hanyoyin iska kuma suna cire ƙoshin daga huhu.

Masu aikin gyaran jiki da dadewa sun hada da salmeterol, formoterol, vilanterol, da olodaterol.

Indacaterol (Arcapta) sabon sabo ne wanda ya dade yana aiki da karfin jiki. Hukumar Abinci da Magunguna (FDA) ta amince da maganin a shekarar 2011. Tana magance toshewar iska da COPD ya haifar.

Ana shan Indacaterol sau daya a rana. Yana aiki ta hanyar motsa enzyme wanda ke taimakawa ƙwayoyin tsoka a cikin huhun ku shakata. Yana fara aiki cikin sauri, kuma illolinta na iya dadewa.

Wannan miyagun ƙwayoyi zaɓi ne idan kun sami ƙarancin numfashi ko numfashi tare da sauran masu yin maganin maye. Matsalolin da za su iya haifar sun hada da tari, da hanci, da ciwon kai, da tashin hankali, da damuwa.

Likitanku na iya bayar da shawarar mai dadewa yana aiki idan kuna da COPD da asma.

Aramin aikin bronchodilators

Choaramin aiki da bronchodilators, wani lokacin ana kiransa inhalers na ceto, ba lallai bane ayi amfani dasu kowace rana. Ana amfani da waɗannan inhalers kamar yadda ake buƙata kuma suna ba da taimako mai sauri lokacin da kake fuskantar matsalar numfashi.

Wadannan nau'ikan nau'ikan kwayar cutar sun hada da albuterol (Ventolin HFA), metaproterenol (Alupent), da levalbuterol (Xopenex).

Inhalers na Anticholinergic

Inhaler mai cututtukan cututtukan jini wani nau'in bronchodilator ne don maganin COPD. Yana taimaka hana tsoka matsewa a kusa da hanyoyin iska, suma.

Ana samuwa azaman inhaler mai auna metered, kuma a cikin sifar ruwa don nebulizers. Wadannan inhalers na iya zama gajere ko aiki mai tsayi. Likitanku na iya bayar da shawarar maganin marasa lafiya idan kuna da COPD da asma.

Inhalers na Anticholinergic sun haɗa da tiotropium (Spiriva), ipratropium, aclidinium (Tudorza), da umeclidinium (akwai a hade).

Inhalers na haɗin gwiwa

Steroids na iya rage ƙonewar iska. A saboda wannan dalili, wasu mutanen da ke da COPD suna amfani da inhaler na bronchodilator tare da iskar shaƙuwa mai shaƙar iska. Amma kiyayewa tare da shakar iska biyu na iya zama damuwa.

Wasu sababbin inhalers suna haɗuwa da magungunan duka mai amfani da bronchodilator da steroid. Ana kiran waɗannan haɗakar inhalers.

Sauran nau'ikan inhalers masu haɗuwa sun wanzu, suma. Misali, wasu suna hada maganin gajere mai aiki da iska da inhalers ko kuma mai dadewa yana aiki tare da inhalers.

Har ila yau, akwai maganin inha sau uku na COPD da ake kira fluticasone / umeclidinium / vilanterol (Trelegy Ellipta). Wannan magani ya haɗu da magungunan COPD guda uku.

Magungunan baka

Roflumilast (Daliresp) yana taimakawa rage kumburin hanyar iska a cikin mutanen da ke fama da COPD mai tsanani. Wannan magani na iya magance lalacewar nama, a hankali yana inganta aikin huhu.

Roflumilast na musamman ne don mutanen da suke da tarihin mummunan COPD exacerbations. Ba na kowa bane.

Illolin da ka iya faruwa tare da roflumilast sun hada da gudawa, tashin zuciya, ciwon baya, jiri, rage ci, da ciwon kai.

Tiyata

Wasu mutanen da ke fama da COPD mai tsanani ƙarshe suna buƙatar dashen huhu. Wannan aikin ya zama dole lokacin da matsalolin numfashi suka zama barazanar rai.

Sashin huhu yana cire huhun da ya lalace kuma ya maye gurbinsa da lafiyayyen mai bayarwa. Koyaya, akwai wasu nau'ikan hanyoyin da aka yi don magance COPD. Kuna iya zama ɗan takara don wani nau'in tiyata.

Amintattun abubuwa

COPD na iya lalata jakar iska a cikin huhunku, wanda ke haifar da ci gaban sararin samaniya da ake kira bullae. Yayin da waɗannan sararin samaniya ke faɗaɗawa ko girma, numfashi ya zama mara ƙarfi da wahala.

Bullectomy hanya ce ta tiyata wacce take cire jakunkunan iska da suka lalace. Zai iya rage rashin numfashi da inganta aikin huhu.

Tiyata rage girman girma

COPD yana haifar da lalacewar huhu, wanda kuma ke taka rawa a matsalolin numfashi. A cewar Associationungiyar huhun Amurka, wannan tiyatar na cire kimanin kashi 30 cikin ɗari na ƙwayar huhu da ta lalace ko cuta.

Tare da cire abubuwanda suka lalace, diaphragm dinka zai iya aiki sosai, wanda zai baka damar numfashi cikin sauki.

Tiyata bawul na Endobronchial

Ana amfani da wannan hanyar don bi da mutanen da ke da emphysema mai tsanani, wani nau'i na COPD.

Tare da tiyatar bawul din endobronchial, ana sanya kananan bawul din Zephyr a cikin hanyoyin iska don toshe sassan sassan huhu da suka lalace. Wannan yana rage hauhawar jini, yana barin sassan lafiya na huhunku suyi aiki yadda ya kamata.

Yin aikin tiyata yana rage matsin lamba akan diaphragm kuma yana rage numfashi.

Jiyya na gaba don COPD

COPD wani yanayi ne da ke shafar mutane a duniya. Likitoci da masu bincike suna ci gaba da aiki don samar da sabbin magunguna da hanyoyin inganta numfashi ga waɗanda ke rayuwa da yanayin.

Gwaje-gwajen na asibiti suna kimanta tasirin magungunan ƙwayoyin cuta don maganin COPD. Ilimin halittu iri iri wani nau'in magani ne wanda yake nufin asalin kumburi.

Wasu gwaji sun bincika maganin da ake kira anti-interleukin 5 (IL-5). Wannan magani yana nufin ƙonewar iska ta eosinophilic. An lura cewa wasu mutanen da ke da COPD suna da eosinophils masu yawa, takamaiman nau'in ƙwayar ƙwayar jini. Wannan magani na ilimin halittu na iya iyakance ko rage adadin eosinophils na jini, yana ba da taimako daga COPD.

Ana buƙatar ƙarin bincike, kodayake. A halin yanzu, ba a yarda da magungunan ƙwayoyin cuta don maganin COPD ba.

Gwaje-gwajen na asibiti kuma suna kimanta amfani da ƙwayar ƙwayar ƙwayar ƙwayar don kula da COPD. Idan an yarda da shi a nan gaba, za a iya amfani da irin wannan maganin don sabunta halittar huhu da kuma juya lalacewar huhu.

Awauki

COPD zai iya zama daga mai sauƙi zuwa mai tsanani. Maganin ku zai dogara ne da tsananin alamun alamun ku. Idan maganin gargajiya ko layi na farko bai inganta COPD ɗinka ba, yi magana da likitanka. Kuna iya zama ɗan takara don ƙarin magani ko sabbin jiyya.