保健 - 第76期 - page 13

㕡㕡
शषԣط
㕐࢕ࢬःᐕ̙ࣛ፯኿࢕ࢬ͜Ⴁःዚ אᄀኬ၍جձࠦ
໅іःd݊੬Ԉٙіः˙جf
іfίආБᒦ๪ࣛd̙࣬ኽषઋձᚐɻٙՈ᜗ܸኬ፯
኿Չʕ௅ʱਗЪආБdʔ݊ɓ֛ܲഗ̈ٙනҏආБd
νषઋ༰ࠠʔ͜ᗐЗഃ۶ැഃf
¨ʬο஠©խіج
¨ʬο஠©խіج ౟ձəᐵࡶխіe໖όխіձٮ ᜗༶
ਗd߉̈ٙतᓃ݊ίխंࣛΥԻᄚeգeխeᤨ e
єeᄔʬࡈ οٙ೯ࠪ৅ᇖdʱйᅂᚤɛ᜗ٙʞᛔձɧ
ೊfஷཀʔΝٙ೯ࠪίɛ᜗໖ഢlzପ͛ʔΝٙlzᏀd
ృ຾ኬˏdˏኬɛ᜗ंАض΢ᛔത࿁Ꮠٙ຾ഖ༶Бd
ሜືΌԒ΢ᛔത̌ঐd੽Ͼ༺Ցҷഛɛ᜗ᛔത̌ঐٙ
ͦٙf
ཫԣխі༸ชݑ dᒒеϞ࢔ଣʷΪ९
ڗ ಂˀూխі༸ชݑ ݊࿔׌ڜ ෦׌٬शष೯͛ձ̋ࠠ
ٙ˴ࠅ ࡡΪdա૭eชڽ ࣛϼϋɛתҤɢɨࠥdίं
ࡉ ᜊ౬֙ືdतй݊ं๝᜷್ࠥЭd̙Դխі༸҅௅
ʃА၍೪᛹dᜄˣ༶ਗღᖟdխі༸ᓂᇫԣጏ̌ঐࠥ
Эdषݭ ձ୚ഽɝڧ ϾԴCOPDూ೯fΪϤءࠅ จڭ
าdԣ˟ա૭eชڽ f
ྡྷࡾձʔԄं᜗іɝ݊COPDٙ੬ԈႰΪd֢࢕Ꮠءจ
̋੶ஷࠬdӊ˂Їˇ 2ϣdӊϣЇˇ30 ʱᙒf
㕳㕿㖀㕴ઃ٫ွेღᖟٙᚐଣ
࣬ኽሜݟCOPDઃ٫ɽߒ ̒ᅰϞွेღᖟπίfʱؓ
COPDઃ٫ٙွेഐ࿴dஷ੬ɝွࣛග༰ڗ dွेࣖ
ଟ༰ЭdШ݊ˢ༰ࠠࠅ ٙ݊COPDઃ٫׸̈ତցගॹ
ःٙઋҖfପ͛ցගॹःٙ˴ࠅ ࡡΪ݊ွेಂගஷं
ਗɢɨࠥdிϓஷंඎཀЭߧהf০࿁Ϥ၇ઋҖdց
ගഗःݴ ඎ̙ቇ຅̋ɽdШν؈ ઃ٫ʥชᙂွेܝ᎘
೨dᏐ፭ᔼᜟ؂͜ቇඎٙխіʕᅹՐዧኒdڮආ᜗lz
ɚःʷ၁ٙરৰiွۃ ආБ܃lzஷࠬeऊৰମբdڭ
ܵ٤ंอᒻd๝᐀ܓቇʕd ڭܵґ቗৻ᐇe዆ᆎdኋ
ඎމ ઃ٫௴ிτ᎑ബቇٙွेᐑྤiνɪࠑણ݄ʥʔ
ঐᇠ༆ွेਪᕚdᏐʿࣛఱᔼf
㕳㕿㖀㕴ઃ٫৶ሯଯᕦٙཫԣձᚐଣ
COPDઃ٫೯͛৶ሯଯᕦٙ˴ࠅ ࡡΪܼ̍ЭःАसe
༶ਗಯˇeі๧eЭ᜗ࠠeᐄቮʔԄձԴ͜ጟͤሯዧ
ط९ᐕCOPDഃiΪϤஷཀܸኬCOPDઃ٫਺ܵ࢕ࢬः
ᐕe̋੶խі̌ঐᒦ๪e̋੶ЄЂ৅ᇖeຖڮઃ٫ҡ
๧eҷഛභ࠮ഐ࿴e੗ʲᝈ࿀ዧ९Դ͜ܝ ٙਓЪ͜d
ַ̙ᇠձಯჀ࿔׌ ڜ ෦׌٬शषઃ٫৶ሯଯᕦٙ೯
࢝fՉʕЄЂ৅ᇖܼ̍ΌԒ׌༶ਗձҤڜ ৅ᇖdΌԒ
׌༶ਗϞӉБeɪɨᅽ૒eᕣІБԓഃiҤڜ৅ᇖϞ
ɪᑘeױ ᇬeױ ၺഃdɓմЇˇ2 ϣdӊϣ15 㕏30ʱ
ᙒd˸ʔˏৎ़೨ʿह˶ชމ֝i༶ਗࣛᏐءจτΌ
ԣᚐdν૶ৰήؐɪٙᕏي eҷᜊ᜗З֝࿔eϞਖ਼ɛ
௑ᚐഃf
Ϥ̮dኽߕ ਷Ⴗɼج̵ԭɽኪٙde Voogd JNഃ࿁ҵᝨ
सًၾהϞࡡΪኬ ߧٙ COPDઃ٫ϥɳ݊щՈϞዹͭ
޴ᗫ׌ٙ޼Ӻ༟ࣘᜑͪjᖢ֛ಂCOPDઃ٫ٙҵᝨस
ًၾהϞࡡΪٙषϥଟ޴ᗫiΪϤࠅ ̋੶ၾ࿔׌ڜ෦
׌٬शषઃ٫ٙ๖ஷdʿࣛஈଣʍཫઃ٫˚੬͛ݺʕ
೯͛ٙʔౕҞԫ΁dಯჀઃ٫ٙːଣᏀɢdᒒеʔԄ
ઋၫٙᅂᚤf
HOME NURSING CARE FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Chronic obstructive pulmonary disease (COPD) arises from chronic bronchitis or obstructive emphysema - with frequent coughing,
phlegm or shortness of breath, general weakness or even cyanosis, headache, disturbance of consciousness develop, precipitated
by the inhalation of dust and noxious gases. Uncontrolled, pulmonary heart disease may ensue. Hypoxia (low oxygen) and its
side effects are prevented, e.g., by home oxygen concentrator or cylinder; nasal catheter delivery is better than masks; 1-2 litres/
min of humidified oxygen suffices but take care to avoid shock, fire, heat and oil. As pneumonia may worsen COPD, take
breathing exercises 15 min twice/day and more, best with abdominal muscles. At night, to avoid oxygen deficit of COPD, raise
oxygen levels upon retiring; ensure adequate ventilation and humidity. To prevent osteoporosis, have regular physical exercises:
walking, climbing stairs, cycling, etc. and resistive exercises - twice weekly for up to 30 min. As de Voogd's research found out
that depression worsens the survival outlook for COPD, ensure communications; settle unhappy incidents promptly goes a long
way.