Respiration of intracordinary Zeyang at the Hospital attached to the Sanitary and Vocational Institute of Luxie
Chronic obstructive pulmonary disease (PNG, COPD) is a common, preventable and treatable chronic respiratory disease. In periods of slow lung stabilization, while symptoms are relatively stable, family treatment and rehabilitation training is essential to slow the progress of the disease and improve the quality of life. Family therapy – drug therapy: this is the core. bronchial expansion agents can relax bronchial smoothing muscles, extend airways and improve air flow limits. Short-acting formulations such as salbutamol can quickly mitigate symptoms, while long-acting formulations such as thaltobromomammonium are persistent and require regular use. Sugar cortex hormonals reduce the inflammation of the aromatic tract, and for patients with severe and frequent acute increases, a combination of inhaled sugar cortex hormones and bronchial expansion agents can be used under medical guidance. The aphrodisiac can help dilute the aroma and make it easier to cough, such as ammonium bromine, to use when the patient feels that the aphrodisiac is not coughy. Patients are required to comply strictly with medical instructions to use the medication on time and are not allowed to increase or reduce their own doses or to stop the medication. Family members can assist in monitoring and recording the use of the drugs, regularly prepare the kits and clean up the obsolete drugs. – Oxygen: For patients with chronic respiratory failure, low oxygen haematosis (usually 55 mm/Hg or 88% haematological saturation), long-term family oxygen therapy is an important treatment. Oxygen is normally used for nose catheters, with an oxygen flow of 1-2 L/min and an oxygen intake of not less than 15 hours per day, to maintain an arterial haematological pressure above 60 mmHg or a blood oxygen saturation of over 90%. Oxygen treatment equipment should be regularly maintained, with care to clean oxygen absorbers, avoid congestion and bacterial growth, and be fire-proof, oil-proof, earthquake-proof, away from fire heat sources, etc. – Respiratory support: The non-respirator is beneficial for some patients who combine respiratory fatigue with carbon dioxide retention. After a doctor has trimmed the air-respirator parameters, the patient needs to wear the mask properly, to maintain a comfortable and tight fit, to avoid leakage, to provide respiratory support treatment in the prescribed mode, usually using 4-6 hours per day or following medical instructions, and to adjust or contact the doctor in a timely manner if he or she feels uncomfortable in the course of use, such as face-pressure, non-sync breathing, etc. Rehab training – Respiration function – Respiration of a condensed lip: Shut up for two seconds, and then the condensed lip breathes slowly. The exhalation time is about two times the inhaled time (about 4 – 6 seconds), and the condensed lip is appropriate for paper that can blow 30 centimetres in front of the air. This increases the internal pressure of the airway, prevents the premature closure of the small airway during the exhalation, facilitates the discharge of pneumatic gases, and improves the flow-to-blood imbalance. Patients can practice at any time, for example, on television, while on rest, 10 – 15 minutes at a time, several times a day. – Abdominal respiration: the body is relaxed, the left hand is placed on the chest, the right hand is placed on the abdomen, the abdominal is lifted when inhaled, the right hand is lifted on the abdomen and the chest remains as still as far as possible; when the abdomen is suffocated, the right hand is pressed. By breathing in this way, it enhances the movement of gill muscles, increases pulmonary ventilation and reduces the frequency and difficulty of breathing. The exercise can start with 2-3 exercises per day of about 10 minutes each, with a gradual increase in the number and duration of the exercise, which can be conducted under any body position after proficiency. – Physical exercise – aerobics: walking, Tai Chi, eight bands. The speed of walking is moderate and can gradually increase the distance and time of walking, depending on the circumstances of the person, from 10 to 15 minutes per walk, 2 to 3 times a day, with an appropriate extension of about 5 minutes per week, which is appropriate for a slight sweating and no apparent agitation; Tai Chi and eight bands of action are relaxed and can regulate breathing and body coordination, and can take 3-5 times per week for 30 – 45 minutes each. The exercise should be carried out in a climate of fresh air and appropriate temperature, in order to avoid moving out in cold, haze weather, and with first aid, in case of emergency. – Upper limb force training: the use of small dumb bells for simple arm stretching, upper movement, or wall push-ups (hands with shoulders wide, slow push-ups) can enhance upper limb muscles, assist breathing muscles and reduce respiratory symptoms. For each group of 2 – 3 8 – 12 times a week, 2 – 3 times a week, a gradual increase in the intensity of the training to avoid overwork and muscle trauma. Daily care and living adjustment – Eating: To ensure nutritional balance, more food with proteins (e.g., skinny meat, fish, eggs, beans, etc.), vitamins (fresh vegetables and fruits) and food fibres to increase the body ‘ s resilience and reduce the risk of infection, while avoiding high salt, fatty, sugar and spicy stimulant foods to prevent further coughing. For patients with poor appetite and indigestion, there is less to eat and, if necessary, the nutritionist can be consulted to develop a personalized diet. – Psychological regulation: patients with slow-retarded lungs suffer from chronic illnesses, which can lead to anxiety, depression, etc., which in turn exacerbates physical symptoms such as respiratory difficulties. Family members should be given adequate care and support to encourage patients to be active in the face of the disease, and the patients themselves can alleviate psychological stress by listening to music, reading, chatting with friends, and remain optimistic and stable and, if necessary, seek help from psychologists. – Home environment: maintenance of indoor cleanliness, periodic ventilation, maintenance of appropriate temperature (general 18 – 22°C) and humidity (general 50 – 60%), which can be regulated by wet-added or dehumidifiers. Avoiding indoor grazes and the use of items such as carpets, which are prone to dust mites and fungus, reducing allergen and respiratory irritation and preventing slow-inducing acute lung stress. Family treatment and rehabilitation training for a period of slow lung stabilization is a long-term process that requires a concerted effort by patients and their families and a sustained implementation of measures to better control the condition, improve the quality of life and enjoy a relatively normal life. In the event of a change in the patient ‘ s condition during family treatment, such as increased cough and cough cough, increased respiratory difficulties, fever, etc., timely medical treatment should be sought and treatment programmes adapted.
Slow lungs.
