
shwaasakosha shuchithvam

shwaasakosha shuchithvam, munbu pulmonary toylet ennu ariyappettirunnu, ithu shwaasanaalangalil ninnulla kafavum sravavum neekkam cheyyaan upayogikkunna oru koottam reethikalaanu. pulmonary" enna vaakk shwaasakoshathe soochippikkunnu. franch "toylet" ennathumaayi bandhapetta "toylet" enna vaakk shareera samrakshanatheyum shuchithvatheyum soochippikkunnu; eee verukal "toylattari" polulla vaakkukalil upayogikkunnu, athu shudheekaranavumaayi bandhappettirikkunnu.
shwaasakoshathinte aarogyam (shwaasakosha shuchithvam) shwaasanaalathile sravangalude sthiramaaya clearancine aasrayichirikkunnu. mucosiliary clearance samvidaanavum chumaykkulla kazhivum enningane rund pradhana samvidaanangalaanu saadhaarana vayumarga clearance nadathunnathu. vaikalyamulla mucosiliary clearance vishalamaaya rogangalilum vaikalyangalilum shwaasakoshathinte mosham pravartthanavumaayi bandhappettirikkunnu.
shwaasakosha shuchithvam attelectasis (shwaasakoshathinte alvioli thakarunnath) thadayukayum shvasanavyavasthayile sravangale illaathaakkukayum cheiyunnu, ithu shwaasakosha anubaadhakalkk kaaranamakum. shwaasakoshathinte shunting kuraykkaanum shwaasakoshathinte pravartthana sheshi vardhippikkaanum nench aaghaathathinu sesham shwaasakosha anubadha thadayaanum ithinu kazhiyum. draavakangal neekkam cheyyaan sakshan upayogikkunnathum sravangale guruthwaakarshanathaal ozhukaan anuvadikkunna sthaanathu rogiye sthaapikkunnathum reethikalil ulppedunnu.
reethikal.
shwaasakosha shuchithvathinu upayogikkunna reethikalil vaayumaargangalude suctioning, nench physiotherapy, blow bottilukal, nasotraashyal sakshan enniva ulppedunnu. oru examinerch vaayusanjaarathil kaanaan kazhiyunna vidhathil oru tube cherkkunna broncoscopy, shwaasakosha shuchithvathinte bhaagamaayi chikilsaykkaayi upayogikkaam. insentive spirometry, shwasanathe thadayaatha vedanasamhaarikal (vedana marunnukal) ennivayude upayogavum pulmonary toylattinte bhagamaanu. shwasanapathangalil ninnu sravangal ozhivaakkunnathinum chuma pradhaanamaan, athinaal aarogya parirakshaa daathaakkal rogikale amithamaayi thalarthaathirikkaan shradhikkunnu, kaaranam athu chumaye thadayum. tracheotamy shwaasakosha toylet sugamamakkunnu. mattoru reethiyaaya thaalavaadyam sravangale ayavuvaruthukayum vaayumaargangalile silia vasthukkal neekkam cheyyaan anuvadikkukayum cheiyunnu. sravangalude drainage prolsaahippikkunnathi mattoru reethiyaanu positioning; chilappol eee aavashyathinaayi sahaayikkunnathin rogikale oru saadhyathayulla sthaanathu sthaapikkunnu.
parambaraagatha nench physiotherapy.
ashupatri krameekaranatthile attelektaasisinte ettavum saadhaaranamaaya chikitsa maanuval nench physiotherapy, ennirunnaalum athinte falapraapthiyekkurichu parimithamaaya thelivukalundu. bronchiectasilum shwaasakoshathile cheettilum nench thaalavaadyavum postural drainage upayogikkunnu. shwaasanaalam thaazhekkum baadhicha nench pradeshathinu thaazheyum charinjirikkunna vidhathil rogiyude shareeram sthaapichirikkunnu. bronchiectasis chikilsikkunnathinu postural drainage athyaavasyamaanu. oro sessionilum 30 minitt vare divasathil kuranjathu moonnu thavanayenkilum loob vattikkenda oru sthaanathekku svayam tipp cheyyaan rogikalkku physiotherapy nalkanam.
nench arayile sravangal ayaykkunnathinulla nench percussion enna saankethikavidyayumaayi samyojippichaan eee chikitsa palappozhum upayogikkunnathu. oru kapp kaikondu purakotto nenchilo kaikondu nench thaalamaanu nadathunnathu. pakaramaayi, sravangal ayaykkaan chila sandarbhangalil oru mechanical vibrator upayogikkaam. shwaasakoshathinte ellah bhagangalkkum drainage sthaanangalundu. rogiyude avasthayeyum chikitsa ettavum aavasyamulla pradeshatthinte sthaanatheyum aashrayich eee sthaanangal parishkkarikkunnu.
edaykkideyulla positteev sammarda shwasanam (physiotherapy).
intermittant positteev presher breathing (aii. pii. pii. bii) physiotherapy valarekkaalamaayi intubate cheyyaatha rogikalil theevraparicharana krameekaranatthil upayogikkunnu. vyaapakamaayi amgeekarikkappettenkilum, chila padanangal maathrame athinte falaprapti sharivachittundloo. shwasana paricharana klinikkal practies maargganirddeshathil, shwaasanaalam clearance thakararilaaya rogikalkkum aazhathil shwasikkaan kazhiyaatha neuro muscular balaheenathayulla rogikalkku aerosolised marunnukal athikkunnathinum aii. pii. pii. bii nirddeshikkunnu. kadinavum aniyantrithavumaaya brongospasm allengil gurutharamaaya shwaasanaala thadassamulla rogikalil aii. pii. pii. bii physiotherapy shradhaapoorvvam upayogikkanam.
mechanical insufflation-exflation physiotherapy.
neuro muscular balaheenatayum attelektaasisum ulla aalukalkk mechanical insufflation-exflation gunam cheiyunnu. yaanthrika sahaayathodeyulla chuma neuro muscular rogamulla rogiyil shwaasakosha anubaadhayude krameekaranatthil srava clearance valareyadhikam mechappeduthunnu, ithu eee rogiyude janasamkhyaykku aadya nira chikilsayaayirikkanam. shwaasanaalathinte (shwaasam vidal) ghattathil nenchuvedanayo vayaruvedanayo upayogichu chumayude oresamayam maanuval vardhanavu mechanical insufflation-exflation physiotherapic valareyadhikam sahayikkunnu. 2004-ll american thorassic sosaitti nadatthiya oru samavaaya prasthavana duchen muscular dystrophy rogikalkku mechanical insufflation-exflation physiotherapy upayogikkunnathine pinthunachu. neuro muscular rogamulla kuttikalkkayi eee saankethikavidya upayogikkunnathu amerikkayilum anthaaraashtra thalatthilum vyapakamaaya sveekaaryatha nediyittundu.
aaplikkeshanukal.
pneumonia polulla anubadhakal thadayaan pulmonary bronchial shuchithvam upayogikkunnu. pneumonia, sistik fibrosis thudangiya avasthakal kaikaaryam cheiyunnathinum ithu upayogikkunnu. vittumaaraatha shwaasakosha rogangalulla aalukalkk, anubaadhakalum shwaasakoshathile kurukkukalum thadayaan bronchial shuchithvam upayogikkunnu. nench aaghaathathinu sesham acute respiratory distress syndrome thadayunnathinum bronchial shuchithvam upayogikkunnu.
soochanakal.
sii. oo. pii. dii, pneumonia, sistik fibrosis ennee kesukalil bronchial shuchithvathinte aavasyakatha interventional, prophylactic ennee nilakalil soochippikkunnu. attelectasis, shwaasakosha anubadhakal enniva thadayunnathinaayi thorassic shasthrakriyaykk munbum sheshavum roganirodhana soochanakalil ulppedunnu.
ethirvashangal.
postural drainage therapy upayogikkaanulla theerumaanathinu saadhyathayulla nettangalum saadhyathayulla apakadasaadhyathakalum vilayiruthendathundu. aavasyamulla chikitsa phalangal labhikkunnathin aavasyathiladhikam chikitsa nalkaruth. vardhicha intracranial marddam (> 20 mmhg), eathenkilum nattellu parikk, sajeeva haemoptisis, pulmonary embolism, conjesteevu hart failerullah pulmonary edema, nench physiotherapy soochippikkunna pradeshathu thurannatho sukhappeduthunnatho aaya murivu enniva chila ethirchihnangalil ulppedunnu.
vitharanam cheiyunna marunnine aashrayich marunnukalude vairudhyangal vyathyaasappedunnu.

