Astma i HOBP – praktični saveti
Astma i HOBP ( hronična opstruktivna bolest pluća) – su hronična oboljenja disajnih puteva!
Neću Vam pisati o samim bolestima, već hoću da Vam dam nekoliko praktičnih saveta da sebi olakšate tegobe.
Primetila sam da skoro svi bolesnici od astme i HOBP pogrešno dišu i time samo dodatno sebi otežavaju problem.
Tokom astmatičnog napada izražen je veliki nedostatak vazduha tzv. glad za vazduhom i strah obolelog da će se ugušiti.
Zbog toga pacijent ulazi u začarani krug: diše ubrzano i duboko čime samo iscrpljuje sebe.
Što je disanje brže i dublje to sve manje kiseonika dolazi u disajne puteve, povećava se količina ugljen dioksida i gušenje je sve izraženije.
Dakle, morate naučiti da pravilno dišete tokom astmatičnog napada.
Pravilno disanje tokom napada
- sedite u turski sed
Ovo mogu mlađi pacijenti, a stariji treba da sednu na nižu stolicu ili krevet sa čvrsto oslonjenim nogama na pod
- ispravite leđa
- dišite polako i plitko na nos i lagano izdišite na usta
Za ovo Vam je potrebna velika doza samokontrole i savladavanja straha.
Budite uporni i olakšajte sebi tegobe.
Upotreba pumpice
Najčešće primenjivana terapija u astmi i HOBP je u obliku spreja – popularno pumpice.
Da bi se pumpica pravilno koristila potrebno je obučiti pacijenta kako da je koristi – prineti pumpicu ustima, pritisnuti je i u trenutku kad sprej prsne duboko udahnuti.
Skoro svi pacijenti se žale da im se suše usta i da imaju neprijatan ukus u ustima, a što je posledica nepravilnog korišćenja pumpice – usled čega i izostaje terapijski efekat leka u obliku spreja.
Najčešće se problem dešava kod male dece i starih osoba, zbog njihove ne saradljivosti.
U čemu je problem?
Zbog straha tokom gušenja i nedostatka vazduha, u panici se pumpica ranije pritisne i deo aerosola ode u vazduh tj. ne udahne se dovoljna količina spreja, pa se radnja ponavlja i do nekoliko puta. Time se sa jedne strane povećava količina krupnih čestica aerosola koje se zadržavaju u ustima i suše sluznicu usta. Sa druge strane izostaje terapijski efekat i pumpica se uzalud potroši.
Kako poboljšati efekat pumpice?
Neki prozvođači su problem rešili tako što uz pumpicu dobijete i tzv. spacer (spejser) odnosno plastični balon.
Ovaj balon na jednom kraju ima otvor za pumpicu, a na drugom kraju je ispust kroz koji se udiše sprej.
Otvori za pumpice su standardni.
Ispust kroz koji pacijent udiše aeroso ima nepovratnu valvulu (zalistak) koja se otvara samo u pravcu udaha, tj. kad pacijent povuče vazduh iz balona.
Kako se koristi spacer – balon?
- na kraj koji je predviđen za pumpicu uglavite pumpicu, a ispust za disanje stavite u usta
- pritisnite pumpicu da aerosol uđe u balon
- izbrojte do pet
- udahnite jako kroz ispust za disanje
Posle upotrebe rastavite balon i isperite ga mlakom vodom.
Korišćenjem balona povećavate iskoristljivost aerosola čime povećavate i terapijski efekat leka. Takođe izbegavate i neprijatan osećaj u ustima i sušenje usta.
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towerrush
My name is Mike, a normal American guy, and back in 2018 I
accidentally discovered one of the most bizarre
sports I had ever seen: CarJitsu.
In case this sounds unfamiliar, you are not alone.
The entire concept sounds like something invented after a crazy
bet. Two fighters climb inside a tiny automobile and try to score positions against each other while being trapped between the dashboard and seats.
No, I’m not kidding. In most sports you have a court, but
in CarJitsu your battlefield is the inside of a vehicle.
That is what makes it so weird.
It even has official events and competitive tournaments. Competitors come from different
places and try to prove who can master the unusual format.
Unlike traditional combat sports, every movement is limited
by the tight space. That creates hilarious moments.
One second someone looks like a champion, and the next second they are
trapped near the steering wheel.
Back then I was heavily interested in competitive sports.
I watched football, basketball, MMA, and wrestling. I also spent time reading about sportsbook odds.
Friends often discussed sportsbooks. Sometimes names like 1xbet would appear in conversations about major sporting
events, although CarJitsu was usually too strange to be the
main topic.
One night I saw a crazy highlight reel online.
Initially I believed it was a joke. Grown adults were trying to battle
inside a parked car while spectators were watching in disbelief.
I laughed so hard that I couldn’t breathe for a
moment. Yet the more I watched, the more fascinated I became.
A few weeks later, I found a local event and decided to show up.
The event was unforgettable. There were fans discussing athletic techniques and sports culture.
Some people even joked about which athlete would be the favorite if
a betting site ever offered odds on the matches.
Soon I wanted more than just watching. I signed up for beginner training.
My first session was a disaster. I hit my head on the roof, got stuck near
a seat, and accidentally opened a door at the worst possible moment.
Even I laughed at myself. Yet I kept coming
back.
Week after week, I improved. I learned how to use smart tactics instead of brute strength.
The car stopped feeling tiny. Soon I was entering regional events.
My friends thought I was completely crazy. Whenever someone asked what sport I practiced, the conversation usually went like this:
“CarJitsu.”
“What is that?”
“Imagine wrestling inside a car.”
“You’re joking.”
“No, that’s the actual sport.”
The funniest and wildest experience happened during a tournament a few years later.
My opponent was huge. He looked like he could carry
an engine block. Before the match started, he smiled and said,
“You’re going to need luck.” I knew trouble was coming.
The moment the referee signaled, chaos exploded.
We bounced between seats, bumped into doors, and nearly tangled ourselves in everything inside the vehicle.
The crowd was roaring. Spectators were going crazy.
Then came the moment I will never forget.
My opponent grabbed the seat belt and accidentally turned it into what looked like a wild whip.
As we struggled for position, the belt snapped across the cabin and wrapped around me in the strangest
way imaginable. For a second I thought, “This is it”
He pulled, I twisted, the seat belt locked, the door opened slightly, and both
of us somehow ended up tangled together like a pile of cables.
The audience was laughing so hard that some people could barely stay in their seats.
Nobody could believe what they were seeing.
For a brief moment, I genuinely thought my opponent was going to flatten me.
Thankfully, the officials quickly intervened when things became unsafe, and the situation was resolved without serious
injury. Afterward we both burst out laughing. Spectators cheered.
Even today people who were there still talk about “the seat belt incident.”
Thinking about my journey, CarJitsu remains one
of the strangest sports I have ever experienced.
It gave me friendships, stories, and unforgettable memories.
Whether people are discussing sports, betting,
sportsbooks, competitions, or events, very few things create reactions like CarJitsu.
If anybody asks for the weirdest sport I know, I always tell
them about the day I climbed into a car in 2018 and
accidentally became a CarJitsu competitor.
Nobody believes it at first. But after hearing about tournaments, athletes,
training sessions, sports fans, betting conversations, sportsbook discussions, and my unforgettable seat
belt battle, they usually agree on one thing:
CarJitsu might be the craziest sport ever invented.