Chest
Physiotherapy
Ps ljz]if k|sf/sf] pkrf/ ljlw xf] h;n] Zjf;–k|Zjf; k|0ffnLdf ;'wf/ ug{ d2t u5{ . of] pkrf/ ljz]if u/L kmf]S;f] ;DaGwL ;d:ofx¿ h:t} M bd, lgdf]lgof, a|f]+sfOl6; ePsf la/fdLx¿nfO{ lbO{G5 . oL la/fdLx?sf kmf]S;f]df clws dfqfdf vsf/ -mucus/sputum_ hDdf x'g uO{ lj/fdLsf] cfˆgf] k|fs[lts Zjf;–k|Zjf;sf] Ifdtfdf sld x'g hfG5, tTkZrft lj/fdLsf] ;Dk'0f{ zl// e/L clSzhgsf] sld x'g uO{ d[To' x'g ;S5 . kmf]S;f]df o:tf hl6ntf pTkGg x'g glbg, lkmlhof]y]/fkL kl2tsf ljz]if ljlw æChest Physiotherapy Treatment MethodÆ -vsf/ aflx/ lgsfNg d2t ug]{ lalw_ k|of]u ul/ lj/fdLsf] kmf]S;f]df clws dfqfdf vsf/ hDdf x'g glbO{, lj/fdLsf] cfˆgf] k|fs[lts Zjf;–k|Zjf;sf] Ifdtfdf j[l4 u/fO{G5 . kmn :j?k la/fdLn] hLjg bfg k|Kt ub{5 . 5ftLsf lkmlhof]y]/fkL ug{sf nflu lkmlhof]y]/fkLi6n] lj/fdLnfO{ ljleGg position df /flv cfˆgf] xftn] Patting, Clapping, Vibration, Coughing and Huffing h:tf ljleGg lsl;dsf l;kx?sf] k|of]u u/L of] pkrf/ k|lqmof k'/f ub{5 .
Chest Physiotherapy sf] p2]Zo M
· kmf]S;f]df
hDdf ePsf] vsf/ -mucus÷sputum_ nfO{ x6fpg]
.
· Zjf;–k|Zjf;
k|0ffnLdf ;'wf/ ug]{ .
· kmf]S;f]sf]
sfo{ Ifdtf a9fpg] .
· kmf]S;f] ;DaGwL
/f]ux¿sf] hf]lvd 36fpg] .
· ;+qmd0fsf]
hf]lvd sd ug]{ .
Chest Physiotherapy pkrf/sf l;kx?
!= Postural
Drainage
la/fdLnfO{ km/s–km/s position tyf sf]0fdf
/fv]/ u'?Tjfsif{0f ansf] k|of]u u/L kmf]S;f]sf] leqL efudf hDdf ePsf] vsf/ aflx/
NofOG5 . o;sf nflu la/fdLnfO{ ljleGg sf]0fdf /flvG5, h;n] ubf{ vsf/ k|fs[lts ¿kdf
tn eml/;S5 / ;lhn} aflx/ cfpg ;S5 . of] ljlw ljz]if u/L ltgLx¿sf nflu pkof]uL x'G5
h;nfO{ kmf]S;f] ;kmf ug{ ufx|f] x'G5, h:t} l;l:6s kmfOa|f]l;; -Cystic
Fibrosis_ jfa|f]+lsPS6]l;; -Bronchiectasis_ ePsf la/fdLx¿
. of] k|lqmof lgoldt ¿kdf ckgfpFbf kmf]S;f]sf] sfo{ Ifdtf a9\5 / ;+qmd0fsf] ;Defjgf
sd x'G5 .
@= Percussion
o; k|ljlwdf 5ftL jf 9f8df ljz]if tl/sfn]
6Ksfpg] -tapping_ ul/G5 h;n] ubf{ kmf]S;f]df
hd]sf] skm l9nf]–l9nf] ub}{ vf]Sbf aflx/ cfpF5 . Physiotherapist n] cfˆgf]
xftnfO{ sksf] h:tf] cfsf/ agfO{ 5ftL jf 9f8df tapping tl/sfn] of]
ljlw ckgfpg ;S5g\ . o; k|lqmofn] kmf]S;f] leq /x]sf] afSnf] vsf/nfO{ v's'nf] kfg{
d2t u5{, h;n ubf{ la/fdLn] vsf/ ;lhn} vf]Sg ;S5 . of] ljlw COPD,
lgdf]lgof jf zNolqmof kl5 vsf/ lgsfNg ufx|f] x'g] la/fdLx¿sf nflu k|efjsf/L x'G5
.
#= Vibration
xft jf sDkg lbg] pks/0f k|of]u u/]/
5ftLdf sDkg u/fOG5, h;n] ubf{ skm v's'nf] x'G5 / ;lhn} aflx/ cfpF5 . ks{;g k|ljlw
eGbf efOa|];g cln sf]dn x'g] ePsfn] j[4 jf sdhf]/ la/fdLx¿df a9L pko'Qm dflgG5 .
la/fdLn] vsf/ vf]Sg' eGbf 7Ls cl3 efOa|];g k|of]u ubf{ vsf/ lgsfNg cem ;lhnf] x'G5
. o;sf nflu lkmlhof]y]/flk:6n] xNsf sDkg lbg] d]l;gsf] k|of]u ug{ ;S5 . of] k|ljlw
ljz]if u/L bL3{sfnLg -chronic_ Zjf;–k|Zjf;
;DaGwL /f]u ePsf la/fdLx¿sf nflu k|efj sf/L dflgG5 .
$= Deep Breathing Exercises
la/fdLnfO{ ulx/f] ;f; lng] / 5f]8\g]
cEof; u/fOG5 . o;n] kmf]S;f]sf] Ifdtf a9fpg] / vsf/ x6fpg d2t u5{ . ulx/f] ;f; lnFbf
kmf]S;f]sf] leqL efu;Dd clS;hg k'Ug] x'Fbf kmf]S;f]sf] sfo{ Ifdtf ;'wf/ x'G5 . of]
cEof; ljz]if u/L nfdf] ;do cf]5\ofgdf cf/fd ug{' kg]{ la/fdLx¿sf nflu cfjZos x'G5,
lsgeg] pgLx¿df kmf]S;f] sdhf]/ x'g] ;Defjgf pRr x'G5 . ;fy}, o;n] tgfj sd ug{ klg
d2t u5{, h;n] la/fdLsf] ;du| :jf:Yo ;'wf/ ug{ of]ubfg lbG5 . lrlsT;s jf lkmlhof]y]/flk:6sf]
lgb]{zg cg';f/ æOG;]lG6e :kfO/f]ld6/Æ -Incentive
Spirometer_ pks/0fsf] k|of]u ubf{ cem k|efjsf/L kl/0ffd k|fKt ug{ ;lsG5
.
%= Coughing and Huffing
skm aflx/ lgsfNg la/fdLnfO{ ljz]if
lsl;dn] vf]Sg jf xlkmª ug{ l;sfOG5 . ;fdfGo vf]Sbf w]/} pmhf{ vr{ x'g] ePsfn],
xlkmª k|ljlw -h;df kmf]S;f]af6 la:tf/} skm lgsflnG5_ COPD jf Zjf;–k|Zjf;
;DaGwL cGo ;d:ofx¿ ePsf la/fdLx¿sf nflu nfebfos x'G5 . of] k|ljlwdf la/fdLnfO{ klxnf
ulx/f] zf; lng / To;kl5 xNsf an k|of]u u/]/ d'v vf]Nb} æxfxfÆ h:t} cfjfh lgsfn]/
vsf/ lgsfNg] tl/sf ckgfOG5 . xlkmª ubf{ 5ftLdf sd tgfj kg]{ ePsfn] o;n] zNolqmof
kl5 jf sdhf]/L ePsf la/fdLx¿nfO{ w]/} kmfObf u5{ . lgoldt ¿kdf vsf/ x6fpg] o:tf
tl/sf ckgfpFbf kmf]S;f] ;kmf/ xG5 / ;+qmd0fsf] ;Defjgf sd x'G5 .
Chest Physiotherapy cfjZos x'g] la/fdLx¿ M
·
bd -Asthma_ ePsf la/fdLx¿
.
·
lgdf]lgof -Pneumonia_ ePsf la/fdLx¿
.
·
bL3{sfnLg a|f]+sfOl6; -Chronic Bronchitis_ ePsf la/fdLx¿
.
·
l;l:6s kmfOa|f]l;; -Cystic Fibrosis_ ePsf la/fdLx¿
.
· kf]:6 ;h{/L -Post–Surgery_ la/fdLx¿ h;nfO{ kmf]S;f] ;kmf ug{ d2t rflxG5 .
Chest Physiotherapy ubf{ Wofg lbg'kg]{ s'/fx¿ M
· · lrlsT;ssf] ;Nnfx lnP/ dfq ug{' k5{ .
· · la/fdLnfO{ ;xh x'g] u/L ;xL kf]lh;g 5gf]6 ug{' k5{ .
· · clws bafa jf an k|of]u ug{ x'Fb}g .
· · lgoldt ¿kdf ug]{ afgL a;fNg' k5{ .
· · ;+qmd0faf6 aRg ;/;kmfOdf Wofg lbg' k5{ .
ctM Chest Physiotherapy kmf]S;f]
;DaGwL ;d:of ePsf la/fdLx¿sf nflu Ps k|efjsf/L pkrf/ ljlw xf] . o;n] kmf]S;f] ;kmf
/fVg, Zjf;–k|Zjf; k|0ffnL ;'wf/ ug{ / hLjgsf] u'0f:t/ a9fpg dxQjk"0f{ e"ldsf
v]N5 . olb lrlsT;ssf] lgb]{zg cg';f/ ;xL tl/sfn] ul/of] eg] o;af6 w]/} kmfObf lng
;lsG5 .
