Ukubhebhetheka Kwezifo Ezingalapheki Obstructive Pulmonary (COPD) kuwukuwohloka kwezimpawu noma ukuqubuka okungaba nemiphumela ebalulekile emfushane neyesikhathi eside. Kusobala ukuthi iziguli ezibika kancane ukweqisa kungenzeka zibe nemiphumela engemihle efanayo naleyo ezibikayo futhi kungase kube nokukhula okungakabikwa okuphindwe izikhathi ezingu-2-5 kunalokhu okubikiwe.
I-COPD Exacerbation Recognition Tool (CERT) eyasungulwa futhi ephethwe yi-GSK, yadalelwa abantu abane-COPD ukuthi babone ukuqala kokushuba futhi baqonde isidingo sokubika lokho kubahlinzeki babo bezempilo.
I-CERT inikeza isiqondiso esilula esibonakalayo ezigulini ukuze zizisize zibone izimpawu zazo futhi zifune usizo lwezokwelapha lapho kudingeka. Umgomo uwukwenza lula ukuphathwa kwe-COPD nokwenza ngcono izinga lempilo yabantu abaphethwe yi-COPD.
I-CERT yathuthukiswa e-China ngochwepheshe nabacwaningi abasebenza ngokubambisana neziguli, ngokusekelwa yi-GSK. Kwenziwa ezifundeni ezihlukene eShayina, kuhlanganisa amaqembu ahlukene abantu abatholakala bene-COPD futhi bake babhekana nokwanda okukhulu esikhathini esidlule.
- Uhlelo lokuthuthukisa lubandakanya abahlanganyeli beminyaka ehlukene, kanye namazinga ahlukene emfundo nokufunda, kuhlanganise nalabo abangakwazi ukufunda nokubhala.
- Ngesikhathi sokuthuthuka kwayo, okubandakanya izingxoxo zesiguli, abacwaningi banciphise i-CERT behlela ezintweni ezi-5 ezihlukene ezihlobene nokuqala kokweqisa:
- Ukukhwehlela okubi kakhulu
- Ukwanda kokukhiqizwa kwesikhwehlela
- Ukuphelelwa umoya
- Umkhawulo wokunyakaza
- Umgomo we-CERT uwukuba iziguli ziqaphele ukuthi uma izimpawu zazo ziba zimbi ngendlela echazwe ngayo, zingase zibe nokuqala kokushuba.
- Inikeza iziguli ukuqonda okungcono ngokubaluleka koshintsho lwakamuva ezimpawu zazo.
- Isici esiyinhloko iseluleko sokufuna usizo lwezokwelapha uma isiguli sibhekana noshintsho olunjalo.
- Ukuhlolwa kokucaciswa nokuzwela kwe-CERT kuyaqhubeka, kanye nomsebenzi wokuqinisekisa i-CERT emazweni ahlukene.
- Abacwaningi bakholelwa ukuthi i-CERT ingasiza abantu abaphila ne-COPD bazi ukuthi kufanele bazise nini abahlinzeki babo bokunakekelwa kwezempilo mayelana nokwenzeka kokushuba, ukuze ukwelashwa kwabo kulungiswe, uma kunesidingo.
- I-CERT ayilona ithuluzi lokuxilonga lokwanda kwe-COPD.
- Imane isetshenziselwe ukusiza iziguli ukuthi zibone izimpawu ezisikisela ukuqala kokushuba, ukuze zazi ukuthi zidinga nini ukuthola usizo lwezokwelapha.
- Iziguli kufanele zilandele isiqondiso se-CERT, kodwa uma ziba zimbi ngokushesha ngezindlela ezingachazwanga ku-CERT, kufanele zelulekwe ukuthi zisafuna usizo lwezokwelapha.
I-CERT imahhala ukuthi isetshenziswe ngabelapha kanye neziguli.
I-CERT ivikelwe yi-copyright.
"Izimpawu zokuthengisa ziphethwe noma zinikezwe ilayisense eqenjini lezinkampani ze-GSK © 2023 Iqembu lezinkampani ze-GSK noma umnikezeli walo welayisensi."
Noma yiziphi izinguquko noma ukuhunyushwa kwe-CERT kudinga ukugunyazwa Ibhodi Lokuphatha le-CERT.
I-GAAPP yangena ekubambisaneni mayelana nokuhlanganiswa kwemibuzo ye-CERT edijithali kanye nenguqulo yesiJalimane yoMhlahlandlela Womsebenzisi we-CERT Wabahlinzeki epulatifomu yolwazi lweziguli zolimi lwesiJalimane eqhutshwa yiHelmholtz Munich (LID): www.lungeniinforificationsdienst.de
Inguqulo yedijithali ye-CERT isiku-inthanethi manje ene-LID yeziguli eJalimane: https://www.lungeninformationsdienst.de/service/selbsttests/cert-copd-exazerbationserkennungstool
Isifundo sesiJalimane esenziwe ngu UDkt. Rainer Gloeckl, Phd Ilungu le-CERT GB elikhishwe ekhasini eliyisiqalo le-LID kanye naku-YouTube: https://www.youtube.com/watch?v=8hpsIhzO9yI
Ividiyo ye-podcast enesihloko esithi “Pneumo4Coffee2Go” mayelana ne-CERT eqoshwe yi-German Respiratory Society: https://www.youtube.com/watch?v=lKodHPgRQeo&t=1658s
Ividiyo yokufundisa yodokotela eyenziwe yi-GSK ngenhloso yokwenza kube lula ukuyisebenzisa emtholampilo njengethuluzi lokufundisa iziguli: https://youtu.be/Wb0WBwrbKz0
Ukuze ubuke ividiyo mayelana nezifundo ezenziwe e-China, skena le khodi ye-QR ngefoni yakho noma chofoza lapha
I-CERT Educational Postcard yokulanda
Landa i-CERT User Guide lapha:
I-CERT yase-Japan (CERT-J) inemigomo efanayo neye-CERT yoqobo. Yakhiwe ngokwehlukana ne-CERT, kodwa okuqukethwe kwayo kufana kakhulu [11]. Umehluko oyinhloko into eyengeziwe efakwe ekulandeleni iseluleko sochwepheshe base-Japan. Omunye umehluko ukuthi i-CERT-J incoma ukuthi iziguli zifune usizo lwezokwelapha lapho izinto ezintathu noma ngaphezulu ziba zimbi kakhulu. Kuzo zonke ezinye izici kufanele isetshenziswe ngendlela efanayo ne-CERT.
I-CERT ihlose ukusetshenziswa njengengxenye yohlelo lwezemfundo lapho iziguli ze-COPD zifunda ukuguqulwa okubalulekile kwendlela yokuphila okufana nalokhu: ukuyeka ukubhema, ukudla kanye noshintsho olungokomzimba/ukuzivocavoca umzimba, ukuqonda ukubaluleka kwemithi yokugoma, kanye nesidingo sokuhambisana nemithi etuswayo kanye nokunakekelwa kwezempilo.
Amanye amathuluzi amabili kufanele ashiwo
- Ukuhlolwa Kokuhlola I-Chronic Airways (I-CAAT) ikala izimpawu ze-COPD kanye nomthelela wazo empilweni nempilo yesiguli. Ingakwazi ukulandelela izinguquko esimweni sempilo yesiguli ngokuhamba kwesikhathi futhi isebenze njengendlela yokuxhumana phakathi kweziguli kanye nabelaphi. [7] Ayakhelwe ukuthola ukuqala kokweqisa.
- The I-EXACT® ne-E-RS ziyidayari zansuku zonke ezivame ukusetshenziswa ezivivinyweni zomtholampilo ukulandelela izimpawu ze-COPD nokuhlonza izifo eziba zimbi kakhulu. Kubalulekile ukuqonda ukuthi i-CERT akuyona idayari yansuku zonke okufanele isetshenziswe ngale ndlela.
Ibhodi le-CERT Governance Board (GB)
Umgomo wethu uwukwenza i-CERT itholakale kubabukeli bomhlaba wonke beziguli, imindeni, nabahlinzeki bezempilo. I-Global Allergy and Airways Patient Platform (GAAPP), inhlangano engenzi nzuzo yomhlaba wonke ehlanganisa izinhlangano eziningi ezimela iziguli, yahola phambili ekusebenzeni kwe-GB ngoJulayi 2024 ngemvume evela ku-GSK, umnikazi we-copyright.
I-GB izogxila ekuqinisekiseni ubuqotho besayensi ye-CERT nesu lokuthuthuka ngenkathi isebenza nephaneli yamazwe ngamazwe Yesayensi Nomtholampilo yochwepheshe egxile ekuqinisekiseni, ekusabalaliseni, ekuhumusheni nasekusetshenzisweni kwe-CERT emasikweni ahlukene.
Amalungu ebhodi le-CERT Governance Board
- UDkt. Ruth Tal-Singer, PhD, USihlalo Wokusebenza Kwebhodi
Umphathi Omkhulu Wezesayensi
I-GAAPP, Vienna, Austria - USolwazi uPaul Jones, uSihlalo Wesisekelo kanye Nonjiniyela we-CERT
Udokotela Ophakeme Wocwaningo lwe-GAAPP (Umeluleki)
USolwazi Ohlala Emeritus, eDolobheni iSt George's, eNyuvesi yaseLondon - UMandeep Moore GphC, Ohola Imboni, GSK, UK
- USolwazi Toru Oga, Umsebenzisi Wocwaningo Lwezemfundo e-Asia Pacific
Umnyango Wezokwelapha Zokuphefumula, Isikole Sezokwelapha saseKawasaki
Kurashiki, Okayama, Japan - UDkt. Rainer Gloeckl, Phd
I-Institute for Pulmonary Rehabilitation Research,
Schön Klinik Berchtesgadener Land, Schönau am Königssee, Germany - Nandita Dandekar
Umsunguli kanye noMqondisi, i-Pink Tree Foundation,
I-Pink Tree Health, eMumbai, e-India.
Okubhekwayo
- Jones PW, Lamarca R, Chuecos F, et al. Isimilo nomthelela wokweqisa okubikiwe nokungabikwanga: imiphumela evela ku-ATTAIN. I-Eur Respir J. 2014;44(5):1156–1165. doi: 10.1183/09031936.00038814
- Wilkinson TM, Donaldson GC, Hurst JR, Seemungal TA, Wedzicha JA. Ukwelashwa kusenesikhathi kuthuthukisa imiphumela yokwanda kwesifo samaphaphu esingamahlalakhona. Ngingu-J Respir Crit Care Med. 2004;169(12):1298–1303. doi: 10.1164/rccm.200310-1443OC
- Leidy NK, Murray LT, Jones P, Sethi S. Performance of the Exacerbations of Chronic pulmonary disease ithuluzi isilinganiso somphumela obikwe ngesiguli ezivivinyweni ezintathu zomtholampilo zezifo ezingapheli ze-obstructive pulmonary. U-Ann Am Thorac Soc. 2014;11(3):316–325. doi: 10.1513/AnnalsATS.201309-305OC
- Betsuyaku T, Kato M, Fujimoto K, et al. Ukuhlolwa okungahleliwe kokuphathwa okusekelwe kuzimpawu ezigulini zaseJapane ezine-COPD. I-Int J Chron Obstruct Pulmon Dis. 2018;13:2409–2423. doi: 10.2147/COPD.S152723
- I-Langsetmo L, i-Platt RW, i-Ernst P, i-Bourbeau J. Ukubika ukukhushulwa kwesifo se-chronic obstructive pulmonary in a longitudinal cohort. Ngingu-J Respir Crit Care Med. 2008;177(4):396–401. doi:
- U-Jones PW, Wang C, Chen P, Chen L, Wang D, Xia J, Yang Y, Wang Y, Ma Q. Ukuthuthukiswa Kwethuluzi Lokuqaphela I-COPD Exacerbation (CERT) Ukusiza Iziguli Zibone Lapho Kufanele Zifune Iseluleko Sezokwelapha. I-Int J Chron Obstruct Pulmon Dis. 2022 Jan 21;17:213-222. doi: 10.2147/COPD.S337644. PMID: 35087270; I-PMCID: PMC8789323.
- Mackay AJ, Donaldson GC, Patel AR, et al. Ukusebenziseka kokuhlolwa kokuhlolwa kwesifo se-pulmonary esingamahlalakhona ukuze kuhlolwe ukuqina kokukhushulwa kwe-COPD. Ngingu-J Respir Crit Care Med. 2012;185(11):1218–1224. doi: 10.1164/rccm.201110-1843OC.
- Jones PW, Chen WH, Wilcox TK, et al. Ukulinganisa nokulinganisa izici eziyizimpawu zokukhushulwa kwe-COPD. Isifuba. 2011;139(6):1388–1394. doi: 10.1378/chest.10-1240.
- Leidy NK, Wilcox TK, Jones PW, et al. Ukuthuthukiswa kwe-EXAcerbations of Chronic Obstructive Pulmonary Disease Tool (EXACT): isilinganiso somphumela obikwe ngesiguli (PRO). Impilo Yegugu. 2010;13(8):965–975. doi: 10.1111/j.1524-4733.2010.00772.x.
- Leidy NK, Wilcox TK, Jones PW, et al. Ukulinganisa ukulinganisa kwezifo ezingapheli ze-pulmonary exacerbations. Ukuthembeka nokuba semthethweni kwedayari ebikwe isiguli. Am J Respir Crit Care M ed. 2011;183(3):323–329. doi: 10.1164/rccm.201005-0762OC.
- Jones, Paul et al. "Ukuthuthukiswa Kwethuluzi Lokuxhumana Phakathi Kweziguli Nodokotela Zokubona Ukwanda kwe-COPD eJapane." COPD ivolumu. 20,1 (2023): 216-223. doi:10.1080/15412555.2023.2219742
- Xing, Xiangju et al. "Ukuqinisekiswa Nokuhlaziywa Okuqhubekayo Kwethuluzi Lokuqaphela I-COPD Exacerbation (CERT)." I-Respirology (Carton, Vic.), 10.1002/resp.70159. 19 Nov. 2025, doi:10.1002/resp.70159
- Wang, Hao et al. "Ekubonweni Okungcono Kokukhushulwa Kwe-COPD Ngamathuluzi Okubika Agxile Esigulini." I-Respirology (Carton, Vic.), 10.1002/resp.70173. 25 Nov. 2025, doi:10.1002/resp.70173
- Gloeckl, Rainer et al. "Ingabe Imfundo Yesineke Ingahola Indlela? Ukuqhathaniswa Kwekhanda Nekhanda kwe-EXACT kanye ne-CERT Yokuqashelwa Kwangaphambi Kokukhushulwa Kwe-COPD." I-Respirology (Carton, Vic.), 10.1002/resp.70170. 30 Nov. 2025, doi:10.1002/resp.70170
- UGloeckl R, uTal-Singer R, uDeussen P, nabanye. Ithuluzi lokubona ukukhushulwa kwe-COPD: ukuhumusha, ulimi, kanye nokuqinisekiswa kwamasiko ahlukahlukene. I-Chronic Obstr Pulm Dis. 2026; 13(2): 147-157. doi: http://doi.org/10.15326/jcopdf.2025.0745
Ukusekelwa ngezimali okuhlinzekwe yi-AstraZeneca, i-Sanofi, i-GSK, i-Boehringer Ingelheim