Iimvumi ze-asthma ziphumelela kakhulu namhlanje ukuba xa izigulane zingenayo i-asthma engalawulwayo nangona ziphethe abalawuli abaninzi be-asthma, kukho isizathu sokukhathazeka. Ngokuqinisekileyo, inkxalabo enkulu yokuphefumula i-asthma kunzima kukuba umntu unesifo sokuphefumula ngesifuba sokuqala.
Kwakhona, izifo eziqhelekileyo ezinokubangela iimpawu ezinjenge- asthma , ezinjenge-bronchitis engapheliyo, i-emphysema, i-bronchiectasis, i-idiopathic pulmonary fibrosis, i-hypersensitivity pneumonitis, kunye ne-heart failure ye-heart failure, kufuneka iqwalaselwe kubantu abane-asthma.
Ngoko ke, i-asthma kufuneka iboniswe ngokuhlolwa kwemiphunga (i-spirometry), ingakumbi ukuba i-asthma enzima engaphenduliyo kunyango.
Ezi zilandelayo zi zihlanu zizathu eziqhelekileyo zokuba izigulane zinzima-ukulawula i-asthma.
Ukungasebenzisi iMida ngokuchanekileyo
Esi sizathu esona siqhelekileyo sokuba sisifo se-asthma kunzima ukulawula. Iipilisi zokulawula i-asthma ziphumelele kangangokuba xa i-asthma yomntu ingalawulwa nxamnye nokuba ithatha abalawuli ababini okanye abathathu be-asthma, kunokucingelwa ukuba isigulane asisebenzisi iyeza zabo ngokuchanekileyo okanye nonke.
Khumbula, oogqirha banokuthi baxilonge kuphela imeko yonyango, benze iingcebiso zonyango, kwaye baxoxe ngeengozi kunye neenzuzo zokuthatha amayeza ngokungawathathi. Isigqibo sokwenene ngokwenene unyango sigqibelele kwisigulane.
Iingxaki zokuLawula okungalawulwayo kunye neSinusitis engapheliyo
Ekubeni ukuvuvukala kwiphepha eliphezulu lokuphefumula, njenge-rhinitis ye-allergen ne-sinusitis engapheliyo, ichaphazela i-asthma, kuyaqhelekileyo kwizigulane ezinokungalawulwa kokungalawulwayo kunye nezifo zesifo ukuba zibe ne-asthma engalawulwayo.
Uninzi lwezi zi gulane alukwazi ukuba nolwazi olukhuselekileyo lwezonyango okanye izifo ezingapheliyo, ngenxa yoko izilingo zamachiza omzimba, ezifana ne-nasal steroid sprays, ziyinto efanelekileyo. Njengengxenye yokuvavanya kunzima ukulawula i-asthmatics, oogqirha ngokuqhelekileyo bajonga i-x-ray yeesono ukulawula ukusuleleka kwe-sinus.
Izifo ze-Reflux ze-Gastroesophageal (GERD)
I-GERD inokudityaniswa ne-asthma engalawulekiyo ekubeni i-asidi isisu isenokungenelela kwimiphunga kwaye ibangele iimpawu zesifo se-asthma. Iimpawu ze-GERD, ezifana ne-burping, ukunambitheka kwe-asidi emlonyeni, kunye nesantya sokuphakama kwisifuba, akunakuhlala kusekhona.
Ngoko ke, kwizigulane ezine-asthma ezingalawulekiyo, unyango olunegciwane le-GERD kufuneka lucatshangelwe. Ukungaqhelekanga kwezakhiwo, ezifana ne-hiatal hernias kunye ne-tracheoesophageal fistula, kunokukhokelela ekugqibeleni i-GERD yokukhangela kwiindlela zokwelapha.
Intambo yeCoco Dysfunction
Ngamanye amaxesha, i-asthma engalawulwayo ayiyi-asthma yonke into, oko kutheni amayeza e-asthma ayisebenzi. Intambo yokungasebenzi (VCD) yimeko yonyango eyenza ukulinganisa i-asthma kodwa ibangelwa iintambo zezwi ezivala ngaphandle kwendlela yokuhamba, ezikhokelela ekuphefumlweni okufutshane kunye nezandi ezinjenge-wheezing.
Nangona iVCD engeyona isifo esisongela ubomi, nabani na (kubandakanya oogqirha abakwaziyo oko kwenzekayo) obona isigulane ngeVCD uya kucinga ukuba loo mntu uyagula.
Ukuqwalasela i-VCD kufuneka kwenziwe kwiphina isigulane ngesifo sokuphefumula. Ukuxilongwa ngamanye amaxesha kungenziwa nge-spirometry kodwa kukufumanisa kakuhle ngokubonakala ngokuthe ngqo kwintambo yezwi usebenzisa i-endoscopy yomlomo.
Ezinye izifo
Izifo ezingaqhelekanga eziza kuqwalaselwa xa umntu engakwazi ukulawula i-asthma ziquka i-aspergillosis ye-bronchopulmonary, i-Churg-Strauss, i-immunodeographical, kunye ne-cystic fibrosis kubantwana. I- allergenist ingakwazi ukubona ukuba yintoni eyenza ukuba u-asthma ube nzima ukulawula.