Ngaba umntwana wakho une-asthma? Oku kubonakala ngathi ngumbuzo olula, kodwa ngaphandle kokuba umntwana wakho eneempawu ze-asthma zeklasi, njengokukhwehlela, ukuvutha nokukhathaza ukuphefumula, mhlawumbi ungazi ukuba unesifo se-asthma.
Abantwana abaninzi banempawu ezinqamlekileyo, kubandakanywa ukukhwehlela ebusuku, ukukhwehlela okugqithiseleyo ngomsebenzi okanye umsebenzi, okanye nje ukukhwehlela okungapheliyo.
Kula bantwana, ingakumbi kwiintsana kunye nabantwana abaselula, isifo se-asthma sinokuba nzima ukuxilonga.
Abazali bavame ukubuza malunga 'nokuvavanya' babo abantwana nge-asthma. Kubantwana abadala, iimvavanyo zomsebenzi wamapulmoni kunye / okanye ukuhamba kweeprayim zivanyo ezinokukunceda ukufumanisa i-asthma, kodwa kunzima ukwenza kubantwana abangaphantsi kweminyaka engama-4-5 ubudala.
Ezinye izinto ezinokuthi zenzeke ukuba umntwana wakho ahlaziye isifo se-asthma ziquka ukuba abantwana abangaphantsi, ikakhulukazi iintsana kunye nabantwana abaselula, bangakwazi ukuvuthwa xa befumana intsholongwane ye-virus. I-brronchiolitis, ngokuqhelekileyo ibangelwa yi- RSV , iyona nto ibangela ukuqhuma kubantwana. Ukuba ngumntwana wakho wokuqala kwisiqwenga, kunye nekhongozo, impumlo ye-runny, kunye ne-fever, ke mhlawumbi i-bronchiolitis kwaye ayikho i-asthma yangempela, ngokukodwa ngexesha le-RSV (ukuwa kwexesha lokugqibela / ubusika / kwentwasahlobo).
Abanye abantwana abaxhaphazela kakhulu njengeintsana bafumaneka ukuba bane-Activity Airway Disease.
Ndicinga ukuba i-RAD ivame ukuxilongwa kwiintsana kuba iyakwazi ukuqhuma xa isifo sesifo sentsholongwane, kwaye akuthethi ukuba baya kuqhubeka behamba okanye bafumana iingxaki njengoko bekhula. Ukuba umntwanakho ukhululekile kwaye unemigca embalwa yokuqhuma nokukhwehlela, mhlawumbi unokufumana isifo se-asthma.
Ukuxilongwa kwesifo se-asthma kunokwenzeka ukuba umntwana wakho ufumana indumoniya, 'bronchitis' okanye i-bronchiolitis eninzi, ukuba 'ifakwe esifubeni sakhe' rhoqo xa ebanda, okanye ukuba unomkhuhlane ongapheliyo, ngakumbi xa busuku.
Unyango
Ukunyangwa kwezilwanyana ze-asthma kubandakanya uhlobo lwe-bronchodilator lwamachiza, njenge-albuterol, i-Proventil, i-Ventolin, okanye i-Xopenex, enokunikezwa nge-nebulazer, inerer doer inerer okanye isiraphu. Ukuhlaselwa ngokuthe ngqo okanye okunzima, i-steroid yomlomo, efana ne-prednisolone (Prelone) okanye i-Orapred, ikwafuneka kwakhona.
Iyeza zeBronchodilator nazo zibizwa ngokuba yi-'reliever' okanye 'ukuphucula ngokukhawuleza' unyango njengoko zikhupha iimpawu ze-asthma zomntwana. Zihlala zisetyenziselwa kuphela 'njengoko kufunekayo' kwaye umntwana wakho akafanele afune ukuwasebenzisa rhoqo ukuba i-asthma yakhe ilawulwa kakuhle.
Nangona i-albuterol ifumaneka njenge-siraphu, amayeza encedo ngokukhawuleza kaninzi anikezwa nge-nebulizer okanye i-inhaler ye-doered meter. Abantwana abancinci banokusebenzisa i-inhaler ukuba nabo banesicacisi kunye nemaski esana.
Amachiza okukhusela
Olunye uhlobo lwamayeza asetyenziswa ukuphatha i-asthma yimithi yokuthintela, enokukunceda ukukhusela iimpawu ze-asthma.
Ezi zibandakanya i-bronchodilators esebenza ixesha elide, njengeSerevent neForadil, kunye ne-steroids, njenge-Flovent, i-Qvar, i-Pulmicort, i-Asmanex ne-Azmacort. Iipulmicort iimpompo zihlobo lwe-steroids ezinokunikezwa nge-nebulizer kwaye luncedo kubantwana abancinci abangenakusebenzisa i-inhaler okanye abangayinyamezeli ukusebenzisa i-mask kunye ne-spacer. I-Advair ingumuthi omtsha wokudibanisa isifo se-asthma, esichaza i-Flovent ne-Serevent ibe yinto enye kulula ukusebenzisa i-powder inhaler eyomileyo.
Abaphikisi be-Leukotriene nenye inhlobo yonyango lokukhusela kwaye baquka i- Singulair , ifumaneka njengetekisi ehlaziyiweyo yabantwana abangaphezu kweminyaka emi-2 ubudala kwaye banikwe kanye kuphela ngosuku, kunye ne-Accolate, eboniswa kubantwana abangaphezu kweminyaka engama-7.
I-Intal yinye imithi yokuthintela kwaye iyatholakala njengesisombululo se-inhaler ne-nebulizer yesilinganiso semitha, kodwa ngokuqhelekileyo kufuneka isetyenziswe amaxesha 3-4 ngosuku ukuba isebenze.
Ngaba umntwana wakho une-asthma?
Oku kubonakala ngathi ngumbuzo olula, kodwa ngaphandle kokuba umntwana wakho eneempawu ze-asthma zeklasi, njengokukhwehlela, ukuvutha nokukhathaza ukuphefumula, mhlawumbi ungazi ukuba unesifo se-asthma.
Abantwana abaninzi banempawu ezinqamlekileyo, kubandakanywa ukukhwehlela ebusuku, ukukhwehlela okugqithiseleyo ngomsebenzi okanye umsebenzi, okanye nje ukukhwehlela okungapheliyo . Kula bantwana, ingakumbi kwiintsana kunye nabantwana abaselula, isifo se-asthma sinokuba nzima ukuxilonga.
Abazali bavame ukubuza malunga 'nokuvavanya' babo abantwana nge-asthma. Kubantwana abadala, iimvavanyo zomsebenzi wamapulmoni kunye / okanye ukuhamba kweeprayim zivanyo ezinokukunceda ukufumanisa i-asthma, kodwa kunzima ukwenza kubantwana abangaphantsi kweminyaka engama-4-5 ubudala.
Izifo Zengqondo Esebenzayo
Ezinye izinto ezingenza kube lula ukuba umntwana wakho ahlolisise umntwana wakho nge-asthma zibandakanya ukuba abantwana abaninzi abaselula, ikakhulukazi iintsana kunye nabantwana abaselula, bangakwazi ukuvuthwa xa befumana intsholongwane ye-virus. I-brronchiolitis, ngokuqhelekileyo ibangelwa yi-RSV, iyona nto ibangela ukuqhuma kubantwana. Ukuba ngumntwana wakho wokuqala kwisiqwenga, kunye nekhongozo, impumlo ye-runny, kunye ne-fever, ke mhlawumbi i-bronchiolitis kwaye ayikho i-asthma yangempela, ngokukodwa ngexesha le-RSV (ukuwa kwexesha lokugqibela / ubusika / kwentwasahlobo).
Isifo se-Airway esiSebenzayo okanye i-RAD isoloko ifunyaniswa kwiintsana kuba zikwazi ukuqhuma xa zineentsholongwane zentsholongwane, kwaye ayithethi ukuba baya kuqhubeka behamba okanye bafumana iingxaki njengoko bekhula. Ukuba umntwanakho ukhululekile kwaye unemigca embalwa yokuqhuma kunye nokukhwehlela, mhlawumbi unokufumana isifuba somoya, nokuba ngaba unobantwana besifo sonyango unobhala ngokusemthethweni njenge-asthma.
Ukuxilongwa kwesifo se-asthma kunokwenzeka ukuba umntwana wakho ufumana indumoniya, 'bronchitis' okanye i-bronchiolitis eninzi, ukuba 'ifakwe esifubeni sakhe' rhoqo xa ebanda, okanye ukuba unomkhuhlane ongapheliyo, ngakumbi xa busuku.
I-Variant Cough Variant Asthma
I-asthma iba nzima kakhulu ukunyanga ukuba umntwana wakho unomkhwehlela kwaye akahlali. Oogqirha abaninzi banqikazela ukuphatha aba bana ngokugqithiseleyo kwaye banokucinga ukuba umntwana wakho unobanda okanye ubhononisi. Ukuba umntwana wakho unomkhuhlane ongapheliyo uhlala ngaphezu kweeveki ezimbalwa, ingakumbi xa kunzima kakhulu ebusuku okanye ulandelelanise umzi womzimba, kufuneka ucele ugqirha wakho ukuba ingaba ingaba sisifo se-asthma.
Njengezinye iintlobo zokuhlaselwa kwesifo se-asthma, i-asthma eguquguqukayo ifanele iphathwe kakubi, ngokusetyenziswa rhoqo kwe-bronchodilator, njenge-albuterol okanye i-Xopenex, kunye ne-steroid yomlomo. Ukusebenzisa nje i-inhaler amaxesha ambalwa ngosuku kungenako okwaneleyo.
I-asthma yokuzivocavoca
Ukuzivocavoca kwakhona kuyisifo esivumelana nesifo se-asthma.
I-asthma (EIA) eyenziwa ngama-exercise (EIA) ngezinye izikhathi idideka kunye nezingane ezizinzileyo, nangona kunjalo.
Ingaba umntwana wakho unempawu ze-astmma eziba zibi nakakhulu xa edlala imidlalo okanye ezinye iintlobo zokuzivocavoca? Esikhundleni sokugwema imisebenzi yomzimba, iimpawu zesifo se-asthma zingaphuculwa okanye zithintelwe ngokusebenzisa i-'reliever' yeyeza ngaphambi kokuba le mi sebenzi.
Ezinye iintlobo ze-Asthma
Ezinye iintlobo ze-asthma zingaquka:
- I-asthma ye-astroma-asthma eyenziwa yizilwanyana ezithile, ezifana nesibumba okanye imithi ye-pollens
- I-Asthma yesifo se-nightcm - isifuba esingcono kakhulu ebusuku
- I-Steroid-Resistant Asthma - isifuba esingaphenduliyo kunyango nge-steroids
Nangona abantu abaninzi becinga ukuba i-asthma isifo se-asthma, ukuqonda ukuba kukho iintlobo ezahlukeneyo ze-asthma kunokunceda umntwana wakho athole ngokufanelekileyo.
> Imithombo:
> Intliziyo yeSizwe, iLung, neSigqeba seGazi. Izikhokelo zoLwazi kunye noLawulo lwe-Asthma. Julayi 2007.