I-Allergies, GERD, iSinusitis kunye ne-Sleep Apnea
I-asthma yebusuku yintlungu ye-asthma ngexesha lokulala ebusuku. Kodwa ngenxa yokuba une-asthma, ke, akuthethi ukuba uya kuba nobunzima beempawu ze-asthma ebusuku. Enyanisweni, kutheni abantu befumana iimpawu ze-asthma ezibuhlungu kunye nomgangatho oswelekileyo wokulala awuqondwa kakuhle. Kukho ubungqina obubonisa ukuba iingxaki ezininzi zeendlebe, impumlo kunye nomphimbo kunokwandisa amathuba okuba ufumane i-asthma.
Ubuninzi be-Asthma yasebusuku
Ukuba unokuxilongwa kwesifo se-asthma, mhlawumbi uya kudla ngexesha elithile ufumana iimpawu zesifo se-asthma. Nangona kunjalo, ngesiseko esifanayo, malunga nama-47 kuphela kuma-asthmatics angama-100 aya kufumana i-asthma yesantya imihla ngemihla. Ukuba umntwana wakho ufumaneka ukuba une-asthma, nokuba kunjalo, mhlawumbi banamaqondo angama-30 ephakamileyo emngciphekweni wokuhlaselwa kweempawu ebusuku. Ukunyanga okunyanga kubantwana kunye nabantu abadala kufuneka bafunwe, njengoko ukulala kokuhlwa kunokuchaphazela ubudlelwane, isikolo okanye ukusebenza komsebenzi, kunye nempilo yonke yengqondo nengqondo.
Iimpawu zeNtsholongwane kaNtshonalanga
Iimpawu ze-asthma zantlanu zithe ngqo kwaye zilula ukubona. Iimpawu ezintathu eziqhelekileyo eziza kuba namava ukuba unokubona ukuba ukuqhuma kwe-asthma exerbia kubandakanya:
- ukukhwehlela
- ivili
- ukuphefumla
Iimpawu ezibhalwe apha ngasentla zibangelwa njengoko ufumana ukuvuvukala kwee-airways ngexesha elifanayo ukuba unokuphungula emsebenzini wakho wempuphu jikelele.
Iimpawu zenzeka xa ulala phantsi uzama ukulala, okanye unokuvusa phakathi kobusuku.
Iziphazamiso ezi-4 ezinokubangela i-Asthma yasebusuku
Kukho iingxaki ezi-4 eziphambili zeendlebe, impumlo, nomqala onokubangela ukuba unobungozi bokuphefumula nge-asthma ebusuku.
Unokubona ezi zibhekiselwe kwiimeko ezinobunzima okanye iimeko eziye zenzeka ngexesha elifanayo. Kubalulekile ukuba uqaphele ukuba le miqathango ayiyiyo imbangela yesifuba sobusuku, kodwa kunokuba inokukunceda ukuba ulungele ukuba ube neqhezu kodwa ungongeza ingozi yokuba neepasodes eziqhelekileyo.
Ukuboniswa kwe-Allergen kunokunyusa izinga lokuvuvukala kwi-airways. Iimvumba ezithinjwa kwiindinyana zamanxiba zinokukwazi ukufikelela kwi-airways ngexesha leengqungquthela zokuhlutha. Njengoko uhambo lwenu luya kutshabalala, kwaye ukutyekela komzimba ukunyuka komsebenzi wamaphaphu ebusuku (ngenxa yeengcamango zeccadian) unokufumana ukukhwehlela, ukuvutha okanye ukuphefumla.
I-GERD , okanye isifo se-reflux yesifo se-gastroesophageal , yintlupheko apho i-acidic contents from the stomach reflux , okanye ukuhamba, iphinda iphinde ikhuphe i-esophagus. Xa ubunzima beGERD buphakamileyo ngokwaneleyo, umxholo onobumba ungonakalisa i-airways kunye ne-oopopus. I-bronchoconstriction, okanye ukuqiniswa kweendlela ezihamba phambili, ezinokuthi zenzeke kunye nefuthe elifutshane kwizinto ezinesisu esisisigxina, ezinokubangela ukugqithisa kwempawu zakho ze-asthma.
I-Sinusitis , efana ne-exposure ye-allergen, ingabangela ukuvuvukala kwe-airways yakho.
I-Post-nasal drip ingadibana ne-airways eyenza i-bronchoconstriction. Ukunciphisa i-airways kungakhokelela kwiimpawu ezinxulumene ne-asthma.
Ukuvuthwa kwe-apnea yokulala (OSA), ngelixa liqwalaselwa yimeko ekwazi ukukhubaza isifuba somoya, asinayo indlela eqondwa kakuhle. Nangona kunjalo, kukho izifundo ezibonisa ukuba ukusebenzisa ii-CPAP izixhobo ze-CPAP ze-OSA ziboniswe ukunciphisa iimpawu zesifo se-asthma. Nangona kunjalo, i-CPAP ngaphandle kwe-OSA ayibonisi nayiphi na impembelelo kwimpawu ze-asthma ebusuku.
Unyango lwe-Asthma yasebusuku
Unyango lwaluphi na uxinzelelo lwe-comorbid (njengentlungu, i-GERD, i-sinusitis, okanye i-OSA) ibalulekile kulo lonke ulawulo lwe-asthma.
Qinisekisa ukuba nayiphi na le miqathango iphatha kakuhle xa ufumana iimpawu ze-asthma zasebusuku.
Enye indawo oyifunayo ukuqinisekisa ukuba uphathwe kakuhle yi-asthma yakho. Ukuba ufumana enye impawu okanye isifo se-asthma nganye iveki, unganakho ukufumana i-asthma elawulwa kakuhle kwaye kufuneka uxoxe ngokuphucula imirhumo yakho yonyango kunye nogqirha wakho. Amachiza aqhelekileyo okulawula i-asthma yakho zibandakanya:
- I-glucocorticoids ye-inhaled okanye yomlomo
- I-beta-agonists esebenze ixesha elide
- Theophylline
- Leukotriene inhibitors
Ungaze ukwandise amayeza akho ngaphandle kokubonisana nodokotela. Ugqirha ogqwesileyo ukulawula i-asthma yakho yi-pulmonologist. Izimpawu ezincinci ezincinane zesifo se-asthma nakuba ingalawulwa ngugqirha wakho wokunyamekela.
Imithombo:
Ginsberg, D. (2009). I-Monster engaziwayo kwiBhedi-Ukuhlola i-Asthma yasebusuku kubantwana. Mcgill J Med. 12 (1): 31-38.
UMartin, uRJ. (2015). I-asthma. Kufumaneka ngoJulayi 16, 2016 ukusuka ku-http: //www.uptodate.com (Ubhaliso olufunekayo).