I-asthma isifo esingapheliyo, esithetha ukuba ayisoze yaphiliswa ngokupheleleyo. Ngenxa yoko, kubalulekile ukuba uzame ukuba nolwazi ngemiphumo engapheliyo yexesha elide. Ngoxa i-asthma ayikwazi ukuphiliswa, inokuphathwa. Kukho amanyathelo onokuthatha ukulawula iimpawu ze- asthma kwaye unciphise imiphumo yayo yexesha elide.
Okokuqala, kubalulekile ukuchaza i-asthma njengemeko enempawu ezintathu eziphambili:
- Ukwanda okwenziwe kwiimiphunga
- Ukuqiniswa kwezihlunu ezijikeleze i-airways encinci
- Ukuvuvuka kweendlela ezincinci zomoya
Elinye lala macandelo linokuchaphazela impilo yakho ngeendlela ezahlukeneyo.
Kutheni I-Asthmatics Cough Up Mucus More?
Amaseli kwimiphunga ekhupha iikhemikhali (abalamlamli abaziwa njengama- cytokines ) okukhokelela kumazinga aphezulu e-mucus kwi-airway. I-mucus inokufakwa kwi-airway, ifake kwi-wheeze kunye nekhwehlo ovakalelwa ngayo xa unesifo se- asthma okanye uveza iimpawu ze-asthma. Ezi ziquka ukuphefumula , ukukhwehlela, ukuqina kwesifuba , okanye ukujikeleza .
Ukususela kwixesha elide, le ngqungquthela inokunyusa ithuba lokuba usulelo olunjenge- pneumonia luvela. Izifo eziphindaphindiweyo zingakhokelela kwiinkathazo ezibandakanya ukuchasana kwamagciwane, ngaphezu kokukhawulwa kwemiphunga ngokwabo. Ukukhawulwa okunjalo akupheli kwaye kunokukhokelela kumonakalo ongapheliyo wemiphunga.
Ukuze uthintele ukuqokelela i-mucus, kubalulekile ukuba uzame ukukhusela ukuhlaselwa kwe-asthma .
Oku kunokufezekiswa ngokusetyenziswa kweemithi zokulawula kunye nokuphepha kwezinto ezinokubangela izifo ezinjengothuli, ipollen, kunye nomsi wocuba.
Ezi zonyango zinceda ukukhuselwa kwe-asthma ngokulawula ukuvutha nokunciphisa umkhiqizo we-mucus. Eminye imizekelo ibandakanya i-inhalers njenge- Advair , i- Symbicort , ne- Flovent .
Ngaphandle kokuba ukhuphe ukwanda, unokunciphisa amathuba okuba ne-pneumonia okanye i- bronchitis . Xoxa nodokotela wakho wokugulisa okanye ugqirha wokunyamekela nge-asthma yakho, kwaye uxoxe ngokusetyenziswa kwamachiza okulawula ukukhusela umonakalo omde.
Ukuba unempawu ezingaphezulu kweentsuku ezimbini ngeveki, sebenzisa i-inhaler yakho yokunceda ngaphezu kwamaxesha amabini ngeveki, okanye uvuke ebusuku ngokuphindwe kathathu ngenyanga, i-asthma yakho ayilawulwa kakuhle. Kusenokwenzeka ukuba uya kuyidinga imithi yokulawula okanye umthamo okhulayo weyeza lakho langoku.
Kutheni i-Asthma Isenza Isibilini Siphephe Ukuqina?
Ukuqiniswa kwezihlunu ezijikelezayo kwimizila ye-airways kuyaziwa ngemigqirha yezokwelapha njenge- bronchospasm . Xa le nkqubo ingapheliyo, kunokukhokelela ekunciphiseni ukunyamezela. Ngokuhamba kwexesha, oku kungakhokelela kumazinga aphezulu okukhuluphala, isifo sikashukela, uxinzelelo lwegazi oluphezulu kunye nezinye iimeko ezinxulumene nendlela yokuphila.
Ukuba unesifo sokuphefumula ngesifo somzimba, le nkqubo ilawulwa kakuhle. Xa unolu hlobo lwe-asthma, sebenzisa i- albuterol yakho inhaler 10 ukuya kwemizuzu engama-15 phambi kokuzivocavoca-okanye ngexesha lokuzivocavoca, ukuba kufuneka. Oku kudla ngokunyamekela iimpawu zakho kodwa akuthethi ukuba uya kuba ngumgijimi osheshayo.
Amanye amayeza afana ne- Singulair okanye ama-steroids angayinayo angakunceda ukuba i-albuterol ihluleke ukulawula iimpawu zakho ngokwaneleyo .
I-astmma yakho ayifanele ifumane indlela yokusebenzisa umzimba, kwaye kufuneka uxoxe naluphi na ukukhathazeka nge-asthma ezinxulumene nokusebenza kunye ne-allergenist yakho. Injongo yakho kukunciphisa impembelelo ye-asthma ebomini bakho kwaye ungakuvumeli ukuba uthinte inxaxheba kwimisebenzi oyifunayo.
Yintoni eyona nkxalabo ephezulu kakhulu nge-asthma engalawulwayo?
Nangona i-muscus eyandisiweyo kunye nokuxinwa kwemisipha yinkathazo, ukuvuvukala okungapheliyo kwe-airways kuyona yingozi kakhulu yentshukumo ye-asthma.
Inkqubo eyaziwa ngokuba yi-airway remodeling ingenzeka kwiminyaka emininzi, ekhokelela ekugqibeleni kompompo. Le nkqubo iphumela kwizibilini ezingapheliyo nezingalawulekiyo ezinokuthi zenzeke emva kwexesha. Ukuba uhluleka ukulawula kakuhle i-asthma yakho, umphumo wokugqibela unokufana neCOPD emva kweminyaka emininzi.
Kule meko, njengemiphunga yemiphunga , izicubu eziqhelekileyo zemiphunga zithatha indawo yesikhumba esinqabileyo. Izicubu ze-Scar ayisebenzi njengemiphunga evamile, ishiya izigulane ezinomonakalo omkhulu wamaphaphu kwezinye iimeko. Kwiminyaka emininzi, ezinye zezi zi gulane zifumana ukukhubazeka okukhulu ngenxa yoko.
Njengoko kuveliswa umkhiqizo we-mucus, kwimeko yokulungiswa kwe-airway, ukufumana ulawulo olufanelekileyo lwe-asthma yindlela efanelekileyo yokukhusela iingxaki zexesha elide. Oku kuthetha ukufumana amayeza okuhlangula atholakala xa kuyimfuneko, ngaphezu kweyeza lakho lokulawula isifo se-asthma. Ukusetyenziswa ngokufanelekileyo kweziyeza ze- asthma kufuneka kukuvumele ukuba uphile ubomi obunempilo, obunempilo, kunye nempawu ezinxulumene nesifo se-asthma.
ILizwi
Okokuqala, kukulungele ukumbona ugqirha wakho nokuphuhlisa isicwangciso senkqubo yesifuba. Le yindlela yakho yokwenza ulawulo lwe-asthma oluhle. Ikwaxelela oko kufuneka uyenze yonke imihla kunye noko kufuneka uyenze xa uhlakulela iimpawu. Ukongezelela, isicwangciso sichaza ukuba nini kwaye kukuphi na amayeza okufuneka uthathe amayeza akho. Isicwangciso sinokutshintsha ngexesha, ngoko uzama ukuyihlolisisa rhoqo kunye nogqirha wakho.
Kwakhona ingcinga efanelekileyo ukufumanisa izifo zakho ze-asthma kunye nokubeka iliso iimpawu zakho. Ezi zombini zezi zivumela ukuba ukhangele isicwangciso sakho sokusebenza uze ubone ukuba yeyiphi na amanyathelo okufuneka athathwe.
> Imithombo:
> Fahrenbach H, Wagner C, Wegmann M. Airway Remodeling kwi-Asthma: Ziziphi izinto ezibalulekileyo. Uphando lweeTisculi zeSeli. 2017; 367 (3): 551-569. i-doi: 10.1007 / s00441-016-2566-8.
> Iintlanganiso zeTL, et al. Izicwangciso zeNtsebenzo zeAsmans Plans kuBadala abane-Asthma. I-Cochrane Database yeeNkqubo eziPhononongo. 2017; 4: CD011859. i-doi: 10.1002 / 14651858.CD011859.pub2.
> Intliziyo yeSizwe, iLung negazi. Yintoni i-Asthma? 2014. https://www.nhlbi.nih.gov/health/health-topics/topics/asthma.