Isifo se-Asthma kunye nexesha lakho lokuya esikhathini
Njengoko i- premenstrual syndrome (PMS) inokubangela ezininzi iimpawu ezinomsindo, usenokufumana "isifuba sokuphefumula kwangaphambili" ngaphambili naphakathi kwexesha lokuqala lexesha lakho. Izigulane ezine-asthma ezinzima zicingelwa ukuba zisengozini enkulu. Oku kubonakala ngokunyuka kweempawu zakho ze- asthma , ezifana:
Enyanisweni, ukususela kwi-20% ukuya kwi-40% yabasetyhini babika ukunyuka kweempawu ze-asthma ngexesha lexesha eliphambili leenyanga. Ukwanda kweempawu ze-asthma kucatshangelwa ukuba kubangelwa ukuhla kwamazinga e-hormone, zombini i-estrogen kunye ne-progesterone, kodwa izizathu ezichanekileyo aziqondi kakuhle. Inani elincinci leengxelo liye labonisa ukunyuka kokungaphelelanga kunye nokusebenza kweseli yesikhumba ngexesha lokuya esikhathini. Ukongezelela, izifundo zibonise amanqanaba aphakamileyo e-nitric oxide, umakishi owaziwayo wokuvuvuka kwamanzi, ukuba aphakanyiswe ngexesha lokuhamba kwimihla. Ekugqibeleni, ezinye iingxelo zibonise ukuba kuncipha ekuphenduleni kwiiseli (beta adrenergic receptors) ezihlangula i-inhalers zenza njalo kwaye oku kunokuchaphazela iimpawu ze-asthma kwizigulane ezine-asthma zangaphambili.
Uninzi lwabasetyhini apho ama-mens enza ukuba i-asthma iphendule kwi-asthma yonyango.
Ukuba awuqinisekanga ukuba ixesha lakho lichaphazela i-asthma yakho, unokufuna ukubeka iliso iimpawu zakho ngokukhawuleza kwaye ugcine idayari ye-asthma.
Nazi ezinye iindlela zokwenza unyango wena kunye nogqirha wakho unokuxubusha ukuba une-asthma yangaphambili:
- Ukwandisa imithi yokulawula kwiveki phambi kokuba ixesha lakho liqale. Ngokwenene, ukuhamba kwakho kwangaphambi kokuya esikhathini kunokuphathwa naluphi na uhlobo oluthile kwaye wena kunye nogqirha wakho bakhule iqhinga lokujongana nalo. Kukho ingcinga yokuba ukongeza kwe-beta-agonist esebenza ixesha elide kwisigxina sesibini somjikelezo wesini kunokunceda.
- Ulwaphulo lweHormone ngeepilisi zokukhusela ngomlomo ukulawula kangcono amanqanaba e-hormone. Uninzi lweengxelo ezincinci zibonakalise ukuphuculwa kobugqirha beempawu ze-asthma kunye nokuphucula kwimilinganiselo yeinjongo ezifana nemirhumo ye-spirometry, ukunciphisa izibhedlele, kunye nokunciphisa inani le-steroid yemihla ngemihla ngokusetyenziswa kwemithi yokukhulelwa komlomo. Uphando olongezelelweyo uphuculo lwamaxwebhu xa amayeza ekujoliswe ekupheleni kweemens asetyenziswa.
- Ukusebenzisa i- inhaler yakho yokunceda njengoko kuyimfuneko kwaye uqaphele ukuba ugweme ezinye izifo ezibangelwa yi-asthma.
- I-Leukotriene inhibitors njenge-Singulair okanye i-Accolate, enokuthintela iimpawu ze-asthma ezihlobene neenguqu kwizinga lakho le-hormone.
- Ukuphepha i-NSAID ukwenzela unyango lweempawu ze-PMS ukuba uyabakhathalela.
> Imithombo:
> Brenner BE, Holmes TM, Mazal B, Camargo CA. Ulwalamano phakathi kweSigaba seNkqubo yokuHluleka kweMithini kunye neNtshumayelo ye-Asthma kwiSebe eliPhezulu. I-Thorax 2005; 60: 806-809.
> Pasaoglu G. Leukotriene Receptor Antagonists: Ukhetho Oluhle Kwonyango Lwe-Asthma Ye-Premenstrual? J Isibilini 2008; 45 (2): 95-9.
> Dratva J, Schindler C, Curjuric I, et al. Ukwanda kwe-Perimenstrual kwi-Bronchial Hyperreactivity kwi-Women's Premenopausal: Iziphumo ezivela kwi-SAPALDIA 2 Ibutho labantu. J Allergy Clin Immunol. 2010; 125: 823-9.
> Mary HH Ensom, uGina Chong, uDanyi Zhou, uBev Beaudin, uStephen Shalansky kunye noTony R. Bai (2003) I-Estradiol kwi-Asthma ye-Premenstrual: I-Double-Blind, i-Randomized, i-Placebo-Controlled, iCrossover Study. I-Pharmacotherapy : Umqulu 23, Issue, iphe. 561-571
> I-Tan KS. I-Premenstrual Asthma: Epidemiology, i-Pathogenesis, kunye neMithi yoLonyango ka-2001; 61 (14): 2079-2086.
> Blumenfeld Z, uBenter L, Yoffe N, Alroy G, uRubin AH. Isisu sokusasa kwesimo: Ukusetyenziswa kwe-Gonadotropin-Ukukhulula i-hormone ye-horlogone ye-Treatment of Cyclic Aggravation ye-Bronchial Asthma. Fertil Steril . 1994 Jul; 62 (1): 197-200.