5 Imibuzo Yokukunceda Uyifake
I-bronchitis engapheliyo iimeko eziqhubekayo ezibonakaliswe ngumkhwehlela owenzeka kwiintsuku ezininzi zenyanga, ubuncinane ubuncinane kwiinyanga ezi-3 ngaphandle konyaka, kwaye uhlala ubuncinane iminyaka emibini. Kucatshangelwa ukuba ukuxilongwa kwentsingiselo yokungabandakanyi ukuba ugqirha wakho kufuneka aqiniseke ukuba iimpawu zakho zokukhwehlela azibangelwa enye imeko efana ne-asthma. Iimpawu zibangelwa ukuvuvukala nokucaphuka kwe-airways kwimpang.
Ngaba iCOPD?
I-COPD okanye isifo esingapheliyo sokukhupha isifo sepulmoni sisoloko sisetyenziselwa ukuchaza umntu onomdlavuza ongapheliyo, i-emphysema, okanye umxube wezo zombini. Abantu ababini banokuthi babe neCOPD, kodwa umntu oyedwa unokufumana iimpawu ezihambelana ne-bronchitis engapheliyo ngelixa omnye umntu unokufumana iimpawu ezininzi ze-emphysema. Izigulane ze-Emphysema zifumana iingxaki ezininzi ngokuphefumula okuphambene nomkhuhlane ongapheliyo.
Izimpawu ezongezelelweyo ze-bronchitis engapheli zingabandakanya:
- Ukuveliswa kwemveliso yeekisi
- Ukukhwehlela okuvuthiweyo okusoloko kunzima kum
- I-airways evuthayo
- Ukunciphisa ukuhamba komoya
- Ukuqhekeka kwemiphunga
Iimpawu zisoloko ziqhubela phambili kwaye izigulane ziyakubona isicatshulwa ngasinye sokukhwehlela kunye nemveliso ye-mucus emva kokusuleleka kwintsholongwane yexesha elide kuthatha ixesha elide kwaye kuthatha ixesha elide ukuba libuyele.
Ukuba awuqinisekanga ukuba unayo i-bronchitis okanye i-asthma engapheliyo, ukuphendula le mibuzo emihlanu elandelayo kunokukunceda ukuba uqaphele isizathu esona sizathu:
1. Ngaba unayo iimpawu zokugula okanye isifuba njengomntwana? Nangona i-asthma inokuthi ifumaneke kwizigulane kwiindawo zazo ezingamashumi amabini, i-asthmatics ininzi ifunyaniswa kwintsana okanye ebusheni. Enyanisweni, uphando lubonisa ukuba oogqirha bokunakekela abaphambili baya kubhala izigulane ezindala ezine-asthma xa kunjalo zineCOPD, imphysema okanye i-bronchitis engapheliyo.
Ingaba oku kungakhokelela kwisicoco sezenzo esithintekayo kwiintlupheko ezinxulumene nocuba okanye esinye isizathu esicacileyo.
2. Yintoni eyenza iimpawu zam zibi nakakhulu? Iimpawu ze-asthma zixakeke ngakumbi xa zichazwa. Nangona iibangeli zihluka ukusuka kumntu ukuya kumntu, ukugqithisa iimpawu ze-astmma emva kokutshatyalaliswa kwezi zilandelayo ziyakwazi ukubonisa isifo se-asthma:
- Umsi wecuba
- Izilwanyana zezilwanyana
- Izibungu zothuli
- Iingqungquthela
- Mold
- Pollen
- Imozulu ephezulu
- Ukuzivocavoca
- Ukuxinezeleka
- Amanye amayeza
Ngakolunye uhlangothi, i-bronchitis engapheliyo ayichaphazelwanga nayiphi na yalezi zinto. Izifo ezithintekayo zokuphefumula ziyakwazi ukudala iimpawu ezongezelelweyo.
3. Ngaba ndiyomsi ngoku okanye ngaba ndithuma kwixesha elidlulileyo? Nangona i-bronchitis engapheliyo kunye nesifo se-asthma sinokuhlangana kunye, i-bronchitis engapheliyo ixhaphake kakhulu kubantu ababhemayo, ababeshushu nabokuqala kunye nabantu abanokutshatyalaliswa okukhulu kwimiba yengqumbo yengqumbo.
4. Ngaba ndikho na i-symptom-free? Njengoko kuchazwe kwingcaciso ye-bronchitis engapheliyo, imeko ifuna iimpawu eziqhelekileyo kwixesha elide. Isigulane esingapheliyo sesibindi sinexesha eliqhelekileyo sinokufumana iimpawu eziqhubekayo kwaye akunakwenzeka ukuba sibe nexesha elingasifanelanga lomsindo. Ngakolunye uhlangothi, izigulane zesifo se-asthma zihlala zifumana ukuxhoma kunye nokunciphisa iimpawu. Kubaluleke kakhulu, i-asthmatics ikwazi ukufumana ixesha elide ixesha elide ngokuxhomekeke kulawulo lwe- asthma .
5. Ngaba umsebenzi wam umphunga uya kubuya kwizinto eziqhelekileyo phakathi kokubandezeleka? Kuzo zombini i-asthma kunye ne-bronchitis engapheliyo, ugqirha wakho uya kuhlola iimvavanyo zepmonta ye- pulmonary ezifana ne- spirometry ne- FEV1 . Xa i-asthma ilawulwa kakuhle kwaye awunayo impawu yemisebenzi yakho yemiphunga iya kuba kufuphi. Umsebenzi ongapheliyo we-bronchitis umphunga wesifo awuyi kuphinda eqhelekileyo unyango.
> Imithombo
> Celli BR, MacNee W, i-ATS / ERS iqela lomsebenzi. Imigangatho yokuxilongwa nokunyangwa kwezigulane ngeCOPD: isishwankathelo sephepha le-ATS / ERS. UJur Respir J. 2004; 23 (6): 932.
> Intliziyo yeSizwe, iLung, neSigqeba seGazi. Ingxelo yePhaneli yeNgcali 3 (i-EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma zifikelele ngoMeyi 23, 2015.
> I-American Thoracic Society. Ziziphi izifo ezithintekayo eziPhephayo eziPhezulu (COPD). Kufumaneka ngoMeyi 24, 2015.
> Tinkelman DG, Ixabiso leDB, i-Nordyke RJ, i-Halbert RJ. I-misdiagnosis ye-COPD nesifo se-asthma kwizigulane zokunyamekela eziphambili zeminyaka engama-40 ubudala nangaphezulu. J Isifuba. 2006 uJan-Feb; 43 (1): 75-80.
> Kuebler KK, iBuchsel PC, iBalkstra CR. Ukuhlukana kwezifo eziphazamisekayo zokuphefumula izifo zesifo se-asthma. J Am Acad Nurse Pract. 2008 Sep; 20 (9): 445-54.