Izimo zonyango ezenza i-asthma ibe nzima

Indlela yokuphatha le miqathango inokuphucula ulawulo lwe-asthma

Ukuba i-asthma yakho ayilawulwa kakuhle nangona kukho iinzame ezingcono, kunokubakho iimeko ezikhoyo zonyango ezimi ngendlela yakho. Abanye bangabangela ukuhlaselwa ngokuthe ngqo xa abanye bongeza nje umthwalo wempawu zokuphefumula. Ngoko ke, kuyacaca ukuba, ngokuphatha le miqathango, uya kuba nokukwazi ukuphepha ukuhlaselwa nokugcina ulawulo lwe-asthma.

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I-Acid Reflux ne-Asthma

Isifo se-reflux ye-Gastroesophageal (GERD) yenye yeemeko eziqhelekileyo ezinokubangela ukuba kubekho ulawulo lwe-asthma. I-GERD ivela xa i-acid isisu ivuza kwakhona kwi-esophagus, ibangela ukucaphukisa, ukuhlaziya, nokuxinzezeleka. Kubonakala ngathi kukho iindlela ezimbini ezahlukeneyo zezi:

• I-reflux iyanqumla i-nerve bining in the oopopus kwaye ibangela i-bronchospasms (iipasms of passages passages).
• Xa i-asidi ihamba ukusuka esiswini sakho ibe yimiphunga yakho, iindinyana ziya kuthoba ngokuzenzekelayo, zibangele impendulo yokuphendula.

Unyango olunamayeza angapheliyo kunye nokukhawuleza olusebenzayo lwe-GERD unokukunceda ukulawula imeko kwaye uncede ukunciphisa i-reflux ngexesha lokuhlaselwa kwe-asidi. Ukutya kunye neendlela zokuphila kunokunceda.

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Ukunyanyeka kunye ne-Asthma

I-asthma ayifani nje ngokuqhelekileyo phakathi kwabantu abangaphezu komzimba kunye nokugqithisa, kunzima ukuba kube nzima kwaye kwenzeke ngamaxesha amaninzi. Umngcipheko ubonakala omkhulu kunabantwana kunye nabasetyhini abadala.

Ukusebenza ngokusemzimbeni akubonakali kunceda. Isisindo kunye nesisindo sodwa sinokuhlukanisa phakathi kokukwazi ukugcina ukulawula i-asthma okanye cha. Ukufumana iipounds ezi-5 nje kuphela kunokukwenza umehluko omkhulu, obangela ukuba:

• Iipesenti ezingama-22 eziphantsi kokulawula i-asthma
• Iipesenti ezingama-31 zandise imfuno ye-steroid yomlomo
• Ukunciphisa ama-18 ekhulwini kumgangatho wobomi wobomi

Ngokwahlukileyo, ukulahlekelwa isisindo kunye nesifo se-asthma kusenza umsebenzi ophuculweyo wemiphunga, ukunciphisa ukunyuka kwamanzi, ukuphucula umgangatho wobomi, nokunciphisa ukuxhomekeka kwimiyeza ye-corticosteroids.

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I-Apnea yokulala ne-Asthma

I-apnea yokulala yokuvuthwa (OSA) iyancipha ukuba ingaxilongwa kubantu abane-asthma. Oku kungenxa yokuba, xa i-asthma ifunyaniswa, sihlala sidibanisa zonke iingxaki zokuphefumula ngesifo se-asthma kwaye asikhangeleli.

Ukuphefumula kokuphefumula kubangelwa xa i-airway engenhla isaphazamiseka ngokupheleleyo xa ilele, iphazamise ukukwazi ukuphefumula komntu, ikhulise umngcipheko wokuhlaselwa emini nasemini. Iimpawu ze-OSA ziquka:

• Ukukhawuleza
• Ukulala ngokugqithiseleyo kwemini
• Ukuphefumula xa ubuthongo (ngokugqithiseleyo kubonwa ngumlingane womntu obhede)
• Iintloko zamasa

I-OSA iphathwa ngokunyanzeliswa kwengcinezelo ehamba phambili (CPAP) ekhupha umoya ngokusebenzisa inkqubo yokuhanjiswa kwengcinezelo . Oku bhetele kubonisa ukuphefumula ebusuku, ngaloo ndlela kunciphisa intambo enokuthi ivuselele ukuhlaselwa emini.

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Rhinitis kunye ne-Asthma

I-Rhinitis (ngezinye izihlandlo ebizwa ngokuba yi-hay fever) ibonakala iyisiphumo esilungileyo sokuhlaselwa kwesifo se-asthma. Nangona kunjalo, abantu abaninzi abane-asthma abazenzi umzamo ofanayo wokulawula ukunyamezela kwabo njengokuba benza isifuba sabo se-asthma.

Kwaye inyaniso, abo babini bahamba ngesandla. Naluphi na ukuvuvukala kwendlela ephezulu, kukho ithuba elihle lo moya ophantsi oya kuphazamiseka, ngokunjalo. A

Ngaphezu koko, i-rhinitis ayinxulumene nje neentlungu. Kukho iifom ezingafaniyo zeemeko ezibangelwa utshintsho lwe-hormone ( ukukhulelwa kwe-rhinitis ), ukusuleleka kwintsholongwane okanye i-bacteria, utshintsho lwendalo ( vasomotor rhinitis ), kunye nokusetyenziswa kwamachiza.

Iimpawu ezinxulumene neentlungu, i-antihistamines kunye ne- intranasal steroid spray zinganceda ukunciphisa iimpawu ezingabangela ukuhlaselwa. Ukuba isizathu asihambelani ne-allergies, kunokufuna ukuba ubone ingcali ekwazi ukuqhuba iimvavanyo zegazi, iimvavanyo zesikhumba, kunye ne-endoscopy yangasese ukuze ubhekise phambili isizathu.

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I-Sinusitis engapheliyo kunye ne-Asthma

I-sinusitis engapheliyo ibonakaliswe ngomsindo wamanzi, impumlo ehambayo, i-post-nasal drip, ukuxininisa kwesisu, uxinzelelo lwe-sinus, okanye intlungu yesono ehlala ngaphezu kweveki ezili-12. I-sinusitis engapheliyo ingenza ulawulo lwe-asthma lube lukhuni kunzima ngenxa yokuvuvukala kwezinga eliphantsi, elinokuthi lichaphazele zombini ophezulu nangaphezulu.

Nangona kukho inkolelo ephakamileyo, i-sinusitis ayiyonto nje eyenzekayo. Ingabangela ukusuleleka kwintsholongwane okanye i-fungal, i-reaction ye-aspirin, okanye ukuvuvukala okungekho nto (ngokuqhelekileyo kubonakaliswe bubungqina be- polyps ).

Ukuba ama-antihistamines okanye ama-decongestants akakwazi ukunyanga iimpawu ze-sinus, jonga ugqirha wakho. Kwezinye iimeko, ukukhwabanisa kwamanzi kunokunceda xa kunokwenzeka ukuba unyango oluthile lunokuphathwa ngamachiza omzimba okanye i-antitifungals. Ngexesha eliqhelekileyo, utyando lwe-polyp yolwazi lungasetyenziselwa ukuba zonke ezinye iinzame zokulawula i-sinusitis engabonakaliyo.

> Imithombo:

> Alkahlil, M .; Schulman, E .; kunye noGetsy, J. "Ukukhusela i-Apnea Syndrome ne-asthm: Yiziphi izixhumanisi?" Umbhalo we-Clinical Sleep Medicine. 2009; 5 (1): 71-78.

> Feng, C; Miller, M .; kunye noSimon, R. "Ubumbano oluhlangene nomoya womoya: Ukuxhamla phakathi kwe-rhinitis, i-asthma ne-sinusitis engapheliyo." I-American Journal ye-Rhinology ne-Allergy. 2012; 26 (3); 187-190.

> Mastronarde, J. "Ngaba Kukho Ubuhlobo Phakathi kweGERD ne-Asthma?" Gastroenterology kunye neHepatology. 2012; 8 (6): 401-403.

> Scott, H .; Gibson, P .; Garg, L; okqhubekayo. "Ukunciphisa ukutya kunye nokunyanzeliswa kukuphucula ukuvutha komoya kunye neziphumo zeklinikhi ekugqithiseni ngokweqile kunye nokuphefumula komzimba: isilingo esingenangqondo." I-Clinical & Expermental Allergy. 2013; 43 (1): 36-49.

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