Kwongezelelo kwi-Doctor's Asthma
Ugqirha ogqithisileyo , obizwa ngokuba yi-PCP okanye ugqirha weentsapho, uhlala ekhokela njengenkokheli yeqela lakho lezempilo. Nangona ezinye iingcali ze-asthma zisebenza njengogqirha wezonyango eziphambili kwizigulane zabo, ngamanye amaxesha ndifumana ukuhanjiswa kwinqununu kwiingcali ze-asthma. Izigulane ngamanye amaxesha zididekile malunga nokuba kutheni oku kwenzekayo kwaye ndibe negulane abacinga ukuba bashiywe (kungekho imeko) ngabagqirha babo abathandayo.
Yiyiphi Inqanaba loNonophelo loNgcali-ngcali
Umbuzo wokuqala ndifumana kwizigulane ze-asthma okanye ngabazali malunga nokuba ngaba abadinga ugqirha wokunakekelwa oyintloko okanye akunjalo? Kuhamba into efana nale "Kutheni sifuna ukubona omnye ugqirha," okanye "Ngaba wena kunye noDkt X uya kuvuma ngokunyamekela kwethu?" Ngokuchazwa ngokugcwele, ndingumgqirha wokunyamekela ngokusisigxina emsebenzini wam, ngoko ke akumangalisi ukuba ndiya kuthetha ewe-ndicinga ukuba wonke umntu ufuna i-PCP. Ndiyazi ukuba oku kungabi yinto elula izigulane ezininzi zikhalaza ukuba zinzima ukufumana i-PCP . Amaninzi amaninzi ase-US, ngokukodwa iindawo zasemaphandleni zifumana ukunqongophala kokunqongophala. Ukongezelela, i-inshorensi yakho inokuthi iqinisekise ukuba ungubani.
Ugqirha wakho oyintloko ugqirha zonke iinkonzo zakho zezempilo kwaye kufuneka usebenze njengenkokheli yeqela lakho lezempilo. Kwiimeko ezininzi, kuya kuba ngudokotela wakho oyintloko ugqirha ochaza ukuba ufuna ukuhanjiswa okuzodwa kwaye mhlawumbi unokunika iziphakamiso ezisekelwe kwiimfuno zakho.
Ukuba, umzekelo, kufuneka ubone i- allergerist kunye ne- pulmonologist , i-PCP yakho iya kulungelelanisa ukunakekelwa phakathi kwezi ngcali ezimbini. I-PCP yakho inokukunceda uqonde kwaye wenze izigqibo ukuba ufumana iziphakamiso ezahlukileyo kwiingcebiso zakho ezikhethekileyo.
Ugqirha wakho we-asthma ekhethekileyo angenakufuna ukukubona ngenxa yokusuleleka kwe-urinary tract, intlungu yesisu okanye ezinye iingxaki zonyango.
Ezinye iingcali ze-asthma zingenakuziva zikhululekile ukulawula imiba yokukhulelwa okanye zonyango nezinye iingxaki zonyango ezifana nesifo sikashukela okanye uxinzelelo lwegazi. Nokuba bahlala bekhululekile, isenzo sabo sinokuxakeka kangangokuthi abanalo ixesha lokujongana nolunye usuku ukuya kwiimfuno zeentsuku zempilo yakho jikelele.
Enye into endiyibonayo ngamanye amaxesha abantu bahlala kunye neengcali zabo zonyango ixesha elide. Ngamanye amaxesha inzululwazi yezilwanyana iyanqika ukuyeka, okanye isiguli okanye abazali abafuni. Nangona i-philphysiology ye-asthma ingaba yinto efanayo, ngokuqhelekileyo ndicinga ukuba oogqirha abadala akufanele banyamekele abantwana, kwaye abantwana kufuneka badlulele kumgqirha omdala xa beneminyaka efanelekileyo. Nangona ubudala obubodwa bubunzima, umntu oneminyaka engama-40 ubudala ongu-asthmatic akafanelekanga, ngombono wam, esabonayo oonyana babo okanye oogqirha bezilwanyana zabo.
I-PCP yakho iya kukwazi (kwaye kufuneka ikwazi) ukunyanga i-asthma ukuya kwinqanaba elibandakanya ulawulo olunzulu nolunaphakade. I-PCP yakho inika kwakhona ukuhlolwa kunye nonyango kwezinye iimeko. Ingcali ye-asthma inokuthi okanye ayikwazi ukubonelela ngezi nkonzo. Ngokomzekelo, ingcali ingenako ukubonelela ngononophelo lwentombi njengokuba intombi yakho ikhula, ayikwazi ukubonelela ngeenkonzo zakho zonyana xa eqala ukwenza kakubi esikolweni, okanye akunike uvavanyo olupheleleyo lokugonywa.
Ngakolunye uhlangothi, ugqirha wakho wokunyamekela unganakho ukuba nomatshini we- PFT kunye nezinye izixhobo zokusebenza ezizodwa kwiofisi yabo.
Ugqirha wokunakekela oyintloko ukhupha wena kunye nomlando wakho wezokwelapha kunye nosapho engqondweni. Ukuya kwelinye uhlobo lokunyamekela ngokukhawuleza okanye ukunakekelwa ngokukhawuleza kunokukhokelela kwindlela engaphantsi. Ugqirha oyintloko wokunyamekela ukwazi ukuqonda izinto ezithile malunga nawe njengesigulane esinjengokuba kutheni uqhubeka utshaya, kutheni unokwenza ukutya okanye ukukhetha ukuzikhethela. Ugqirha oyintloko oyinyango uza kwenza iingcebiso malunga nokukhathalela impilo yakho yokukhusela kwaye uya kujonga i-asthma yakho ngesicwangciso sakho senkqubo yesifuba.
Uphando luye lwabonisa ukuba abantu abaneentsebenziswano kunye ne-PCP kwixesha elinemiphumo engcono yempilo kubandakanywa neendleko eziphantsi kunye namazinga okufa aphantsi. Abantu abaninzi bahlakulela ubudlelwane obudlulileyo kwiminyaka engaphezulu kunye noogqirha babo.
Umehluko phakathi kweNgcali ye-Asthma kunye ne-Doc yako rhoqo
Ingcali ye-asthma inokwenzeka ukuba ugqirha oye wafumana uqeqesho olongezelelweyo kwi-pulmonology (ukuxilongwa kunye nokunyangwa kwezifo zemiphunga) okanye ukugula / i-immunology (ukuxilongwa kunye nokunyangwa kwezifo ezithintekayo). Zomibini zezi zixhobo zifuna ukugqitywa kwesikolo sezonyango kunye nenkqubo yokuhlala, mhlawumbi unyango lwangaphakathi okanye abantwana.
Olu qeqesho lufana kakhulu noqeqesho lwakho olugqirha ugqirha. Ingcali ye-asthma isebenzisa eyongezelelweyo kwiminyaka emi-2 ukuya kwe-3 egxininisekile kwizodwa ezikhethiweyo. Kuqeqesho olukhethekileyo, ugqirha wakho ugxile kwiqela elincinane nelithile lezifo ezibandakanya i-asthma.
Ngaba i-PCP yakho idinga ukuba yi-MD?
Namhlanje kukho iindlela ezininzi ezahlukeneyo zokuba ne-PCP. Ezinye iintlobo zababoneleli njengomongikazi kunye nomncedisi wamayeza onokukwazi ukuzalisa le nxaxheba kuwe. Ngenxa yokuba ababoneleli bahlala bekwazi ukuchitha ixesha elide kunye nezigulane, ezinye izigulane zikhetha.
Ngokuxhomekeke ekuqeqesheni kwabo, amaninzi amazwe afuna ukulawulwa ngqo okanye ngokungathanga ngqo kunye nesivumelwano sokusebenza kunye nodokotela olayisenisiweyo kwimeko yakho. Amaxesha amaninzi ama-PA nee-NPs asebenza ngaphakathi kwiofisi kunye nabanye oogqirha. Ukuba i-PA okanye i-NP ifuna, banokuwuqhuba umbuzo ngumntu osebenza naye okanye ubonile nge-MD ukuba kuyimfuneko.
Kungakhathaliseki ukuba luhlobo luni logqirha oluya kubakhokela iqela lakho le-asthma, ufuna ukuqinisekiswa ukuba uyaqonda ukuba kunzima yini ukuqesha. Into yokugqibela oyifunayo kukuba ugula kwaye utshelwe ukuba kuya kuba iiveki ezi-3 ngaphambi kokuba ufumane ukuqeshwa. Ungaphinda ufune ukubuza ugqirha wakho into entsha ngokunyamekela nge-asthma. Ngelixa i-albuterol ijikeleze ixesha elide kwaye yonyango elitshutshisayo nelisisigxina, kukho iindlela ezintsha zonyango ezifumanekayo kwaye amayeza e-1970 ayenokuba yinto ekhethekileyo yokukhetha i-asthma yakho namhlanje. Omnye umbuzo onokufuna ukuwuqwalasela ukubuza ukuba yiyiphi imithi enokukwazi ukunqanyulwa okanye iyancipha kwi dose. Ekugqibeleni, unokufuna ukujonga kwiirekhodi zakho. Ukuba ugqirha ugxotha kwisicelo sakho, yazi ukuba i-HIPAA okanye iMithetho yoMthetho wokuPhathwa kweeNtsholongwane weMpilo kunye noXanduva lokufumana uxanduva lokufumana iikopi zeengxelo zakho zezokwelapha xa ziceliwe kuzo zombini ugqirha kunye nezibhedlele apho ufumana unonophelo.
Ngaba Ndiyafuna Ingcali?
Siyazi ukuba i-asthma isifo esiyinkimbinkimbi kakhulu, ngoko ke ukunakekelwa kwekhwalithi kubaluleke kakhulu kuwe. Ngaphandle kokulungileyo, ukunakekelwa kwekhwalithi, unako ukufumana iziphumo ezingathandekiyo ezifana nezi:
- Ukuvunyelwa esibhedlele
- Ukutyelela isebe elingxamisekileyo ukuhlasela kwesifuba
- Ukuphuhlisa iimpawu zesifo se-asthma
- Unganelisekanga nge-asthma yakho
Ezi zilandelayo zizathu zokuba ufanele ucinge ukuba ubona ochwepheshe be-asthma:
- Ukulandela ukuhlaselwa kwe-asthma esongela ubomi, intubation, okanye ukungeniswa kwinqununu yokukhathalela kakhulu isifo se-asthma.
- Ukulandela ukuhlaselwa kwesifo se-asthma esifuna ukulaliswa esibhedlele.
- Ukufumana i- asthma engalawulwa kakubi nangona ulandela imiyalelo kadokotela kunye nokuthatha amachiza ngokufanelekileyo emva kweenyanga ezintathu ukuya kwezi-6 zonyango.
- Ukuba ufuna ukuvavanya ukukhwabanisa kwamanzi ukunceda ukulawula i-asthma.
- Ukuba usebenzisa i- oral steroids ukuphatha kakubi iimpawu ze-asthma
- Ukuba isifo sakho se-asthma sityhutyhile sisigxina okanye sibi kakhulu.
- Ukuba wena okanye umntwana wakho ufuna imfundo ye-asthma eyongezelelweyo.
> Umthombo
> Ukukhetha umboneleli wokunakekela oyintloko. I-Medline.