Kananjalo Ngaba I-Pneumonia Ingabangela I-Asthma?
Kungekudala, ndinegulane ehamba eofisini yam ekhononda ukuba babe ne- asthma pneumonia . Andikhumbuli i-asthma pneumonia njengesifo endandiyifunayo esikolweni sezokwelapha, ndambuza ukuba wayethetha ntoni ngale meko. Xa ethetha naye, lo mntu onesifo sokuphefumula esasisigxina esicinga ukuba i-asthma yenze i-pneumonia efuna unyango.
Emva kokundwendwela kwakhe, ndabona abantu abaninzi bebuze imibuzo emibini efana ne-asthma pneumonia kule minyaka:
- Ngaba i-asthma ingabangela i-pneumonia?
- Ingaba i-pneumonia ingabangela i-asthma?
Makhe sijonge kule mibini yale mibuzo nokuba kutheni kubalulekile.
I-asthma ne-Pneumonia
Ukuze sixoxe ngale mibuzo, kufuneka siqale siqonde le miqathango. I-asthma yimeko apho kukho ukuphazamiseka kwindlela yokuhamba. Ngokuqhelekileyo kuhlotshaniswa nokuvuvukala. I-pneumonia , ngokuphambene, isifo sengumphunga ebangelwa yi-virus, ibhakteria, okanye i-fungi. (I-pneumonia yamachiza nayo inokwenzeka).
Ubangelwa yizizathu zobungozi
Kwakhona kubalulekile ukuhlukanisa izizathu kunye nemingcipheko. Ngokungafani nesizathu, umngcipheko wengozi ukwandisa umngcipheko wento eyenzekayo kodwa akusiyo imbangela. Umzekelo, ukubhukuda elwandle kunokuphakamisa umngcipheko wokumisa kodwa akusiyo imbangela yokumisa. Umngcipheko onokuthi ungabangela isifo kodwa ungakunceda ukuba uhlakulele isifo.
Isifo se-asthma njengesisombululo se-Pneumonia
Sasiqala ukukhathazeka emva kokuqhagamshelana phakathi kwonyango lweCOPD kunye ne-pneumonia. Ngeli xesha, ukuphononongwa kweengxelo kuye kwaqinisekisa ukuba abo basebenzisa ii-steroids ezine-inhaled kunye nama-agonists asebenze ixesha elide (i-LABA) (inhlanganisela ye- steroid / i-LABA inxulumene neCOPD) phantse kabili amathuba okuphuhlisa i-pneumonia njengabo basebenzisa LABA kuphela.
NgeCOPD, kubonakala sengathi i-Flovent (i-fluticasone) inxulumene nale nkxalabo ngokuphindaphindiweyo kunePulmicort (budesonide).
Uvavanyo lwe-2017 lufumene imeko efanayo ne-asthma. Abantu abaye baphathwa nge- steroids yokukrazula nge-asthma babengama-83 ekhulwini amathuba okuphuhlisa i-pneumonia abo abangazange basebenzise ezi zi-inhalers. Ukwanda kwengozi ye-pneumonia, ngokungafani neCOPD, ifanayo kunye ne-Flovent ne-Pulmicort.
Akuqinisekanga ukuba kutheni i-steroids yokukhupha ingozi yandisa ingozi ye-pneumonia, nangona kungenzeka ukuba ihambelana nomphumo we-steroids kwisistim somzimba. Sekude kwaziwa ukuba abantu abasebenzisa umlomo we-oral steroids (njengeemeko zengxubusho ye-rheumatoid) basengozini enkulu yokuphulela izifo njengoko i-steroids "iyancipha" ukuphendula komzimba.
Ngelixa ufanele ukhumbule le mngcipheko, akuthethi ukuba ufanele ukuyeka ukuthatha imishanguzo ye-asthma. Nangona zonke iilmma zonyango zingenayo imiphumo emibi , i-steroids yokukhupha ingakwazi ukuphucula impawu ze-asthma. Ukuyeka i-steroid engabonakaliyo inokuba yingozi kowakho kwimpilo kunomngcipheko we-pneumonia apha apha. Umngcipheko wokugula kunye nokufa ngenxa yesifuba esibi ( isimo se-asthmaticus ) sisengxaki kwi-United States nakwihlabathi jikelele.
Ngaba I-Pneumonia Ingabangela I-Asthma?
Umbuzo ongezantsi esiwuvayo kukuba ingaba i-pneumonia ingakhokelela kwisifo se-asthma. Kukho umlinganiselo omkhulu kumdla kwi-bacterium ye-atypical ebizwa ngokuba yi- Mycoplasma pneumoniae edla ngokuqhelekileyo ukunyuka kwe-pneumonia. Ngokuqhelekileyo, le ntsholongwane icatshulwa ukuba iyinqobo, oku kuthetha ukuba iimpawu ziya kuxazulula nokuba awuphilwanga ngamayeza. Noko ke, izazinzulu ziye zafumanisa ukuba ukusuleleka kwi- Mycoplasma pneumoniae kubangela oku kuzilwanyana:
- Usulelo olungapheliyo: Nangona ucinga ukuba unganqongophele, izazinzulu ziyaqhubeka zifumana ubungqina bentsholongwane kwimiphunga yezilwanyana inyanga ezininzi emva kokusuleleka.
- Ukuvuvukala okungapheli kwemiphunga: Kwiingcamango, isifo esisodwa kunye ne- Mycoplasma pneumoniae kukhokelela ekuvukeleni kwemiphunga ukuya kwiinyanga ezili-18.
- ImiSebenzi engavumelekanga yenkqubo yamapulmoni: Ngethuba elifanayo, izazinzulu zifumene ubungqina bokubambisa kunye nokuxhatshazwa kwemimoya yomoya.
Kukho ubungqina obongezelelweyo bobudlelwane phakathi kwe-pneumonia ne-asthma kubantu. Iingcali zenzululwazi zifumene ubungqina bokuba i- Mycoplasma pneumoniae inokubangela ukuba i-asthma exaceration iqhube, kwaye ikhokelela ekuphuhliseni isifo se-asthma kwindawo yokuqala. Ingakumbi, izazinzulu zifumene:
- I-Mycoplasma pneumoniae ibonakala ngokuqhelekileyo kubantu ababhedlele nge-asthma xa kuthelekiswa nabantu esibhedlele ngezinye izizathu.
- I-Mycoplasma pneumoniae idla ngokubonakalayo kubantwana abanesifo sokuphefumula kwe-asthma.
- Inani elinama-40 ekhulwini labantwana abachaphazelekayo nge- Mycoplasma pneumoniae baya kuba neemvavanyo zengqondo ezingavamile.
- Abantwana abanesifo se-asthma kunye ne- Mycoplasma pneumoniae isifo esinokuthi banakho ukufumana iimvavanyo zomsebenzi ezingavamileko kwiinyanga ezintathu kunye neminyaka emithathu emva kokusuleleka.
- Abantwana abonakaliswe kwi- Mycoplasma pneumoniae banamazinga aphakamileyo abenamanye amanqaku asayinzululwazi asetyenziswayo ekufundeni i-asthma ebizwa ngokuba yi-vascular endothelial growth factor (VEGF) xa kuthelekiswa nabantwana abangenazo i-asthma. Umbutho we-VEGF kunye ne- Mycoplasma pneumoniae ibonisa ukuba ezi zimbini zidibene.
I-asthma, i-Flu, ne-Pneumonia
Ukwazi ukuva malunga nomkhuhlane kunye ne-pneumonia xa umkhuhlane uphephazela uluntu lwakho kodwa umpneumonia uyimpembelelo echaphazelekayo yentsholongwane yomkhuhlane. Nangona ungeyingozi enkulu yokwenza usulelo lwentsholongwane ngenxa yokuba une-asthma, unomngcipheko ophezulu wokuphuhlisa umphumo wecala njenge-pneumonia.
Izithuthi zenu sele zinezinga elithile lokuvuvukala, ukuvuvukala, kwaye zivelele ngakumbi kunezo ezingenazo i-asthma. Ukusuleleka kwintsholongwane kwenza ukuba ukuvuvukala nokuvuvukala kube nzima.
Ngokuqhelekileyo umzimba wakho uhlunga ii-virus kunye neebhaktheriya xa zingena emzimbeni wakho. Ukwanda kokuvutha kunyusela amathuba okusuleleka kwintsholongwane yomkhuhlane kwaye ibangela iingxaki. Xa igciwane lesifo sentsholongwane lingena kwi-alveoli okanye iipoksi zokuphefumula kumphunga wakho, i-alveoli ingakwazi ukuzalisa i-fluve ekhokelela kwiimpawu ze-pneumonia ezifana ne-chills, ukukhwehlela, umkhuhlane kunye nokuphefumla.
Ukuba i-fluid eyaneleyo eyakhayo inokukhokelela kwi-hypoxia okanye ukunciphisa izinga le-oxygen egazini. Oku kuya kubakho ukufunwa esibhedlele.
Intsholongwane yomkhuhlane ingabangela ngqo impumoniya okanye unokuhlakulela i-bacterial pneumonia efuna unyango lwe-antibiotic. Xa unomkhuhlane kufuneka uqwalasele unyango. Nangona kunjalo, unyango olungcono kakhulu ukufumana umkhuhlane wokugonywa nokukhusela ngokupheleleyo.
Ukuba ufumana usuleleko lomkhuhlane, ugqirha wakho unokufuna ukuphatha lakho nge-anti-virus. Ezi ziyobisi zinganciphisa iimpawu kwaye zinokuthintela iingxaki ezinzima ezifana ne-pneumonia. I-Antitivirals idinga isigqirha kumgqirha wakho.
I-asthma I-Pneumonia-Kuthiwani Ngee-Antibiotics?
Ukunikezelwa konke oku, unokuzibuza ukuba ngaba abantu abane-asthma abanesifo sokuphefumula kwesifo se-asthma kufuneka baphathwe rhoqo ngamayeza. Nangona oko sikuye sathetha ngaphambili, akukho ziphakamiso ezikhoyo ngokuyalela i-antibiotics kubantu abane-asthma. Izifundo ezijonge unyango lwe-antibiotic ye- Mycoplasma pneumoniae eqhathaniswa ne-placebo yafumana ukuphucula iimpawu ze-asthma, kodwa ayikho imiphunga yomsebenzi. Nangona iindawo zokufunda, akukho ziphakamiso ezikhoyo ezikhoyo zokuphatha i-asthma okanye i-asthma exacerations nge antibiotics.
Ngaphantsi kwiSiqhagamshelo Phakathi koSifo se-Asthma kunye ne-Pneumonia
Kukho ngokucacileyo ukudibanisa phakathi kwe-asthma kunye ne-pneumonia, nangona kungabonakali ukuba i-asthma ibangele i-pneumonia. Yintoni efunyenwe yenye yeyeza (inhaled steroids) ezisetyenziselwa ukunyanga isifo se-asthma zixhomekeke kwisithuba sokuphuhlisa i-pneumonia. Xa ukhangela imeko echaseneyo, kukho ubungqina obufanelekileyo bokuthi ibhaktiriya ebangela ukuhamba kwe-pneumonia inokukhokelela ekuphuhliseni i-asthma. Ngenye indlela, le mibandela mibili ingakwazi ukuhamba ngesandla, kwaye unesivumelwano somkhuhlane ukuba unesifo sokuphefumula i-asthma sinokuphakamisa umngcipheko wakho wokuba uhlakulele imiphunga.
> Imithombo:
> Hong, S. Indima ye-Mycoplasma Pneumoniae Infection kwi-Asthma. I-Allergy, i-Asthma kunye ne-Immunology Research . 2012. 4 (2): 59-61.
> Kew, K., no A. Seniukovich. I-Steroids ye-inhaled kunye neengozi ye-Pneumonia ye-Pulmonary Disease. I-Cochrane Database yeeNkqubo eziPhezulu . 2014. (3): CD010115.
> Qian, C., Coulombe, J., Suissa, S., noP. Ernst. I-Pneumonia Ingozi kwi-Asthma Izigulane Ukusebenzisa i-Corticosteroids engabonakaliyo: I-Quasi-Cohort Study. IBritish Journal ye-Pharmacology . 2017. 83 (9): 2077-2086.
> Yin, S., Ma, F., kunye no-X. Gao. Umbutho we-Mycoplasma Pneumoniae Infection Ngengozi yokwanda kwe-asthma yabantwana. Uvavanyo lweMvavanyo kunye neyeza . 2017. 13 (5): 1813-1819.