Mhlawumbi uye wakuva ukuba umkhuhlane uphenduliswa ukuba unayo isifo se-asthma. Kodwa, ngaba abantu abane-asthma banokuthi babe nemiphumo emibi yokugonya igciwane?
I-Asthma ne-Flu Vaccines
Ngokuqhelekileyo, abantu abane-asthma kufuneka bafumane ukugonya komkhuhlane , ngaphandle kokuba kukho isizathu sokuba singabikho, njengembali ye- Guillain Barre syndrome . Kwiminyaka emininzi, kwakukho nkxalabo yokuba abantu abaneengqungquthela zeqanda akufanele bafumane ukutshatyalaliswa komkhuhlane, kodwa oko akusekho.
Thetha nogqirha wakho, nangona kunjalo, ukuba unokhathazeka.
Ngoko, kutheni abantu abaninzi abanesifo se-asthma (malunga nesiqingatha) bashiya ukutshulwa kwamagciwane abo ngonyaka? Esinye sezizathu kukuba ukukhathazeka komkhuhlane kungabangela ukwanda kwesifo se-asthma. Enye kukuba abantu abanokucinga ukuba basengozini. Ukunikezelwa kwamanani, nangona kunjalo, kukho ithuba elihle lokufumana umkhuhlane. Unyaka ngamnye eUnited States, kukho iimeko eziphakathi kwe-9.2 ne-35.6 yezigulane zezifo, i-140,000 ukuya kwi-710,000 yezibhedlele, kunye nama-12,000 ukuya kuma-56,000.
Abanye abantu bayesaba ukufumana intsholongwane xa ilungu lentsapho lingaxilwanga okanye lichithrapi . Kodwa, le nto ayinayo ingxaki yokutshulwa komkhuhlane wegciwane (inkunkuma egxininiswayo, efana ne-FluMist okanye iFluenz, kufuneka igwenywe.) Ngokuchaseneyo, ukungaphumeleli ukufumana umkhuhlane kungenza abazalwana bakho basemngciphekweni kwaye ngokufanayo.
Ngoko, sishiywe imibuzo emibili kwingxoxo:
- Kubi kangakanani ukuba ubamba umkhuhlane xa unesifo se-asthma?
- Ngaba abantu abane-asthma banokuthi babe nemiphumo emibi kwi-vaccine?
I-asthma ne-Influenza
Abantu abane-asthma abanakho ukufumana umkhuhlane kunabantu abangenayo i-asthma, kodwa banako ukufumana iingxaki. I-Influenza ingasebenzisa zombini ukudala iimpawu ze-asthma kwindawo yokuqala kunye nokonakalisa iimpawu zesifo se-asthma esele usebenza nazo.
Ukubamba umkhuhlane xa unesifo se- asthma siphakamisa umngcipheko we-pneumonia, ingakumbi ukuba ungumntwana okanye umntu omdala. I-Influenza ibonakala yingozi xa unesifo se-asthma, kodwa ngaba isitofu sokugonya sininzi nengxaki?
I-asthma Exacerbations: I-Vaccine ye-Flu I-Side Effect?
Siyazi ukuba ukugonywa komkhuhlane-ukungabikho kwesifo somkhuhlane-akukwandisi ukwanda kwe-asthma kwiiveki ezimbini emva kokugonywa. Ngesinye isikhathi, bekuye kucatshulwa ukuba i-vaccist spray vacray (FluMist okanye Fluenz) ihlala idibene ne-wheyzing. (I-packaged insert ixwayisa ngokunika isitofu kubantwana abancinci abane-asthma okanye nabani na iziqendu zentsholongwane.) Uphando olutshanje, kubonakala ngathi lubonisa ukuba akukho mkhuhlane odubulayo okanye uFluMist ukwandisa ingozi yokuphefumula kwe-asthma.
Kwisifundo esisodwa se-2017 esilandelayo malunga ne-400,000 yokugoma imfuyo enikezelwe kubantwana abaneminyaka emibili nangaphezulu, ingozi yokuphefumula kwesifo se-asthma ayizange ikhuliswe kubantwana abafumene isitofu sokugonya umkhuhlane okanye umgomo wokugonya umkhuhlane.
Olunye uphando olwenziwa ngo-2017 oluvandlakanyo lwabemi abantu abayizigidi ezingama-6.3 beza kwisigqibo esifanayo. Kufunyenwe ukuba ngelixa i-vaccine ye-vaccine isitshintshiweyo isetyenziswe ngaphantsi kwepesenti enye yexesha-kwaye ngokukodwa kulabo abane-asthma eqhubekayo okanye i-asthma ephakathi-nto ayizange ibonakale inokunyusa umngcipheko wokuziphulukisa kwe-asthma.
Ngokusekelwe kulolu cwaningo, kwakungekho ukwanda kunoma yiluphi uhlobo lweziganeko eziphene zokuphefumula kwabo bafumana isitofu sokuphila.
Nangaphandle kwezi zifundo, amanye amagqirha ancomela ukuba abantwana kunye nabantu abadala abane-asthma bafumane umkhuhlane wokutshitshiswa komkhuhlane kunokuba i-vacal vacray vacill. Ukudubula (ngokukodwa i-Flu-Zone High High okanye i-friji yendabuko edutshulwa kunokuba ibhentshi ye-intradermal) ibonakala iyaphumelela ngakumbi kunokuba i-spray ye-spray yinkqubo yonyango okanye ikhulile.
Iimpembelelo ezingasemva
Nangona abanye abantu abane-asthma baya kubika iimpawu ezincinane, ezinjengomqala, ukukhwehlela, kunye nokunyameka emva kokugonywa komkhuhlane, intsholongwane kwisitofu esingagciniwe siphelile, ngoko ayikwazi ukunika umntu umkhuhlane.
Ngokwahlukileyo, isitofu sokukhupha umkhuhlane wegciwane sisifo esiphila kuyo, nangona sisifo sentsholongwane. Nangona uhlobo oluphilayo, olubuthathaka kwi-FluMist, intsholongwane yesayensi ayinako ukudala umkhuhlane.
Ngaphezu koko, njengoko kunjalo nangonyango lonke, kukho iziphumo ezimbi zokhuselo lomkhuhlane. Eminye yemiphumo emibi yokugonya umkhuhlane iquka:
- Ubuhlungu kwisiza sokungena
- Fever
- Malaise (uvakalelwa nje ngokubanzi)
- I-Myalgias (i-accle aches)
- Intloko
Ngokuqhelekileyo, ezi ziphumo zecala zivela kwiiyure eziliqela ukuya kwiintsuku ezimbalwa emva kokugonywa kwaye ziza kuzincoma zodwa.
I-Anaphylaxis (isifo esiyingozi kakhulu) asiyinqabileyo, kodwa isabela esongela ubomi esenzeka emva kokufumana igciwane lokugoma. Nangona kwenzeka kuphela kwiigciwane ezilinye kwisigidi, kuya kufuneka ufumane umgcini we-allergen ukuba oko kwenzeka okanye ukuba uhlakulela nayiphi na i-asthma eyingozi emva kokugonywa.
Ekubeni i-anaphylaxis ekuphenduleni umkhuhlane wefriwu ayiqhelekanga, asiqinisekanga ukuba ingaqhelekanga yini kubantu abane-asthma. Ukuba unayo nayiphi na impawu ye-anaphylaxis, njengokuphefumula, ukuvuvukala komlomo wakho, ulwimi, okanye intamo, ukuvutha, ukukhanya okukhawuleza, okanye ukuvakalelwa kwexesha elizayo, kufuna unyango ngokukhawuleza.
ILizwi
Ukhuselo lomkhuhlane lunconywa kuwo wonke umntu one-asthma ongenalo ukuphikisana. Ukuqhawula umkhuhlane kungaba yingozi kubantu abane-asthma, okwandisa umngcipheko we-pneumonia, ukulala esibhedlele, okanye nokufa.
Umgomo wokukhusela umkhuhlane ngokwawo, kodwa, awubonakali iyingozi nakakhulu kubantu abane-asthma kunabo abangenawo umqathango, nangona abanye oogqirha bancomela ukutshutshiswa komkhuhlane kunokuba isitofu sogonyamelo samanzi. Ukuqinisekisa ukuba iintsapho kunye nabahlobo bomntu abane-asthma bayagonywa.
> Imithombo:
> Amacandelo okuLawula nokuLawula izifo. Izifo Umthwalo we-Influenza. 05/16/17.
> Amacandelo okuLawula nokuLawula izifo. Iinkcukacha eziphambili Ngomkhuhlane we-Flu vaccine. 10/06/17.
> Duffy, J., Lewis, M., Harrington, T. et al. I-Vaccinated Influenza Vaccinated Usetyenziso kunye noKhuseleko kwabantwana kunye nabadala abane-Asthma. I-Annals ye-Allergy Asthma kunye ne-Immunology . 2017. 118 (4): 439-444.
> Ray, G., Lewis, N., Goddard, K. et al. I-asthma Exacerbations Among Children of Asthmatic Receiving Live Attenuated Versus Inactivated Influenza Vaccines. Igciwane . 2017. 35 (20): 2668-2675.