I-asthma kunye nokunyuswa kwengcinezelo yegazi (ebizwa ngokuba yingozi yegazi) yimiqathango yezifo eziqhelekileyo, ngoko akumangalisi ukuba wena (okanye othandekayo) ukhathazekile ukuba iyeza lakho le-asthma lichaphazela uxinzelelo lwegazi.
Ngelishwa, impendulo ayigcini kwaye iyomile njengoko uya kuthanda. Ngamanye amazwi, kunzima kakhulu kunokuba nje ewe okanye cha.
Masiqwalasele ngokukodwa kwindlela yokwenza imishanguzo ye-asthma, nokuba njani oku kunokuchaphazela uxinzelelo lwegazi lomntu.
I-Dose Dose Inhalers kwi-asthma: Indlela abaSebenza ngayo
I-inhalers ye-dose emitha (i-MDIs) yindlela eqhelekileyo yokuqhelana ne-asthma. Enyanisweni, ukuba unesifo se-asthma, amathuba okuba ngama-100 ekhulwini ukuba ii-MDI ziyinxalenye eqhelekileyo yenkqubo yakho yokwelapha. Oku kungenxa yokuba ii-MDI zisebenza ngokukhawuleza kwaye zenzelwe ukuba zisetyenziswe njengexesha elifutshane lokuncedisa kwiintlungu zesifuba nokuphefumula ubunzima obubandakanyeka nokuhlaselwa kwe-asthma.
Iyeza kwi-MDI isebenza ngokujolisa kweemolyuli, ezibizwa ngokuba yi-beta receptors, ezo zidibanisa iindonga zeempembelelo zokuphefumula. Xa ivuselelwe ngamayeza, ezi zamukeli zidala ukuba iipasiti zokuphefumula zandise, zikhuphe iimpawu ze-asthma. Ngenxa yokuba isebenza kanjani, eli liyeza libizwa ngokuba yi-beta-agonist (landisa umsebenzi we-beta receptors).
I-receptors ye-Beta nayo ibaluleke kakhulu kumlawuli we-width yegazi, apho usebenze khona ukunciphisa ububanzi bemithambo yegazi.
Enyanisweni, usenokuba weva nge-beta blockers, uhlobo oluqhelekileyo lwe- high blood pressure . Iibet blockers zisebenza ngokuthintela ukusetyenziswa kweemvume ze-beta zegazi. Oku kuthetha ukuba iinqanawa zihlala zihlanjululwe kakhulu (okanye zikhulisiwe) kunesiqhelo, ezinciphisa umxinzelelo wegazi lomntu.
I-Asthma Medication: Impembelelo yoxinzelelo lwegazi
Kunengqiqo ukuzibuza ngemiphumo yesifo se-asthma esingaba nayo kwixinzelelo legazi ngenxa yezenzo zabo ze-beta-agonist.
Ngamanye amagama, ukuba amayeza e-asthma akhuthaza umsebenzi we-beta receptor, kunye nokwandiswa komsebenzi we-beta, kubangela ukunyuswa kwengcinezelo yegazi, ngoko kuqiqa ukucinga ukuba amayeza e-asthma akwandisa uxinzelelo lwegazi.
Kodwa inyaniso ilele kwindawo ephakathi. Ukuba ubuza kubhala ngokuthe ngqo imithwalo yegazi kumachiza e-beta-agonist i-asthma, uza kubona ixabiso elincinci lomkhumbi. Nangona kunjalo, oku akuqhelekanga kwizigulane ze-asthma zisebenzisa i-MDIs, kwaye kukho izizathu ezininzi:
- Ii-MDIs zixilisi, kwaye kufutshane neepesenti ezingama-100 zesilwanyana zihlala emiphakeni, kwaye zide zivela kwi-beta receptors kwimithambo yegazi.
- I-beta agonist esetyenziswe kwi-MDI (i-albuterol) iyakhethi (nangona ingagqibekanga) kwi-subtype ye-receptor receptor efunyenwe kumanani amaninzi kwiiminyana zokuphefumula, kodwa kwinani elincinci elithile kwimithambo yegazi.
- I-Albuterol inexesha elifutshane kakhulu lomsebenzi, ngoko ke nangona inani elincinci leziyobisi lingayifumana indlela eya kwimithambo yegazi, kwaye inxalenye encinci yeso sidakamizwa ingabangela impembelelo kuloo mjelo, umphumo uyaphuma ngokukhawuleza.
Ngaphandle kwesigqirha esibambelayo, i-albuterol, ezinye i-beta-agonists, ezinokuhlala ixesha elide, ziqhelekileyo zisetyenziswe kunyango lwe-asthma.
Ezi ziquka iziyobisi ezifana ne-fenoterol (ixesha eliphakathi lokuphila, elingasetyenziswanga e-US) kunye ne-Severent (salmeterol), enokuphila ixesha elide.
Nangona la machiza aqhubeka emzimbeni ixesha elide kune-albuterol, ahlala ephazamiseka, athambekele ekuphumeni emiphakeni, kwaye akavumelani nokusebenza kakuhle ngohlobo lwama-receptor afunyanwa kwimithambo yegazi.
ILizwi
Umgca apha apha kukuba ngelixa unyango lwakho lwe-asthma lungaphinda luphakamise ngokukhawuleza uxinzelelo lwegazi ngenxa yomsebenzi walo we-beta-agonist, oku akuyona into enokuyixhalabisa ngayo.
Nangona kunjalo, kubaluleke kakhulu ukuba ucwangcise isicwangciso solawulo lwe-asthma kunye ne-pulmonologist yakho, i-allergenist, okanye ugqirha wezempilo.
Isicwangciso sakho sifanele sibandakanye ezi zilandelayo zicebiso:
- Indlela engcono kakhulu yokukhusela iziphumo zakho ezibangelwa yi-asthma.
- Uluhlu lweemithi omele uthabathe ukuthintela iimpawu ze-asthma (i-corticosteroid yakho ekhuselweyo) ngokuchasene nawaphi unyango owenzayo ukukhawuleza ukukhusela isifo se-asthma (i-albuterol inhaler yakho).
- Isicwangciso-nyathelo-sinyathelo sokukunceda ukwazi xa ufuna ukufumana unyango.
Kwinqaku lokugqibela, nceda utshele ugqirha wakho onke amayeza owathathayo, njengokuba abanye banokusebenzisana neyeza zakho ze-asthma ezifana ne- aspirin , i-nonsteroidal anti-inflammatories, okanye i- beta-blockers .
Imithombo:
I-American Academy ye-Allergy Asthma & Immunology. (2017). Amayeza kunye nabadala abadala.
> Arboe B, > Ulri > CS. I-Beta-blockers: umhlobo okanye isitha kwi-asthma? Int J Gen Med . 2013; 6: 549-55.
> Izidakamizwa ezithinta inkqubo yokuphefumula. Ku: I-Pharmacology, i-2 Ed, i-Mycek, i-MJ, i-Harvey, i-RA, i-Champe, i-PC (i-Eds), i-Lippincott, iWilliams, ne-Wilkins, i-Philadelphia, i-PA 2000. iphe.