Funda Okufuneka Ukwazi Nokwenza Ngomsebenzi Wakho Obuhlungu Ukuphefumula
Ukuba unobungozi bokuphefumla, kunokuba nesifo se-asthma. Zonke iimpawu ze-astmma zilandelayo zidibaniswa nobunzima bokuphefumula:
Nangona kunjalo, inani leemeko ezahlukeneyo lingakhokelela ekuphefumuleni. Ukuba ufuna ukwazi okungakumbi ngokuphefumula kwakho, eli nqaku liyakunceda uqonde isizathu.
Qiniseka ukuba ungatsho nje ukuthi "akukho nto kwaye ndiya kuxhalaba ngayo emva koko." Nangona ukuphefumula ubunzima kunokuba nesifo se-asthma, kunokuba yinto ebaluleke ngakumbi.
Indlela yodwa oya kukwazi ngayo kwaye ukwazi ukujongana nobunzima bokuphefumla kwakho kukubona ugqirha uze uvavanywe. Ukuba ucinga ukuba yi-asthma kwaye uthabathe ngaphezu komkhiqizo we-counter-asthma okanye inhaler yomngane wakho, usenokukuphatha kakubi kwaye uzibeke engozini.
Yintoni Enokubekwa Ngayo?
Ukuphefumula kwakho ukuphefumula kungaba nesifo se-asthma, kodwa sinokuba enye yeemeko ezinzulu. Nangona i-asthma ifana nokonyango inokubonelela ngencedo, ayiyi kufikelela entliziyweni yengxaki ukuba le miqathango ibangela ukuphefumula kwakho.
- Ukungaphumeleli kwentliziyo ye-Congestive: Kule meko intliziyo yakho ayifuni kakuhle kwaye ayikwazi ukubonelela ngokufanelekileyo umzimba wonke ngegazi kunye ne-oxygen efunekayo ukuze isebenze ngokuqhelekileyo. Ngenxa yoko unako ukuvuvukala emaphethweni aphantsi kunye nokuphefumula okufutshane xa ubeka isisitye, ngaphezu kwe-asthma njengempawu zokuvuthisa (ngenxa yokukhupha umphunga kumaphaphu kunokuphefumula) kunye nokuphefumula okufutshane.
- Ukugqithiswa kwePulmonary okanye i-PE: Le meko ibangelwa kwi-blood clot emiphakeni. Izigulane zinomngcipheko ofana nokungahambi kwangoko ngenxa yokuhamba kweemoto / kwendiza okanye ngenxa yokugula kwezonyango. Amachiza athile akwandisa ingozi njengamapilisi okulawula ukuzalwa. Ukuvuthwa kukubonakaliswa okuqhelekileyo kunye nokugqithisileyo kwi-PE. Izigulane ngakumbi zifumana ngokukhawuleza ukuphefumula kokuphefumula nentlungu yesifuba.
- Izifo ze-Reflux ye-Gastroesophageal okanye iGERD : I- GERD ngamanye amaxesha ingabangela ukuba i-asthma, kodwa nayo ixanduva lwe-pneumonitis kunye nokukhawulwa kwemiphunga engakhokelela kwimpawu.
- Ukunyuka kwe-pneumonitis: Ukutshatyalaliswa okungapheliyo kwizinto ezithile ezifana ne-moldy hay kunye ne-droppings yeentaka kunokukhokelela kwiingxaki zokuphefumla. Nangona le meko ingakhokelela ekuqhumeni, umzekelo obonwa kwiimvavanyo zomsebenzi wamaphaphu awufanekanga nesifo se-asthma.
Iimvavanyo zokuxilongwa kobunzima bokuphefumula
Xa ufumana ubunzima bokuphefumula, ugqirha wakho unokuyalela iindidi ezahlukeneyo zokuhlola. Ziziphi iimvavanyo zakho izaziso zogqirha ziya kuxhomekeka kwimbali yakho, ukuhlolwa ngokomzimba kunye nemeko yobungozi. Uvavanyo lunokuquka:
- I-Peak Exiratory Flow Rate (i-PEFR) - uvavanyo olulinganisa ukuba ungakanani umoya onokukhawuleza ukuphuma kwimpompo.
- I-Spirometry- uvavanyo olungaphelelanga kune-PEFR kwaye luquka inani leemiphunga ezahlukeneyo zemiphunga.
- Uvavanyo lweBroncho Challing Challenge- uvavanyo oluvuthayo oluzama ukubangela ukuvutha.
- Ikhefu x-ray- umfanekiso wemiphunga ekwazi ukuchonga inani leengxaki ezahlukeneyo.
- Iimvavanyo ze-CT zisoloko zenziwa xa ugqirha wakho egxeka i-PE.
Unyango olwenzela ukuphefumula kwakho okunzima
Xa ufumana ukuphefumla ubunzima, ugqirha wakho angasebenzisa uninzi lwezonyango ezisetyenziselwa i-asthma.
Ezi ziquka:
1. I- short-acting Acting Beta Agonists (SABA) njenge-Albuterol
I-SABA ingasetyenziselwa ukuphumula ngokukhawuleza xa ufumana ubunzima bokuphefumla. I-SABA zisetyenziselwa ukukhululeka okukhulu kweempawu ze- asthma kwaye zisetyenziselwe ukuthintela ukuqhuma kwesifo somzimba .
Ezinye ze-SABA ziquka:
- Albuterol
- Proventil
- Ventolin
- Xopenex
- Maxair
2. Ixesha elide elenza i-Beta Agonists (LABA)
Ukuba ukuphefumula kwakho kukuphefumula ngenxa ye-asthma, le nyanga ingasetyenziselwa xa i-steroid yokukhatyathwa ingabikho ngokwaneleyo ukulawula iimpawu zakho, mhlawumbi eyaziwa ngokuba yonyango oluthile . I-LABA ayisetyenziswanga njengemithi ye-asthma enye yokonyango nokukhusela iimpawu ze-asthma.
I-LABAs isasetyenziswanga ukunyanga iimpawu ze-asthma ezinzima okanye ukunyuka kwe-asthma . Ukuba ufumana ubunzima bokuphefumula ebusuku, i-LABA inokukunceda ufumane ukuphumla okungaphezulu.
LABA ziquka:
- Brovana
- Foradil
- Perforomist
- USerevent
3. I-Steroids engenayo
I-steroids ye-inhaled yile mveliso ibaluleke kakhulu ukuba ukuphefumla kwakho kukubangelwa yi-asthma. I-steroids ye-inhaled yile miphunga ephumelelayo ye-asthma efumanekayo yokulawula ixesha elide le-asthma. Akunakwenzeka ukuba ugqirha uya kukubeka kule nyilisi kude kube yimbangela yokuphefumula kwakho.
I-slideid ye-inhaled imisela kuwe ingaquka:
4. Leukotriene Modifiers
Olu hlobo lwamachiza lunokuqwalaselwa ukuba ugqirha wakho ucinga ukuba ukuphefumula kwakho kukubangelwa ukuphefumula okubangelwa ngumzimba okanye ukuba ukuphefumla kwakho kunzima kuhambelana nokuphefumula.
Iinguqu ezintathu ze-leukotriene zikhoyo ngoku:
- Uchanekileyo
- Singulair
- Zyflo
5. Anticholinergics
I-Anticholinergics inokuphatha ukuphefumula ubunzima ngokusebenza njenge- bronchodilator kwaye idla ngokusetyenziswa kunye kunye ne-SABAs kwiinkqubo ezinzima zokuphefumula ubunzima kwisebe elixakekileyo okanye esibhedlele. Umzekelo we-anticholinergic yi-Atrovent.
Funda ngakumbi malunga nobunzima bokuphefumula
- Iingqungquthela Kwiingqungquthela Ezixhomekeke Kubuhlungu Ukuphefumula
- Yintoni Endiyakwenza Ukuba Ndibe Nomphefumlo Obuhlungu?
- Ngaba Ndifuna Ukubona I-Specialist malunga Neyantlupheko Enzima?
Imithombo:
I-Heart Heart, i-Lung, ne-Blood Institute. Ukufikeleleka: Novemba 1, 2010. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma?