Ukuqhubeka, ukukhwehlela owomileyo kweeveki ezi-8 kunokuba yinkcazelo
Ukukhwehlela okungapheliyo kuthathwa njengesifo se-asthma , ngokuqhelekileyo ngokubambisana ne-wheezing, ukuqina kwesifuba nokuphefumula okufutshane. Bonke, bakha iiprofayili zempawu ezibanceda oogqirha benze i-asthma diagnostic.
Kodwa kukho amaxesha apho ukukhwehlela kukuphela kweempawu ezikhoyo. Kwaye, ngoxa ngokuqinisekileyo kubangelwa naliphi na inani lezinto, kunokubakho iimpawu ezibonisa ukuba yinto encinane engaziwayo ebizwa ngokuba ngumkhuhlane we-asthma (CVA).
Iimpawu ze-Cough Variant Asthma
I-CVA ifom ye-asthma ebonakalayo engapheliyo, engavelisi (eyomile) ukukhwehlela. Kuqwalaselwa ngabanye ukuba yi-precursor kwi-"classic" ye-asthma apho ukukhwehlela kungabonakalisa uphawu lweempawu eziliqela ezaza kuza. Ucwaningo luye lwacetyiswa ukuba lube luqhelekileyo kunokuba lukholelwe kwaye ukuba nayiphi na enye ukusuka kwikota ukuya kwisithathu yezigulane ezinomkhuhlane ongapheliyo, eneneni i-CVA.
Ngokuqhelekileyo, abantu abaneCVA baneempawu eziphambili ezibahlula kubantu abane-asthma yesilasi. Abantu abane-CVA banomkhuhlane ogqithiseleyo okhulayo ngakumbi kunezo ezine-asthma zakudala.
Kwaye, ngelixa i-CVA kunye ne-asthma yeklasi zibonakaliswa ngokungathandabuzekiyo (ukunyuka kwengqondo ephakamileyo), abantu abaneCVA bahlala bancinci, ukuba kukho na, ukuphendulela kwi-methacholine, i-compound inhaled used to diagnostic asthma kwizigulane ezingenamkhawulo.
Ekugqibeleni, iinkcazo ezicacileyo zeCVA ngumkhuhlane owomileyo ohlala kwiiveki ezisibhozo okanye ngaphezulu, kwenzeka ngobusuku okanye emini, kwaye ivelise encinci, ukuba ikhona i-mucus.
Indlela I-Variant Cough I-Asthma Ifunyaniswa ngayo
Ukuchonga i-CVA ibonwa njengento ebalulekileyo njengoko ukuphikelela kokukhwehlela kunciphisa umgangatho wobomi bomntu. Ucelomngeni omkhulu, ngoko ke, ukuchonga imeko xa kungekho nobunye ubungqina besifo se-asthma. Nangona uvavanyo lwe-spirometry (olunokumisela umsebenzi wokuphefumula) lunokwenziwa, abantu abaneCVA baya kubakho ubungqina obunokulinganiswa bokukhupha umphunga.
Kwimeko enjalo, i-methacholine ingasetyenziselwa ukuqala ukungaxolisiyo njengengxenye yovavanyo lokukhwabanisa . Ukuba akakwazi ukwenza oku, ezinye izinto ezinokubanda, ukuzivocavoca, okanye i-histamines zingasetyenziswa. Ukuba akukho nanye kwezi zinto akwazi ukuphendula impendulo, kwaye i-CVA ayinakwenzeka.
Kodwa, nangona kukho impendulo, ukungaxolisi kwedwa kuphela okwenziwe ukuxilongwa. Kwiimeko zeCVA, ukuxilongwa ngokucacileyo kunokukwenziwa kuphela xa ukungaxolisi kukhululeka usebenzisa imithi ye-asthma ebizwa ngokuba yi- bronchodilator .
Ngenye indlela, ugqirha unokujonga kwi-sputum yakho phantsi kwe-microscope ngobungqina begazi elimhlophe elibizwa ngokuba yi-eosinophil. Ukubalwa kwe-eosinophil ngokuqhelekileyo kubonakala kwindlela yokuphendula. Ngokufanayo, uvavanyo lokuphefumula i-nitric oxide exhaled (igesi evuzayo ekhishwe kwiiseli zamaphaphu) i-predictability yeCVA nangona zonke ezinye iimvavanyo zingenakulinganiswa.
Ukunyanga i-Asthma eguquguqukayo
Unyango lwe-CVA ufana ne-asthma yeklasi. Ukusetyenziswa kwe-bronchodilator njenge- albuterol kunokubonelela ngokukhawuleza nje ngeveki. Ukukhwehlela kancinci kunokuphathwa nge-steroid engabonakaliyo njenge- Flovent . Ukuba unyango olungenakunyulwa luyakwazi ukusombulula ngokupheleleyo umkhuhlane, i-oral steroids njenge-prednisone ingasetyenziswa.
Ukongezelela, ukuba kukho ubungqina be-eosinophilia, izidakamizwa ezichasayo ezinjengeZafirlukast ziye zaboniswa ukuphucula ukukhwehlela kubantu abafakwe i-steroids abakhulelweyo.
> Imithombo:
> Niimi, A. "Isikhuhlane, kunye ne-Asthma." I-Curr Respir Med Med . 2011; 7 (1): 47-54.
> Matsumoto, H .; Niimi, A .; Takemura, M .; okqhubekayo. "Ukuxhamla komkhuhlane we-astmma ehlukeneyo: uhlalutyo olulandelayo." J Isifuba. 2006; 43 (2): 131-135.