Ngaba wake wakha wabuza okanye ugqirha wakho "unomthwalo wathintela isifuba?"
Uyakhumbula oko ulinganise iminyaka engama-20 edlulileyo? Ndalinganisa ama-pounds angama-40 ngaphantsi kwam. Eyona nto ihamba ngokukhawuleza kwimizuzu- kodwa ngokuqinisekileyo, iipounds ezimbini ngonyaka. Nangona mna kunye nabanye abantu ndiyathetha ukutshintsha i-40, i-50 okanye nayiphi na indlela yokutshatyalaliswa kwangoko, mhlawumbi ukonakalisa iimpawu zesifo se-asthma ngaba ngokwenene ngala mapaundi angaphezulu?
Ngaba Isisindo Sithinta I-Asphma?
Nangona kungabonakali ngathi kuninzi, ukufumana ama-pounds angama-5 kuphela kuboniswe ukuba kube nzima ukulawula i-asthma kunye nomgangatho wobomi. Kwiphando elithile elipapashwe kwiphepha leMpilo yokuPhepha kweMpilo efumana ama-pounds ama-5, xa kuthelekiswa nalabo bafumana ngaphantsi okanye balahlekelwa ubunzima, bekunxulumene ne /
- Ulawulo lwe-asthma olungamahlwempu olungama-22%
- I-18% engumgangatho wobomi obuthathaka obumpofu
- Ukwanda kwe-31% kwiingxaki zokufuna i- steroid
Ababhali baphetha ngelithi "iindlela zokuthintela ukunyusa ubunzima zingancedisa izigulane ziphumelele ukulawula i-asthma nokuphucula umgangatho wobomi obunxulumene ne-asthma. Ukuqonda okucacileyo ngeendlela apho ubunzima bomzimba / i-BMI echaphazela ukulawulwa kwe-asthma kunye nezinye iziphumo ezihambelana ne-asthma ziza kwenza ukuba uphando lweengcali luqulunqe iinkqubo zonyango ezibandakanya icandelo lokulawula ubunzima. "Enyanisweni, zifundo ezimbalwa zihlolisise ngonyango unyango kwi-overweight / i-asthmatics okanye igalelo lokulahlekelwa kwesisindo kwi-asthma.
Ukugqithisa kakhulu kukhokelela kwiimpendulo ezahlukileyo kwii-Asthma Meds
Kule meko, ubunzima bunempembelelo ngqo ye-asthma control. Nangona kungekho zifundo ezijoliswe ngokukodwa ngokugqithiseleyo okanye kwi-asthmatics e-obese, izigulane ezigqithisileyo azibonakali ukuba ziphendule kumachiza omlawuli ngendlela efanayo ne-asthmatics engaphelelanga.
Ngakolunye uhlangothi, impendulo yokulondoloza imishanguzo ayitshintshi. Akumangalisi ukuba uphando lwangoku kwi-asthma alujolisanga ngokugqithiseleyo izigulane ngokugqithiseleyo kwaye oku kufanele kube yinjongo yophando lwekliniki ezayo. Okwangoku, akukho naluphi ulwahlulo lwonyango olunconywayo olusekelwe kwisisindo sakho.
Ngaba Ukunciphisa Ukulahlekelwa Kwemiphumo Kuchaphazela I-Asthma?
Kubonakala kubonakala ukuba ukuba ukukhululeka kunxulumene nokulawulwa kwe-asthma ehlwempuzekileyo kwaye kunciphise umgangatho wobomi obunokulahlekelwa kwesisindo buya kuguqula oku. Nangona amaninzi aseMerika aya kuzuza ngokuthatha iipounds ezimbalwa, andinakuqinisekisa ukuba kuya kuphucula isifuba sakho se-asthma.
Ucwaningo oluninzi luye lwaphakamisa ukuba ukulahleka kwesisindo kwi-surgery bariatric kuphucula ukulawula i-asthma kwizigulane ezigqithisileyo. Olunye uphando endixoxe ngalo ngaphambili luthi imithi yokuhlaziywa kwamayeza iyancipha ngo-50% emva kokuhlinzwa ngonyango. Iimpapasho ezininzi zakutshanje zibonise ukuphuculwa kweempawu ze-asthma kwakunye nemisebenzi yeplmonari kwiminyaka emi-5 emva kokuhlinzwa. Enye yemingcele eyintloko yezifundo zonke ezibandakanya ukuhlinzwa kunye ne-asthma ubukhulu obuncinci, ukunciphisa ukuzaliseka kweziphumo.
Nangona ezi ngxelo zi thembisa, utyando lwe-bariatric luyinyathelo elungileyo. Inkqubo inobungozi kunye neengxaki.
Ukuba ukuguqulwa kokuphila okujoliswe ekulahlekelweni kwesisindo kuvelisa iziphumo ezifanayo, utyando lungafanelekanga ukuba lube ngumngcipheko.
Uvavanyo oluncinci lwezonyango (RCT) olubandakanya ukutya kunye nokuzivocavoca kubonakalise umgangatho wobomi obulungileyo kwi-83% yabathathi-nxaxheba kunye nokulawulwa kwe-asthma kwi-58% yabathathi-nxaxheba emva kwe-5-10% yokulahlekelwa kwesisindo. Kwongenelelo lokutya, abathathi-nxaxheba basebenzise ukutshintshwa kokutya oku-2, ukutya okulona mnye, ukutya oku-2 kunye neengcebiso zokutya. Kwimisebenzi yomzimba, izigulane zongenelelo zithole ubulungu bokuzivocavoca kunye neyure nganye ngeveki yoqeqesho lomntu kunye neprogram yomsebenzi wokwenyama.
Nangona le ngxelo kunye nabanye bambalwa bathembisa, ukuza kubekho ukuhlalutya kwamanqanaba amakhulu, ukuba kwenziwe ukuba iziphumo zikwazi ukuphinda zichazwe.
Impembelelo kum
Ngoko ndicinga ukuba ndiyakwazi ukuphendula umbuzo owenziwe ekuqaleni kwe nqaku "ukuthatha isisindo kuthintela isifuba" ngo-ewe. Nangona andinakukwazi ukuphakamisa ukulahleka kobunzima be-asthma ngokukodwa kwizigulane ezigqithiseleyo kunye nokugqithiseleyo, ndinokuncoma ukulahlekelwa ubunzima kwezi zi gulane ngokubanzi. Izigulane kwizifundo ezincinci ziye zazuza ukuphucula okubalulekileyo kwiziphumo ze-asthma kunye nokulahleka kwesisindo. Naliphi isigulane esingaphezu komzimba okanye isigulane esifanelekileyo kufuneka sizame ukulahleka kwesisindo emva kokubonisana ngonyango.
Iindlela ezisetyenzisiweyo kwi-RCT apha ngentla ziyakwazi ukuphumelela kuluntu lwakho ukuba unokufumana izixhobo zokubona umculi wezilwanyana kunye nomqeqeshi. Nangona kunjalo, ngesishukumiso esifanelekileyo kunye nolwazi oluncinane, unokuhlakulela isicwangciso sakho sokulahleka kwesisindo ngaphandle kweendleko ezininzi.
Umthombo
> Haselkorna T, > Fishb > JE, > Chippsc > BE, Millerd PE, Chene H, Weiss ST. Umphumo wesisindo utshintsho kwiziphumo zempilo ezihambelana nesifo se-asthma kwizigulane ezinezifo ezinzima okanye ezilukhuni. Umqulu 103, Issue 2, Februwari 2009, iphepha 274-283
> Scott HA, Gibson PG, Garg ML, Pretto JJ, uMorgan PJ, uMncedisi R, I-Wood LG. Ukunciphisa ukutya kunye nokunyusa ukuphucula ukuvutha kwamanzi kunye neziphumo zekliniki ekugqithiseni kakhulu kunye nokuphefumula komzimba: isilingo esingenangqondo. . I-Clinical & Experimental Allergy Volume Volume 43, Issue 1, iphepha 36-49, ngoJanuwari 2013.