Ingaba Ugqirha Wenza Njani Ukufumanisa I-Asthma Diagnosis?
Nangona ufumana isifo se-asthma xa uneminyaka yobudala, uninzi lwabantu luya kufumaneka kwi-childhood. Nangona ugqirha wakho mhlawumbi uyazi kakuhle iimpawu ze-classic ze-asthma- wheezing, ukuqina kwesifuba , ukuphefumula okufutshane , kunye nokukhwehlela- ukuxilongwa kwesifo se-asthma kunzima kakhulu ngenxa yezi zimpawu eziqhelekileyo ezingezizo.
Ukuxilongwa kwe-asthma kufuna:
- Ubukho beempawu ziyahambelana nesifo se-asthma.
- Isilinganiselo senjongo yokunciphisa ukuhamba kwamanzi kwimiphunga yakho enokwenza okanye ngokuphuculweyo ngokukhawuleza okanye ngokunyanga.
Ugqirha wakho uya kufuna ukuqinisekisa ukuba isifo sakho se-asthma sifanelekileyo kwaye iimpawu ziyi-asthma kwaye ayikho enye i-diagnostic yokulinganisa i-asthma kumntwana wakho. Ugqirha wakho uya kukubuza imibuzo ethile kwaye ulandele iimvavanyo eziliqela.
Ukukhathazeka ukuba wena okanye umntwana wakho unesifo sokufumanisa i-asthma kungethuba elide. Ukwazi eminye yemibuzo engagqirha ugqirha kwaye ezinye zeemvavanyo ezingayalawulwayo ekufumaneni i-asthma ziya kukunceda ukuba ufumane uninzi lwangokutyelela ugqirha wakho kwaye unciphise ezinye ixhala 'ezingaziwa' eziya kudokotela.
Imibuzo Yembali
Iimpawu zoBuchule: Ukuba wena okanye umntwana wakho ufunda incwadi yeencwadi ngaphambi kokuba ubone ugqirha wakho, uya kukhalaza ngeklasi yeklasi yokukhwehlela, ukuphefumula ukuphefumula, kunye nokuqhuma-umsindo ophezulu xa uphefumula.
Umkhuhlane wakho ongapheli unomzimba 'owomileyo,' ongeyiphumeli, kwaye ngokuqhelekileyo kuya kuba nzima kakhulu ebusuku. Ezinye izigulane zichaza kwakhona ukuphefumula okufutshane njengentsimbi yesifuba okanye ukuvakalelwa kwintsimbi.
Izibonakaliso zesifo se-episodic: Ngokuqhelekileyo kwisifo se-asthma, iimpawu zakho ziya kuza kwaye zidlule ixesha kwaye ugqirha wakho unokukucela ukuba uchaze ukuba impawu zifikeleleke kwaye kwenze ntoni ukukhululeka kweempawu.
Inokukucela ukuba ucinge ngezinto ezibangelwa yimpawu ezidlulileyo, ezifana nokuchayeka kwizilwanyana ezinjengothuli, umsi okanye utshintsho kwimozulu, njengomoya obandayo .
Ukuzibonakalisa izibonakaliso : Izimpawu zesifo se-asthma ezenziwa ngumsebenzi ngokuqhelekileyo zenzeka emva kwemizuzu engama-15 yomsebenzi kwaye isombulula emva kokuphumla imizuzu engama-30 ukuya kweyure-ngoko ukuphefumula okufutshane kukuva emva kokuhamba ngeendiza ezenza ngcono kumzuzu embalwa mhlawumbi i-asthma. Iimpawu zokuzivocavoca ziba nzima kakhulu kwaye zenzeke ngokuqhelekileyo ngokutyhila umoya obandayo.
Iimpawu zoHlelo kunye neMbali : I- asthma iyaxhaphaka kubantu abaneenkcukacha zentsapho ye-asthma, ezinye iintlungu kwiintsapho zabo, okanye izifo ezithile ze-atopic-ezichasene nezifo ezikhuselekisayo, ezifana nesifo se-hay . Ugqirha wakho uya kubuza malunga neempawu ezifana:
- Ukungakwazi ukuhlala kunye nabafundi eklasini kwimisebenzi yomzimba
- Ukukhwehlela okungapheliyo okanye ubusika ekungabikho kwintsholongwane
Baya kucela nokuba kukho imbali yeemeko ze-atopic ezifana:
- Yewena mkhuhlane
- I-rhinitis ye-allergen
- Aermic dermatitis
Imbali yeyiphi na le miqathango kwisigulane esinempawu ehambelanayo nesifo sesifuba senza i-asthma inokwenzeka kakhulu. Ugqirha wakho uya kuphinda acele malunga nokuvelela kunye nokuvela kweempawu ngezilwanyana ezithile.
Uyafuna ukwazi ukuba uphuhliso lweempawu xa:
- Ujikeleze izilwanyana ezinomlilo
- I-pollen ibonisa ukwanda
- Utyalwe ngothuli nokubunjwa
Uvavanyo lweMzimba
- Ukugubha: Ngokwempawu, ugqirha wakho uya kuliva isandi somculo esiphezulu-ekupheleni-xa uphefumula okanye uphuma-okuqhelekileyo, kodwa akuthethi ukuba u-asthma (ithetha ukuba ezinye iimeko zingabangela ukuba i-wheezing). Ngokuqinisekileyo, ngokuqinisekileyo, kungekudala lonke ixesha kunye nokuvuthwa akubonakali ukuba ubuhlungu besifuba sakho sinjani.
- Ukuvuthwa kwe-Nasal: Ukuvutha okuphaphakileyo kwezigxobo zomlomo kuphakamisa i-rhinitis ye-allergen engakwazi ukonakalisa iimpawu ze-asthma.
U vavanya
- I-Peak Exiratory Flow Rate (PEFR): i- PEFR, umlinganiselo wokuhamba komoya emiphakeni yakho, iyalinganiswa nesicatshulwa esilula esilula. Udokotela wakho unokuthi ugcine irekhodi lomlinganiselo ekhaya. Uya kuphuhlisa i-PEFR eyona nto iyakukuxelela ukuba isifo se-asthma silawulwa njani. Wena kunye nodokotela wakho uya kuphuhlisa isicwangciso sokwenza ntoni ukuba i-PEFR yakho ingaphantsi kwama-80 ekhulwini eqhelekileyo.
- I-Spirometry: Uvavanyo olufana ne-PEFR efuna izixhobo eziphambili kunye kwaye ngokuqhelekileyo zenziwa kwiofisi yakho. Olu vavanyo lugqirha ugqirha wakho ukuba angcono ukuqikelela ubunzima bokukhutshwa komoya.
- Impendulo yeBronchodilator: Uphawu lwesifo se-asthma luphuculo emva kwonyango kunye neBronchodilator , iyeza zokunceda ngokukhawuleza ngokukhawuleza. Ngokuqhelekileyo, ugqirha wakho uya kuphinda abuyele i-spirometry 10-15 imizuzu emva kokunyanga nge-bronchodilator. Ukwandiswa kokuphuma kwomoya kweepesenti ezili-12 kuthathwa njengento efanelekileyo kwaye kuncedisa ekufumaneni i-asthma.
- Ukutshatyalaliswa kweBroncho Challing Testing: Ngokuphambene nokukhangela ukuphucula umsebenzi wepomphu kunye ne-bronchodilator, ukuvavanywa kwe-bronchoprovocation kuzama ukuvusa ukukhutshwa kwe-airflow emva kokuba uvelise into enomsindo. Olu vavanyo luhlala lwenziwa kuphela xa abantu bekhona ngeempawu ze-atypical.
- I-xst ray: I- chest x-rays iqhelekile kwizigulane ezine-asthma, kodwa ugqirha wakho unokuyalela omnye ukuba unika okokuqala ngevili. Ukuba i-asthma ingahambelwanga ixesha elide, i-x-ray yesifuba ingabonisa ukuxhomekeka kwe-hyperexpansion.
- Uvavanyo lwegazi: Akukho ziphumo zokuhlola igazi nge-asthma. Umboneleli wakho wezempilo unokuyalela ukuhlolwa kwegazi ukuze ancede ukulawula ezinye izizathu zeempawu zakho.
Ukuze wenze ukuxilongwa, ugqirha uya kusebenzisa intlangano yembali, ukuhlolwa ngokomzimba, kunye neemvavanyo zokugqiba ukuba yintoni unyango olufanelekileyo.
Imithombo:
Isifuba. Amaziko okuLawula izifo kunye nokukhusela. https://www.cdc.gov/asthma/
Isifuba. Kwimithi yeChest: Izinto eziphambili zePulmonary And Medicinal Care Medicine . Abahleli: URonald B. George, uRichard W. Ukukhanya, uRichard A. Matthay, uMichael A. Matthay. Meyi 2005.
I-Heart Heart, i-Lung, ne-Blood Institute. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma
Ulwazi oluneMonde UpToDate.com. Izimpawu ze-asthma kunye nokuxilongwa kwabantwana