Ngubani osemngciphekweni kwaye yintoni enokukunceda uphile kangcono?
Ukuba ufumene ukuba une-asthma enzima, eli gama linokudideka. Ngaba ukuba nesifo se-asthma esinzima kuthetha ukuba unempawu ezinzima, okanye uluhlobo oluhlukile lwe-asthma?
I-asthma ephezulu ngokwenene yi-subtype ecacileyo ye-asthma. Ngamanye amaxesha kuthiwa yi-asthma eqhubekayo kwaye ichazwe ngakumbi kunezinye iimpawu ezinzima okanye ezingalawulekiyo.
Ngubani Unesifo Sobomi?
Iingingqi ezimalunga neesithoba zabantu bonke abane-asthma bahlangabezana neendlela zokuba nesifo se-asthma esibi. Unokuba usengozini xa:
- Unezinye iingxaki zempilo ukongeza kwisifuba sakho se-asthma, njengesifo sikashukela kunye nokukhuluphala. Izimpawu zengqondo ezifana nokuxhalabisa kunokubanceda neengxaki zokuphefumla.
- Ukuba utshaya.
- Ukuba awuhambisani nokunyanga kwakho kwe-asthma.
Unokuthi ufumaniswe ukuba iimpawu zakho azilawulwa ngokusetyenziswa kwamachiza athile afana ne-high dose inhaled glucocorticoids kunye ne-systemic corticosteroids, i-agonists esebenza ixesha elide okanye i-leukotriene modifiers. Unokufunyanwa kwakhona ukuba unyanzelekile lo nxu lumano ukuze ugcine i-asthma yakho ilawulwe ngaphezu kwama-50 ekhulwini kunyaka odlulileyo.
Iimvavanyo zemiSebenzi yePulmonary ziyakwenza okanye zingadlala indima ekufumaneni i-asthma enzima. Ngokuqhelekileyo, abantu abane-asthma ezinzima bavame ukuba nevolumu yokunyanzeliswa ngokunyanzeliswa ngaphantsi kwama-60 ekhulwini okuchazwe.
Iimpawu
I-asthma ephezulu iqulethe iimpawu ezigqithiseleyo eziqhelekileyo ezingalawulwayo ngaphandle kokusetyenziswa kwamachiza athile. Ziquka:
- Ukuphefumula okunzima okuqhubekayo yonke imihla.
- Ukuvuka rhoqo ebusuku ngeempawu.
- Ukufanelekela ukusebenzisa i-inhaler ngezihlandlo eziliqela ngosuku.
- Iingxaki eziphefumulayo ezinciphisa ukukwazi kwakho ukuthatha inxaxheba kwimisebenzi eqhelekileyo okanye kusebenze.
Ukujamelana nemiphumo yale mpawu kunzima-ukuba une-asthma enzima, unakho ukukwazi ukuwubamba umsebenzi kwaye unokukwazi ukuchitha ixesha esibhedlele. Indleko ephezulu yonyango kunye nokulahleka komsebenzi kunokubangela ubunzima kwizinto eziphathekayo zezemali. Ukudandatheka kunye neemvakalelo zokukhungatheka nazo ziqhelekileyo.
Nangona kunjalo, kukho uncedo olukhoyo. Abantu abanomdla obalulekileyo kunye noluntu lweentsapho bafumana iziphumo zonyango ezingcono kunabo abangenazo izibonelelo ezibalulekileyo. Ukufuna unyango kunye namanye amaqela enkxaso, njengabo baxhumeke kwi-intanethi, unokukwenza uguquko olukhulu kwimvakalelo kunye nemini yokunyamezela ngokufanayo.
Izinyango Zonyango
I-asthma ephezulu iphathwa ngokugqithiswa ngugqirha ogqwesileyo kwaye unamava okunyanga le meko. Zininzi iintlobo zoogqirha kunokufuneka ukuba uphathe zonke iinkalo zezifo ezilukhuni. Iqela lakho lingabandakanya i-pulmonologist, i-otolaryngologist (indlebe, impumlo, ugqirha), kunye ne-immunologist / allergist.
Iimeko ezinjengezilwanyana, i-polyps zamanzi , okanye iingxaki ze-sinus nazo zingafaka isandla kwiimpawu zakho ze-asthma. Ukuba une-asthma enzima kufuneka uhlolwe kwaye uphathwe ngokufanelekileyo kule miqathango. I-Alergies, ngokukodwa, inokunyusa kakhulu iimpawu ze-asthma kwaye kufuneka ilawulwe ngokufanelekileyo.
I-Immunotherapy (ukutshatyalaliswa kwamathambo) ukuthungwa komthunzi, impova, okanye i-dander yezilwanyana kunokucetyiswa.
Kubalulekile ukuba nabani na abane-asthma ezinzima bahambelane ne-regimen yonyango ngokuthatha onke amayeza abo ngexesha kunye njengoko kulandiswe. Kufuneka usebenze kunye nogqirha wakho ukuphuhlisa isicwangciso sonyango esibhaliweyo esikukunceda ukuba uqaphele ukuba impilo yakho iyahlakala okanye xa ufuna uncedo lwangonyango.
Kufanele ufumane imfundo ngendlela efanelekileyo kakhulu yokusebenzisa amayeza athengisiweyo ukuqinisekisa ukuba asetyenziswa ngokuchanekileyo. Oku kungabandakanya umyalelo wokusetyenziswa kweentsimbi kunye ne- inhalers ye dose emitha .
I-Nebulizers ingaba yimfuneko ukuhambisa amayeza angenayo.
Iziphumo ezifana nokuzivocavoca okanye ukunyamezela kufuneka zichongwe kwaye zigwenywe. Kwakhona, ukukhuluphala kungenza ezininzi iingxaki zokuphefumla zibandakanya i-asthma zibi kangangokuthi ukulawula ubunzima kunokuba yinxalenye efanelekileyo yonyango lwakho.
Unyango olunganyanga unyango olunjenge-physiotherapy lunokuba luncedo ngokubambisana nenkango echazwe ngasentla. Umzimba we-physiotherapist unokufundisa iindlela ezahlukeneyo zokuphefumula (ukuphefumula ukuphefumula), ukuguqula indlela yokuphefumla, ubuchule bokuphumula, okanye kukunceda ukuguqula indlela yakho yokuzivocavoca ukuze ukwazi ukuthatha inxaxheba kwimisebenzi yenyama ngaphandle kweengxaki zakho zokuphefumla. Akukho bubungqina obaneleyo bokuncoma oku njengonyango lwimi-yodwa, kodwa ezinye izifundo zibonisa ukuba zinokuphucula iimpawu kunye nokuphila kakuhle kwengqondo.
> Imithombo:
> Pollart, SM & Elward, KS. (2009). Ubume beSiguqu kwiiNkcazo ze-Asthma: I-Diagnosis ne-Screening. I-Phys Physician. 79 (9): 761-767.
> I-Asthma ephezulu. Asthma.net. Ukuhlaziywa ngo-Matshi 31, 2016. https://asthma.net/living/severe-asthma/
> UTomas, M kunye noBruton, A. (2014). Ukuphefumula ukuphefumula kwesifuba. Phefumla. 10: 312-322; INGXELO: 10.1183 / 20734735.008414