I-asthma yimeko engapheliyo yemiphunga ebangela ukuba kunzima ukuphefumla. I-airways yemiphophu, ebizwa ngokuba yi- bronchial tubes , iyavutha. Imisipha ejikelezileyo iqiniswe kwaye i-mucus ikhiqizwa, eyona yanciphisa i-airways. Ukungabikho kokusasazeka kwesifo se-asthma kungakhokelela ekubhedlelelwa esibhedlele kwaye kungaze kube yingozi. Akusiyo imeko emele iphathwe ngayo.
Izibonakaliso kunye neMpawu
Iimpawu ze-asthma zinokuvela kwi-mild, ezifana ne-wheezing, ukukhwehlela okungapheliyo kunye nokuqhuma ngexesha lokuhlaselwa kwe-asthma. Ezi ezinye zezibonakaliso neempawu:
- Ukuphefumula nokuphefumula
- Ubunzima bokulala ngenxa yokuphefumula, ukuqhuma, nokukhwehlela
- Intlungu yesifuba okanye ukuqina
- Ukuphefumula ngexesha lokuzilolonga
- Ukwanda kweemfuno ze-bronchodilators (imithi evula umoya ophumayo ngokuziphucula izihlunu ezijikelezileyo)
IziNyango zeNdalo
Kuze kube ngoku, inkxaso yenzululwazi yebango lokuba nayiphi na isisombululo singaphatha isifo se-asthma. Ukuba ufumana iimpawu ze-asthma okanye ucinga ukuzama naluphi na uhlobo lwamayeza athile, kubalulekile ukubona ugqirha wakho. Ukuziphatheka nokukhusela okanye ukulibazisa ukunakekelwa okuqhelekileyo kunokuba nemiphumo emibi.
1) I-Buteyko Breathing Technique
I-Buteyko (ebizwa ngokuba yi- tay-tay -ko) I-Tech-Breathing Technique yasungulwa ngumphandi waseRussia ozalwe nguKonstantin Pavlovich Buteyko.
Iqukethe ukunyusa okungaqhelekanga okulungiselelwe ukunceda abantu abane-asthma baphefumula lula.
I-Buteyko Breathing Technique isekelwe kwisiseko sokuthi ukuphakamisa izinga legazi le-carbon dioxide ngokusebenzisa ukuphefumla okungapheliyo kunokunceda abantu abane-asthma. I-carbon dioxide ikholelwa ukuba iyancipha imisipha epholileyo.
Uhlolisiso olubandakanya abantu abangama-60 abane-asthma xa kuthelekiswa nemiphumo ye-Buteyko Breathing Technique, isixhobo esichaza i-pranayama (inqubo yokuphefumula ye-yoga) kunye ne-placebo. Abaphandi bafumene abantu basebenzisa i-Buteyko Breathing Technique banciphise iimpawu ze-asthma. Iimpawu azizange zitshintshe kwi-pranayama kunye namaqela ase-placebo.
Ukusetyenziswa kwe-inhalers kuncitshiswe kwiqela le-Buteyko ngamabini amabini ngemini ezintandathu, kodwa kwakungekho tshintsho kwamanye amaqela amabini.
Kukho ezinye iindidi ezithembekileyo zokuvandlakanya ukuhlola olu cwangciso, nangona kunjalo, bebebukhulu becala kwaye bafumana ezinye iingxaki ngokuyila. Abagxeki besicatshulwa bathi ubuchule buyabiza, ukuba akwenzi ntohluko kumlinganiselo we-carbon dioxide egazini, ukuba amazinga aphezulu e-carbon dioxide ayikho isicwangciso esisebenzayo, kwaye ukuba nayiphi na imiphumo yenkqubo ingabangelwa jikelele ukuphumla.
2) I-Omega Fatty Acids
Esinye sezidalwa eziphambili zokuvuvukala kwezidlo zethu zikholelwa ukuba yi-arachidonic acid. I-Arachidonic acid ifumaneka kwizinto ezithile zokutya, njengezikhuni zeqanda, i-shellfish, kunye nenyama. Ukutya okuncinane kwezi zokutya kucatshangelwa ukunciphisa ukuvuvukala kunye neempawu ze-asthma.
Isifundo saseJamani sihlolisise idatha evela kwabantwana abangama-524 kwaye sifumene ukuba isifo se-asthma sasixhaphake kakhulu kubantwana abanezinga eliphezulu le-arachidonic acid.
I-Arachidonic acid nayo inokuveliswa emzimbeni wethu. Esinye isicwangciso sokunciphisa amanqanaba e-arachidonic acid kukunyusa amafutha afanelekileyo afana ne-EPA (eicosapentaenoic acid) kwioli yeentlanzi kunye ne-GLA ( gamma-linolenic acid ) ukusuka kwi-borage okanye i- oil primrose yamafutha .
I-Omega-3 fatty acid capsules zithengiswa kwiivenkile zezitolo, izitolo zokutya zezempilo kunye ne-intanethi. Khangela izithako ezisebenzayo ze-EPA kunye ne-DHA kwilebula.
I-Omega-3 fatty acid capsules inokusebenzisana neziyobisi ezinqamle igazi ezifana ne-warfarin (i-Coumadin) kunye ne-aspirin.
Imiphumo emibi ingabandakanya ukuhlengahlengiswa kunye nokuphuma kwamanzi. Ukunciphisa i-aftertaste yentlanzi emva kokuthatha iipilisi zentlanzi, kufuneka zithathwe ngaphambi kokutya.
3) Izithelo kunye nemifuno
Uhlolisiso lokuhlola idayari zokutya zabafazi abangama-68,535 lubone ukuba abafazi ababeneentlanzi ezinkulu, iinqatyi kunye nemifuno enamagqabi banomdla ophantsi kwesifo se-asthma.
Ukusetyenziswa kakhulu kwamaapulo kunokukhusela kwisifo se-asthma.
Ukutya kwimihla ngemihla kunye nemifuno ebuntwaneni kwanciphisa umngcipheko we-asthma.
Ucwaningo lweYunivesithi yaseCambridge lufumene ukuba iimpawu ze-asthma kubantu abadala zidibene nokutya okuphantsi kwezityalo, i- vitamin C kunye ne-manganese.
4) I-Butterbur
I-Butterbur yi-shrub engapheliyo ekhula eYurophu, e-Asia naseNyakatho Melika. Amacandelo asebenzayo yi-petasin kunye ne-isopetasin, ekholelwa ukuba ukunciphisa i-spasm edibeneyo kunye ne-anti-inflammatory effect.
Abaphandi eYunivesithi yaseDundee, eScotland, bavavanya imiphumo yeburrandbur kubantu abanesifo se-asthma esilumkileyo esasisebenzisa i-inhalers. Bakufumanisa ukuba ibhotolburdi yongezwa kwimpembelelo echasayo ye-inhalers.
Olunye uhlolisiso luhlolisise ukusetyenziswa kweengcambu ze-butterbur ku-80 abantu abane-asthma ezine iinyanga. Inombolo, ubude kunye nobukhulu bokuhlaselwa kwe-asthma kwehle kwaye iimpawu ziphuculwe emva kokusebenzisa i-butterbur. Amaphesenti angaphezu kwe-40 abantu abasebenzisa amayeza e-asthma ekuqaleni kwesi sifundo bancitshiswe ukungena kwabo ngamayeza ekupheleni kokufunda.
Imiphumo emibi ye-butterbur ingabandakanya ukuhlanjululwa, intloko, ukukhathala, isisongela, ukuhlanza, isifo sohudo, okanye ukubethelwa. Abafazi abakhulelweyo okanye abahlengikazi, abantwana okanye abantu abanesifo okanye isifo sesibindi akufanele bathathe i-butterbur.
I-Butterbur ihlala kwintsapho ye-ragweed, ngoko-ke abantu abaxhamla kwi-ragweed, marigold, daisy, okanye i-chrysanthemum akufanele basebenzise i-butterbur.
Imifuno eluhlaza kunye neetasta, izicatshulwa, kunye neepssile ezenziwe kwitshalo eluhlaza akufanele zisetyenziswe kuba ziqukethe izinto ezibizwa ngokuba yi-pyrrolizidine alkaloids ezinokuthi zibe yityhefu kwisibindi kunye neentso kwaye zidibene nomhlaza.
Kunokwenzeka ukususa i-pyrrolizidine alkaloids kwimveliso ye-butterbur. Ngokomzekelo, eJamani, kukho umda wokhuseleko kumgangatho we-pyrrolizidine alkaloids evunyelwe kwimveliso ye-butterbur. I doseji ekhuthazwa imihla ngemihla ayikwazi ukudlula enye i-microgram nganye ngosuku.
5) iBromelain
I-Bromelain yicatshulwa yamapinapu. Enye yeengcamango malunga nendlela isebenza ngayo ukuba kukholwa ukuba kunezakhiwo ezichasayo. Kwisifundo esithile, abaphandi eYunivesithi yaseConnecticut bafumene ukuba i-bromelain yanciphise ukuvuvukala kwezilwanyana kwizilwanyana ezinezifo zomoya. I-Bromelain ayifanele isetyenziswe ngabantu abane-allergies kwiipinapali. Imiphumo emibi ingabandakanyeka ukugaya ukutya kunye nokuphendula komzimba.
6) uBosswellia
I- herb boswellia , eyaziwa ngamayeza e-Ayurvedic yaseNdiya njengeSalai guggul, ifumaneke kwizifundo zokuqala ukuvimbela ukubunjwa kwee-compounds ezibizwa ngokuthi i-leukotrienes. I-Leukotrienes ikhutshwe kwimiphunga ngenxa yobuncwane bomoya.
Isifundo esilawulwa yimpumpo emibini, esine-placebo sinezigulane ezingama-40, abantu abangama-40 abane-asthma baphathwa nge-boswellia kathathu kathathu ngosuku kwiiveki ezintandathu. Ekupheleni kweli xesha, iipesenti ezingama-70 zabantu zaphuculwe. Iimpawu zokuphefumula ubunzima, inani lokuhlaselwa, kunye nemilinganiselo yebhubhoratri zaphuculwe.
I-Boswellia ifumaneka kwifom ye pilisi. Kufuneka kuthi kwilebula ukuba ichanekile ukuba iqulethe i-60 pesenti ye-acids acids. Akufanele kuthatyathwe kwiiveki ezingaphezu kwe-8 ukuya kwezi-12 ngaphandle kokuba kuphakanyiswe ngenye indlela ugqirha wezempilo.
Akwacaci ukuba yintoni inqanaba elikhuselekileyo okanye elifanelekileyo okanye indlela i-boswellia inokusebenzisana ngayo nezinye izifo zonyango. Imiphumo emibi ingabandakanyeka ukugaya ukutya, isicupunu, i-acid reflux okanye isifo sohudo.
7) Ukulahlekelwa kwesisindo
Izifundo ezininzi ziye zafumanisa ukuba ukukhuluphala kunomngcipheko we-asthma.
8) I-Biofeedback
Ngamanye amaxesha i-Biofeedback ikhuthazwa ngabagqirha njengonyango lwangokwemvelo lwe-asthma. Oluthe xaxa malunga ne-Biofeedback.
Imijelo
Izibonelelo azange zivavanywe ukhuseleko kwaye ngenxa yokuba izongezo zokutya zikhululekile kakhulu, umxholo weemveliso ezithile zingahluka kwizinto ezichaziweyo kwilebula yomkhiqizo.
Kwakhona, khumbula ukuba ukhuseleko lwezongezelelo kwabasetyhini abakhulelweyo, oomama abancinci, abantwana, kunye nalabo abanezifo zonyango okanye abathabatha imishanguzo ayilwanga. Unokufumana iingcebiso ezongezelelweyo ekusebenziseni izongezo .
Ukusebenzisa iziNyango zendalo
Ngenxa yokungabikho kobungqina obuxhasayo, kungekudala ukuba bathakise nayiphi na uhlobo lweyeza elithile le-asthma. Ukuba ucinga ukusebenzisa elinye iyeza, qiniseka ukuba udibane nodokotela wakho kuqala.
> Imithombo:
> Bolte G, Kompauer I, Fobker M, Cullen P, Keil U, Mutius E, SK Weiland. I-Acids Acids kwiSerum Cholesteryl Esters ngokubhekiselele kwi-Asthma ne-Lung Function kubantwana. Iiklinikhi I-Expressergy. 2006 Mar; 36 (3): 293-302.
> Bruton A, Lewith GT. Inkqubo ye-Buteyko Breathing Techm for Asthma: Uhlolo. Gcwalisa iTher Med. 2005 Mar; 13 (1): 41-6.
> Cooper S, Oborne J, uNewton S, uHarrison V, Thompson Coon J, Lewis S, Tattersfield A. Impembelelo yeZibini zokuPhucula (i-Buteyko kunye nePranayama) kwi-Asthma: I-Trimmed Control Trial. Thorax. 2003 Agasti; 58 (8): 674-9.
> Danesch UC. I-Petasites Hybridus (i-Butterbur Root) Yophula kwiNyango ye-Asthma-Uvavanyo oluvulekileyo. I-Altern Med Rev. 2004 Mar; 9 (1): 54-62.
> Gupta I, Gupta V, Parihar A, Gupta S, uLudtke R, Safayhi H, Amon HP. Iimpembelelo ze-Boswellia Serrata Gum Resin kwizigulane nge-Bronchial Asthma: Iziphumo ze-Blind-Blind, i-Placebo-Controlled, i-Week-6 Study Clinic Study. Eur J Med Res. Ngo-1998 uNgo-17; 3 (11): 511-4.
> Garcia V, ubuGcisa IC, iSterne JA, Thompson RL, uShaenen SO. I-Intake ye-Flavonoids ne-Asthma kubantu abadala. I-Eur Respir J. 2005 Sep; 26 (3): 449-52.
> Jackson CM, Lee DK, Lipworth BJ. Iimpembelelo ze-Butterbur kwi-Histamine kunye ne-Allergen Impendulo enemivuzo. Ann Annistry Asthma Immunol. 2004 Feb; 92 (2): 250-4.
> Lee DK, Haggart K, Robb FM, Lipworth BJ. I-Butt erbur, i-Rembal Remedy, ivumela umsebenzi oQhathelene noKhuselana noTshabalala kwizigulane ze-Asthmatic Receiving Corticosteroids. Iiklinikhi I-Expressergy. 2004 Jan; 34 (1): 110-4.
> Lehrer PM, Vaschillo E, Vaschillo B, Lu SE, iSardard A, i-Siddique M, i-Habib RH. I-Biofeedback Treatment ye-Asthma. Esifubeni. 2004 Aug; 126 (2): 352-61.
> Mickleborough TD, Lindley MR, Ionescu AA, Fly AD. Umphumo wokukhusela ukuNcediswa kweeNdawo zoTywala kwi-Exercise Bronchoconstriction kwi-Asthma. Esifubeni. 2006 uJan; 129 (1): 39-49.
> Murray CS, uSimpson B, uKerry G, i-Woodcock A, iCustovic A. I-Intake yokuThengisa kwiBantwana abaSebenzisiweyo abane-Wheeze eLawulayo kunye nokuLawula impilo: I-Case-Control Case-Control Study. I-allergies. 2006 kuMatshi; 61 (4): 438-42.
> Nja F, Nystad W, Lodrup Carlsen KC, Hetlevik O, uCarlsen KH. Iimiphumo zoNgeniso lwangaphambili lweZithelo okanye iMifuno ngokumalunga nexesha elizayo I-Asthma ne-Sensitization ye-Allergic kwi-School-Age Children. Acta Paediatr. 2005 Feb; 94 (2): 147-54.
> Patel BD, Welch AA, iBingham SA, iLuben RN, i-Day NE, iKhaw KT, iLomas DA, i-Wareham NJ. I-Anti-Oxidants Dietary kunye ne-Symptomatic Asthma kubantu abadala. Thorax. 2006 Feb 7.
> Romieu I, Varraso R, Avenel V, Leynaert B, iKauffmann F, iClavel-Chapelon F. Ukusila kunye neZityalo eziNgciniweyo kunye ne-Asthma kwi-E3N Study. Thorax. 2006 uMar; 61 (3): 209-15.
> Secor ER Jr, Carson WF 4th, Cloutier MM, Guernsey LA, Schramm CM, Wu CA, iTrall RS. I-Bromelain Iqhuba Iimiphumo ezingabhubhisiyo kwi-Ovalbumin-Indleko ye-Murine Model ye-Allergic Airway Disease. Cell Immunol. 2005 Sep; 237 (1): 68-75.
> Shore SA, uJohnston RA. Ukunyanyeka kunye ne-Asthma. Pharmacol Ther. 2006 kuMatshi; 110 (1): 83-102.