Akusoloko kulula ukuthetha
Ngaba i-asthma okanye i-COPD? Akulula ngaso sonke isikhathi kuwe okanye ugqirha wakho ukuxelela. Nangona ezi zihlandlo ngamanye amaxesha zingaphahla, kaninzi kunokwenzeka ukuxelela ukuba kunokwenzeka kangakanani.
Umfundi osandul 'ukumbona wandibhalela ngokudideka ngento ethile ugqirha wamxelela. Uyabhala:
"I-pulmonologist yam ifumene i-asthma ephazamisayo. Xa i-Google iphela, i-COPD ivela.
Ngaba oko kuthetha ukuba ndineCOPD kunye ne-asthma? Ndingomfazi oneminyaka engama-54 engazange abe ne-asthma njengomntwana. Ndakha iingxaki ngemiphunga yam emva kokubanda ebusika kule minyaka edlulileyo. Andizange ndibheke i-cigarettes. Ndifumana iimpawu ze-asthma phantse yonke imihla.
Amachiza am ayenzela ukufumana inkululeko yokuhlangula, i- Symbicort BID, i- Singulair HS kwaye ndisebenzisa i-home nebulizer BID nayo.
Ndibhedlele esibhedlele ezimbini iiveki ezedlule ngenxa yokuhlaselwa sisifo se-asthma iintsuku ezintathu kwaye ndafumana ii-steroids ze-IV kunye neyeza ze-nebulizer zonke iiyure eziyi-8 kwaye ndakhutshwa kwi-tapn predone kususela kwi-40 mg iintsuku ezintathu. Xa ndafumana ukuhlaselwa kwesifo se-asthma esandithumbileyo yangithumela ku-ER, ndandisele ndithintela i-prednisone. "
Ngaba unayo i-asthma, i-COPD, okanye zombini? Ukuphendula imibuzo emininzi kunokuncedisa ukuba ngaba i-asthma okanye i-COPD. Inani elincinci lezigulana linokuthi linomfanekiso odibeneyo. Ngelixa ezininzi zonyango ziyafana, indlela othabatha ngayo, unyango lwakho, kunye nezinye izinto ezihlukile.
Ngaba Ndinezibonakaliso Njengomntwana?
Abanye abantu bavelisa iimpawu kwaye bafumanisa ukuba bane-asthma xa bekhulile. Nangona kunjalo, i-asthma ininzi ivela kubantwana nakwishumi elivisayo. Enyanisweni, ezininzi izigulane ezithe zafumana i-asthma zineCOPD. I-asthma ibizwa ngokuba yi-bimodal okanye isifo esifana ne-U kuba siqhele ukuba sibona ezininzi izigulane ezifunyaniswayo kwiminyaka yokuqala, kodwa kukho le ngqayi ephawulekayo phakathi kwezigulane eziphakathi kweminyaka engama-35 ukuya ku-40.
Ingqumbo yengqumbo, ukukhuselwa kwezilwanyana kunye neengxaki ezibonakalayo ezinobumba ekhaya ziye zahlolisiswa ngezizathu ezinokwenzeka kwesi sihlandlo sesibini. Ukuhlaziya i-asthma ekuhambeni kwexesha kukudala iimeko ezininzi ze-asthma kwisibhengezo somntu osemdala singabonakalisa uhlobo olunzima olunxulumene neendleko zoqoqosho oluphezulu kwaye kunzima ukulawula ukliniki.
Yintoni Enokwenza Iimpawu Zethu Zobumfuziselo Zibuhlungu?
Nangona i-asthma kunye ne-COPD zombini inomqobo, ukuvuvukala , kunye nokungahambisani nomoya njengengxenye yesifo sesifo, isifuba siyisifo esiphezulu kwaye izigulane ziyazi ukuba yintoni eyenza iimpawu zabo zibe zibi ngakumbi:
- Umsi wecuba
- Izilwanyana zezilwanyana
- Izibungu zothuli
- Iingqungquthela
- Mold
- Pollen
- Imozulu ephezulu
- Ukuzivocavoca
- Ukuxinezeleka
- Amanye amayeza
I-COPD ayidla ngokubangela, kodwa idla ngokugqithiseleyo ngeentsholongwane zokuphefumula.
Ngaba Ndiya kumisa?
Nangona umsi ungabangela iimpawu ze-asthma, i-COPD iyaxhaphaka kubantu ababhemayo, ababeshushu, okanye izigulana ezichazwe kumsi womsi.
Ngaba Ndinayo Iimpawu zeeMpawu zamahhala?
Iimpawu ze-asthma ziyimvavanyo ephakathi, ibuyiswe, kunye nemiphunga (umzekelo, i- FEV1 kunye ne- spirometry ) zibuyela kwizinto eziqhelekileyo okanye ziphuculwe kakhulu phakathi kokuphuphuma kwesifo se-asthma. Iimpawu kunye neCOPD, ngakolunye uhlangothi, azinakwenzeka kwaye zihlala ziqhubeka.
Uninzi lwezigulane zeCOPD zinamava rhoqo xa zingekho iimpawu zemihla ngemihla. Ezi zimpawu azibonakali ziguquke ngokuhamba kwexesha njengoko iimpawu zeCOPD zifanelekile. Ngokufanayo, izigulane zeCOPD zifuna ukuthatha imithi ngemihla kwaye zingabonakali zizuze kwisicwangciso sokusebenza njengezigulane ze-asthma. Ngokufanayo, izigulane zeCOPD azikwazi ukubeka iliso iimpawu kwaye zilungelelanise unyango njengoko izigulane ze-asthma zikwazi ukwenza ngempumelelo. Ekugqibeleni, iCOPD idla ngokuqhubekayo apho i-asthma ingekho.
Ngaba Unako Ukufumana Izifo Ezixubileyo?
Nangona bengakhange bafunde kakuhle, oogqirha baqhubeka bevuma inkqubo yokuxuba. La magqirha akholelwa kwinto ebizwa ngokuba yi "Dutch hypothesis" apho i-asthma kunye neCOPD kwisifo esifanayo siyaqhubeka kunokuba zibe zizifo ezihlukeneyo, izifo ezihlukeneyo.
Iingcamango zikhuthaza imbono yokuba izifo kumntu omdala umphunga yinkqubo yemveliso ephuhlisayo kunye nenkqubela phambili kubantwana. Iimpawu kumntu omdala zigqityiweyo ngumkhiqizo wesifo esinye.
Ngokuqhelekileyo izigulane ezithintekayo zidala. Ngokuqhelekileyo izi gulane zi:
1. ababhemayo abane-asthma
2. Abagxeki abane-asthma elide eliqhubela phambili kwiCOPD
Kuvavanyo olusebenzayo lugqithisa izigulane ezinezifo eziziphethe njenge-asthma kwaye zifana neCOPD. Kukho ingxoxo encwadini yezokwelapha malunga nokuba ngaba oku kubhekiselele kwizifo ezi-2. Noko ke, unyango, alukho konke okuhlukileyo, kodwa akukho zilingo zonyango ezinokuthi zikuncede ukukhokela unyango lwakho. Njengoko eli nani lihlala likhulile kunobungozi obungakumbi bokungabi nokunyamezela i-inhalers okanye ukufumana imiphumo emibi okanye i-comorbidities evela kwi-inhalers. Ugqirha wakho uya kuxubusha ukuyeka ukutshaya, kunye nezitofu ngokufanelekileyo. Ukuba ufuna ukuxhaswa kwe-oksijeni okanye ukulungiswa kwamapulmesi ezi zombini zifanelekileyo. Ukuba iimpawu zakho kunye nokuvavanya kwakho kubonisa ukuba isifo sakho sifana neCOPD, ugqirha wakho uya kuphinda ahla kuloo ndlela kunye nenye ye-asthma.
Iyintoni Ingxaki Yakho Yomkhuhlane?
Sifuna ukukunceda ufumane ulawulo lwe-asthma yakho. Ndifuna ukuva malunga neengxaki zakho ze-asthma enkulu ukuze sizame ukukunceda uhlakulele isisombululo okanye uqonde ngakumbi indlela yokunceda. Mhlawumbi akunjalo yedwa enengxaki. Thatha imizuzu embalwa uchaza ingxaki yakho ukuze sikwazi ukuvelisa isisombululo kunye.
> Imithombo:
> Lee YL, Hsiue TR, Lee CH, Su HJ, Guo YL. Ukunyuka kwekhaya, i-parentopopy, kunye nokuvela kweempawu ze-asthma ekukhuleni kwelaseTaiwan. Esifubeni. 2006 Feb; 129 (2): 300-8.
> NGM Orie. I-Dutch Hypothesis.
> Intliziyo yeSizwe, iLung, neSigqeba seGazi. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma.
> Papaiwannou > A et al. Isifo se-asthma-immronic obstructive disease swell syndrome (ACOS): uncwadi olukhoyo > ukuhlaziywa. >. > J Thorac Dis. 2014 Mar; 6 (iSiza 1): S146-S151.
> Tsung-Ju Wu, Chang-Fu Wu, Yungling Leo Lee, Tzuen-Ren Hsiue, Yue Leon Guo. Isiganeko se-asthma, ukuxolelwa, ukubuyela kwakhona kunye nokuphikelela: isifundo esisekelwe ngabantu esisezantsi eTaiwan. Uphando lokuphefumula 2014 15 : 135