Ukuhlolisisa i-Confusing and Possibility Outdated Term
Isifo se-airway esichukumisayo sisandi malunga nokwaneleyo xa uqala ukuva, kodwa sithetha ntoni ngempela? Ngokuxhomekeke kumntu ofumanisa imeko, ingasetyenziselwa ukubonakalisa nantoni na evela kwisiqhelo esinzima sokugula esichengeni sokuphefumula njengesifo se- asthma .
Ukungaxelwanga kwekota akuthethi ukuba kukukhathaze okanye kukudibanise.
Kunoko, ngokuqhelekileyo kusetyenziswa njengobambiswano-yonke ibinzana ukuchaza imeko eye yafunyaniswa ngokupheleleyo okanye iyaqondwa, ingakumbi kwiimeko ezingxamisekileyo apho umqobo wokuphefumula unokuba nzima.
Sibanzi
Abanye oogqirha baya kusebenzisa eli gama elithi "isifo sengqondo esiphezulu somoya" ukubonisa ukuba umntu uyasabela kwinto ebangela ingxaki yokuphefumla, nangona ingaqinisekanga ukuba yintoni. Abanye baya kusebenzisa eli gama ngokufana nesifo se-asthma, mhlawumbi ngokucinga ukuba "isifo sengqondo esiphezulu somoya" ngumqondo olula ukuwuqonda.
Ekugqibeleni, ingcaciso ecacileyo yesifo esiphezulu se-airway ayikho. Nangona kunokunceda ukuchazela umfuziselo kumzali okanye umntu, eli gama alilona lusetyenziso lwezonyango kuba lucacisa isizathu esicacileyo okanye indlela yokuxilonga okanye unyango.
Ngenxa yoko, ingxaki kukuba ukunikezela ukuxilongwa okunje kungakhokelela umntu ukuba enze ukucinga okungalunganga.
Ekugqibeleni, akuyiyo yonke i-wheezes ehambelana nesifo se-asthma kwaye kungekhona kuphela izifo zokuphefumula ezingapheliyo. Kwabanye, eli gama libonisa ukuba.
Iimpawu
Ungatsho ukuba ube nesifo esichukumisayo se-airway ukuba ufumana i-wheezing, ukuphefumula okufutshane , kunye nokuphikelela, ukukhwehlela okuvelisayo . Ukuthetha ngokubanzi, ezi ntlobo zezibonakaliso zibangelwa iimpendulo ezithile zomzimba,
Phakathi kwabo:
- Imingcele yokuphefumula ibangelwa ukuqiniswa kunye nokunciphisa imisipha epholileyo kwiindinyana zomoya.
- Ukuvuvukala inxalenye yokhuselo lokuzivikela komzimba ngexesha apho izicubu ze-vascular ziza kuvuma ukuvumela iiseli ze-immune ukuba zifikeleleke kwintsholongwane. Nangona kunjalo, ngokwenza, iindinyana zokuphefumula ziya kuncipha.
- Zomibini zale mpendulo zingabangela ukwanda kwe-mucus, ukuvala ama-air passages.
Ngokuxhomekeka kweso sizathu, iimpawu zingaphuma kwizinto ezinobungozi obunobomi.
Ukuxilongwa
Ngamanye amaxesha abantwana basebenzisa igama elithi "isifo somoya esiphumelelayo" xa ukuhamba komntwana kunzulu kodwa kungenjalo okungahambelani nesifo se-asthma. Nabanye bangase bafumene i-reactive airway dysfunction syndrome (i-RADS) xa iingxaki zokuphefumla zibangelwa ukutyhila kwiimichiza ezinobuthi kwiimpompe, okanye umsi.
Kwezinye iimeko, ingasetyenziselwa ukuxilongwa ngokucacileyo, oku kuthetha ukuba inqanaba eliphezulu lokuqinisekiswa. Ingaba ukuxilongwa kudibana nalo mqathango kunzima kakhulu, kodwa kuya kubonisa ukuba imbangela nefuthe lixesha elifutshane kwaye lilukhuni kunexesha elide nelingapheliyo.
Ngokuqhelekileyo kuninzi, imigaqo efana ne-RADS iya kusetyenziswa ukuxilongwa okukhuselekileyo, oku kuthetha ukuba kuya kufuneka kwenziwe uphando olongezelelweyo.
Oku kungabandakanya iimvavanyo ukuba ziqinisekise okanye zingabandakanyi izizathu ezinokwenzeka, njenge:
- Isifo sokuphefumula esingapheliyo (COPD)
- Ukukhubazeka kwentliziyo
- Iipulmonary embolus
- Icystic fibrosis
- Hypersensitivity pneumonitis
- Isifo se-reflux se-Gastroesophageal (GERD)
- I-Vocal chord dysfunction
Unyango
Akukho zikhokelo zonyango ezicacileyo kwi-RADS okanye kwisifo esiphezulu se-airway.
Nangona kunjalo, kwimiba engxamisekileyo, ukuxilongwa kwesifo se-airway esifanelekileyo kuya kuqinisekisa ukuba kungenelela ngoncedo lwezonyango, kuquka:
- Uphulo lwe-oksijeni olungxamisekileyo
- Ukubeka esweni isifo somzimba kunye nokuphefumula
- I-oximetry ye-Pulse ukuhlola ukuzaliswa kwe-oxygen
- Ukuxhaswa kwama-bronchodilators (okanye ama-bronchodilators angenayo iimeko ezinzima)
- Iinjongo ze Epinephrine ukuba ukuphefumula ukuphefumula kubonisa ukuba i- anaphylaxis ye-allergenic
> Imithombo;
> Douglas, L. kunye neFeder, K. "I-RAD: Izifo ze-Airways ezisebenzayo okanye iSifo soBomi se-Asthma?" Pediatrics. 2017; 139 (1). INGXELO: 10.1542 / iindlwana.2016-0625.
> I-Brooks, S. "Emva koko kunye neNkqubo ye-Airways yokuSebenzeka kwe-Airways." J Umsebenzi kwi-Environ Med. 2016; 58 (6): 636-7. INGXELO: 10.1097 / JOM.0000000000000787.