Iintlobo ezahlukeneyo ze-Asthma kunye neMpawu zabo
Ngaba uyazi ukuba kukho iintlobo ezahlukeneyo ze-asthma? Ukuqonda ukuba luhlobo luni lwesifo se-asthma onokukunceda ukukhusela iimpawu kwaye uthathe amanyathelo asebenzayo xa kwaye kwaye uyakhula.
Sibanzi
Inani leentlobo ezahlukeneyo ze-asthma libonisa ukuba lunempembelelo enkulu kuluntu:
- Abantu abangaphezu kwezigidi ezingama-39 base-US baye bafumanisa ukuba bane-asthma
- Abantu abayizigidi ezingama-26 baqhubeka bexilongwa
- Abantwana abangaphezu kwezigidi ezi-7 bachaphazelekayo
- Iibhiliyoni ezingama-50 kwiindleko zonyango ngokuthe ngqo kwaye ziphantse zigidi ezingama-4 zamaRandi ukusuka kwimveliso elahlekileyo ngonyaka
- Iintsuku ezili-10 zezikolo zesikolo kunye neentsuku ezili-14 zeentsuku zomsebenzi ezilahlekileyo ngonyaka
- Ama-1000 avunyelwe ezibhedlele kunye nokufa kwabangu-11 ngosuku
Kungakhathaliseki ukuba unjani uhlobo lwe-asthma onayo, iimpawu zihlala zifana njalo:
Oku ngamanye amaxesha kunokukhokelela ekudidekeni njengoko ezinye zonyango zingahluke. Ngethuba sibabiza zonke i-asthma, i-pathophysiology engaphantsi iya kuba yinto eyahlukileyo, eya kubangela unyango olwahlukileyo. Makhe sijonge kuzo zonke iintlobo ze-asthma ezinokukuchaphazela.
I-asthma ye-allergen
Uhlobo lwe-asthma lubalelwa kuma-60 ekhulwini kuwo onke ama-asthma. Iquka ukuphazamiseka komoya kunye neempawu ze-astmma eziqhelekileyo zihlala zihambelana nokunyamezela kwaye zibangelwa zizifo .
Kubalulekile ukuba ukwazi ukuqonda oko kukubangela isifuba sakho se-asthma .
Imizekelo yeziphumo eziqhelekileyo ziquka i-pollens, i-mold, i-dustites, ne-dander yezilwanyana.
Ngokuqhelekileyo, indima yakho yokhuseleko lomzimba kukulwa nokusuleleka, kodwa kwisifo se-asthma, umzimba wakho uphazamisa kwizinto ezibangelwa yi-asthma, ezikhokelela kwimpawu ze-asthma. Unyango lwe-asthma echasayo luya kujolisa ekukhuselweni kwezinto ezibangelwa sisifo se-asthma okanye ukulamla iimpendulo zomzimba wakho.
I-Asthma engeyona ingxaki
Phantse enye yesithathu yabo bonke abantu abane-asthma abanalo isifo se-asthma. Uhlobo lwe-asthma lubangelwa zizifo zentsholongwane kunye nezinye izibilini. Imizekelo yezinto ezinokubangela ukuba i-asthma engeyona ingxaki iquka:
- Umsi wecuba
- Izifo zintsholongwane
- Iphunga elinamandla kunye neeprafu
- Ezinye iimeko zonyango
Olunye uphando lubonakalise ukuba yi-asthma engeyona isifo esinzima kakhulu njengoko kulandelwa yi-Global Initiative ye-Asthma, okanye i-GINA, amanqaku. Ezinye izifundo zibonise ukuxhaphaka okukhulu phakathi kwabasetyhini, kodwa oku akuzange kube yinto yonke.
Izigulane ezingezangezifo zengqondo zihlakulela isifo emva kobuntwana kwaye zingenayo iimeko ezinobungozi, ezifana ne-rhinosinusitis kunye ne-GERD, kwaye akunakwenzeka ukuba ziphendule kwi-steroid engenayo. Uninzi lwezi zi gulane nazo zisengozini yokuphefumula isifo se-asthma.
I-asthma yokuzivocavoca
I-asthma (EIA) eyenziwa ngumzimba , okanye ngaphezulu ngokubhekiselele kumboneleli wakho wokunakekelwa nge-asthma njengokwenza umonakalo owenziwe nge-bronchoconstriction, xa i-airways yakho igxininise kwaye uhlakulele iimpawu ze-asthma ngenxa yokuzivocavoca.
I-EIA inokungcolisa i-asthma yakho okanye unokufumana iimpawu ze-astmma kuphela xa usebenzisa. Ngokuqhelekileyo, iimpawu zenzeke kwi-10 ukuya kwe-15 imizuzu emva kwexesha elifutshane lokuzivocavoca okanye imizuzu eyi-15 kwixesha elide lokuzilolonga, njenge-run.
(Kubalulekile ukuqaphela ukuba umzimba awuyi kubangela isifo se-asthma kodwa yinto enokubangela ukuba ube nempawu ze-astmma.)
Kwi-EIA nakwezinye iifom ze-asthma, kubalulekile ukuba uceba isicwangciso senkqubo yesifuba kwaye uhlale unesixhobo sokuhlangula . Oku kungabaluleke ngokukodwa kwi-EIA njengoko unokuba nokuhlaselwa okuthe rhoqo.
Kwakhona, unokuba ufuna ukucinga ukuba ufumana isalathisi se-ID yesibhedlele okanye ufumana "Kwimeko yoxakeka" oqhagamshelwano lweselfowuni ukuvumela abantu bazi ukuba bane-asthma kwaye ngubani ozakuqhagamshelana ukuba awukwazi ukuthetha.
I-asthma yomsebenzi
Ngaba uyazi ukuba indawo yakho yomsebenzi ingakubeka engozini yokufumanisa i-asthma?
Ukuchasana nomsebenzi ukuxhalabisa njengothuli kunye neekhemikhali zizona zimbangela ezibalulekileyo zeso simo esitsha kunye nokunyuka kwesifo se-asthma. Isifo se-asthma sinokubangelwa kukucaphuka ngokuthe ngqo kwemiphunga yakho okanye ngokukhuthaza ukusetyenziswa kwezinto ezikhohlakeleyo.
I-Variant Cough Variant Asthma
Nangona ukukhwehlela kuhamba kunye neempawu eziqhelekileyo ezihambelana nesifo se-asthma , ukukhwehlela yedwa kunokuba ngumtshintshi okanye uphawu olulodwa kwi-asthmatic. Xa isikhohlela singumqondiso kuphela we-asthma, oku kuyaziwa ngokuba ngumkhuhlane we-asthma (CVA).
I-Medh-Induced Asthma
Uninzi lwabantu alucingi ngeemveliso ezingaphezu kwee-counter-counter- worsening their asthma, kodwa oku kubaluleke kakhulu kwiqela elincinci labantu. Kodwa, ngenxa yezigulane ezithile ze-asthma, imilenze yeentlungu ezingaphezu kwe-counter-side ingaba yingozi.
I-Aspirin kunye nezinye izidakamizwa ezingekho-steroidal ezichasayo (ezikwaziwa ngokuba yi-NSAID) zingalimaza ngakumbi i-asthma okanye zize zibulale. Ngoluhlobo lobunene, kufuneka uhlale kude nezidakamizwa ezifana ne-ibuprofen, naproxen, kunye ne-diclofenac njengoko kunokubangela ukuhlaselwa yi-asthma xa unesifo se-asthma.
I-Asthma yasebusuku
Ukuba unomphefumlo, ukukhwehlela, ukuqina kwesifuba, okanye ukuphefumula okufutshane, ubonakalo bakho bungabonakalisa ukwanda kwe-asthma okanye ukumela i- asthma yesantya njengesifo sokuxilonga. Phantse iipesenti ezingama-75 ze-asthmatics zezimpawu zobusika ezifana nokukhwehlela ubuncinane kanye ngeveki. Kwaye amaninzi ama-40 ekhulwini afumana iimpawu zobusika ngobusuku.
I-Glucocorticoids-I-Psymatic Resistant
Nangona i-glucocorticoids ingenye yezidakamizwa ezinamandla kakhulu ezichasayo eziqhelekileyo kwaye ziqheleke kakhulu xa zonyango lwe-asthma, iqela elincinane lezigulane aliphenduli kule miyeza kwaye idlalwa ngokuba yi-'terotic resistance '.
Ezi azizona izigulane ezingathathi amachiza okanye azikwazi ukufikelela kwi-steroids ngenxa yemali okanye ezinye izizathu. Ezi gulane aziphenduli nje unyango.
Ayiqondi kakuhle ukuba kutheni ezinye izigulane zinganyangeki unyango, kodwa iingcamango ziquka ukungabi namandla okwenza i-steroid ukuba ibophe ngokufanelekileyo kumaseli emiphunga kunye nolwalamano kumanqanaba aphantsi e-vitamin D. Ukulawula le fomu ye-asthma kubiza kwaye kubonisa inkathalo ebalulekileyo yezempilo.
Ezinye iimeko eziMimic Asthma
Yonke into ehambayo ayikho i-asthma. Ezinye izifo eziqhelekileyo neziqhelekileyo zingakhokelela ukuba uqhube. Uluhlu lwezifo apha lukhulu kakhulu. I-Post nasal and tonsils ziyenye ziimeko eziqhelekileyo ezinokubangela ukuhamba ngezinye izigulane, kodwa isizathu esona siyi-asthma.
Ngokufanayo, izimo ezingaqhelekanga zingakhokelela ekuqhubeni. Ngelixa lingaqhelekanga, i-thyroid ye-thyroid igxininise inxalenye yeendlela ezihamba ngayo kwaye ivelise ukuhamba. Unokuzalelwa kunye neendandatho zamathambo (imithana yegazi ejikeleze umoya) obeka uxinzelelo kwizakhiwo zokuphefumula ezikhokelela ekuphefumla okufutshane nokuphefumula.
> Imithombo:
> Bonini M, Polange P. I-bronchoconstriction eyenziwa ngokuzivocavoca: ubungqina obutsha kwi-pathogenesis, ukuxilongwa kunye nophando lwe- Asthma Research and Practice, 2015, 1: 2.
> Dicpinigaitis PV. Isikhumba esingapheliyo ngenxa ye-Asthma: I-ACCP Izikhokelo zoLwazi oluSebenzayo lwezonyango.
> O'Byrne, P. Ulwazi lweMonde. I-asthma yokuzivocavoca.
> Tan NC, Nadkarni NV, uLye WK, et al. Uvavanyo lwexesha elide leminyaka elilishumi lezinto ezichaphazela iimpawu zesifo se-asthma phakathi kwezigulane zase-Asia ekunakekelwa kweprayimari. I-NPJ Care Respir Med. 2015; 25: 15064.