Imithi ye-asthma iphumelela kakhulu namuhla ukuthi lapho iziguli zine-asthma ezingalawuleki ngisho nalapho zithatha abalawuli abaningi be-asthma, kunesizathu sokukhathazeka. Yiqiniso, ukukhathazeka okukhulu kokuphefumula okunzima ukulawula isifuba ukuthi umuntu empeleni une-asthma ukuqala.
Futhi, izifo ezivamile ezingabangela izimpawu ezifana ne- asthma , njenge-bronchitis engapheli, i-emphysema, i-bronchiectasis, i-idiopathic pulmonary fibrosis, i-hypersensitivity pneumonitis, kanye nokuhluleka kwenhliziyo, kufanele kubhekwe kubantu abanenkinga yokulawula i-asthma.
Ngakho-ke, i-asthma kufanele iqinisekiswe ngokuhlolwa kwamaphaphu (i-spirometry), ikakhulukazi uma i-asthma enzima engaphenduli ukwelashwa.
Lokhu okulandelayo yizizathu ezinhlanu ezivame kakhulu ukuthi kungani iziguli zinzima ukulawula i-asthma.
Ukungasebenzisi Imithi Ngokufanele
Lokhu kungesizathu esivame kakhulu ukuthi kungani i-asthma inzima ukuyilawula. Imithi yokulawula i-asthma iphumelela kangangokuthi uma isifo se-asthma singalawulwa naphezu kokuthatha abalawuli ababili noma abathathu be-asthma, kungacatshangwa ukuthi isiguli asisebenzisi imithi yabo ngendlela efanele noma nhlobo.
Khumbula, odokotela bangakwazi ukuhlola kuphela isimo sezokwelapha, benze izincomo zokwelashwa, futhi baxoxe ngezingozi nezinzuzo zokuthatha imithi ngokungazithathi. Isinqumo sokuthatha imithi empeleni siphelele isiguli.
Amagciwane Angalawulwayo ne-Sinusitis Engapheliyo
Njengoba ukuvuvukala emkhakheni wokuphefumula okuphezulu, njengokwelashwa okwenziwe i-rhinitis ne-sinusitis engapheli, kuthinta i-asthma, kuvamile iziguli ezine-infections ezingalawulwayo nezifo zesinus ukuba zibe nesifo se-asthma esingalawuleki.
Eziningi zalezi ziguli kungenzeka zingabi nakwazi izifo ezithathelwanayo noma izifo ezingapheliyo, ngakho-ke izilingo zemithi yokwelashwa, njenge-nasal steroid sprays, ziwumqondo omuhle. Njengengxenye yokuhlola for asthmatics okunzima-ukulawula, ngokuvamile odokotela bahlole x-ray of the sinus ukulawula isifo esingapheli sinus.
Izifo ze-Reflux ze-Gastroesophageal (GERD)
I-GERD ingahlotshaniswa ne-asthma engalawuliwe kusukela i-asidi evela esiswini ingaxilongwa emaphashini futhi ibangele izimpawu zesifo se-asthma. Izimpawu ze-GERD, njenge-burping, ukunambitheka kwe-asidi emlonyeni, nokuzwa okukhulayo esifubeni, kungenzeka kungekhona njalo.
Ngakho-ke, ngeziguli ezine-asthma ezingalawuleki, ukwelapha ngemithi ye-GERD kufanele kucatshangelwe. Ukungahleleki kwesakhiwo, njengama-hernias ama-hiatal kanye ne-tracheoesophageal fistula, kungabangela ukuthi i-GERD ibenqabile emithini yokwelashwa.
I-Vocal Cord Ukungasebenzi
Ngezinye izikhathi, i-asthma engalawulwayo akuyona i-asthma nhlobo, yingakho imithi ye-asthma ayisebenzi. Ukungasebenzi komthambo wokugcoba (VCD) yinkinga yezokwelapha ezilingisa i-asthma kodwa ibangelwa izintambo zezwi ezivala phezu kwendiza, okuholela ekuphefumuleni kanye nemisindo enjenge-wheyzing.
Ngenkathi i-VCD engeyona isongo esongela ukuphila, noma ubani (kufaka phakathi odokotela abazi ukuthi empeleni kwenzekani) obona isiguli nge-VCD angacabanga ukuthi lowo muntu uyagula.
Ukucubungula i-VCD kufanele kwenziwe kunoma yisiphi isineke nge-asthma engalawuleki. Ukuxilongwa ngezinye izikhathi kungenziwa nge-spirometry kodwa kutholakala kahle ngokuboniswa okuqondile kwezingcingo zezwi usebenzisa i-endoscopy yama-nasal.
Ezinye izifo
Izifo ezingavamile okumele zicatshangelwe uma umuntu ephethe isifo sofuba esingalawuleki zihlanganisa i-aspergillosis ye-bronchopulmonary, i-Churg-Strauss syndrome, i-immunodeficience eyinhloko, ne-cystic fibrosis ezinganeni. I- allergenist ingakwazi ukunquma kangcono okwenza ukuthi i-asthma yakho ilukhuni ukuyilawula.