Imibuzo Yokukusiza Uyiveze
I-bronchitis engapheli yinto eqhubekayo ekhonjiswe ukukhwehlela okwenzeka ezinsukwini eziningi zenyanga, okungenani izinyanga ezintathu ngaphandle konyaka, futhi ihlala okungenani iminyaka emibili. Kucatshangwa ukuthi ukuxilongwa okusho ukuthi udokotela wakho udinga ukuqinisekisa ukuthi izimpawu zakho zokukhwehlela azange zibangelwe esinye isimo esifana ne-asthma. Izimpawu zibangelwa ukuvuvukala nokucasula kwezindiza emaphashini.
Ingabe i-COPD?
I-COPD noma isifo se-pulmonary chronic obstructive ngokuvamile isetshenziselwa ukuchaza umuntu one-bronchitis engapheli, emphysema, noma ingxube yomabili. Abantu ababili bangase babe ne-COPD, kodwa umuntu oyedwa angase abe nezimpawu ezihambisana ne-bronchitis engapheli kanti omunye umuntu angase abe nezimpawu eziningi ze-emphysema. Iziguli ze-Emphysema zithola izinkinga eziningi ngokuphefumula okuphambene nokukhwehlela okungapheli.
Izimpawu ezengeziwe ze-bronchitis engapheli zingabandakanya:
- Ukukhiqizwa kwe-mucus okwandisiwe
- Ukukhwehlela okucasulayo okuvame ukubi kakhulu ku-am
- I-airways evuthayo
- Ukunciphisa ukugeleza komoya
- Ukwehla kwamaphaphu
Izimpawu ngokuvamile ziyaqhubeka futhi iziguli zingase ziqaphele isiqephu ngasinye sokukhwehlela nokukhiqizwa kwe-mucus ngemuva kokutheleleka kwegciwane kuqhubeka isikhathi eside futhi kuthatha isikhathi eside ukuze ubuyeke.
Uma ungaqiniseki ukuthi une-bronchitis noma i-asthma engapheli, ukuphendula imibuzo emihlanu elandelayo kungakusiza ukuthi ubone ukuthi yisiphi isizathu esiningi:
1. Ingabe unayo izimpawu ze-allergies noma i-asthma lapho useyingane? Nakuba i-asthma ingatholakaliswa ezigulini ezingamashumi amane, iningi le-asthmatics litholakala ebuntwaneni noma ebusheni. Eqinisweni, ucwaningo lubonisa ukuthi odokotela bokunakekelwa okuyinhloko ngokuvamile bayobhala iziguli ezindala ezine-asthma uma empeleni zine-COPD, i-emphysema noma i-bronchitis engapheli.
Kungakhathaliseki ukuthi lokhu kungabangela ukucwaswa komphakathi okubhekene nezinkinga ezihlobene nogwayi noma esinye isizathu akucacile.
2. Yini eyenza izimpawu zami zibi nakakhulu? Izimpawu zesifo se-asthma zimbi nakakhulu ukuvezwa kwezimbangela. Nakuba izimbangela zihluka kusukela komuntu kuya komuntu, zikhula kakhulu izimpawu ze-asthma emva kokuchayeka kunoma yikuphi kwalokhu okulandelayo kungenzeka ukuthi kubonise isifo se-asthma:
- Ugwayi ugwayi
- I-dander yezilwane
- Izibungu ezinothuli
- Izinkukhu
- Isibungu
- Impova
- Isimo sezulu esibi kakhulu
- Ukuzivocavoca
- Ukucindezeleka
- Ezinye imithi
Ngakolunye uhlangothi, i-bronchitis engapheli, ayithinteki nanoma iyiphi yalezi zinto. Izifo ezithinta ukuphefumula cishe zibangele izimpawu ezengeziwe.
3. Ingabe ngibhema manje noma ngabe ngibhema esikhathini esidlule? Nakuba i-bronchitis engavamile ne-asthma ingenzeka ndawonye, i-bronchitis engapheli ivame kakhulu kubantu ababhemayo, ababhemayo ababekade bebhekene nabantu abanobudlova obunzima emfucumfuceni wokubhema wendawo.
4. Ngingabe ngisenaso isifo esingenasifo? Njengoba kuchazwe enhlanhleni ye-bronchitis engapheli, isimo sidinga izimpawu ezijwayelekile isikhathi eside. Isiguli esingapheliyo sesifo sengculazi sivame ukubhekana nezimpawu eziqhubekayo futhi akunakwenzeka ukuthi sibe nesinye isikhathi esingenasifo esinesibonakaliso. Ngakolunye uhlangothi, iziguli ze-asthma zivame ukuzwa ukuxilongwa nokuqeda izimpawu. Okubalulekile, i-asthmatics ingaba nezinkathi ezingapheli isikhathi eside ngokuya ngokulawula kwe-asthma .
5. Ingabe umsebenzi wamaphaphu wami ubuyela ekujwayelekile phakathi kokukhathala? Kuzo zombili i-asthma kanye ne-bronchitis engapheli, udokotela wakho uzolinganisa ukuhlolwa kwemisebenzi ye-pulmonary njenge- spirometry ne- FEV1 . Uma i-asthma ilawulwa kahle futhi awuboni ukuthi umsebenzi wakho wamaphaphu uzosondela. Umsebenzi wamaphaphu wesifo samaphaphu angapheli ngeke abuyele evamile ukwelashwa.
> Imithombo
> Celli BR, MacNee W, i-ATS / ERS Task Force. Izilinganiso zokuxilongwa nokuphathwa kweziguli ezine-COPD: isifingqo sephepha le-ATS / ERS. I-Eur Respir J. 2004; 23 (6): 932.
> Inhliziyo kaZwelonke, iLung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe (EPR3): Iziqondiso Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma Kufinyelelwe Ngomhlaka 23 Meyi 2015.
> I-American Thoracic Society. Kuyini Izifo Eziphuthumayo Zokuvimbela Izifo (COPD). Kufinyelelwe ngomhla ka-24 Meyi 2015.
> Tinkelman DG, Price DB, Nordyke RJ, Halbert RJ. I-Misdiagnosis ye-COPD ne-asthma kwiziguli zokunakekelwa okuyinhloko eminyakeni engu-40 ubudala nangaphezulu. I-Asthma. 2006 Jan-Feb; 43 (1): 75-80.
> Kuebler KK, PC Buchsel, iBalkstra CR. Ukuhlukanisa isifo esingenasifo se-pulmonary chronic obstructive kusuka ku-asthma. J Am Acad Nurse Pract. 2008 Sep; 20 (9): 445-54.