Futhi Ingabe I-Pneumonia Ingabangela Isifo Somoya?
Kungakapheli nje, nginegulane ehamba ehhovisi lami ekhononda ngokuthi babe ne- asthma pneumonia . Ngingazikhumbuli i-asthma pneumonia njengesifo engangiyifunde esikoleni sezokwelapha, ngambuza ukuthi wayesho ukuthini ngalesi simo. Lapho ekhuluma naye, lo muntu onesifo sangasese sesikhathi eside esicabanga ukuthi u-asthma wakhe ubangele ubhubhane lwe-pneumonia lapho efuna ukwelashwa.
Ngemva kokuhambela kwakhe, ngabona abantu abaningi bangibuza imibuzo emibili efana ne-asthma pneumonia eminyakeni:
- Ingabe i-asthma ingabangela ukuphefumula?
- Ingabe i-pneumonia ingabangela i-asthma?
Ake sibheke kokubili le mibuzo nokuthi kungani kubalulekile.
I-asthma ne-Pneumonia
Ukuze sixoxe ngale mibuzo, kufanele sichaze kuqala lezi zimo. I-asthma yisimo lapho kukhona khona ukuvinjelwa okubuyiselwayo kwezindiza. Ngokuvame ukuhlotshaniswa nokuvuvukala. I-pneumonia , ngokuphambene nalokho, ukutheleleka kwamapayipi okubangelwa amagciwane, amabhaktheriya noma isikhunta. (I-pneumonia ye-Chemical nayo kungenzeka).
Kubangelwa yizici zeengozi
Kubalulekile futhi ukuhlukanisa izimbangela kanye nezingozi. Ngokungafani nesizathu, isici esiyingozi sandisa ingozi yento eyenzekayo kodwa akuyona imbangela. Isibonelo, ukubhukuda olwandle kungakuphakamisa ingozi yokumisa kodwa akusiyo imbangela yokungena. Isici esiyingozi singase singabangeli isifo kepha singakunqanda ukuthuthukisa lesi sifo.
I-asthma njengesisusa se-Pneumonia
Sasiqala ukukhathazeka emva kokuxhumana phakathi kokwelashwa kwe-COPD ne-pneumonia. Ngalesi sikhathi, ukubuyekezwa kwezifundo kuqinisekisile ukuthi labo abasebenzisa i-steroids e-inhaled kanye nama-agonists asebambe isikhathi eside (i-LABA) (inhlanganisela ye- steroid / LABA inhlanganisela ye-COPD) cishe cishe kabili ukuthuthukisa i-pneumonia ejulile njengalabo abasebenzisa LABA yedwa.
Nge-COPD, kubonakala sengathi i-Flovent (fluticasone) ihlotshaniswa nalezi zinkinga ngokuphindaphindiwe kunePulmicort (budesonide).
Ucwaningo lwango-2017 lwathola isimo esifanayo nesifo se-asthma. Abantu abaphathwe nge- steroids abakhulelwe nge-asthma babengamaphesenti angu-83 amathuba okuthuthukisa i-pneumonia labo abangazange basebenzise lezi zinhlayiya. Ukwanda kwengozi ye-pneumonia, ngokungafani nalokhu nge-COPD, okufana nalokho kokubili kwe-Flovent ne-Pulmicort.
Akuqiniseki kahle ukuthi kungani i-steroid engatholakali yandisa ingozi ye-pneumonia, nakuba kungenzeka ukuthi ihlobene nomphumela we-steroids kwisistimu yomzimba. Sekuyisikhathi eside saziwa ukuthi abantu abasebenzisa i-oral steroids (njengezimo ze-rheumatoid) basengozini enkulu yokuthuthukisa izifo njengoba i-steroids "iyanciphisa" impendulo yomzimba.
Ngesikhathi udinga ukukhumbula le ngozi engaba khona, akusho ukuthi kufanele uyeke ukuthatha imithi yakho ye-asthma. Nakuba zonke izidakamizwa ze-asthma zingaba nemiphumela emibi , i-steroids engakhulumi ingakwazi ukuthuthukisa izimpawu ze-asthma ngokuphawulekayo. Ukuyeka i-steroids engatholakali kungase ibe yingozi empilweni yakho kunengozi ye-pneumonia ephawulwe lapha. Ingozi yokugula ngisho nokufa kwesifo se-asthma esibi ( isimo se-asthmaticus ) sisengenkinga e-United States nasemhlabeni jikelele.
Ingabe I-Pneumonia Ingabangela I-Asthma?
Umbuzo ophikisayo esiwuzwayo ukuthi ngabe i-pneumonia ingaholela ku-asthma. Kunesithakazelo esikhulu kakhulu kumabhaktheriya angama-atypical okuthiwa i- Mycoplasma pneumoniae ngokuvamile evame ukuhamba nge-pneumonia. Ngokuvamile, lokhu kutheleleka kucatshangwa ukuthi kungenakubalwa, okusho ukuthi izimpawu zizoxazulula ngisho noma ungaphathwa ngama-antibiotic. Kodwa-ke ososayensi baye bathola ukuthi ukutheleleka nge- Mycoplasma pneumoniae kubangela okulandelayo ezilwaneni:
- Ukutheleleka okungapheli: Uma kucatshangwa ukuthi kunomkhawulo, ososayensi baqhubeka bethola ubufakazi bokutheleleka emaphashini wezilwane izinyanga eziningi emva kokutheleleka.
- Ukuvuvukala okungapheli kwamaphaphu: Ezifundweni zamagundane, ukutheleleka okulodwa ne- Mycoplasma pneumoniae kwaholela ekuvukeni kwamaphaphu kuze kube yizinyanga ezingu-18.
- Ukuhlolwa okusebenza okungavamile kwamapayipi: Ngesikhathi esifanayo, ososayensi bathola ubufakazi bokubili ukuvimbela kanye nokungaqondisi kahle kwemikhumbi yomoya.
Kukhona ubufakazi obengeziwe bokuxhumana phakathi kwe-pneumonia ne-asthma kubantu. Ososayensi bathole ubufakazi bokuthi i- Mycoplasma pneumoniae ingabangela kokubili ukuqhuma kwesifo se-asthma, futhi kuholele ekusungulweni kwe-asthma endaweni yokuqala. Ngokuyinhloko, ososayensi bathole:
- I-Mycoplasma pneumoniae ivame ukukhonjwa kubantu abasebenza esibhedlela nge-asthma uma kuqhathaniswa nabantu esibhedlela ngenxa yezizathu ezithile.
- I-Mycoplasma pneumoniae ivame ukutholakala ezinganeni ezinokukhubazeka kwesifo se-asthma.
- Abaningi abangamaphesenti angu-40 abantwana abathintekayo nge- Mycoplasma pneumoniae bazoba nokuhlolwa kokusebenza kwamapulmasi okungavamile.
- Izingane ezine-asthma kanye ne- Mycoplasma pneumoniae ukutheleleka kungase kube nomthelela wokuba nokuhlolwa okungavamile kwamapulmonary kokubili izinyanga ezintathu neminyaka emithathu emva kokutheleleka.
- Izingane ezidalulwe ku- Mycoplasma pneumoniae zinamazinga aphezulu amasheya ososayensi abasebenzisa ekutadisheni i-asthma ebizwa ngokuthi i-vascular endothelial growth factor (VEGF) uma kuqhathaniswa nezingane ezingenayo i-asthma. Ukuhlangana kweVEGF ne- Mycoplasma pneumoniae kusikisela ukuthi lezi zibili zixhunyaniswa.
I-asthma, i-Flu, ne-Pneumonia
Uvame ukuzwa ngomkhuhlane kanye ne-pneumonia uma umkhuhlane uphazamisa umphakathi wakho kodwa umfutho we-pneumonia umphumela owaziwayo wesifo sofuba. Ngenkathi ungenayo ingozi eyengeziwe yokuthuthukisa ukutheleleka komkhuhlane ngenxa yokuthi une-asthma, usengozini enkulu yokwenza umphumela ohlangothini olufana ne-pneumonia.
Izindlela zakho zokuhamba emoyeni sezivele zinezinga elithile lokuvuvukala, ukuvuvukala, futhi zizwela ngaphezu kwalabo abangenayo i-asthma. Ukutheleleka komkhuhlane kwenza nje ukuvuvukala nokuvuvukala kube nzima nakakhulu.
Ngokuvamile umzimba wakho uhlunga amagciwane nama-bacteria lapho engena emzimbeni wakho. Ukuvuvukala okwandayo kwandisa amathuba okuthi igciwane lesifo sofuba asusiwe futhi lidale izinkinga. Uma igciwane lesifo somkhuhlane lingena esikhwameni se-alveoli noma ephefumula, i-alveoli ingagcwalisa uketshezi okuholela ezibonisweni zepneumonia ezinjengama-chills, ukukhwehlela, umkhuhlane kanye nokuphefumula.
Uma uketshezi okwanele kukwakhiwa kungaholela ku-hypoxia noma kwehla izinga le-oxygen egazini. Lokhu kuzovame ukudinga ukunakekelwa esibhedlela.
Igciwane lesifo somkhuhlane lingabangela ngqo impneumonia noma ungathuthukisa i-pneumonia ye-bacteria efuna ukwelashwa kwama-antibiotic. Uma unesifo somkhuhlane udinga ukucabangela ukwelashwa. Kodwa-ke, ukwelashwa okungcono kakhulu ukuthola ukwelashwa komkhuhlane futhi ukuwuvimbela ngokuphelele.
Uma uthola igciwane lesifo sofuba, udokotela wakho angase afune ukwelapha eyakho nge-antiviral. Lezi zidakamizwa zinganciphisa izimpawu futhi zingavimbela izinkinga ezinzima ezifana ne-pneumonia. Ama-antiretroviral adinga isiguli kusuka kudokotela wakho.
I-asthma Pneumonia-Kuthiwani Ngezinambuzane Zama-antibiotics?
Njengoba unikezwe konke lokhu, ungase uzibuze ukuthi abantu abane-asthma abanokukhubazeka kwe-asthma kufanele baphathwe njalo ngama-antibiotic. Naphezu kwalokho esikuxoxile ngaphambili, azikho izincomo zamanje zokubeka ama-antibiotics kubantu abane-asthma. Izifundo ezibheke ukwelashwa kwama-antibiotic we- Mycoplasma pneumoniae uma kuqhathaniswa ne-placebo ithola ukuthuthukiswa kwezimpawu ze-asthma, kodwa hhayi umsebenzi wephaphu. Ngenkathi yindawo yokutadisha, azikho izincomo zamanje zokwelapha izifo eziphuthumayo ze-asthma noma ama-asthma ngama-antibiotic.
Ngezansi Ngesixhumanisi Phakathi Kwezifo Zomoya Ne-Pneumonia
Kusobala ukuthi kukhona ukuxhumana phakathi kwe-asthma ne-pneumonia, nakuba kungabonakali ukuthi i-asthma ibangela ukuphazamiseka kwemiphunga. Yini etholakele ingomunye wemithi (i-steroids e-inhaled) esetshenziselwa ukwelapha isifuba somoya ihlotshaniswa nesimo esithile sokuthuthukiswa kwe-pneumonia. Uma ubheka isimo esihlukile, kunezizathu ezilinganiselwe zobufakazi bokuthi ibhethri ebangela ukuhamba nge-pneumonia ingabangela ekuthuthukiseni i-asthma. Ngandlela-thile, lezi zimo ezimbili zingahamba ngezandla, futhi ukubhekana nomkhuhlane uma une-asthma ingakwazi ukuphakamisa ingozi yakho yokuqhubeka ne-pneumonia.
> Imithombo:
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> Kew, K., no-A. Seniukovich. I-Steroids engenayo kanye nengozi ye-Pneumonia ye-Chronic Pulmonary Disease. I-Cochrane Database yezibuyekezo ezihleliwe . 2014. (3): i-CD010115.
> Qian, C., Coulombe, J., Suissa, S., noP. Ernst. I-Pneumonia Inengozi Yezifo Eziphuthumayo Ukusebenzisa I-Corticosteroids Engenayo: Isifundo Se-Quasi-Cohort. I-British Journal ye-Pharmacology . 2017. 83 (9): 2077-2086.
> Yin, S., Ma, F., no-X. Gao. I-Association of Mycoplasma Pneumoniae Infection With Ingozi Ekhulayo Ye-Asthma Ezinganeni. Imithi yokuhlola nokuThera . 2017. 13 (5): 1813-1819.