I-asthma nomfutho wegazi ophezulu (obizwa nge-hypertension) kokubili izimo zempilo ezivamile, ngakho-ke akumangalisi ukuthi wena (noma othandekayo) ukhathazekile ukuthi imithi yakho ye-asthma ithinta ukucindezeleka kwegazi lakho.
Ngeshwa, impendulo ayinqunywanga futhi isomile njengoba cishe ungathanda. Ngamanye amazwi, kuyinkimbinkimbi kakhudlwana kune-yebo kuphela noma cha.
Ake sihlolisise indlela yokwenza imithi ye-asthma, nokuthi lokhu kungathinta kanjani umfutho wegazi lomuntu.
I-Metered Dose Inhalers e-Asthma: Indlela Abasebenza ngayo
I-inhalers yesilinganiso samaminerali (i-MDIs) yindlela yokwelashwa ejwayelekile futhi evamile ebizwa ngokuthi i-asthma. Eqinisweni, uma une-asthma, amathuba okuba ngamaphesenti angama-100 ukuthi ama-MDI ayingxenye ejwayelekile yendlela yokwelashwa kwakho. Lokhu kungenxa yokuthi i-MDIs iyashesha isenzo futhi isetshenziselwa ukusetshenziselwa ukusizwa kwesikhashana esifundeni sezinhlungu zesifuba kanye nobunzima bokuphefumula obuhlotshaniswa nokuhlaselwa okungazelelwe, okuncane okuphefumula.
Umuthi we-MDIs usebenza ngokubamba ama-molecule, okuthiwa i-beta receptors, leyo mida ezindongeni zezingxenye zokuphefumula. Uma kukhuthazwa umuthi, lezi zitholampilo zenza ukuba amaphuzu okuphefumula akhulise, aqede izimpawu zesifuba. Ngenxa yokuthi isebenza kanjani, lo muthi ubizwa ngokuthi i-beta-agonist (ithuthukisa umsebenzi we-beta receptors).
Ama-receptors e-Beta nawo ayengumlawuli obalulekile we-blood vessel ububanzi, lapho ukusebenza kwawo kusebenza khona ukunciphisa ububanzi bemithwalo yegazi.
Empeleni, kungenzeka ukuthi uzwile nge-beta blockers, uhlobo olujwayelekile kakhulu lwemithi ephakeme yegazi . Abavimbela i-Beta basebenza ngokuvimbela ukusebenza kwegazi ye-beta receptors. Lokhu kusho ukuthi izitsha zihlala zihlanjululwe kakhulu (noma zikhulisiwe) kunezivamile, ezinciphisa umfutho wegazi lomuntu.
Imithi yokwelapha isifuba: Umthelela ekucindezelweni kwegazi
Kungengqondo ukubuza ngemiphumela yemithi ye-asthma engase ibe nayo ekucindezelweni kwegazi ngenxa yomsebenzi wabo we-beta-agonist.
Ngamanye amazwi, uma imithi ye-asthma ishukumisa umsebenzi we-beta receptor, futhi ukwandisa umsebenzi we-beta receptor kubangela ukwanda kwengcindezi yegazi, ngakho-ke kunengqondo ukucabanga ukuthi imithi ye-asthma ikwandisa umfutho wegazi.
Kodwa iqiniso lilele endaweni ethile phakathi. Uma ngabe ukuveza ngokuqondile imithwalo yegazi emithini ye-beta-agonist asthma, uzobona inani elincane lomkhumbi we-vessel. Kodwa-ke, lokhu akuvamile ukuthi iziguli zise-asthma zisebenzisa i-MDIs, futhi kunezizathu eziningana zalokhu:
- I-MDIs iyisidakamizwa esiphuthumayo, futhi eduze kwamaphesenti angu-100 omuthi uhlala emaphashini, futhi kude nama-receptors we-beta emithanjeni yegazi.
- I-beta agonist esetshenziselwa i-MDIs (albuterol) ikhetha (nakuba ingaphelelanga) i-subtype ye-receptor ye-beta etholakala ezinamba eziningi kumavesi okuphefumula, kodwa ezinombalwa ezincane kakhulu emithanjeni yegazi.
- U-Albuterol unesikhathi esincane kakhulu somsebenzi, ngakho-ke nakuba inani elincane lomuthi lingathola indlela yalo eya emithanjeni yegazi, futhi ingxenye encane yalowo muthi ingabangela umphumela kulezo zitsha, umphumela uyahamba ngokushesha.
Kanye nesidakamizwa esifushane, i-albuterol, nezinye i-beta-agonists, ezinama-life span eside, zivame ukusetshenziswa ekunakekeleni i-asthma.
Lezi zihlanganisa izidakamizwa ezifana ne-fenoterol (isikhathi esiphakathi, esingasetshenzisiwe e-US) ne-Severent (salmeterol), esinempilo ende.
Nakuba lezi zidakamizwa ziqhubeka emzimbeni isikhathi esingaphezu kwe-albuterol, zisengeniswa, zivame ukuhlala emaphashini, futhi azijwayele ukusebenza kahle ngohlobo lwe-receptors ye-beta etholakala emithanjeni yegazi.
Izwi elivela
Okubalulekile lapha ukuthi ngenkathi imishanguzo yakho ye-asthma ingase iphakamise ngokweqile ukucindezela kwegazi ngenxa yomsebenzi wayo we-beta-agonist, lokhu akuyona into okufanele ukhathazeke ngayo.
Noma kunjalo, kubaluleke kakhulu ukuhlela uhlelo lokuphatha i-asthma ne-pulmonologist yakho, i-allergenist, noma udokotela oyinhloko yokunakekela.
Uhlelo lwakho kufanele lubandakanye amathiphu amathathu alandelayo:
- Indlela engcono kakhulu yokugwema izimbangela zakho eziyingqayizivele ze-asthma.
- Uhlu okumele ulithathe imithi ukuze uvimbele izimpawu ze-asthma (i-corticosteroid yakho ephazamisekile) ngokuhambisana nokuthi yimiphi imithi oyithathayo ukuze ukhululeke ngokushesha ekuhlaselweni kwe-asthma (i-albuterol inhaler yakho).
- Isu isinyathelo ngezinyathelo ukukusiza ukwazi uma udinga ukuthola usizo lwezokwelapha.
Ngombhalo wokugcina, sicela utshele udokotela wakho yonke imithi oyithathayo, njengoba abanye bengase bahlanganyele nemithi yakho ye-asthma njenge- aspirin , anti-inflammatory anti-inflammatory, noma i- beta-blockers .
Imithombo:
I-American Academy Yokuguqulwa Kwesifo Sokuzivocavoca Ne-Immunology. (2017). Imithi nabadala abakhulile.
> Arboe B, > Ulri > CS. Beta-blockers: umngane noma isitha sifuba? I-Int J Gen Med . 2013; 6: 549-55.
> Izidakamizwa ezithinta uhlelo lokuphefumula. Ku: Pharmacology, 2nd Ed, Mycek, MJ, Harvey, RA, Champe, PC (Eds), Lippincott, Williams, noWilkins, Philadelphia, PA 2000. p.217-222.