I-Asthma kanye Nokuhamba Kwakho Kwesikhatsi
Njengoba nje i- premenstrual syndrome (PMS) ingabangela inani lezimpawu ezicasulayo, ungase futhi uthole "isifuba sokuphefumula" ngaphambi nangesikhathi sokuqala kwesikhathi sakho. Iziguli ezine-asthma ezinzima zicatshangelwa ukuthi zisengozini enkulu. Lokhu kuboniswa ukuwohloka kwezimpawu zakho ze- asthma , njenge:
Eqinisweni, noma yikuphi lapho abesifazane besuka ku-20% kuya ku-40% babika ukuwohloka kwezimo ze-asthma ngesikhathi sokuqala kwenyanga. Ukwanda kwezimpawu ze-asthma kucatshangwa ukuthi kubangelwa ukwehla kwamazinga e-hormone, kokubili i-estrogen ne-progesterone, kodwa izizathu eziqondile aziqondi ngokuphelele. Inombolo encane yezifundo iye yabhala ukukhuphuka kokungalingani kanye nokusebenza komzimba wesisindo ngesikhathi sokuya esikhathini. Ngaphezu kwalokho, ucwaningo luye lwabonisa amazinga aphezulu we-nitric oxide, uphawu olubonakalayo lokuvuvukala kwamanzi, okuzophakanyiswa ngesikhathi sokuya esikhathini. Okokugcina, ezinye izifundo ziye zabonisa ukuthi kuncipha ekuphenduleni kwamaseli (beta adrenergic receptors) okulondoloza ama-inhalers enza futhi lokhu kungathinta izimpawu ze-asthma ezigulini ezine-asthma zangaphambili.
Iningi labesifazane abaxhumene nesifo sofuba basabela ekwelapheni okujwayelekile kwesifuba.
Uma ungaqiniseki ukuthi isikhathi sakho sithinta i-asthma yakho, ungase ufune ukuqapha izimpawu zakho eduze nokugcina idayari ye-asthma.
Nazi ezinye izindlela zokwelapha wena nodokotela wakho ongase zixoxe uma une-asthma yangaphambi komzimba:
- Ukwandisa imithi yesilawuli ngesonto ngaphambi kokuqala kwesikhathi sakho. Empeleni, ukuya esikhathini ngaphambi kokuya esikhathini kuyaphathwa njenganoma iyiphi enye inqubo futhi wena nodokotela wakho sakha isu lokubhekana nalo. Kukhona umcabango wokuthi ukungezwa kwe-beta-agonist ende esebenza isikhathi eside phakathi nengxenye yesibili yokujikeleza kokuya esikhathini kungasiza.
- Ukwelashwa kwe-hormone ngamaphilisi okubeletha ngomlomo ukulawula kangcono amazinga akho e-hormone. Imibiko embalwa yamacala amancane iye yabonisa ukuthuthukiswa okuzithobayo kwezimpawu ze-asthma kanye nokuthuthukiswa kwezinyathelo zomgomo ezifana ne-spirometry indices, wehla esibhedlela, futhi wehliswa isamba steroid nsuku zonke ngokusetshenziswa kwezibeletho zomlomo. Izifundo ezincane ezengeziwe zokuthuthukiswa kwedokhumenti lapho kusetshenziselwa imithi ehlose ukuqedwa kwama-mens.
- Ukusebenzisa i- inhaler yakho yokuphulukisa njengoba kudingeka futhi uqaphele ukugwema ezinye izifo ze-asthma.
- I-leukotriene inhibitors njenge-Singulair noma i-Accolate, engavimbela izimpawu ze-asthma ezihlobene nezinguquko emazingeni akho e-hormone.
- Gwema ama-NSAID ekwelapheni izimpawu ze-PMS uma uzizwela.
> Imithombo:
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> I-Pasaoglu G. Leukotriene Receptor Antagonists: Ukukhetha Okuhle Ukwelapha Isifuba Sokuqala? J Asthma 2008; 45 (2): 95-9.
> Dratva J, Schindler C, Curjuric I, et al. Ukwanda kwe-Perimenstrual ku-Bronchial Hyperreactivity kuma-Premenopausal Women: Imiphumela evela ku-Population Based Based SAPALDIA 2 Cohort. J Allergy Clin Immunol. 2010; 125: 823-9.
> UMary HH Ensom, uGina Chong, uDanyi Zhou, uBev Beaudin, uStephen Shalansky noTony R. Bai (2003) I-Estradiol e-Astroma ye-Premenstrual: I-Double-Blind, i-Randomized, i-Placebo-Controlled, i-Crossover Study. Pharmacotherapy : Umqulu 23, Issue, iphe. 561-571
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> Blumenfeld Z, uBenter L, Yoffe N, Alroy G, uRubin AH. I-asthma yokuya esikhathini: Ukusetshenziswa kwe-Gonadotropin-Exleasing Hormone Analog ye-Treatment of Cyclic Aggravation ye-Bronchial Asthma. I-Fertil Steril . 1994 Jul; 62 (1): 197-200.