Wake wake wazibuza noma udokotela wakho "isisindo sithinta isifuba?"
Uyakhumbula lokho owalinganisela eminyakeni engama-20 eyedlule? Ngalinganisa amakhilogremu angama-40 ngaphansi kwesilinganiso sami namuhla. Kancane kancane kancane kancane kancane kancane kancane kimi, kodwa kancane kancane, amakhilogremu ambalwa ngonyaka. Ngesikhathi mina nomunye umuntu ngikhuluma ukuyikhanda ukuze ngiguqule ama-40, 50, noma ngabe yikuphi ukulinganiswa kwakho kwasekuqaleni, mhlawumbe ukwehliswa kwezibonakaliso ze-asthma ngempela mayelana nalawo amakhilogremu angaphezulu?
Ingabe Isisindo Sithinta Isifuba Somoya?
Nakuba kungase kungabonakali njengokuningi, ukuthola ama-pounds angu-5 kuphela kuboniswe ukuhlukunyezwa kokulawula i-asthma kanye nekhwalithi yokuphila. Olunye ucwaningo olwanyatheliswa emaphepheni okuthiwa i-Respiratory Medicine oluthola amapremu angu-5, uma kuqhathaniswa nalabo abazuza kancane noma abalahlekelwe isisindo, bahlotshaniswa ne /
- Ukulawulwa kwe-asthma okungu-22% okwehlwempu
- Ikhwalithi engu-18% ephansi yokubikwa kokuphila
- Ukwanda kwe-31% ezinkingeni zokudinga i- steroid
Abalobi baphetha ngokuthi "izindlela zokuvimbela ukuzuza kwesisindo zingasiza iziguli ukuba zithole ukulawula okungcono kwe-asthma futhi zithuthukise izinga elihlobene nokuphila kwe-asthma. Ukuqonda okucacile izindlela ezithinta isisindo somzimba / i-BMI ekuthinteni ukulawulwa kwe-asthma nezinye izimo ezihlobene nesifuba kuzokwenza ukuthi ochwepheshe bezokwelapha benze izinhlelo zokwelapha ezibandakanya ingxenye yokuphatha isisindo. "Eqinisweni, ezimbalwa izifundo ziye zahlola ngokucophelela ukwelashwa ngokweqile / obhekene ne-asthmatics noma umthelela wokulahlekelwa isisindo nge-asthma.
Ukuqhathanisa umzimba kuholela ezimpindeni ezihlukene kuma-Asthma Meds
Kulesi simo, isisindo sinomthelela oqondile wokulawulwa kwe-asthma. Nakuba kungakaze kube nezifundo ezibhekiswe ikakhulukazi ekukhuliseni ngokweqile noma ngokwe-asthmatics ekhuluphele, iziguli ezigqamile azibonakali ukuphendula imithi yokulawula ngendlela efanayo ne-asthmatics engapheli ngokweqile.
Ngakolunye uhlangothi, impendulo yemithi yokuphulukisa ayishintshiwe. Akumangalisi ukuthi ucwaningi lwamanje nge-asthma aluhlosile iziguli eziningi kakhulu futhi lokhu kufanele kube yikhomba lokucwaninga emtholampilo. Njengamanje, azikho ukuhlukahluka kokwelashwa okunconyiwe okusekelwe esisindo sakho.
Ingabe Ukulahlekelwa Isisindo Kuthinta Isifuba Somoya?
Kungase kubonakale kubonakala ukuthi uma ukwedlula ngokweqile kuhlotshaniswa nokulawulwa kwe-asthma empofu futhi kunciphise izinga lokuphila ukuthi ukulahlekelwa isisindo kungaphambukisa lokhu. Nakuba abaningi baseMelika bazozuza ngokuthatha amakhilogremu ambalwa, angikwazi ukuqinisekisa ukuthi kuzokwenza ngcono i-asthma yakho.
Ucwaningo oluthile luye lwasikisela ukuthi ukulahlekelwa isisindo kusuka ekuhlinzeni i-bariatric kuthuthukisa ukulawula isifo se-asthma kuziguli ezigqamile. Ucwaningo olulodwa engilucacile ngaphambili lwaluthi imithi yokugaya imithi yancipha ngamaphesenti angama-50 ngokulandela ukuhlinzeka nge-bariatric. Izincwadi zakamuva ziye zabonisa ukuthuthukiswa kwezibonakaliso ze-asthma kanye nokuhlolwa kwemisebenzi ye-pulmonary eminyakeni emihlanu elandela ukuhlinzwa. Omunye wemikhakha emikhulu yazo zonke izifundo ezibandakanya ukuhlinzeka nge-bariatric kanye ne-asthma ubukhulu obuncane, okunciphisa ukukhiqizwa komphumela wemiphumela.
Ngenkathi le mibiko ithembisa, ukuhlinzwa nge-bariatric kuyisinyathelo esihle kakhulu. Inqubo inezingozi zayo kanye nezinkinga zayo.
Uma indlela yokuphila yokuguqulwa ekuhloseni ukulahlekelwa kwesisindo iveza imiphumela efanayo, ukuhlinzwa kungase kungabi nengozi.
Uhlolo oluthile olunomtholampilo olulandelwayo (RCT) olubandakanya ukudla nokuzivocavoca lwaluveza izinga eliphakeme lokuphila kuma-83% wabathintekayo nokulawulwa kwe-asthma ku-58% yabathintekayo ngemuva kokulahleka kwesisindo sika-5-10%. Ekungeneni kokudla, abahlanganyeli basebenzisa ukukhishwa kokudla kokubili, ukudla okuyisisekelo esisodwa, ukudla okulula okubili kanye nokululekwa kokudla. Emisebenzini yomzimba, iziguli zokungenela zithole ubulungu bokuzivocavoca kanye nehora elilodwa ngesonto lokuqeqeshwa komuntu ngesimiso sokusebenza ngokomzimba.
Ngenkathi lolu cwaningo kanye nabanye abambalwa bethembisa, kuze kube manje akukho ukuhlolwa okukhulu, okuphakathi kwamaphakathi okuye kwenziwa ukuze ubone ukuthi le miphumela ingahle iphindwe.
Imiphumela Yami
Ngakho ngicabanga ukuthi ngingayiphendula umbuzo owenziwe ekuqaleni kwesihloko esithi "isisindo sithinta isifuba" nge-yebo. Nakuba ngingeke ngikwazi ukuphakamisa isisindo sokulahleka kwesifo se-asthma ikakhulukazi ekuguleni ngokweqile nakakhulu, ngiyakwazi ukuncoma ukulahleka kwesisindo kulaba bantu ngokujwayelekile. Iziguli ezincane zezifundo ziye zathola ukuthuthukiswa okunemiphumela emihle ye-asthma nokulahlekelwa isisindo. Noma yisiphi isiguli esingaphezu kwesisindo sokudla ngokweqile kufanele sizame ukulahlekelwa isisindo ngemuva kokubonisana kwezokwelapha okufanelekile.
Izindlela ezisetshenziselwa i-RCT ngenhla ziyakwazi ukufinyeleleka emphakathini wakho uma unayo imithombo yokubona udokotela wezinsuku nomqeqeshi womuntu siqu. Kodwa-ke, ngesisusa esifanele nolwazi oluncane, ungakwazi ukuthuthukisa uhlelo lwakho lokulahlekelwa isisindo ngaphandle kwemali eningi.
Umthombo
> Haselkorna T, > Fishb> Ye , > Chippsc > BE, Millerd PE, Chene H, Weiss ST. Imiphumela yesisindo ishintshe imiphumela yempilo ephathelene nesifo se-asthma ezigulini ezine-asthma ezinzima noma ezinzima. Umqulu 103, Issue 2, Febhuwari 2009, amakhasi 274-283
> Scott HA, Gibson PG, Garg ML, Pretto JJ, Morgan PJ, Umshayeli R, Izinkuni LG. Ukuvinjelwa kokudla nokuzivocavoca kwenza ngcono ukuvuvukala kwe-airway nemiphumela yomtholampilo ngokweqile ngokweqile nokuphefumula ngokweqile: isilingo esihleliwe. . Ukwelashwa Kwemithi Yokwelashwa Nokuhlolwa Kwama-Volume 43, Issue 1, amakhasi 36-49, Januwari 2013.