Uhlelo olufanayo olusiza ukuvikela ekutheleleni-isimiso sakho somzimba-singase sibe nesibopho sokuphefumula kwakho kwesifuba. Ungabona ukuthi ngesikhathi esifanayo unayo impumulo ephuthumayo, amehlo ewawoti, nokuncintisana kwesinus , ukugoqa kwakho kwezinga eliphansi kunamaphesenti amaningi, usuke uvunguza kakhulu, futhi uthola ukuphefumula okungaphezulu.
Ngakho amasosha omzimba wakho kanye nesifo se-asthma kuxhunyaniswa kanjani?
Futhi, ingabe ungenza noma yini ukugcina isimiso somzimba sakho sokuzivikela singenzi isimo sakho se-asthma sibi nakakhulu?
I-Asthma ne-Allergies: I-Connection
Amasosha omzimba avame ukukuvikela kuma-bacterium angaphandle kanye nama-virus. E-asthma nezinye izifo ezithathelwanayo, isimiso somzimba sokuzivikela singase sibangele izimpawu zakho ezimbi.
I-asthmatics eminingi i- atopic , okusho ukuthi inesabelo esithathwa njengefa ngokusungula izifo. Ukwelashwa kwamagciwane kwenzeka uma amasosha omzimba wakho eqala ukuphendula ngokweqile kwezinye izinto zangaphandle noma izifo ezithile.
I-Cascade ye-Allergic
Nge-allergies, isimiso somzimba wakho samasosha omzimba sithola lezi zifo, sibona njengabanye amazwe, futhi siqala ukulungele ukulwa nabo njengesihambi sangaphandle. Inqubo eyenzekayo ivame ukubizwa ngokuthi i-cascade ye-allergen, evame ukuvela kulezi zinyathelo ezintathu:
- Ukukwazisa
- Ukusabela kwesigaba sokuqala
- Impendulo yesigaba esilandelayo
Ukuhlonza isisusa: Isigaba sokuQala
Isikhathi sokuqala lapho uthola khona i-allergen, lokhu kubizwa ngokuthi ukukhuthaza futhi ngeke ube nezimpawu.
Ungase utholakale ezigulini ezivusa i-allergic cascade nge:
- Ukubutheka kwezidakamizwa, njenge-dander, impova, noma izidakamizwa, lapho izinto zibopha izibungu emaphashini akho
- Ukungena kokudla noma imithi lapho isisombululo sokuqala samasosha omzimba senzeke esiswini
- Ukuthintana ngokomzimba wesikhumba sakho ngezinto, njenge-poison ivy
Ngokungahambi kahle komzimba, umzimba wakho uzwa i-allergen njengangaphandle futhi uvula ukuqhuma kwemicimbi evuselela izinhlobo eziningana zamaseli omzimba, okufaka:
- Amaseli T avuselela ngokushesha ama cell B
- Amaseli B aguqulwa abe ngamaseli e-plasma
- Amaseli e-plasma akhiqiza ama-antibodies e-IgE aqondene ne-allergen
- Ama-antibodies e-Immunoglobulin E (IgE) ahlangene namaseli amancane
Ngalesi sikhathi, i-allergen ibangele ukuguqulwa kwamagciwane, kodwa ngeke uthuthukise noma yikuphi okwenzekile. Kodwa-ke, phakathi nokuchayeka okulandelayo ngemva kwe-allergen, ungase uhlakulele izimpawu ze-asthma njengengxenye yempendulo yesigaba sokuqala.
Isigaba sokuqala sokuphendula: Isigaba sesiBili
Ngokuzivelela kabusha kwe-allergen, isimiso sakho somzimba samasosha omzimba sizwa ukuthi i-allergen ingaphandle, okuholela kulokhu okulandelayo:
- Izinkimbinkimbi zesisindo / IgE ezikhiqizwa esigabeni sokugqugquzela zibophezela ekucabangeni kwe-allergen ukuthi isisulu esingaphandle, njengabaktheriya noma igciwane
- Amangqamuzana amantshontsha abese ekhulula amangqamuzana okuvuvukala okuthiwa abaxhumanisi, njenge-histamine, okuhamba ngokushesha kuwo wonke umzimba wakho ngenhloso yokulwa nabahlaseli bangaphandle
- Uqala ukuzwa izimpawu zomzimba wakho ngokweqile kwi-allergen
Abaxhumanisi basabela ezinxenyeni ezahlukene zomzimba wakho obangela izimpawu zakho zokungezwani komzimba .
Ungase uqale ukuhamba, ukukhwehlela, noma ukuphefumula njengoba impendulo ye-immunologic ibangela ukuvuvukala nokunciphisa imimoya emaphashini akho.
Ungabhekana kuphela nekhala eligijima noma amanzi, amehlo anamehlo . Impendulo ye-immunologic iqala cishe masinyane ngezimpawu ezenzeka ngokushesha nje emva kokuvezwa kabusha futhi zihlala amahora amathathu kuya kwamane.
Impendulo yesigaba esilandelayo: Isigaba sesithathu
Impendulo yesigaba sekwephuzile iqala ngesikhathi esifanayo njengempendulo yesigaba sokuqala kodwa ayibangeli izimpawu zamahora amaningana. Ama-mediators akhululwe ngokuchazwa kabusha kwe-allergen futhi akhuthaza ezinye izinhlobo zamasosha omzimba okuthiwa i-eosinophils.
Ama-Eosinophils aqukethe izinto lapho zikhishwa ngokujwayelekile ukulwa nezifo. Kodwa, nge-asthma, amangqamuzana awonakalisa amaphaphu, okwenza ukuvuvukala okuningi kanye nezimpawu ezimbi.
Esikhathini esiphezulu, izimpawu ngeke zikhule okungenani amahora amane, kodwa zingadlula isikhathi eside amahora angu-24. Ukuvutha nokuvinjelwa kwe-airflow kungase kube nzima kunalokho okubonwayo ngesikhathi sokuqala.
Ukwelapha i-Asgic Cascade
Indlela ecacile kunazo zonke yokwelapha i-cascade ye-allergen kuyoba ukugwema zonke izifo futhi zivimbele ukuba zingenzeki. Nakuba lokhu kungase kusetshenziswe ezinye izifo, njengokudla okukhethekile kanye nesilwane sesilwane , ezinye izilonda, njengothuli nokubunjwa, kungase kube nzima futhi imithi idinga njalo.
Udinga ukuthuthukisa uhlu lwezinkinga zakho ze-asthma njengoba ngokuvamile zizoqala ukuqhuma. Ukwengeza, kudingeka uqiniseke ukuthi uyazi ukuthi kusho ukuthini ukulawulwa kwe-asthma empofu. Ukusebenzisa i-inhaler yakho yokuphindwa kabili ngesonto noma ukuvuswa kwezibonakaliso ze-asthma okungaphezu kabili ngenyanga kusho ukuthi i-asthma yakho ayilawulwa kahle. Uma usubonile ukuthi i-asthma yakho iyabangela udinga ukuqinisekisa ukuthi ugwema amaphutha, njengokuvumela izilwane ezifuywayo ukuba zibe ekamelweni lakho noma ukulala ngefasitela evulekile.
Imithi Neminye Imithi
Izindlela zokwelashwa zamanje ze-asthma kanye nezifo zemizimba ngokuvamile zihlose izingxenye ezithile ze-cascade ye-allergen. Izidakamizwa zokuqala zokulwa ne-antihistamine njenge-diphenhydramine (i-Benadryl) noma i-antihistamine yesizukulwane sesibili njenge-loratadine (i-Claritin) noma i-cetirizine (i-Zyrtec) ivikela izimpawu zokungezwani komzimba ngokuvimbela impendulo yokuvuvukala yabalamuleli abakhishwe ngesikhathi sesigaba sokuqala se-cascade ye-allergen.
Ama-antihistamine avimbela abalamuleli, njenge-histamine, kusukela ekubophezelweni kuya emitholampilo emakhaleni nasehlokweni ezibangelwa izimpawu zokuqeda ukukhipha, ukuphuza impumu, ukuxubana nokubona amehlo. Kubalulekile ukuba ubhale phansi, noma okungenani uqaphele uma uthatha i-antihistamine, uma kuthuthukisa ukulawula kwakho kwe-asthma nezimpawu. Omunye umqondo omuhle ukuphawula uma uthatha i-antihistamine futhi ubone ukuthi ngokuhlulekayo kunciphisa ukusetshenziswa kwakho kokusebenzisa inhaler noma uma uzizwa ungcono.
Ama-bronchodilators , afana ne-albuterol, ahlose isigaba sokuqala se-asthma, okwenza kube nokwanda kwezindiza kanye nokukhululeka kokuvinjelwa kwamanzi, okwenza kube lula ukuphefumula. Izidakamizwa ezinamakhemikhali aphikisayo, njengama-steroids kanye nabaphikisi be-leukotriene, zingasetshenziswa ngokujulile ukunciphisa ukuphendula kwesigaba sekwephuzile noma zisetshenziswe njengesilinganiso sokuvimbela ukuzama ukugcina ukuphendula kwesigaba sekwephuzile kungenzeki nhlobo.
Okokugcina, ukubhebhetheka komzimba noma i-immunotherapy kungasetshenziswa emzamweni wokwehlisa isifo isiguli. Ngezibhamu, umzimba wakho unciphisa impendulo yabangenayo yangaphandle-isimiso somzimba sokuzivikela senza i-IgE encane futhi ngethemba ukuthi asisabele ngokuqinile kwi-allergen ethile.
Futhi, le mithi idinga ukuthathwa nsuku zonke ukuze isebenze futhi ngeke isebenze uma uzama ukuyithatha ngesisekelo esidingekayo. Kungakhathaliseki ukuthi usebenzisa i-inhaler yakho yokuphepha noma i-controller inhaler, udinga ukuchitha isikhathi ukuqinisekisa ukuthi inqubo yakho ye-inhaler ilungile. Uma ungenayo inqubo efanele, akuwona wonke umuthi ongena emaphashini akho.
Imithombo:
> I-Asthma andergyergy Foundation of America (AAFA). I-allergen ne-Asthma ye-allergenic. September 2015.
> Delves, PJ. Uhlolojikelele Lokuphendula Nge-allergen. I-Merck Manual: I-Consumer Version.
> Inhliziyo kaZwelonke, iLung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma. Agasti 28, 2007.