Izimo Zezokwelapha Ezenza Isimo Somoya Sibi kakhulu

Indlela yokwelapha lezi zimo kungathuthukisa ukulawula isifo se-asthma

Uma i-asthma yakho ingalawulwa kahle naphezu kwemizamo enhle, kungenzeka kube khona izimo zezokwelapha ezikhona endleleni yakho. Ezinye zingabangela ukuhlaselwa kanti ezinye zifaka nje umthwalo wempawu zokuphefumula. Ngakho-ke, kunengqondo ukuthi ngokuphatha lezi zimo, uzokwazi ukugwema ukuhlaselwa nokugcina ukulawula i-asthma.

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I-Refidx ye-Acid ne-Asthma

Isifo se-reflux ye-gastroesophageal (GERD) ingenye yezimo ezivame kakhulu ezingase ziphoqelele ukulawula i-asthma. I-GERD ivela lapho isisu se-asidi sigxuma emuva, bese kubangela ukucasula, ukuhlushwa, nokucindezeleka. Kubonakala sengathi kunezinhlobo ezimbili ezihlukene zalokhu:

• I-reflux igxile kakhulu emgqeni wezinzwa emgogodleni futhi ibangele ama-bronchospasms (ama-spasms wezingxenye zomoya).
• Uma i-asidi isuka esiswini sakho iya emaphashini akho, lezi zindatshana zizokwenza ngokuzenzekelayo, ziphendule impendulo ye-hypersensitive.

Ukwelapha nge-GERD imithi engapheli futhi esheshayo kungasiza ukulawula isimo futhi usize ukunciphisa i-reflux ngesikhathi sokuhlasela kwe-asidi. Izinguquko zokudla nezokuphila nazo zingasiza.

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Ukukhuluphala nesifo sofuba

I-asthma ayiyona nje evamile kakhulu kubantu abakhuluphele ngokweqile futhi abakhuluphele kakhulu, ijwayele ukuthi ibe nzima kakhulu futhi ivele ngezimvamisa ezinkulu. Ingozi ibonakala inkulu phakathi kwentsha nabesifazane abadala.

Ukusebenza ngokomzimba akubonakali kusiza. Isisindo nesisindo sodwa singenza umehluko phakathi kokukwazi ukulawula ukulawula i-asthma noma cha. Ngisho nokuzuza amakhilogremu amahlanu nje kungenza umehluko omkhulu, okuholela eku:

• Ukulawulwa kwe-asthma okungamaphesenti angu-22
• Amaphesenti angu-31 akhulisa isidingo se-oral steroids
• Ukuncishiswa kwamaphesenti angu-18 kwikhwalithi ebonakalayo yokuphila

Ngokuphambene nalokho, ukulahlekelwa isisindo nge-asthma kuphumela ekusebenzeni ngcono kwamaphaphu, ukunciphisa ukukhuphula, izinga lokuphila okungcono, nokunciphisa ukuthembela emithini ye-corticosteroids.

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I-apnea yokulala ne-asthma

I-apnea yokulala engavinjelwe (OSA) ijwayele ukungaqondakali kubantu abane-asthma. Lokhu kungukuthi, uma i-asthma itholakala, sivame ukuhlanganisa zonke izinkinga zokuphefumulela nge-asthma futhi angaboni noma yikuphi okunye.

I-apnea yokulala engavimbelekile ivela lapho i-airway engenhla ingaphumeleli noma iqhekeke ngokuphelele lapho ilele, iphazamise ikhono lomuntu lokuphefumula, yandisa ingozi yokuhlaselwa kwebusuku nokuhlwa. Izimpawu ze-OSA zifaka:

• Ukunyakaza okuphezulu
• Ukulala ngokweqile kwamalanga
• Ukuphefumula uma ubuthongo (okuvame ukubonwa ngumlingani wombhede)
• Izinhloko zekhanda

I-OSA iphathwa ngokucindezela okuqhubekayo kwe-airway (CPAP) ehambisa umoya ngokusebenzisa uhlelo lokulethwa ngokucindezelayo. Lokhu kube ngcono ukuphefumula ebusuku, ngaleyo ndlela kuncishiswe ukuqhuma okungaholela ekuhlaselweni kwebusuku.

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I-Rhinitis ne-Asthma

I-Rhinitis (ngezinye izikhathi ebizwa ngokuthi i-hay fever) ibonakala i-trigger ebonakalayo ecacile yokuhlasela kwesifuba. Naphezu kwalokhu, abantu abaningi abane-asthma abenzi umzamo ofanayo wokulawula ukwelashwa kwabo njengoba benza isifo sabo se-asthma.

Futhi eqinisweni, laba ababili bayahambisana. Noma kunini ukuvuvukala kwe-airway engenhla, kunethuba elihle kakhulu lapho umoya ophansi ongathinteka khona uzothinteka, futhi. A

Ngaphezu kwalokho, i-rhinitis ayiyona nje into ehlobene ne-allergies. Kunezinhlobo ezingezona izifo zesimo esibangelwa izinguquko ze-hormone ( ukukhulelwa i-rhinitis ), ukutheleleka kwegciwane noma ukwelashwa kwamagciwane, izinguquko zemvelo ( vasomotor rhinitis ), kanye nokusetshenziswa kwemithi.

Ukuze izimpawu ezihlobene nemithi, i-antihistamines kanye ne- intranasal steroid spray kungasiza ukunciphisa izimpawu ezingabangela ukuhlaselwa. Uma imbangela ingahlotshaniswa nokungezwani komzimba, kungase kudingeke ubone udokotela ongakwazi ukuhlola ukuhlolwa kwegazi, izivivinyo zesikhumba, nokuphela kwe-nasopy nasal ukuze uthole kangcono imbangela.

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Isifo se-Sinusitis esingajwayelekile nesifo sofuba

I-sinusitis engapheli ibhekene nokucasuka komzimba, impumu egijimayo, ukugubha ngemuva, ukuxubana kwesisu, ukucindezeleka kwesinasi, noma ubuhlungu besinus obugcina amasonto angaphezu kwengu-12. I-sinusitis engapheli ingenza ukulawula i-asthma kube nzima nakakhulu ngenxa yokuvuvukala okuqhubekayo, okuphansi okungathinta kokubili ukuhamba kwemimoya engenhla nangaphansi.

Naphezu kwenkolelo evamile, i-sinusitis ayiyona nje impendulo yokwelapha. Kungabangelwa ukutheleleka kwe-bacterial noma fungal, ukusabela ku-aspirin, noma ukuvuvukala okungeyona okwehla (okuvame ukuboniswa ubukhona bezintambo zomzimba ).

Uma ama-antihistamine noma ama-decongestant akakwazi ukuphatha izimpawu zesinasi, bheka udokotela wakho. Kwezinye izimo, ukudubula okungahambi kahle komzimba kungase kuhlinzeke ukuphumula kanti izifo ezithile zingelashwa ngama-antibiotics noma ama-antifungals. Ngenkathi kungavamile ukuhlinzwa, ukuhlinzeka nge-polyp nasal kungase kusetshenziswe uma yonke imizamo yokulawula i-sinusitis engelahleki ihluleka.

> Imithombo:

> Alkahlil, M .; I-Schulman, E .; futhi Getsy, J. "Ukuvimbela Ukulala Apnea Syndrome kanye Asthm a: Yiziphi Links?" I-Journal ye-Clinical Sleep Medicine. 2009; 5 (1): 71-78.

> Feng, C .; UMiller, M .; futhi uSimon, R. "Ubunye be-allergen airway: Ukuxhumeka phakathi kwe-rhinitis, i-asthma ne-sinusitis engapheli." I-American Journal of Rhinology kanye Nokuzivocavoca. 2012; 26 (3); 187-190.

> Mastronarde, J. "Ingabe Kukhona Ubuhlobo Phakathi kwe-GERD ne-Asthma?" I-Gastroenterology ne-Hepatology. 2012; 8 (6): 401-403.

> Scott, H .; Gibson, P .; I-Garg, L .; et al. "Ukuvimbela ukudla nokuzivocavoca kwenza ngcono ukuvuvukala kwe-airway nemiphumela yomtholampilo ngokweqile ngokweqile nokuphefumula ngokweqile: ukuhlolwa okungahleliwe." Ukwelashwa Kwezitholampilo Nokuhlolwa. 2013; 43 (1): 36-49.

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