Amagciwane, i-GERD, i-Sinusitis ne-Sleep Apnea
I-asthma yebusuku i-aggravation ye-asthma ngesikhathi samahora ebusuku. Kodwa ngenxa yokuthi une-asthma, noma kunjalo, akusho ukuthi uzothola ukonakala kwezimo ze-asthma ebusuku. Eqinisweni, kungani abantu bebhekene nezimo eziphuthumayo ze-asthma futhi izinga elinciphile lokulala aliqondi kahle. Kunobufakazi obonisa ukuthi ukuphazamiseka okuningi kwezindlebe, impumu kanye nomphimbo kungakwandisa amathuba okuba uhlaselwe isifo se-asthma.
Ukuqhathaniswa kwe-Asthma yasebusuku
Uma uthola ukuxilongwa nge-asthma, cishe ngokuhamba kwesikhathi uzothola izimpawu zesifo se-asthma. Kodwa-ke, ngesisekelo esingaguquki, kuphela ama-47 angama-asthmatics angu-100 azothola i-asthma yebusuku nsuku zonke. Uma ngabe ingane yakho ithola ukuthi une-asthma, noma kunjalo, cishe inengozi engamaphesenti angu-30 ephakeme yokubhekana nokuhlushwa kwezimpawu ebusuku. Ukwelashwa okudabukisayo kwabantwana kanye nabantu abadala kumele kudingeke, njengoba ukulala usuku kungathinta ubuhlobo, isikole noma ukusebenza komsebenzi, futhi impilo yonke yengqondo nengokwengqondo.
Izimpawu ze-Asthma yasebusuku
Izimpawu zesifuba sebusuku ziqondile futhi kulula ukubona. Izimpawu ezintathu ezivame kakhulu ukuthi uzothola ukuthi ungabona ukuthi ukuqhuma kwesifuba se-nighttime kufaka phakathi:
- ukukhwehlela
- isondo
- ukuphefumula
Izimpawu ezibalwe ngenhla zibangelwa njengoba uzwa ukuvuvukala kwemimoya yomoya ngesikhathi esifanayo ukuthi unciphisa emsebenzini wakho wempuphu jikelele.
Izimpawu zingase zenzeke lapho ulala phansi uzama ukulala, noma bangakuvusa phakathi nobusuku.
Izingxabano Ezingaba Nesibindi Sokuvuthwa Kwebusuku
Kunezinkinga ezine eziyinhloko ezindlebeni, ekhaleni nasemphinjeni ezingakusiza ukuba ube nokuhlushwa kwe-asthma ebusuku.
Ungabona lezi ezibhekwa njengezimo ezibucayi noma izimo ezenzeka ngesikhathi esisodwa. Kubalulekile ukuqaphela ukuthi lezi zimo akuzona imbangela yokuphefumula kwesifo sebusuku, kodwa kunalokho zingakusiza ukubeka phambili ukuba ungabi nesiqephu kuphela kodwa ungandisa ingozi yokuthola iziqephu eziningi.
Ukuvezwa kwe-Allergen kungandisa izinga lokuvuvukala emoyeni. Ama-allergen aphethwe emagqumeni angasese angakwazi ukufinyelela ezindizeni zomoya ngesikhathi sezinkanyezi zokubhukuda. Njengoba izindiza zakho zomoya zivuthayo, futhi ukuthambekela kwemvelo komzimba ukuthi kunciphise emisebenzini yamaphaphu ebusuku (ngenxa yezilinganiso zangaphakathi) ungathola ukukhwehlela, ukuqhuma noma ukuphefumula.
I-GERD , noma isifo se-reflux se-gastroesophageal , yisifo lapho i-acidic ephuma ngaphakathi kwe- reflux yesisu, noma ukuhamba, ivuselela isiphakamiso. Uma ubukhulu be-GERD buphakeme ngokwanele, okuqukethwe okunamandla kungalimaza imimoya yomoya kanye nesifo. I-bronchoconstriction, noma ukuqinisa imimoya emikhulu, ingenzeka ngisho nokuveza isikhathi esifushane kokuqukethwe kwe-acidic esiswini, okungaholela ekuqhakambiseni izimpawu zakho ze-asthma.
I-sinusitis , efana nokuvezwa kwe-allergen, ingabangela ukuvuvukala kwemimoya yakho.
I-Post-nasal drip ingakwazi ukuxhumana nemimoya yomoya eyenza i-bronchoconstriction. Ukunciphisa ukuhamba kwemimoya kungabangela izimpawu ezihlobene nokuphefumula kwesifuba.
I-apnea yokulala engavinjelwe (i-OSA), ngenkathi ibhekwa njengesimo esingasusa isifuba somoya ebusuku, asinayo indlela eqondakala kahle. Kodwa-ke, kunezifundo ezibonisa ukuthi ukusebenzisa amadivayisi we-CPAP omzimba we-OSA kuye kwaboniswa ukunciphisa izimpawu zesifo sokuphefumula ebusuku. Kodwa-ke, i-CPAP ngaphandle kwe-OSA ayibonakali noma yimuphi umphumela empawu ze-asthma ebusuku.
Ukwelapha I-Asthma Yesbusuku
Ukwelashwa kwanoma yikuphi ukucindezeleka kwama-comorbid (okufana ne-allergies, i-GERD, i-sinusitis, noma i-OSA) kubalulekile ekuphatheni jikelele kwe-asthma yesondo.
Qinisekisa ukuthi noma yimiphi yalezi zimo ziphathwa ngendlela efanele uma ubhekene nezimpawu zesifuba sebusuku.
Enye indawo oyidingayo ukuqinisekisa ukuthi uphathwa ngendlela efanele i-asthma yakho. Uma uhlangabezana nesifo esisodwa noma ngaphezulu se-asthma ngesonto ngalinye, ungase ungabi nesifo sokuphefumula esiphethwe kahle futhi kufanele uxoxe ngokuthuthukisa imithi yakho yemithi nodokotela wakho. Imithi ejwayelekile yokulawula i-asthma yakho ihlanganisa:
- I-glucocorticoids engenalutho noma yomlomo
- Ama-beta-agonists asebambezelwe isikhathi eside
- Theophylline
- Leukotriene inhibitors
Ungalokothi ukwandise imithi yakho ngaphandle kokubonisana nodokotela. Udokotela ongcono kakhulu wokuphatha i-asthma yakho yi-pulmonologist. Izimpawu ezincane ezincane ze-asthma nakuba zingase ziphathwe udokotela wakho wokunakekela oyinhloko.
Imithombo:
Ginsberg, D. (2009). I-Monster Engaziwa Emibhedeni - Ukuhlola I-Asthma Ebusuku Ezinganeni. UMcgill J Med. 12 (1): 31-38.
UMartin, uRJ. (2015). I-asthma yasebusuku. Kufinyelelwe ngoJulayi 16, 2016 kusuka ku-http: //www.uptodate.com (Okubhaliselwe Kudingeka).