Ukuphikelela, ukukhwehlela owomile kwamasonto angaphezu kwangu-8 kungase kube yinkomba
Ukukhwehlela okungapheli kubhekwa njengesifo se-asthma , esivumelwaneni nesondo, ukuqina kwesifuba nokuphefumula. Bonke, bakha iphrofayli yezimpawu ezisiza odokotela ukuba bahlaziye isifo se-asthma.
Kodwa kunezikhathi lapho ukukhwehlela kuyona kuphela uphawu olukhona. Futhi, ngenkathi kungenzeka ukuthi kubhekwe kunoma iyiphi inamba yezinto, kungase kube khona izici eziphakamisa ukuthi yisimo esingajwayelekile esaziwa ngokuthi ukukhwehlela okuhlukile kwe-asthma (i-CVA).
Izici zeCough Variant Asthma
I-CVA yindlela ye-asthma, okuyisici sayo esiyisisekelo esingajwayelekile, esingenzi lutho (esomile) ukukhwehlela. Abanye bacatshangelwa ukuthi bayisandulela se-"classic" asthma lapho ukukhwehlela kungase kube uphawu lokuqala lwezimpawu eziningana ezazofika. Ucwaningo luye lwasikisela ukuthi lungavamile kakhulu kunokholo futhi ukuthi noma yikuphi ukusuka kwesine kuya kwesithathu kweziguli ezinomkhuhlane ongapheli, kungenzeka ukuthi ube ne-CVA.
Ngokuvamile, abantu abane-CVA banezici eziningana ezibalulekile ezibahlukanisa nabantu abane-asthma yesilasi. Abantu abanesifo se-CVA banomqondo okhwehlela kakhulu okhwehlela kakhulu kunabo abane-asthma yama-classic.
Futhi, ngenkathi kokubili i-CVA ne-classic asthma ibonakala ngokungaqondakali (ukukhuphula ukuzwela komoya womoya), abantu abane-CVA bavame ukuba nomncane, uma kunjalo, ukuphendula kumethacholine, i-compound ekhonjiwe esetshenziselwa ukuxilonga i-asthma kwiziguli ezingenamkhawulo.
Ekugcineni, izici ezicacile ze-CVA ukukhwehlela owomile okuhlala amasonto ayisishiyagalombili noma ngaphezulu, kwenzeka ebusuku noma ngosuku, futhi kuveza okuncane, uma kukhona, ukukhwehlela.
Yeka ukuthi isifo se-asthma siyatholakala kanjani
Ukubona i-CVA kubhekwa kubalulekile njengoba ukuphikelela kokukhwehlela kunciphisa izinga lomuntu lomuntu. Ngakho-ke, inselelo enkulu iveza isimo lapho kungekho bufakazi obukhona besifo se-asthma. Ngenkathi ukuhlolwa kwe-spirometry (okuyinto eyenza umsebenzi wokuphefumula) kungenziwa, abantu abane-CVA ngeke babe nakho ubufakazi obulinganiselwe bokuvimbela amaphaphu.
Uma kunjalo, i-methacholine ingasetshenziselwa ukuqala ukuxuba okuyingxenye ye- test bronchial provocation test . Uma engakwazi ukwenza lokhu, ezinye izinto ezinjengokubanda, ukuzivocavoca, noma i-histamines zingasetshenziswa. Uma engekho kulezi zinto ezikwazi ukuphendula, khona-ke i-CVA ayinakwenzeka.
Kodwa, noma ngabe kukhona ukusabela, ukungahloniphi wedwa akukwenzi ukuxilongwa. Ngaphakathi komongo we-CVA, ukuxilongwa okucacile kungenziwa kuphela uma ukungahloniphi kukhululeka ngokusebenzisa imithi ye-asthma ebizwa ngokuthi i- bronchodilator .
Ngenye indlela, udokotela angase abuke isikhala sakho ngaphansi kwe-microscope ngobufakazi beseli elimhlophe legazi elibizwa nge-eosinophil. Ukubalwa kwe-eosinophil okwandayo kuvame ukuvela ekuphenduleni ukungezwani komzimba. Ngokufanayo, ukuhlolwa kokuphefumula kwe-nitric oxide exhaled (igesi elivuthayo elikhishwe ngamaseli wamaphaphu) libikezela kakhulu i-CVA ngisho noma zonke ezinye izivivinyo zingekho.
Ukuphatha I-Asthma Eguquguqukayo Eyisiguli
Ukwelashwa kwe-CVA kufana nokufana ne-asthma yakudala. Ukusetshenziswa kwe-bronchodilator efana ne- albuterol kunganikeza ukukhululeka okuyingxenye ngokushesha masonto onke. Ukukhwehlela okukhulu kunokwelapha nge-steroid engaphazamisekile njengo- Flovent . Uma ukwelashwa okufakiwe kungakwazi ukuxazulula ngokugcwele ukukhwehlela, i-steroids yomlomo njenge-prednisone ingasetshenziswa.
Ukwengeza, uma kukhona ubufakazi be-eosinophilia, isidakamizwa esiphikisayo sokuvuvukala njengoZafirlukast sibonisiwe ukuthuthukisa ukukhwehlela kubantu abaye bahluleka ukukhipha i-steroids.
> Imithombo:
> Niimi, A. "Isihlungu, ne-Asthma." I-Curr Respir Med Med Rev. 2011; 7 (1): 47-54.
> Matsumoto, H .; I-Niimi, A .; I-Takemura, M .; et al. "Ukuchazwa kokukhwehlela kwesifo sokuphefumula kwesimo se-asthma: ukuhlaziya okubukhali." I-Asthma. 2006; 43 (2): 131-135.