Isivivinyo sokwelapha yilapho udokotela enza ukuxilongwa futhi aqale ukwelashwa ngokusekelwe ezimpawu zodwa, ngaphandle kokuhlolwa okungeziwe okungeziwe. Isibonelo, isiguli singase siqaliswe ku-Albuterol uma sithutha noma i-Prilosec uma umuntu enezimpawu ze-reflux (GERD) ze-gastroesophageal (GERD).
Kungani Kungenzeka Udokotela Wami Aqale Isivivinyo Sokwelapha?
Ngokuvamile, unikeza udokotela wakho ngezimpawu.
Ku-asthma, lokho kungase kusho ukuthi unezimpawu zakudala zesifuba njengesifuba esifubeni , ukukhwehlela okungapheli , ukuphefumula , ukuqhuma noma mhlawumbe uphawu oluthile lwe-atypical. Kungakhathaliseki ukuthi unesikhalazo, udokotela wakho usolwa nge-asthma. Bese banquma ukuthi bafuna ukubona ukuthi uzuza yini kwezinye izinhlobo zokwelashwa kwesifuba. Ngokuvamile lokhu kuzobe kukunikeza inhaler yokukhulula futhi ubone ukuthi lokhu kukhulula izimpawu zakho, kodwa asikho isizathu sokuthi isilingo sokwelapha asikwazanga ukuqaliswa nge-steroid engatholakali. I-downside kuphela yecala lokwelapha nge-steroid engaphazamiseki ukuthi kuzothatha isikhathi eside isikhathi ukubona ukuthi kusebenza yini.
Ingabe Ngisadingeka Uvivinyo Lokuthola I-Asthma?
Lokhu kuzoxhomeka ezinqumweni wena nodokotela wakho ozenzayo. Ngokuvamile, ngingathanda u-yebo.
Ukuxilongwa nge-asthma kudinga ukuthi kukhona izingxenye ezimbili: 1) Izimpawu ezihambisana ne-asthma; 2) Uhlobo oluthile lomgomo wokunciphisa ukugeleza komoya (okungakhathaliseki noma okuphelele) okuthuthukisa ngokuzenzekelayo noma ngemithi yokwelashwa.
Ngaphandle kokubonisa lezi zindlela ungase ube nesimo sokuthi ulingise i-asthma engase ithuthukise ngokuphawulekayo, kepha ngeke uphathe isimo esibucayi.
Ezinye zokuhlolwa udokotela wakho angakwenza zingabandakanya:
- I-Peak Expiratory Flow Rate (PEFR ): Akuvamile ukusetshenziswa ukuhlola i-asthma, kodwa udokotela wakho kungenzeka ukuthi atholakale kalula ehhovisi lakhe. I-PEFR isilinganiso sokuthi kungakanani ukungena kwe-airflow ongayenza kusuka kumaphaphu akho. Lesi sandla esilula esibanjwe ngesandla silinganisa inani lemimoya ongayikhipha ngamandla. Udokotela wakho kungenzeka ukuthi ugcine irekhodi lokulinganisa ekhaya njengengxenye yecebo lakho lesenzo se-asthma futhi ukuzitholela kwakho kusekelwe e-PEFR yakho engcono kakhulu ezokutshela ukuthi i-asthma yakho ilawulwa kangakanani.
- I-Spirometry: Isivivinyo esifana ne-PEFR esidinga imishini eyithuthukisiwe futhi ingenziwa emahhovisi amaningi odokotela. Lokhu kuhlolwa kuvumela udokotela wakho ukuthi angcono ukucacisa ubunzima futhi imbangela yokuvinjelwa kwe-airflow yakho. Udokotela wakho uzokwazi ukucacisa i-FEV1 nezinye izingxenye zomsebenzi wamaphaphu ngalesi sivivinyo.
- Impendulo yeBronchodilator: Isici esiyinhloko sokuphefumula kwesimo se-asthma ukuthuthukisa izimpawu nemisebenzi yamaphaphu ngemva kokwelapha nge- rescue inhaler noma i- bronchodilator . Uma ukuphindaphindiwe kwe-spirometry 10-15 imizuzu ngemuva kokukuphatha nge-bronchodilator kubonisa ukwanda kokugeleza komoya kwe-10% noma ngaphezulu, udokotela wakho cishe uzobheka lokhu kuhlolwa okuhle futhi asize ekwenzeni ukuxilongwa nge-asthma.
Ukuze wenze ukuxilongwa nge-asthma, udokotela wakho uzocabangela ulwazi lwakho lomlando mayelana nezimpawu nomndeni, ukuhlola kwakho ngokomzimba, nomphumela wokuhlolwa kwakho kwenhloso ukukhetha ukuthi imuphi ukwelashwa kanye nesicwangciso okukufanele kakhulu kuwe.
Ingabe Ukulingwa Kwemithi Kungaba Mbi?
Angicabangi kanjalo. Okuwukuphela kwenkinga engingacabanga ukuthi ingabe kungaba yinto embi kuwe uma kwenzeka lapho inhaler yokuhlenga ithuthukisa izimpawu zakho futhi unquma ukuyeka ukuhlolwa okuqhubekayo. Kulesi simo, awukaze utholakale futhi ngikhathazeka ngokuthi ngeke uphathe isisusa esiyinhloko sezimpawu zakho.
> Umthombo:
> Ukuhlolwa kokusebenza kwePulmonary Clinic, Ukuhlolwa kokuzivocavoca, nokuhlola ukukhubazeka. In Medicine Medicine: Izidingo ZePulmonary And Medicinal Care Medicine . Abahleli: URonald B. George, uRichard W. Light, uRichard A. Matthay, uMichael A. Matthay. May 2005, edition 5.
> Ukusebenzisana kweCochrane. Ukungenelela ekufundiseni izingane ezisengozini yokuba khona kwezimo eziphuthumayo eziphathelene nesifuba.
> Inhliziyo kaZwelonke, iLung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma