Ukuhlola i-Confused and Possibly Outdated Term
Isifo sezindiza esisebenzayo sithinta ngokulingana uma uqala ukuzwa, kodwa kusho ukuthini ngempela? Ngokuya komuntu othola lesi simo, ingasetshenziswa ukuveza noma yini esivela esiqhingini esinzima sokugula ukugula okuphephile okufana nokuphefumula .
Okungewona okucacile kwegama akusho ukuthi kungakhathazeka noma kukudide.
Kunalokho, kuvame ukusetshenziswa njengendlela yokubamba-yonke ibinzana ukuchaza isimo esiye sabhekwa ngokugcwele noma siqondakala, ikakhulukazi ezimweni eziphuthumayo lapho ukuvinjelwa kokuphefumula kungase kube nzima.
Sibutsetelo
Abanye odokotela bazosebenzisa leli gama elithi "isifo esiphuthumayo se-airway" ukuphakamisa ukuthi umuntu uphendula okuthile okubangela inkinga yokuphefumula, ngisho noma bengaqiniseki ukuthi kuyini. Abanye bazosebenzisa leli gama ngokufana ne-asthma, mhlawumbe ngokucabangela ukuthi "isifo esiphuthumayo sezindiza" ngumqondo olula ukuwuqonda.
Ekugcineni, incazelo ecacile ye-airway isifo esiphumelelayo ayikho. Nakuba kungasiza ukuchaza isifuba kumzali noma kumuntu ngamunye, leli gama alisizo emtholampilo ngoba alikhombisi imbangela ecacile noma indlela yokuxilongwa noma ukwelashwa.
Ngakho-ke, inkinga ukuthi ukumisa ukuxilongwa ngale ndlela kungabangela umuntu ukuba enze ukucabanga okungalungile.
Ekugcineni, akuwona wonke ama-wheezes ahlobene ne-asthma hhayi kuphela izifo zokuphefumula ezingapheli. Kwabanye, lelo gama libonisa ukuthi liyilo.
Izimpawu
Ungasho ukuthi unesifo esiphuthumayo se-airway uma uthola ukushaywa umoya , ukuphefumula nokuphefumula okukhiqizayo . Ngokuvamile, lezi zinhlobo zezibonakaliso zibangelwa izimpendulo ezithile zomzimba,
Phakathi kwazo:
- Umkhawulo wokuphefumula uvame ukubangelwa ukuqina nokunciphisa imisipha ebushelelezi emaqenjini angaphandle.
- Ukuvuvukala kuyingxenye yokuvikelwa komzimba komzimba lapho izicubu ze-vascular zizovuvukala ukuvumela amangqamuzana omzimba ukutholakala nesifo. Noma kunjalo, ngokwenza, izingxenye zokuphefumula zizoqhubeka zinciphile.
- Zombili lezi zimpendulo zingabangela ukwedlula ngokweqile kwe-mucus, ukuvala ama-air passages.
Kuye ngesibangela, izimpawu zingabuka ekunene kuya ekusongeni ukuphila.
Ukuxilongwa
Ngezinye izikhathi izingane zisebenzisa igama elithi "isifo esiphuthumayo se-airway" lapho isondo lomntwana singathí sina kodwa kungenjalo okungahambisani nesifo se-asthma. Abanye bangase babone ukuthi i-airway dysfunction syndrome esebenzayo (i-RADS) lapho izinkinga zokuphefumula zibangelwa ukutholakala kwamakhemikhali anobuthi emiphakeni, noma ukubhema.
Kwezinye izimo, ingasetshenziswa njengesifo sokuhlonza okuqondile, okusho ukuthi sinesilinganiso esiphakeme sokuqiniseka. Kungakhathaliseki ukuthi ukuxilongwa okuhambisana nalesi simo kunzima kakhulu, kodwa kungasikisela ukuthi imbangela nemiphumela yesikhathi esifushane futhi sibi kunokuba isikhathi eside futhi singapheli.
Ngokuvamile kunalokho, imigomo efana ne-RADS izosetshenziselwa ukuxilongwa okuvelele, okusho ukuthi kudingeke uphenyo oluqhubekayo.
Lokhu kungabandakanya ukuhlolwa ukuze kuqinisekiswe noma kungabandakanyi izimbangela, njengokuthi:
- Isifo se-Chronic obstructive pulmonary (COPD)
- Ukuhluleka kwenhliziyo ukulahla
- I-pulmonary embolus
- I-cystic fibrosis
- Hypersensitivity pneumonitis
- Isifo se-reflux se-gastroesophageal (GERD)
- Ukungasebenzi kokusebenza kwe-vocal
Ukwelapha
Ayikho imihlahlandlela yokwelapha ecacile ye-RADS noma isifo se-airway esisebenzayo.
Kodwa-ke, ezimweni eziphuthumayo, ukuxilongwa kwe-airway isifo esiphuthumayo kungavumela ukungenelela okusheshayo kwezokwelapha, kubandakanya:
- Ukwelashwa okuphuthumayo kwe-oxygen
- Ukuqapha umsebenzi wenhliziyo nokuphefumula
- I-oximetry ye-pulse yokuhlola ukugcwalisa oksijini
- I-bronchodilators yokulondoloza inhalisiwe (noma i-bronchodilators engenazinhlungu ezimweni ezinzima)
- I-epinephrine imijovo uma ukuvinjelwa kokuphefumula kuphakamisa i- anaphylaxis yokugula
> Imithombo;
> Douglas, L. kanye noFeder, K. "I-RAD: Izifo Eziphuthumayo ze-Airways noma Izifo Eziyimpumputhe Ngempela?" Izingane zokwelapha. 2017; 139 (1). I-DOI: 10.1542 / ama-peds.2016-0625.
> Brooks, S. "Khona-ke futhi manje I-Airactive Reactive Dysfunction Syndrome." UJ Occupation Environ Med. 2016; 58 (6): 636-7. I-DOI: 10.1097 / JOM.0000000000000787.