I-brronchitis ukuvuvukala nokucasula kwezingqimba zamabhantshi, okuyizindiza emaphashini akho. Uma une-bronchitis, i-mucus ebanzi ingase ifake emoyeni wakho, mhlawumbe yenza kube nzima ukuphefumula. I-bronchitis enamandla ingathuthuka ngemuva kokutheleleka kwamaphaphu, futhi ingase isakazeke. I-bronchitis engapheli, ngakolunye uhlangothi, isifo sesifo samaphaphu, hhayi ukutheleleka, futhi asithathelisi.
Izimpawu
Izimpawu ze-bronchitis ezinzima kanye ne-bronchitis engapheli zifana. I-bronchitis enamandla iqala ngesikhathi noma ngemva nje kokushisa, kanti i-bronchitis engapheli iqala ngaphezu kwamabhi noma iminyaka, ngokuvamile ngenxa yokubhema.
I-brronchitis enamandla
I-bronchitis enamandla yinkinga yesikhashana esingaqala uma unesifo sokuphefumula. Ngokuvamile, i-bronchitis ephuthumayo iqala cishe isonto emva kokuqala kokubonakalisa ukutheleleka kokuphefumula, okungafaka umlomo, ubuhlungu obukhulu noma impumuzo, ikhanda, umkhuhlane kanye nokukhathala. I-bronchitis enamandla ingadlulela amasonto, futhi ngokuvamile ixazululwa yodwa.
Izimpawu ze-bronchitis enzima zihlanganisa:
- Ukukhwehlela njalo
- Ukuhlambalaza i-mucus enamanzi noma eminyene, ngokuvamile echazwa ngokuthi i-sputum, eyinamathele ehlanganiswe ne-mucus
- Ukuphefumula uma uphefumula
- Ukwakheka kwemisipha yakho esifubeni kusuka ekukhwehleleni okuqhubekayo
I-brronchitis engapheli
I-Bronchitis engapheli yinkinga yesikhathi eside esibhekene nokuphindaphindiwe, kaningi, nsuku zonke, izimpawu ezihlala izinyanga ngesikhathi.
I-bronchitis engapheli ibangelwa ukubhema ugwayi, ukubhema kwesibhakela, ukungcoliswa komoya kanye namakhemikhali emvelo. Amagciwane kanye nokutheleleka kokuphefumula kungakwenza ube nomthelela omkhulu wokuhlakulela i-bronchitis engapheli, futhi ingasusa isimo. Uma une- bronchitis engapheli , kungenzeka futhi ukuthuthukisa ukutheleleka kwezifo zamapayipi okuqhubekayo.
Izimpawu ze-bronchitis engapheli zihlanganisa:
- Isikhwehlela sesikhathi eside
- Ukuqhaqhazela
- Ukushaya igazi
- Ukuphuza okudinga umzamo
- Ukuhlanza njalo umphimbo wakho
- Ubuhlungu kulo lonke isifuba, ngokuvamile okubi nakakhulu ngokuphefumula
- Ukuphefumula okubi nakakhulu ngomsebenzi, kepha kungenzeka ukuthi ukhona
- Ukukhwehlela kwakho kungabanda kakhulu isimo sezulu esibanda, ukungabi namanzi, nezinto ezicasula amaphaphu, njengemfucumfucu noma intuthu.
Ukuxilongwa
Ukuxilongwa kwe-bronchitis kusekelwe emlandweni wakho wezokwelapha, ukuvezwa kwemvelo nokusebenza, nomlando wokubhema. Ukuhlolwa kokuhlola kungasiza ukusekela ukuxilongwa kwe-bronchitis futhi kungabangela ezinye izimbangela zokukhwehlela kwakho.
Umlando Wezokwelapha
Uma unomphikashika, ukukhwehlela okukhiqizayo okuhlala amasonto ambalwa, ungaba ne-bronchitis enzima. Uma uye waba neziqephu eziphindaphindiwe zokukhwehlela nsuku zonke eziqhubekayo okungenani izinyanga ezintathu ngesikhathi esifanayo eminyakeni emibili ulandelana, ungase ube ne-bronchitis engapheli.
Izivivinyo zokuxilonga
- I-X-ray yesifuba: i-X-ray yesifuba ingabona ngeso lengqondo ukuvuvukala kwe-bronchi, futhi ingase ibone ezinye izinkinga, njenge-pneumonia
- Ukuqedela ukubala kwegazi: Inani legazi lingabonisa izimpawu zokutheleleka
- Isiko lesi-sputum: Isiko lesi-sputum singakhula amabhaktheriya noma ezinye izinto ezingadinga ama-antibiotic noma olunye ukwelashwa
- Izivivinyo zokusebenza kwamapulmonary (PFTs) : Uma une-bronchitis engapheli, umsebenzi wakho wamaphaphu angeke ube ngcono. Uma une-bronchitis enzima, akunakwenzeka ukuthi uzoba ne-PFTs engavamile. Lokhu kuhlolwa kudinga ukubambisana kwakho njengoba uphefumulela kudivayisi ekala amakhono akho okuphefumula, kodwa akusivivinyo esiyingozi. I-PFTs ingasiza odokotela bakho ukuba banqume ukuthi izinga le-bronchitis lithinta kanjani emsebenzini wakho, okungasiza ukuqondisa ukwelashwa kwakho.
- I-oximetry ye-Pulse: Lokhu kuhlolwa okusheshayo okusebenzisa idivayisi encane e-elektroniki efakwe umunwe wakho. Ukuhlolwa kwe-pulmatic oximetry ukuhlolwa kokuhlola okulinganisa ukuhlunga kwe-oksijini egazini lakho. Lesi sivivinyo ngeke sibe sesijwayelekile uma unesifo esinamandla sephaphu.
- Ukuhlolwa kwegesi egazini legazi: Lokhu kuhlolwa kwegazi lapho igazi lithathwe emthini wakho, hhayi umvuthwandaba wakho, lapho uvame ukuba negazi lakho elidonsa inani eliphelele legazi. Igazi legazi elibhebhethekayo lingase lingakhululeki nakakhulu kunokuthola igazi elidonsa emthonjeni wakho. Ngokuvamile, igazi lakho elibhebhethekayo lizotholakala emthonjeni osesandleni sakho. Lokhu kuhlolwa kunikeza ukuhlaziywa okunembile kokuhlushwa kwe-oksijeni, okuwukubonakaliswa okungcono komsebenzi wakho wamapulmeri kunokuhlolwa kwe-pulmatic oximetry.
- I-bronchoscopy : I-bronchoscopy yinkqubo odokotela abasebenzisayo ukuthola isampula yamathambo noma amaseli avuthayo eduze kwe-bronchi yakho. Lokhu kuhlolwa kuvame ukusetshenziselwa ukuhlolisisa umdlavuza, futhi kulesi sifo esiphezulu se-lung, kungasiza ukubeka ukuxilongwa kwakho.
Ukwelapha
Imigomo eyinhloko ekwelapheni i-bronchitis ukugcina ukuhamba kwemimoya kucace ukuvuvukala kanye ne-mucus ukuze bakwazi ukusebenza kahle. Ukugwema izinto ezingabangela ukwanda kwe-bronchitis, njengemfucuza noma izifo zamaphaphu, kungavimbela ukukhubazeka okuqhubekayo.
Izindlela zokwelapha zifaka:
- Umuthi wokwelashwa
- Ama-antibiotics (uma ukutheleleka kwebhaktheriya kukhona)
- Bronchodilators
- I-Postural Drainage kanye nesifuba se-physiotherapy: Lena yindlela ongayifinyelela ngayo esimweni esivumela ukuthi i-mucus iguqulwe, kanye nezinsiza zokunyakaza zokuhlanza ekukhenizeni uketshezi. Ungenza le nqubo yenzeke kudokotela wakho noma ehhovisi lokuphefumula, futhi umelaphi wakho angakufundisa ukuthi ungayenza kanjani ngokuphepha ekhaya.
- I-steroids engenalutho noma yomlomo ukunciphisa ukuvuvukala. Noma kunjalo, lokhu akunconywa uma unesifo, ngoba i-steroids ingenza ukutheleleka kwakho kube kubi kakhulu.
- I-Phosphodiesterase 4 inhibitors (PDE4 inhibitors) ukunciphisa ukuvuvukala
- Ukuvuselelwa kwamapulmonary
Ukugwema ukuqhuma kwentuthu
Ukugwema umusi ovela kugwayi kanye nogwayi kubalulekile uma une-bronchitis, njengoba intuthu ingabangela kakhulu izimpawu ze-bronchitis enzima, futhi ingenza ukwanda kwe-bronchitis okungapheli. Ukubhema kwentuthuko nakho kuyamcasula.
Ukubhema kubangela ukuthi imimoya emaphashini ibe yinkimbinkimbi (imincane) futhi ikhubaze i-cilia, esiza amaphaphu asuse izinhlayiya ezicasulayo.
Khuluma nodokotela wakho uma ufuna ukuyeka ukubhema, kodwa awuqiniseki ukuthi uzoqala kuphi. Izinketho eziningi zitholakalayo kulabo abafisa ukuyeka ukubhema kodwa abaphumelelanga ukwenza kanjalo ngokwabo, kuhlanganise nokuyeka ukubhema , amaqembu okusekela kanye nokululekwa.
Izwi elivela
I-bronchitis engapheli futhi enomzimba emibili inezimpawu ezifanayo kakhulu, kodwa izifo ezihlukahlukene. I-bronchitis enamandla ishintsha futhi iyenzeka ngenxa yesifo. I-bronchitis engapheli yisifo esingenakuguquka esenzeka ngenxa yokuvuvukala okuvamile kwe-bronchi, ngokuvamile ngenxa yokubhema.
Uma une-bronchitis enzima, akudingeki ukhathazeke ngempilo yesikhathi eside yamaphaphu akho. Uma une-bronchitis engapheli, kodwa-ke, udinga ukushintsha indlela yokuphila ukuze ukwandise amandla akho okuphefumula nokuphefumula. I-bronchitis engavamile ayiyona into engavamile, futhi kunezindlela eziningi zokwelapha eziphumelelayo ezingakusiza njengoba uhlala ne-bronchitis engapheli.
> Imithombo:
> Jacinto CP, Gastaldi AC, Aguiar DY, Maida KD, Souza HC. Ukwelashwa ngokomzimba kwemvume yokuhamba emoyeni kuthuthukisa ukuguquguquka komzimba okuzenzekelayo ezinganeni ezine-bronchiolitis enzima.
I-Braz J Phys Ther. 2013 Nov-Dec; 17 (6): 533-40. i-doi: 10.1590 / S1413-35552012005000120. I-Epub 2013 Nov 1.
> Hooper LG, Young MT, Keller JP. et al. Ukungcoliswa Komoya Okumnyama kanye ne-Bronchitis Ehlala Ezingxenyeni Zase-US Women. Ngokuphathelene nabathengi bezempilo. 2018 Feb 6; 126 (2): 027005. i-doi: 10.1289 / EHP2199.