Ingabe Ukugwinya Kwangaphambi Kokuholela E-Asthma?
I-brronchiolitis yiyona imbangela evamile kakhulu yokugubha izingane ezine-asthma. Ngenkathi odokotela abaningi besalokhu besiphathisa intshontsho nge-bronchiolitis njengoba benesifo sokuphefumula, lezo zikwelapha azivame ukusebenza. Kukhona futhi umbuzo wokuthi umntwana we-bronchiolitic usengozini enkulu yokwenza isifo se-wheyzing ne-asthma esikhathini esizayo.
Kuyini i-Bronchiolitis?
I-brronchiolitis ukuvuvukala kwemikhumbi emincane yamaphaphu, okuthiwa i-bronchioles, okubangela ukuba i- wheezing ingene emoyeni nasemaphandleni.
I-brronchiolitis ivame ukuthinta izingane ezingaphansi kweminyaka emibili ubudala phakathi nezinyanga zasebusika.
Ngokuvamile i-brronchiolitis ibangelwa enye yezinkinga ezilandelayo:
- Igciwane lesifo se-respiratory (RSV)
- I-Adenovirus
- Umkhuhlane
- I-Parainfluenza
I-brronchiolitis ivame ukuzithiba futhi izinsana eziningi azikho imiphumela yesikhathi eside. Amanye amaqembu ezinsana (ngaphambi kwesikhathi noma kulabo abanesifo senhliziyo) angengozi yezinkinga ezifana ne-apnea (ukuyeka ukuphefumula okwesikhashana), ukucindezeleka okukhulu okuphefumula okudinga umoya wokuphuza umoya, noma ukutheleleka kwamagciwane.
Ingabe i-Bronchiolitis ne-Asthma into efanayo?
Cha! Akuyona yonke into ehamba ngayo isifo se-asthma , kodwa isondo kufanele sibhekane ngaso sonke isikhathi. Uma ngabe ingane yakho ingakaze iqhume futhi uzwa isondo, kufanele ubize udokotela wakho bese ubuza ukuthi yini okufanele uyenze. Ezinye zegciwane ezibalwe ngenhla zingabangela ingane yakho ukuba iqhume amasonto ambalwa futhi ingaholela kulokho odokotela abaningi ababhekisela kubantu abadala ngokuthi "ukuthumela i-viral syndrome."
Ingabe i-Bronchiolitis Iholela E-Asthma?
Igciwane le-syncytial yokuphefumula noma i-RSV lingabangela izimpawu zesifo se-asthma njenge-wheezing, ukuqina kwesifuba , ukuphefumula nokukhwehlela . Abantwana abangaba ngu-4 kwabangu-10 abadinga ukulaliswa esibhedlela ngenxa ye-bronchiolitis bangase bagcine bethola ukuthi bane-asthma kamuva ekuphileni. Nokho, izingane eziningi aziqhubeki ukuthuthukisa ukuxilongwa.
Lokhu kungaba nzima kakhulu ukutadisha ngenxa yezimbangela eziningi ze-asthma kubandakanya ukutholakala kwezakhi zofuzo, ukungcola kwemvelo kanye nezinqubo ze-immunological.
Uma ingane yakho inesifo sofuba se-RSV, isengozini eyengeziwe yokuhamba ngesondo nokuphindaphindiwe kokusebenza kwamapulmonari kule minyaka eyishumi yokuqala yokuphila. Ezicwaningweni, lezi zingane ziphindwe izikhathi ezine futhi zinciphisa umsebenzi wokuphefumula uma kuqhathaniswa nezingane ezingenalo ukutheleleka kwe-RSV.
Ingabe Mina Noma Ingane Yami Sizobuya Futhi? Ingabe Ngine-Asthma?
Impendulo emifushane mhlawumbe. Abantwana abayisishiyagalolunye kwabayisithathu abaphila eminyakeni embalwa yokuqala yokuphila bazobe beseneminyaka engama-6 ubudala. Uma uhamba ngezikhathi eziningana ngonyaka noma udinga ukuthi ama-steroids abe yizibalo ezimbili ezinkulu futhi unomzali one-asthma noma isifo se-atopic .
Iziphi Izivivinyo Zokuthi I-Doctor My Order Yenze I-Suspect Bronchiolitis?
Ezinganeni ezincane, udokotela wakho akakwazi ukwenza izivivinyo ezifana ne- FEV1. Isivivinyo esivame kakhulu udokotela wakho azoyidala sizoba x-ray yesifuba. Lokhu kuzokusiza udokotela ukuthi ngabe ukutheleleka kungase kubangele ukushayela noma uma kukhona uhlobo oluthile lwenkinga yesakhiwo eholela ekuqhumeni.
Ingabe I-Bronchiolitis Ingagwenywa?
Ngenkathi izingane zithanda imishanguzo, okwamanje asikho umgomo wokuthola imithi ye-RSV noma iningi lamanye amagciwane okwenza i-bronchiolitis.
Ukugonywa wonyaka wamagciwane kunconywa wonke umuntu oneminyaka engaphezu kwengu-6 ubudala. Ukwengeza, wonke umuntu ohlala endlini enabantwana abancane kufanele agonywe.
Ukunciphisa ukubhema kwentuthu kagwayi, ukugeza izandla ngamandla, ukugwema ukuthinta umlomo kanye nekhala, nokugwema ukuthintana nezifo zokuphefumula kuyindlela yokunciphisa ingozi yokuthola noma yokusabalalisa amagciwane aholela ku-bronchiolitis.
Eqenjini lezinsana ezishiwo ngaphambili ukuthi zisengozini enkulu yokubhekana nezinkinga, i-palivizumab inikezwa njenge-immunoprophylaxis. Lokhu kuboniswe ukunciphisa ingozi yezinkinga kusuka ekutheleleni kwe-RSV.
Eminyakeni yamuva i-qualification yalo muthi iye yaba nzima ngokwengeziwe ngenxa yezindleko zayo.
Ingabe I-Bronchiolitis Ingasetshenziswa?
Ngokuvamile, ukuphathwa ngokujwayelekile kwe-bronchodilators engabhalisiwe njenge-albuterol ayitholakalanga ekuthuthukiseni imiphumela ephawulekayo. Lo mkhuba awukona nje ukwandisa izindleko zokunakekelwa, kodwa ubeka izinsana engozini enkulu yemiphumela engenayo ngaphandle kokukwazi ukuzuza. Ama-bronchodilator omlomo asetshenziswe esikhathini esedlule kodwa abuye ahlinzeke ngenzuzo futhi ahlobene nengozi yemiphumela emibi. Ngokufanayo, ukuphathwa okunamandla kwe-steroid engatholakali akutholakalanga ukushintsha inkambo ye-bronchiolitis.
Ukwengeza, akukatholakali i-steroids noma i-leukotriene inhibitors ekuvimbeleni ama-episodes alandelayo futhi okwamanje ayinconywa.
Udokotela wakho angabuye ahlole ukuhlolwa kwegazi uma besolisa ngezinye izimbangela zokugwinya.
> Imithombo
> 1. I-Castro-Rodriguez J. I-Asthma Predictive Index: ukuxilongwa kwangaphambili kwe- asthma. >. > I-Curr Opin Yokugula Kwemithi Clinic Immunol. 2011 Jun; 11 (3): 157-61.
> 2. Inhliziyo kazwelonke, iLung, neGazi Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma
> I-Medline Plus. Igciwane lesifo se-respiratory (RSV)