Uma utshelwe ukuthi une-asthma ephikisanayo, lokho kusho ukuthini nokuthi iyiphi incazelo? Yini eyenziwa ukuze kutholakale lesi sigaba sesifo se-asthma, futhi siphathwa kanjani? Yini ongayilindela ngokuhamba kwesikhathi, futhi ingabe iyoba ngcono noma ibe yimbi?
Sibutsetelo
I- asthma ephikisayo ephikisayo ingenye yezinhlobo ezine ze-asthma. Abantu ababhekene nokuphefumula okuphikisanayo okunamandla ngokuvamile banesimpawu se-asthma ngaphezu kokuphindwe kabili ngesonto , kodwa okungaphezu kwesisodwa ngosuku (ngokwesilinganiso).
Izimpawu zabo zobusuku zenzeka ngaphezu kokuphindwe kabili ngenyanga. Ukuhlasela kwe-asthma kungathinta imisebenzi yansuku zonke yabantu abane-asthma ephikisanayo.
Ukuhlukaniswa
Indlela i-asthma ehlukaniswa ngayo isekelwe ezimpawu kanye nobukhulu besimo. Ukunquma ukuthi yisiphi isigaba sokuhlelwa kwesifuba sakho isimo sakho esiwela kuso, udokotela wakho uzocabangela lokhu okulandelayo:
- Izimpawu ezifana nobunzima bokuphefumula, ukugubha, ukuqina kwesifuba, nokukhwehlela, ngaphambi kokwelashwa-Phawula ukuthi ukuhlaselwa kwezifo ezinzima kungenzeka kunoma yisiphi isigaba se-asthma, ngisho nasezingeni eliphansi kakhulu le-asthma.
- Indlela owenza ngayo ukuhlolwa komsebenzi wamaphaphu noma ukuhlolwa komsebenzi wamapulmoni (ukucacisa inani nesisindo somoya ongayishaya)
I-asthma yakho ingashintsha ngokuhamba kwesikhathi. Kubalulekile ukuqaphela ukuthi i-asthma kunzima ukuyihlola nokuhlukanisa izingane ezincane kuneminyaka engamashumi amane, njengoba izimpawu zingase zihluke ezinhlotsheni ze-asthma eziboniswe kubantu abadala noma ezindala.
Izigaba
Isifo se-asthma siye sahlukaniswa ngezigaba ezine ezilandelayo yi-National Asthma Education and Prevention Program. Kubalulekile ukuqonda ukuthi kungani udokotela wakho kungenzeka ukuthi wachaza i-asthma yakho njengomoya ophikisayo ophikisayo futhi uqonda umehluko phakathi kwalezi zigaba. Izitayela kanye nezikhathi zezimpawu zichazwa:
I-Asthma engapheli
- Izimpawu zenzeka ezinsukwini ezimbili noma ngaphansi ngesonto futhi ungaphazamisi imisebenzi evamile
- Izimpawu zobusuku zenzeka ezinsukwini ezimbili noma ngaphansi ngenyanga
- Uma ungenaso ukuhlasela kwe-asthma, ukuhlolwa kwemisebenzi yamaphaphu kuvamile futhi kuyahluka kancane kusukela ekuseni kuya ntambama.
- Funda kabanzi mayelana ne- asthma yangaphakathi
I-Psyma ephikisayo ephikisayo
- Ukutholakala kwezimpawu kungaphezu kwezinsuku ezimbili ngesonto kodwa hhayi nsuku zonke.
- Ukuhlasela kwe-asthma kuphazamisa imisebenzi evamile yansuku zonke.
- Izimpawu zasebusuku zenzeka kathathu kuya kwezine ngenyanga.
- Izivivinyo zomsebenzi we-Lung zivamile uma zingekho ukuhlaselwa futhi zingashintsha inani elincane kusukela ekuseni kuya ntambama.
I-Asthma eqhubekayo eqhubekayo
- Izimpawu zansukuzonke kanye ne-inhaler encane esetshenziswa nsuku zonke.
- Izimpawu ziphazamisa imisebenzi yansuku zonke.
- Izimpawu zobusika zenzeka okungaphezu kwesisodwa ngesonto, kodwa akukwenzeki zonke izivivinyo zomsebenzi wamalanga neziphuzi azivamile futhi ziyahlukahluka ezingaphezu kwamaphesenti angu-30 kusukela ekuseni kuya ntambama.
I-persistent persistent asthma
- Izimpawu zenzeka nsuku zonke futhi zivimbela kakhulu imisebenzi yansuku zonke yenyama.
- Izimpawu zasebusuku zenzeka kaningi, ngezinye izikhathi njalo ebusuku.
- Izivivinyo zomsebenzi we-Lung azivamile futhi zingahluka kakhulu kusukela ekuseni kuya ntambama.
Ukuxilongwa
Ngokwezinkombandlela zikazwelonke zokuphatha isifo sofuba, udokotela wakho uzobona ukuthi ubuhlungu be-asthma yakho bunzima njengoba kuphikelela ngokuvumelana nezici ezilandelayo:
- Ukuvama kwezimpawu (ezingaphezu kwezinsuku ezimbili ngesonto, kodwa hhayi nsuku zonke)
- Ukuvama kokuvuswa kwamalanga ebusuku ngezimpawu ze-asthma (izikhathi ezintathu kuya kwezine ngenyanga)
- Ukusetshenziswa kwe-inhaler okusheshayo-yokusiza (okungaphezu kwezinsuku ezimbili ngesonto, kodwa hhayi nsuku zonke)
- Ngakanani isibhamu esithinta imisebenzi yansuku zonke (ukulinganiselwa okuncane)
- Ukufundwa kwe-Peak flow (okungenani amaphesenti angu-80 okuhamba phambili kwakho)
- Kungakhathaliseki ukuthi ama-flame ama-asthma adinga ukusetshenziswa noma i- oral steroids (izikhathi ezimbili noma ngaphezulu ngonyaka)
Ukwelapha
Uma sekutholwe ukuhlolwa kwesifo sofuba, udokotela uzobe ebeka imithi ye-asthma .
I-asthma ephikisanayo ephikisanayo ngokuvamile iphathwa ngezinhlobo ezimbili eziyinhloko zemithi ye-asthma:
- Imithi yokusiza ngokushesha (imithi yokukhulula)
- Imithi yokulawula isikhathi eside
Izinhlobo ezimbili eziyinhloko zemithi ye-asthma yimithi yokwelashwa okusheshayo (esetshenziselwa ukukhululeka okusheshayo uma kuqala ukuhlaselwa kwesifo se-asthma) nemithi yokulawula isikhathi eside, okumelwe kuthathwe nsuku zonke ukuvimbela izimpawu nokuhlaselwa kwesifo se-asthma.
Isibikezelo
Kule minyaka, ukuqina kwesifuba somoya kungase kuguquke kubantu abaningi, okusho ukuthi imithi kanye nokwelashwa kungashintsha ngokufanele, nomgomo omkhulu wokugcina i-asthma ilawulwa.
Izwi elivela
Njengoba kuphawuliwe ngenhla, i-asthma ephikisanayo ephikisanayo iphazamisa okuningi ngokuphila komuntu kune-asthma ephakathi kodwa ayinzima kakhulu njenge-asthma ephikisanayo noma ephikisanayo. Ngaphezu kwalokho, noma ubani onesiteleka sokuphefumula angase athuthukise ukuhlasela okukhulu noma okusongela ukuphila. Uma uhlala ne-asthma yanoma yiluphi uhlobo, qiniseka ukuthi ube necebo lokusebenza nge- asthma endaweni. Yize kungenalutho ngaloluhlelo kunabanye njengengculaza ephikisanayo, kungenzeka ukuthi ukuhlaselwa kwesifo se-asthma esibi kuhlale kukhona.
Kubalulekile ukuba ngummeli wakho empilweni yakho, nokufunda ngezidingo zezinhlobo ezahlukene ze-asthma, kanye neseluleko sokuphatha indlela yakho yokuphila nge-asthma usuku nosuku kuyinye isinyathelo esinjalo esiqondisweni esihle. Imithi emihle iyatholakala yokwelapha i-asthma ephikisanayo kodwa lokhu kuyisinyathelo esisodwa ekunakekeleni impilo yakho. Qinisekisa ukuthi uyazi izimbangela ze-asthma yakho .
Njengombhalo wokugcina, qiniseka ukuthi ufunda ngamaphutha amakhulu amakhulu angu-10 abantu abano-asthma abakwenzayo .
Imithombo:
I-Fanta, i-C., Ukwelashwa kwe-asthma ephikisanayo ephikisanayo futhi enomuntu osemusha nakubantu abadala. UpToDate . Kubuyekezwe 03/18/16.
Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zemithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
UMikikyro, E., Jaakola, M., noJajola. I-Subtypes ye-Asthma esekelwe ekulawuleni i-asthma nokuqineka: Ukuhlaziywa KweSigaba Esikude. Ucwaningo lokuphefumula . 2017. 18 (1): 24.