Ukuhlolwa okusetshenziselwa ukuxilonga i-asthma lapho abanye bengacacile
I-bronchoprovocation ingenye yezivivinyo odokotela abazisebenzisayo ukuze baxilongwe nge-asthma. Ukuze wenze lokhu, uzocelwa ukuba uvuselele isisombululo se-nebulazed noma wenze lo msebenzi. Ngalendlela, udokotela angakwazi uma ubona ukuthi uveza izimpawu ze-asthma noma ube nobufakazi bokuvinjelwa kwe-airway (njengoba kulinganiswa ngedivayisi ebizwa ngokuthi i-spirometer).
Uma enye yalezi zinto zenzeka, kuthiwa uhlambalaza.
Yeka Inselele Ye-Bronchoprovocation Isitshela
Inhloso ye-bronchoprovocation, njengoba igama layo libonisa, ukuvusa impendulo emaphashini. I-spirometry yedwa ingeke ikwazi ukuhlolwa uma imibhalo yezindiza ecacile futhi ubufakazi obubodwa bokuphefumula kwesifo se-asthma yizimpawu ezibikwe isiguli. Esimweni esinjalo, ukusetshenziswa kwe-bronchoprovocation kusetshenziselwa ukuqala impendulo ekusetshenzisweni kwe:
- I-Methacholine, isidakamizwa se-bronchoconstrictor oyifaka
- I-Histamine, i-organic compound eyaziwa ukuthi ivuselele ukuphendula, futhi ivuliwe
- Umoya obandayo, i-trigger eyaziwayo yemvelo
- Ukuzivocavoca, i-trigger ye-asthma esetshenziselwa ukuvivinya umzimba
Uma uthatha uhlolo namapayipi akho ehluleka ukubonisa ukungahloniphi, cishe akunamathuba okuba une-asthma. Uma ungaziphendulela, izinga laleyo mpendulo lizocacisa kokubili ukuqina kwe-asthma yakho kanye nendlela efanele yokwelashwa.
Uma ukuhlolwa kwe-Bronchoprovocation Kungase Kuceliwe
Ukuhlolwa kwe-bronchoprovocation kwenziwa ngokujwayelekile uma kunezimpawu ze-asthma kodwa imisebenzi evamile yamapulmonary , futhi umuntu akanakho impendulo ku- albuterol (i-rescue inhaler).
Kukhona nezinye izimo lapho kukhishwa khona i-bronchoprovocation:
- Abantu abanezimpawu ezichazwe kabi ezifana nokuphefumula kodwa akukho bufakazi bokuvimbela umoya ongenaye okungekho ezinye izimbangela ezingatholakala
- Abantu abangase balimale kabi kakhulu ngokuhlaselwa yisifo se-asthma ngesikhathi sokusebenza kwabo (njengokuthi udokotela ohlinzayo noma amasosha).
- Abantu abavame ukutholakala ne-irritants engatholakali ngesikhathi sokusebenza kwabo.
Imiphumela Yilinganiselwa Kanjani
Phakathi nenkathi ye-bronchoprovocation, kuzolingwa ukuhlolwa kwe-spirometry ukuhlola ukuthi kungakanani ukungena emoyeni nokungena emaphashini akho. Enye yezinyathelo udokotela azokuyibheka ukuthi ingakanani umoya ongaziqeda ngamandla ngomzuzwana owodwa. Lokhu kubizwa ngokuthi ivolumu yokuphefumula okuphoqelelwe (FEV) futhi kulinganiswa ngezilinganiso zomzuzwana owodwa (FEV1), imizuzwana emibili (FEV2), nemizuzwana emithathu (FEV3).
Udokotela uzoqhathanisa ne-FEV1 yakho ngaphambi kokukhishwa kwe-broncho nokulandela. Ukuncipha kwe-FEV1 kwamaphesenti angu-20 noma ngaphezulu kusukela ekufundeni kwakho kokuqala kubhekwa njengokuhlolwa okuhle.
Ukwengeza ekuhloleni ukuhlolwa kwesifo sofuba, ukuhlolwa kwe-bronchoprovocation kunenani eliphezulu elibi lokubikezela. Ngakho-ke, uma unomphumela omubi, cishe akunakwenzeka ukuthi une-asthma.
I-bronchoprovocation ayikho kuwo wonke umuntu
Akuwona wonke umuntu okufanele abe nokuhlolwa kwe-bronchoprovocation njengoba kungenzeka, kwezinye izimo, ukuholela ekuhlaselweni okukhulu kwe-asthma. Lezi zihlanganisa nabantu abanezimo ezilandelayo:
- Ukungahambisani nokuvinjelwa okunzima kwe-airway (njengoba kulinganiswa yi-FEV1)
- Isifo senhliziyo phakathi nezinyanga ezintathu zokugcina
- Ukucindezeleka okungalawuleki
- Aneorysm ye-Aortic
- Ukukhulelwa
- Izifo ezithathelanayo ezinama-amyotrophic lateral sclerosis (ALS) kanye ne- myasthenia gravis (MG)
> Umthombo:
> Leuppi, J. "Ukuhlolwa kwe-bronchoprovocation in asthma: izinselele eziqondile ngqo." Ama-Opinions amanje ku-Pulmonary Medicine. 2014; 20 (1): 31-36.