Ngubani osengozini futhi yini engakusiza ukuba uphile kangcono?
Uma uthola ukuthi une-asthma enzima, leli gama lingase lidideke. Ingabe une-asthma enamandla kusho ukuthi unezimpawu ezinzima, noma uhlobo oluhlukile lwe-asthma?
I-asthma ekhulu ngempela yi-subtype eqondile ye-asthma. Ngezinye izikhathi kuthiwa yi-asthma ephikisanayo ephikisayo futhi ichazwa kabanzi kunokuthi ube nezimpawu ezinzima noma ezingalawuleki ngezikhathi ezithile.
Ubani Ophefumulayo?
Amaphesenti angaba nguhlanu kubo bonke abantu abane-asthma bahlangabezana nemigomo ye-asthma enzima. Ungase ube ngaphezulu engozini uma:
- Unezinye izinkinga zempilo ngaphezu kwe-asthma yakho, njengesifo sikashukela nokukhuluphala. Izimpawu zengqondo ezifana nokukhathazeka nazo zingabangela izinkinga zokuphefumula.
- Uma uphethile.
- Uma ungahambisani nokuphathwa kwe-asthma yakho.
Ungase utholakale ukuthi uma izimpawu zakho zingalawulwa ngokusebenzisa imithi ethile njenge-glucocorticoids ephezulu ye-inhaled inhlanganiswe ne-corticosteroids ye-systemic, i-agonists ye-beta yesikhathi eside, noma i-leucotriene modifiers. Ungase uphinde utholakale ukuthi uma ufuna le nhlanganisela yokwelapha ukugcina i-asthma yakho ilawulwa ngamaphesenti angaba ngu-50 wonyaka owedlule.
Ukuhlolwa komsebenzi wepulmonary kungenzeka noma kungabi nendima ekutholeni i-asthma enzima. Ngokuvamile, abantu abane-asthma enzima bavame ukuba nevolumu yokuphefumula okuphoqelelwe ngaphansi kwamaphesenti angu-60 okubikezelwe.
Izimpawu
I-asthma enamandla iqukethe izimpawu ezimbi kakhulu ngokuvamile ezingalawulwa naphezu kokusetshenziswa kwemithi ethile. Zihlanganisa:
- Ukuphefumula okunzima okuqhubekayo lonke usuku.
- Ukuvuka njalo ebusuku ngobunzima.
- Ukufuna ukusebenzisa i-inhaler yokulondoloza izikhathi eziningana ngosuku.
- Izinkinga zokuphefumula ezivimbela ikhono lakho lokuhlanganyela emisebenzini evamile noma ngisho nokusebenza.
Ukubhekana nemiphumela yalezi zimpawu kunzima-uma une-asthma enzima, kungenzeka ukuthi awukwazi ukubamba umsebenzi futhi kungenzeka ukuthi usebenzise isikhathi esibhedlela. Izindleko eziphezulu zokwelapha nokulahlekelwa komsebenzi zingabangela ukucindezeleka kwezidingo zemali. Ukucindezeleka nemizwa yokukhungatheka nazo zivame kakhulu.
Nokho, kukhona usizo olutholakalayo. Abantu abanokubambisana okukhulu nomphakathi kanye nomndeni bavame ukuba nemiphumela yokwelapha okungcono kunelabo abangenayo imithombo ebalulekile. Ukufuna ukwelashwa namanye amaqembu okusekela, afana nalabo ase-inthanethi, angenza umehluko omkhulu emzimbeni kanye nokubhekana nosuku nosuku.
Izinketho zokwelapha
I-asthma enamandla iyaphathwa kangcono ngudokotela onguchwepheshe futhi onolwazi ekwelapheni lesi simo. Izinhlobo eziningi zodokotela zingase zidingeke ukuphatha zonke izici zalesi sifo esiyinkimbinkimbi. Ithimba lakho lingabandakanya i-pulmonologist, i-otolaryngologist (indlebe, impumulo, udokotela we-throat), kanye nomzimba wokuzivikela ngegazi / i-allergenist.
Izimo ezinjengezinambuzane, ama-polyp nasal , noma izinkinga ze-sinus zingase zibe nomthelela ekuboniseni izimpawu zakho ze-asthma. Uma une-asthma enzima kufanele uhlolwe futhi uphathwe ngendlela efanele kulezi zimo. Ukwelashwa kwemithi, ikakhulukazi, kungabangela kakhulu izimpawu ze-asthma futhi kufanele kulawulwe ngendlela efanele.
Imithi ye-Immunotherapy (ukuguqulwa kwamagciwane) okwenziwe uthuli, impova, noma i-dander yesilwane inganconywa.
Kubalulekile ukuthi noma ubani one-asthma enamandla ahambelane nomuthi wabo wokwelapha ngokuthatha yonke imithi yawo ngesikhathi futhi njengoba eqondiswe. Kumele futhi usebenze nodokotela wakho ukuthuthukisa uhlelo lokuloba olubhalwe phansi olukusiza ukuba ubone ukuthi impilo yakho iyawohloka noma uma udinga ukunakekelwa okusheshayo.
Kufanele uthole imfundo ngendlela ephumelela kakhulu yokusebenzisa imithi ephazamisekile ukuqinisekisa ukuthi isetshenziswe kahle. Lokhu kungafaka imilayezo ekusetshenzisweni kwama-spacers ne- inhalers yesilinganiso semitha .
Ama-nebulizers angadingeka ukuze ahlinzeke ngemithi ephulukisiwe .
Izimbangela ezifana nokuzivocavoca noma izifo ezithathelwanayo kufanele zihlonzwe futhi zigwenywe. Futhi, ukukhuluphala kungenza izinkinga eziningi zokuphefumulela zihlanganise nokuphefumula kwesifo se-asthma ngakho ukuphathwa kwesisindo kungaba yingxenye efanelekile yokwelashwa kwakho.
Ukwelashwa okungekho okwelashwa njengokuthi i-physiotherapy ingaba nenzuzo ngokubambisana nemithi ebalwe ngenhla. I-physiotherapist ingakufundisa izindlela ezahlukene zokuphefumula (ukuphefumula ukuphefumula), ukushintsha indlela yakho yokuphefumula, amasu okuphumula, noma ukusiza ukuba ushintshe isimiso sakho sokuzivocavoca ukuze ukwazi ukuhlanganyela emisebenzini yomzimba naphezu kwezinkinga zakho zokuphefumula. Ayikho ubufakazi obanele bokuphakamisa lokhu njengokwelapha okumele kube yedwa, kodwa ezinye izifundo zikhomba ukuthi zingathuthukisa izimpawu nokuphila kahle kwengqondo.
> Imithombo:
> Pollart, SM & Elward, KS. (2009). Uhlolojikelele lwezinguquko kumikhombandlela ye-Asthma: Ukuhlonza nokuhlola. Am Fam Physician. 79 (9): 761-767.
> I-Asthma enamandla. I-Asthma.net. Kubuyekezwe ngomhla ka-31 Mashi, 2016. https://asthma.net/living/severe-asthma/
> UThomas, M noBruton, A. (2014). Ukuzivocavoca okuphefumulayo kwe-asthma. Phefumla. 10: 312-322; I-DOI: 10.1183 / 20734735.008414