Ukuhlukaniswa kwezifo ze- asthma yingxenye ebalulekile yecebo lakho lokunakekela i-asthma . Ngokuhlukanisa i-asthma yakho, ungathola umqondo wokulawula i-asthma yakho. Ungathatha futhi izinyathelo ezithile zokuthuthukisa i-asthma yakho.
Isigaba sakho se-asthma sizoshintsha ngokuhamba kwesikhathi. Kunezinhlobo ezahlukene zezindlela ongacabanga ngazo ngezigaba zakho ze-asthma.
Ukuqina kwesifuba
Ukuqina kwesifo sofuba kubonisa ukuqina komzimba we-asthma yakho.
Ithebula elingezansi lichaza ngezindlela ezimbalwa ezihlukene zokubheka ukuqina kwesifuba.
Udokotela wakho uzokufaka kwenye yezibalo ezilandelayo ze-asthma ngokusekelwe ezinkalweni zakho ezimbi kakhulu. Isibonelo, uma eziningi zezibonakaliso zakho zithi "Zibambelele Kancane" kodwa unesifo esisodwa esisekuthi "Sokuqhubeka Okungapheliyo," uzobekwa ngokuthi "Ukuqhubeka Okulinganiselwe." Ukuhlukaniswa kokuhlukumezeka okuhlukile kwe-asthma ngokusekelwe ku-Umbiko we-Panel Expert Panel Report 3 ( I-EPR3): Imihlahlandlela Yokuthola Ukuphathwa Nokuphathwa Kwe-Asthma ihlanganisa:
- Ngaphakathi
- Ukuphikelela Okumnene
- Ukuqhubeka okulinganiselwe
- Ukuqhubeka Okukhulu
Ukuze ukwazi ukuhlinzeka ngezigaba ze-asthma, udokotela wakho uzodinga ukukubuza imibuzo eminingi. Ezinye imibuzo zingase zifake:
- Zingaki izinsuku ngesonto obona izimpawu ze-asthma?
- Ubuningi obungakanani ubusuku bakho ngesonto uvuka ngalo?
- Uvame kangakanani ukusebenzisa i-inhaler yakho yokuphumula?
- Ingabe i-asthma yakho iphazamisa imisebenzi yakho evamile?
Izimpendulo zale mibuzo zizosiza udokotela wakho ukuba anqume ukuhlukaniswa kwe-asthma.
Izimpawu zesifuba
Izimpawu ziyingxenye ebalulekile yokuhlukaniswa kwe-asthma. Izimpawu zesifo se-asthma zihlanganisa:
Ngokuvamile, izimpawu ezingaphezu kwakho ziba nzima ngokwengeziwe ukuhlukaniswa kwe-asthma yakho.
Ukwengeza, izimpawu ezilandelayo kubonisa ukulawulwa okuncane kanye nokuqina okukhulu kwe-asthma:
- Ukukhwehlela njalo ebusuku
- Ukushaya noma ukuvuthwa ngokuzivocavoca noma ngomzimba
- Ukhathele ngemisebenzi ongayigcwalisa kalula
- Iyancipha ekugezeni kwakho kwezinga eliphezulu
- Ukulala okungapheli noma ukuvuka kukhathele
- Ukwehlisa izimpawu zokungezwani komzimba njengephunga eliphikisanayo lempumu, imibuthano emnyama ngaphansi kwamehlo akho noma enhle, isikhumba esishisayo
Ukulondoloza Ukusetshenziswa Kwe-Inhaler
Umgomo wakho kufanele ube kungadingeki ukuthi usebenzise i-inhaler yakho kaningi kakhulu. Uma uyisebenzisa nsuku zonke noma ngisho nangaphezulu izikhathi ezimbalwa ngesonto, i-asthma yakho ayilawulwa kahle. Ukusinda okuvamile okuyi-inhaler ukusetshenziswa kuzokuholela ekuhlaleni kwesifo se-asthma.
Lindela udokotela wakho ukuba akubuze imibuzo efana nokuthi "Usebenzise kangaki i-inhaler yakho yesonto eledlule?"
I-FEV1 ne- Peak Flow
Ukugeleza kwe-peak kubonisa ukuthi ungashesha kanjani ukushaya umoya emaphashini akho futhi unqume ngokusebenzisa imitha yokugeleza enkulu. Odokotela bavame ukuqhathanisa inombolo yakho manje nakakhulu.
Ivolumu yokuphefumula okuphoqelelwe yinkinga enkulu kakhulu emoyeni ongayikhipha ngamandla. Ngokujwayelekile kulinganiswa ngomzuzwana owodwa (FEV1) futhi isetshenziselwa ukutholakala kuphela ehhovisi lochwepheshe. Manje itholakala kwezinye i-pocket pocket spirometers.
Ngenkathi kunengxabano mayelana nokuthi ukuhlukaniswa kwesimo se-asthma kanye nokwelapha kufanele kube ngokusekelwe ezinombolweni ezinzima la madivaysi akhiqiza, noma ukuvala izimpawu zakho, okuningi kuncike kuwe. Ukwengeza, akukho nesizathu sokuthi awukwazanga ukuhlela uhlelo lwakho lokusebenza nge-asthma ngezinombolo ezivela kulezi zinyanga izinyanga ezingu-3 uphinde uphinde usebenzisa uhlelo lwesenzo se-asthma lwezimpawu zezinyanga ezingu-3 ezilandelayo. Ungabona ukuthi yini oyicabanga ukuthi iholela ekulawuleni okungcono kwe-asthma yakho.
Imicabango Yokugcina
Ukuthi wena nodokotela wakho ukhetha ukuhlukanisa kanjani i-asthma yakho esikhathini eside kungase kubaluleke kakhulu kunokuqinisekisa ukuthi uyazi isimo sakho se-asthma (noma wena nodokotela wakho uchaza) nokuthi kuthinta kanjani ukwelashwa kwakho.
Uma ungajwayele isigaba sakho se-asthma futhi ungakwazi ukuthatha izinyathelo ezithile ngokusekelwe kuso, khuluma nodokotela wakho maduzane ngalokho okuhlukaniswa yi-asthma yakho nokuthi yini okudingeka uyenze ukuze uthole i-asthma yakho ngaphansi kokulawula.
Ukuqina kwesifuba
| Ngaphakathi | Ukuphikelela Okumnene | Ukuqhubeka okulinganiselwe | Ukuqhubeka Okukhulu | |
| Izimpawu | Izinsuku ezimbili noma ngaphansi ngesonto | Ngaphezulu kwezinsuku ezimbili ngesonto | Nsuku zonke | Kuzo zonke izinsuku |
| Ukuvuka Kwasemini | 2 X ngenyanga noma ngaphansi | 3-4 X ngenyanga | Ngaphezu kwesisodwa ngesonto kepha hhayi ebusuku | Ebusuku |
| Ukulondoloza Ukusetshenziswa Kwe-Inhaler | Izinsuku ezimbili noma ngaphansi ngesonto | Ngaphezulu kwezinsuku ezimbili ngesonto, kodwa hhayi nsuku zonke | Nsuku zonke | Izikhathi eziningana ngosuku |
| Ukungafani nomsebenzi ojwayelekile | Akukho | Ukunciphisa okuncane | Okunye ukulinganiselwa | Kuncane kakhulu |
| Umsebenzi wokubopha | I-FEV1> 80% ibikezele futhi ijwayelekile phakathi kokucindezela | I-FEV1> 80% ibikezelwe | I-FEV1 60-80% yabikezelwa | U-FEV1 ngaphansi kuka-60% wabikezela |
> Umthombo:
> I-National Asthma Control Initiative- Izikhungo Zikazwelonke Zempilo. Ukuqina kwesifuba: Yazi ukuthi ungaqala kuphi.