Udokotela Wami Uthola Kanjani Ukuxilongwa Nge-Asthma?
Nakuba ungathola ukuxilongwa nge-asthma nganoma yisiphi isikhathi, abantu abaningi bayotholakala lapho besencane. Noma ngabe udokotela wakho uyazi kahle izibonakaliso zakudala zesifo se-asthma- wheezing, ukuqina kwesifuba , ukuphefumula , nokukhwehlela- ukuhlushwa kwesifo se-asthma kungaba nzima kakhulu ngenxa yalezi zimpawu ezivamile ezingezona ezicacile.
Ukuxilongwa nge-asthma kudinga:
- Ubukhona bezimpawu buhambisana ne-asthma.
- Ukulinganisa okuhlosiwe kokunciphisa ukuhamba kwamapayipi emaphashini akho ayingxenye noma ayenye ngokuphelele ngokuzenzekelayo noma ngekwelashwa.
Udokotela wakho uzophinde afune ukuqinisekisa ukuthi ukuhlolwa kwesifo sakho se-asthma kulungile futhi izimpawu ziyi-asthma ngempela futhi akuyona enye ingxubevange ekulingisa i-asthma enganeni yakho. Udokotela wakho uzokubuza imibuzo eningi futhi ahlele ukuhlolwa okunaminingana.
Ukukhathazeka ngokuthi wena noma ingane yakho une-diagnostic ye-asthma kungaba yisikhathi esesabekayo. Ukwazi eminye yemibuzo udokotela wakho angase ayicele futhi ezinye zezivivinyo ezingase ziyalwe ekuhloleni i-asthma kuzokusiza ukuthi uthole okungcono kakhulu ukuvakasha kukadokotela wakho futhi unciphise ezinye zezinkinga 'ezingaziwa' eziya kudokotela ongadala.
Imibuzo Yomlando
Izimpawu Zokuqala: Uma wena noma ingane yakho ufunda incwadi ngaphambi kokubona udokotela wakho, uzokhononda ngethempeli lobudala lokukhwehlela, ukuphefumula nokuphefumula-ukukhala kwekhanda eliphakeme lapho uphefumula.
Ukukhwehlela kwakho okungapheli kuyimpawu 'ezomile,' ezingenayo izithelo, futhi ngokuvamile ziyobe zimbi kakhulu ebusuku. Ezinye iziguli zibuye zichaze ukuphefumula kokuphefumula njengesifiso sesifuba noma umuzwa onjenge-band.
Izimpawu ze-Episodic: Ngokuvamile ngesifo se-asthma, izimpawu zakho zizofika futhi zihambe ngokuhamba kwesikhathi futhi udokotela wakho uzokubuza ukuthi uchaze ukuthi zivele kanjani izimpawu ngokushesha futhi yini eyabangela ukukhululeka kwezimpawu.
Angase akucele ukuthi ucabange ngezimbangela ezicacile zezimpawu zangaphambili, ezifana nokuchayeka kwezifo ezinjengothuli, ukubhema noma ushintsho sezulu, njengomoya obandayo .
Izimpawu zokuzivocavoca : Izimpawu ze- asthma ezenziwa ngumzimba ngokuvamile zivela emva kwemizuzu engu-15 yomsebenzi futhi zixazulula emva kokuphumula imizuzu engama-30 kuya kwehora-ngakho ukuphefumula kufinyeleleke ngemva kokuhamba ngezinyathelo zokuhamba ezinyathelweni ezitholayo emaminithini ambalwa. cishe i-asthma eyenziwe ngokuzivocavoca. Izimpawu zokuzivocavoca zivame kakhulu futhi zivame ukuvama emoyeni abandayo.
Izimpawu zokwelashwa nomlando : Isifo sofuba sivame kakhulu kubantu abanomlando womndeni we-asthma, ezinye izifo emndenini yabo, noma ezinye izifo ezingenayo i-atopic-okusho ukuthinteka ekuguleni okweqile, njenge- hay fever . Udokotela wakho cishe uzobuza ngezimpawu ezifana nalezi:
- Ukungakwazi ukuhambisana nabalingani nabo ekilasini emsebenzini womzimba
- Ukukhwehlela okungapheli noma kusihlwa lapho kungekho ukutheleleka
Bazophinde babuze ukuthi kukhona yini umlando wezimo ezingapheli njenge:
- Imfiva ethimulisayo
- I-allergenic rhinitis
- Aermic dermatitis
Umlando weyodwa yalezi zimo esigulini ezinamaphilisi ahambisana ne-asthma yenza ukuthi isifo se-asthma senzeke kakhulu. Udokotela wakho uzophinde azibuze mayelana nokuchayeka nokuvela kwezimpawu ngezifo ezithile.
Uzofuna ukwazi uma uthuthukisa izimpawu lapho:
- Usuzungeze izilwane ezifuywayo ezinamafutha
- Impova ibalwa ukwanda
- Uvuliwe othulini nezibunjwa
Ukuhlolwa Kwemvelo
- Ukugubha: Okungokwemvelo , udokotela wakho uzokuzwa umsindo womculo ophezulu ophelelwe yisikhathi-uma uphefumula noma uphuma-okuvamile, kodwa akusho ukuthi u-asthma (okusho ukuthi ezinye izimo zingase zibangele amasondo). Nokho, cishe, hhayi isikhathi sonke futhi isondo asikhombisi ukuthi isifo sakho se-asthma sinomusa noma sinzima kangakanani.
- Ukuvuvukala kwesisu: Ukuvuvukala okubuhlungu emithanjeni yemisipha kuphakamisa i-rhinitis ye-allergen engaphazamisa izimpawu ze-asthma.
Ukuhlola
- I-Peak Expiratory Flow Rate (PEFR): i- PEFR, isilinganiso sokugeleza komoya emaphashini akho, kulinganiswa ngedivaysi elula ephathekayo oyifaka ngamandla. Udokotela wakho kungenzeka ukuthi ugcine irekhodi lesilinganiso ekhaya. Uzohlakulela i-PEFR engcono kakhulu ezokutshela ukuthi i-asthma yakho ilawulwa kanjani. Wena nodokotela wakho uzokuthuthukisa uhlelo lokuthi yini okufanele uyenze uma i-PEFR yakho ingaphansi kwamaphesenti angama-80 evamile.
- I-Spirometry: Isivivinyo esifana ne-PEFR esidinga imishini eyithuthukisiwe futhi ngokuvamile isenziwa ehhovisi lakho. Lokhu kuhlolwa kuvumela udokotela wakho ukuthi angcono ukucacisa ubunzima bokuvimbela ukuhamba kwe-air.
- Impendulo yeBronchodilator: Isici se-asthma yisithuthukisi ngemva kokwelashwa nge- Bronchodilator , imithi yokwelashwa ngokushesha esheshayo. Ngokuvamile, udokotela wakho uzophinda abuyele i-spirometry imizuzu engu-10-15 ngemva kokuphatha nge-bronchodilator. Ukwandisa ekuphumeni komoya kwamaphesenti angu-12 kubhekwa njengokuhle futhi kusize ekwenzeni ukuxilongwa nge-asthma.
- Ukuncintisana kwe-Bronchoprovocation Ukuhlolwa: Okuphambene nokufuna ukuthuthukiswa komsebenzi wamaphaphu ne-bronchodilator, imizamo yokuhlola i-bronchoprovocation yokuvusa ukuvinjelwa kwe-airflow ngemuva kokufaka into enomsindo. Lokhu kuhlolwa kuvame ukwenza kuphela lapho abantu bekhona ngezibonakaliso ezingenasifo.
- I-x-ray yekhanda : I- chest x-rays ivame ukujwayelekile ezigulini ezine-asthma, kodwa udokotela wakho angalayisela eyodwa uma ubeka okokuqala ngogesi. Uma i-asthma ingakapheli isikhathi eside, i-x-ray yesifuba ingabonisa i-hyperexpansion.
- Izivivinyo zegazi: Azikho ukuhlolwa kwegazi okuxilongwa nge-asthma. Umhlinzeki wakho wokunakekelwa kwezempilo angahle ahlele ezinye izivivinyo zegazi ukuze asize ukulawula ezinye izimbangela zezimpawu zakho.
Ukuze uthole ukuxilongwa, udokotela wakho uzosebenzisa inhlanganisela yomlando, ukuhlola ngokomzimba, nokuhlolwa ukuze anqume ukuthi imuphi ukwelashwa okufanelekile kuwe.
Imithombo:
I-asthma. Izikhungo zokuLawula nokuvimbela izifo. https://www.cdc.gov/asthma/
I-asthma. In Medicine Medicine: Izidingo ZePulmonary And Medicinal Care Medicine . Abahleli: URonald B. George, uRichard W. Light, uRichard A. Matthay, uMichael A. Matthay. May 2005.
I-National Heart, Lung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma
Ukwaziswa kwesineke UpToDate.com. Izimpawu ze-asthma nokuxilongwa ezinganeni