Ingabe ingane yakho ine-asthma? Lokhu kubonakala sengathi umbuzo olula, kodwa uma ingane yakho ingekho izimpawu zakudala ze-asthma, njengokukhwehlela, ukugubha nokukhathazeka ngokuphefumula, kungenzeka ukuthi ungazi ukuthi une-asthma.
Izingane eziningi zinempawu ezicashile, kuhlanganise nokukhwehlela ebusuku, ukukhwehlela okubuhlungu ngokuzivocavoca noma umsebenzi, noma nje ukukhwehlela okungapheli okungeke kwenzeke.
Kulezi zingane, ikakhulukazi izinsana nezinsana, isifo se-asthma singase sibe nzima ukuyihlolisisa.
Abazali bavame ukubuza mayelana 'nokuhlola' izingane zabo nge-asthma. Ezinganeni ezindala, ukuhlolwa kwemisebenzi yamapayipi kanye / noma ukugeleza kokuphakama yizivivinyo ezingasiza ekuhloleni i-asthma, kodwa kunzima ukuzenza ezinganeni ezingaphansi kweminyaka engama-4-5 ubudala.
Ezinye izici ezingase zenze ukuthi ingane yakho isifo se-asthma ingatholakali kangako ukuthi ifinyelele ukuthi izingane eziningi ezincane, ikakhulukazi izinsana nezinsana, zikwazi ukuvuthwa uma zithola ukutheleleka ngegciwane. I-brronchiolitis, evame ukubangelwa yi- RSV , iyimbangela evamile yokugoma izingane. Uma kuyisiqephu sokuqala somntwana wakho, futhi futhi unomkhuhlane, impumu egijima, nomkhuhlane, cishe kungenzeka ukuthi yi-bronchiolitis hhayi i-asthma yangempela, ikakhulukazi ngenkathi ye-RSV (ukuwa kwekwephuzile / ubusika / entwasahlobo yasenkulisa).
Ezinye izingane ezitholakalayo kakhulu njengezinsana zitholwa ukuthi zine-Reactive Airway Disease.
Ngicabanga ukuthi i-RAD ivame ukutholakala ezinsaneni ngoba zingakwazi ukugubha uma zinezifo ezibangelwa amagciwane, futhi akusho ukuthi bazoqhubeka nokushayela noma babe nezinkinga njengoba bekhula. Uma ingane yakho ikhululekile futhi ibe nezigcawu ezimbalwa zokugaya nokukhwehlela, kungenzeka ukuthi une-asthma.
Ukuxilongwa kwesifo se-asthma kungenzeka futhi uma ingane yakho ithola isibhamu, 'bronchitis' noma i-bronchiolitis kakhulu, uma 'ingena esifubeni sayo' njalo uma inomkhuhlane, noma ingabe inomkhuhlane ongapheli, ikakhulukazi uma ibuhlungu kakhulu ubusuku.
Ukwelapha
Ukwelashwa kokuhlasela kwe-asthma kuvame ukufaka uhlobo lwemithi ye-bronchodilator, njenge-albuterol, i-Proventil, i-Ventolin, noma i- Xopenex, enganikezwa nge-nebulizer, inhaler yesilinganiso semitha noma isiraphu. Ukuhlaselwa okulinganiselwe noma okunzima, i-steroid yomlomo, efana ne-prednisolone (Prelone) noma i-Orapred, ibuye idingeke njalo.
Imithi ye-brronchodilator ivame ukubizwa ngokuthi 'reliever' noma 'imithi yokuphumula' ngokushesha njengoba ikhulula izimpawu ze-asthma yengane yakho. Ngokuvamile zisetshenziselwa kuphela 'njengesidingo' futhi ingane yakho akufanele idingeke ukuyisebenzisa njalo uma i-asthma yakhe ilawulwa kahle.
Nakuba i-albuterol itholakala njenge-siraphu, imithi yokusiza ngokushesha ihlinzekwa nge-nebulizer noma i-inhaler yesilinganiso semitha. Izingane ezincane zingase zisebenzise i-inhaler uma nazo zinama-spacer kanye namaski ezinsana.
Imithi evikelayo
Olunye uhlobo lwemithi esetshenziselwa ukwelapha i-asthma yimithi yokuvimbela, esiza ukuvimbela izimpawu ze-asthma.
Lezi zihlanganisa ama-bronchodilator asebenza isikhathi eside, njengeSerevent ne-Foradil, kanye ne-steroids, njenge-Flovent, i-Qvar, i-Pulmicort, i-Asmanex ne-Azmacort. I-Pulmicort respules yindlela ye-steroids enganikezwa nge-nebulizer futhi iyasiza ezinganeni ezincane ezingasakwazi ukusebenzisa i-inhaler noma ezingavumi ukusebenzisa imaski ne-spacer. I- Advair iyimithi ehlanganiswa yenkimbinkimbi ye-asthma, ehlanganisa i-Flovent ne-Serevent ibe yinye elula ukusebenzisa i-powder inhaler eyomile.
Abaphikisi be-leukotriene bangenye uhlobo lomuthi wokuvimbela futhi bafaka i- Singulair , itholakala njengethebhulethi ephathekayo yengane engaphezu kweminyaka emibili ubudala futhi inikezwe kanye kanye ngosuku, kanye ne-Accolate, ekhonjiswa izingane ezingaphezu kweminyaka engu-7.
I-Intal yinye imithi yokuvimbela futhi iyatholakala njengesisombululo se-inhaler ne-nebulizer yesilinganiso samaminerali, kodwa ngokuvamile kudingeka isetshenziswe izikhathi ezingu-3-4 ngosuku ukuze iphumelele.
Ingabe ingane yakho ine-asthma?
Lokhu kubonakala sengathi umbuzo olula, kodwa uma ingane yakho ingekho izimpawu zakudala ze-asthma, njengokukhwehlela, ukugubha nokukhathazeka ngokuphefumula, kungenzeka ukuthi ungazi ukuthi une-asthma.
Izingane eziningi zinempawu ezicashile, kuhlanganise nokukhwehlela ebusuku, ukukhwehlela okubuhlungu ngokuzivocavoca noma umsebenzi, noma nje ukukhwehlela okungapheli okungeke kwenzeke. Kulezi zingane, ikakhulukazi izinsana nezinsana, isifo se-asthma singase sibe nzima ukuyihlolisisa.
Abazali bavame ukubuza mayelana 'nokuhlola' izingane zabo nge-asthma. Ezinganeni ezindala, ukuhlolwa kwemisebenzi yamapayipi kanye / noma ukugeleza kokuphakama yizivivinyo ezingasiza ekuhloleni i-asthma, kodwa kunzima ukuzenza ezinganeni ezingaphansi kweminyaka engama-4-5 ubudala.
Izifo Eziphephile Zomoya
Ezinye izici ezingenza kube lula ukuthi ingane yakho ihlolwe ingane yakho nge-asthma zifaka ukuthi izingane ezincane ezincane, ikakhulukazi izinsana nezinsana, zingakwazi ukuvuthwa uma zithola ukutheleleka ngegciwane. I-brronchiolitis, evame ukubangelwa yi-RSV, iyimbangela evamile yokugoma izingane. Uma kuyisiqephu sokuqala somntwana wakho, futhi futhi unomkhuhlane, impumu egijima, nomkhuhlane, cishe kungenzeka ukuthi yi-bronchiolitis hhayi i-asthma yangempela, ikakhulukazi ngenkathi ye-RSV (ukuwa kwekwephuzile / ubusika / entwasahlobo yasenkulisa).
I-Airway Activity Disease noma i-RAD ivame ukutholakala ezinsaneni ngoba zingakwazi ukugubha uma zinezifo ezibangelwa amagciwane, futhi akusho ukuthi bazoqhubeka nokushayela noma babe nezinkinga njengoba bekhula. Uma ingane yakho ikhululekile futhi ibe neziqephu ezimbalwa zokugaya nokukhwehlela, kungenzeka ukuthi une-asthma, noma ngabe udokotela wezingane wakho wayibhala ngokusemthethweni njenge-asthma.
Ukuxilongwa kwesifo se-asthma kungenzeka futhi uma ingane yakho ithola isibhamu, 'bronchitis' noma i-bronchiolitis kakhulu, uma 'ingena esifubeni sayo' njalo uma inomkhuhlane, noma ingabe inomkhuhlane ongapheli, ikakhulukazi uma ibuhlungu kakhulu ubusuku.
I-Cough Variant Asthma
I-asthma iba nzima ngokwengeziwe ukuphatha uma ingane yakho ikhwehlela futhi ingagudli. Odokotela abaningi babenqikaza ukuphatha lezi zingane ngokuhlukumeza futhi bangase bacabange ukuthi ingane yakho inomkhuhlane noma i-bronchitis. Uma ingane yakho inomkhuhlane ongapheli ohlala isikhathi esingaphezu kwamasonto ambalwa, ikakhulukazi uma kubi kakhulu ebusuku noma kulandela ukusebenza komzimba, khona-ke kufanele ubuze udokotela wakho ukuthi ngabe kungaba yini isibhamu noma cha.
Njengezinye izinhlobo zokuhlasela kwe-asthma, ngokuvamile ukukhwehlela i-asthma yokukhwehlela kufanele iphathwe kabi, ngokusetshenziswa kaningi kwe-bronchodilator, njenge-albuterol noma i-Xopenex, ne-steroid yomlomo. Ukusebenzisa i-inhaler izikhathi ezimbalwa ngosuku kungase kungeneli.
I-asthma yokuzivocavoca
Ukuzivocavoca nakho kuyisimo esijwayelekile se-asthma trigger.
I-asthma eyenziwa ngokuzivocavoca (i-EIA) ngezinye izikhathi idideka nezingane ezinesimo esimweni esibi, noma kunjalo.
Ingabe ingane yakho inezimpawu ze-asthma eziba zibi nakakhulu lapho enza imidlalo noma ezinye izinhlobo zokuzivocavoca? Esikhundleni sokugwema umsebenzi wokuzivocavoca, izimpawu ze-asthma ezenzelwa ukuzivocavoca zingathuthukiswa noma zivinjelwe ngokusebenzisa imithi yokuvuselela ngaphambi kwalowo msebenzi.
Ezinye izinhlobo ze-Asthma
Ezinye izinhlobo ze-asthma zingabandakanya:
- I-allergic Asthma - i-asthma eyenziwa yizifo ezithile, njenge-mold noma i-pollens yesihlahla
- I-Nocturnal Asthma - isifuba somoya esibi kakhulu ebusuku
- I-Steroid-Resistant Asthma - isifuba esingaphenduli ukwelashwa nge-steroids
Nakuba abantu abaningi bacabanga ukuthi i-asthma i-asthma, ukuqonda ukuthi kunezinhlobo ezahlukene ze-asthma kungasiza ingane yakho ukuthi ihlolwe kahle.
> Imithombo:
> Inhliziyo kaZwelonke, iLung, ne-Blood Institute. Imihlahlandlela Yokuthola Ukuphathwa Nokuphathwa Kwe-Asthma. Julayi 2007.