Akulula njalo ukutshela
Ingabe i-asthma noma i-COPD? Akulula ngaso sonke isikhathi kuwe noma udokotela wakho ukutshela. Ngenkathi lezi zimo zingase zenzeke ngezinye izikhathi, ngokuvamile kuvame ukutshela ukuthi kungenzeka kangakanani.
Umfundi osanda kubhala wangibhalela udidekile okuthile okuthiwa udokotela wakhe. Uyabhala:
"I-pulmonologist yami ingithole ngine-asthma engavamile. Ngesikhathi mina i-Google engakapheli isikhathi, i-COPD ivela.
Ingabe lokho kusho ukuthi ngineCOPD kanye nesifo se-asthma? Ngingowesifazane oneminyaka engama-54 engakaze abe ne-asthma esemncane. Ngabe ngakha izinkinga ngamaphaphu ami ngemva kokubanda okubi ebusika odlule. Angikaze ngibheme ugwayi. Nginezimpawu ze-asthma cishe nsuku zonke.
Imithi yami i-ProAir ye-rescue inhaler, i- Symbicort BID, i- Singulair HS futhi ngisebenzisa i-home nebulizer BID nayo.
Ngangiswa esibhedlela emasontweni amabili edlule ngenxa yokuhlaselwa yisifo se-asthma izinsuku ezintathu futhi ngathola ama-steroids ama-IV ne-nebulazer njalo ngemva kwamahora angu-8 futhi ngisuswa ku-prednisone taper esukela ku-40 mg ngezinsuku ezintathu. Lapho nginesihlasela esinzima se-asthma esangithumelela ku-ER, ngase ngivele ngifaka i-prednisone. "
Ngabe une-asthma, i-COPD, noma kokubili? Ukuphendula imibuzo eningi kungasiza ekunqume ukuthi ngabe i-asthma noma i-COPD. Inombolo encane yeziguli ingase ibe nomfanekiso ohlangene. Yize eziningi zokwelashwa zifana, ukuthi uthatha kanjani ukwelashwa, ukuguqulwa kwakho, nezinye izici eziningi zihlukile.
Ingabe Nginayo Izimpawu Ngisemncane?
Abanye abantu bathuthukisa izimpawu futhi bathola ukuthi bane-asthma lapho bekhulile. Kodwa-ke, iningi le-asthma livela ezinganeni nasebancane. Eqinisweni, iziguli eziningi ezindala ezitholakale zine-asthma zineCOPD. I-asthma ibizwa ngokuthi yi-bimodal noma isifo esifana ne-U ngoba sivame ukubona iziguli eziningi ezitholakalayo eminyakeni yokuqala, kodwa kukhona le nsipho ephawulekayo phakathi kweziguli eziphakathi kweminyaka engu-35 kuya ku-40.
Umusi wokubhema wendawo, ukugwema izilwane kanye nezinkinga ezibonakalayo ezibunjiwe ekhaya ziye zahlolwa zonke izizathu ezikhona zalesi siqu sesibili. Ukuqala kwesifuba se-asthma kudala isikhathi esiningi sezinkinga ze-asthma lapho isikhangiso sabantu abadala singabonisa uhlobo olubi kakhulu oluhlotshaniswa nezindleko zezomnotho eziphakeme futhi kunzima ukulawula ukwelashwa.
Yini Engenza Izimpawu Zami Zomphefumulo Womoya Zibe Mbi?
Nakuba i-asthma ne-COPD zombili zivinjelwa, ukuvuvukala , kanye nokungahambi kahle kwemvelo njengengxenye yenqubo yesifo, i-asthma ngokuyinhloko isifo sofuzo kanye neziguli ngokuvamile ziyazi ukuthi yini eyenza izimpawu zabo zibe zibi nakakhulu:
- Ugwayi ugwayi
- I-dander yezilwane
- Izibungu ezinothuli
- Izinkukhu
- Isibungu
- Impova
- Isimo sezulu esibi kakhulu
- Ukuzivocavoca
- Ukucindezeleka
- Ezinye imithi
I-COPD ayivame ukukhushulwa, kodwa ivame ukuqhutshwa kabi ngokutheleleka kokuphefumula.
Ingabe Nginomusi?
Ngesikhathi ubisi bungabangela izimpawu ze-asthma, i-COPD iyavame kakhulu kubantu ababhemayo, ababhemayo bokuqala, noma iziguli ezitholakale emsizeni ongenayo.
Ingabe Nginayo Izikhathi Zamahhala Zamahhala?
Izimpawu ze-asthma ziyizivivinyo zomzimba eziphakathi, eziguquguqukayo, kanye neziphuphu (isib. I- FEV1 ne- spirometry ) noma zibuyele ezivamile noma zithuthuke kakhulu phakathi kokukhushulwa kwe-asthma. Izimpawu ngeCOPD, ngakolunye uhlangothi, ayinakuphikisana futhi ngokuvamile ziyaqhubeka.
Iningi labaguli be-COPD bahlangabezana nezibonakaliso ezivamile uma kungenjalo nsuku zonke. Lezi zimpawu azibonakali zishintsha ngokuhamba kwesikhathi njengoba izimpawu zeCOPD ezifanele. Ngokufanayo, iziguli ze-COPD zidinga ukuthatha imithi nsuku zonke futhi zingabonakali zizuzisa ohlelweni lohlelo njengoba iziguli ze-asthma zenza. Ngokufanayo, iziguli ze-COPD azikwazi ukuqapha izimpawu bese zilungisa imithi njengoba iziguli ze-asthma zingenza ngempumelelo. Ekugcineni, i-COPD ivame ukuqhubeka lapho i-asthma engekho.
Ungaba Nezifo Ezixubile?
Nakuba kungenakufundela kahle, odokotela bayaqhubeka bevuma inqubo ehlanganisiwe yesifo. Laba odokotela bakholelwa kulokho okubizwa ngokuthi "i-Dutch hypothesis" lapho i-asthma ne-COPD besesifo esifanayo kuqhubeka kunokuba ibe izifo ezihlukene, ezihlukene.
I-hypothesis ikhuthaza umqondo wokuthi izifo kumuntu omdala wamaphaphu yizinqubo zomkhiqizo ezikhulayo nokuqhubekayo phakathi nobuntwana. Izimpawu kumuntu omdala ziwukugcina ngomkhiqizo wenqubo eyodwa yesifo.
Ngokuvamile iziguli ezinama-overlap zikhulile. Ngokujwayelekile lezi ziguli ziyi:
1. ababhema abane-asthma
2. Abangaboni nge-asthma ehlala isikhathi eside eqhubekela phambili e-COPD
Ekuhlolweni okusebenzayo kudlula iziguli ezinezifo eziziphatha ngendlela efana ne-asthma futhi ngokufana ne-COPD. Kukhona impikiswano emibhalweni yezokwelapha ukuthi lokhu kubhekisela ngempela yini izifo ezimbili. Ukwelashwa, kodwa akuyona yonke into ehlukile, kodwa ayikho ukuhlolwa kwemitholampilo okungahleliwe ukuze kusize ukwelashwa kokwelashwa kwakho. Njengoba lesi sabantu ngokuvamile sakhulile kukhona ingozi eyengeziwe yokwehluleka ukufaka inhalers noma ukubhekana nemiphumela emibi noma izidakamizwa ezivela ku-inhalers. Udokotela wakho uzoxoxa ngokuyeka ukubhema, kanye nemigomo njengoba kufanelekile. Uma udinga ukwengezwa kwe-oksijeni noma ukuvuselelwa kwe-pulmonary, kokubili kufanelekile. Uma izimpawu zakho nokuhlolwa kwakho kwembula ukuthi isifo sakho sifana ne-COPD, udokotela wakho cishe uzohlehla lowo mzila futhi ngokuphambene nalokho nge-asthma.
Iyini Inkinga Yakho Ye-Asthma Enkulu Kakhulu?
Sifuna ukukusiza ukuthi uthole ukulawula kwe-asthma yakho. Ngifuna ukuzwa ngenkinga yakho enkulu ye-asthma ukuze sikwazi ukukusiza ukuthuthukisa isisombululo noma ukuqonda kangcono indlela yokusiza. Cishe akuyona yedwa onenkinga. Thatha imizuzu embalwa echaza inkinga yakho ukuze sikwazi ukuhlakulela isisombululo ndawonye.
> Imithombo:
> Lee YL, Hsiue TR, Lee CH, Su HJ, Guo YL. Ukuchayeka ekhaya, ukuvota kwabazali, nokutholakala kwezibonakaliso ze-asthma lapho esekhulile eningizimu yeTaiwan. Isifuba. 2006 Feb; 129 (2): 300-8.
> NGM Orie. I-Dutch Hypothesis.
> Inhliziyo kaZwelonke, iLung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma.
> Papaiwannou > A et al. Isifo se-asthma-chronic obstructive pulmonary sifana nesifo (ACOS): izincwadi zamanje > ukubuyekezwa. >. > J Thorac Dis. 2014 Mar; 6 (I-Suppl 1): S146-S151.
> Tsung-Ju Wu, Chang-Fu Wu, Yungling Leo Lee, Tzuen-Ren Hsiue, Yue Leon Guo. Isimo se-asthma, ukuxolelwa, ukuphindaphinda nokuphikelela: isifundo esisekelwe kubantu eningizimu yeTaiwan. Ucwaningo Lokuphefumula 2014 15 : 135