Created at:1/16/2025
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I-Asthma yisimo sesikhathi eside lapho izindlela zakho zokuphefumula zihlala zicinene futhi zivuvukala, okwenza kube nzima ukuphefumula. Cabanga ngezindlela zakho zokuphefumula njengepayipi elikhipha umoya emaphaphweni akho - uma une-Asthma, lezi payipi zingakhula futhi zikhiqize ukhulu olukhulu, okwenza kube nomuzwa ovamile wokucindezeleka esifubeni sakho.
Lesi simo sithinta abantu bazo zonke izigaba, kusukela kubantwana abancane kuya kubantu abadala. Izindaba ezinhle ukuthi ngokuphathwa okuhle, abantu abaningi abane-Asthma bangaphila impilo esebenzayo, enempilo. Izindlela zakho zokuphefumula zinobunzima ezintweni ezithile eziqalisa, futhi uma zithinteka yizo, ziyaphendula ngokucindezela - kodwa le nqubo ilawuleka ngokuphelele ngendlela efanele.
Izimpawu ze-Asthma zingaba ezincane kuya ezinkulu, futhi zivame ukuza nokuhamba. Abanye abantu baye baba nezimpawu nsuku zonke, kanti abanye bangazibona kuphela ngezikhathi ezithile zonyaka noma uma bethinteka izinto ezithile eziqalisa. Okubalulekile ukufunda ukuqaphela izindlela zakho nokusebenzisana nodokotela wakho ukuze udale uhlelo olusebenza ngawe.
Izimpawu ezivamile ze-Asthma zivame ukuchazwa njengokuzwa sengathi awukwazi ukuthatha umoya noma sengathi othile ucindezela isifuba sakho. Lezi zimpawu zenzeka ngoba izindlela zakho zokuphefumula zisebenza nzima kunokujwayelekile ukuthola umoya ungene uphume emaphaphweni akho.
Nawa ama-zimpawu aphambili ongawavela:
Abanye abantu nabo baye bahlangabezane nezimpawu ezingavamile ezingase zingabonakali zihlangene ngokuqondile nokuphefumula. Lezi zingafaka ukuhlanza umlomo njalo, ukuzizwa ufikelwe ukukhathazeka noma ukwesaba ngesikhathi kunzima ukuphefumula, noma ukuba nezinkinga zokulandela imisebenzi evamile engakaze ikuphazamise ngaphambili.
Izimpawu zakho zingalandela izindlela - mhlawumbe zimbi kakhulu ekuseni, ngesikhathi sokuzivocavoca, noma uma useduze nezici ezithile. Ukugcina ulwazi lwezi zindlela kungakusiza wena nodokotela wakho ukuqonda isifo sakho se-asthma kangcono futhi udale uhlelo lokwelapha oluphumelelayo.
I-Asthma ayilona isimo esifanayo kubo bonke - iza ngezindlela ezahlukene ngokuya ngokuthi yini ebangela izimpawu zakho nokuthi zenzeka nini. Ukuqonda uhlobo lwakho kungakusiza uphathe isimo sakho ngokuphumelelayo.
Izinhlobo ezivamile kakhulu zihlanganisa:
Kukhona nezinye izinhlobo ezingavamile ezidinga ukunakekelwa okukhethekile. I-Asthma eqinile ithonya izingxenye ezincane zabantu futhi ayiphenduli kahle ekwelapheni okuvamile. I-Aspirin-exacerbated respiratory disease ihlanganisa i-asthma nokuzwela i-aspirin nezinye izinyathelo zokunciphisa ubuhlungu. I-Eosinophilic asthma ihilela amazinga aphezulu amaseli amhlophe athile futhi ivame ukudinga ukwelashwa okuqondiswe.
Abantu abaningi banehlanganisela yezinhlobo - isibonelo, ungaba ne-asthma ebangelwa uketshezi eya mbi ngokuvivinya umzimba. Udokotela wakho angakusiza aqonde ukuthi yiluphi uhlobo noma izinhlobo onazo ngokuhlola nangokubuyekeza izindlela zakho zezimpawu.
I-Asthma lithuthukiswa yihlanganisela yezinto ezivela egazini kanye nemiphumela yemvelo, kunokuba kube nomsuka owodwa. Uma i-asthma ikhona emndenini wakho, kungenzeka kakhulu ukuthi uyithuthukise, kodwa izinto ezingobungozi ezingokwemvelo zivame ukunquma ukuthi izimpawu zivela nini nokuthi zivela nini.
Izinto eziyinhloko ezifaka isandla ekuthuthukiseni i-asthma zihlanganisa:
Uma usuvele une-asthma, izinto ezithile ezingaba yimbangela zingabangela izimpawu zakho ziqale. Izinto ezivame ukubangela zihlanganisa ukutheleleka kokuphefumula njengezifo zokubanda noma isifo sikagwayi, izinto ezingcolisa njengophuli noma uboya bezilwane, izinto ezicasulayo njengezinongo ezinamandla noma ukubhema, ukushintsha kwesimo sezulu, kanye nokucindezeleka ngokomzwelo.
Ezinye izinto ezingavamile ukubangela zingakujabulisa. Lezi zingaba yimithi ethile njenge-beta-blockers, izithasiselo zokudla ezinjenge-sulfites, isifo se-gastroesophageal reflux (GERD), kanye nokushintsha kwe-hormonal phakathi kokuba nesisu noma ukukhulelwa.
Ukuqonda izinto ezibangela i-asthma yakho kubalulekile ekuphatheni i-asthma yakho ngempumelelo. Izinto ezibangela i-asthma yomuntu oyedwa zingase zingathinti omunye umuntu nhlobo, ngakho kubalulekile ukuqonda iphethini yakho ethile yezinto ezibangela ngokubuka ngokucophelela futhi mhlawumbe ukuhlolwa koketshezi.
Kufanele ubheke udokotela uma uhlushwa yizinkinga zokuphefumula eziqhubekayo, ngisho noma zibonakala zingenamandla. Ukuxilongwa kwasekuqaleni nokuphathwa kungavimbela i-asthma yakho ukuba ingabi sibi futhi kukusize ulawule kangcono izimpawu zakho.
Hlela i-aphoyintimenti uma uqaphela lezi zibonakaliso zezexwayiso:
Funani ukunakekelwa okusheshayo kwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinzima. Lokhu kuhlanganisa ubunzima bokukhuluma ngezigaba ezigcwele ngenxa yokuthukuthela, ukusebenzisa imisipha yomhlane nomzimba wokuphefumula, noma ukuba nemiphumela ebomvu noma imisombululo. Ukufunda okuphezulu kokugeleza ngaphansi kuka-50% kwezinto zakho ezinhle kakhulu kuphinde kufune ukunakekelwa okusheshayo.
Ungalindi ukuthola usizo uma i-inhaler yakho yokutakula ayinikezi impumuzo noma uma udinga ukuyisebenzisa njalo kunokujwayelekile. Lezi zibonakaliso zibonisa ukuthi i-asthma yakho ayilawulwa kahle futhi idinga ukunakekelwa kwezokwelapha ukuvimbela ukuhlaselwa okukhulu kwe-asthma.
Izici eziningi zingandisa amathuba akho okuthola i-asthma, yize ukuba nezici zengozi akusho ukuthi uzoyithola le meko. Ukuqonda lezi zici kungakusiza ukuthi uthathe izinyathelo zokuvikela futhi uqaphele izimpawu ngokushesha.
Izici eziyinhloko zengozi zihlanganisa:
Ezinye izici zicacile kakhulu ezinyathelweni ezithile zokuphila. Abantwana abahlangabezana nokutheleleka kwemisipha njalo, ababhekiswe ukubhema, noma abanamama ababhema ngesikhathi bekhulelwe babhekene nezingozi eziphezulu. Abantu abadala abasebenza emikhakheni ethile noma bathuthukise uketshezi okusha kamuva ekuphileni bangase babe sengozini enkulu.
Izimbangela ezingavamile zingozi zihlanganisa ukuba nonina onenkinga yokuphefumula ngesikhathi sokukhulelwa, ukuzalwa ngaphambi kwesikhathi, noma ukuba nesifo se-gastroesophageal reflux. Ukushintsha kwamahomoni ngesikhathi sokuqala, ukukhulelwa, noma ukuqeda ukuya esikhathini kungathinta futhi ukuthuthukiswa kwenkinga yokuphefumula kwabanye abantu.
Nakuba ungakwazi ukushintsha izinto ezihlobene nezakhiwo ze-genetic, unganciphisa ingozi yakho ngokugcina isisindo esinempilo, ukugwema ukubhema utshaba, ukuphatha kahle izifo zokuzwela, nokunciphisa ukubhekana nezinto ezibangela ukukhathazeka uma kungenzeka.
Uma inkinga yokuphefumula ingalawulwa kahle, ingabangela izinkinga ezihlukahlukene ezihlupha impilo yakho yansuku zonke nempilo yakho yonke. Izindaba ezinhle ukuthi izinhlupheko eziningi zingathintelwa ngokuphathwa okuhle nokunakekelwa kwempilo okuvamile.
Izingozi ezivamile ongazihlangabezana nazo zihlanganisa:
Izingozi ezinkulu zingathuthuka uma inkinga yokuphefumula ihlala ingalawulwa isikhathi eside. Lezi zihlanganisa ukunciphisa okungapheli kwemizila yomoya (ukubunjwa kabusha kwemizila yomoya), ukwanda kengozi ye-pneumonia, ne-status asthmaticus - isimo esingozi impilo lapho ukuhlaselwa kwenkinga yokuphefumula kungaphenduli ekwelapheni okuvamile.
Abanye abantu bathuthukisa izinhlupheko ezingavamile njenge-allergic bronchopulmonary aspergillosis (ABPA), lapho ukutheleleka kwamagciwane kuhlupha ukuphathwa kwenkinga yokuphefumula, noma bathuthukisa inkinga yokuphefumula eqinile, engalawuleki, edinga izindlela zokwelapha ezikhethekile.
Ukuthintela izinhlupheko kubalulekile ukusebenzisana eduze nodokotela wakho ukuze uthuthukise futhi ulandele uhlelo olusebenzayo lokusebenza ngenkinga yokuphefumula. Ukuqapha okuvamile nokulungiswa kwemithi kungakusiza ukugwema izinhlupheko eziningi nokugcina impilo enhle.
Nakuba ungakwazi ukuvimbela ngokuphelele i-asthma uma unesizungu esifana nalokho, ungathatha izinyathelo zokunciphisa ingozi yakho nokuvimbela izimpawu ezingase zivele noma zibe zimbi. Ukuvimbela kugxile ekugwemeni izinto ezibangela i-asthma nokulondoloza impilo yomphefumulo jikelele.
Izindlela eziyinhloko zokuvimbela zihlanganisa:
Kubomma abakhulelwe, ukugwema ukubhema ngesikhathi sokukhulelwa nokuncelisa uma kungenzeka kungasiza ekuphuculeni ingozi ye-asthma yengane yabo. Ukugcina imizi ihlanzekile nokuncipha kokubekwa ezingcolweni, izinwele zezilwane, namkhukhu kungaba usizo.
Uma usebenza endaweni enezinto ezingase zicasule umoya, ukusebenzisa imishini yokulondeka efanele nokulandelwa kwemiyalo yokuphepha kungasiza ekuvimbeni i-asthma yomsebenzi. Ukuhlolwa kwempilo okujwayelekile kungasiza ekutholeni nasekuphatheni izinto ezingaba yingozi kusenesikhathi.
Nakuba lezi zinyathelo zingakwazi ukuqinisekisa ukuvimbela, zinciphisa kakhulu ingozi yakho futhi zisize ekuthuthukiseni impilo yomphefumulo jikelele. Ngisho noma usuvele une-asthma, lezi zindlela zingasiza ekuvimbeni izimpawu zakho ezingase zibe zimbi.
Ukuhlola i-asthma kuhilela ukuhlanganiswa kokuxoxa ngezimpawu zakho, ukubuyekezwa komlando wakho wezokwelapha, nokwenza izivivinyo zokuphefumula ezithile. Udokotela wakho uzofuna ukuqonda izindlela zakho zezimpawu nokukhipha ezinye izimo ezingase zibangele izinkinga zokuphefumula ezifanayo.
Inqubo yokuhlola ngokuvamile ihlanganisa:
Udokotela wakho angase futhi enze i-bronchial challenge test, lapho uphefumula khona into engaphetha izimpawu ze-asthma kubantu abanesimo. Lo mvivinyo wenziwa endaweni yezokwelapha eqondiswe kahle ngokwelashwa okusheshayo okutholakala uma kudingeka.
Ngezinye izikhathi kuyadingeka ukuhlolwa okwengeziwe, ikakhulukazi uma izimpawu zakho zingavamile noma aziphenduli ekwelapheni okuvamile. Lokhu kungafaka ukuhlolwa kwegazi ukuhlola izinhlobo ezithile ze-asthma, ukuhlola kwe-CT ukuhlola amaphaphu akho ngokuningiliziwe, noma ukuhlolwa ukuze kulinganiswe amazinga e-nitric oxide emphefumulweni wakho.
Ukuthola ukuxilongwa okuchane ngokubalulekile ngoba ezinye izimo zingabangela izimpawu ezifanayo. Udokotela wakho uzosebenza ngokucophelela ukuhlukanisa i-asthma ezimweni ezifana ne-COPD, izinkinga zenhliziyo, noma ukungasebenzi kahle kwe-vocal cord.
Ukuphathwa kwe-asthma kugxile ekulawuleni izimpawu zakho nokuvimbela ukuhlaselwa kwe-asthma ngokusebenzisa ukuxuba kwemithi kanye nokulawulwa kwendlela yokuphila. Umgomo ukukusiza uphefumule kalula futhi uphile impilo esebenzayo, evamile.
Uhlelo lwakho lokwelashwa cishe luzofaka:
Imithi evamile yokusiza iwumuthi we-albuterol, oqeda ngokushesha izindlela zokuphefumula ngesikhathi sokuhlaselwa yi-asthma. Imithi yokulawula isikhathi eside ihlanganisa imithi ye-corticosteroids efakwa emoyeni, eunciphisa ukuvuvukala emizileni yakho yokuphumula uma isebenziswa njalo.
Kubantu abane-asthma enzima engaphenduli ekwelapheni okuvamile, kukhona izinketho ezintsha ezitholakalayo. Lezi zihlanganisa imithi ye-biologic ehlose izindlela ezithile zesimiso somzimba, i-bronchial thermoplasty (inqubo eunciphisa imisipha yomzila wokuphefumula), kanye nemithi ehlanganisiwe eyenzelwe uhlobo lwakho oluthile lwe-asthma.
Udokotela wakho uzoqala nawe ukuthola ukuxuba okulungile kokwelapha. Lokhu kungathatha isikhathi esithile nokwenza izinguquko, kepha abantu abaningi bangazuza ukulawulwa okuhle kwe-asthma ngendlela efanele.
Ukuphatha i-asthma ekhaya kuhilela ukulandela uhlelo lwakho lokusebenza lwe-asthma, ukuthatha imithi njengoba kuqokiwe, nokukwazi ukuphendula lapho izimpawu zibe zimbi. Ukuphathwa okuhle kwekhaya kungavimbela ukuhlaselwa okuningi kwe-asthma futhi kukusize uzizwe ukhulu ngesimo sakho.
Izinyathelo ezibalulekile zokuphatha ekhaya zihlanganisa:
Funda indlela efanele yokusebenzisa umuthi ukuqinisekisa ukuthi uthola izinzuzo eziphelele zemithi yakho. Abantu abaningi abawasebenzisi kahle imithi yabo, okwenza ukwelashwa kube yingcindezi. Cela udokotela wakho noma umthengisi wemithi ukuba akubonise indlela efanele.
Dala indawo engalwimi i-asthma ngokusebenzisa ama-air purifiers, ugeze imibhede emanzini ashisayo masonto onke, futhi ugcine amazinga okufuma phakathi kuka-30-50%. Uma unezilwane ezifuywayo futhi unayo i-allergy, ukuzilungisa njalo nokuzigcina zingangeni emakamelweni okulala kungasiza.
Phakathi nokuqhuma kwezimpawu, hlala uzolile ulandele uhlelo lwakho lokusebenza. Sebenzisa i-inhaler yakho yokutakula njengoba kunqunyiwe, hlala uqonde, bese ugxila ekuphemeni okuthobekile, okuzinzile. Uma izimpawu zingathuthuki noma zibe zimbi, ungangabazi ukufuna usizo lochwepheshe kwezokwelapha.
Ukulungiselela i-aphoyintimenti yakho ye-asthma kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi kunikeza udokotela wakho ulwazi oluyimfuneko ukuze aphathe isimo sakho ngokuphumelelayo. Ukulungiselela okuhle kungabangela izinqumo zokwelashwa ezingcono kakhulu nokulawulwa kwe-asthma okuthuthukisiwe.
Ngaphambi kwe-aphoyintimenti yakho, buza:
Gcina ulandelela izimpawu zakho okungenani isonto ngaphambi kwe-aphoyintimenti yakho. Qaphela ukuthi izimpawu zivela nini, yini engase iziqalise, nokuthi imithi yakho yokutakula isebenze kangcono kangakanani. Lolu lwazi lusiza udokotela wakho ukuqonda ukuthi ukwelashwa kwakho kwamanje kusebenza kangcono kangakanani.
Letha ama-inhalers akho e-aphoyintimenti ukuze udokotela wakho akwazi ukuhlola indlela yakho futhi aqinisekise ukuthi uyawasebenzisa kahle. Abantu abaningi bathuthukisa imikhuba emibi ngokuhamba kwesikhathi engase iphansi ukusebenza kwemithi.
Ungangabazi ukubuza imibuzo mayelana nanoma yini ongayiqondi. Udokotela wakho ufuna ukukusiza ulawule i-asthma yakho ngokuphumelelayo, futhi ukuxhumana okuqondile kubalulekile ekufezeni ukulawula okuhle.
I-Asthma yisimo esilawulekayo esingafanele silimise ukuphila kwakho uma silawulwa kahle. Ngohlelo lokwelapha olufanele, abantu abaningi abane-Asthma bangabamba iqhaza kuzo zonke imisebenzi evamile, kufaka phakathi ezemidlalo nokuzivocavoca.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuphathwa kwe-Asthma kubambiswano phakathi kwakho nodokotela wakho. Ukuhlola njalo, ukuxhumana okuqotho ngezimpawu zakho, nokulandelwa kohlelo lwakho lokwelapha njalo yizona zinto eziyisihluthulelo sokuphumelela.
Ungavumeli i-Asthma ilawule ukuphila kwakho - lawula i-Asthma yakho esikhundleni salokho. Ngokwelashwa okuphumelelayo namuhla nokuzimisela kwakho kokuphathwa okuhle, ungaphefumula kalula futhi uphile impilo esebenzayo oyifunayo.
Okwamanje, ayikho indlela yokwelapha i-Asthma, kodwa ingaphathwa kahle ngokwelashwa okuhle. Abantu abaningi abane-Asthma baphila impilo evamile ngokuphelele ngemithi efanele nokuphathwa kwesitayela sempilo. Abanye abantwana bangakhula bephela izimpawu ze-Asthma, kodwa ukuntengantenga okuyisisekelo kuvame ukuhlala khona.
Yebo, i-Asthma inxenyekazi yezakhiwo. Uma omunye umzali ene-Asthma, ingane yakhe inethuba elingaba ngu-25% lokuba nayo. Uma bobabili abazali bene-Asthma, ingozi ikhuphuka iye ku-60-75%. Noma kunjalo, ukuba nokuthambekela kwezakhiwo akusho ukuthi uzoba ne-Asthma.
Impela! Ukuzivocavoca kuwusizo kubantu abane-Asthma futhi empeleni kungathuthukisa umsebenzi wephunga ngokuhamba kwesikhathi. Isihloko ukusebenza nodokotela wakho ukuthuthukisa uhlelo lokuzivocavoca oluhlanganisa ukufudumala okuhle, ukusebenzisa i-inhaler yakho yokutakula ngaphambi komsebenzi uma kudingeka, nokukhetha imisebenzi ekuhambela kahle.
I-Asthma lingashintsha ngokuhamba kwesikhathi, kodwa alibi kakhulu njengoba umuntu eya ekula. Abanye abantu bathola ukuthi izimpawu zabo ziyathuthuka njengoba bekhula, kanti abanye bangase babhekane nezinguquko ezingabangelwa ukuguquka kwamahomoni, izinto ezibangela ukugula, noma ezinye izimo zempilo. Ukulandelela njalo kusiza ekuqondiseni lezi zinguquko ngokuphumelelayo.
Yebo, ukucindezeleka ngokomzwelo kungabangela izimpawu ze-Asthma kwabanye abantu. Imizwelo eqinile ingabangela ukuphefumula okusheshayo, okungase kubangele izimpawu, futhi ukucindezeleka kungabuye kubuthakathaka isimiso sakho sokugcina impilo, kukwenze ube sengozini yokutheleleka kwezifo zokuphefumula ezingenza i-Asthma ibe sibi. Ukufunda amasu okulawula ukucindezeleka kungaba usizo.