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October 10, 2025
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Ukuhlaselwa kwe-Asthma kwenzeka lapho izindlela zakho zokuphefumula zincika ngokuzumayo, zifuvukele, futhi zikhiqize ukhulu olukhulu, okwenza kube nzima ukuphefumula. Cabanga ngompompo wegadithi ocindezelwe futhi uvalwe ngesikhathi esifanayo. Phakathi nokuhlaselwa, imisipha ezungezile izindlela zakho zokuphefumula icindezela, ukugqwala kuqala, futhi ukhulu olukhulu luvimba ukugeleza komoya emaphaphwini akho.
Lezi zikhathi zingaba kusukela ekuthini okulula kokuphefumula kuya ezimweni eziyingozi ezingabulala. Izindaba ezinhle ukuthi ngolwazi olufanele nokwelashwa, ukuhlaselwa okuningi kwe-Asthma kungaphathwa kahle futhi kuvinjwe.
Izimpawu zokuhlala kwe-Asthma zivele lapho izindlela zakho zokuphefumula zivinjelwe futhi zifuvukele. Ungase uqaphele lezi zimpawu ziqala kancane kancane noma zivele ngokuzumayo, kuye ngokuthi yini eyabangela leli cala.
Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:
Abanye abantu nabo bahlangabezana nezimpawu ezingavamile njengokushaya kwenhliziyo okusheshayo, ukubila, noma ukuzizwa bekhuluphuka. Lezi zimpawu zivame ukubhekana nobunzima obukhulu bokuphumula futhi zingenza isipiliyoni sibe sokwesaba kakhulu.
Ezimeni ezingavamile, ungase ube nalokho okuthiwa “ukuhlasela kwe-Asthma oluthulile” lapho ukukhwehlela kungabonakali khona, kodwa usazizwa uqinileka kwesifuba nokuphefumula okufushane. Lo mbono ungase ube ukhathazekile ngoba ungase ungabonakali njengoba ukhulu njengoba kunjalo.
Ukuhlaselwa kwe-Asthma kubangelwa into ethile ecasula izindlela zakho zokuphefumula ezivelele. Isistimu yakho yokuzikhusela iphendula ngokweqile kulezi zinto ezikhuthazayo, ibangela ukuvuvukala nokucindezela kwemisipha okuvimba ukugeleza komoya okujwayelekile.
Izinto ezivame ukubangela ukuhlaselwa zihlanganisa:
Izinto ezingavamile ukubangela zihlanganisa i-acid reflux, lapho i-acid yesisu icasula izindlela zakho zokuphefumula, kanye nokudla okuthile noma izithako zokudla njenge-sulfites. Abanye abantu baphendula ezintweni ezikhiqizwayo zendawo yomsebenzi noma ezinto ezithile, isimo esibizwa nge-occupational asthma.
Ezimeni ezingavamile, ukushintsha kwe-hormonal phakathi kokutholakala noma ukukhulelwa kungabangela ukuhlaselwa kwabesifazane abathile. Ikhona ukwazi izinto ezikhuthazayo zakho ngokubuka ngokucophelela nokusebenzisana nodokotela wakho.
Kufanele ufuna ukunakekelwa okusheshayo kwezimo eziphuthumayo uma uhlangabezana nobunzima obukhulu bokuphumula, awukwazi ukukhuluma ngezigwebo ezigcwele, noma uzizwa sengathi uya kubulala. Lezi yizimpawu zokuhlala okukhulu kwe-Asthma okudinga ukunakekelwa kwezokwelapha ngokushesha.
Shaya u-911 noma uye ekamelweni lephuthumayo ngokushesha uma uqaphela:
Kufanele uxhumane nodokotela wakho phakathi kwamahora angu-24 uma uke waba nokuhlaselwa kwe-Asthma, ngisho nalokho okulula. Bangakusiza ukulungisa uhlelo lwakho lokwelashwa futhi baqonde ukuthi yini eyabangela leli cala.
Hlela i-aphoyintimenti ejwayelekile uma usebenzisa i-inhaler yakho yokuhlenga ngaphezu kwesikhathi esingu-2 ngesonto, uvuka ngezimpawu ze-Asthma, noma uma imisebenzi yakho yansuku zonke ivinjelwe yizinkinga zokuphefumula. Lezi zindlela zikhomba ukuthi uhlelo lwakho lokwelashwa olukhona luya kudingeka luqondiswe kabusha.
Izinto ezithile zingakwenza kube lula ukuhlangabezana nokuhlaselwa kwe-Asthma noma zenze kube nzima kakhulu lapho kwenzeka. Ukuqonda lezi zinto ezingaba yingozi kukusiza wena nodokotela wakho ukuba nidale amasu angcono okuvimbela.
Izinto eziyinhloko ezingaba yingozi ezikhuphula ukuqala kwakho zihlanganisa:
Izinto ezengeziwe ezingakhuphula ingozi zihlanganisa ukuba eduze nokubhema okwesibili, ukuhlala ezindaweni ezinomoya ocolile, noma ukuba nezinye izimo njenge-acid reflux noma i-sleep apnea. I-allergies yesizini ingenza izindlela zakho zokuphefumula zibe nomphumela omkhulu ngezikhathi ezithile zonyaka.
Ezimeni ezingavamile, izinto ezithile ze-genetic noma ukuba ne-allergies eminingi kungenza ukuhlaselwa kube khona kakhulu noma kube nzima. Izindaba ezimnandi ukuthi izinto eziningi ezingaba yingozi zingaphathwa ngokunakekelwa kwezokwelapha okuhle kanye nokulungiswa kokuphila.
Nakuba ukuhlaselwa okuningi kwe-Asthma kuphendula kahle ekwelapheni, amanye angabangela izinkinga ezinzima uma engaqondwa kahle. Ukuqonda lezi zinkinga ezingase zenzeke kukusiza uqonde ukuthi nini kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha.
Izinkinga ezinkulu kakhulu ezingase zenzeke zihlanganisa:
Ukuhlaselwa okukhulu okuvamile kungabangela ukushintsha okungapheli kwezindlela zokuphefumula okuthiwa ukulungiswa kwesikhumba, lapho i-scar tissue yenza khona izinkinga zokuphefumula ziqhubeke ngisho naphakathi kokuhlasela. Kungakho ukwelashwa okuvimbelayo okuqhubekayo kubaluleke kangaka.
Izinkinga ezingavamile zihlanganisa ukuphikisana okukhulu kwe-allergic emithini noma ukuthuthukisa i-Asthma engaphenduli emithini. Imiphumela ye-psychological njenge-anxiety disorders ingase futhi ithuthuke, ikakhulukazi ngemuva kokubhekana nokuhlaselwa okukhulu okwesabisayo.
Iningi labantu abane-Asthma alihlangabezani nalezi zinkinga ezinzima uma belandela uhlelo lwabo lokwelashwa futhi basebenzisana eduze nodokotela wabo.
Ukuvimbela ukuhlaselwa kwe-Asthma kuhlanganisa ukuhlanganiswa kokugwema izinto ezikhuthazayo ezaziwayo, ukuthatha imithi njengoba kuyalelwe, nokugcina impilo enhle jikelele. Ukuhlaselwa okuningi kungavikeleka ngamasu afanele nokukhathalela okuqhubekayo.
Uhlelo lwakho lokuvimbela kufanele luhlanganise le miqondo ebalulekile:
Amasu okulawula imvelo anganciphisa kakhulu ukuvezwa kwezinto ezikhuthazayo. Lokhu kungase kuhlanganise ukusebenzisa ama-purifiers emoya, ukugeza i-bedding emanzini ashisayo masonto onke, noma ukugcina amazinga okufuma phakathi kuka-30-50% ekhaya lakho.
Ukusebenzisana nodokotela we-allergist kungakusiza ukuqonda izinto ezikhuthazayo ezithile ngokuhlola, futhi bangase bancoma i-immunotherapy ye-allergens ethile. Ukuhlola okujwayelekile nodokotela wakho kuqinisekisa ukuthi uhlelo lwakho lokwelashwa luhlala luphumelela njengoba izidingo zakho zishintsha.
Abanakekeli bezempilo bahlonzwa ukuhlaselwa kwe-Asthma ngokuhlola izimpawu zakho, umlando wezokwelapha, nokwenza ukuhlolwa okuthile ukuhlola umsebenzi wephaphu lakho. Inqubo ikusiza uqonde bobabili ubukhulu bokuhlaselwa kwamanje kanye nokulawulwa kwakho kwe-Asthma.
Phakathi nokuhlaselwa okukhulu, udokotela wakho kuqala uzogxila ekuqinisekiseni ukuthi ungaphefumula ngokuphepha. Uzolalela amaphaphu akho nge-stethoscope, ahlole amazinga akho e-oksijini, futhi angase enze ukuhlolwa kwe-peak flow uma ukwazi.
Ukulawulwa kwe-Asthma okuqhubekayo, ukuhlolwa kokuxilonga kuvame ukubandakanya:
Udokotela wakho uzophinde ahlole izindlela zakho zezimpawu, ukusetshenziswa kwemithi, nanoma yikuphi ukushintsha kwamuva endaweni yakho noma empilweni yakho. Le ndlela ephelele ikusiza ukudala isithombe esinembile sobukhulu be-Asthma yakho.
Ezimeni ezithile, ukuhlolwa okwengeziwe njenge-CT scans noma umsebenzi wegazi kungase kudingeke ukuqeda ezinye izimo noma ukuqonda izinkinga ezingavamile. Umgomo uhlala uqonda iphethini yakho ethile ye-Asthma kanye nezinto ezikhuthazayo.
Ukuphathwa kokuhlasela kwe-Asthma kugxila ekuvuleni ngokushesha izindlela zakho zokuphefumula nokunciphisa ukuvuvukala ukuze kuphinde kube khona ukuphefumula okujwayelekile. Indlela ethile ixhomeke ebukhulu bokuhlaselwa kwakho kanye nendlela obuyisile ngayo ekwelapheni okuqala.
Ukuphathwa ngokushesha kokuhlasela kuvame ukubandakanya:
Ukulawulwa kwe-Asthma okuqhubekayo, udokotela wakho angase ancome imithi yokuqondisa njenge-inhaled corticosteroids, i-long-acting bronchodilators, noma imithi emisha ye-biologic yezimo ezinzima.
Ezimeni ezingavamile lapho ukwelashwa okujwayelekile kungaphumeleli khona, udokotela wakho angase acabange ngokwelashwa njenge-bronchial thermoplasty, inqubo ecindezela ubukhulu bemisipha yesikhumba. Abanye abantu nabo bayazuza kwi-immunotherapy ukunciphisa ukusabela kwe-allergens ezithile.
Ikhona ukuba uhlelo lokuhlenga olukhulu lokuhlaselwa kanye nesu lokulawula isikhathi eside ukuvimbela ukuba kwenzeke.
Ukuba neqembu lenqubo ecace kakhulu lokuqondisa ukuhlaselwa kwe-Asthma ekhaya kungakusiza uphendule ngokushesha nangokuphumelelayo lapho izimpawu ziqala. Udokotela wakho kufanele akunike uhlelo lokusebenza lwe-Asthma olulotshwe oluchaza ngokuqondile ukuthi yini okufanele uyenzile.
Lapho uqaphela izimpawu zokuhlala, landela lezi zinyathelo:
Ngenkathi ulinda imithi yakho ukuba isebenze, zama ukuzisusa kunoma iyiphi into ebonakalayo ebonakalayo njengokubhema noma izinongo ezinamandla. Phefumula kancane futhi ngokuqhubekayo ngenkathi yakho uma kungenzeka, futhi gwema ukuwela phansi njengoba lokhu kungenza ukuphefumula kube nzima kakhulu.
Gcina izinombolo zokuxhumana eziphuthumayo zifinyeleleka kalula, kufaka phakathi udokotela wakho kanye nezinsizakalo zezimo eziphuthumayo zasekhaya. Uma uhlala wedwa, cabanga ukuba nomngani othembekile noma ilungu lomndeni ongaxhumana nalo ukuze uthole ukwesekwa phakathi nokuhlaselwa.
Unganqikazi ukufuna ukunakekelwa kwezimo eziphuthumayo uma izimpawu zakho zinzima noma azaphenduli ekwelapheni. Kuhlale kungcono ukuba oqaphile uma kuziwa ebunzimeni bokuphumula.
Ukulungiselela i-aphoyintimenti yakho yempilo kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okuphelele kakhulu kanye nokuqondiswa okuwusizo lokuqondisa i-Asthma yakho. Ukulungiselela okuhle kungenza ukuvakasha kwakho kube nomphumela omuhle futhi kusize umhlinzeki wakho akunike izeluleko ezinhle zokwelashwa.
Ngaphambi kwe-aphoyintimenti yakho, buthana lolu lwazi olukhulu:
Cabanga ukugcina idayari yezimpawu ngesonto noma amabili ngaphambi kwe-aphoyintimenti yakho. Qaphela lapho unezimpawu, lokho obekwenza, isimo sezulu, nokuthi wazizwa kanjani ngokomzwelo. Lolu lwazi lusiza ukuqonda izindlela nezinto ezikhuthazayo.
Letha ilungu lomndeni noma umngani uma uzizwa ukhululekile, ikakhulukazi uma uke waba nokuhlaselwa okukhulu. Bangakusiza ukukhumbula ulwazi olukhulu futhi banike ukwesekwa phakathi kokuvakasha kwakho.
Unganqikazi ukubuza imibuzo mayelana nanoma yini ongayiqondi mayelana nesimo sakho noma uhlelo lokwelashwa. Udokotela wakho ufuna ukukusiza uzizwe uqinisekile ukuqondisa i-Asthma yakho.
Ukuhlaselwa kwe-Asthma kuyizikhathi ezinzima kodwa eziphatheka kalula ezenzeka lapho izindlela zakho zokuphefumula zifuvukele futhi zivinjelwe. Nakuba zingase zibe yizinto ezesabisayo, ukuqonda izinto ezikhuthazayo zakho nokuba neqembu lenqubo lokwelashwa eliqinile kwenza kube lula kakhulu ukusongela impilo yakho yansuku zonke.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuhlaselwa kwe-Asthma kuvame ukugwemeka ngokusetshenziswa kwemithi efanele nokugwema izinto ezikhuthazayo. Ukusebenzisana eduze nodokotela wakho ukwakha uhlelo lokusebenza lwe-Asthma oluqondene nawe kukunika amathuluzi okuqondisa ukuhlaselwa ngokuqiniseka lapho kwenzeka.
Ngezinqubo ezisebenzayo namasu okuqondisa namuhla, abantu abaningi abane-Asthma bangaphila impilo egcwele, esebenzayo ngokulinganiselwe. Ikhona ukuba oluqondiwe, ulandele uhlelo lwakho lokwelashwa ngokuqhubekayo, futhi unganqikazi ukufuna usizo uma ulikhona.
Khumbula ukuthi ukuba ne-Asthma akuchazi wena, futhi ngokunakekelwa okuhle, ungaphatha kahle lesi simo ngenkathi uphishekela zonke imigomo nemisebenzi yakho.
Ukuhlaselwa okuningi kwe-Asthma okulula kuhlala kusukela emaminithini ambalwa kuya emahoreni amaningana lapho kuphathwa ngokushesha ngemithi yokuhlenga. Noma kunjalo, ukuhlaselwa okukhulu kungaphikelela izinsuku futhi kungase kudinge ukungena esibhedlela ukuze kuphathwe kahle.
Isikhathi sivame ukuxhomeke ekutheni uyaziqaphela kangcono izimpawu futhi uqale ukwelashwa, kanye nalokho okubangela ukuhlaselwa. Ukungenelela okusheshayo nge-inhaler yakho yokuhlenga kuvame ukubangela ukubuyela ngokushesha.
Nakuba ukufa okuvela ekuhlaselweni kwe-Asthma kuncane, kungenzeka uma ukuhlaselwa okukhulu kungaphathwa ngokushesha nangokufanele. Kungakho kubalulekile ukuba neqembu lenqubo lesimo esiphuthumayo nokukwazi ukuthi nini kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha.
Ukufa okuningi okuhlobene ne-Asthma kungavikeleka ngokwelashwa okuqhubekayo okuhle, ukuqapha okujwayelekile kwezokwelapha, kanye nendlela esheshayo yezimpawu ezinzima. Ungalokothi unakile izimpawu zokuhlala okukhulu.
Yebo, ukuzizwa ukhuluphuka ngemuva kokuhlasela kwe-Asthma kuvamile futhi kulindelekile. Umuthi wakho ubelokhu usebenza ngokukhulu ukuze uphefumule, futhi ukucindezeleka kwalesi sikhathi kuholela ekukhathaleni.
Lokhu kukhathala kungaphikelela amahora ambalwa noma ngisho usuku noma amabili ngemuva kokuhlasela okukhulu. Ukuphumula kubalulekile ekuphileni, kodwa xhumana nodokotela wakho uma ukukhathala okukhulu kuqhubeka izinsuku eziningi.
Ukucindezeleka kungenza ukuhlaselwa kwe-Asthma kubantu abaningi, ngisho nangaphandle kwezinye izinto ezikhuthazayo ezikhona. Ukuzizwa okunamandla kubangela ukushintsha emaphethini okuphumula futhi kungakhuphula ukuvuvukala ezindleleni zakho zokuphefumula.
Ukufunda amasu okuqondisa ukucindezeleka njengezindlela zokuphumula ejulile, ukucamngca, noma ukuzivocavoca okujwayelekile kungakusiza ukunciphisa le nto ekuthinta. Uma ukucindezeleka kuyinto evamile ekuthinta, cabanga ukukhuluma nomxhumanisi mayelana nezindlela zokubhekana nazo.
Lokhu kuxhomeke ebukhulu bokuhlaselwa kwakho nokuthi uphulukile kangakanani. Uma uphefumula ngokujwayelekile, uzizwa uqaphile, kanye nokufunda kwakho kwe-peak flow kuyi-range yakho ejwayelekile, ungase ukwazi ukuqhubeka nemisebenzi yakho evamile.
Noma kunjalo, uma usazizwa ukhuluphuka, ukhathele, noma usebenzisa i-inhaler yakho yokuhlenga njalo, kungcono ukuphumula futhi uphulukise ngokuphelele. Uma ungaqiniseki, hlola nodokotela wakho mayelana nokuthi nini kuphephile ukubuyela emgqeni wakho ojwayelekile.
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