Yu kin gɛt asma bak we yu gɛt bɛlɛ? Lɛ wi tɔk bɔt dis!

If yu gɛt bɛlɛ, i nɔmal fɔ lɛ yu fil shɔt smɔl fɔ blo sɔntɛnde. Bɔt if yu gɛt asma, yu kin fil dis shɔt briz smɔl mɔ. Dɔn, wit di tayt we yu chɛst tayt, we yu de kɔf, ɛn we yu de fred smɔl if yu ɛn yu pikin de gɛt inof ɔksijɛn, nɔto so? Nɔ wɔri, lɛ wi tɔk bɔt dis ditayli.

Wetin na asma we uman gɛt bɛlɛ?

Fɔ tɔk am simpul wan, asma na sik we kin de fɔ lɔng tɛm . Dis na we di say dɛn we wi de blo, ɔ di say dɛn we wi de blo kin smɔl ɛn blok. Dis kin mek i nɔ izi fɔ blo. We yu gɛt bɛlɛ, i nɔmal fɔ mek yu gɛt sɔm chenj dɛn na di we aw yu de blo. Bɔt fɔ pɔsin we gɛt asma, dis kin notis mɔ. We yu de wis, yu de kɔf ɔltɛm, ɛn yu de fil se yu chɛst tayt, ɔl dis kin kam wit am.

If yu gɛt asma, i rili impɔtant fɔ kɔntinyu fɔ trit yu fɔ mek yu nɔ gɛt flawa afta yu gɛt bɛlɛ. If dɛn nɔ mɛn am fayn, asma kin mek yu ɛn yu pikin gɛt prɔblɛm wit yu wɛlbɔdi.

Bɔt mɛmba dis: If yu tek tɛm fala wetin yu dɔktɔ tɛl yu ɛn tek yu mɛrɛsin dɛn di rayt tɛm, natin nɔ de fɔ stɔp yu fɔ gɛt bɛlɛ we gɛt wɛlbɔdi ɛn bɔn pikin we gɛt wɛlbɔdi.

Yu tink se asma kin wɔs we uman gɛt bɛlɛ?

Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ sɔm pipul dɛm, asma kin rili wɔs we dɛn gɛt bɛlɛ. Risach we dɛn jɔs dɔn du sho se lɛk 40% pan di uman dɛn we gɛt bɛlɛ kin gɛt mɔ asma sayn dɛn . Bɔt dis kin afɛkt mɔ di wan dɛn we dɔn ɔlrɛdi gɛt smɔl ɔ mɔdaret asma bifo dɛn gɛt bɛlɛ. Di ɔda 60% nɔr kin gɛt bɔrku chenj na dɛn simptom ɔr kin rili gɛt smɔl impɔtant improvement pan dɛn asma.

Na dis na wetin di wan dɛn we de du di risach dɔn fɛn:

• If asma wɔs, i kin apin mɔ bitwin di wik 29 ɛn 36 we uman gɛt bɛlɛ .
• If asma bɛtɛ, i go apin smɔl smɔl ɔl di tɛm we di bɛlɛ de.
• Di sayn dɛm fɔ asma nɔ kin bɔku we dɛn de bɔn pikin ɛn we dɛn de bɔn pikin .
• If yu asma simptom chenj we yu bεlε, i kin kam bak to nכmal insay di fכs tri mכnt afta yu bכn.
• If yu bin gɛt chenj pan asma simptom dɛm we yu bin gɛt bɛlɛ bifo, i go mɔs bi se yu go gɛt di sem chenj pan di bɛlɛ we yu bin gɛt afta dat.

Yu tink se asma we yu gɛt bɛlɛ kin afɛkt di pikin?

Yɛs, asma kin mek di pikin gɛt wɛlbɔdi prɔblɛm if dɛn nɔ mɛn am fayn.. Dis "unmanaged" pat na di wan we impɔtant pas ɔl. Di rayt we fɔ manej ɛni mɛrɛsin we yu gɛt bɛlɛ impɔtant fɔ yu wɛlbɔdi ɛn yu pikin in wɛlbɔdi. Asma we yu nɔ kɔntrol kin mek di ɔksijɛn we de na yu blɔd nɔ bɔku, ɛn dis kin mek yu pikin nɔ gɛt bɛtɛ ɔksijɛn. I de mek bak di risk fɔ gɛt prɔblɛm dɛn we uman gɛt bɛlɛ.

Bɔrku tɛm, kɔmplikeshɔn kin kam fɔ mama dɛm we gɛt asma we dɛn gɛt bɛlɛ bikɔs dɛn nɔ ɔndastand aw fɔ manej dɛn asma fayn fayn wan we dɛn gɛt bɛlɛ. Fɔ ɛgzampul, sɔm pipul dɛn kin tink se mɛrɛsin fɔ asma go ambɔg di pikin, so dɛn kin stɔp fɔ tek am. Bɔt di tru tin na dat, if dɛn nɔ kɔntrol dɛn asma, dat kin afɛkt di pikin bad bad wan pas ɛni sayd ɛfɛkt we ɛni mɛrɛsin kin gɛt.

Bɔt if yu du di tin dɛn we yu nid fɔ kɔntrol yu asma (fɔ ɛgzampul, yu tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu), i go mɔs bi se yu go gɛt bɛlɛ we gɛt wɛlbɔdi ɛn bɔn pikin we gɛt wɛlbɔdi.

Aw asma kin kam pan uman dɛn we gɛt bɛlɛ?

Insay Amɛrika, bitwin 3% ɛn 8% pan di uman dɛn we gɛt bɛlɛ gɛt asma . Na di lכng sik we dכkta dεn kin trit we uman bεlε. Di tin kin tan lɛk dis na Sri Lanka.

Wetin na di sayn dɛm fɔ asma we uman gɛt bɛlɛ?

Di sayn dɛm fɔ asma we uman gɛt bɛlɛ kin tan lɛk di wan dɛm we pɔsin we gɛt asma kin gɛt in jɛnɛral. Yu kin gɛt sɔm kayn sik wae nɔr de chenj, ɔr yu kin gɛt asma atak wan wan tɛm. Dis min se yu kin gɛt prɔblɛm fɔ blo wantɛm wantɛm afta yu dɔn wɛl.

Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• Shot we yu de blo
• Kɔf (especially na nɛt) .
• Chɛst tayt, pen ɔ prɛshɔn
• Wiz - Dis kin apin we yu aywe dɛn kin blok sɔm pat pan am.

Di kayn we aw dɛn sik ya kin tranga kin difrɛn we uman gɛt bɛlɛ. Di sayn dɛm kin bɛtɛ, wɔs, ɔr nɔr kin chenj.

Wetin na di rizin dɛm fɔ chenj pan asma we uman gɛt bɛlɛ?

We uman gɛt bɛlɛ, i nɔ kin mek i gɛt nyu asma. Bɔt yu bɔdi kin chenj we yu gɛt bɛlɛ, so yu kin gɛt yu sik difrɛn we. Na sɔm chenj dɛn we kin afɛkt di we aw yu de blo:

• di uterus we de big: As yu pikin de gro, yu uterus de gro big. dis de put prεshכn pan yu dayafragm - di mכsul we de εp yu fכ brith insay εn kכmכt na yu lכng. Dis kin mek i at fɔ mek yu dayafragm muv fri wan ɛn tek ful briz.
• di כmon dεm we di bεlε de bכku: We uman bεlε, di כmon dεm de chenj. Dis kin mek yu sayn dɛn inflam.I kin dray ɛn swel. Dis kin mek yu nos fil stɔf ɛn mek i nɔ izi fɔ blo. Speshal, di inkris na di homon progesterone kin mek yu brith rate go inkri.
• At rit we de go ɔp: Yu at fɔ wok tranga wan fɔ gi yu ɛn yu pikin blɔd. Dis ekstra tray kin mek yu fil taya ɛn nɔ ebul fɔ blo fayn.

If dɛn nɔr dɔn ɛva no se yu gɛt asma bifo, ɛn yu gɛt prɔblɛm fɔ blo wantɛm wantɛm, i kin bi nɔmal prɔblɛm fɔ blo we dɛn chenj ya na yu bɔdi. I nɔto asma. Bɔt yu kin dɔn gɛt smɔl smɔl asma we nɔr dɔn no bɔt we kin kam bikɔs ɔf chenj dɛn we yu gɛt bɛlɛ.

So if yu gɛt ɛni prɔblɛm fɔ blo, go mɔs go to dɔktɔ fɔ advays .

Yu tink se asma kin mek yu gɛt prɔblɛm dɛn we yu gɛt bɛlɛ ɔ we yu de bɔn pikin?

Yɛs, asma we dɛn nɔ kɔntrol kin mek sɔm prɔblɛm dɛn we kin apin we pɔsin gɛt bɛlɛ . Dɔn bak, pipul dɛm wae gɛt siriɔs asma kin gɛt prɔblɛm pas di wan dɛm wae gɛt smɔl ɔr mɔdaret asma. Dɛn kɔmplikeshɔn ya kin bi:

• Preeclampsia: Dis na siriɔs sik wae gɛt fɔ du wit ay blɔd prɛshɔn. I kin afɛkt yu insay ɔgan dɛn ɛn i kin mek yu pikin gɛt siriɔs prɔblɛm.
• di pikin we dεn bכn bifo di tεm: Na pikin we dεn bכn bifo 37 wik. dis kayn pikin dεm kin gεt hεlth prכblεm bikoz fכ divεlכpmεnt prכblεm.
• Smɔl ej we uman gɛt bɛlɛ ɔ we dɛn bɔn am smɔl: di pikin dɛn we smɔl pas di nɔmal kin gɛt wɛlbɔdi prɔblɛm bikɔs dɛn ɔgan sistɛm dɛn nɔ dɔn ful-ɔp.

Ilɛksɛf yu asma smɔl, smɔl, ɔ i bad, if yu gɛt tritmɛnt plan fɔ mek yu nɔ gɛt ɛn kɔntrol asma flare-up kin ɛp fɔ ridyus di prɔblɛm dɛn we kin apin to yu ɛn yu pikin.

Us tin dɛn kin mek di risk fɔ gɛt prɔblɛm dɛn?

Sɔm tin dɛn de we kin mek di asma wɔs we uman gɛt bɛlɛ ɛn i kin mek i gɛt prɔblɛm dɛn:

• Fɔ smok.
• Nɔr fɔ tek asma mɛrɛsin wae dɛn dɔn gi yu ɔr nɔr de fala di tritmɛnt plan fayn fayn wan.
• Fɔ gɛt bɔku bɔku bɔdi (BMI bitwin 25 ɛn 29) ɔ fɔ fat pasmak (BMI 30 ɔ pas dat).

Aw dɔktɔ dɛn kin no if pɔsin gɛt asma we i gɛt bɛlɛ?

Bɔrku tɛm, dɛn kin no se yu gɛt asma bifo uman gɛt bɛlɛ. Bɔt di we aw dɛn kin no if pɔsin gɛt asma we i gɛt bɛlɛ ɔ afta i gɛt bɛlɛ, bɔku pan dɛn na di sem. Yu dɔktɔ go jɔs du tɛst we sef fɔ yu ɛn yu pikin.

Di diagnosis kin inklud:

• Mɛdikal histri: Ditiɛl bɔt yu sayn dɛm, lɛk wae dɛn kin apun bɔrku tɛm.
• Fɔ chɛk yu bɔdi.
• Spirometry test: Dis de mכsu di spid εn efyushכn we di briz de fכlכ na yu lכng.

Sɔntɛm yu go nid fɔ du blɔd tɛst ɛn ɔda tin dɛn fɔ tek pikchɔ fɔ no if di tin we mek yu nɔ ebul fɔ blo na asma ɔ ɔda sik we yu gɛt.

Aw a go trit mi asma we a gɛt bɛlɛ?

Yu fɔ kɔntinyu fɔ fala yu asma mɛnejɛmɛnt plan we yu gɛt bɛlɛ. Dis inklud fɔ tek di mɛrɛsin dɛn we dɛn dɔn gi yu fɔ gɛt asma. Yu dɔktɔ go kɔnfirm us mɛrɛsin dɛn we nɔ bad fɔ yu ɛn yu pikin.

Dis na wetin e min fɔ mɛn yu asma fayn fayn wan:

• Minimal (ɔ nɔ) simptom rilif insay di de.
• Fɔ ebul fɔ slip fayn ɔl nɛt we yu nɔ gɛt asma simptom.
• Fɔ ebul fɔ du wok dɛn we yu kin du ɛvride nɔmal wan.
• I nɔ kin izi fɔ mek yu nid fɔ yuz riliva inhala (rɛskɔ inhala).
• di lכng fכnshכn na nכmal כ nia nכmal.

Mek wan tritmɛnt plan wit yu dɔktɔ.

Bɔku dɔktɔ dɛn kin se yu fɔ gɛt apɔntinmɛnt bifo yu gɛt bɛlɛ bifo yu bigin fɔ tray fɔ gɛt bɛlɛ. Dis na di tɛm we yu kin mek plan fɔ aw fɔ manej ɛni mɛrɛsin, lɛk asma, we yu gɛt bɛlɛ, ɛn us chenj yu go nid fɔ mek afta yu gɛt bɛlɛ.

Afta yu dɔn gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt wan plan fɔ wach if dɛn de mɛn yu asma fayn fayn wan.

Monitor yu kɔndishɔn.

Dis involv fɔ wach aw yu ɛn yu pikin ɔl tu gɛt wɛlbɔdi. Yu dɔktɔ go du dɛn tin ya:

• Fɔ chɛk yu lɔng ɛn aw fɔ blo: Dɛn kin nid fɔ chɛk aw yu de blo ɔltɛm. Yu kin gɛt spayrɔmɛtri tɛst bak fɔ chɛk aw yu lɔng dɛn de wok. Dis na tɛst we dɛn kin du na dɔktɔ in ɔfis ɔ ɔspitul. Yu kin gɛt bak pik flɔ mita na os fɔ mɛzhɔ yu ayflɔ ɛvride.
• fכ chεk di pikin in כgan fכ wok εn divεlכpmεnt: Yu kin nid fכ du tεst fכ chεk yu pikin in divεlכpmεnt. Bɔku tɛm dɛn kin du ɔltra saund we yu gɛt bɛlɛ fɔ chɛk aw yu pikin de gro. If yu gɛt mɔdaret ɔ siriɔs asma, ɔ if yu nɔ ebul fɔ kɔntrol yu asma fayn, yu kin nid fɔ du ɔltra saund ɔ wan tɛst we nɔ gɛt strɛs fɔ chɛk yu pikin in at bit afta 32 wiks we i gɛt bɛlɛ.

Stay fa frɔm di tin dɛn we kin mek yu gɛt asma as mɔ as yu ebul.

Yu fɔ no bɔt de tin dɛm wae de mek yu asma wɔs, wae dɛn kɔl "triggers," ɛn avɔyd dɛm as yu ebul. Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• Smok we de mek tabak.
• Insɛkt dɔti (kɔkrɔs, rat).
• Harsh kemikal smel (lɛk tin dɛn we dɛn kin yuz fɔ klin).
• Strɔng sɛnt (lɛk sɛnt, kɔlɔn).
• Haus dɔst mit dɛn.
• Fɔ sik (kol, fiva).
• Pet dander we dɛn kin yuz fɔ mɛn animal dɛn. Di dɔg dɛn we de na wi os tan lɛk pusi.
• Strɛs.
• Polɛn we dɛn kɔl Pollen.
• Shep.

Tek mɛrɛsin akɔdin to di tritmɛnt plan.

Bɔrku kayn mɛrɛsin de fɔ asma wae nɔr kin sef ɛn wae kin woke fayn. Dɛn tin ya na tin dɛn we dɛn kin yuz fɔ blo, mɛrɛsin dɛn we dɛn kin tek bay mɔt (pil, ɛn wata). We yu de gi yu mɛrɛsin fɔ asma we yu gɛt bɛlɛ, yu dɔktɔ go tink bɔt sɔm tin dɛn:

• Us mɛrɛsin dɛn gɛt di lɔng lɔng trak rɛkɔd fɔ se i nɔ bad fɔ yuz we uman gɛt bɛlɛ?
• Us mɛrɛsin wae de woke fayn fɔ kɔntrol yu asma (dipen pan aw i tranga)?
• Wetin na di mɛrɛsin dɛn we sef ɛn we go wok fayn insay ɛvri tri mɔnt we uman gɛt bɛlɛ?

Bɔku pipul dɛn kin kɔntinyu fɔ tek di mɛrɛsin dɛn we dɛn kin gi dɛn we dɛn gɛt bɛlɛ, we dɛn de bɔn pikin, ɛn we dɛn de gi dɛn bɛlɛ.

Wetin na de luk fɔ pipul dɛm wae gɛt asma wae dɛn gɛt bɛlɛ?

We yu kɔmpia pipul dɛn we nɔ gɛt asma, pipul dɛn we gɛt asma kin gɛt smɔl prɔblɛm wit bɛlɛ. Bɔt dis risk kin pasmak if dɛn nɔr de mɛn yu asma fayn fayn wan. Dis na di rizin we mek i rili impɔtant fɔ fala yu tritmɛnt plan ɔl di tɛm we yu gɛt bɛlɛ. Nɔ stɔp fɔ tek ɛni mɛrɛsin pas yu dɔktɔ tɛl yu fɔ tek am.

Aw fɔ ridyus di risk fɔ gɛt prɔblɛm dɛn we gɛt fɔ du wit asma we uman gɛt bɛlɛ?

De bɛst we fɔ ridyus yu risk na fɔ fala yu tritmɛnt plan ɛksaktɔli. Dis inklud fɔ avɔyd di tin dɛn we kin mek yu nɔ gɛt dis sik ɛn fɔ tek yu mɛrɛsin di rayt tɛm. Bɔku pipul dɛn kin stɔp fɔ tek dɛn mɛrɛsin we dɛn gɛt bɛlɛ bikɔs dɛn kin fred se dɛn go afɛkt di pikin.

Mɛmba se, if yu nɔ kɔntrol yu pikin fayn if yu gɛt asma, dat kin ambɔg yu pikin pas di bad tin dɛn we kin apin to yu pikin. Dɔn bak, yu dɔktɔ go de wach yu gud gud wan fɔ mek shɔ se yu de gɛt di tritmɛnt we sef.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, nɔ shem fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn dɔktɔ dɛn kin ɛp mi fɔ kɔntrol mi asma? (e.g., alɛjist, imyunɔlɔjis )
• Wi go gɛt fɔ chenj mi mɛrɛsin dɛn?
• Aw ɔltɛm a nid fɔ go to dɔktɔ fɔ wach aw a gɛt asma?
• Aw a go ebul fɔ wach mi asma na os?
• Us sayn dɛn a fɔ go to dɔktɔ fɔ? Ɔ go na di imejensi rum?(ETU) Yu want fɔ go?

Wetin na di "wan-tri rul" bɔt asma we uman gɛt bɛlɛ?

Risach we dεn bin dכn du bifo dis tεm dεn sho se dεn kin כndastand di chenj dεm na di asma simptom dεm we dεn bεlε insay tri we dεm:

• Wan pan ɔl tri pipul dɛm wae gɛt dis sik kin bɛtɛ.
• Wan pan ɔl tri pipul dɛm wae gɛt dis sik kin wɔs.
• Wan pat pan tri pan di sayn dɛm nɔr kin chenj.

Bɔt sɔm risach wae dɛn dɔn du dis biɛn tɛm dɔn sho se di nɔmba fɔ pipul dɛm wae dɛn sik kin wɔs kin kam nia 40% .

I sef fɔ tek Albuterol we yu gɛt bɛlɛ?

Dɛn kin tek albuterol as wan pan di mɛrɛsin dɛn we nɔ bad fɔ yuz we uman gɛt bɛlɛ. Bikɔs dɛn dɔn de yuz dis mɛrɛsin fɔ lɔng tɛm, bɔku mama dɛn we gɛt bɛlɛ we dɔn yuz am fɔ kɔntrol dɛn asma dɔn bɔn pikin dɛn we gɛt wɛlbɔdi.

Bɔt di mɛrɛsin we sef we yu kin tek na di wan we de kɔntrol yu asma fayn fayn wan ɛn protɛkt yu frɔm di prɔblɛm dɛn we kin apin we yu gɛt bɛlɛ. Yu dɔktɔ go tɛl yu di mɛrɛsin we go fayn fɔ yu sik.

A kin gɛt alɛji shot we a gɛt bɛlɛ?

Dɔktɔ dɛn nɔ kin bigin fɔ gi nyu alɛji shot we uman gɛt bɛlɛ. Bɔt if yu dɔn ɔlrɛdi gɛt dɛn, yu dɔktɔ kin kɔntinyu fɔ gi dɛn.

A kin gɛt di flu shot we a gɛt bɛlɛ?

Yes, yu fɔ rili gɛt di flu shot. di flu shot dεn kin rεkomεnd insay εni tri mεstεr we di bεlε de. I kin protɛkt yu frɔm sik – na wan big tin wae kin mek yu gɛt asma exacerbations.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Fɔ mek yu gɛt bɛlɛ fayn fayn wan, i impɔtant fɔ kia fɔ yusɛf fayn fayn wan. Dis na tru ilɛksɛf yu gɛt lɔng tɛm sik lɛk asma ɔ nɔr gɛt am. Tɔk to di pɔsin we de kia fɔ yu bifo yu bɔn bɔt aw asma kin afɛkt yu bɛlɛ ɛn wetin chenj yu go nid fɔ mek to yu mɛrɛsin ɔr yu ɛvride rutin. We yu dɔn gɛt plan, stik to am. If yu tek stɛp fɔ kɔntrol yu asma go mek yu gɛt mɔ chans fɔ gɛt pikin we gɛt wɛlbɔdi.

Nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt, ilɛksɛf i smɔl. Di wɛlbɔdi fɔ yu ɛn yu pikin na di tin we impɔtant pas ɔl!

` Asma, bɛlɛ, prɔblɛm wit brith, asma mɛrɛsin, pikin in wɛlbɔdi, bɛlɛ kɔmplikeshɔn, asma kɔntrol