Kodi inunso muli ndi vuto la mphumu? (Allergic Asthma) Tiyeni tidziwe bwino za izi!

Kodi nthawi zina mumavutika kupuma? Kodi mwadzidzidzi mumamva kupsinjika pachifuwa panu ndikuyamba kutsokomola mukakhudza fumbi pang'ono kapena ubweya wa ziweto? Iyi si mphumu yokha monga momwe mungaganizire. Ikhoza kukhala mphumu yomwe imagwirizana ndi ziwengo m'thupi lathu. Lero tikulankhula za mphumu yofala kwambiri, koma anthu ambiri sadziwa za mphumu.

Mwachidule, kodi chifuwa cha mphumu n’chiyani?

Tangoganizani kuti thupi lathu ndi linga lokhala ndi chitetezo champhamvu. Linga ili limayang'ana chilichonse chomwe chimabwera mkati mwake. Koma nthawi zina chitetezo ichi (chitetezo cha mthupi) chimalakwitsa. Chikaona chinthu chosavulaza, mwachitsanzo, fumbi, duwa, kapena ubweya wa nyama, chimaganiza kuti ndi mdani wamkulu ndipo chimayambitsa nkhondo yayikulu.

Pankhondoyi, thupi lathu limatulutsa mankhwala osiyanasiyana. Mankhwalawa amachititsa kuti njira zathu zopumira zidzipe ndi kukhala zolimba kuchokera mkati. Monga momwe munthu akakanikiza chitoliro cha madzi, zimakhala zovuta kuti madzi adutse, zimakhala zovuta kuti mpweya ulowe m'mapapu athu. Ndicho chimene timachitcha kuti allergy asthma . Mwachidule, vuto lanu la mphumu limachitika mukapuma chinthu chomwe muli ndi allergy nacho.

Ndipotu, anthu ambiri omwe ali ndi mphumu, pafupifupi 6 pa 10, ali ndi mphumu yomwe imayamba chifukwa cha ziwengo zimenezi . Choncho izi sizimangochitika kwa inu nokha, koma ndi vuto lofala kwambiri.

Kodi zizindikiro zake ndi ziti? Kodi tingazizindikire bwanji izi?

Munthu amene ali ndi vuto la mphumu akhoza kukhala ndi zizindikiro zonse za mphumu komanso zizindikiro za chifuwa. Kuti timvetse bwino izi, tiyeni tigawane zizindikirozi m'magulu awiri.

Mukakumana ndi chinthu chomwe chimakupangitsani kukhala ndi ziwengo, chimodzi mwa zizindikirozi chingawonekere nthawi imodzi.

Kodi ndi zinthu ziti zomwe zimayambitsa mphumu?

Zinthu zimenezi zimapezeka kulikonse komwe timakhala. Chofunika kwambiri kwa inu ndikudziwa chomwe chimayambitsa mphumu yanu. Kenako mutha kukhala kutali nazo momwe mungathere.

Anthu ena angakumanenso ndi vuto la mphumu chifukwa cha zakudya zina (chakudya chomwe chimayambitsa ziwengo), koma izi sizichitika kawirikawiri.

Kodi vutoli lingakhale lalikulu?

Inde. Mphumu ya ziwengo ingakhudze moyo wanu watsiku ndi tsiku ngati simukuilamulira bwino.

• Kusokonezeka kwa tulo: Kutsokomola ndi kupuma movutikira usiku kungapangitse kuti zikhale zovuta kugona bwino.
• Kusowa sukulu kapena ntchito: Pamene mphumu ikukulirakulira, simungathe kupita kusukulu kapena kuntchito.
• Kulephera kuchita masewera olimbitsa thupi: Muyenera kupewa kuchita masewera olimbitsa thupi chifukwa mumamva kupuma movutikira mukamathamanga kapena kulumpha.
• Kugonekedwa m'chipatala pafupipafupi: Pali milandu yambiri yogonekedwa m'chipatala pamene munthu akudwala mphumu.

Kodi dokotala amazindikira bwanji izi?

Dokotala wanu adzakufunsani za zizindikiro zanu ndikukuyesani. Kenako, angachite mayeso ena kuti adziwe ngati ndi mphumu kapena vuto la ziwengo.

• Spirometry: Iyi ndi mayeso omwe amayesa kupuma kwanu. Mumapemphedwa kuti mupume mpweya wozama mu chubu kenako n’kutulutsa mpweya mwamphamvu. Mayesowa amayesa momwe mapapu anu angalowere ndi kutuluka mwachangu komanso mwachangu. Nthawi zina mumagwiritsa ntchito inhaler, ndipo mayesowa amabwerezedwanso pambuyo pake kuti muwone ngati pali kusiyana kulikonse pa kupuma kwanu.

• Kuyezetsa matenda a bronchoprovocation: Mu izi, mukupemphedwa kuti mupume mankhwala apadera (methacholine) ndipo kukhudzidwa ndi kulimba kwa njira zanu zopumira kumayesedwa pogwiritsa ntchito mayeso omwewo a spirometry.

• Mayeso a Ziwengo: Mukangotsimikizira kuti muli ndi mphumu, mayesowa amachitidwa kuti adziwe ngati vuto la ziwengo ndilo limayambitsa.
• Kuyesa khungu: Madontho ochepa a zinthu zosiyanasiyana zomwe zimayambitsa ziwengo amaikidwa pa dzanja lanu kapena kumbuyo kwanu ndipo chobaya chaching'ono chimapangidwa pang'onopang'ono ndi singano yaying'ono. Ngati muli ndi ziwengo ndi chinthu chimenecho, pakangopita mphindi zochepa malowo adzakhala ofiira pang'ono komanso otupa, ngati kulumidwa ndi udzudzu.
• Kuyezetsa magazi: Kuyezetsa magazi kumatengedwa ndikuyesedwa kuti awone ngati pali mapuloteni (ma antibodies) opangidwa ndi thupi motsutsana ndi zinthu zosiyanasiyana zomwe zimayambitsa ziwengo.

Kodi tingalamulire bwanji vutoli?

Pankhaniyi, dokotala wanu adzapanga dongosolo la chithandizo lomwe limagwira ntchito pa ziwengo zanu komanso mphumu yanu. Izi zili ndi magawo awiri.

1. Kupewa zinthu zomwe zimayambitsa ziwengo

Ichi ndiye chinthu chofunika kwambiri. Mukadziwa chomwe chimayambitsa ziwengo, pewani kuwayang'ana momwe mungathere.

• Sungani nyumba yanu kukhala yoyera: Nthawi zonse yeretsani, kololani, ndi kufukiza fumbi m'nyumba mwanu bwino.
• Mapepala ogona ndi mapilo: Tsukani izi kamodzi pa sabata m'madzi otentha. Ndi bwino kugwiritsa ntchito zophimba zapadera (zophimba zosayambitsa ziwengo) kuti muteteze ku nthata za fumbi.
• Dzitetezeni ku mungu: Tsekani mawindo anu nthawi yomwe mungu wambiri. Valani chigoba ngati mutuluka panja.
• Zotsukira mpweya: Kugwiritsa ntchito chotsukira mpweya chabwino kungathandizenso kuchepetsa zinthu monga fumbi ndi mungu mumlengalenga kunyumba.
• Pangani Ndondomeko Yochitira Zinthu: Izi ndizofunikira kwambiri. Lankhulani ndi dokotala wanu ndipo lembani mankhwala omwe mudzamwe ngati mphumu yanu ikula mwadzidzidzi, zomwe mungachite ngati siichira, komanso amene mudzalankhula naye.

2. Chithandizo chamankhwala

Kutengera ndi matenda anu, dokotala wanu adzakupatsani mankhwala osiyanasiyana.

• Mankhwala opumira mpweya: Awa ndi mankhwala opumira mpweya omwe amagwiritsidwa ntchito mukadwala mphumu mwadzidzidzi. Amakulitsa njira zopumira mpweya mwachangu ndipo zimapangitsa kuti kupuma kukhale kosavuta. Uwu ndi mankhwala omwe muyenera kukhala nawo nthawi zonse.
• Mankhwala oletsa: Awa ndi mankhwala omwe muyenera kumwa tsiku lililonse. Nthawi zambiri ndi mankhwala opangidwa ndi corticosteroids omwe amapumidwa. Amagwira ntchito pochepetsa kutupa m'njira zanu zopumira komanso kupewa matenda a mphumu.
• Mankhwala osinthira a leukotriene: Awa ndi mtundu wa mankhwala omwe amapezeka mu mawonekedwe a mapiritsi. Montelukast ndi mankhwala ogwiritsidwa ntchito kwambiri amtunduwu. Amathandiza kuwongolera mphumu ndi ziwengo.
• Mankhwala oletsa kugwidwa ndi matenda a m'mimba: Mapiritsi awa amathandiza kuchepetsa zizindikiro za ziwengo (maso oyabwa, mphuno yotuluka madzi).
• Jakisoni wa ziwengo / Chithandizo cha Immunotherapy: Ichi ndi chithandizo cha nthawi yayitali. Izi zimaphatikizapo kubaya thupi lanu jakisoni wochepa kwambiri wa chinthu chomwe muli nacho. Pakapita nthawi, thupi lanu limayamba kuzolowera ndipo silichitapo kanthu kwambiri.

Kodi muyenera kupita ku dokotala liti? Kodi muyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati muli ndi zizindikiro za mphumu kapena ziwengo zomwe takambirana kale, pitani kwa dokotala kuti akupatseni upangiri. Musadzipatse mankhwala .

Matenda a chifuwa cha mphumu ndi matenda omwe munthu amakhala nawo kwa moyo wake wonse. Koma palibe chifukwa choopera. Mukadziwa bwino zomwe muli ndi chifuwa cha mphumu, kupewa kuwagwiritsa ntchito, komanso kumwa mankhwala omwe dokotala wanu wakupatsani, mutha kuwongolera vutoli bwino ndikukhala ndi moyo wathanzi komanso wachimwemwe popanda mavuto.