Mphumu ndi Ziwengo: Kodi tingamvetse bwino kugwirizana pakati pa ziwirizi?

Kodi nthawi zambiri mumatsokomola usiku? Kodi mumamva ngati chiwombankhanga mukamathamanga ndikusewera, kapena mukakwera masitepe? Kapena mumamva ngati chifuwa chanu chachepa, kapena chikumva cholemera? Izi zitha kukhala zizindikiro zodziwika bwino za mphumu. Kwa anthu ambiri, vutoli la mphumu limabwera limodzi ndi ziwengo zosiyanasiyana. Timatcha izi kuti 'Allergic Asthma'. Ndipotu, mphumu ndi ziwengo ndi matenda awiri ofanana kwambiri. Chifukwa chake lero, tikambirana chilichonse m'njira yosavuta yomwe mungamvetse.

Kodi mphumu kwenikweni ndi chiyani? Kodi chimachitika n’chiyani m’thupi ikakula?

Mwachidule, mphumu ndi matenda omwe amakhudza machubu a bronchial omwe amanyamula mpweya kupita ku mapapo athu. Tikamapuma, mpweya umalowa kudzera m'mphuno mwathu ndikuyenda kudzera m'machubu a bronchial kupita ku mapapo athu. Mwa munthu wathanzi, machubu a bronchial awa amakhala otseguka komanso omasuka. Izi zimatithandiza kupuma mosavuta.

Koma munthu amene ali ndi mphumu akakumana ndi vuto la mphumu chifukwa cha choyambitsa, kusintha kwakukulu kutatu kumachitika m'njira zimenezi. Taganizirani ngati chitoliro cha madzi.

1. Kulimbitsa minofu yozungulira njira zopumira: Minofu yaying'ono yozungulira njira zopumira izi imalimba mwadzidzidzi. Ngati kuti winawake wafinya chitoliro cha madzi. Mu zamankhwala, timatcha izi ( bronchospasm ) . Izi zimapangitsa kuti njira zopumira zichepetse.

2. Kutupa mkati mwa njira zopumira mpweya: Makoma amkati mwa njira zopumira mpweya zimenezi amayamba kutupa. Kutupa kumeneku kumapangitsa kuti njira zopumira mpweya zikhale zopapatiza.

3. Kuchuluka kwa mamina m'njira yopumira: Maselo omwe ali m'njira yopumira amayamba kupanga mamina okhuthala komanso omata kuposa masiku onse. Mamina amenewa amatsekereza njira zopumira.

Kodi zizindikiro zazikulu za mphumu ndi ziti?

Si aliyense amene ali ndi mphumu amene amakhala ndi zizindikiro zomwezo nthawi zonse. Anthu ena amakhala ndi zizindikiro nthawi zina. Ena amakhala ndi kusapeza bwino pang'ono pafupifupi tsiku lililonse. Tiyeni tiwone zizindikiro zazikulu.

Zizindikiro zazing'ono zomwe zimabwera munthu asanadwale mphumu

Nthawi zina, thupi lathu lisanatuluke matenda aakulu a mphumu, limapereka zizindikiro zochenjeza msanga. Ndikofunikira kwambiri kuzizindikira.

• Kutsokomola pafupipafupi, makamaka usiku.
• Kupuma kumakhala kovuta pang'ono, ndipo mudzakomoka msanga.
• Kumva kutopa kwambiri kuposa masiku onse, kukhosomola, kapena kupuma movutikira mukamachita masewera olimbitsa thupi.
• Kuyamba kwa zizindikiro za chimfine kapena zizindikiro zina za ziwengo (monga mphuno yotsekeka, kuyetsemula ).
• Kuvuta kugona.

Kodi ndi zinthu ziti zomwe zimayambitsa mphumu?

Njira zopumira mpweya za munthu amene ali ndi mphumu zimakhala zofewa kwambiri. Chifukwa chake, zimachitapo kanthu mwachangu pazinthu zina zomwe zili m'chilengedwe. Timazitcha "zoyambitsa". Kuti muchepetse mphumu yanu, ndikofunikira kwambiri kuzindikira zomwe zimayambitsa izi ndikuzipewa momwe mungathere.

Kodi mungadziwe bwanji ngati muli ndi mphumu?

Ngati muli ndi zizindikiro za mphumu, chinthu choyamba chomwe muyenera kuchita ndikuonana ndi dokotala woyenerera. Dokotalayo adzakufunsani kaye za zizindikiro zanu, ngati pali aliyense m'banja mwanu amene ali ndi mphumu, kenako n’kukuyang’anirani. Kenako, angachite mayeso angapo kuti atsimikizire kuti muli ndi matendawo.

• Spirometry: Iyi ndi njira yaikulu yoyesera. Mukupemphedwa kuti mupumire mu makina omwe amayesa kuchuluka kwa mpweya womwe mapapu anu angatenge komanso kuchuluka kwa mpweya womwe mungatulutse mwachangu.
• Kuyesa kwa Peak Flow Meter: Ichi ndi chipangizo chaching'ono, chogwiritsidwa ntchito m'manja chomwe chimayesa liwiro lalikulu lomwe mpweya ungatulutsidwe kuchokera m'mapapu mwa kuwuzira mwamphamvu.
• X-ray ya pachifuwa: X-ray ya pachifuwa imachitidwa kuti ione ngati pali matenda ena.
• Kuyesa kwa ziwengo: Kuyesa khungu kapena magazi kungachitike kuti mudziwe ngati muli ndi ziwengo komanso zomwe zili mkati mwake.

Ndi mankhwala ati omwe alipo kuti athetse mphumu?

Ngakhale mphumu singachiritsidwe kwathunthu, ndi chithandizo choyenera, imatha kulamulidwa bwino ndipo mutha kukhala moyo wabwinobwino popanda mavuto. Pali magawo awiri akuluakulu a chithandizo cha mphumu: mankhwala ochepetsa ululu mwachangu (Ochepetsa ululu) ndi mankhwala oletsa ululu kwa nthawi yayitali (Oletsa ululu). Izi nthawi zambiri zimaperekedwa ngati chopumira.

1. Mankhwala Othandiza Kupuma Mwachangu (Zopumira Zochepetsa Kupuma)

Timatcha izi kuti bronchodilators . Mukapuma mpweya uwu, umamasula minofu ya njira zanu zopumira, ndikutsegula njira zanu zopumira.

• Kugwiritsa Ntchito: Pezani mpumulo mwamsanga zizindikiro za mphumu (chifuwa, kupuma movutikira) zikayamba.
• Chofunika: Gwiritsani ntchito izi pokhapokha ngati pakufunika . Ngati muyenera kugwiritsa ntchito inhaler iyi pafupipafupi, zikutanthauza kuti mphumu yanu siili bwino. Ngati zili choncho, onetsetsani kuti mwaonana ndi dokotala wanu.

2. Mankhwala oletsa nthawi yayitali (Opumira Oletsa)

Mankhwala awa ndi ofunikira kwambiri pochiza mphumu. Mankhwalawa amatchedwa Anti-inflammatories (nthawi zambiri amapumidwa ndi Corticosteroids).

• Momwe imagwirira ntchito: Mankhwalawa amachepetsa kutupa ndi kupanga mamina m'njira zopumira, zomwe zimapangitsa kuti asamavutike kwambiri komanso kuti asayankhe bwino ku zinthu zomwe zimayambitsa matendawa.
• Momwe mungagwiritsire ntchito: Muyenera kugwiritsa ntchito inhaler iyi tsiku lililonse, monga momwe dokotala wanu wanenera, kangapo. Muyenera kuigwiritsa ntchito ngakhale masiku omwe simukudwala . Izi zithandiza kupewa mphumu yanu kuti isakule kwambiri.

3. Mankhwala ena

Anthu ena amapatsidwa mapiritsi (Leukotriene Modifiers - mwachitsanzo Singulair) kapena jakisoni wapadera (Immunomodulators - mwachitsanzo Xolair) kuwonjezera pa inhalers. Zonsezi zimasankhidwa ndi dokotala amene amakuyesani.