Kodi mwadzidzidzi mukumva kupuma movutikira? Kodi chifuwa chanu chimalimba? Tiyeni tiphunzire za izi (Bronchospasm)!

Kodi nthawi zina mumavutika kupuma mwadzidzidzi? Kodi mumamva ngati chifuwa chanu chikufinyidwa ndipo mukumva phokoso la kupuma mukamapuma? Aliyense amene wakumanapo ndi vuto ngati ili adzamvetsa momwe lingakhalire losasangalatsa komanso loopsa. Izi sizili za inu nokha, koma zitha kuchitika kwa anthu ambiri. Lero tikambirana za vuto lotchedwa `(Bronchospasm)`, lomwe lingakhale chifukwa chachikulu cha kupuma movutikira ngati ichi. Musadandaule, tikambirana za izi mosavuta komanso mwanjira yomwe mungamvetse.

Kodi `(Bronchospasm)` iyi ndi chiyani?

Mwachidule, bronchospasm imachitika pamene zinthu zazing'ono ngati chubu m'njira zathu zopumira zomwe zimanyamula mpweya kupita ku mapapo athu - zomwe zimadziwika kuti bronchi - zimangouma mwadzidzidzi, zomwe zimapangitsa kuti minofu yofewa yozungulira iwo ichepetse. Taganizirani ngati kufinya chitoliro cha madzi mbali zonse ziwiri, zomwe zimapangitsa kuti madzi achepetse.

Ma bronchi awa ndi machubu omwe amanyamula mpweya kuchokera ku payipi yanu kupita ku mapapo anu. Choncho machubu awa akatsekedwa, mpweya womwe umafika m'mapapo anu umachepa. Ndicho chifukwa chake mumavutika kupuma, ndipo mumamva ngati chifuwa chanu chikuchepa.

Kodi mumamva bwanji mukakhala ndi `(Bronchospasm)`?

Kwenikweni, kukhala ndi `(Bronchospasm)` kungakhale koopsa pang'ono. Chifukwa mwadzidzidzi mumamva ngati simungathe kupuma mokwanira momwe mukufunira. Kwa munthu amene sanakumanepo ndi vuto ngati ili, likhoza kukhala loopsa kwambiri koyamba.

Tangoganizirani, mukasokonezeka, mwadzidzidzi mumavutika kupuma, ngati kuti winawake akukufinya pachifuwa. Kumavutanso kupuma, ndipo mwina phokoso likuchokera pachifuwa. Ndizachibadwa kumva mantha pang'ono komanso mantha panthawiyo.

Ngati mwadzidzidzi mukumana ndi zizindikiro izi:

• Ngati mukumva chifuwa chanu chikulimba
• Ngati mukumva ngati zikuvuta kwambiri kupuma
• Ngati mupanga phokoso la kupuma pamene mukupuma
• Ngati muli ndi chifuwa chosatha

Ngati mukukumana ndi zizindikiro zoopsa izi, makamaka kupweteka pachifuwa ndi kuvutika kupuma, muyenera kupita kuchipatala chapafupi nthawi yomweyo. Izi zitha kuthetsedwa ngati mutalandira chithandizo pa nthawi yake.

Ndani amene ali ndi mwayi waukulu wopeza `(Bronchospasm)`?

Bronchospasm imatha kuchitika kwa aliyense. Komabe, anthu ena amakhala ndi vutoli nthawi zambiri.

• Kwa iwo omwe ali ndi ziwengo zosiyanasiyana
• Kwa iwo omwe ali ndi mphumu
• Kwa iwo omwe ali ndi matenda ena a m'mapapo (monga `(COPD)` - Matenda Osatha Oletsa Kutsekula M'mapapo)

Kuwonjezera pa anthu awa, ana aang'ono ndi akuluakulu opitirira zaka 65 alinso ndi mwayi waukulu wokhala ndi bronchospasm.

Izi zimachitika kawirikawiri kotero kuti bronchospasm imawonedwa ngati chizindikiro cha matenda ambiri a m'mapapo monga mphumu, emphysema, ndi COPD. Zitha kuchitikanso ndi matenda osiyanasiyana a m'mapapo.

Kodi kusiyana pakati pa `(Bronchospasm)`, `(Laryngospasm)` ndi `(Asthma)` ndi kotani?

Mayina atatuwa angaoneke ngati osokoneza pang'ono. Ngakhale kuti onse atatuwa amakhudza momwe mumapumira, ndi osiyana.

• `(Laryngospasm)` vs `(Bronchospasm)`:

Bronchospasm imakhudza bronchi (njira zopumira) m'mapapu anu. Laryngospasm imakhudza timitsempha ta mawu (gawo la pakhosi panu lomwe limanjenjemera mukamalankhula). Laryngospasm ndi pamene timitsempha ta mawu timatseka mwadzidzidzi mukamapuma, zomwe zimaletsa kuyenda kwa mpweya m'mapapu anu. Izi zitha kukhala zoopsa, mwadzidzidzi, koma nthawi zambiri zimachoka zokha mkati mwa mphindi imodzi kapena ziwiri. Sizofala kwambiri ngati bronchospasm.

• `(Bronchospasm)` vs `(Asthma)`:

Ndikofunikira kumvetsetsa izi. Bronchospasm ndi chizindikiro cha matenda monga mphumu. Izi zikutanthauza kuti, munthu amene ali ndi mphumu akhoza kukhala ndi bronchospasm. Komabe, si aliyense amene ali ndi bronchospasm amene ali ndi mphumu. Matenda onsewa amayamba chifukwa cha kutupa, kutupa, kapena kukwiya kwa njira zopumira.

Kodi zizindikiro za `(Bronchospasm)` ndi ziti?

Zizindikiro za `(Bronchospasm)` n'zoopsa pang'ono, ndipo nthawi zina zimatha kubwera mwadzidzidzi. Anthu ambiri amamva ngati sangathe kupuma mokwanira monga momwe ayenera kukhalira. Zizindikiro zina zazikulu ndi izi:

• Kulimba pachifuwa
• Kupuma movutikira
• Kupuma movutikira ( phokoso la mluzu lochokera pachifuwa popuma )
• Kutsokomola - Kungakhale chifuwa chouma kapena chifuwa chokhala ndi phlegm.
• Kutopa - Izi zitha kukhala chifukwa cha kusowa kwa mpweya.
• Chizungulire

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndikofunikira kuzisamalira.

Kodi n’chiyani chimayambitsa `(Bronchospasm)`?

Bronchospasm imatha kuchitika nthawi iliyonse pamene pali kuyabwa kapena kutupa m'njira zopumira. Monga tafotokozera, mphumu ndiyo yomwe imayambitsa bronchospasm. Komabe, pali zifukwa zina zingapo:

• Matenda a m'mapapo kapena njira zopumira: Izi zitha kukhala matenda a bakiteriya, mavairasi, kapena bowa. Mwachitsanzo, matenda monga chibayo kapena bronchitis.
• Matenda Osatha a M'mapapo Oletsa Kutsekeka (COPD): Uwu ndi matenda a m'mapapo omwe amakhudzanso mapapo kwa nthawi yayitali.
• Zinthu monga fumbi, mungu, dander ya ziweto, ndi zakudya zina .
• Kuchita masewera olimbitsa thupi:Anthu ena amatha kupeza `(Bronchospasm)` ngakhale atakhala akuchita masewera olimbitsa thupi. Timatcha `(bronchospasm yochititsidwa ndi masewera olimbitsa thupi)`. Tangoganizirani, mukamaliza kuthamanga ndi kusewera mwamphamvu, mumavutika kupuma, ndipo mumamva ngati mukufuna kutsokomola. Zingakhale choncho.
• Utsi wa mankhwala kapena zinthu zina zoyambitsa mkwiyo: Zinthu monga zonunkhira zina, utsi wochokera ku zinthu zotsukira, ndi utsi wophera tizilombo.
• Nyengo yozizira: Kupuma mpweya wozizira mwadzidzidzi kungakhudzenso anthu ena.
• Kusuta kapena kusuta fodya: Izi zimawonjezera chiopsezo cha bronchospasm chifukwa zimawononga njira zopumira.
• Mankhwala oletsa ululu: Anthu ena angakumane ndi vutoli atachitidwa opaleshoni.

Koma chinthu chimodzi choyenera kukumbukira ndi chakuti chifukwa chakuti muli ndi vuto la matenda lomwe latchulidwa pamwambapa, simungatsimikize kuti mudzakhala ndi "Bronchospasm". Koma pali chiopsezo.

Chofunika: Nthawi zambiri, mankhwala ena ochepetsa kutupa omwe amagwiritsidwa ntchito pochiza bronchospasm amatha kukulitsa vutoli. Izi zimatchedwa paradoxical bronchospasm. Ngati izi zikukuchitikirani, zomwe zikutanthauza kuti mukuvutika kupuma mutagwiritsa ntchito inhaler yanu, muyenera kusiya kugwiritsa ntchito mankhwalawa nthawi yomweyo ndikudziwitsa dokotala wanu.

Kodi mungadziwe bwanji ngati muli ndi `(Bronchospasm)`?

Dokotala wanu akhoza kudziwa ngati muli ndi bronchospasm. Iye adzakuyesani, adzakufunsani za zizindikiro zanu, ndikufunsani za mbiri ya banja lanu. Nthawi zina, mungatumizidwe kwa katswiri wa mapapo (pulmonologist).

Ndi mayeso amtundu wanji omwe amachitidwa pa izi?

Dokotala wanu angakulangizeni mayeso osiyanasiyana kuti aone momwe mapapu anu akugwirira ntchito. Zina mwa izi ndi izi:

• Kuyeza kwa pulse oximetry: Izi zimaphatikizapo kulumikiza chipangizo chaching'ono chonga clip ku chala chanu kapena khutu lanu kuti muyese kuchuluka kwa mpweya m'magazi anu. Iyi ndi njira yosavuta komanso yopanda ululu.
• Spirometry: Mu mayeso awa, mukupemphedwa kuti mupume mpweya wolowa ndi wotuluka kudzera mu chubu chaching'ono. Chipangizochi (spirometer) chimayesa momwe mumapumira ndi kutuluka mwachangu komanso kuchuluka kwa mpweya womwe mumapuma.
• Kuyeza kuchuluka kwa mpweya m'mapapo: Izi zimathandiza dokotala wanu kudziwa kuchuluka kwa mpweya womwe mapapu anu angasunge.
• Kuyesa mphamvu ya kufalikira kwa mapapo: Kuyesaku kumakufunsaninso kuti mupumire m'chubu. Kumayesa momwe mpweya umasinthirana pakati pa mapapo anu ndi magazi anu.
• Kuyesa mpweya wa m'magazi a mitsempha:Izi zimayesa kuchuluka kwa mpweya ndi carbon dioxide m'magazi anu, komanso pH ya magazi anu.
• Kupuma movutikira kwa Eucapnic mwaufulu: Kuyesaku kungachitike kuti muwone ngati muli ndi bronchospasm panthawi yochita masewera olimbitsa thupi. Mu mayesowa, mumapangidwa kuti mupume mpweya wosakaniza ndi carbon dioxide. Izi zimatsanzira momwe mumapumira panthawi yochita masewera olimbitsa thupi. Ngati zingakhudze mapapo anu, mutha kukhala ndi bronchospasm yomwe imayambitsa masewera olimbitsa thupi.

Kuwonjezera pa mayeso opumira awa, dokotala wanu angakulangizeninso mayeso ojambulira zithunzi, monga X-ray pachifuwa kapena CT scans, kuti muwone ngati muli ndi matenda kapena mavuto ena m'mapapu anu.

Kodi bronchitis imachiritsidwa bwanji?

Chithandizo chachikulu cha bronchospasm ndi mtundu wa mankhwala otchedwa bronchodilators. Mankhwalawa amagwira ntchito pokulitsa njira zopumira zopapatiza (bronchi) ndikupangitsa kuti kupuma kukhale kosavuta. Ma bronchodilators amabwera m'njira zosiyanasiyana, monga ma inhalers, nebulizer solutions, ndi mapiritsi.

Ngati vutoli ndi lalikulu, dokotala angapereke mankhwala otchedwa steroids kuti achepetse kutupa m'njira zopumira.

Mankhwala ochepetsa kutupa kwa bronchial omwe amagwira ntchito mwachidule

Izi zimagwiritsidwa ntchito ngati "zopumira zopulumutsa". Zimathandiza kupereka mpumulo mwachangu zizindikiro za `(Bronchospasm)` zikachitika. Mankhwalawa amagwira ntchito mkati mwa mphindi zochepa kuti awonjezere njira zanu zopumira, zomwe zimapangitsa kuti kupuma kukhale kosavuta. Zotsatira zake zitha kukhala mpaka maola 6. `(Bronchodilators)` omwe amagwiritsidwa ntchito kwambiri ndi `(Albuterol)` ndi `(Levalbuterol)`.

Mankhwala ochepetsa kutupa kwa bronchi omwe amagwira ntchito kwa nthawi yayitali

Mankhwalawa amagwiritsidwa ntchito kuchepetsa chiopsezo cha bronchospasms mtsogolo. Sakulangizidwa ngati "zopumira zopulumutsa" (kupatula Formoterol), chifukwa sizipereka mpumulo nthawi yomweyo. Amatenga nthawi kuti ayambe kugwira ntchito, koma amakhala kwa maola pafupifupi 12. Mankhwala ochepetsa bronchodilator omwe amagwiritsidwa ntchito kwambiri ndi Salmeterol, Formoterol, ndi Vilanterol.

Mtundu wina wa bronchodilator wochita ntchito yayitali umatchedwa anticholinergic. Izi zimapezekanso ngati zopumira za nthawi yochepa (monga ipratropium) ndi nthawi yayitali (monga tiotropium, umeclidinium, aclidinium).

Ma steroids

Mankhwala a steroid amagwira ntchito pochepetsa kutupa (kutupa) m'njira zanu zopumira. Mankhwalawa nthawi zambiri amaperekedwa ngati chopumira. Komabe, ngati bronchospasm yanu ili yoopsa, akhoza kuperekedwa ngati mapiritsi kapena kudzera mumtsempha kudzera mu IV line.

Kodi mungachite chiyani kunyumba ngati muli ndi `(Bronchospasm)`?

Ndipotu, palibe njira yeniyeni yochizira matenda a bronchospasm ikangoyamba. Muyenera kugwiritsa ntchito bronchodilator yogwira ntchito mwachidule (monga inhaler) kuti muchepetse zizindikiro zanu.

Ngati dokotala watsimikiza kale kuti mwakhala ndi `(Bronchospasm)`, muyenera kale kukhala ndi `(Bronchodilator)`. Komabe, ngati iyi ndi nthawi yanu yoyamba, ndipo mulibe `(Bronchodilator)`, ndi bwino kupita kuchipatala chapafupi nthawi yomweyo ndikupempha chithandizo.

Akatswiri ena amati kuchita masewera olimbitsa thupi popuma kungachepetse chiopsezo cha bronchospasm. Komabe, izi zikuphunziridwabe, kotero umboni wowonjezereka ukufunika. Komabe, masewera olimbitsa thupi awa sadzaletsa bronchospasm ikangoyamba. Ngati muli ndi bronchospasms pafupipafupi, lankhulani ndi dokotala wanu za momwe mungathanirane nazo.

Kodi bronchospasm ingapewedwe?

Sizotheka kupewa bronchospasm kwathunthu. Komabe, pali zinthu zina zomwe mungachite kuti muchepetse chiopsezo chanu. Mwachitsanzo:

• Imwani madzi ambiri. Adzachepetsa mamina m'chifuwa mwanu ndipo adzakuthandizani kupuma mosavuta.
• Pewani kusuta fodya ndi kusuta fodya kwathunthu.
• Dzitenthetseni musanayambe kuchita masewera olimbitsa thupi.
• Ngati muli ndi vuto la ziwengo, chepetsani kukhudzana ndi zinthu monga mungu.
• Chepetsani kuchita masewera olimbitsa thupi m'malo ozizira.
• Pezani katemera wanu pa nthawi yake, makamaka ngati muli ndi zaka zoposa 65. (monga katemera wa chibayo, katemera wa chimfine)

Kodi munthu amene ali ndi `(Bronchospasm)` ayenera kuyembekezera chiyani?

Ngati dokotala atsimikiza kuti muli ndi bronchospasm, mwina adzakupatsani bronchodilator yogwira ntchito kwakanthawi kochepa (rescue inhaler) kuti mugwiritse ntchito pakagwa ngozi. Akhozanso kukupatsani bronchodilator yogwira ntchito nthawi yayitali kuti muchepetse chiopsezo cha bronchospasms mtsogolo.

Kupweteka kwa bronchospasm nthawi zambiri kumatenga masiku 7 mpaka 14. Panthawiyi, dokotala wanu adzakupatsani mankhwala oletsa zizindikiro zanu.

Kodi bronchospasm ikhoza kupha munthu?

Ngati simunalandire chithandizo choyenera, bronchospasm yoopsa ikhoza kukhala pachiwopsezo cha moyo. Komabe, ngati mutalandira chithandizo mwachangu, zizindikiro nthawi zambiri zimatha pasanathe mphindi zochepa. Ngati muwona zizindikiro za bronchospasm, gwiritsani ntchito bronchodilator yanu nthawi yomweyo. Ngati mulibe bronchodilator, imbani 911 kapena pitani kuchipatala chapafupi.

Kodi muyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zosatha za `(Bronchospasm)`, kapena ngati zikusokoneza zochita zanu za tsiku ndi tsiku, pitani kwa dokotala.

Makamaka, ngati chilichonse mwa zotsatirazi chichitika, imbani 911 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo, kapena pitani ku chipinda chadzidzidzi chapafupi chachipatala:

• Ngati n'kovuta kwambiri kupuma.
• Ngati mutsokomola magazi ndi ntchofu.
• Ngati muli ndi ululu pachifuwa mukamapuma.
• Ngati mukumva chizungulire kapena kukomoka.

## Zinthu Zofunika Kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Bronchospasm ndi matenda ochiritsika. Komabe, zingakhale zoopsa kwambiri.

Kumbukirani, simuli nokha. Tikhoza kukuthandizani kuthana ndi vutoli.

• Ngati muli ndi vuto la kupuma monga mphumu kapena COPD lomwe limakuikani pachiwopsezo chachikulu cha bronchospasm, lankhulani ndi dokotala wanu za vutoli.
• Gwiritsani ntchito mankhwala omwe dokotala wanu wakupatsani (makamaka ma inhalers) monga momwe mwalangizidwira komanso panthawi yoyenera.
• Nthawi zonse nyamulani "chopumira chopulumutsa" ngati pachitika ngozi. Funsani dokotala wanu za njira yoyenera yogwiritsira ntchito.
• Dziwani zomwe zimayambitsa bronchospasm ndipo yesetsani kuzipewa momwe mungathere.
• Ngati mukuvutika kupuma, chifuwa chanu chikulimba, kapena phokoso la kupuma movutikira, musanyalanyaze zimenezo. Funsani dokotala nthawi yomweyo.

Samalani thanzi lanu la kupuma. Ngati muli ndi nkhawa iliyonse, musazengereze kufunsa dokotala wanu.

bronchospasm , kupuma movutikira, kulimba pachifuwa, mphumu, matenda opumira, bronchodilator, inhaler