Kodi mumangokhala ndi chifuwa chosatha? Tiyeni tikambirane za mphumu yachilendo iyi (Chifuwa Chosiyanasiyana)!

Nthawi zina timangokhalira kutsokomola, eti? Koma ngati chifuwachi chikupitirira, kapena sichikutha kwa miyezi ingapo, tiyenera kuganizira pang'ono za icho. Makamaka ngati ndi chifuwa chopanda zizindikiro zina, kulimba pachifuwa, mwina sichingakhale chifuwa chachizolowezi chomwe timaganiza kuti ndi chimenecho. Uwu ndi mtundu weniweni wa zovala zomwe tikambirane lero.

Kodi mphumu yochokera ku chifuwa ndi chiyani?

Mwachidule, iyi ndi imodzi mwa matenda a mphumu. Koma ndi yosiyana pang'ono. Mosiyana ndi mitundu ina ya mphumu, palibe kupuma movutikira, kupuma movutikira , kapena kupuma movutikira. Pali chifuwa chokha . Nthawi zambiri, ichi ndi chifuwa chouma. Koma anthu ena akhoza kukhala ndi chifuwa chokhala ndi ntchofu. Chofunika kwambiri ndichakuti mukamagwiritsa ntchito mankhwala a mphumu, makamaka opumira, chifuwachi chimachepa. Mosiyana ndi mphumu yachizolowezi, apa chifuwa ndiye chizindikiro chachikulu ndipo nthawi zina chimakhala chizindikiro chokhacho.

Kodi mphumu yochokera ku chifuwa ndi yoopsa?

Chinthu chimodzi chomwe anthu ambiri amaopa ndichakuti izi ndi zoopsa kapena ayi. Kunena zoona, vutoli (Cough-Variant Asthma) nthawi zambiri limatha kuthetsedwa bwino ndi mankhwala monga inhalers . Izi zikutanthauza kuti palibe chodetsa nkhawa nacho. Komabe, nthawi zina izi zimatha kukhala zovuta pang'ono, ndipo pambuyo pake zizindikiro zina za mphumu, monga kupuma movutikira, zimatha kubweranso. Ngakhale zili choncho, zimathanso kuthetsedwa. Komabe, popeza nthawi zina mphumu imatha kuchitika, ndikofunikira kwambiri kusamala ndi izi. Chifukwa chake, ndikofunikira kutsatira upangiri wa dokotala.

Kodi zizindikiro za mphumu yochokera ku chifuwa ndi ziti?

Monga tanenera kale, ngakhale mitundu ina ya mphumu ili ndi zizindikiro zambiri, monga kuvutika kupuma ndi kupuma movutikira , chizindikiro chokhacho cha izi (Cough-Variant Asthma) ndi chifuwa. Ichi nthawi zambiri chimakhala chifuwa chouma, chosabala zipatso. Komabe, anthu ena akhoza kukhala ndi chifuwa chokhala ndi ntchofu pang'ono. Chofunika kwambiri ndichakuti palibe zizindikiro zina za mphumu. Chifuwachi nthawi zina chimakhala choipitsitsa usiku, kapena chikhoza kukhala choipitsitsa panthawi yochita masewera olimbitsa thupi kapena kuzizira.

Nchifukwa chiyani timadwala mphumu yofanana ndi chifuwa chotere?

Chabwino, tsopano tiyeni tiwone chifukwa chake izi zimachitika. Chifukwa chachikulu cha mphumu ndi kuchepa ndi kutupa (kutupa) kwa njira zathu zopumira, machubu ang'onoang'ono omwe amanyamula mpweya kupita ku mapapo . Mu mphumu yachibadwa, kuchepa kumeneku kumapangitsa kuti kupuma kukhale kovuta. Komabe, mu (Cough-Variant Asthma) , chomwe chimachitika ndichakuti kuchepa ndi kutupa kumayambitsa kutsokomola. Tangoganizirani, malekezero a mitsempha m'njira zathu zopumira amalimbikitsidwa ndi kutupa kumeneku, zomwe zimayambitsa kutsokomola. Chifuwa ichi sichipitirira. Chimabwera ndikupita (magawo kapena ziwopsezo) . Nthawi zina chifuwa ichi chingakhale kwa maola kapena masiku. Mapapu athu amakwiya ndi china chakeChifuwachi chimawonjezeka pokhapokha ngati chachitika.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a mphumu omwe amakhudza chifuwa?

Chilichonse chomwe chingayambitse mphumu chingayambitsenso mphumu yosiyana ndi chifuwa . Izi zikutanthauza kuti, ngati muli ndi vuto la chifuwa, kapena ngati mupuma chinthu chomwe chili chovulaza mapapu anu, chifuwa chanu chingakule.

Komabe, kwa anthu omwe ali ndi mphumu omwe amangokhalira kutsokomola , pali zinthu zingapo zomwe zimayambitsa kutsokomola :

• Mphepo yozizira: Mukalowa mwadzidzidzi pamalo ozizira, mwachitsanzo, mukatuluka m'chipinda chokhala ndi mpweya wozizira (AC).
• Kusintha kwa nyengo: Mvula yosalekeza, kapena nyengo youma kwambiri, kusintha kwadzidzidzi kwa kutentha.
• Kuchita Maseŵero Olimbitsa Thupi: Mukamachita masewera olimbitsa thupi, monga kuthamanga kapena kulumpha, makamaka m'malo ozizira komanso ouma.
• Fumbi ndi utsi: Zinthu monga malo okhala ndi fumbi, utsi wa galimoto, utsi wa ndudu, ndi utsi wa chitofu cha nkhuni.
• Kupuma mafuta onunkhira kapena mankhwala enaake (monga zinthu zotsukira, utoto) kungakhudzidwenso.
• Matenda a m'mapapo: Chifuwachi chingawonjezekenso ndi zinthu monga chimfine ndi chimfine.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Sitikudziwa chifukwa chake anthu ena amadwala mphumu ndipo ena sadwala. Komabe, anthu ena ali pachiwopsezo chachikulu chotenga mtundu uliwonse wa mphumu, kuphatikizapo iyi (Cough-Variant Asthma) . Tiyeni tiwone kuti ndi ndani?

• Ngati m'modzi mwa makolo anu kapena wachibale wanu wapafupi ali ndi mphumu , pakhoza kukhala chifukwa cha majini.
• Ngati ndinu wosuta fodya (kukhala pafupi ndi anthu omwe amasuta - kusuta fodya popanda kugwiritsa ntchito mankhwala enaake - kungayambitsenso vuto).
• Ngati BMI yanu ili ndi 30 kapena kupitirira apo , zikutanthauza kuti ndinu wonenepa kwambiri.
• Ngati mudakhala m'dera lomwe mpweya uli woipa kwambiri kuyambira muli mwana .
• Ngati mumagwira ntchito yomwe nthawi zambiri imakhala ndi fumbi, mankhwala, kapena nthunzi (monga ogwira ntchito m'fakitale, ogwira ntchito yoyeretsa).
• Anthu ena ali ndi ziwengo (monga fumbi, mungu).

Kodi madokotala amazindikira bwanji vutoli molondola (Chifuwa Chosiyanasiyana)? (Kuzindikira)

Kuti mudziwe ngati muli ndi mphumu yochokera ku chifuwa, muyenera kuonana ndi dokotala. Dokotala wanu adzakufunsani za zizindikiro zanu komanso mbiri yanu ya thanzi, monga ngati pali aliyense m'banja mwanu amene ali ndi mphumu . Angakuyezeninso mayeso ena okhudza kupuma kuti aone momwe mapapu anu akugwirira ntchito.

Nthawi zina, dokotala wanu angakuuzeni kuti muyese mankhwala anu a mphumu kwa masiku angapo kuti awone ngati angathandize kuchepetsa chifuwa chanu.(Chifuwa Chosiyanasiyana). Izi zimatchedwa mayeso ochiritsira.

Ndi mayeso amtundu wanji omwe mungayembekezere? (Mayeso)

Pali mayeso angapo omwe angathandize dokotala wanu kumvetsetsa vuto lanu:

• Mayeso a Ntchito ya M'mapapo: Izi zimayang'ana momwe mapapu anu akugwirira ntchito, komanso kuchuluka kwa mpweya womwe ungalowe ndi kutuluka mukapuma ndi kutuluka. Spirometry ndiye mayeso ofala kwambiri omwe amagwiritsidwa ntchito pa izi. Mumapumira mpweya mu chubu chaching'ono. Izi zimatha kudziwa ngati pali chotseka chilichonse m'njira zanu zopumira.
• Mafunso: Dokotala wanu angakupatseni fomu yachidule yoti mudzaze. Idzakufunsani mafunso okhudza kuchuluka kwa nthawi yomwe mumatsokomola, chomwe chimachititsa kuti chifuwa chanu chikhale choipitsitsa, chomwe chimachititsa kuti chikhale choipitsitsa, komanso kuchuluka kwa momwe chifuwa chanu chimasokonezera zochita zanu za tsiku ndi tsiku. Izi zithandiza dokotala wanu kupeza chithunzi chonse cha vuto lanu.
• X-ray ya pachifuwa: Izi zimatenga chithunzi cha mapapo kuti ziwone zomwe zimayambitsa chifuwa, monga matenda a m'mapapo, chibayo, kapena chifuwa chachikulu.
• Mayeso a Bronchoprovocation: Mu mayesowa, mumapatsidwa mankhwala ochepa (monga methacholine) kuti mupume. Mankhwalawa angapangitse kuti njira zanu zopumira zichepe pang'ono. Izi zimayesa momwe njira zanu zopumira zilili zovuta (zogwira ntchito) . Anthu omwe ali ndi mphumu ali ndi njira zopumira zosavuta kuposa anthu omwe alibe mphumu.
• Mayeso a chithandizo: Monga tanenera kale, dokotala wanu angakupatseni mankhwala oletsa kutupa otchedwa corticosteroids kapena mapiritsi monga Leukotriene Receptor Antagonists kwa milungu iwiri kapena inayi kuti aone ngati zizindikiro zanu zikuyenda bwino.

Kodi mphumu yochokera ku chifuwa imachiritsidwa bwanji? (Chithandizo)

Mphumu Yosiyanasiyana ya Chifuwa imachiritsidwa mofanana ndi mitundu ina ya mphumu. Pali mitundu ingapo yayikulu ya mankhwala omwe amagwiritsidwa ntchito:

• Ma bronchodilator ochepetsa ululu: Awa ndi ma inhalers opulumutsa omwe amagwiritsidwa ntchito pazidzidzidzi . Amatsegula njira zopumira mwachangu ndipo amapereka mpumulo pakagwa chifuwa chadzidzidzi. Zitsanzo zikuphatikizapo ma beta-agonists (SABAs) (monga Salbutamol) ndi ma muscarinic antagonists (SAMAs) omwe amagwira ntchito pang'ono .
• Mankhwala Opumira a Corticosteroids (ICS): Awa ndi mankhwala opumira osamalira.Amaperekedwa tsiku lililonse ngati piritsi. Mankhwalawa amachepetsa kutupa ndi ntchofu m'njira zopumira. Izi zimathandiza kuchepetsa kutsokomola. Izi ziyenera kumwedwa tsiku lililonse kwa nthawi yoikika, malinga ndi mlingo womwe dokotala wapereka.
• Mankhwala Oletsa Kutupa kwa Leukotriene: Mwachitsanzo, piritsi lotchedwa Montelukast . Ili ndi piritsi lomwe limatengedwa tsiku lililonse. Izi zimathandizanso kupewa zizindikiro za mphumu, makamaka mphumu yomwe imayamba chifukwa cha kuchita masewera olimbitsa thupi.
• Mankhwala ochepetsa ululu omwe amagwira ntchito kwa nthawi yayitali (LABA): Mankhwalawa amabweranso ngati mankhwala opumira, koma amaperekedwa pamodzi ndi ICS (monga Salmeterol/Fluticasone, Formoterol/Budesonide). Mankhwalawa ayeneranso kugwiritsidwa ntchito tsiku lililonse.

Chofunika Kwambiri: Sikoyenera kugwiritsa ntchito mankhwala ochepetsa kutupa (ma bronchodilator) amenewa okha omwe amagwira ntchito nthawi yayitali pochiza mphumu popanda ICS. Kugwiritsa ntchito mankhwalawa kokha kungapangitse kuti pakhale mavuto aakulu a mphumu (ngakhale imfa). Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola.

Kodi ndidzakhala ndi mpumulo kwa nthawi yayitali bwanji nditayamba kulandira chithandizo?

Mukayamba kugwiritsa ntchito mankhwala osamalira, monga ICS inhaler, zingatenge milungu ingapo kuti chifuwa chanu chichepe ndipo mumve mpumulo . Choncho musachite mantha. Ndikofunikira kugwiritsa ntchito mankhwala anu moyenera. Komabe, ma inhaler opulumutsa amagwira ntchito mwachangu. Nthawi zambiri amapereka mpumulo mkati mwa mphindi 15-20 .

Ngati ndili ndi vutoli (Chifuwa Chosiyanasiyana), kodi ndingayembekezere chiyani?

Ngati muli ndi mphumu yochokera ku chifuwa , mutha kuwongolera zizindikiro zanu popewa zomwe zimayambitsa chifuwacho ndikugwiritsa ntchito mankhwala osamalira omwe dokotala wanu wakupatsani .

Komabe, pafupifupi 40 peresenti (40%) ya anthu omwe ali ndi chifuwa cha mphumu amatha kukhala ndi zizindikiro zina za mphumu (monga kupuma movutikira, kulimba pachifuwa, komanso kupuma movutikira) . Chifukwa chake, ndikofunikira kwambiri kukhala nthawi zonse ndi dokotala wanu ndikupita kukayezetsa nthawi zonse.

Kodi vutoli (Chifuwa Chosiyanasiyana) lingapewedwe?

Popeza sitikudziwa chifukwa chake anthu ena amadwala mphumu ndipo ena sadwala, palibe njira yopewera matendawa kwathunthu .

Komabe, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezochi:

• Musasute fodya. Ndipo pewani kukhala pafupi ndi anthu omwe amasuta fodya.
• Ngati nthawi zonse mumagwira ntchito ndi fumbi kapena mankhwala, valani chigoba kapena zida zina zodzitetezera.
• Khalani ndi kulemera koyenera . Kunenepa kwambiri kumawonjezera chiopsezo cha mphumu.
• Yesetsani kuwongolera zinthu zomwe zimayambitsa ziwengo monga fumbi la m'nyumba .

Kodi ndiyenera kudzisamalira bwanji? (Kudzisamalira)

Mukakhala ndi vutoli, pali zinthu zomwe mungachite kuti muchepetse zizindikiro zanu ndikuchepetsa chiopsezo chanu chokhala ndi chifuwa chachikulu:

• Dziwani zomwe zimayambitsa matendawa ndipo pewani kuwayambitsa momwe mungathere.
• Gwirani ntchito ndi dokotala wanu kuti mupange dongosolo la zochita pa matenda a mphumu. Liyenera kukhala ndi malangizo a momwe mungachiritsire magawo osiyanasiyana a zizindikiro zanu komanso nthawi yoti muwone dokotala wanu. Sungani izi ndi inu.
• Pitani kwa dokotala wanu nthawi zonse ndipo mumudziwitse za matenda anu. Uzani dokotala wanu ngati mukuyamba zizindikiro zatsopano kapena ngati mankhwala omwe mukumwa sakugwira ntchito bwino monga kale.
• Phunzirani momwe mungagwiritsire ntchito inhaler yanu moyenera. Gwiritsani ntchito chopachikira ngati pakufunika kutero.

Kodi ndiyenera kupita kwa dokotala liti?

• Ngati muli ndi chifuwa chomwe chakhalapo kwa milungu yoposa 8 ndipo simukupeza chifukwa chake , onetsetsani kuti mwawonana ndi dokotala.
• Ngati mwapezeka kale ndi mphumu yochokera ku chifuwa , uzani dokotala wanu ngati mwayamba kukumana ndi zizindikiro zatsopano za mphumu, monga kupuma movutikira komanso kupuma movutikira .
• Ngati chifuwa chanu sichikulamuliridwa ngakhale mutagwiritsa ntchito inhaler yanu yosamalira kapena muyenera kugwiritsa ntchito inhaler yanu yopulumutsa pafupipafupi , onani dokotala wanu.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Nthawi zina vutoli likhoza kukhala lalikulu kwambiri. Zikatero, muyenera kupita kuchipatala nthawi yomweyo. Zizindikiro za matenda oopsa otere ndi monga:

• Kuvuta kwambiri kupuma, mpaka kufika poti sangathe kulankhula.
• Kuthamanga kwambiri kwa mtima (Tachycardia).
• Mtundu wabuluu wa khungu, milomo, kapena misomali (cyanosis). Izi zimasonyeza kusowa kwa mpweya.
• Kusokonezeka kapena kusintha kwa maganizo.
• Ngati palibe mpumulo mutagwiritsa ntchito chopumira chopulumutsa.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, zingakhale zothandiza kwambiri kufunsa mafunso awa:

• Kodi mungandiwonetse pang'onopang'ono momwe mungagwiritsire ntchito inhaler moyenera? (Izi ndizofunikira kwambiri!)
• Ndi zizindikiro ziti zatsopano zomwe ndiyenera kuyang'anitsitsa? Kapena ndiyenera kusamala chiyani ngati zizindikiro zanga zikuipiraipira?
• Kodi ndiyenera kumwa mankhwala anga bwanji? Zinthu monga nthawi, mlingo, ndi zina zotero.
• Kodi ndiyenera kuchita chiyani ngati mwadzidzidzi ndayamba kutsokomola?
• Kodi mungandithandize kupanga dongosolo la zochita za mphumu?
• Kodi ndi bwino kugwiritsa ntchito choyezera kuchuluka kwa mpweya m'mapapo mwanga kuti muyeze momwe mapapo anga amagwirira ntchito?

Kodi chifuwa cha mphumu chimachitika chifukwa cha asidi m'mimba?

Anthu ena amaganiza kuti chifuwachi chimayambitsidwa ndi acid reflux , yomwe ndi matenda monga gastritis. Zoona, acid reflux ingayambitsenso chifuwa chosatha. Komabe, sizikutsimikiziridwa kuti acid reflux imayambitsa mphumu yosiyana ndi chifuwa . Komabe, anthu ena akhoza kukhala ndi matenda onse awiri pamodzi. Pazochitika zotere, kuchiza acid reflux kungachepetse chifuwa pang'ono. Komabe, chithandizo chachikulu cha mphumu yosiyana ndi chifuwa ndi mankhwala a mphumu.

Pomaliza, zinthu zoti muzikumbukira

Chifuwa chosatha ndi vuto lalikulu. Zingakhale zovuta kupeza chomwe chikuyambitsa. Koma pankhaniyi (Cough-Variant Asthma) , zizindikiro zanu zimatha kusintha ndi mankhwala a mphumu. Mwa kupewa zinthu zomwe zimakupangitsani kutsokomola kwambiri, kugwira ntchito ndi dokotala wanu kuti akupezereni mankhwala oyenera, ndikugwiritsa ntchito bwino, mutha kuchepetsa chifuwa chanu. Kumbukirani, simuli nokha, ndipo sikuchedwa kufunafuna upangiri wa dokotala. Tikukhulupirira kuti izi zikuthandizani kukonza moyo wanu.

Chifuwa , Mphumu, Mphumu Yosiyanasiyana ya Chifuwa, Matenda Opumira, Zopumira, Chithandizo, Zizindikiro