Kodi mwana wanu akuvutika kupuma? Tiyeni tikambirane za matenda a Reactive Airway Disease (RAD)!

Kodi pali aliyense m'nyumba mwanu, mwina mwana wanu wamng'ono, kapena inuyo, mwadzidzidzi muli ndi chifuwa chosatha chomwe chimakupangitsani kuti muvutike kupuma, mumamva ngati chifuwa chanu chikuchepa, ndipo nthawi zambiri chimakhala chifukwa cha kupuma movutikira? Nthawi zina dokotala anganene kuti, "Izi zitha kukhala 'Reactive Airway Disease' kapena 'RAD'" akaona zizindikirozi. Chifukwa chake mwina mukuganiza kuti, "O, matenda atsopanowa ndi otani?" Musadandaule, lero tikambirana za 'RAD', momwe imakulira, zizindikiro zake, ndi mankhwala ake, m'njira yosavuta yomwe mungamvetse.

Kodi matenda a Reactive Airway Disease (RAD) ndi chiyani kwenikweni?

Mwachidule, `Reactive Airway Disease (RAD)` si matenda omwe atsimikiziridwa kuti ndi matenda, komanso sapatsidwa dzina lenileni. Ndi dzina lakanthawi kochepa. Madokotala amagwiritsa ntchito mawuwa pamene inu kapena mwana wanu muli ndi mavuto opuma ngati a mphumu, koma chifukwa chenicheni sichingapezeke.

Taganizirani izi, mapapo athu ali ndi kapangidwe kakang'ono konga machubu komwe kamalowetsa ndi kutuluka mpweya (timati machubu a bronchial), ndipo machubu amenewo akatupa ndi kupapatiza, zimakhala zovuta kupuma. Izi ndi zomwe zimachitika mu RAD.

Ndikofunikira kudziwa kuti `Reactive Airway Disease (RAD)` ndi `Reactive Airways Dysfunction Syndrome (RADS)` ndi matenda awiri osiyana. Ngakhale mayinawo ali ofanana pang'ono, matenda awiriwa sayenera kusokonezedwa. `RADS` ndi matenda omwe nthawi zambiri amachitika munthu akakumana ndi mpweya woopsa mwadzidzidzi.

Kotero, dokotala akanena kuti `RAD`, zikutanthauza kuti, "Inde, pali vuto ndi dongosolo lanu la kupuma, ndipo tifunika kuchita mayeso ambiri kuti tidziwe bwino lomwe." Nthawi zina mumamva madokotala akugwiritsa ntchito mawu akuti `RAD` ndi `Asthma` mosinthana, koma satanthauza chinthu chimodzi. `RAD` ndi dzina lakanthawi chabe lomwe limagwiritsidwa ntchito mpaka matenda atapezeka.

Kodi zizindikiro za RAD ndi ziti? Mukumva bwanji?

Munthu amene ali ndi RAD angakumane ndi zizindikiro monga:

• Chifuwa chosalekeza: Chifuwachi chingakhalenso ndi phlegm.
• Kupuma movutikira kapena kuvutika kupuma (dyspnea): Kumva ngati sungathe kupuma bwino komanso umafunika kugwira ntchito mwakhama kuti upume.
• Kupuma movutikira: Phokoso la "kupuma movutikira" kapena "kupuma movutikira" lochokera pachifuwa popuma.
• Kulimba pachifuwa: Kumva kulemera, ngati kuti wina akukukanikiza pachifuwa.

Zizindikiro zimenezi zingakupangitseni kumva kusasangalala kwambiri. Zizindikiro zazikulu ndi kulimba kwa chifuwa komanso kuvutika kupuma.

Kodi ndi zinthu ziti zomwe zimayambitsa RAD?

Pali zifukwa zingapo zomwe madokotala angavutikire kupuma, zomwe zimatchedwa 'RAD' kwakanthawi. Zina mwa zifukwazi ndi izi:

• Matenda a ziwengo:Kukhala ndi vuto la ziwengo ku zinthu monga fumbi, mungu, zakudya zina, ndi ubweya wa nyama. Tangoganizani, ana ena amayamba kuyabwa mwadzidzidzi akamamva fungo la fumbi kapena akayandikira mphaka, sichoncho? Umu ndi momwe zilili.
• Matenda a bakiteriya kapena mavairasi: Matenda monga chimfine, chimfine, ndi chibayo angayambitse kutupa kwa njira zopumira.
• Utsi wa mankhwala, zonunkhira, kapena utsi: Zinthu monga zonunkhira zamphamvu, utsi wophera tizilombo, ndi nthunzi zochokera ku zakumwa zotsukira.
• Utsi: Utsi wamtundu uliwonse, monga utsi wa ndudu, utsi wa chitofu cha nkhuni, ndi utsi wa galimoto.
• Kuchita Maseŵera Olimbitsa Thupi: Anthu ena amatha kupuma movutikira akamachita masewera olimbitsa thupi.
• Kusintha kwa nyengo: Kukumana mwadzidzidzi ndi mphepo yozizira, kutentha kwambiri, kukhala pamalo ozizira, kusintha kwadzidzidzi kwa nyengo.

Izi ndi zinthu zomwe zimayambitsa zizindikiro za RAD.

Kodi RAD imatenga nthawi yayitali bwanji? Kodi idzachira kwathunthu?

Izi n'zovuta kunena motsimikiza. Chifukwa chake ndi chakuti 'RAD' ndi dzina lakanthawi kochepa, ndipo nthawi yochira imadalira matenda omwe amayambitsa. Dokotala akangopeza chomwe chimayambitsa zizindikiro zanu ndikukupatsani mankhwala oyenera, adzakuuzani nthawi yomwe zingatenge kuti mumve bwino.

Ndani amene akukhudzidwa kwambiri ndi vuto la RAD limeneli?

Ndipotu, dokotala amatha kuyitana aliyense amene akuvutika kupuma, koma chifukwa chake sichikudziwika bwino. Komabe, mawuwa nthawi zambiri amagwiritsidwa ntchito kwa makanda ndi ana aang'ono omwe ali aang'ono kwambiri kuti ayesedwe ntchito ya mapapo. Izi zili choncho chifukwa mwanayo amafunika kumvetsetsa ndi kuthandizidwa kuti achite mayesowa. Chifukwa zimakhala zovuta kwa makanda aang'ono kuchita izi, madokotala amatcha kwakanthawi kuti 'RAD' kutengera zizindikiro.

Kodi matenda a RAD amapezedwa bwanji?

Ngati inu kapena mwana wanu mukuvutika kupuma, kapena ngati muli ndi chifuwa chosatha, onetsetsani kuti mwaonana ndi dokotala. Dokotalayo adzakufunsani za zizindikiro zanu ndi mbiri yanu yachipatala, monga ngati pali wina m'banja mwanu amene wakhala ndi matenda a mphumu.

Kenako, dokotala adzakuyesani. Makamaka, adzamvetsera mapapu anu pogwiritsa ntchito stethoscope (auscultation). Izi zithandiza dokotala kudziwa bwino mawu omwe amamveka m'mapapo komanso ngati pali choletsa chilichonse pamene mpweya ukudutsa. Pambuyo poyezetsa koyamba, dokotalayo adzakulangizani kuti muyesedwe mayeso ena angapo kuti atsimikizire matendawa.

Kodi mayeso a izi ndi otani?

Kuti adziwe chifukwa chenicheni cha kupuma movutikira, dokotala angachite mayeso angapo, monga:

• Spirometry: Iyi ndi njira yodziwika bwino yoyezera momwe mapapo amagwirira ntchito. Imayesa kuchuluka kwa mpweya womwe mungapume ndi kutuluka mwachangu. Ingakuthandizeni kudziwa ngati pali vuto lililonse panjira zanu zopumira.
• Mayeso ojambula zithunzi:Izi ndi mayeso opanda ululu. Zimathandiza kuwona mkati mwa mapapo anu, mtima, ndi mafupa.
• X-ray ya pachifuwa: Kufufuza matenda a m'mapapo ndi mavuto ena.
• Echocardiogram (echo): Imafufuza momwe mtima umagwirira ntchito. Kupuma movutikira kungayambitsidwenso ndi matenda a mtima.
• Kujambula kwa CT (CT scan - Computed Tomography scan): Pezani zithunzi zomveka bwino komanso zatsatanetsatane za mapapo ndi chifuwa.
• Kuyezetsa magazi: Magazi ochepa amatengedwa kuchokera mu singano yaying'ono ndikuyesedwa kuti awone ngati pali matenda aliwonse, ziwengo, kapena zizindikiro za kutupa mkati mwa thupi.
• Kuyesa kobaya pakhungu: Kuyesaku kumachitika kuti mudziwe ngati muli ndi vuto la ziwengo. Zinthu zochepa zomwe zimayambitsa ziwengo zimayikidwa pamalo ang'onoang'ono pakhungu ndipo khungu limayesedwa kuti liwone ngati pali vuto.
• ECG (ECG kapena EKG - Electrocardiogram): Izi zimayesa momwe magetsi amagwirira ntchito pamtima panu. Izi zingathandize kuchotsa matenda a mtima omwe amayambitsa kupuma kwanu movutikira.
• Kuyeza kuchuluka kwa mpweya m'magazi: Ichi ndi chipangizo chaching'ono chofanana ndi clip chomwe mumayika pa chala chanu. Chimayesa kuchuluka kwa mpweya m'magazi anu.
• Kuyesa masewera olimbitsa thupi: Izi zimayang'ana ngati mpweya m'magazi mwanu umachepa mukamachita masewera olimbitsa thupi.

Mayeso onsewa amachitika kuti apeze chifukwa chenicheni cha zizindikiro zanu.

Kodi RAD imachiritsidwa bwanji?

Popeza `RAD` ndi chizindikiro chakanthawi, imachiritsidwa kutengera matenda omwe alipo. Izi zikutanthauza kuti dokotala ayenera choyamba kudziwa ngati vuto lanu lopuma limayamba chifukwa cha mphumu, matenda, kapena matenda ena.

Komabe, pakagwa ngozi, kutanthauza kuti ngati kupuma kumakhala kovuta kwambiri, madokotala angagwiritse ntchito njira monga izi:

• Mankhwala ochepetsa mpweya m'mapapo: Mankhwalawa ndi omwe timawatcha kuti ma inhalers. Mankhwalawa amagwira ntchito pokulitsa njira zopumira zomwe zimakhala zochepa, zomwe zimapangitsa kuti kupuma kukhale kosavuta. Amagwiritsidwa ntchito kwambiri pa matenda monga mphumu ndi COPD (Chronic Obstructive Pulmonary Disease).
• Chithandizo cha okosijeni: Izi zimathandiza kupatsa thupi mpweya wofunikira pamene kupuma kuli kovuta.
• Jakisoni wa Epinephrine: Imeneyi imaperekedwa ngati pali vuto lalikulu la ziwengo (anaphylaxis) kapena ngati munthu wadwala mphumu kwambiri.
• Corticosteroids: Mankhwalawa amachepetsa kutupa m'mapapo. Amagwiritsidwa ntchito pochiza mphumu, matenda opatsirana m'mapapo (COPD), komanso ziwengo zoopsa.

Kodi Albuterol imathandiza ndi RAD?

Albuterol ndi mtundu wa bronchodilator. Ndi mankhwala omwe amakulitsa njira zopumira. Amagwiritsidwa ntchito pochiza mphumu, COPD, komanso bronchospasm yomwe imachitika chifukwa cha kuchita masewera olimbitsa thupi. Komabe, ngati chomwe chimayambitsa RAD ndi china chake, ichi chokha sichingachiritse. Ndikofunikira kupeza chomwe chimayambitsa ndikuchichiza.

Kodi RAD ingapewedwe?

Mungachite izi kuti muchepetse chiopsezo chanu chokhala ndi zizindikiro za RAD:

• Pewani zinthu zomwe zingayambitse ziwengo ndi zinthu zina zomwe zimadziwika kuti ndi zoopsa kwa inu. Mwachitsanzo, ngati muli ndi ziwengo ndi fumbi, khalani m'malo opanda fumbi lochuluka ndipo sungani nyumba yanu kukhala yoyera bwino.
• Gwiritsani ntchito mankhwala omwe amaletsa kutupa kwa njira yopumira (ngati dokotala wakupatsani) moyenera.
• Ngati mumasuta, siyani kwathunthu ndipo pewani kuthera nthawi m'malo omwe ena amasuta.
• Ngati mukugwiritsa ntchito mankhwala, valani chigoba kapena zida zina zodzitetezera kupuma.

Ngati muli ndi RAD, muyenera kuyembekezera chiyani? Kodi chidzachitike n'chiyani mtsogolomu?

Ngati dokotala akukuuzani kuti muli ndi `RAD`, zikutanthauza kuti mukuvutika kupuma, koma chifukwa chenicheni sichinadziwikebe . Musadandaule. Dokotalayo adzakuyang'anirani, adzakuyesani mayeso ofunikira, ndikuyesera kupeza chomwe chikuyambitsa. Pamenepo pokhapokha chithandizo choyenera chikayamba.

Nthawi zina, dokotala wa banja lanu angakutumizireni kwa katswiri wa mapapo (pulmonologist) .

Kuchira kwanu ndi kasamalidwe ka matenda kumadalira kupeza matenda molondola. Matenda ena amatha kuchiritsidwa kwathunthu. Ena (monga COPD) amatha kukhala osatha komanso opitirira muyeso.

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

Ngati muli ndi zizindikiro za `RAD` (chifuwa, kupuma movutikira, kulimba pachifuwa), kapena ngati zizindikiro zanu sizikusintha ngakhale mutalandira chithandizo, onetsetsani kuti mwaonana ndi dokotala.

Komabe, ngati zili choncho, pitani ku Emergency Treatment Unit (ETU) yapafupi nthawi yomweyo, kapena imbani 1990:

• Ngati mukuvutika kupuma (ngakhale mutaiyang'ana, mutha kuwona kuti kupuma n'kovuta kwambiri).
• Ngati palibe mpumulo ngakhale mutagwiritsa ntchito mankhwala oletsa kupuma (monga inhaler).
• Ngati mpweya m'magazi ukuwoneka wotsika (monga milomo ndi zikhadabo zikusintha kukhala zabuluu).
• Ngati mukuwonetsa zizindikiro za vuto lalikulu la ziwengo (anaphylaxis), izi zikutanthauza:
• Kuvuta kwambiri kupuma.
• Kutsika mwadzidzidzi kwa kuthamanga kwa magazi.
• Kutupa kwa milomo.
• Kufooka mwadzidzidzi.
• Kutaya chidziwitso (syncope) kapena kukomoka.
• Kusokonezeka (kusamvetsetsa zomwe mukuchita kapena komwe muli).

Nthawi ngati izi, musazengereze konse. Funsani upangiri wa dokotala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukapita kukaonana ndi dokotala, mutha kufunsa mafunso ngati awa kuti mumvetse bwino za matenda anu.

• Kodi chifukwa cha vuto langa la 'Reactive Airway Disease' ndi chiyani?
• Kodi pali mankhwala athunthu a vutoli?
• Kodi ndingachite chiyani kuti ndipume mosavuta?
• Ndi mankhwala ati omwe mumalimbikitsa?
• Kodi mankhwalawa ayenera kugwiritsidwa ntchito bwanji kwenikweni? (monga, ngati ndi inhaler, momwe angagwiritsire ntchito bwino).
• Kodi ndiyenera kupita kwa dokotala wa pulmonologist?

Kodi kusiyana pakati pa RAD, mphumu, ndi COPD ndi kotani?

Mayina awa ndi osokoneza pang'ono. Tiyeni tidzikumbutsenso kachiwiri:

• Matenda Oyambitsa Mpweya (RAD): Ili ndi dzina lakanthawi. Limatanthauza kuti pali vuto ndi njira yopumira, koma chomwe chimayambitsa sichikudziwikabe.
• Mphumu: Iyi ndi matenda enaake. Ndi matenda a nthawi yayitali. Amayambitsa kutupa ndi kuchepa kwa njira zopumira. Nthawi zina, pangakhale mamina ambiri.
• COPD (Matenda Osatha Oletsa Kupuma): Ili ndi dzina la gulu linalake la matenda. Lili ndi matenda angapo omwe amakhudza mapapo kwa nthawi yayitali, omwe amawapangitsa kuti azivutika kupuma, komanso pang'onopang'ono amakula pakapita nthawi (monga matenda a bronchitis, emphysema).

Choncho, dokotala angayambe kutchula zizindikiro za `COPD` kuti `RAD`, mpaka atapeza matenda oyenera.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Tsopano mutha kumvetsetsa kuti `Reactive Airway Disease (RAD)` si matenda enieni. Komabe, si kulakwa kuti dokotala agwiritse ntchito mawu awa. Amangotanthauza kuti chomwe chimayambitsa vuto lanu lopuma sichikudziwikabe, ndipo matenda enieni sangaperekedwe mpaka mayeso ofunikira atachitidwa bwino .

Ngati inu kapena mwana wanu muli ndi zizindikiro izi, musachite mantha ndi kupita kwa dokotala. Iye adzakupatsani malangizo omwe mukufuna. Ngati dokotala wa banja lanu sangathe kuzindikira vutoli, pemphani kuti akutumizireni kwa katswiri wa mapapo (Pulmonologist).

Chofunika kwambiri ndikupeza matenda oyenera ndikuyamba chithandizo choyenera. Kenako mutha kuchira mwachangu.

Matenda a Mpweya Woyambitsa Matenda, RAD, kupuma movutikira, matenda opuma, mphumu, mapapo, thanzi la ana, chifuwa, kupuma movutikira