Kodi mphumu yanu ikukulirakulira ndipo ikupangitsa kuti zikhale zovuta kupuma? Kodi iyi ndi status asthmaticus?

Kodi muli ndi mphumu? Kapena wina m'banja mwanu kapena mnzanu ali ndi mphumu? Ndiye muyenera kuti munamvapo za nthawi zomwe mphumu yanu imakula kwambiri ndipo mumavutika kupuma. Koma nthawi zina mphumu iyi imatha kukhala yoopsa kwambiri kuposa momwe mukuganizira. Mphumu iyi, yomwe ndi yoopsa kwambiri kotero kuti singathe kuthetsedwa ndi mankhwala wamba, ndi yomwe timayitcha Status Asthmaticus kapena Acute Severe Asthma .

Kodi Status Asthmaticus ndi chiyani kwenikweni?

Mwachidule, Status Asthmaticus ndiye gawo loopsa kwambiri la mphumu. Apa ndi pamene kupuma kwanu kumakhala kovuta kwambiri, ngakhale mutagwiritsa ntchito mankhwala anu achizolowezi a mphumu, monga inhaler. Tangoganizirani, simungathe kulankhula kapena kudya, ndipo simungathe kugona bwino. Vutoli likhoza kuipiraipira pakatha masiku angapo, kapena likhoza kuipiraipira mwadzidzidzi mkati mwa maola ochepa. Koma chinthu chabwino kwambiri ndichakuti mutha kupewa vutoli lalikulu mwa kusamala momwe mumapumira, kupewa zomwe zimayambitsa, ndikutsatira dongosolo la mphumu lomwe inu ndi dokotala mwapanga.

Chofunika: Mtundu uwu wa mphumu yoopsa ndi ngozi yaikulu yomwe ingawononge moyo wanu. Ngati mukuvutika kupuma ndipo chopumira chanu sichikukuthandizani, muyenera kuyimbira 911 nthawi yomweyo kapena kupita ku dipatimenti yapafupi yothandiza anthu ovulala mwadzidzidzi.

Kodi kusiyana pakati pa mphumu yachibadwa ndi iyi yotchedwa status asthmaticus ndi kotani?

Tsopano mwina mukuganiza kuti, 'Ndiye kodi mphumu yachibadwa ndi chiyani ndipo imatchedwa Status Asthmaticus?' Inde, ndi yoona. Mphumu, monga momwe tikudziwira, ndi matenda osatha a m'mapapo . Mwa munthu amene ali ndi mphumu, zinthu zomwe zimayambitsa ziwengo monga utsi, fumbi, mungu, kapena kuchita masewera olimbitsa thupi kwambiri zingayambitse mpweya kutupa ndikudzaza ndi ntchofu. Izi ndi zomwe zimachitika mukakhala ndi mphumu. Nthawi zambiri, mphumu iyi imatha kuthetsedwa ndi mankhwala.

Komabe, Status Asthmaticus ndi matenda osiyana kwambiri komanso ovuta kwambiri. Izi zimachitika mukadwala mphumu yomwe singathe kulamulidwa ndi mankhwala anu achizolowezi a mphumu kunyumba. Izi zikutanthauza kuti vutoli limakula kwambiri, osati bwino.

Kodi zizindikiro za Status Asthmaticus kapena mphumu yoopsa ndi ziti?

Zizindikiro za matenda oopsa a mphumu zimatha kukula pang'onopang'ono kwa maola angapo kapena masiku angapo. Onani ngati zizindikirozi zikumveka zachilendo kwa inu:

• Kuvuta kwambiri kupuma: Kuvuta kupuma bwino. Nthawi zina zimakhala zovuta kwambiri moti simungathe kulankhula kapena kudya.
• Kupuma movutikira: Phokoso la mluzu limamveka pachifuwa popuma ndi kutuluka.
• Chifuwa: Chifuwa chosalekeza komanso chosatha chingachitike.
• Kugunda kwa mtima mwachangu: Kugunda kwa mtima kumawonjezeka kwambiri.
• Chizungulire.
• Kusokonezeka: Mungamve ngati mukutaya chikumbumtima ndipo simukumvetsa bwino zomwe zikuchitika.
• Zala, milomo kapena khungu lofiirira: Ichi ndi chizindikiro choopsa kwambiri. Zimatanthauza kuti thupi silikupeza mpweya wokwanira.

Kodi nchifukwa chiyani Status Asthmaticus imayamba? Kodi zimayambitsa chiyani?

Mukakhala ndi mphumu, njira zanu zopumira, kapena njira zopumira, zimakhala zochepa. Madokotala amatcha izi bronchospasm . Komanso, njira zimenezi zimatupa. Izi zimatchedwa kutupa . Kuphatikiza apo, mamina ambiri amapangidwa.

Tsopano, akatswiri amakhulupirira kuti chifukwa chachikulu cha matenda oopsa a mphumu si matenda a bronchospasm koma kutupa kwa njira zopumira mpweya komanso kupanga mamina ambiri. Makamaka, ndi pamene njira zopumira mpweya zimatupa ndikutsekedwa ndi mamina komwe kupuma kumakhala kovuta kwambiri.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a asthmatic?

Chilichonse chomwe chingayambitse mphumu yachibadwa chingayambitsenso vuto lalikulu lotchedwa Status Asthmaticus. Tiyeni tiwone zina mwa zinthu zomwe zimayambitsa vutoli:

• Matenda a ziwengo m'nyumba ndi panja: Nthata za fumbi, dander ya ziweto, mungu, nkhungu, ndi zina zotero.
• Zina zokwiyitsa: Utsi wa ndudu, zonunkhira, fungo loipa la mankhwala, mphepo yozizira.
• Kuchita masewera olimbitsa thupi: Anthu ena angakumane ndi kuwonjezeka kwa chifuwa cha mphumu panthawi yochita masewera olimbitsa thupi.
• Kupsinjika maganizo: Mphumu imatha kukulirakulira mukakhala ndi chisoni chachikulu, mantha, kapena nkhawa.
• Matenda: Matenda opatsirana popuma monga chimfine, fuluwenza, ndi COVID-19.
• Mankhwala ena: Mwachitsanzo, mankhwala ena ochepetsa ululu monga aspirin ndi mankhwala ena othamanga magazi (beta-blockers) amatha kuipitsa mphumu mwa anthu ena.

Ndani ali pachiwopsezo chachikulu chotenga matenda oopsa a mphumu (Acute Severe Asthma)?

Mungakhale ndi mwayi waukulu wokumana ndi vuto lalikulu la zovala ngati ili pazifukwa zotsatirazi:

• Ngati simukudziwa momwe mungagwiritsire ntchito inhaler yanu moyenera, kapena ngati simugwiritsa ntchito bwino:Izi zimachitika kawirikawiri. Chifukwa pali njira zingapo zoti mutsatire mukamagwiritsa ntchito inhaler. Ngati simunagwiritse ntchito imodzi mwa izo, kapena ngati nthawi yopuma si yoyenera, si mankhwala onse omwe angafike m'mapapo mwanu. Mukatero simudzapeza zotsatira zilizonse.
• Ngati inu kapena madokotala anu omwe akukuthandizani simukufufuza molondola kuopsa kwa mphumu yanu: Izi zingatanthauze kuti simukulandira mankhwala oyenera, kapena mlingo woyenera.
• Ngati simungathe kumwa mankhwala anu, simukufuna kumwa, kapena simukudziwa nthawi yoti muwamwe kuti mupewe zizindikiro zoopsa: Anthu ena sakonda kumwa mankhwala awo, kapena samawamwa pa nthawi yake. Ngakhale zili choncho, mphumu ingakhale yovuta kuyilamulira.

Kodi mavuto omwe angakhalepo chifukwa cha Status Asthmaticus ndi ati?

Matenda a mphumu oopsa (Acute Severe Asthma) angayambitse mavuto aakulu. Yang'anani:

• Hypoxia: Izi zikutanthauza kuti minofu ya thupi lanu sikupeza mpweya wokwanira. Izi ndi zoopsa kwambiri.
• Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS): Matenda omwe mapapo amawonongeka kwambiri ndipo kupuma kumakhala kovuta kwambiri.
• Kulephera kupuma: Izi zikutanthauza kuti mapapu anu sangathe kupuma okha. Pakadali pano, mungafunike kulumikizidwa ndi chopumira mpweya.

Kodi mungazindikire bwanji asthmaticus kapena mphumu yoopsa?

Dokotala adzazindikira matenda a asthmatic poyang'ana zizindikiro zanu, kukufufuzani, kufunsa za mbiri yanu yachipatala, komanso mwina kuchita mayeso a ntchito ya mapapo (monga spirometry).

Chofunika kwambiri ndichakuti madokotala ayambe kulandira chithandizo nthawi yomweyo kuti achepetse kupuma kwanu. Pakadali pano, angachitenso mayeso a magazi ndi X-ray pachifuwa kuti aone ngati pali matenda ena.

Kodi izi zimachiritsidwa bwanji?

Dokotala adzakupatsani mpweya, mankhwala ochepetsa kutupa m'mapapo mwanu, komanso kutsegula njira zopumira. Nthawi zina, mungafunike kulumikizidwa ndi chopumira mpweya mpaka mutayamba kupuma nokha.

Kodi ndi mankhwala otani enieni a Status Asthmaticus?

Malinga ndi kuopsa kwa vuto lanu, madokotala angagwiritse ntchito njira monga:

• Mpweya wowonjezera: Mpweya umaperekedwa kudzera mu kannula ya m'mphuno kapena chophimba nkhope.
• Mankhwala opumira a bronchodilator:Izi zimaperekedwa kudzera mu inhaler kapena nebulizer. Zimagwira ntchito pokulitsa njira zopumira. Zitsanzo:
• Beta-2 agonists: Salbutamol (yomwe imatchedwanso Albuterol) kapena Levalbuterol.
• Mankhwala oletsa choleretic: Ipratropium bromide.
• Mankhwala oletsa kutupa m'mitsempha (IV): Mankhwalawa amachepetsa kutupa m'njira zopumira. Zitsanzo: hydrocortisone kapena methylprednisolone.
• Mankhwala ochepetsa kutupa m'mitsempha ya m'magazi: Nthawi zina amaperekedwa mankhwala monga magnesium sulfate.
• Adrenaline (Epinephrine): Pazifukwa zina zadzidzidzi, imaperekedwa ngati jakisoni.
• Madzi olowa m'mitsempha (madzi olowa m'mitsempha): Amagwiritsidwa ntchito poletsa kutaya madzi m'thupi komanso kupereka mankhwala.
• Mpweya wa helium wopumira (Heliox): Nthawi zina zapadera, umasakanizidwa ndi mpweya kuti mpweya ukhale wosavuta kupuma.
• Kulowetsa mpweya m'chubu ndi makina opumira: Ngati vutoli ndi lalikulu kwambiri, munthu amakomoka, chubu chimayikidwa mu chubu cha mphepo, ndipo wodwalayo amalumikizidwa ndi makina opumira.
• Kupumula: Ngati wodwalayo wakwiya, nthawi zina amapatsidwa mankhwala opumula kuti azitha kusintha momwe akumvera akamapuma.

Kodi mungayembekezere chiyani ngati mutayamba kukhala ndi matenda a asthmatic?

Ngati mwadwala matenda a Status Asthmaticus, muyenera kukhala m'chipatala mpaka vuto lanu litachepa. Nthawi zina, mungasamutsidwire ku Intensive Care Unit (ICU).

Mukapita kunyumba, dokotala wanu adzakupatsani mankhwala a corticosteroid (monga prednisolone) kuti mumwe kwa masiku pafupifupi 12 mpaka 14. Ndikofunikira kwambiri kumwa mankhwalawa monga momwe dokotala wanu wanenera, kwa nthawi yonse.

Kodi Status Asthmaticus ingapewedwe?

Inde, n'zotheka kwambiri! Nazi zina zomwe mungachite kuti muchepetse chiopsezo chanu cha kugwidwa ndi zovala zoopsa izi:

• Dziwani bwino momwe mungagwiritsire ntchito zipangizo zomwe mumagwiritsa ntchito poletsa mphumu yanu. Izi zikuphatikizapo zinthu monga ma inhalers ndi ma nebulizer. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni njira yabwino yogwiritsira ntchito, pang'onopang'ono. Yesetsani.
• Mvetsetsani nthawi komanso momwe mungachiritsire zizindikiro zanu za mphumu zisanafike poipa kwambiri moti simungathe kuzilamulira. Mutha kuchita izi ndi ``Peak Flow Meter``.Mukhoza kuyeza mphamvu yanu yopumira ndi chipangizo chotchedwa spirometer. Kapena, gwirani ntchito ndi dokotala wanu kuti mupange "Ndondomeko Yochitira Mphumu ." Izi zikuuzani zomwe mungachite mphumu yanu ikafika pamlingo wabwino, ikafika poipa pang'ono, komanso ikafika poipa kwambiri.
• Dziwani bwino chomwe chimayambitsa mphumu yanu ndipo pewani kuigwiritsa ntchito momwe mungathere.
• Pitani kwa dokotala nthawi zonse kuti muwonetsetse kuti mphumu yanu yachepa. Izi zikuthandizani kudziwa ngati mlingo wa mankhwala anu uyenera kusinthidwa kapena ngati muyenera kuyamba mankhwala atsopano.
• Ngati mukufuna thandizo lachipatala, lipezeni mwachangu momwe mungathere. Musadikire mpaka zizindikirozo zitakula kwambiri.

Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?

Ngati mukuvutika kupuma kwambiri, kapena ngati mukudwala mphumu ndipo simungathe kuyilamulira ndi inhaler yanu yachizolowezi, imbani 1990 nthawi yomweyo, kapena pitani ku chipatala chapafupi cha Emergency Department (ETU) . Musataye nthawi.

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Mukakumana ndi dokotala, zingakhale zothandiza kufunsa mafunso ngati awa:

• 'Dokotala, n’chifukwa chiyani ndadwala matendawa?'
• 'Kodi ndimwa bwanji mankhwala anga moyenera?' (Phunzirani momwe mungagwiritsirenso ntchito chopumira)
• 'Ndi njira zina ziti zochiritsira zomwe ndili nazo?'
• 'Ndingapewe bwanji kuti vutoli lisabwerenso?'

Pomaliza, chinthu chofunikira kwambiri (Uthenga Wopita Nawo Kunyumba)

Kusatha kupuma ndi chinthu choopsa. Musachite mantha nthawi ngati izi, khalani chete, ndipo pemphani thandizo. Ngati muli ndi mphumu, gwirani ntchito ndi dokotala wanu kuti mumvetse vuto lanu ndikupanga dongosolo lothana nalo. Dziwani nthawi ndi momwe mungachiritsire zizindikiro zanu zisanafike poipa kwambiri. Kukhala ndi dongosolo kudzakuthandizani kupeza thandizo pakagwa ngozi popanda kuchita mantha. Moyo wanu ndi wamtengo wapatali kwa inu, komanso banja lanu. Chifukwa chake ngati muli ndi mphumu, ndikofunikira kuilamulira.

` Nthenda ya mphumu, matenda a mphumu, mphumu yoopsa, kupuma movutikira, matenda opuma, mapapo