Mukapuma, makamaka mukatulutsa mpweya, kodi mumamva phokoso lotsika, lolira kuchokera pachifuwa panu? Nthawi zina, zimakhala zoopsa pang'ono mukamva phokosoli limodzi ndi chifuwa chanu? Anthu ambiri akumanapo ndi izi. M'mawu azachipatala, timatcha 'kupuma movutikira'. Izi kwenikweni ndi phokoso lomwe limachitika pamene njira zazing'ono zopumira m'mapapu athu zimakhala zochepa pazifukwa zina, zomwe zimapangitsa kuti mpweya udutse . Chifukwa chake lero, tiyeni tikambirane zomwe zimayambitsa izi, momwe dokotala amadziwira, komanso mankhwala ake.
Kodi dokotala amapeza bwanji chifukwa cha kupuma movutikira?
Chinthu chabwino kwambiri chomwe mungachite mukakhala ndi phokoso pachifuwa ngati ichi ndikuwonana ndi dokotala. Chifukwa ichi ndi chizindikiro chabe, chinthu chofunikira kwambiri ndikupeza chomwe chikuyambitsa. Nazi zina zomwe dokotala angachite akakuonani.
1. Kukufunsani mafunso:
Choyamba, dokotala adzakufunsani za zizindikiro zanu. Ganizirani kufunsa mafunso monga awa:
- "Phokoso ili linayamba liti?"
- "Kodi mukumva chifuwa, pakhosi, kapena chifuwa chanu chikulimba pamodzi ndi izi?"
- "Kodi izi zimawonjezeka liti? Mukakumana ndi fumbi? Mukazizira? Mukachita masewera olimbitsa thupi ?"
- "Kodi pali aliyense m'banja mwanu amene ali ndi mphumu ?"
- "Kodi izi zimachitika mutadya zakudya zinazake? Kapena zimachitika nthawi yomweyo pachaka (mwachitsanzo, maluwa akamaphuka)?"
Mafunso awa angapatse dokotala wanu lingaliro labwino ngati muli ndi vuto la ziwengo , mphumu , kapena vuto lina.
2. Kuyezetsa thupi:
Kenako, dokotala adzaika stethoscope pachifuwa panu ndikumvetsera mosamala. Izi zidzakuthandizani kudziwa komwe mawuwo akuchokera m'mapapo mwanu komanso momwe alili ovuta.
3. Mayeso apadera:
Kutengera ndi zizindikiro zanu ndi mbiri yanu, dokotala wanu angakulangizeni mayeso ena angapo.
- Spirometry: Izi zimaphatikizapo kupuma ndi kutulutsa mpweya mu makina ang'onoang'ono. Imatha kuyeza momwe mapapu anu akugwirira ntchito komanso momwe njira zanu zopumira zilili zochepa.
- X-ray pachifuwa : Izi zimathandiza kuona ngati pali vuto lina, monga matenda m'mapapo.
- Kuyesa Magazi: Nthawi zina kuyezetsa magazi kumachitika kuti aone ngati pali matenda kapena ziwengo.
- Mayeso a Ziwengo: Ngati mukuganiza kuti muli ndi vuto la ziwengo, mutha kupita kukayezetsa khungu kapena magazi kuti mutsimikizire.
Kumbukirani, kungakhale koopsa kumwa mankhwala nokha popanda kudziwa bwino chomwe chikukuchititsani kupuma movutikira. Nthawi zonse funsani dokotala wanu kuti akupatseni malangizo.
Kodi mankhwala ochiritsira kupuma movutikira ndi ati?
Chithandizo chimadalira chomwe chayambitsa kupuma kwanu. Ndicho chifukwa chake ndikofunikira kupeza chomwe chayambitsa kaye. Nayi njira zochizira zina mwazomwe zimayambitsa kupuma.
Ngati mukupuma chifukwa cha mphumu
Mphumu ndi matenda omwe njira zopumira m'mapapo zimatupa, zimakhala zosavuta kumva, komanso zimachepa mosavuta. Dokotala wanu angakupatseni mankhwala ngati awa kuti athetse vutoli.
| Mtundu wa chithandizo | Kodi chimachitika ndi chiyani? | Zitsanzo |
|---|---|---|
| Mankhwala opumira omwe amagwira ntchito mwachangu | Mukakhala ndi chifuwa kapena chifuwa cholimba, chimakulitsa njira zanu zopumira ndipo chimapereka mpumulo mwachangu. Ichi chimatchedwanso 'Reliever' inhaler. | Albuterol (Ventolin), Levalbuterol (Xopenex) |
| Zopumira Zowongolera | Izi zimagwiritsidwa ntchito tsiku lililonse kuti zichepetse kutupa m'njira zopumira komanso kuwongolera mphumu. Izi zimatchedwanso 'Wopewera'. | Beclomethasone (Qvar), Budesonide (Pulmicort), Fluticasone (Flovent) |
| Zopumira Zosakaniza | Izi zimaphatikizapo mankhwala omwe amalamulira kupuma ndi mankhwala omwe amagwira ntchito nthawi yayitali omwe amakulitsa njira zopumira. | Budesonide/formoterol (Symbicort), Fluticasone/salmeterol (Advair) |
| Mapiritsi Olamulira | Kuwonjezera pa mankhwala opumira mpweya, dokotala wanu angakulangizeninso mapiritsi omwe amachepetsa kutupa m'njira zopumira. | Montelukast (Singulair), Zafirlukast (Accolate) |
| Mankhwala a ziwengo (Antihistamines) | Ngati mphumu yanu imayamba chifukwa cha ziwengo, mungapatsidwe mapiritsi oletsa ziwengo kapena mankhwala opopera m'mphuno. | Mapiritsi: Cetirizine (Zyrtec), Loratadine (Claritin) Ma spray: Fluticasone (Flonase), Mometasone (Nasonex) |
Ngati kupuma movutikira kumachitika chifukwa cha matenda monga bronchitis
Nthawi zina, chimfine chikakula kwambiri, matenda opatsirana m'mapapo (Acute Bronchitis) amatha kuyamba. Kupuma movutikira kumathanso kuchitika. Izi nthawi zambiri zimatha zokha matendawa akatha.
- Ngati mukuvutika kupuma: Dokotala wanu angakupatseni mankhwala opumira mofulumira (monga Albuterol) kwa kanthawi kochepa kuti akuthandizeni kupeza mpumulo.
- Mankhwala Opha Mabakiteriya: Mankhwala opha mabakiteriya nthawi zambiri saperekedwa pa matenda opatsirana ndi mavairasi. Komabe, mankhwala opha mabakiteriya amaperekedwa pokhapokha ngati muli ndi vuto lina la m'mapapo kapena ngati dokotala akukayikira kuti ndi matenda a bakiteriya.
Chochita pakakhala ngozi?
Zinthu monga kupuma movutikira kwambiri, kulankhula movutikira, kapena milomo yabuluu kapena zikhadabo ndi zadzidzidzi. Zikatero, imbani ambulansi nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pachipatala (ETU) yapafupi. Kumeneko, gulu lachipatala lidzakupatsani chithandizo chotsatirachi kuti chikupatseni mpumulo mwachangu.
| Chithandizo chadzidzidzi | Kufotokozera |
|---|---|
| Jakisoni wa epinephrine | Kutsegula mwachangu njira zopumira zomwe zimakhala zovuta kwambiri. |
| Kupereka mpweya | Kuti thupi likhale ndi mpweya wokwanira womwe umafunika. |
| Jakisoni wa Corticosteroid | Kuchepetsa kutupa kwakukulu m'njira zopumira. (monga Methylprednisolone) |
| Chithandizo cha nebulizer | Kutulutsa nthunzi ya madzi ochiritsa ndikupumira kwambiri kumapereka mpumulo mwachangu. |
| Kulumikiza ku makina opumira (Mechanical Ventilator) | Pa milandu yoopsa kwambiri, ngati wodwalayo sangathe kupuma yekha, kupuma kumaperekedwa pogwiritsa ntchito makina. |
Uthenga Wopita Nawo Kunyumba
- Kupuma pang'onopang'ono ndi chizindikiro, osati matenda. Ndikofunikira kupeza chomwe chimayambitsa vutoli.
- Mphumu ndi ziwengo ndi zinthu ziwiri zomwe zimayambitsa kupuma movutikira.
- Ngati muli ndi vuto la kupuma movutikira, onetsetsani kuti mwaonana ndi dokotala kuti akupatseni chithandizo choyenera komanso kuti akupatseni njira yochizira.
- Kupuma kumakhala kovuta kwambiri ndipo mawu amakhala okwera kwambiri moti simungathe kulankhula ndi vuto ladzidzidzi. Pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Pewani kugwiritsa ntchito chopumira cha munthu wina kapena kumwa mankhwala popanda upangiri wa dokotala. Chithandizo chomwe mudzalandire chidzakhala chogwirizana ndi vuto lanu.
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