Ese uhita wumva ufite umwuka ubura? Ese igituza cyawe kirakomera? Reka twige kuri ibi (Bronchospasm)!

Ese hari igihe uhura n'ingorane mu buryo butunguranye mu guhumeka? Ese wumva igituza cyawe kirimo gukandamizwa ukumva urusaku rwo guhumeka iyo uhumeka? Umuntu wese wahuye n'ikintu nk'iki azasobanukirwa uburyo kibabaza kandi giteye ubwoba. Ibi si ibyawe gusa, ahubwo bishobora no kuba ku bantu benshi. Uyu munsi tugiye kuvuga ku ndwara yitwa `(Bronchospasm)`, ishobora kuba impamvu nyamukuru yo kubura umwuka nk'uyu. Ntugahangayike, tuzabivugaho mu buryo bworoshye kandi mu buryo ushobora gusobanukirwa.

Iyi '(Bronchospasm)' ni iki?

Mu magambo make, bronchospasm ni igihe utunyangingo duto tumeze nk'umuyoboro mu nzira zacu z'ubuhumekero dutwara umwuka mu bihaha byacu - bizwi nka bronchi - duhita dukomera, bigatuma imitsi yoroshye ibikikije igabanuka. Tekereza nko gukanda umuyoboro w'amazi ku mpande zombi, bigatuma amazi agabanuka.

Iyi bronchi ni imiyoboro itwara umwuka uva mu miyoboro y'umwuka ikawujyana mu bihaha. Rero iyo iyi miyoboro izibye, ingano ya ogisijeni igera mu bihaha iragabanuka. Niyo mpamvu ugira ikibazo cyo guhumeka, kandi wumva nk'aho igituza cyawe kirimo kugabanuka.

Ubyumva ute iyo ufite `(Bronchospasm)`?

Mu by’ukuri, kugira `(Bronchospasm)` bishobora gutera ubwoba. Kuko uhita wumva udashobora guhumeka neza uko ubyifuza. Ku muntu utarigeze agira ikintu nk'iki mbere, bishobora gutera ubwoba cyane ku nshuro ya mbere.

Tekereza, iyo ubuze icyo ukora, uhita ubona bigoye guhumeka, nk'aho hari umuntu uri kukwica mu gituza. Biragoye cyane guhumeka, kandi wenda hari urusaku ruturuka mu gituza cyawe. Ni ibisanzwe kumva ufite ubwoba n'ubwoba muri icyo gihe.

Niba uhuye n'ibi bimenyetso mu buryo butunguranye:

• Niba wumva igituza cyawe gikomeje gukomera
• Niba wumva bigoye cyane guhumeka
• Niba uvuza urusaku rwo guhumeka iyo uhumeka
• Niba ufite inkorora idakira

Niba ugize ibi bimenyetso bikomeye, cyane cyane ububabare bwo mu gituza no kugorwa no guhumeka, ugomba guhita ujya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe. Ibi bishobora gukemurwa niba uhawe ubuvuzi ku gihe.

Ni nde ufite amahirwe menshi yo kurwara `(Bronchospasm)`?

Indwara ya bronchospasme ishobora kuba kuri buri wese. Ariko, hari abantu bashobora kuyirwara cyane.

• Ku bafite uburwayi butandukanye bw'allergie
• Ku bafite asima
• Ku bafite izindi ndwara z'ibihaha (urugero: `(COPD)` - Indwara y'ibihaha idakira)

Uretse aba bantu, abana bato n'abantu bakuru barengeje imyaka 65 nabo bafite amahirwe menshi yo kurwara bronchospasm.

Ibi bikunze kugaragara cyane ku buryo bronchospasm ifatwa nk'ikimenyetso mu ndwara nyinshi z'ibihaha nka asima, emphysema, na COPD. Ishobora no kubaho ku ndwara zitandukanye z'ibihaha.

Ni irihe tandukaniro riri hagati ya `(Bronchospasm)`, `(Laryngospasm)` na `(Asima)`?

Aya mazina atatu ashobora gusa n'aho ateye urujijo. Nubwo yose uko ari atatu agira ingaruka ku mikorere yawe yo guhumeka, aratandukanye.

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

Indwara ya bronchospasm igira ingaruka ku miyoboro y'umwuka (imyakura) mu bihaha byawe. Indwara ya laryngospasm igira ingaruka ku miyoboro y'ijwi (igice cy'umuhogo wawe kinyeganyega iyo uvuga). Indwara ya laryngospasm ni igihe imiyoboro y'ijwi ifunga mu buryo butunguranye iyo uhumeka, ikabuza umwuka kwinjira mu bihaha byawe. Ibi bishobora kuba ikintu giteye ubwoba, gitunguranye, ariko akenshi ihita yishira ubwayo mu munota umwe cyangwa ibiri. Ntabwo ari ibisanzwe nka bronchospasm.

• `(Bronchospasm)` vs `(Asima)`:

Ni ngombwa kubisobanukirwa. Kubabara mu nda ni ikimenyetso cy'indwara nka asima. Ni ukuvuga ko umuntu urwaye asima ashobora kugira indwara ya bronchospasm. Ariko, si abantu bose bafite iyi ndwara bafite asima. Izo ndwara zombi ziterwa no kubyimba, kubyimba, cyangwa kurakara kw'inzira z'ubuhumekero.

Ni ibihe bimenyetso bya `(Bronchospasm)`?

Ibimenyetso bya `(Bronchospasme)` biteye ubwoba gato, kandi rimwe na rimwe bishobora kugaragara mu buryo butunguranye. Abantu benshi bumva badashobora guhumeka neza uko bikwiye. Ibindi bimenyetso by'ingenzi ni ibi bikurikira:

• Gufungana mu gituza
• Guhumeka nabi
• Guhumeka ( urusaku rw'ifirimbi ruturuka mu gituza iyo uhumeka )
• Inkorora - Ishobora kuba inkorora yumye cyangwa inkorora ifite ibisebe.
• Umunaniro - Ibi bishobora guterwa no kubura umwuka wa ogisijeni.
• Kuzungera

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa kubyitondera.

Ni iki gitera iyi `(Bronchospasm)`?

Kubabara mu miyoboro y'ubuhumekero bishobora kubaho igihe cyose hari uburibwe cyangwa kubyimba mu nzira z'ubuhumekero. Nkuko twabivuze, asima ni yo ikunze gutera indwara ya bronchospasm. Ariko hari izindi mpamvu nyinshi:

• Indwara zo mu bihaha cyangwa inzira z'ubuhumekero: Izi zishobora kuba indwara za bagiteri, virusi, cyangwa fungal. Urugero, indwara nka pneumonia cyangwa bronchitis.
• Indwara y'ibihaha idakira (COPD): Iyi nayo ni indwara y'ibihaha ifata igihe kirekire.
• Allergens: Ibintu nk'umukungugu, impongo, dander y'amatungo, n'ibindi biribwa.
• Gukora imyitozo ngororamubiri:Hari abantu bashobora kurwara iyi ndwara ya '(Bronchospasm)' nubwo bakora imyitozo ngororamubiri. Tuyita '(bronchospasm iterwa n'imyitozo ngororamubiri)'. Tekereza, umaze kurangiza kwiruka no gukina cyane, wumva bigoye guhumeka, kandi ukumva ugiye gukorora. Ibyo bishobora kuba ari byo.
• Imyotsi ihumanya cyangwa ibindi bintu bitera umujinya: Ibintu nk'impumuro nziza, imyotsi ituruka ku bikoresho byo gusukura, n'imyotsi yica udukoko.
• Ubukonje: Guhumeka umwuka ukonje mu buryo butunguranye bishobora no kugira ingaruka kuri bamwe mu bantu.
• Kunywa itabi cyangwa kunywa inzoga: Ibi byongera ibyago byo kurwara bronchospasm kuko byangiza inzira z'ubuhumekero.
• Anesthesia rusange: Hari abantu bashobora kugira iyi ndwara nyuma yo kubagwa.

Ariko ikintu kimwe ugomba kwibuka ni uko kuba ufite indwara yavuzwe haruguru, udashobora kwemeza neza ko uzarwara "Bronchospasm". Ariko hari ibyago.

Icy'ingenzi: Ni gake cyane, imiti imwe n'imwe ikoreshwa mu kuvura indwara ya bronchospasm ishobora gutuma ikibazo kirushaho kuba kibi. Ibi byitwa paradoxical bronchospasm. Ibi nibikubaho, bivuze ko ugorwa no guhumeka nyuma yo gukoresha inhaler yawe, ugomba guhagarika gukoresha umuti ako kanya ukabibwira muganga wawe.

Wamenya ute ko ufite `(Bronchospasm)`?

Muganga wawe ashobora kumenya neza niba ufite bronchospasm. Azagusuzuma, akubaze ibimenyetso byawe, kandi akubaze amateka y'umuryango wawe. Hari igihe ushobora koherezwa kwa muganga w'inzobere mu bihaha (pulmonologist).

Ni ubuhe bwoko bw'ibizamini bikorwa kuri ibi?

Muganga wawe ashobora kukugira inama yo gupima ibihaha byawe kugira ngo arebe uko bikora. Bimwe muri byo birimo:

• Gupima impumuro y'amaraso: Ibi bikubiyemo gushyira agakoresho gato kameze nk'agapira ku rutoki rwawe cyangwa ku gatuza k'ugutwi kugira ngo upime urugero rwa ogisijeni mu maraso yawe. Iki ni ikizamini cyoroshye cyane kandi kidatera ububabare.
• Spirometry: Muri iki kizamini, usabwa guhumeka no gusohora ukoresheje umuyoboro muto. Igikoresho (spirometer) gipima uburyo umwuka winjira n'uwo usohora vuba kandi vuba.
• Isuzuma ry'ingano y'ibihaha: Ibi bituma muganga wawe amenya ingano y'umwuka ibihaha byawe bishobora kubika.
• Ikizamini cy'ubushobozi bwo gukwirakwiza ibihaha: Iki kizamini kandi kigusaba guhumeka mu muyoboro. Gipima uburyo ogisijeni ihanahana hagati y'ibihaha byawe n'amaraso yawe.
• Ibipimo by'imyuka mu maraso y'imitsi:Ibi bipima ingano ya ogisijeni na dioxyde de carbone mu maraso yawe, ndetse na pH y'amaraso yawe.
• Guhumeka cyane mu buryo bw’ubushake bwa Eucapnic: Iki kizamini gishobora gukorwa kugira ngo harebwe niba ufite bronchospasm mu gihe cy’imyitozo ngororamubiri. Muri iki kizamini, uhumeka uruvange rwa ogisijeni na dioxyde de carbone. Ibi bigaragaza uburyo uhumeka mu gihe cy’imyitozo ngororamubiri. Niba bigira ingaruka mbi ku bihaha byawe, ushobora kuba ufite bronchospasm iterwa n’imyitozo ngororamubiri.

Uretse ibi bizamini byo guhumeka, muganga wawe ashobora kandi kukugira inama yo gupima, nka X-ray zo mu gituza cyangwa CT scans, kugira ngo arebe niba nta bwandu cyangwa ibindi bibazo biri mu bihaha byawe.

Indwara ya Bronchospasm ivurwa ite?

Uburyo bw'ingenzi bwo kuvura bronchospasm ni ubwoko bw'imiti yitwa bronchodilators. Iyi miti ikora mu kwagura inzira z'ubuhumekero zifunganye (bronchi) no koroshya guhumeka. Bronchodilators iza mu buryo butandukanye, nko mu guhumeka, imiti igabanya ubushyuhe, n'ibinini.

Iyo indwara ikomeye, muganga ashobora kuguha ubwoko bw'umuti witwa steroid kugira ngo ugabanye kubyimba mu nzira z'ubuhumekero.

Imiti igabanya ububabare bw'amaraso ikora vuba

Iyi miti ikoreshwa nk' "imiti ifasha mu guhumeka". Ifasha mu gutanga ubutabazi bwihuse iyo habayeho ibimenyetso bya `(Bronchospasm)`. Iyi miti ikora mu minota mike kugira ngo yongere uburyo bwo guhumeka, bityo byoroshye guhumeka. Ingaruka zayo zishobora kumara amasaha agera kuri 6. Imiti ikoreshwa cyane nka `(Bronchodilators)` ni `(Albuterol)` na `(Levalbuterol)`.

Imiti igabanya ububabare bw'amaraso ikora igihe kirekire

Iyi miti ikoreshwa mu kugabanya ibyago byo kurwara bronchospasm mu gihe kizaza. Ntiyagirwa inama yo "gutabara abantu" (usibye Formoterol), kuko idatanga ubutabazi bwihuse. Ifata igihe kugira ngo itangire gukora, ariko imara amasaha agera kuri 12. Imiti ikoreshwa cyane mu gufata bronchodilator igihe kirekire ni Salmeterol, Formoterol, na Vilanterol.

Ubundi bwoko bw'imiti igabanya ububabare bw'amaraso ikora igihe kirekire yitwa anticholinergic. Iyi miti iboneka kandi nk'imiti ihumeka ikora igihe gito (urugero: ipratropium) n'imiti ikora igihe kirekire (urugero: tiotropium, umeclidinium, aclidinium).

Steroids

Steroids zikora mu kugabanya ububyimbirwe (kubyimba) mu myanya y'ubuhumekero. Iyi miti ikunze gutangwa nk'umuti uhumeka. Ariko, niba bronchospasm yawe ikomeye, ishobora gutangwa nk'ibinini cyangwa ikanashyirwa mu mitsi binyuze mu murongo wa IV.

Ni iki wakora mu rugo iyo ufite `(Bronchospasm)`?

Mu by’ukuri, nta muti wihariye wo mu rugo ushobora guhagarika bronchospasm imaze gutangira. Uzakenera gukoresha agakoresho koroshya imitsi gakoresha uburyo bwa "short-acting bronchodilator" (urugero: inhaler) kugira ngo ugabanye ibimenyetso by’indwara.

Niba umuganga yarabanje kwemeza ko wagize `(Bronchospasm)`, ugomba kuba waramaze kugira `(Bronchodilator)`. Ariko, niba ari ubwa mbere uhuye nabyo, kandi udafite `(Bronchodilator)`, ni byiza kujya kwa muganga wihuta ugashaka ubuvuzi.

Impuguke zimwe zivuga ko imyitozo ngororamubiri yo guhumeka ishobora kugabanya ibyago byo kurwara bronchospasm. Ariko, ibi biracyari kwigwaho, bityo hakenewe ibimenyetso byinshi. Ariko, iyi myitozo ntizahagarika bronchospasm imaze gutangira. Niba ukunze kugira bronchospasm, vugana na muganga wawe uburyo bwo kuyicunga.

Ese bronchospasm ishobora kwirindwa?

Ntibishoboka kwirinda burundu indwara ya bronchospasm. Ariko hari ibintu bimwe na bimwe ushobora gukora kugira ngo ugabanye ibyago byo kurwara. Urugero:

• Nywa amazi menshi. Azagabanya ururenda mu gituza cyawe kandi bikorohere guhumeka.
• Irinde kunywa itabi no kunywa itabi ryinshi burundu.
• Shyushya mbere yo gukora imyitozo ngororamubiri.
• Niba ufite allergie, gabanya uburyo bwo guhura n'ibintu nk'umukungugu.
• Gabanya imyitozo ngororamubiri ahantu hakonje.
• Fata inkingo zawe ku gihe, cyane cyane niba ufite imyaka irenga 65. (urugero: urukingo rwa pneumonia, urukingo rwa grippe)

Ni iki umuntu urwaye `(Bronchospasm)` agomba kwitega?

Iyo umuganga asanze ufite bronchospasm, ashobora kukwandikira umuti ugabanya ububabare bw'imitsi (inhaler) ukoreshwa mu gihe cy'impanuka. Bashobora kandi kukwandikira umuti ugabanya ububabare bw'imitsi kugira ngo ugabanye ibyago byo kurwara bronchospasm mu gihe kizaza.

Ubusanzwe indwara ya bronchospasm imara iminsi 7 kugeza kuri 14. Muri icyo gihe, muganga azaguha imiti yo kugenzura ibimenyetso byawe.

Ese Bronchospasm ishobora gushyira ubuzima mu kaga?

Iyo idavuwe neza, impumuro mbi y'ubwonko ishobora gushyira ubuzima mu kaga. Ariko, iyo ivuwe vuba, ibimenyetso bikunze kurangira mu minota mike. Iyo ubonye ibimenyetso bya impumuro mbi y'ubwonko, koresha impumuro mbi y'ubwonko ako kanya. Niba udafite impumuro mbi y'ubwonko, hamagara 911 cyangwa ujye ku bitaro biri hafi yawe.

Ni ryari ukwiye kujya kwa muganga?

Niba ufite ibimenyetso bidashira bya `(Bronchospasme)`, cyangwa niba bibangamira imirimo yawe ya buri munsi, gana muganga.

By’umwihariko, niba hari kimwe muri ibi bikurikira kibayeho, hamagara 911 (cyangwa nimero y’ubutabazi bw’ibanze yo mu gace utuyemo) ako kanya, cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe:

• Niba bigoye cyane guhumeka.
• Niba urimo gukorora amaraso n'ibicurane.
• Niba ubabara mu gatuza igihe uhumeka.
• Niba wumva umeze nk'ufite isereri cyangwa unaniwe.

## Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Indwara ya bronchospasm iravurwa. Ariko, ishobora gutera ubwoba cyane kuyirwara.

Wibuke ko utari wenyine. Dushobora kugufasha guhangana n'iki kibazo.

• Niba ufite ikibazo cy'ubuhumekero nka asima cyangwa COPD kigushyira mu kaga ko kurwara bronchospasm, ganira na muganga wawe kuri icyo kibazo.
• Koresha imiti wahawe na muganga wawe (cyane cyane imiti ikoreshwa mu guhumeka) nk'uko byategetswe kandi mu gihe gikwiye.
• Buri gihe ujye witwaza "agakoresho ko gutabara" mu gihe cy'impanuka. Baza muganga wawe uburyo bwiza bwo kugakoresha.
• Menya ibintu bishobora gutera bronchospasm hanyuma ugerageze kubyirinda uko bishoboka kose.
• Niba uhura n'ingorane zo guhumeka, gufungana mu gituza, cyangwa urusaku rwo guhumeka, ntukabirengagize. Shaka inama kwa muganga ako kanya.

Wite ku buzima bwawe bw'ubuhumekero. Niba ufite impungenge, ntutindiganye kubaza muganga wawe.

` bronchospasm, kugorwa no guhumeka, gufungana mu gituza, asima, indwara z'ubuhumekero, icyuma gikoresha amashanyarazi, ihumeka