Mwana wenyu ane asthma here? Ngatidzidzei zvese nezve asthma yevana!

Mwana wako mudiki anowanzo kukosora here? Anofema here achitamba? Kana kuti anomuka husiku oti ane dambudziko rekufema? Izvi zvinogona kuva zviratidzo zveasthma muvana . Musazvidya mwoyo , tichataura nezvazvo nhasi. Kana mukanyatsonzwisisa izvi uye mukatevera mirairo yachiremba, mwana wenyu anogonawo kuramba aine hutano hwakanaka.

Chii chinonzi Asthma yeVana?

Zvichitaurwa zviri nyore, asthma chirwere chisingaperi chemapapu . Chinokanganisa nzira dzekufema, machubhu anotakura mweya achipinda nekubuda mumapapu ako. Mumunhu ane asthma, nzira idzi dzekufema dzinozvimba uye dzinoita kuti mapapu ako asawane mweya wakakwana.

Fungidzira kuti kana uchidzvanya pombi yemvura, zvinonetsa kuti mvura ifambe. Izvi zvinoita kuti zviome kufema, uye unogona kunzwa kufemereka, kukosora, uye kunzwa kusungwa muchipfuva chako. Zvimwe zvinhu (zvatinoti 'Zvinokonzera') zvinogona kukonzera kuti zviratidzo izvi zviwedzere kamwe kamwe, kana kuti chirwere cheasthma chinogona kuitika. Kurwiswa uku kunogona kuitika zvishoma nezvishoma kana nekukurumidza, uye dzimwe nguva kunogona kuisa hupenyu panjodzi .

Kunyangwe asthma ichigona kutanga chero pazera ripi zvaro, inowanzotanga muhudiki, apo masoja emuviri emwana achiri kukura. Vana vazhinji vane asthma vanoratidza zviratidzo zvavo zvekutanga pavanosvika makore mashanu. asthma inogona kudzivirira mwana wenyu kuenda kuchikoro uye ingatoda kuendeswa kuchipatara. Saka, zvakakosha zvikuru kuva nehurongwa hwakakodzera hwekurapa asthma kuti ubatsire kudzora mamiriro emwana wako.

Chirwere cheasthma chakajairika sei muvana vadiki?

Kutaura zvazviri, asthma ndeimwe yezvirwere zvisingaperi zvinowanzoonekwa muvana. MuUnited States chete, inobata vana vanosvika mamiriyoni 7.5. Kuwanda kwechirwere ichi pakati pevana kuri kuwedzera. Ndiyo imwewo chikonzero chikuru chinoita kuti vana vasakwanise kuenda kuchikoro uye vabereki vasakwanise kuenda kubasa.

Sei vana vakawanda vari kurwara neasthma mazuva ano?

Vaongorori vanotenda kuti pane zvikonzero zvakawanda zvinoita kuti vana vave nechirwere cheasthma. Zvimwe zvacho zvinosanganisira:

• Kugara uchisangana nezvinhu zvinokonzera allergy zvakaita seguruva, kusvibiswa kwemhepo, uye utsi hwefodya.
• Kusabatwa zvakakwana nezvimwe zvirwere zvevana zvinosimbisa masoja emuviri .
• Kuyamwisa kushoma. Izvi zvinoderedza kugona kwemwana kugamuchira zvinovaka muviri zvakakosha kumuviri wake.

Ndezvipi zviratidzo zveasthma mumwana mudiki?

Havasi vana vese vanoratidza zviratidzo zvakafanana zveasthma. Zvakare, zviratidzo zvinogona kusiyana kubva kumwana kuenda kune mumwe. Zvimwe zvezviratidzo zvinogona kuonekwa muasthma yevana ndeizvi:

• Kukosora kakawanda . Kukosora uku kunogona kuitika kana mwana achitamba kana kuseka. Kukosora akarara husiku kana pakumuka mangwanani dzimwe nguva kungave chiratidzo chega cheasthma.
• Kukurumidza kuneta kupfuura zvakajairika paunenge uchitamba.
• Kufema nekukurumidza, kunzwa sekunge uri kudzipwa (Dyspnea) .
• Mwana anoti chipfuva chakamanikana uye chipfuva "chinorwadza."
• Kufemera mukati (heezing) kurira kwemuridzo kunonzwika kana munhu achifemera mukati nekubuda.
• Kudzokera shure kunoitika kana chipfuva chiri pakati pembabvu nenzvimbo yemutsipa chikaita sechiri kupinda mukati . Izvi zvinoreva kuti mwana ari kuedza zvakanyanya kufema.
• Kunzwa sekuti hapana chauchararama uye kuneta .
• Kutsamwa .
• Kuomerwa nekuyamwisa uye kudya (izvi zvinogona kukanganisa vana vadiki zvikuru).

Kana mwana wako achigara achisangana nechimwe chezviratidzo izvi, zvakakosha kuti aone chiremba kuti akupe mazano.

Unoziva sei kana asthma yako iri kuwedzera uye iri dambudziko re emergency?

Kana mwana aine chirwere cheasthma (Asthma Exacerbation), zviratidzo zvinogona kunge zvakanyanya. Chirwere ichi chinogona kuitika zvishoma nezvishoma kana kamwe kamwe. Dzimwe nguva chinogona kuisa upenyu panjodzi (Status Asthmaticus). Kana mwana wako akaratidza chimwe chezviratidzo zvinotevera zveasthma yakanyanya, unofanira kutsvaga rubatsiro rwechiremba nekukasika :

• Kukosora zvine ruzha zvikuru .
• Kutadza kufema zvakanaka kana kufemereka kunokurumidza kuipa .
• Zvakaoma kufema .
• Kufema kwakawedzera kunyangwe wakamira wakamira.
• Chiso chemwana, miromo, uye/kana nzara zvinoshanduka kuita chena kana bhuruu .
• Kutadza kutaura , kutadza kupedzisa chirevo, kana kutadza kutaura zvachose.

Chii chinokonzera asthma muvana?

Vaongorori havazivi kuti chii chinokonzera asthma. Asi inowanzotanga panguva yehudiki, apo masoja emuviri wemwana achiri kukura. Pane zvinhu zvakawanda zvinokanganisa kukura kwemapapu emwana uye kuti muviri wake unorwisa sei zvirwere. Izvi zvinosanganisira:

• Majini : Kana mumwe munhu mumhuri, kunyanya mubereki, aine asthma.
• Zvirwere zveAllergens: Zvinhu zvinokonzeresa allergy kumwana, zvakaita seguruva, dander yemhuka dzinovaraidza, uye utsi hwefodya.
• Utachiona hwemavhairasi muhudiki: Utachiona hunokanganisa kufema, hwakadai sedzihwa .

Asthma chirwere chinotapukira here?

Kwete, asthma haisi chirwere chinotapuriranwa. Haikonzerwi nehutachiona, kureva mabhakitiriya kana mavhairasi. Saka, haigone kutapuriranwa kubva kumunhu mumwe kuenda kune mumwe.

Ndezvipi zvinhu zvinokonzera asthma muhudiki?

Kune zvinhu zvakawanda zvinokonzera njodzi zvinoparira kukura kweasthma muhudiki:

• Kuva neallergies .
• Nhoroondo yemhuri yeasthma uye/kana allergies .
• Kurwara nezvirwere zvekufema kakawanda panguva yehudiki.
• Kuzvarwa uine huremu hushoma .
• Kusvuta fodya usati wazvarwa uye mushure mekusununguka.
• Kuva mukomana (zvichienderana nenhamba, vakomana vanowanzo kukanganiswa vachiri vadiki).
• Kuva wemamwe mapoka emadzinza (izvi zvingasanyanya kukosha kuSri Lanka).
• Kugara munzvimbo yemaguta ine mhepo yakasviba yakawanda .

Ndezvipi zvinetso zvinogona kuitika kana asthma ikasatarisirwa zvakanaka?

Kana asthma ikasadzorwa nemazvo, matambudziko akasiyana-siyana nematambudziko anogona kuitika. Mamwe acho anosanganisira:

• Kubatwa neasthma zvakanyanya .
• Kutadza kuenda kuchikoro kana zvimwe zviitiko.
• Kugara uchigara muchipatara uye/kana kushanya mukamuri rekukurumidzira .
• Kukuvadzwa kusingaperi kwemapapu .

Nzira yekuongorora asthma muvana vadiki?

Kutaura zvazviri, zvakaoma zvishoma kuona asthma muvana vadiki, kunyanya vana vari pasi pemakore matanhatu ekuberekwa. Izvi zvinodaro nekuti zviratidzo zvinogona kufanana nezvezvimwe zvirwere. Uyewo, vamwe vana havawanzoratidza zviratidzo zveasthma, saka vanogona kufungidzirwa kuti vane chirwere chekufema. Pamusoro pezvo, bvunzo dzekushanda kwemapapu dzinoshandiswa kuona asthma dzinogona kunge dzisiri dzechokwadi muvana vadiki.

Chiremba wevana wemwana wenyu anogona kuona chirwere ichi mushure mekuongorora nhoroondo yemwana wenyu yezvekurapa, zviratidzo, uye kuongororwa kwemuviri. Chiremba achakubvunzai kana mwana wenyu akambonetseka kufema. Achakubvunzaiwo kana paine munhu mumhuri menyu ane asthma, allergies, kana mamwe matambudziko emapapu. Iva nechokwadi chekutsanangura zviratidzo zvemwana wenyu zvakadzama, kusanganisira kuti zvinoitika riini uye kuti zvinoitika kangani.

Chiremba wenyu anogonawo kutumira mwana wenyu kuna nyanzvi, dzakadai sevana chiremba vemapapu kana chiremba wezvirwere zvevana.

Ndedzipi bvunzo dzinoitwa kuti vaone kana asthma iripo?

Kana zvichibvira, chiremba wako anogona kuraira bvunzo dzinoverengeka kuti aone kana une asthma. Izvi zvinosanganisira:

• Kuongororwa kwebasa remapapu: Kuongororwa uku kunoyera kuti mapapu emwana wako anogona kuchengeta mweya wakawanda sei uye kuti anogona kuuburitsa nekukurumidza sei. Mhedzisiro yacho inogona kubatsira chiremba kuona kuti asthma yemwana wako yakanyanya sei.
• Kuongororwa kweganda rine allergy uye kuongororwa ropa: Izvi zvinobatsira kuona kuti ndeapi allergy ari kukurudzira masoja emuviri emwana.
• X-ray yechipfuva: Chiremba wako anogona kushandisa bvunzo dzemifananidzo dzakadai kuti asimbise kuti haisi asthma asi chimwe chirwere.

Kuongororwa kwebasa remapapu kunowanzova kwakaoma kuvana vadiki. Nokudaro, chiremba anogona kupa mwana mushonga weasthma kuti aone kuti anopindura sei.

Nzira yekurapa asthma muvana vadiki?

Pakurapa asthma yevana, shandai nachiremba wemwana wenyu kuti mugadzire "Asthma Action Plan."Zvakakosha kugadzira hurongwa. Hurongwa uhwu hunotsanangura maitiro ekutarisira zviratidzo zvemwana wako uye kudzivirira kurwiswa kweasthma. Hunosanganisirawo zvinotevera:

• Nguva uye mashandisirwo emushonga weasthma wemwana wenyu .
• Zvekuita kana asthma yemwana wako ikawedzera .
• Mwana anoda kurapwa nekukurumidza rini ?

Iva nechokwadi chekuti wanzwisisa chirongwa ichi, uye bvunza chiremba wako chero mibvunzo yaungave nayo. Chirongwa ichi chekurapa asthma chakakosha zvikuru pakubudirira kwekurapwa kweasthma kwemwana wako. Chichengete pedyo newe kuti uzviyeuchidze nezvechirongwa chezuva nezuva chekurapa asthma chemwana wako uye kuti chive pedyo newe kana mwana wako aine zviratidzo zveasthma. Zvakare, ipa kopi yechirongwa ichi kuvashandi vechikoro chemwana wako nevamwe vanomuchengeta.

Pamusoro pekutevedzera hurongwa hwako hweasthma, deredza kusangana kwako nezvinhu zvinoita kuti asthma yako iwedzere (zvinokonzera asthma) zvakanyanya sezvinobvira (uye zvidzivise zvachose kana zvichibvira). Chiremba wako anogona kukubatsira nenzira dzekudzivirira izvi.

Mishonga yeasthma yevana

Mishonga inopiwa vana vane asthma yakafanana neinopihwa vakuru nevana vadiki, asi chiyero uye nzira yekupa mishonga zvinogona kusiyana. Pakupa mishonga inofemerwa, muchina wekutumira unogona kushandiswa zvichienderana nezera remwana nekugona kwake.

Zvichienderana nekuoma kwechirwere chemwana wako, ungangoda kutora mishonga chete kana zvichidikanwa, kana kuti ungangoda kutora mishonga zuva nezuva. Mimwe mishonga inobatsira kudzivirira kana kuderedza zviratidzo zvekurwara neasthma. Mimwe mishonga inoshanda kudzora kana kudzivirira kuzvimba munzira dzekufema dzemwana wako.

Mishonga inokurumidza kubatsira

Mishonga iyi inobatsira kudzivirira kana kuderedza zviratidzo zveasthma. Kana mwana wako aine asthma isina kunyanya kuoma, kana kuti asthma yake ikatanga nekurovedza muviri chete, mishonga iyi inorerutsira muviri nekukurumidza inogona kukwana. Rudzi urwu rwemishonga runouya nechinhu chinofema icho mwana wako anofanira kugara nacho nguva dzese.

Mishonga inopa zororo nekukasika:

• Beta2-agonists inoshanda kwenguva pfupi (SABAs): Semuenzaniso, albuterol. Idzi dzinovhura nzira dzekufema dzemwana wako nekukurumidza uye dzinobvumira mweya kuyerera panguva yekurwiswa kweasthma. Dzinobatsirawo kudzivirira kurwiswa kunokonzerwa nekuita mabasa emuviri. Kunyange zvazvo dzaimbonzi "reliever" kana "inhaler," vanachiremba vava kuda kushandisa izwi rekuti "quick-relief." Izvi zvinodaro nekuti mishonga iyi inogona uye inofanira kushandiswa kune chero chiratidzo cheasthma, kwete kurwiswa kweasthma chete.
• Mishonga yekuderedza kushushikana kwepfungwa inoshanda kwenguva pfupi: Semuenzaniso, Ipratropium bromide. Iyi zvakare mushonga wekubvisa manyoka unokurumidza kuvhura nzira dzekufema. Mishonga yekuderedza kushushikana kwepfungwa inogona kusashanda seSABAs. Zvisinei, sezvo vamwe vana vaine migumisiro yakaipa kubva kuSABAs, mishonga yekuderedza kushushikana kwepfungwa isarudzo yakanaka.
• `Systemic corticosteroids`:Corticosteroids inogona kuderedza kuzvimba kwenzira dzekufema dzemwana wako izvo zvinokonzera zviratidzo zveasthma. Mishonga iyi inogona kupiwa mwana wako nemuromo kana jekiseni. Inogonawo kubatsira mwana wako kupora nekukurumidza mushure mekurwara neasthma.

Mishonga yekudzora kwenguva refu

Chiremba wenyu anogonawo kunyora mishonga yezuva nezuva yemwana wenyu yekubatsira kudzivirira kurwiswa neasthma uye kudzora zviratidzo. Mishonga iyi inobatsira kudzivirira nzira dzekufema dzemwana wenyu kuti dzisaite zvidimbu uye kuderedza kuzvimba.

Mishonga yekudzora kwenguva refu:

• Corticosteroids: Iyi mishonga inoderedza kuzvimba inoderedza kuzvimba. Kunyangwe ichigona kupiwa nemuromo, vanachiremba vanosarudza kuipiwa nekufemereka. Mishonga iyi inogona kupiwa semvura (inoshandiswa mu nebulizer), kuburikidza ne metered dose inhaler (MDI), kana kuburikidza ne dry powder inhaler (DPI). Paunenge uchishandisa MDI, mwana wako anofanira kushandisa valved holding chamber, iyo iri spacer.
• Mishonga inogadzirisa kufema yeLeukotriene: Mishonga iyi inobatsira kuderedza kuzvimba kwenzira dzekufema dzemwana wako uye kuita kuti dzirambe dzakavhurika. Chiremba wako anogona kunyora mishonga iyi ari ega kana ne corticosteroids. Mishonga inogadzirisa kufema yeLeukotriene inoshanda nekuderedza migumisiro yekemikari inonzi leukotriene mumuviri wemwana wako.
• Mabeta2-agonists anoshanda kwenguva refu (LABAs): MaLABA anobatsira kuzorodza tsandanyama dzakatenderedza nzira dzekufema dzemwana wako uye kudzivirira kuti dzisatetepe. Chiremba wako anowanzo nyora izvi ne corticosteroid. LABA inogona kukurudzirwa kana zviratidzo zvemwana wako zvezuva nezuva zvisingadzoreki nekushandisa steroid inofemeswa nguva dzose. LABA inofanira kushandiswa nguva dzose ne steroid inofemeswa (izvi zvinonzi combination therapy).

Pane migumisiro yakaipa here yekurapwa kwacho?

Vanhu vazhinji vanobvuma mishonga yeasthma zvakanaka. Vanachiremba vanoti mabhenefiti emishonga iyi anopfuura njodzi dziripo. Zvisinei, semishonga yese, pane mukana wekuti mimwe migumisiro inogona kuitika. Mishonga yeasthma inogona kukonzera migumisiro yakadai se:

• Kutsamwiswa kana kuzvimba kweganda.
• Nhumbu yemuromo.
• Kurova kwemoyo kwakawedzera.
• Kusagadzikana, kusagadzikana.
• Kuwedzera uremu.
• Musoro.

Kana mwana wako akasangana nemigumisiro yakaipa, unogona kutaura nachiremba wako wochinja dose kana kuchinja mishonga.

Kana mwana wangu aine asthma, chii chandinofanira kutarisira?

Asthma haisi chirwere chinorapika zvachose. Zvisinei, vana vazhinji vanogona kubata asima yavo zvakanaka nekurapwa kwakakodzera uye nzira dzekudzivirira . Asthma isina kurapwa inogona kukonzera matambudziko kwenguva refu, akadai sekukuvara kusingaperi kwemapapu.

Unoziva sei kana chirwere cheasthma chemwana wako chakadzorwa zvakanaka?

Unogona kuziva kuti asthma yemwana wako inodzorwa zvakanaka kana, pavanenge vachitora mishonga,:

• Kana uchirarama hupenyu hune simba uye hwakajairika .
• Kana paine zviratidzo zvishoma zvinonetsa.
• Kana usiri kupotsa chikoro nekuda kwezviratidzo.
• Kana uchikwanisa kuita mabasa ako ezuva nezuva pasina dambudziko .
• Kunze kwekunge paine kushanya kwekukurumidzira kuna chiremba wevana, kamuri rekukurumidzira, kana kuchipatara.
• Kana mushonga wacho usina migumisiro yakawanda, kana kuti usina zvachose .

Asima yevana inonyangarika here sezvaunokura?

Kana nzira dzekufema dzemunhu dzave kunzwa, kunzwa ikoko kunogara kweupenyu hwese. Kune inenge hafu yevana vane asthma, zviratidzo zvinoderera zvakanyanya pavanosvika pazera rekuyaruka. Nokudaro, vanogona kuita sekunge vakura kupfuura asthma yavo yehudiki.

Zvisinei, asthma yevana inogona kudzoka. Inenge hafu yevana vanoita sevakasiya asthma yavo vachawana zviratidzo zveasthma zvakare mumakore avo ekuma30 kana 40. Zvinosuwisa kuti hapana nzira yekufungidzira kuti ndiani acharasikirwa nezviratidzo zvavo mumakore avo eudiki uye ndiani achadzoka gare gare muhupenyu.

Asima yevana inogona kudzivirirwa here?

Asima yevana haigone kudzivirirwa nekuti chikonzero chaicho chechirwere hachizivikanwe. Uyewo, asima inogona kukura nekuti masoja emuviri wemwana wako achiri kukura.

Ndingaderedza sei njodzi yemwana wangu yekubatwa neasthma?

Kunyange hazvo chirwere cheasthma chevana chisingagoni kudzivirirwa, pane zvinhu zvakati wandei zvaunogona kuita kuti uderedze njodzi yemwana wako yekuchibata:

• Chengeta imba yako isina chakuvhuvhu uye hunyoro .
• Dzivisa kusvibiswa kwemhepo zvakanyanya sezvinobvira.
• Batsirai mwana wenyu kuti arambe aine huremu hwakanaka .

Mwana wangu anofanira kuona chiremba rini?

Kana mwana wako aine zviratidzo zveasthma pamwe chete nechero chimwe chezvinhu izvi zvine njodzi, unofanira kuona chiremba:

• Kana wakambopinda muchipatara nekuda kweasthma mugore rapfuura.
• Kana wakamborwara neasthma zvinouraya .
• Kana wangobva kutora mishonga ye corticosteroids yemuromo kuti urape asthma.
• Kana ukashandisa mushonga we'SABA' unopfuura kanisita imwe chete, mushonga uyu unogara kwenguva inopfuura mwedzi.
• Kana uine dambudziko repfungwa kana kushandisa zvinodhaka zvisina kunaka .
• Kana uine allergy yechikafu .

Chii chaunofanira kuita kana mwana wako aine asthma?

Kana mwana wako achiratidza zviratidzo zvekurwara neasthma:

1. Ipa mwana wako chirongwa chekuita zveasthma semushonga wekukurumidza kumubatsira .

2. Mira kwemaminitsi gumi nemashanu . Kana zviratidzo zvikanyangarika, mwana anofanira kukwanisa kudzokera kumabasa aaiita.

3. Kana zviratidzo zvikaramba zviripo, teverai chirongwa chekurapa chirwere cheasthma kuti muwane mamwe marapirwo .

4. Kana mamiriro emwana wako asingavandudzike, kana kuti usina chokwadi chekuita, fonera chiremba wemwana wako .

Ndinofanira kuendesa mwana wangu kuEmergency Treatment Unit (ETU) riini?

Kana mwana wako akaratidza chero chimwe chezviratidzo izvi zvekurwara neasthma, unofanira kufonera 911 kana kuendesa mwana wako kuchipatara chiri pedyo:

• Kana paine ruzha rukuru rwemuridzo (Kufemera) .
• Kana uine kukosora kwakanyanya .
• Kana uchinetseka kufamba uye/kana kutaura .
• Kana ganda, miromo uye/kana nzara zvikaita bhuruu .

Pakupedzisira, zvekurangarira

Saka, kuziva nezveasthma yemwana wako idanho guru mukurapa chirwere ichi. Zvakakosha kushanda nachiremba wako kuti uone uye udzivise zvinokonzera chirwere ichi, shandisa mishonga nemazvo, uye udzidze kuitora nemazvo. Musakanganwa kuti nekurapwa kwakakodzera, mwana wenyu anogona kurarama hupenyu hwakanaka, hune hutano pasina zviratidzo zveasthma. Tese tinokushuvirai simba rekuti murambe muchifamba rwendo urwu!