Asthma chirwere chinonetsa zvikuru uye chinovhiringidza hupenyu hwezuva nezuva, avo chete vanotambura nacho ndivo vanoziva. Kugara vachifemereka, kunzwa sekunge chipfuva chavo chakamanikana, vasingakwanise kuenda chero kupi vasina inhaler yavo... Zvinhu zvakaita seizvi zvinoita kuti zvisakwanise kuita mabasa avo ezuva nezuva nemazvo, handiti? Izvi zvinonyanya kunetsa kune avo vasingagoni kudzora asthma yavo kunyangwe mushure mekushandisa mushonga wakapihwa nachiremba uye inhaler yavo nemazvo. Saka, nhasi tichataura nezvenzira yakakosha, yemazuva ano yekurapa inogona kubatsira vanhu vane asthma yakanyanya kudaro. Ndiyo Bronchial Thermoplasty .
Zvichitaurwa zviri nyore, chii chinonzi Bronchial Thermoplasty?
Zvakanaka, ngatizvitaure zviri nyore. Fungidzira kuti pane tsandanyama diki yakakomberedza paipi yemhepo (tinoidaidza kuti trachea) mukati memapapu ako. Mumunhu ane asthma, tsandanyama iyi inogumira zvisina kufanira, ndiko kuti, inosimba. Ipapo paipi yemhepo iyoyo inova diki. Kungofanana nekudzvanya paipi yemvura, inova yakaoma kuyerera, kana bronchi ikava diki, inova yakaoma kufema. Patinenge tine asthma, ndizvo zvinoita kuti tifeme uye chipfuva chedu chisimbiswe.
Bronchial Thermoplasty inzira yekurapa inoshandisa kupisa kwakadzora kune idzi tsandanyama dzakasimba, dzakakora, izvo zvinobatsira kudzizorodza. Kutaura chokwadi, izvi zvinowanzoitwa nachiremba wemapapu. Anoshandisa chubhu tete kuti apinde mumhepo yako yekufema uye aise kupisa kune tsandanyama. Kana tsandanyama idzi dzakasununguka, hadzigone kukwenya zvakasimba sezvadzaiita kare. Izvi zvinovhura nzira dzekufema, zvichiita kuti zvive nyore kufema.
Chinhu chakakosha ndechekuti iyi haisi mushonga weasthma. Zvisinei, inogona kuderedza zvakanyanya kuoma kwezviratidzo zveasthma uye kuwanda kwekurwiswa kweasthma.
Kurapwa uku kwakakodzera ani?
Iyi haisi mishonga yekurapa varwere vese veasthma. Bronchial Thermoplasty inowanzo kurudzirwa kune vanhu vane asthma yakanyanya vasingakwanisi kuidzora nekurapwa kwakajairika.
Ngatitarisei zvinorehwa neshoko rekuti "asthma yakanyanya" nenzira iyi.
| Chinzvimbo | Tsananguro iri nyore |
|---|---|
| Hazvidzorwi nemishonga yakajairika | Kana zviratidzo zvako zveasthma (kufemera, kukosora, kusimba kwechipfuva) zvikaramba zviripo pasinei nekushandisa mishonga yako yekufema ine mushonga wepamusoro, mishonga yemuromo, kana majekiseni chaiwo (biologics). |
| Mhedzisiro pahunhu hwehupenyu | Kana asthma yako ichiramba ichikanganisa mabasa ako ezuva nezuva, kurara, basa, uye kurovedza muviri. |
| Kurwiswa kweasthma kakawanda | Kana uchigara uchirwara neasthma uye uchinetseka kufema kupfuura zvakajairika. |
| Kufanira kuendeswa kuchipatara | Kana asthma yako ikanyanya, zvichireva kuti unonetseka kufema uye unofanira kuendeswa kuchipatara kuti unorapwa. |
Kana uine dambudziko rakafanana, unogona kukurukura nachiremba wako nezvekurapa kweBronchial Thermoplasty wosarudza kana kwakakunakira.
Unogadzirira sei usati warapwa?
Kana iwe nachiremba wako masarudza kurapwa uku, panenge paine gadziriro. Chiremba anowanzo kupa mirairo yakaita seiyi:
- Uchakumbirwa kuti usadye kana kunwa chero chinhu kwemaawa masere usati watanga kurapwa.
- Uchakumbirwa kunwa mapiritsi esteroid (semuenzaniso prednisolone) kwemazuva maviri kusvika matatu usati watanga kurapwa. Izvi zvinoitirwa kudzora kuzvimba uye zviratidzo zvinogona kuitika mushure mekurapwa.
- Sezvo kurapwa kwacho kuchiitwa pasi peanesthesia, hauzokwanisi kutyaira mota mushure mekurapwa. Saka, uchakumbirwa kuronga kuti mumwe munhu akuendese kumba pachine nguva .
Chii chinoitika panguva yekurapwa?
Zvinoitika pazuva rekurapwa uku zvakanyatsorongeka.
1. Kutanga, uchapihwa mushonga wekuti usazonzwa kurwadziwa kana kusagadzikana. Saka, uchange wakarara panguva yese yekurapwa.
2. Zvadaro, chiremba anoshandisa bronchoscope.Imwe, chubhu diki, inochinjika ine kamera yakabatanidzwa, inopfuudzwa nemuromo wako ichipinda munzira dzekufema dzemapapu ako.
3. Chimwe chinhu chakakosha chinoiswa kuburikidza nechubhu iyi uye chinoendesa kupisa kunodzorwa (`radiofrequency energy`) kunzvimbo dzine tsandanyama dzakakora. Kupisa uku kunoita kuti tsandanyama dzitete.
4. Mushure mekurapa nzvimbo dzose dzinodiwa, chiremba anobvisa bronchoscope nokungwarira.
Maitiro ese aya anowanzo tora pakati pemaminitsi makumi mana nemashanu neawa imwe .
Mushure mekurapwa uye nzira yese yekurapwa
Kana kurapwa kwapera, uchatariswa navanachiremba nevanamukoti kwemaawa mashoma kusvika wamuka kubva pakunzwa kuneta. Kana zviratidzo zvako zveasthma zvikawedzera kana kuti ukasangana nezvimwe migumisiro, ungangoda kugara muchipatara husiku ihwohwo.
Chinhu chakakosha ndechekuti kurapwa uku kusaitwe kamwe chete. Kuti urape nzvimbo dzese dzemapapu, uchafanirwa kuenda kumisangano mitatu yekurapwa .
- Chikamu chepazasi chemapapu ekurudyi chinorapwa kamwe chete.
- Mune imwe nguva, chikamu chepazasi chemapapu ekuruboshwe chicharapwa.
- Muchikamu chechitatu, zvikamu zvepamusoro zvemapapu ese zviri kurapwa.
Pane musiyano wemavhiki matatu pakati pemisangano iyi.
Ndezvipi zvakanakira, njodzi, uye migumisiro yekurapa uku?
Sezvinoita chero kurapwa kupi zvako, Bronchial Thermoplasty ine zvayakanakira pamwe nenjodzi dzayo nemigumisiro yayo. Zvakakosha kunzwisisa izvi zvakajeka.
| Mabhenefiti | Njodzi & Migumisiro Yezvimwe Zvinetso |
|---|---|
| Kuderera kwekuoma uye kuwanda kwezviratidzo zveasthma. | Kuwedzera kwenguva pfupi kwezviratidzo (kukosora, kufemereka, kurwadziwa pachipfuva) kwemazuva mashoma mushure mekurapwa (izvi zvinowanzopera mukati mevhiki). |
| Kuderera kwekurwiswa kweasthma . | Pangozi diki yekuiswa muchipatara nekuda kwezviratidzo zvakakomba. |
| Kuvandudza hupenyu. | Njodzi yekubatwa nechirwere mumapapu. |
| Ongororo yakaratidza kuti mhedzisiro yakanaka inogara kwemakore gumi. | Kashoma, pane njodzi yezvirwere zvakaita sekudonha kwechikamu chemapapu (`atelectasis`) kana kuwedzera kwenzira dzekufema (`bronchiectasis`). |
Nguva yekuona chiremba uye kuenda kuchipatara nekukasika
Mushure mekurapwa, zvakakosha kuziva musiyano uripo pakati pekusagadzikana kwakajairika, kunotarisirwa uye mamiriro akakomba anoda kutarisirwa nekukurumidza.
| Mamiriro ezvinhu ekutarisira | |
|---|---|
| Taura nachiremba wako: | |
| Taura nezvemibvunzo kana zvinokunetsa zvaungave nazvo usati warapwa kana mushure mekurapwa. Semuenzaniso, "Chiremba, ndine kukosora zvishoma, ndizvo zvakajairika here?" | |
| Enda kuDhipatimendi reEmergency (ETU) riri pedyo nekukasika: | |
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Asthma inogona kuva chirwere chinotyisidzira hupenyu. Kunyanya kana asthma yako ichigara ichikura, unogona kurasikirwa nezvimwe zvinhu zvinonakidza muhupenyu. Bronchial Thermoplasty haisi mhinduro imwe chete. Zvisinei, kana uchifunga kuti asthma yako iri kukanganisa hupenyu hwako zvakanyanya, kunyangwe mushure mekutora mishonga yawakanyorerwa, zvakanaka kutaura nachiremba wako kuti mukurukure kana kurapwa uku kana kumwe kurapwa kwakasiyana kwakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Bronchial Thermoplasty inzira yekurapa asthma yakanyanya isingagone kudzorwa nekurapwa kwakajairika.
- Izvi zvinopisa tsandanyama dzakakora dzakatenderedza nzira dzekufema uye zvinoita kuti dzitete, zvichiita kuti kufema kuve nyore.
- Izvi hazvipedzwi muchikamu chimwe chete, asi zvinosanganisira kurapa kutatu kwakaparadzana kwemavhiki matatu.
- Kunyangwe izvi zvisiri mushonga weasthma, zvinogona kuderedza zviratidzo uye kuitika kwekurwiswa kweasthma zvakanyanya.
- Sezvinoitwa chero nzira ipi zvayo yekurapa, kune dzimwe njodzi uye migumisiro yenguva pfupi.
- Unofanira kukurukura nezvekurapa uku nachiremba wemapapu kana chiremba wako kuti uone kana kwakakunakira.
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