Dzimwe nguva tinokosora manyoka akakora, handiti? Zvakaoma zvikuru kuabvisa muchipfuva. Zvinoita sechimedu chechingamu chakanamira muchipfuva chedu. Izvi zvinonyanya kuitika uye zvinonetsa vanhu vane zvirwere zvemapapu zvisingaperi zvakaita seasthma neCOPD. Nhasi tichataura nezvemhando yemushonga unobatsira kusunungura manyoka akakora, anonamira uye kuita kuti zvive nyore kuakosora. Tinodaidza kuti Mucolytics.
Zvichitaurwa zviri nyore, chii chinonzi Mucolytic ichi?
Mucolytic mushonga unobatsira kupwanya, kusunungura, uye kutetepa manyoka akakora ari mumapapu ako kuitira kuti akwanise kuburitswa nyore nyore. Funga nezvazvo sekuwedzera mvura shoma mujeli gobvu wobva wainyungudutsa.
Kunyangwe izvi zvichiwanzova muchikamu chimwe chete nemishonga inobvisa manyoka, zvinoshanda zvakasiyana zvishoma nemishonga inobvisa manyoka yatinotora padzihwa. Tichataura nezvazvo gare gare. Parizvino, yeuka kuti mishonga inobvisa manyoka imhando yemishonga inopihwa kubvisa manyoka akakora, kunyanya kubva kuzvirwere zvemapapu zvenguva refu.
Mushonga uyu unoshandiswa kuzvirwere zvipi?
Vanachiremba vanowanzokurudzira rudzi urwu rwemushonga wemucolytic kune vanhu vane madzihwa akakora anokonzerwa nezvirwere zvemapapu zvinogara kwenguva refu (zvisingaperi). Ngatitarisei kuti ndeapi marudzi ezvirwere izvi.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Cystic Fibrosis | Ichi chirwere chinokonzerwa nemajini. Zvinobuda mumuviri, kunyanya mumapapu, zvinova gobvu uye zvinonamira. |
| Bronchiectasis | Nekuti nzira dzekufema dziri mumapapu dzinokura uye dzinokuvara zvachose, madzihwa anogona kuungana zviri nyore uye kukonzera hutachiona. |
| COPD (Chirwere Chisingaperi Chekudzivirira Mapupa) | Chirwere chemapapu chinowanzoitika kwenguva refu chinowanzobata vanosvuta. Chinokonzera kutadza kufema uye mamina akakora. |
| Asima | Vamwe varwere veasthma vanogonawo kuva nematehwe akakora. Asi vanachiremba vanongwarira zvikuru pavanopa mushonga uyu. |
Mushonga uyu unoshanda sei mumuviri?
Zviri nyore kwazvo. Basa guru remapundu mumapapu emunhu ane hutano nderekudzivirira nekubata guruva nehutachiona mumhepo yatinofema. Mapundu aya anozosundirwa pasi pahuro netunhu tudiki twakaita sebvudzi (cilia) mumapapu, uye patinokosora, anobuda.
Asi madzihwa anoumbwa mumapapu emunhu ane zvirwere zvatakakurukura kare akakora uye anonamira. Nokudaro, haagone kubudiswa nyore nyore. Majemusi anogona kubatwa nyore nyore mumadzihwa aka akakora, uye mikana yekuva nezvirwere yakakurawo.
Ndipo panobva mishonga yemucolytic yabatsira. Mishonga iyi inoputsa makemikari anobatanidza (molecules) anoita kuti mucus uome. Izvi zvinoita kuti mucus uome uye uve wakawanda, zvichiita kuti zvive nyore kukosora.
Mhando dzeMishonga yeMucolytic uye Maitiro Ekuitora
Kune mhando mbiri huru dzemishonga yemucolytic:
1. Acetylcysteine (NAC) : Iyi ndiyo mhando inonyanya kushandiswa. Pamusoro pekusunungura madzihwa, inewo hunhu hwekudzivirira kuzvimba uye antioxidant. Ungave wakanzwa kuti inoshandiswawo semushonga wekuwedzera paracetamol.
2. Dornase alfa : Uyu mushonga unopiwa zvakananga kuvarwere vane cystic fibrosis.
Kune nzira nhatu huru dzekutora mushonga uyu:
- Nebulizer: Uyu muchina mudiki. Paunoisa mushonga wemvura mukati mawo, unouchinja kuita mhute diki. Unogona kufema mhute uchishandisa mask. Iyi inzira inoshanda zvikuru nekuti mushonga unopinda zvakananga mumapapu ako.
- Mutsinga (IV): Mune zvimwe zviitiko, mushonga unobayiwa mutsinga.
- Mapiritsi: Anogonawo kumedzwa semapiritsi.
Pane migumisiro kana njodzi dziripo here?
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro midiki, asi havasi vese vanouwana.
Zvakakosha: Kana uine asthma , unofanira kungwarira zvikuru paunotora Acetylcysteine.Nekuti dzimwe nguva nzira dzekufema dzinogona kutowedzera kuvharika (bronchospasm). Saka, zvakakosha kuudza chiremba wako kuti une asthma. Achakupa mushonga wakakodzera.
Migumisiro yakajairika inosanganisira:
- Kusvotwa kana kurutsa
- Kurwadziwa kwedumbu (Diarrhea)
- Mapundu eganda
- Huro inorwadza
- Kuchinja kwezwi kana kurasikirwa
- Kutadza kufema zvakanaka (Dyspnea)
- Kurwadziwa kwechipfuva
Kana ukaona chimwe chezviratidzo izvi , taura nachiremba wako nekukasika. Uyewo, vanhu vazhinji vanoti Acetylcysteine ine hwema hunorwadza zvishoma uye husingafadzi. Hazvisi nyaya hombe, asi zvakanaka kuziva.
Mucolytic uye Expectorant: musiyano uripi?
Apa ndipo panovhiringidzika vanhu vazhinji. Manyuchi anoomesa ganda (semuenzaniso, ane Guaifenesin) atinotenga ku pharmacy yedzihwa nekukosora anonzi Expectorants. Asi Mucolytics akasiyana.
| Chikamu | Mucolytic | Chinobvisa huturu |
|---|---|---|
| Mashandiro | Inopwanya mamorekuru emushonga wakakora wobva wasunungura. | Kuisa mvura mumatehwe kunoita kuti iite seyakapfava uye zvinoita kuti ibude nyore. |
| Makesi ekushandisa | Kune zvirwere zvemapapu zvisingaperi zvakaita seCystic Fibrosis neCOPD. | Kune zvirwere zvenguva pfupi zvakaita sedzihwa nefuruu. |
| Kuwana | Kazhinji kacho chiremba anofanirwa kunyora tsamba yechiremba. | Inogona kutengwa ku pharmacy pasina kunyorerwa nachiremba (inotengeswa pasina kunyorerwa chiremba). |
Saka kana uine kukosora kwakajairika nephlegm, mushonga wekubvisa manyoka ungakukodzera. Asi kana uine phlegm yakakora nekuda kwechirwere chekufema kwenguva refu, chiremba wako ndiye achasarudza kana uchida mushonga wemucolytic.
Mharidzo Yekuenda Nayo Kumba
- Mucolytic imhando yemushonga unopiwa kusunungura madzihwa akakora, anonamira anokonzerwa nezvirwere zvemapapu zvenguva refu.
- Izvi zvakasiyana nemishonga inobvisa huturu yatinotora padzihwa.
- Mushonga uyu unofanirwa kungotorwa chete kana wakurudzirwa nachiremba .
- Kana uine zvimwe zvirwere, zvakaita seasthma, iva nechokwadi chekuudza chiremba wako nezvazvo usati watanga mushonga uyu.
- Kana ukasangana nematambudziko asina kujairika paunenge uchitora mushonga kana kuti uine mibvunzo nezvemushonga wacho, taura nachiremba wako nekukasika.
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