Asima yako iri kuwedzera kuipa here uye zvichiita kuti zviomere kufema here? Izvi ndizvo zviri kukonzera asthmaticus here?

Une asthma here? Kana kuti mumwe munhu mumhuri mako kana shamwari yako ane asthma here? Saka unofanira kunge wakanzwa nezvenguva apo asthma yako inotowedzera kuipa uye unoona zvichikuomera kufema. Asi dzimwe nguva chirwere ichi cheasthma chinogona kuva chakanyanya kuipa kupfuura zvaunofunga. Chirwere ichi cheasthma, icho chakanyanya kuoma zvekuti hachigone kudzorwa nemishonga yakajairika, ndicho chatinodaidza kuti Status Asthmaticus kana Acute Severe Asthma .

Chii chinonzi Status Asthmaticus?

Zvichitaurwa zviri nyore, Status Asthmaticus ndiyo nhanho yakanyanya uye yakanyanya yeasthma. Apa ndipo panotanga kuoma kufema kwako, kunyangwe nemishonga yako yeasthma yakajairika, senge inhaler. Fungidzira, haugone kutaura kana kudya, uye haugone kurara zvakanaka. Dambudziko iri rinogona kuwedzera mumazuva mashoma, kana kuti rinogona kuwedzera kamwe kamwe mumaawa mashoma. Asi chinhu chakanakisa ndechekuti unogona kudzivirira dambudziko iri rakaipisisa nekuteerera maitiro ako ekufema, kudzivirira zvinokukonzera, uye kutevedzera chirongwa cheasthma chawakagadzira iwe nachiremba wako.

Zvakakosha: Rudzi urwu rwechirwere cheasthma chakakomba idambudziko rinotyisidzira hupenyu. Kana uchinetseka kufema zvakanyanya uye mushonga wako wekufema usingakubatsiri, unofanira kufonera 911 nekukasika kana kuenda kuchipatara chiri pedyo newe.

Ndeupi musiyano uripo pakati peasthma yakajairika neinonzi status asthmaticus?

Zvino ungave uchifunga kuti, 'Saka chii chinonzi asthma yakajairika uye chinonzi Status Asthmaticus?' Ehe, ndizvo zvazviri. Asthma, sezvatinoziva, chirwere chemapapu chisingaperi . Mumunhu ane asthma, zvinhu zvinokonzera allergy zvakaita seutsi, guruva, pollen, kana kurovedza muviri zvakanyanya zvinogona kukonzera kuti nzira dzekufema dzizvimbe uye dzizare nemate. Izvi ndizvo zvinoitika kana wava neasthma. Kazhinji, chirwere ichi cheasthma chinogona kudzorwa nemishonga.

Zvisinei, Status Asthmaticus chirwere chakasiyana zvachose uye chakanyanya kuoma. Apa ndipo paunobatwa neasthma zvakanyanya isingadzorwe nemishonga yaunowanzo nwa kumba. Izvi zvinoreva kuti chirwere chacho chinowedzera kuipa, kwete kuvandudzika.

Ndezvipi zviratidzo zveStatus Asthmaticus kana asthma yakanyanya?

Zviratidzo zvechirwere ichi cheasthma chakanyanya zvinogona kukura zvishoma nezvishoma mumaawa mashoma kana kwemazuva mashoma. Ona kana zviratidzo izvi zvichinzwika sekunge zvakajairika kwauri:

• Kuoma kwakanyanya kufema: Kuoma kufema zvakanaka. Dzimwe nguva zvinogona kuoma zvekuti haugone kutaura kana kudya.
• Kufemera: Kurira kwemuridzo kunonzwika muchipfuva kana uchifemera mukati nekubuda.
• Kukosora: Kukosora kusingaperi uye kusingadzivisiki kunogona kuitika.
• Kurova kwemoyo nekukurumidza: Kurova kwemoyo kunowedzera zvakanyanya.
• Dzungu.
• Kuvhiringidzika: Unganzwa sekunge uri kurasikirwa nepfungwa uye usinganyatsonzwisisi zviri kuitika.
• Zvigunwe, miromo kana ganda rebhuruu: Ichi chiratidzo chine njodzi zvikuru. Zvinoreva kuti muviri hausi kuwana oxygen yakakwana.

Sei Status Asthmaticus ichikura? Ndezvipi zvikonzero?

Kana uine asthma, nzira dzako dzekufema, kana nzira dzekufema, dzinova shoma. Vanachiremba vanodana izvi kuti bronchospasm . Zvakare, nzira idzi dzekufema dzinozvimba. Izvi zvinonzi kuzvimba . Pamusoro pezvo, manyoka akawanda anogadzirwa.

Iye zvino, nyanzvi dzinotenda kuti chikonzero chikuru chekurwiswa kweasthma kwakanyanya uye kusingadzoreki hachisi kunyanya kubatwa nebronchospasm asi kuzvimba kwenzira dzekufema uye kugadzirwa kwemate. Zvikuru sei, ndipo apo nzira dzekufema dzinozvimba uye dzakavharika nemate ndipo panonyanya kuoma kufema.

Ndezvipi zvinokonzera kuwedzera kwechirwere cheasthmaticus?

Chero chinhu chipi zvacho chinogona kukonzera asthma yakajairika chinogonawo kukonzera chirwere ichi chakakomba chinonzi Status Asthmaticus. Ngatitarisei zvimwe zvezvinhu izvi zvinowanzo kukonzera asthma:

• Kurwara mumba nekunze: Zvipembenene zvine guruva, dander yemhuka dzinovaraidza, mukume, chakuvhuvhu, nezvimwewo.
• Zvimwe zvinotsamwisa: Utsi hwefodya, zvinonhuhwirira, hwema hwakasimba hunobva kumakemikari, mhepo inotonhora.
• Kurovedza muviri: Vamwe vanhu vanogona kuwedzera asthma panguva yekurovedza muviri.
• Kushungurudzika mupfungwa: Asima inogona kuwedzera kana wakasuruvara zvikuru, uchitya, kana kuti uchinetseka.
• Utachiona: Utachiona hwekufema hwakadai sedzihwa, furuu, uye COVID-19.
• Mimwe mishonga: Semuenzaniso, mimwe mishonga inoderedza marwadzo yakaita seaspirin nemimwe mishonga yeBP (beta-blockers) inogona kuwedzera asthma mune vamwe vanhu.

Ndiani ari panjodzi huru yekubatwa nechirwere ichi cheasthma chakanyanya (Acute Severe Asthma)?

Ungangove nedambudziko guru rekupfeka zvipfeko seizvi nekuda kwezvikonzero zvinotevera:

• Kana usingazive mashandisiro ekushandisa mushonga wako wekufema nemazvo, kana kuti ukaushandisa zvisizvo:Izvi zvinowanzoitika. Nekuti pane matanho akati wandei ekutevera kana uchishandisa mushonga wekufema. Kana ukapotsa chero ipi zvayo, kana kuti nguva yekufema kwako isina kunaka, mushonga wese hausvike kumapapu ako. Saka hauzowana mhedzisiro.
• Kana iwe kana vanachiremba vako vanokurapa usinganyatsoongorora kuoma kweasthma yako: Izvi zvinogona kureva kuti hausi kuwana mushonga wakakodzera, kana kuti muyero wakakodzera.
• Kana usingakwanise kutora mishonga yako, usingade, kana kuti usingazive kuti woitora riini kudzivirira zviratidzo zvakakomba: Vamwe vanhu havadi kutora mishonga yavo, kana kuti havaitore nenguva. Kunyangwe zvakadaro, zvinogona kuoma kudzora asthma yavo.

Ndezvipi zvinetso zvinogona kuitika nekuda kweStatus Asthmaticus?

Dambudziko iri reasthma (Acute Severe Asthma) rinogona kukonzera matambudziko akakomba. Tarisa:

• Hypoxia: Izvi zvinoreva kuti nhengo dzemuviri wako hadzisi kuwana okisijeni yakakwana. Izvi zvine njodzi huru.
• Chirwere cheAcute Respiratory Distress Syndrome (ARDS): Chirwere chekuti mapapu anokuvadzwa zvakanyanya uye kufema kunova kwakaoma zvikuru.
• Kutadza kufema: Izvi zvinoreva kuti mapapu ako haakwanise kufema ega. Panguva ino, ungangoda kubatanidzwa nemuchina wekufema.

Nzira yekuziva sei Status Asthmatics kana yakanyanya asima?

Chiremba achaongorora mamiriro echirwere cheasthmaticus nekutarisa zviratidzo zvako, kukuongorora, kubvunza nezvenhoroondo yako yehutano, uye pamwe nekuita bvunzo dzekushanda kwemapapu (semuenzaniso, spirometry).

Chinonyanya kukosha ndechekuti vanachiremba vatange kurapwa nekukasika kuti vadzore kufema kwako. Panguva iyi, vanogonawo kuita bvunzo dzeropa uye kutora X-ray dzechipfuva kuti vaone kana paine zvimwe zvirwere.

Izvi zvinorapwa sei?

Chiremba achakupa okisijeni, mishonga yekuderedza kuzvimba mumapapu ako, uye kuvhura nzira dzekufema. Mune zvimwe zviitiko zvakakomba, ungangoda kubatanidzwa nemuchina wekufema kusvika wava kugona kufema wega.

Ndeapi marapirwo chaiwo eStatus Asthmaticus?

Zvichienderana nekuoma kwechirwere chako, vanachiremba vanogona kushandisa nzira dzekurapa dzakadai se:

• Okisijeni yekuwedzera: Okisijeni inopihwa kuburikidza ne cannula yemhino kana mask yekumeso.
• Mishonga inofema yebronchodilator:Izvi zvinopihwa kuburikidza neinhaler kana nebulizer. Zvinoshanda nekuwedzera nzira dzekufema. Mienzaniso:
• Beta-2 agonists: Salbutamol (inonziwo Albuterol) kana Levalbuterol.
• Mishonga yeAnticholinergics: Ipratropium bromide.
• Mishonga yecorticosteroids inopinzwa mutsinga (IV): Inokurumidza kuderedza kuzvimba mumhepo. Mienzaniso: hydrocortisone kana methylprednisolone.
• Mishonga yekubvisa mabronchodilator mutsinga: Dzimwe nguva mishonga yakaita semagnesium sulfate inopiwa.
• Adrenaline (Epinephrine): Mune dzimwe nguva dzenjodzi, inopihwa sejekiseni.
• Mvura inopinzwa mutsinga (IV fluids): Inoshandiswa kudzivirira kupera mvura mumuviri uye kupa mishonga.
• Gasi rehelium rinofemeswa (Heliox): Mune zvimwe zviitiko zvakakosha, rinosanganiswa neokisijeni kuti kufema kuve nyore.
• Kupinza mweya muchubhu uye kupinza mweya muchubhu: Kana chirwere chacho chakanyanya kuipa, munhu anonzwa kushaya simba, chubhu inopinzwa muchubhu, uye murwere anobatanidzwa nemuchina wekufema.
• Kunyaradza: Kana murwere achinetseka, dzimwe nguva mushonga wekunyaradza unopiwa kuti umubatsire kujairana nemuchina wekufema.

Chii chaungatarisira kana ukava nechirwere cheasthmaticus?

Kana ukawana Status Asthmaticus, uchafanira kugara muchipatara kusvika mamiriro ako agadzikana. Mune zvimwe zviitiko zvakakomba, unogona kutamisirwa kuIntensive Care Unit (ICU).

Kana madzokera kumba, chiremba wenyu achakupai mushonga we corticosteroid (wakadai se prednisolone) wekuti mutore kwemazuva angangoita 12 kusvika 14. Zvakakosha kuti mutore mushonga uyu sezvamakaudzwa nachiremba wenyu, kwenguva yese.

Ko Status Asthmaticus inogona kudzivirirwa here?

Ehe, zvinogoneka! Heano mamwe maitiro aunogona kuita kuderedza njodzi yekurwiswa kwezvipfeko zvakaipa:

• Ziva mashandisirwo chaiwo emidziyo yaunoshandisa kudzora asthma yako. Izvi zvinosanganisira zvinhu zvakaita semainhaler nema nebulizer. Kumbira chiremba wako kana wemishonga kuti akuratidze nzira yakanakisisa yekuzvishandisa, nhanho nenhanho. Dzidzira.
• Nzwisisa kuti zviratidzo zveasthma zvinorapwa riini uye sei zvisati zvanyanya kuoma kudzora. Unogona kuita izvi uchishandisa "Peak Flow Meter".Unogona kuyera simba rekufema kwako uchishandisa mudziyo unonzi spirometer. Kana, shanda nachiremba wako kugadzira "Asthma Action Plan ." Izvi zvichakuudza zvekuita kana asthma yako yave padanho rakanaka, payakanyanya kuipa, uye payakanyanya kuipa.
• Ziva chaizvo zvinokonzera asthma yako uye usazvione zvakanyanya sezvinobvira.
• Enda kuna chiremba wako nguva nenguva kuti uve nechokwadi chekuti asthma yako iri pasi pesimba. Izvi zvichakubatsira kuona kana mushonga wako uchida kugadziriswa kana kuti uchida kutanga mushonga mutsva.
• Kana uchida rubatsiro rwechiremba, ruwane nekukurumidza sezvinobvira. Usamirire kusvika zviratidzo zvawedzera kuipa.

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uchinetseka zvakanyanya kufema, kana kuti uri kubatwa neasthma uye usingakwanise kuidzora neinhaler yako yaunowanzo nwa, fonera 1990 nekukasika, kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU) . Usatambisa nguva.

Mibvunzo ipi yaunofanira kubvunza chiremba wako?

Paunosangana nachiremba, zvingabatsira kubvunza mibvunzo yakaita seiyi:

• 'Chiremba, sei ndakarwara nechirwere ichi?'
• 'Ndingatora sei mushonga wangu nemazvo?' (Dzidza kushandisa mushonga wekufema zvakare)
• 'Ndedzipi dzimwe nzira dzekurapa dzandinadzo?'
• 'Ndingadzivirira sei mamiriro ezvinhu akadai kuti asaitike zvakare?'

Chekupedzisira, chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)

Kusakwanisa kufema chinhu chinotyisa. Usatya panguva dzakadai, gara wakadzikama, uye kumbira rubatsiro. Kana uine asthma, shanda nachiremba wako kuti unzwisise mamiriro ako uye ugadzire hurongwa hwekuagadzirisa. Ziva nguva uye maitiro ekurapa zviratidzo zvako zvisati zvanyanya kuipa. Kuva nehurongwa huchakubatsira kuwana rubatsiro munguva yenjodzi usingatyi. Hupenyu hwako hunokosha kwauri, uye ndizvo zvakaitawo mhuri yako. Saka kana uine asthma, zvakakosha kuidzora.

Asthma , status asthmaticus, asthma yakanyanya, kunetseka kufema, chirwere chekufema, mapapu