Paunofema, kunyanya paunoburitsa mweya, unonzwa ruzha rwuri pasi, rwuchirira kubva pachipfuva chako here? Dzimwe nguva, zvinogona kutyisa kana ukanzwa ruzha urwu pamwe chete nekukosora kwako? Vanhu vazhinji vakambosangana neizvi. Mukurapa, tinozviti 'kufemera'. Uku kutaura chaiko kunoitika kana nzira diki dzekufema mumapapu edu dzikava dzakatetepa nekuda kwechimwe chikonzero, zvichiita kuti mweya upfuure nepakati padzo. Saka nhasi, ngatitaurei nezvechinokonzera izvi, kuti chiremba anozviona sei, uye kuti ndeapi marapirwo azvo.
Chiremba anowana sei chikonzero chekufemera?
Chinhu chakanakisa chekuita kana uine ruzha rwechipfuva rwakadai ndechekuona chiremba. Nekuti ichi chiratidzo chete, chinhu chakakosha ndechekutsvaga chikonzero. Heano zvimwe zvinhu izvo chiremba achaita kana akuona.
1. Kukubvunza mibvunzo:
Kutanga, chiremba achakubvunza nezvezviratidzo zvako. Funga nezvekubvunza mibvunzo yakaita seiyi:
- "Ruzha urwu rwakatanga riini?"
- "Unonzwa kukosora, pahuro panorwadza, kana kuti chipfuva chako chakabatikana pamwe chete neizvi here?"
- "Izvi zvinowedzera riini? Kana zvasangana neguruva? Kana kuchitonhora? Kana muchirovedza muviri ?"
- "Pane mumwe munhu mumhuri mako ane asthma here?"
- "Izvi zvinoitika here mushure mekudya zvimwe zvekudya? Kana kuti zvinoitika panguva imwe chete yegore (semuenzaniso, maruva paanotumbuka)?"
Mibvunzo iyi inogona kupa chiremba wako pfungwa yakanaka yekuti une allergy here, asthma , kana chimwewo chinetso.
2. Kuongororwa kwemuviri:
Zvadaro, chiremba achaisa stethoscope pachipfuva chako uye onyatsoteerera. Izvi zvichakubatsira kuona kuti ruzha rwuri kubva kupi mumapapu ako uye kuti rwakanyanya sei.
3. Miedzo yakakosha:
Zvichienderana nezviratidzo zvako uye nhoroondo yako, chiremba wako anogona kukurudzira mimwe miedzo yakawanda.
- Spirometry: Izvi zvinosanganisira kufemera mukati nekubuda mumuchina mudiki. Zvinogona kuyera kuti mapapu ako ari kushanda zvakanaka sei uye kuti nzira dzako dzekufema dzakatetepa sei.
- X-ray yechipfuva : Izvi zvinobatsira kuona kana paine rimwe dambudziko, rakadai sehutachiona mumapapu.
- Kuongororwa Kweropa: Dzimwe nguva kuongororwa kweropa kunoitirwa kuti vaone kana paine hutachiona kana kuti allergies.
- Kuongororwa kweAllergy: Kana uchifungidzira kuti une allergy, unogona kuongororwa ganda kana ropa kuti zvionekwe.
Yeukai kuti zvinogona kuva nengozi kutora mushonga wega usina kunyatsoongorora chikonzero chekufemera kwako. Gara uchibvunza chiremba wako kuti akupe mazano.
Ndeapi marapirwo ekufema kwemoyo?
Kurapwa kunoenderana nechikonzero chekufemera kwako. Ndosaka zvichikosha kutanga wawana chikonzero. Heino tarisiro yekurapa zvimwe zvikonzero zvakajairika.
Kana uri kuchema nekuda kweasthma
Asthma chirwere chinoita kuti nzira dzekufema mumapapu dzizvimbe, dzinzwe kurwadza, uye dziite diki nyore nyore. Chiremba wako anogona kukupa mishonga yakaita seiyi yekurapa chirwere ichi.
| Rudzi rwekurapwa | Chii chinoitika kwairi? | Mienzaniso |
|---|---|---|
| Mishonga yekufemesa inoshanda nekukurumidza | Kana uchikosora kana kuti chipfuva chako chakabata, zvinoita kuti nzira dzekufema dziwedzere uye zvinopa zororo nekukurumidza. Izvi zvinonziwo mushonga we'Reliever'. | Albuterol (Ventolin), Levalbuterol (Xopenex) |
| Zvinofema Zvinodzora | Izvi zvinoshandiswa zuva nezuva kuderedza kuzvimba mumhepo uye kudzora asthma. Izvi zvinonziwo 'Preventer'. | Beclomethasone (Qvar), Budesonide (Pulmicort), Fluticasone (Flovent) |
| Zvinofema Zvakasanganiswa | Izvi zvinosanganisa mushonga wekudzora uye mushonga unoshanda kwenguva refu unowedzera nzira dzekufema. | Budesonide/formoterol (Symbicort), Fluticasone/salmeterol (Advair) |
| Mapiritsi Ekutonga | Pamusoro pemishonga yekufemesa, chiremba wako anogonawo kukurudzira mapiritsi anoderedza kuzvimba munzira dzekufema. | Montelukast (Singulair), Zafirlukast (Accolate) |
| Mishonga yeAllergy (Antihistamines) | Kana asthma yako ichikonzerwa ne allergies, unogona kupihwa mapiritsi ekudzivirira allergies kana sprays dzemhino. | Mapiritsi: Cetirizine (Zyrtec), Loratadine (Claritin) Mapfapfaidzo: Fluticasone (Flonase), Mometasone (Nasonex) |
Kana kufemera kwemweya kuchikonzerwa nehutachiona hwakaita sebronchitis
Dzimwe nguva, kana dzihwa ranyanya, utachiona hwemumapapu (Acute Bronchitis) hunogona kutanga. Kufemera mukati kunogonawo kuitika. Izvi zvinowanzopera zvega kana hutachiona hwapera.
- Kana kufema kwakaoma: Chiremba wako anogona kukupa mushonga unoshanda nekukurumidza (semuenzaniso Albuterol) kwenguva pfupi kuti akubatsire kuwana zororo.
- Mishonga inorwisa mabhakitiriya: Mishonga inorwisa mabhakitiriya haiwanzopihwa pahutachiona hwehutachiona. Zvisinei, mishonga inorwisa mabhakitiriya inopihwa chete kana uine chimwe chirwere chemapapu kana kana chiremba achifungidzira kuti chirwere ichi chinokonzerwa nebhakitiriya.
Chii chekuita kana paine emergency?
Zvinhu zvakaita sekuoma kwakanyanya kufema, kuoma kutaura, kana miromo yebhuruu kana nzara zvinhu zvinokurumidzira. Muzviitiko zvakadaro, fonera amburenzi nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. Ikoko, timu yezvekurapa ichakupa mishonga inotevera kuti ikubatsire nekukurumidza.
| Kurapwa kwekukurumidzira | Tsananguro |
|---|---|
| Jekiseni re epinephrine | Kuvhura nekukurumidza nzira dzekufema dzakazadzwa zvakanyanya. |
| Kupa okisijeni | Kuchengetedza huwandu hweokisijeni hunodiwa nemuviri. |
| Majekiseni eCorticosteroid | Kukurumidza kuderedza kuzvimba kwakanyanya munzira dzekufema. (semuenzaniso Methylprednisolone) |
| Kurapa kweNebulizer | Kufema mvura inorapa nekufema mvura yacho zvakadzama kunopa zororo nekukurumidza. |
| Kubatanidza nemuchina wekufema (Mechanical Ventilator) | Muzviitiko zvakanyanya kuoma, kana murwere asingakwanise kufema ega, kufema kunoitwa nemuchina. |
Mharidzo Yekuenda Nayo Kumba
- Kufemereka kwemhepo chiratidzo, kwete chirwere. Zvakakosha kuwana chikonzero chaicho.
- Asthma uye allergies ndizvo zviviri zvezvikonzero zvinowanzo kukonzera kufemera kwemoyo.
- Kana uine kufema kwakapfava, iva nechokwadi chekuona chiremba kuti akubatsire kunyatsoongorora chirwere chako uye kuti uwane nzira yekurapa.
- Kana kufema kwakaoma uye inzwi rako richikura zvekuti haugone kutaura, idambudziko guru. Enda kuchipatara nekukurumidza.
- Dzivisa kushandisa mushonga wemumwe munhu kana kutora mishonga usina kurairwa nachiremba. Marapirwo auchawana achaenderana nemamiriro ako ezvinhu.
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