Ngaba ukhohlela nje ixesha elide? Makhe sithethe ngesi sifo singaqhelekanga sesifuba (i-Cough-Variant Asthma)!

Ngamanye amaxesha sikhwehlela nje, akunjalo? Kodwa ukuba olu khohlela luyaqhubeka, okanye alupheli kangangeenyanga, kufuneka sicinge ngalo kancinci. Ingakumbi ukuba kukukhwehlela nje okungenazo ezinye iimpawu, ukuxinana kwesifuba, kusenokungabi kukukhwehlela okuqhelekileyo esicinga ukuba kuko. Olu luhlobo oluthile lwempahla esiza kuthetha ngalo namhlanje.

Yintoni isifo sesifuba esibangelwa kukukhwehlela?

Ngamafutshane, eli lilungu losapho lwe-asthma. Kodwa lahlukile kancinci. Ngokungafaniyo nezinye iintlobo ze-asthma, akukho ukuphefumla okuncinci, ukuphefumla okuncinci , okanye ubunzima bokuphefumla. Kukho ukukhwehlela kuphela . Uninzi lwexesha, oku kukukhwehlela okomileyo. Kodwa abanye abantu banokuba nokukhwehlela okune-mucus. Eyona nto ibalulekileyo kukuba xa usebenzisa amayeza e-asthma, ingakumbi ii-inhalers, olu khohlela luyancipha. Ngokungafaniyo ne-asthma eqhelekileyo, apha ukukhwehlela luphawu oluphambili kwaye ngamanye amaxesha lodwa.

Ngaba isifo se-asthma esibangelwa kukukhwehlela siyingozi?

Into enye abantu abaninzi abayoyikayo kukuba ingaba oku kuyingozi na. Ukuthetha inyani, le meko (Cough-Variant Asthma) idla ngokulawulwa kakuhle ngamayeza afana nee-inhalers . Oko kuthetha ukuba akukho nto inokubangela ixhala ngayo. Nangona kunjalo, ngamanye amaxesha oku kunokuba nzima kancinci, kwaye kamva ezinye iimpawu ze-asthma, ezinje ngokuphefumla, zinokujoyina. Nangona kunjalo, inokulawulwa. Nangona kunjalo, ekubeni ngamanye amaxesha uhlaselo olukhulu lwe-asthma lunokwenzeka, kubaluleke kakhulu ukuba uqaphele oku. Ke ngoko, kubalulekile ukulandela iingcebiso zonyango.

Zithini iimpawu zesifo sombefu esibangelwa kukukhwehlela?

Njengoko besitshilo ngaphambili, nangona ezinye iintlobo zesifuba zineempawu ezininzi, ezinje ngobunzima bokuphefumla kunye nokuphefumla kancinci , uphawu olulodwa lwale nto (Cough-Variant Asthma) kukukhwehlela. Oku kudla ngokuba kukukhwehlela okomileyo, okungenamveliso. Nangona kunjalo, abanye abantu banokuba nokukhwehlela okunencindi encinci. Eyona nto ibalulekileyo kukuba akukho zimpawu zesifuba. Olu khohlela ngamanye amaxesha lunokuba mandundu ebusuku, okanye lunokuba mandundu xa uzilolonga okanye uphefumla umoya obandayo.

Kutheni sihlakulela isifo sombefu esifana nokukhwehlela ngolu hlobo?

Kulungile, ngoku masibone ukuba kutheni oku kusenzeka. Eyona nto ibangela i-asthma kukuncitshiswa nokudumba (ukudumba) kweendlela zethu zomoya, iityhubhu ezincinci ezithwala umoya ukuya emiphungeni . Kwi-asthma eqhelekileyo, oku kuncitshiswa kwenza kube nzima ukuphefumla. Nangona kunjalo, kule (Cough-Variant Asthma) , okwenzekayo kukuba ukuncitshiswa nokudumba kubangela ukukhohlela. Khawucinge nje, iziphelo zemithambo-luvo kwiendlela zethu zomoya zikhuthazwa kukudumba, okubangela ukukhohlela. Olu khohlela aluqhubeki. Luyafika luze luhambe (iziqendu okanye uhlaselo) . Ngamanye amaxesha olu khohlela lunokuhlala iiyure okanye iintsuku. Imiphunga yethu iyacatshukiswa yinto ethileOlu khohlela luyanda kuphela xa luvela.

Zithini izinto ezibangela isifo sesifuba esibangelwa kukukhwehlela?

Nantoni na enokubangela isifo sesifuba inokubangela isifo sesifuba esifana nokukhwehlela . Oko kukuthi, ukuba une-allergy kwinto ethile, okanye ukuba uphefumla into eyingozi kwimiphunga yakho, ukukhwehlela kwakho kunokwanda.

Nangona kunjalo, kubantu abane-asthma abafumana olu khohlela kuphela , kukho izinto ezininzi eziphambili ezibangela ukuba ukukhohlela kunyuke :

• Umoya obandayo: Xa ngequbuliso ungena kwindawo ebandayo, umzekelo, xa uphuma kwigumbi eline-air conditioner (AC).
• Utshintsho lwemozulu: Imvula eqhubekayo, okanye imozulu eyomileyo kakhulu, utshintsho olukhawulezileyo kubushushu.
• Ukuzilolonga: Xa usenza umthambo womzimba, njengokubaleka okanye ukutsiba, ingakumbi kwiindawo ezibandayo nezomileyo.
• Uthuli nomsi: Izinto ezifana neendawo ezinothuli, umsi wemoto, umsi wecuba, kunye nomsi wezitovu zomthi.
• Ukuphefumla iziqholo okanye iikhemikhali ezithile (umz. iimveliso zokucoca, iipeyinti) nako kunokuchaphazeleka.
• Usulelo lwendlela yokuphefumla: Olu khohlela lunokwanda xa unomkhuhlane okanye umkhuhlane.

Ngubani osengozini enkulu yokuba nale meko?

Asazi ngokwenene ukuba kutheni abanye abantu befumana i-asthma kanti abanye abafumani. Nangona kunjalo, abanye abantu basengozini enkulu yokuhlaselwa naluphi na uhlobo lwe-asthma, kuquka olu (Cough-Variant Asthma) . Makhe sibone ukuba bangoobani?

• Ukuba omnye wabazali bakho okanye isalamane esisondeleyo sinesifo se-asthma , kunokubakho impembelelo yemfuza.
• Ukuba ungumntu otshayayo (ukuba phakathi kwabantu abatshayayo - ukutshaya ngaphandle kokutshaya - nako kunokuba nefuthe).
• Ukuba i-Body Mass Index (BMI) yakho ingama-30 nangaphezulu , oko kuthetha ukuba utyebile kakhulu.
• Ukuba ubuhlala kwindawo enomoya ongcolileyo kakhulu ukususela usengumntwana .
• Ukuba usebenza emsebenzini oquka ukuchanabeka rhoqo eluthulini, kwiikhemikhali, okanye kumphunga (umz., abasebenzi basefektri, abasebenzi bokucoca).
• Abanye abantu bane -allergies (umz. iincukuthu zothuli, ipollen).

Oogqirha bayixilonga njani ngokuchanekileyo le meko (i-Cough-Variant Asthma)? (Ukuxilongwa)

Ukuze uqiniseke ukuba une -asthma enokukhwehlela, kufuneka ubone ugqirha. Ugqirha wakho uza kukubuza ngeempawu zakho kunye nembali yakho yempilo, njengokuthi kukho umntu onesifo se-asthma kusapho lwakho na . Banokwenza novavanyo lokusebenza kwamaphaphu ukuze babone ukuba imiphunga yakho isebenza kakuhle kangakanani.

Ngamanye amaxesha, ugqirha wakho uya kukuxelela ukuba uzame amayeza akho e-asthma kangangeentsuku ezimbalwa ukuze abone ukuba ayanceda na ekunciphiseni ukukhwehlela kwakho.(Isifo Sombefu Esitshintsha Ukukhwehlela). Oku kubizwa ngokuba luvavanyo lonyango.

Luhlobo luni lovavanyo onokululindela? (Uvavanyo)

Kukho iimvavanyo ezininzi ezinokunceda ugqirha wakho aqonde imeko yakho:

• Uvavanyo Lokusebenza Kwemiphunga: Olu vavanyo lujonga ukuba imiphunga yakho isebenza kakuhle kangakanani, kunye nokuba ingakanani na umoya onokufuduswa ungena uphume xa uphefumla ungena uphuma. I-Spirometry lolona vavanyo luqhelekileyo olusetyenziswa koku. Uvuthela umoya kwityhubhu encinci. Oku kunokubonisa ukuba kukho nakuphi na ukuvaleka kwendlela yakho yomoya.
• Iimibuzo: Ugqirha wakho angakunika ifomu elifutshane oza kulizalisa. Liza kukubuza imibuzo malunga nokuba ukhwehlela kangaphi, yintoni eyenza ukukhwehlela kwakho kube mandundu, yintoni eyenza kube mandundu, kunye nokuba ukukhwehlela kwakho kuphazamisa kangakanani imisebenzi yakho yemihla ngemihla. Oku kuya kunceda ugqirha wakho ukuba afumane umfanekiso opheleleyo wemeko yakho.
• I-X-reyi yesifuba: Oku kuthatha umfanekiso wemiphunga ukujonga ezinye izizathu zokukhohlela, njengosulelo lwemiphunga, i-pneumonia, okanye isifo sephepha.
• Uvavanyo lweBronchoprovocation: Kolu vavanyo, unikwa amayeza amancinci (afana ne-methacholine) ukuze uphefumle. Eli yeza linokubangela ukuba iindlela zakho zomoya zinciphe kancinci. Oku kulinganisa ukuba iindlela zakho zomoya zibuthathaka kangakanani (zisabela njani) . Abantu abane-asthma baneendlela zomoya ezibuthathaka ngakumbi kunabantu abangenazo i-asthma.
• Izilingo zonyango: Njengoko besitshilo ngaphambili, ugqirha wakho unokukunika ii-corticosteroids eziphefumlayo okanye ipilisi efana neLeukotriene Receptor Antagonists kangangeeveki ezimbini ukuya kwezine ukuze abone ukuba iimpawu zakho ziyaphucuka na.

Iphathwa njani i-asthma enokukhwehlela? (Unyango)

I-asthma enokuthanani nokukhwehlela iphathwa ngendlela efanayo nezinye iintlobo ze-asthma. Kukho iintlobo ezininzi eziphambili zamayeza asetyenziswayo:

• Ii-bronchodilators ezisebenza ngokukhawuleza: Ezi zii -inhaler zokusindisa ezisetyenziswa kwiimeko ezingxamisekileyo . Zivula imigudu yomoya ngokukhawuleza kwaye zinike isiqabu xa kukho ukukhwehlela ngequbuliso. Imizekelo ibandakanya ii-beta-agonists ezisebenza ngokukhawuleza (ii-SABA) (umz. iSalbutamol) kunye nee-muscarinic antagonists ezisebenza ngokukhawuleza (ii-SAMA) .
• IiCorticosteroids ezifuthwayo (ICS): Ezi zii-inhaler zokugcina ulusu.Inikwa yonke imihla njengepilisi. La mayeza anciphisa ukudumba kunye ne-mucus kwimigudu yomoya. Oku kunceda ekulawuleni ukukhwehlela. La mayeza kufuneka athathwe imihla ngemihla kangangexesha elithile, ngokwemilinganiselo echazwe ngugqirha.
• Iintsholongwane zeLeukotriene Receptor: Umzekelo, ipilisi ebizwa ngokuba yiMontelukast . Le yipilisi ethathwa yonke imihla. Oku kunceda ukuthintela iimpawu zesifuba, ingakumbi isifuba esibangelwa kukuzilolonga.
• Iibronchodilators ezisebenza ixesha elide (LABA): Ezi ziza njengee-inhaler zokugcina, kodwa zinikwa kunye ne-ICS (umz. iSalmeterol/Fluticasone, iFormoterol/Budesonide). Ezi nazo kufuneka zisetyenziswe yonke imihla.

Kubaluleke kakhulu: Akukhuthazwa ukusebenzisa ezi bronchodilators ezisebenza ixesha elide (LABAs) zodwa ukunyanga isifuba ngaphandle kwe-ICS. Ukuzisebenzisa zodwa kunokunyusa umngcipheko weengxaki ezinkulu zesifuba (kwanokufa). Ke ngoko, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Ndiza kuziva ndonwabile ixesha elingakanani emva kokuqala unyango?

Wakuba uqalile ukusebenzisa amayeza okugcina ulusu, njenge- ICS inhaler, kungathatha iiveki ezimbalwa ukuba ukukhwehlela kwakho kudambe kwaye uzive ukhululekile . Ngoko ke ungoyiki. Kubalulekile ukusebenzisa amayeza akho ngokuchanekileyo. Nangona kunjalo, ii-rescue inhaler zisebenza ngokukhawuleza. Zihlala zibonelela ngokukhululeka kwimizuzu eli-15-20 .

Ukuba ndinayo le (i-Cough-Variant Asthma), yintoni endinokuyilindela?

Ukuba une -asthma enokukhwehlela , ungazilawula iimpawu zakho ngokuphepha izinto ezibangela oku kwaye usebenzise amayeza okugcina amiselwe ngugqirha wakho .

Nangona kunjalo, malunga nama-40 ekhulwini (40%) abantu abane -Cough-Variant Asthma banokuthi kamva babe nezinye iimpawu ze-asthma (ezifana nokuphefumla kancinci, ukuqina kwesifuba, kunye nokuphefumla kancinci) . Ke ngoko, kubaluleke kakhulu ukuhlala unxibelelana rhoqo nogqirha wakho kwaye uye kwiimvavanyo rhoqo.

Ingaba le meko (i-Cough-Variant Asthma) ingathintelwa?

Ngenxa yokuba asazi kakuhle ukuba kutheni abanye abantu befumana i-asthma kanti abanye abafumani, akukho ndlela yokuyithintela ngokupheleleyo .

Nangona kunjalo, kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko:

• Musa ukutshaya. Kwaye kuphephe ukuba phakathi kwabantu abatshayayo.
• Ukuba kufuneka usebenze rhoqo ngothuli okanye ngeekhemikhali, nxiba imaski okanye ezinye izixhobo zokuzikhusela ezifanelekileyo.
• Gcina ubunzima obusempilweni . Ukutyeba kakhulu kwandisa umngcipheko we-asthma.
• Zama ukulawula izinto ezibangela i-allergens ezifana neencukuthu zothuli lwendlu .

Ndingazinyamekela njani? (Ukuzinyamekela)

Xa uphila nale meko, kukho izinto onokuzenza ukulawula iimpawu zakho nokunciphisa umngcipheko wokuba nohlaselo olukhulu lokukhohlela:

• Chonga izinto ezibangela iingxaki zakho kwaye uhlale kude nazo kangangoko unako.
• Sebenzisana nogqirha wakho ukwenza isicwangciso sokusebenza ngesifo sesifuba. Kufuneka siquke izikhokelo zendlela yokunyanga amanqanaba ahlukeneyo eempawu zakho kunye nexesha lokubona ugqirha wakho. Gcina esi sicwangciso nawe.
• Bona ugqirha wakho rhoqo kwaye umxelele ngemeko yakho. Xelela ugqirha wakho ukuba ubonakalisa iimpawu ezintsha okanye ukuba amayeza owasebenzisayo awabonakali esebenza kakuhle njengangaphambili.
• Funda indlela yokusebenzisa i-inhaler yakho ngokufanelekileyo. Sebenzisa i-spacer ukuba kuyimfuneko.

Ndifanele ndimbone nini ugqirha?

• Ukuba ukhwehlela ixesha elide kangangeeveki ezi-8 kwaye awufumani sizathu , qiniseka ukuba ubona ugqirha.
• Ukuba sele ufunyenwe une-asthma enokukhwehlela , xelela ugqirha wakho ukuba uqala ukufumana iimpawu ezintsha ze-asthma, ezinje ngokuphefumla nzima nokuphefumla kancinci .
• Ukuba ukukhwehlela kwakho akulawulwa emva kokusebenzisa i-inhaler yakho yokugcina okanye kufuneka usebenzise i-inhaler yakho yokusindisa rhoqo , bona ugqirha wakho.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ngamanye amaxesha le meko inokuba nzima kakhulu. Kwimeko ezinjalo, kufuneka uye kwigumbi likaxakeka esibhedlele ngoko nangoko. Iimpawu zezi meko zinzima ziquka:

• Ubunzima obukhulu bokuphefumla, kangangokuba angakwazi nokuthetha.
• Isantya sentliziyo esiphezulu (iTachycardia).
• Umbala oluhlaza okwesibhakabhaka wolusu, imilebe, okanye iinzipho (i-cyanosis). Oku kubonisa ukunqongophala komoya-mpilo.
• Ukudideka okanye ukutshintsha kwesimo sengqondo.
• Ukuba akukho ncedo emva kokusebenzisa i-rescue inhaler.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa ubona ugqirha wakho, kuya kuba luncedo kakhulu ukubuza le mibuzo:

• Ungandibonisa inyathelo ngenyathelo indlela yokusebenzisa i-inhaler ngokuchanekileyo? (Oku kubaluleke kakhulu!)
• Zeziphi iimpawu ezintsha ekufuneka ndiziqaphele? Okanye ndingazijonga njani ukuba iimpawu zam zangoku ziya zisiba mandundu?
• Ndingawasela njani kanye kanye amayeza am? Izinto ezifana nexesha, idosi, njl.
• Ndingenza ntoni xa ngequbuliso ndihlaselwa kukukhwehlela?
• Ungandinceda ukuba ndenze isicwangciso sokusebenza ngesifo sesifuba?
• Ingaba licebo elihle ukusebenzisa i-peak flow meter ukulinganisa umsebenzi wemiphunga yam?

Ngaba i-asthma eguquguqukayo yokukhwehlela iyenzeka ngenxa ye-acid reflux kwi-esophagus?

Abanye abantu bacinga ukuba olu khohlela lubangelwa yi -acid reflux , imeko efana ne-gastritis. Inyani yile, i-acid reflux inokubangela ukukhwehlela okungapheliyo. Nangona kunjalo, akukaqinisekiswa ukuba i-acid reflux ibangela i-asthma eguquguqukayo . Nangona kunjalo, abanye abantu banokuba nazo zombini ezi meko kunye. Kwiimeko ezinjalo, ukunyanga i-acid reflux kunokunciphisa ukukhwehlela kancinci. Nangona kunjalo, unyango oluphambili lwe -asthma eguquguqukayo kukunyanga i-asthma.

Okokugqibela, izinto ekufuneka uzikhumbule

Ukukhwehlela okungapheliyo yingxaki enkulu. Kunokuba nzima ukufumana unobangela. Kodwa kule meko (Cough-Variant Asthma) , iimpawu zakho zinokuphucuka ngamayeza e-asthma. Ngokuhlala kude nezinto ezikwenza ukhohlele kakhulu, usebenzisane nogqirha wakho ukuze ufumane amayeza afanelekileyo kuwe, kwaye uwasebenzise ngokufanelekileyo, ungagcina ukukhwehlela kwakho kulawulwa. Khumbula, awuwedwa, kwaye akukaze kube semva kwexesha ukufuna ingcebiso kagqirha. Siyathemba ukuba olu lwazi luya kukunceda uphucule umgangatho wobomi bakho.

Ukukhwehlela , Isifuba, Isifuba esahlukileyo sokukhwehlela, Izifo zokuphefumla, Izinto zokuphefumla, Unyango, Iimpawu