Ingaba isifuba sakho siyaqina nangona uzilolonga? Makhe sithethe nge-(Isifuba Esibangelwa Kukuzilolonga)!

Ngaba ngamanye amaxesha ukhe ufumane kunzima ukuphefumla ngequbuliso xa uzilolonga, ubaleka, okanye udlala imidlalo? Ngaba uziva ngathi isifuba sakho siqinile, uziva ngathi uyakhohlela, okanye mhlawumbi unesandi sokuphefumla esiphuma esifubeni sakho? Ukuba kunjalo, usenokuba nale meko sithetha ngayo namhlanje. Le yinto abantu abaninzi abahlangabezana nayo, ngoko ke musani ukoyika. Makhe sithethe ngale nto ngokweenkcukacha.

Yintoni isifo sombefu esibangelwa kukuzilolonga?

Ngamafutshane, xa uzilolonga, oko kukuthi, xa uzilolonga, iindlela zomoya esifubeni sakho (ezikwabizwa ngokuba ziindlela zomoya) ziyancitshiswa okwethutyana, nto leyo esiyibiza ngokuba yi-"Exercise-Induced Asthma". Abanye abantu bayibiza ngokuba yi- "Exercise-Induced Bronchoconstriction" okanye "EIB" . Okwenzekayo kukuba xa uzilolonga, iindlela zakho zomoya ziyancitshiswa. Kulapho unengxaki yokuphefumla, ukhohlela, isifuba sakho sivakala siqinile, kwaye ngamanye amaxesha ungenza isandi sokuphefumla (esikwabizwa ngokuba yi-"wheezing" ngokwezonyango). Kukho amaxesha apho ezi mpawu zinokuba nzima kakhulu . Cinga ngako,

• Ukuba umoya ojikelezileyo ubanda kakhulu kwaye womile .
• Ukuba ubungakanani bompova kwindawo esingqongileyo buphezulu .
• Ukuba ungcoliseko lomoya luphezulu .

Ngamaxesha anje, imeko isenokuba mandundu.

Ixhaphake kangakanani le meko?

Kuqheleke kakhulu kunokuba unokucinga. Phakathi kwama-40% nama-90% abantu abane-asthma bafumana ezi mpawu ngexesha okanye emva kokuzilolonga. Kodwa okumangalisayo kukuba, kusenokwenzeka nakubantu abangenayo i-asthma. Malunga nama-20% abantu ngokubanzi (kuquka abane-asthma nabangengabo abane-asthma) bafumana ezi mpawu ngexesha lokuzilolonga. Ngoko ke akuwedwa, abanye abantu abaninzi banale ngxaki.

Zithini iimpawu zoku?

Makhe sibone ukuba zeziphi iimpawu ezibonakala kule meko "ye-Asthma ebangelwa kukuzilolonga".

• Ukuziva uxinene okanye uxinene esifubeni , ngokungathi kukho umntu ocinezela isifuba.
• Ukukhwehlela . Kwabanye abantu, ukukhwehlela kusenokuba lolona phawu kuphela. Ukuba ufumana ukukhwehlela okungapheliyo, nokuba ngexesha okanye emva kokuzilolonga, kufuneka uxhalabe.
• Ubunzima bokuphefumla (sikwabiza oku ngokuba 'kukuphelelwa ngumphefumlo'). Kusenokuvakala ngathi kunzima ukuphefumla ngaphandle.

Ezi mpawu zinokuba buthathaka kwabanye abantu, kwaye zibe buhlungu ngakumbi kwabanye. Zingaqala kwimizuzu embalwa emva kokuba uqalile ukuzilolonga, okanye zinokwenzeka emva kokuba ugqibile ukuzilolonga. Kodwa iindaba ezimnandi zezokuba zihlala ziphela emva kwemizuzu engama-30 yokuphumla.Ezi mpawu ziyaphela kancinci kancinci. Nangona kunjalo, ngamanye amaxesha, ezi mpawu zinokuvela kwakhona emva kweeyure ezininzi ugqibile ukuzilolonga, ukuya kuthi ga kwiiyure ezili-12 kamva . Zingavela naxa umile nje. Oku sikubiza ngokuba " ziimpawu zesigaba sokugqibela ." Kungathatha usuku ukuba ezi mpawu zesigaba sokugqibela ziphele ngokupheleleyo.

Yintoni ebangela oku?

Ukuzilolonga okunzulu nokuqhubekayo kwe-aerobic yeyona nto ibangela le meko, ebizwa ngokuba yi-Exercise-Induced Asthma. Le meko inokwenziwa mandundu ngokuthi:

• Ukuba umoya ojikelezileyo ubanda kwaye womile .
• Ukuba ubungakanani bompova kwindawo esingqongileyo buphezulu.
• Ukuba umgangatho womoya awukho semgangathweni ngenxa yongcoliseko lomoya .
• Ukuba uyaphola kwizifo zokuphefumla ezifana nomkhuhlane , ukukhwehlela, okanye umkhuhlane .
• Ukuba uphefumla izinto ezifana nomsi, iikhemikhali , ipeyinti, okanye umsi ovela kwiimveliso zokucoca .

Khawucinge ngomntu obaleka kusasa ngemini ebandayo. Uphefumla umoya obandayo nowomileyo. Xa lo moya ungena emiphungeni, iindlela zomoya ziyaqina ngakumbi, nto leyo ethetha ukuba ziyavaleka. Kulapho ke kuvela khona ezi ngxaki.

Zeziphi iintlobo zemisebenzi ezibangelwa koku kakhulu?

Nangona naluphi na uhlobo lomsebenzi womzimba lunokubangela ezi mpawu, ludla ngokubangelwa kukwenza umsebenzi womzimba onzima ngaphandle kokuphumla rhoqo kunye nemidlalo edlalwa kwimozulu ebandayo . Nazi imizekelo embalwa:

• Ibhola yomnyazi
• Ihokhi yomkence
• I-Ice skating
• Ukubaleka umgama omde
• Ukutyibiliza eSkiing, Ukutyibiliza eSnowboard
• Ibhola ekhatywayo

Kwakhona, ukudada echibini elingaphakathi, elifakwe i-chlorine , ukuntywila, okanye ukudlala i-water polo kunokuba yingozi kwimiphunga yakho kwaye kuyenze mandundu le meko.

Ngubani osengozini enkulu yoku?

Abantu abane-asthma kunye ne-allergies banamathuba amaninzi okuba ne-bronchoconstriction ebangelwa kukuzilolonga. Ikwaqhelekile nakubadlali abadlala kakuhle , njengabadlali be-Olimpiki kunye nabadlali bebhola ekhatywayo kunye ne-hockey. Izifundo zibonise ukuba phakathi kwama-30% nama-70% aba badlali bakwinqanaba eliphezulu banayoKunokwenzeka ukuba ube `(Isifuba Esibangelwa Kukuzilolonga)`.

Uyibona njani le nto?

Xa usiya kugqirha, uza kukubuza ngeempawu zakho. Oko kukuthi, ixesha olichithe unazo, ixesha elingakanani zikhona, kunye nexesha eliqheleke kakhulu emini. Uza kukubuza nokuba kukho umntu kusapho lwakho one-asthma okanye ezinye iingxaki zokuphefumla. Emva koko ugqirha okanye umongikazi uza kubeka i-stethoscope esifubeni sakho aze amamele ukuphefumla kwakho kunye nokubetha kwentliziyo yakho. Ukongeza, banokwenza ezinye iimvavanyo ezimbalwa. Ezi ziquka:

• Uvavanyo lomsebenzi wemiphunga : Olu vavanyo lujonga ukuba imiphunga yakho isebenza kakuhle kangakanani. Olunye lovavanyo lomsebenzi wemiphunga oluqhelekileyo olusetyenziselwa ukuxilonga i-asthma luvavanyo lwe-spirometry . Oku kuquka ukuvuthela umoya kwisixhobo esincinci esilinganisa izinto ezifana nomthamo wemiphunga yakho kunye nesantya sokuphefumla.
• Uvavanyo lomngeni wokuzilolonga : Olu lukwabizwa ngokuba luvavanyo lwe-bronchoprovocation . Kolu vavanyo, ucelwa ukuba ubaleke kwi-treadmill okanye ukhwele ibhayisekile engashukumiyo. Emva koko, unikwa uvavanyo lwe-spirometry ngaphambi nasemva kokuzilolonga ukuze kubonwe ukuba kukho utshintsho na ekuphefumleni kwakho.
• I-X-reyi yesifuba : Ugqirha wakho unokuyalela i-X-reyi yesifuba ukujonga ezinye izizathu zeempawu zakho.

Iphathwa njani le nto?

Unyango lwe-asthma olubangelwa kukuzilolonga lugxile ekuthinteleni iimpawu kunye nokuzikhulula xa zisenzeka . Ukongeza kumanyathelo okuthintela, njengokufudumala ngaphambi kokuzilolonga, ugqirha wakho unokukunika amayeza okunceda. Amanye amayeza avula indlela yakho yomoya xa uneempawu, ngelixa amanye ethintela iimpawu ukuba zingenzeki.

Amayeza e-asthma abangelwa kukuzilolonga

Ugqirha wakho angakunika amayeza owaphefumlela nge-inhaler okanye i-nebulizer . La mayeza anokunceda ukuthintela iimpawu kwaye azithomalalise ukuba ziyavela. Nazi ezinye iintlobo zamayeza aphefumlwayo e-asthma ebangelwa kukuzilolonga:

• Ii-beta-agonists ezisebenza ngokukhawuleza (ii-SABA) : Ezi zikwiqela lamayeza abizwa ngokuba zii-bronchodilators. Zisebenza ngokukhulula izihlunu kwimigudu yakho yomoya nokuvula imigudu yakho yomoya. Zikwabizwa ngokuba "zii-rescue inhalers." Zingasetyenziselwa ukunciphisa iimpawu ngexesha le-"EIB". Zingasetyenziselwa nokuthintela iimpawu ze-asthma ukuba zithathwe malunga nemizuzu eli-15 ngaphambi kokuzilolonga.
• Ii-beta-agonists ezisebenza ixesha elide (LABAs) : Olu lolunye uhlobo lwe-bronchodilator. Zihlala zinikwa kunye ne-corticosteroids (azisetyenziswa zodwa kwi-asthma). Ukuba uphefumla la mayeza imizuzu engama-30 ukuya kwiyure ngaphambi kokuzilolonga, anokunceda ukuthintela i-EIB.
• IiCorticosteroids : Ezi zisebenza ngokunciphisa ukudumba kwindlela yakho yomoya kwaye zenze kube lula ukuba umoya wakho udlule. Ugqirha wakho unokukunika ezi zinto ukuba uzithathe yonke imihla ukunceda ukuthintela iimpawu.
• Iziqinisi zeeseli zeMast : Ezi zisebenza ngokunciphisa ukudumba kwindlela yakho yomoya. Ukuphefumla la mayeza nge-nebulizer malunga nemizuzu eli-15 ngaphambi kokuzilolonga kunokunceda ukuthintela iimpawu.

Ukongeza, amayeza abizwa ngokuba yi-leukotriene modifiers kunye ne-antihistamines anokunceda ukunciphisa iimpawu ze-asthma kwabanye abantu.

Luhlobo luni lobomi endingalulindela kule meko?

Abantu abaninzi bayakwazi ukulawula isifo sabo sesifuba ngokuzilolonga okanye isifo sesifuba esibangelwa yimidlalo baze baphile ubomi obusempilweni nobusebenzayo . Nawe ungenza, ngokucwangcisa, unyango, nokuzilolonga ngokufanelekileyo, kwaye ubandakanyeke kwimidlalo eyahlukeneyo kunye nemisebenzi oyithandayo. Ngoko ke ungakhathazeki kakhulu ngayo.

Ngaba oku kungathintelwa?

Ewe, ungayinciphisa kakhulu ingozi yakho yokuba nesifo sesifuba ngokucwangcisa nokulungiselela. Ngaphambi kokuba wenze nawuphi na umsebenzi womzimba, kufuneka:

• Zinike ixesha lokuzifudumeza : Ngaphambi kokuba uqale naluphi na umthambo, zifudumeze imizuzu emi-6 ukuya kweli-10 . Olu fudumeza lunokwahluka ngokuxhomekeke kwiminyaka yakho, impilo, kunye nomdlalo owudlalayo. Buza ugqirha wakho ukuba loluphi uhlobo lokuzifudumeza olukufaneleyo.
• Jonga umgangatho wepollen kunye nomoya : Ngaphambi kokuba uye kuzilolonga ngaphandle, jonga umgangatho womoya. Ukuba ungcoliseko kunye namanqanaba epollen aphezulu, kungcono ukuzilolonga ngaphakathi.
• Gquma umlomo nempumlo yakho : Sebenzisa imaski yobuso, isikhafu, okanye into efanayo ukukhusela indlela yakho yokuphefumla emoyeni obandayo nowomileyo.
• Lawula iimpawu zesifuba : Ukuba unesifuba, thetha nogqirha wakho ngaphambi kokuba uqale inkqubo yokuzilolonga ukulawula iimpawu zakho. Landela imiyalelo kagqirha wakho xa usebenzisa i-inhaler yakho kwaye usela amayeza akho esifuba.
• Xelela abaqeqeshi nootitshala : Ukuba umntwana wakho une-asthma, yazisa ootitshala nabaqeqeshi ngayo. Abantu abadala kufuneka bazi ukuba zeziphi iimpawu, ukuba benze ntoni xa zisenzeka, kunye nendlela yokunceda ekunikeni amayeza.
• Lumka ngeempawu.: Soloko ujonge iimpawu zesifuba sakho (okanye zomntwana wakho) ezibangelwa kukuzilolonga. Yiba nesicwangciso sento omawuyenze ukuba ubona iimpawu ze-"EIB". Khumbula, iimpawu zinokuvela kwimizuzu (okanye iiyure) emva kokuba ugqibile ukuzilolonga.

Kubalulekile: Khetha imidlalo yangaphakathi okanye imidlalo engasebenzi kakhulu ukuba unako. Ukuba imidlalo ibangela isifo sakho sesifuba, kungcono ukhethe eminye imisebenzi kuneminye. Imidlalo yokunyamezela kunye nemisebenzi kwiindawo ezibandayo ingenza iimpawu zakho zibe zimbi ngakumbi. Ukuba uyayonwabela imidlalo yasemanzini, kunokunceda ukuyenza echibini lamanzi anetyuwa elingenachlorine okanye kwindawo yokugcina amanzi yendalo.

Zeziphi iintlobo zemidlalo ezinokubangela esi sifo?

Imidlalo yangaphakathi kunye nemisebenzi engadingi mandla aneleyo, okanye ebandakanya umsebenzi omfutshane, ayinakwenzeka ukuba ibangele ukuhlaselwa sisifo sesifuba. Nazi ezinye zemizekelo:

• Ibhola ekhatywayo
• Ukubhowula
• Ukubiyela
• Igalufa
• Ijimnastiki
• I-Pickleball
• IiSprints
• Ithenisi
• Ibhola yevoli
• Ukuhamba ngeenyawo

Ndingayazi njani ukuba ndinayo le nto?

Ukuba ufumana iimpawu zesifuba (ezifana nokukhohlela kunye nokuphelelwa ngumphefumlo) ngexesha okanye emva nje kokuzilolonga, usenokuba "nesifuba esibangelwa kukuzilolonga". Nangona kunjalo, iimpawu zinokufana nezezinye izifo. Ngoko ke, qiniseka ukuba ubona ugqirha ukuze ufumane uxilongo olufanelekileyo .

Ndifanele ndimbone nini ugqirha?

Ukuba wena okanye umntwana wakho uneempawu ze-`(EIB)`, thetha nogqirha. Ukuba kunokwenzeka, qaphela oku kulandelayo uze uxelele ugqirha :

• Zithini iimpawu zakho?
• Ziza ntoni xa usenza? (Usoloko usenza umsebenzi ofanayo? Ngaphakathi okanye ngaphandle?)
• Kudala kangakanani ukususela oko iimpawu ziqalile?
• Ngaba ukwenza nantoni na kuyayinciphisa le mpawu? Ukuba kunjalo, yintoni?

Ukuba unikwe i-inhaler, cela ugqirha wakho akubonise indlela yokuyisebenzisa ngokufanelekileyo . Musa ukoyika ukubuza imibuzo malunga nendlela yokuyisebenzisa ngokufanelekileyo.

Ndingaya nini kwigumbi likaxakeka (ER)?

Ukuba wena okanye umntwana wakho ngequbuliso ninengxaki yokuphefumla okanye nikrwitshwa , funani uncedo lwezonyango ngoko nangoko. Fowunela u-911 (okanye u-1990 eSri Lanka) okanye niye ngqo kwigumbi likaxakeka. Oku kufanele kuthathwe njengengxamiseko.

Ndingayibuza yiphi imibuzo ugqirha?

Xa ubona ugqirha wakho, kunokuba luncedo ukubuza imibuzo efana nale:

• Ndingenza ntoni ukuthintela iimpawu?
• Ndingaqhubeka nokuzibandakanya kwimidlalo okanye kwimisebenzi endiyithandayo?
• Ungayisebenzisa njani le yeza?
• Ungandinceda undibonise kwakhona indlela yokusebenzisa i-inhaler ?

Okokugqibela, khumbula oku.

Nokuba ungumziloli weempelaveki okanye ungumgijimi oqeqeshiweyo, iimpawu zesifuba zinokuphazamisa usuku lwakho lomsebenzi. Nangona kunjalo, abantu abaninzi abanesifuba esibangelwa kukuzilolonga banokuqhubeka nokudlala imidlalo, bathathe inxaxheba kwimisebenzi eyahlukeneyo, kwaye baphile ubomi obusebenzayo. Ukuthatha amanyathelo ambalwa ongezelelweyo, njengokuzifudumeza, kunokwenza umahluko omkhulu. Thetha nogqirha wakho malunga namayeza anokukunceda uphefumle lula. Ngotshintsho kwindlela yokuphila kunye nokucwangcisa kwangaphambili, unokuhlala usebenza kwaye uzilolonga ngokukhuselekileyo. Ungakhathazeki, le yimeko elawulekayo! Isifuba Esibangelwa Kukuzilolonga, i-EIB, Ubunzima Bokuphefumla, Iimpawu Zesifuba, Ii-Inhalers, Isifo Sokuphefumla, Isifuba Semidlalo