Usenokuba uyazi ukuba abantwana abaninzi kunye nabantu abadala abaphila ne-asthma banikwa amayeza emihla ngemihla. Usenokuzibuza, "Kutheni kufuneka ndithathe amayeza yonke imihla, nokuba ndiziva ndiphilile?" Enyanisweni, kukho isizathu esibalulekileyo soku. La mayeza okulawula ixesha elide—adla ngokubizwa ngokuba yi -Controller Medicines okanye i-Maintenance Medicines —enzelwe ngokukodwa ukugcina iindlela zakho zomoya zicacile, zivulekile, kwaye zisempilweni, okwenza kube lula kuwe ukuphefumla yonke imihla.
Yintoni i-Asthma?
Ngamafutshane, isifo sesifuba sisifo esichaphazela iindlela zakho zomoya—iindlela ezithwala umoya ungene emiphungeni yakho. Xa une-asthma, iindlela zakho zomoya ziba novakalelo olukhulu, zisabela ngokulula nakwizinto ezincinci ezibangela oku. Xa oku kusenzeka, ingaphakathi leendlela zakho zomoya linokuvuvukala, kwaye izihlunu ezizingqongileyo zinokuqina. Khawucinge ngetyhubhu evuvukileyo ngaphakathi kwaye icinezelwe ngaphandle; ngokwemvelo kuba nzima kakhulu ukuba umoya udlule kuyo. Yiyo loo nto unokufumana iimpawu ezifana nokuphefumla, ukuqina kwesifuba, okanye ukukhwehlela. I-asthma yomntu wonke yahlukile, ukusuka ekuvukeni okuncinci, ngamanye amaxesha ukuya kwimingeni eqhelekileyo.
Zithini ii-Long-Time Control Medicines?
Ukuba une-asthma, ugqirha wakho usenokukunika iintlobo ezimbini zamayeza. Elokuqala yiReliever Medicine , oyisebenzisayo ukufumana isiqabu ngokukhawuleza xa kuvela iimpawu, njengaxa uziva uphefumla nzima okanye uphelelwa ngumphefumlo. Cinga ngale nto njengokusebenzisa isicima-mlilo ukucima ilangabi ngequbuliso.
Nangona kunjalo, amayeza okulawula ixesha elide asebenza ngendlela eyahlukileyo. La mayeza awalungiselelwanga ngoko nangoko; endaweni yoko, asebenza njengesiseko sendlu yakho. Njengokuba isiseko esomeleleyo sigcina ikhaya lizinzile, la mayeza asebenza ukunciphisa ukudumba kunye nokungakhululeki kwindlela yakho yomoya ngokuhamba kwexesha, egcina isifuba sakho silawulwa kakuhle. Yiyo loo nto edla ngokubizwa ngokuba ngamayeza "okulawula" okanye "okugcina".
Asebenza njani la mayeza? Ingaba asebenza kancinci okanye asebenza ngokukhawuleza?
Le yeyona nxalenye ibalulekileyo. Amayeza okulawula ixesha elide asebenza kancinci kakhulu. Ngokungafaniyo nee-inhaler ezinceda ngokukhawuleza, awuyi kuva umahluko kwangoko emva kokuwasebenzisa. La mayeza afuna ixesha—ngamanye amaxesha iintsuku okanye iiveki ezininzi—ukuze afikelele kwisiphumo sawo esipheleleyo. Cinga ngayo njengokutyala imbewu emyezweni wakho; kuthatha ixesha ukuba ikhule, idubule, kwaye ivelise iziqhamo. Ikhula kuphela ukuba uyinkcenkceshela kwaye uyinyamekela rhoqo yonke imihla. Yile ndlela kanye la mayeza asebenza ngayo.
Indima yabo ephambili kukunciphisa ukudumba okungapheliyo kwimigudu yakho yomoya kwaye bancede ukuyigcina ivulekile ukuze ingaphindi ivaleke.
Ngoko ke, ngaba kufuneka ndiwathathe la mayeza yonke imihla nokuba ndiziva ndiphilile?
Ewe, ngokuqinisekileyo! Kulapho abantu abaninzi bephazama khona. Usenokucinga, “Andinazo iimpawu zesifuba okwangoku,” okanye “Andikhohlisi, kutheni ke ndifanele ndithathe amayeza am?” Nangona kunjalo, isizathu sokuba uzive uphilile kusenokwenzeka ukuba usebenzisa amayeza akho okulawula rhoqo.
Cinga ngomntu onesifo seswekile i-Diabetes Mellitus osebenzisa i-insulin. Nokuba uzive esempilweni, kufuneka aqhubeke namayeza akhe njengoko eyalelwe ngugqirha wakhe ukuthintela ukuba imeko ingabi mandundu. Isifuba asifani.
Xa usela la mayeza yonke imihla, kanye njengoko ugqirha wakho ekuyalele, umzimba wakho unethuba lokuphiliswa. Oku kunceda ukuthintela iindlela zakho zomoya ukuba zingavuvukali kwaye zinciphe, nto leyo ekuvumela ukuba uphefumle lula ixesha elide. Ukuba uyayeka ukusebenzisa amayeza, ezo mpawu ziya kubuya emva kweentsuku ezimbalwa.
Ziziphi iintlobo eziphambili zamayeza okulawula ixesha elide?
Kukho iintlobo ezahlukeneyo zamayeza kolu didi. Ugqirha wakho usenokuba ukunike enye yezi:
- IiCorticosteroids ezifunxwayo (ICS):La ngamayeza aqhelekileyo nabalulekileyo okulawula. Musa ukoyika igama elithi "steroid"; la ahluke kakhulu kwii-steroids ozithathayo njengeepilisi. Ngenxa yokuba ziziswa nge-inhaler ngqo emiphungeni yakho, impembelelo yomzimba wonke incinci kakhulu. Zisebenza ngokunciphisa ukudumba kwindlela yakho yomoya, njengokuthambisa i-ointment kwinxeba ukuze liphole.
- IiBeta-Agonists eziSebenza ixesha elide (LABA): Ezi zisebenza ngokukhulula izihlunu ezijikeleze iindlela zakho zomoya, zinceda ukuzigcina zivulekile. Azisetyenziswa zodwa rhoqo; amaxesha amaninzi, zidityaniswe neeCorticosteroids ezifuthwayo kwi-inhaler enye. Xa zisetyenziswa kunye, zibonelela ngolawulo oluhle kakhulu lwe-asthma.
- Amanye Amayeza: Kukwakho namayeza asetyenziswa ngomlomo, njengeLeukotriene Modifiers. Ngamanye amaxesha, ugqirha wakho unokucebisa la mayeza ukongeza kwamanye amayeza akho.
Uninzi lwala mayeza luza njenge- inhaler , isixhobo esenzelwe ukuhambisa amayeza ngqo emiphungeni yakho njengoko uphefumla. Kwabanye abantwana abancinci, la mayeza anokunikwa nge-nebulizer.
Kuza kwenzeka ntoni ukuba awuwasebenzisi ngokuchanekileyo la mayeza yonke imihla?
Eli linqaku ekufuneka uliqwalasele kakhulu. Ukuba ugqirha wakho ukuyalele ukuba usebenzise i-inhaler yakho kabini ngemini, kodwa ugqibe ekubeni uyisebenzise kube kanye kuphela kuba "uzive ulungile namhlanje," okanye ukuba utsiba iidosi iintsuku ezimbalwa, nantsi into enokwenzeka:
- Iimpawu ze-asthma zingabuya: Ukukhohlela, ukuphefumla, kunye nokuxinana kwesifuba kuya kuqala ukwanda kancinci kancinci.
- Iimpawu zasebusuku: Ungaqala ukuvuka ebusuku ngenxa yokukhohlela okanye ubunzima bokuphefumla.
- Umngcipheko okhulayo wokuhlaselwa sisifo sesifuba esinzima: Le yeyona ngozi iyingozi. Xa ungasebenzisi amayeza akho, iindlela zakho zomoya ziyaphulukana nokhuseleko lwazo. Oku kuthetha ukuba nezinto ezincinci ezibangela isifo sesifuba esinzima, umsi, okanye umkhuhlane oqhelekileyo, zinokukhokelela ekuhlaselweni sisifo sesifuba esinzima, nto leyo enokufuna ukutyelela igumbi likaxakeka.
- Ukonakala kwemiphunga ixesha elide: Ukuqhambuka rhoqo kwesifo sombefu kunokuba yingozi kwimiphunga yakho ngokuhamba kwexesha.
Kungoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho malunga nomthamo kunye nexesha lokusebenzisa amayeza akho okulawula.
Ngaba ufanele ukhathazeke ngemiphumo emibi?
Abantu abaninzi baziva bexhalabile xa besiva igama elithi “steroid.” Liyinyaniso elokuba ezinye iintlobo zeesteroids zinokubangela iziphumo ebezingalindelekanga ukuba zithathwa ixesha elide. Nangona kunjalo, idosi kwiInhaled Corticosteroids yesifuba iphantsi kakhulu. Ngaphezu koko, kuba zithunyelwa ngqo emiphungeni, umlinganiselo ofunxwa ngumzimba wakho wonke awunamsebenzi.
Oko kuthethiweyo, ezinye iziphumo ebezingalindelekanga ezincinci zinokwenzeka, ezinje:
- Usulelo oluncinci emlonyeni okanye emqaleni (umz., i-Oral Thrush).
- Ukurhawuzelela kwelizwi.
Kulula kakhulu ukuthintela ezi zinto:
1. Hlamba umlomo wakho kakuhle ngamanzi emva kokusebenzisa i-inhaler yakho.
2. Sebenzisa i-inhaler yakho ngesixhobo sokuvala isithuba.(Buza ugqirha wakho ngolwazi oluthe kratya malunga noku).
Nangona ezinye iziphumo ebezingalindelekanga zinokubakho, ugqirha wakho unika la mayeza kuba iingenelo zingaphezulu kakhulu kuneengozi ezincinci. Ukuba ukhe uzive ungakhululekanga, nceda ungathandabuzi ukuxoxa ngayo nogqirha wakho eNirogi Lanka.
Ukubaluleka kokuthetha nogqirha wakho
Wena nogqirha wakho nisebenzisana ukufumanisa eyona ndlela ilungileyo yokulawula i-asthma yakho ngokuqwalasela oku kulandelayo:
- Iimpawu zakho ezithile.
- Indlela ophila ngayo.
- Kulula kangakanani ukusebenzisa amayeza.
Ugqirha wakho uqwalasela zonke ezi zinto ukuze amisele amayeza okulawula afanelekileyo kunye nomthamo ofanelekileyo kuwe. Ke ngoko, zive ukhululekile ukuxoxa ngayo nayiphi na imibuzo okanye iinkxalabo onazo (umz., indlela yokusebenzisa i-inhaler, iinkxalabo malunga nemiphumo emibi) nogqirha wakho. Oku kuya kukunika uxolo lwengqondo kwaye kukuncede ulawule i-asthma yakho ngokufanelekileyo.
Izinto ezibalulekileyo ekufuneka uzikhumbule: Izinto ekufuneka uzikhumbule
Ukushwankathela ingxoxo yethu, nazi iingongoma ezibalulekileyo ekufuneka uzikhumbule ukuze ulawule i-asthma yakho ngokufanelekileyo ngeNirogi Lanka:
- Amayeza Okulawula Ixesha Elide (Controller Inhalers) enzelwe ukuba athathwe yonke imihla, nokuba uzive uphilile kwaye ungenazo iimpawu.
- La mayeza asebenza kancinci kancinci ukunciphisa ukudumba kwindlela yakho yomoya, nto leyo ebalulekileyo ekuthinteleni ukuhlaselwa sisifo sesifuba ngaphambi kokuba siqale.
- Sebenzisa amayeza akho okunciphisa uxinezeleko kuphela xa ubona iimpawu ezingalindelekanga. Khumbula, amayeza akho okulawula asisiseko sakho semihla ngemihla sempilo yokuphefumla.
- Ukungayisebenzisi imithi yakho yemihla ngemihla kunokubangela ukuba isifo sesifuba sibe sibi kakhulu kwaye kunokubangela uhlaselo olunzima nolusongela ubomi.
- Musa ukukhathazeka kakhulu ngemiphumo emibi enokubakho. Ngokusebenzisa i-inhaler yakho ngokuchanekileyo kunye nokuhlamba umlomo wakho emva kokusetyenziswa ngakunye, unokuthintela ngokulula iziphumo ebezingalindelekanga eziqhelekileyo.
- Hlala unxibelelana nogqirha wakho ukuze uhlole kwaye uhlaziye iSicwangciso sakho seNtshukumo ye-Asthma rhoqo.
Khumbula, ngolawulo olufanelekileyo, i-asthma akufuneki ikuthintele ukuba uphile ubomi obusebenzayo, obuqhelekileyo, nobunelisayo. Ukusebenzisa rhoqo amayeza akho okulawula ixesha elide sesona sixhobo silungileyo onokuba naso ukuze uhlale ulawula.
Isifuba , Amayeza Okulawula Ixesha Elide, Amayeza Okulawula, Amayeza Okugcina, IiCorticosteroids Ezifuthwayo, Ulawulo Lwesifuba
