Ingaba uphelelwa ngumphefumlo xa uzilolonga? Oku kusenokuba yi-Asthma ebangelwa kukuzilolonga!

Rhoqo, sibona abanye abantu, ingakumbi abantwana abancinci, ngequbuliso bephefumla xa bebaleka bedlala, besithi, "Andikwazi kuphefumla." Abanye abazali bayoyika kwaye baxhalabe xa bebona oku. Enyanisweni, oku akuyonto yokoyika, kodwa ngokuqinisekileyo yimeko esifanele siyixhalabele size sifune iingcebiso zonyango. Namhlanje, masithethe ngento ebangela oku, into enokwenziwa ngayo, kwaye yintoni kanye kanye le (i-Asthma ebangelwa kukuzilolonga).

Yintoni le (Isifuba Esibangelwa Kukuzilolonga)?

Ngamafutshane, i-Asthma Ebangelwa Kukuzilolonga yimeko apho iimpawu ezifana ne-asthma zenzeka kuphela xa uzilolonga, njengaxa ubaleka, utsiba, udlala, okanye usenza nawuphi na umsebenzi womzimba. Umzekelo, abanye abantu abanakho ukuphefumla okanye ubunzima bokuphefumla kubomi babo bemihla ngemihla, kodwa ezi mpawu zibonakala kuphela xa bezilolonga. Emva koko abanye abantu bane -asthma , oko kuthetha ukuba bane-asthma ngamanye amaxesha. Kubantu abanjalo, ukuzilolonga kunokwenza i-asthma yabo ibe mandundu. Ngamanye amazwi, ukuzilolonga kunokuba yinto ebangela ukuba i-asthma yabo ibe mandundu.

Musa ukoyika ngoko nangoko xa usiva oku, kulungile? Kuba le meko (i-Asthma ebangelwa kukuzilolonga) yinto enokulawulwa kakuhle . Okufuneka ukwenze kukuthatha iingcebiso zonyango ezifanelekileyo kwaye wenze ngokufanelekileyo.

Zithini iimpawu zoku? Sizibona njani?

Khawuthelekelele umntwana wakho edlala nzima aze ngequbuliso ayeke, okanye aqalise ukukhohlela. Okanye xa ephefumla, kuvakala isandi esincinci somlozi okanye somlozi ngaphakathi esifubeni. Ungatsho nokuba isifuba siyaqina. Ezi zezona mpawu ziphambili ze (i-Asthma ebangelwa kukuzilolonga). Makhe sibone ukuba zeziphi:

• Ukukhwehlela: Ukukhwehlela okomileyo okwenzeka ingakumbi ngexesha okanye emva kokuzilolonga.
• Ukuphefumla nzima: Ukuziva ngathi kunzima ukuphefumla, ukuziva ngathi uyafuthanisela.
• Ukuphefumla: Isandi somlozi esifubeni, njengexilongo elincinci, xa uphefumla.
• Ukuxinana kwesifuba: Ukuziva uxinezelekile okanye ubunzima okanye ukuxinana esifubeni.
• Ukudinwa ngokukhawuleza xa uzilolonga: Xa kuthelekiswa nabanye, oko kuthetha ukuba bayadinwa baze badinwe ngokukhawuleza kunabanye abantwana abadlala nabo.
• Ukuncipha kwamandla okwenza umthambo: Ukungakwazi ukubaleka okanye ukutsiba kakuhle njengangaphambili.
• Ukuziva ngathi kukho into ebambeke emqaleni wakho.

Ezi mpawu zihlala ziqala malunga nemizuzu emi-5 ukuya kweli-10 emva kokuqala umthambo. Ngamanye amaxesha, ezi mpawu zinokubonakala kwangethuba emva kwemizuzu eli-10-15 emva kokuba ugqibile umthambo. Nangona kunjalo, ezi mpawu zihlala zingadluli kwiyure enye okanye ezimbini.

Kutheni oku kusenzeka? Zithini izizathu zoku?

Ngoku usenokuba uzibuza, "Kutheni oku kwenzeka kuphela xa sizilolonga?" Ngamafutshane, xa sizilolonga, imizimba yethu ifuna ioksijini engaphezulu. Kulapho siqala khona ukuphefumla ngokukhawuleza. Uninzi lwexesha, siphefumla ngomlomo endaweni yeempumlo zethu. Ngoku, khangela, xa siphefumla ngeempumlo zethu, umoya ongena uyafudumala kancinci, ufume, kwaye uhluzwe ngaphakathi kwimibhobho yethu yempumlo. Kodwa oko akwenzeki xa siphefumla ngomlomo wethu.

Ngoko ke, xa lo moya ubandayo nowomileyo ungena ngqo kwiindlela zomoya ezincinci (iindlela zomoya okanye iibronchioles) emiphungeni yethu, iiseli ezikwiindonga zezo ndlela zomoya zikhupha iikhemikhali ezithile (iikhemikhali zokulungisa). Ezi khemikhali zibangela ukuba izihlunu ezijikeleze iindlela zomoya ziqine, nto leyo ebangela ukuba iindlela zomoya ziqine okanye zinciphe . Kulapho iindlela zomoya ziba ncinci, nto leyo eyenza kube nzima ukuphefumla, kwaye ezo mpawu ziyenzeka.

Oku kusenokuba ngenxa yezinye izizathu:

• Imozulu ebandayo neyomileyo: Le meko inokuba mandundu xa uzilolonga ngaphandle ngeentsuku ezinje.
• Ipollen okanye uthuli emoyeni, umsi: Ezi zinokuba yingxaki kubantu abane-allergies.
• Ungcoliseko lomoya: Izinto ezifana nomsi wezithuthi, umsi ovela kwimizi-mveliso.
• Abanye abantu bayayithiya ivumba le-chlorine emachibini okudada.
• Ukuzilolonga xa unentsholongwane yokuphefumla, njengomkhuhlane okanye umkhuhlane.
• Ukuvezwa kwiikhemikhali ezithile: Umzekelo, iigesi ezifana ne-nitrogen dioxide ezikhutshwa zizixhobo zokucoca umkhenkce kwiindawo zokulala ze-ice hockey.

Ugqirha uqinisekisa njani oku?

Xa uxelela ugqirha wakho ngezi mpawu, uza kuqala akubuze imibuzo emininzi. Zithini iimpawu zakho, unexesha elingakanani unazo, zivela nini rhoqo, kwaye ingaba kukho umntu kusapho lwakho one-asthma okanye i-allergies. Oku kubizwa ngokuba kukuthatha imbali yezonyango . Emva koko ugqirha uza kukuxilonga, ngakumbi ngokubeka i-stethoscope esifubeni sakho aze amamele izandi zokuphefumla xa uphefumla.

Ukongeza, kukho uvavanyo olukhethekileyo lokuqinisekisa le meko (ye-Exercise-Induced Asthma). Ibizwa ngokuba yi -spirometry . Kule meko, ucelwa ukuba uvuthele ngokukhawuleza kwisixhobo esincinci. Sinokulinganisa ukuba ungakanani umoya onokuwukhupha emiphungeni yakho, kunye nokuba ukhawuleza kangakanani.

Emva koko, ugqirha wakho uza kukwenza ugijime kwi-treadmill okanye ukhwele ibhayisekile engashukumiyo malunga nemizuzu emi-6-8 aze akucele ukuba uphefumlele kwakhona kumatshini we-spirometry. Oku kunokulinganisa ukuba iindlela zakho zomoya zinciphile kangakanani kwaye ungaphefumla kangakanani emva kokuzilolonga. Oku kukwabizwa ngokuba luvavanyo lomngeni wokuzilolonga .

Ngamanye amaxesha, endaweni yokuzilolonga, olu vavanyo lunokwenziwa ngokuphefumla ikhemikhali efana ne-methacholine. Oku kukwalinganisa uvakalelo lweendlela zomoya.

Ingaba ikhona indlela yokunyanga oku? Ingalawulwa njani?

Unyango lubandakanya ikakhulu amayeza kunye notshintsho oluncinci kwindlela yokuphila.

1. Amayeza okunceda ngokukhawuleza

Rhoqo, ugqirha wakho uya kukuxelela ukuba usebenzise i- inhaler . Le iqulethe iyeza elenza iindlela zakho zomoya zibe nkulu kancinci, okanye lizikhulise. Ezi zibizwa ngokuba yi-short-acting beta-agonists (SABA) , umzekelo, i-Salbutamol inhaler. Ngamafutshane, la mayeza andisa iindlela zakho zomoya kwaye enze kube lula ukuphefumla.

Le inhaler kufuneka isetyenziswe imizuzu eli-10-15 ngaphambi kokuzilolonga. Oku kunokunceda ekuthinteleni okanye ekunciphiseni ukuxinana kweendlela zomoya ngexesha lokuzilolonga. Isiphumo sihlala malunga neeyure ezi-4-6.

2. Amayeza okulawula ixesha elide

Kwabanye abantu, ingakumbi abo bane-asthma rhoqo okanye abane-asthma ebangelwa kukuzilolonga, ugqirha wakho unokukunika uhlobo olwahlukileyo lwe-inhaler oza kuyisebenzisa yonke imihla. Ezi zibizwa ngokuba zii-controller inhalers . Ziqulathe amayeza afana ne-corticosteroids ephefumlayo. Oku kusebenza ngokunciphisa ukudumba okungapheliyo kwi-airways. Oku kwenza i-airways ingabi novelwano kwizinto ezibangela oku njengokuzivocavoca.

Kukho amanye amayeza, afana ne-leukotriene modifiers, anokuthatyathwa njengeepilisi. La mayeza anokuba luncedo nakwabanye abantu.

3. Utshintsho kwindlela yokuphila kunye nezinye iindlela zobuchule

Ukongeza kumayeza, kubaluleke kakhulu ukunyamekela ezi zinto zilandelayo:

• Ukuzifudumeza: Kubaluleke kakhulu ukuzifudumeza imizuzu eli-10 ukuya kweli-15 ngaphambi kokuba uqale ukuzilolonga. Yenza izinto ezifana nokuhamba kancinci nokwenza umthambo omncinci oshukumisa amalungu akho. Oku kuya kunceda inkqubo yakho yokuphefumla ukuba iqhele kancinci kancinci umthambo.
• Ukuzila: Kwakhona, emva kokugqiba ukuzilolonga, akufuneki uyeke ngoko nangoko, kodwa zipholise malunga nemizuzu emi-5 ukuya kweli-10.
• Zama ukuphefumla ngempumlo yakho: Xa uzilolonga, zama ukuphefumla ngempumlo yakho kangangoko unako. Ngale ndlela, umoya ongena emiphungeni yakho ufudumele kwaye ufumile.
• Zikhusele ngeentsuku ezibandayo: Ukuba udlala ngaphandle ngeentsuku ezibandayo nezomileyo, nxiba isikhafu okanye imaski ekhethekileyo (imaski yobuso yomoya obandayo) egubungela umlomo nempumlo yakho. Oku kuya kunciphisa ubungakanani bomoya obandayo ongenayo ngqo.
• Ziphephe izinto ezibangela oku: Ngeentsuku apho inani le-pollen liphezulu khona, kungcono ukunciphisa umthambo wakho wangaphandle. Okanye, zama ukuzilolonga kusasa okanye ngokuhlwa xa umoya ungcolisekile kancinci.
• Sela amanzi amaninzi: Sela amanzi amaninzi ngaphambi, ngexesha, nasemva kokuzilolonga. Kubalulekile ukuhlala unamanzi aneleyo emzimbeni.

Ngaba abantu abane-asthma ebangelwa kukuzilolonga abanakudlala imidlalo?

Lo ngumbuzo ophambili obuzwa ngabazali abaninzi, kunye nabo banale meko. "Ukuba mna okanye umntwana wam unayo (i-Asthma ebangelwa kukuzilolonga), ngaba banokudlala baze benze umthambo?" Impendulo ithi, "Ngokuqinisekileyo! Akukho ngxaki!"

Enyanisweni, ayilocebo lilungileyo ukuyeka ukuzilolonga okanye ukudlala kuba nje unale meko. Kuba ukuzilolonga kubaluleke kakhulu kwimpilo yethu yomzimba nengqondo. Khawucinge nje, kukho nabaphumelele iimbasa zegolide kwinqanaba le-Olimpiki abaye balawula ngempumelelo le meko (i-Exercise-Induced Asthma) baza baphumelela kwihlabathi!

Eyona nto ibalulekileyo kukuthetha nogqirha uze ufunde indlela yokulawula le meko ngokufanelekileyo. Ukuba ulandela imiyalelo kagqirha wakho, sebenzisa amayeza akho (ingakumbi i-inhaler yakho) ngokufanelekileyo, kwaye ulandele amanyathelo okhuseleko akhankanyiweyo apha ngasentla (ukuzifudumeza, ukuphola, kunye nokuzikhusela kwingqele), uninzi lwabantu lunokudlala nawuphi na umdlalo abawufunayo ngaphandle kweengxaki.

Eminye imidlalo kuthiwa iluncedo kakhulu kule meko. Umzekelo, ukudada . Kuba umoya ojikeleze ichibi lokudada uhlala ufudumele kwaye ufumile. Kwakhona, imidlalo esebenzisa amandla amaninzi ngexesha elifutshane, kunye namaxesha okuphumla rhoqo (umz. i-volleyball, i-baseball, i-sprints) inokuba yeyona ifanelekileyo kwabanye abantu kunemidlalo efuna ixesha elide lokubaleka ngokuqhubekayo (umz. ukubaleka i-marathon, ibhola ekhatywayo, i-basketball). Nangona kunjalo, oku akuthethi ukuba eminye imidlalo ayinakudlalwa. Ngolawulo olufanelekileyo, nantoni na inokwenzeka.

Ndifanele ndimbone nini ugqirha?

• Ukuba wena okanye umntwana wakho nifumana naziphi na iimpawu ezikhankanyiweyo apha ngasentla (ukukhwehlela, ukuphefumla kancinci, ukuqina kwesifuba, ukuphefumla kancinci) ngelixa nizilolonga okanye emva kokuzilolonga, qiniseka ukuba ubona ugqirha okufutshane nawe. Musa ukuyityeshela loo nto.
• Ukuba ufunyaniswe une-Asthma ebangelwa kukuzilolonga (ii-EIA) kwaye usela amayeza, kodwa iimpawu zakho azilawulwa ngokwaneleyo ngamayeza, njengokuba usenobunzima bokuzilolonga, bona ugqirha wakho kwakhona. Umlinganiselo wamayeza akho unokufuna ukulungiswa okanye unyango olwahlukileyo lunokucetyiswa.
• Ukuba kufuneka usebenzise i-inhaler yakho yokunciphisa uxinzelelo lwegazi ngaphezu kweentsuku ezimbini ngeveki, oko kuthetha ukuba i-asthma yakho ayilawulwa kakuhle. Kwimeko enjalo, bonana nogqirha.

Oku kubaluleke kakhulu:Ukuba ngequbuliso ufumana ubunzima bokuphefumla, udinwe kakhulu kangangokuba awukwazi ukuthetha, imilebe yakho kunye neenzipho zakho zibonakala zijika zibe luhlaza okwesibhakabhaka, kwaye i-inhaler yakho ayiniki ncedo, yingxamiseko yezonyango . Kwimeko enjalo, kuya kufuneka uye esibhedlele esikufutshane ngoko nangoko.

Izinto ekufuneka uzikhumbule ngokufutshane

Kulungile, ngoko ke ekugqibeleni masinikhumbuze ngezinto esicinga ukuba ziya kuba zibalulekile malunga ne-Asthma ebangelwa kukuzilolonga:

• Ukuphefumla kancinci, ukukhohlela, kunye nobunzima bokuphefumla okwenzeka kuphela ngexesha lokuzilolonga kunokubizwa ngokuba yi -Asthma ebangelwa kukuzilolonga .
• Asikoyiki oku, yimeko elawulekayo kakhulu.
• Akukho mfuneko yokuyeka ukuzilolonga, ukudlala, okanye ukudlala imidlalo kuba nje unayo le nto. Enyanisweni, ukuzilolonga kunokunceda ekulawuleni le meko.
• Ukuba wena okanye umntwana wakho unezinye zezi mpawu, qiniseka ukuba ubona ugqirha ukuze ufumane ukuxilongwa ngokuchanekileyo kunye neengcebiso kunye nonyango olufunekayo.
• Sebenzisa amayeza owanikwe ngugqirha wakho (ingakumbi ii-inhalers) ngokuchanekileyo, ngexesha elifanelekileyo, nangendlela efanelekileyo. Ungalibali ukuzifudumeza ngaphambi kokuba uzilolonge kwaye uzipholise emva koko.
• Ngokuxilongwa ngokuchanekileyo, unyango olufanelekileyo, kunye nolawulo, nabani na one-Asthma ebangelwa kukuzilolonga unokuphila ubomi obusebenzayo, obusempilweni, nobonwabisayo.

Ngoko ke, ukuba unengxaki efana nale, musa ukulibazisa uye kubona ugqirha. Emva koko nawe ungadlala umdlalo owuthandayo ngaphandle kwesiphazamiso kwaye uhlale usempilweni!

` isifuba esibangelwa ngumthambo, umthambo, isifuba, ubunzima bokuphefumla, i-inhaler, ezemidlalo, impilo, inqaku lezonyango leSinhala