Ngaba ngamanye amaxesha ukhe ukhwehlele nje, ube nobunzima bokuphefumla, okanye uzive ngathi isifuba sakho siyancipha? Usenokuzibuza nokuba oku kungenxa
yesifuba okanye enye into. Ngamanye amaxesha
, nogqirha unokuba nobunzima bokukuxelela kwangoko. Kwiimeko ezinjalo, kukho uvavanyo olukhethekileyo olwenziwayo ukufumanisa ukuba imiphunga yakho ibuthathaka kangakanani kwisifuba. Namhlanje, siza kuthetha ngeyeza elithi "Methacholine" elisetyenziswe kolo vavanyo.
Ngamafutshane, yintoni i-methacholine?
Into yokuqala ekufuneka uyikhumbule
kukuba i-methacholine ayilonyango lwe-asthma. Liyeza elisetyenziswa kuphela kuvavanyo lokuxilonga ukuze kuqinisekiswe ukuba une-asthma na. Olu vavanyo lubizwa ngokuba yi-"Methacholine Challenge Test." Cinga ngayo, abanye bethu banomdla kancinci, akunjalo? Sifumana i-allergies ngokukhawuleza nakwizinto ezincinci. Ngokufanayo, iindlela zomoya ezikwimiphunga yomntu one-asthma zinobuthathaka ngakumbi kunezo zomntu oqhelekileyo. Ngoko ke kolu vavanyo, uphefumla inani elincinci kakhulu le-methacholine uze ubone indlela imiphunga yakho esabela ngayo kuyo. Ukuba une-asthma, iindlela zakho zomoya ziya kuqala ukuncitshiswa kancinci. Olo tshintsho lunokulinganiswa ngezixhobo ezikhethekileyo, okuvumela ugqirha ukuba afikelele kwisigqibo esicacileyo malunga nemeko yakho.
Izinto ekufuneka uzixelele ugqirha ngaphambi kolu vavanyo
Oku kubaluleke kakhulu. Ngaphambi kokuba unike i-methacholine, kubalulekile ukuba ugqirha wakho ayazi imbali yakho epheleleyo yezonyango. Oku kungenxa yokuba ezinye iimeko zonyango zinokwenza kube yingozi ukusebenzisa eli yeza. Jonga itheyibhile engasezantsi. Ukuba unayo nayiphi na kwezi meko,
qiniseka ukuba uxelele ugqirha wakho.
| Imeko okanye imeko yakho yempilo | Kutheni kubalulekile ukwazisa ugqirha? |
|---|
| Igazi elonyukayo | Eli yeza linokubangela utshintsho kuxinzelelo lwegazi. |
| Imbali yesifo sentliziyo okanye ukuhlaselwa yintliziyo | Kuba inokuchaphazela ukusebenza kwentliziyo. |
| Imbali yestroke | Kuba imithambo yegazi inokuchaphazeleka. |
| I-Aneurysm (ukudumba komthambo wegazi) | Kuba le yimeko eyingozi kakhulu. |
| Ukuxhuzula | Kuba kukho umngcipheko wokuxhuzula ngenxa yemiphumo yeyeza. |
| Isifo se-thyroid | Kuba amanqanaba e-hormone anokuchaphazeleka. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Ukuphepha ukuthatha iingozi ezingeyomfuneko ngexesha lokukhulelwa. |
| Ukuba umntwana uncanciswa | Qaphela ukuba amayeza anokudluliselwa ebantwaneni ngobisi lwebele. |
| Ukunganyamezelani naliphi na elinye iyeza okanye ukutya | Ukufumanisa ukuba kukho ithuba lokuba eli yeza libe ne-allergy. |
Eli yeza linikwa njani emzimbeni?
Olu vavanyo lwenziwa kuphela
phantsi kweliso lezonyango esibhedlele okanye eklinikhi . Awuyi kunikwa eli yeza ukuze ulithathe uye nalo ekhaya. Eli yeza liza likwimo yolwelo. Linikwa wena usebenzisa isixhobo esikhethekileyo esibizwa ngokuba
yi-nebulizer . Usenokuba ubabonile abantwana abancinci bephefumla umphunga xa benomkhuhlane. Oku kuyafana. Lo matshini uguqula eli yeza lolwelo libe ngumphunga ocolekileyo kakhulu (i-aerosol). Emva koko kufuneka uphefumle loo mphunga ngomlomo wakho, okanye ngomlomo wakho nangempumlo. Ngokwesiqhelo, abantwana abangaphezu kweminyaka emi-5 ubudala nabo banokwenza olu vavanyo ukuba kuyimfuneko, kodwa kukho amaxesha apho kuthathwa khona ingqalelo ekhethekileyo.
Ekubeni oku kunikwa esibhedlele, ithuba 'lokusebenzisa amayeza amaninzi ', oko kukuthi, ukuthatha amayeza amaninzi, liphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba oku kwenzekile, kufuneka wazise abasebenzi bezonyango ngoko nangoko. Kwimeko engxamisekileyo, kufuneka uye ngqo kwiYunithi yoNyango oluNgxamisekileyo (ETU) .
Amanye amayeza anokusebenza kunye nale mayeza
Ukuba usela amayeza kwezinye iimeko, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza akho. Amanye amayeza anokuchaphazela iziphumo zovavanyo lwe-methacholine. Oku kuthetha ukuba usenokuba ne-asthma ongenayo, okanye usenokuba nayo engaphezulu kuneyo unayo ngokwenene.
| Uhlobo lweziyobisi / udidi | Izinto ekufuneka ziqwalaselwe |
|---|
| Ii-inhalers ezisetyenziselwa isifo se-asthma (umz. iSalbutamol, iSalmeterol, iFluticasone, iIpratropium, iTiotropium) | Ezi zinto zinokuchaphazela ukuchaneka kovavanyo kuba zandisa indlela yomoya. Ugqirha wakho uza kukuxelela ukuba kufuneka uyeke na ukuzisebenzisa ngaphambi kovavanyo. |
| Ii-Beta-blockers (umz. iMetoprolol, iPropranolol) | La mayeza, adla ngokunikezelwa ngenxa yoxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo, anokutshintsha indlela imiphunga esabela ngayo. |
| Amayeza e-steroid (umz. i-Prednisone, i-Cortisone) | Ezi zinokunciphisa uvakalelo lwemiphunga, nto leyo enokuchaphazela iziphumo zovavanyo. |
| I-Theophylline | Eli yeza, elisetyenziselwa ukunyanga isifo sesifuba, linokuchaphazela uvavanyo. |
Qiniseka ukuba uxelela ugqirha wakho malunga nawo onke amayeza, iivithamini, amayeza esintu, kunye nezongezo ozisebenzisayo.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yale yeza
Njengalo naliphi na iyeza, i-methacholine inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona kunjalo, akukho nto inokubangela ixhala ngayo njengoko olu vavanyo lwenziwa phantsi kweliso elipheleleyo loogqirha kunye nabongikazi. Ukuba kukho naluphi na usizi oluvelayo, bakulungele ukunyanga ngoko nangoko.
Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko: Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka.
| Imiphumela | Inkcazo |
|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ubunzima obukhulu bokuphefumla | Ukuqina kwesifuba, ukuphefumla kancinci. |
| Intloko ebuhlungu | Intloko ebuhlungu kancinci. |
| Isiyezi | Ndiziva ndinesizungu. |
| Umqala obuhkungu | Ukurhawuzelela okanye ukuqaqamba kancinci emqaleni. |
| Ukurhawuzelela | Ukurhawuzelela kancinci kwesikhumba. |
Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana naluphi na olunye uvakalelo olungathandekiyo, nceda wazise abasebenzi bezonyango ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Methacholine ayilonyango lwe-asthma. Liyeza elisetyenziswa kuvavanyo lokufumanisa isifo se-asthma kuphela.
- Olu vavanyo luhlala lwenziwa esibhedlele okanye eklinikhi, phantsi kweliso likagqirha. Eli yeza alivumelekanga ukuba lithathwe lisiwe ekhaya.
- Ngaphambi kovavanyo, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amayeza owasebenzisayo (kuquka amayeza emveli).
- Ukuba ufumana ubunzima obukhulu bokuphefumla okanye iimpawu zokunganyamezelani ngexesha lovavanyo, yazisa abasebenzi bezonyango ngoko nangoko.
- Ukuba unemibuzo malunga nolu vavanyo, ungathandabuzi ukubuza ugqirha wakho.
I-Methacholine, i-Methacholine, i-Asthma, Ubunzima bokuphefumla, Imiphunga, Izifo zokuphefumla, Uvavanyo lwezonyango
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