Ngaba ugqirha wakho ukuxelele ukuba wenze uvavanyo lokuphefumla? Ngaba ukuxelele ukuba usebenzisa iyeza elibizwa ngokuba yi-methacholine? Usenokuba nomdla kancinci, okanye woyike kancinci, xa usiva igama. Yinto eqhelekileyo leyo. Ke namhlanje, masithethe ngokuba yintoni i-methacholine, isizathu sokuba kwenziwe olu vavanyo, kwaye zeziphi izinto ezibalulekileyo ekufuneka uzazi ngayo.
Yintoni iMethacholine?
Ngamafutshane, i-methacholine liyeza elibangela ukuba iindlela zomoya ( i-bronchi ) ezikwimiphunga yakho zinciphe okwethutyana (zimxinwa). Kwizonyango, oku sikubiza ngokuba yi-bronchoconstrictor .
"Owu, baza kuyinciphisa i-bronchi ? Ngaba oko akuyi kwenza kube nzima ukuphefumla?" usenokuba ucinga. Ungakhathazeki. Oku kwenziwa ngononophelo olukhulu, phantsi kweliso elithe ngqo loogqirha kunye nabahlengikazi.
Cinga nje, abanye abantu, ingakumbi abo banezifo ezifana ne-asthma, banemiphunga ebuthathaka kakhulu. Nokuba yinto encinci njengomsi, uthuli, okanye ivumba inokuyinciphisa ngokukhawuleza i-bronchi yabo kwaye ibangele ubunzima bokuphefumla. Ngoko ke, olu vavanyo (iMethacholine Challenge Test) lwenzelwe ukufumanisa ukuba imiphunga yakho ibuthathaka kangakanani. Ngokusekelwe kwiziphumo zoku, ugqirha unokufumana ukuqonda okuhle kakhulu ngokusebenza kwemiphunga yakho.
Eyona nto ibalulekileyo kukuba olu asilonyango lwesifo. Olu luvavanyo nje lokunceda ekuxilongweni kwesifo.
Izinto ekufuneka uzixelele ugqirha ngaphambi kovavanyo
Ngaphambi kokuba wenze olu vavanyo, ngenxa yokhuseleko lwakho, kubaluleke kakhulu ukwazisa ugqirha wakho ngembali yakho epheleleyo yempilo. Musa ukufihla nantoni na kuba yinto encinci. Ukuba kukho nayiphi na kwezi zilandelayo ezisebenza kuwe, qiniseka ukuba umxelele ngayo.
| Imeko/Umkhwa | Kutheni oko kubalulekile? |
|---|---|
| Ukuba ukhulelwe okanye uzama ukukhulelwa. | Kubaluleke kakhulu ukuphepha ukuthatha iingozi ezingeyomfuneko ngexesha lokukhulelwa. |
| Ukuba ungumama oncancisayo. | Kubalulekile ukuqwalasela ukuba ingaba nayiphi na inxalenye yeyeza ingadlulela ebantwaneni ngobisi lwebele. |
| Ukuba ukhe waba nesifo sentliziyo, uxinzelelo lwegazi oluphezulu, okanye isifo sohlangothi. | Umngcipheko wokuvavanywa unokwanda phantsi kweemeko ezinjalo. |
| Ukuba sele ufunyenwe unesinye isifo semiphunga, esifana ne-asthma. | Indlela yokuvavanya ingadinga ukutshintshwa ngokuxhomekeke kwimeko yempilo esele ikho. |
| Ukuba unesifo esibangela ukuxhuzula, esifana nokuxhuzula. | Kubalulekile ukwazi ukuba eli yeza ngamanye amaxesha linokwenza iimeko zempilo zibe mandundu ngakumbi. |
| Ukuba unesifo se-thyroid, izifo zamathumbu, okanye ubunzima bokuchama. | Ezi meko zinokuchaphazela ukusebenza kakuhle kwamayeza. |
| Ukuba ungumtshayi. | Ukutshaya kuchaphazela ngqo ukusebenza kwemiphunga kunye neziphumo zovavanyo. |
| Ukuba usandul' ukufumana ugonyo. | Kubalulekile ukuqaphela oku kuba ezinye izitofu zinokuchaphazela indlela umzimba osabela ngayo. |
| Ukuba une-allergy kwi-methacholine okanye kwamanye amayeza, ukutya, okanye iidayi. | Le yeyona ndlela ilungileyo yokuphepha ii-allergy. |
Ulithatha njani eli yeza?
Eli yeza asinto onokuya nayo ekhaya.Unikwa yingcali yezonyango eqeqeshiweyo, esibhedlele okanye ekliniki.
Kusetyenziswa umatshini obizwa ngokuba yi-nebulizer koku. Usenokuba ukhe wawubona, umatshini obamba umphunga xa abantwana abancinci benomkhuhlane. Leyo yenye yezo zinto. Okwenziwa ngulo matshini kukuguqula i-methacholine engamanzi ibe yinkungu encinci (i-aerosol). Emva koko ucelwa ukuba uphefumle loo nkungu ngomlomo wakho okanye ngomlomo nangempumlo yakho. Emva koko iyeza lingena ngqo emiphungeni yakho.
Kuyo yonke le mviwo, ugqirha okanye umongikazi uza kuhlala ecaleni kwakho aze ajonge rhoqo izinga lokuphefumla kwakho kunye nezinga lokubetha kwentliziyo yakho, ngoko ke akukho sizathu sokoyika.
Ngaba uyalwenza olu vavanyo kubantwana?
Ewe. Olu vavanyo lunokucetyiswa kubantwana abangaphezu kweminyaka emi-5 ubudala, kwaye xa kuyimfuneko. Nangona kunjalo, isigqibo senziwa ngugqirha wabantwana. Kukwakho nezinto ekufuneka uzilumkele ngakumbi.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Oku kwenziwa phantsi kweemeko ezilawulwayo esibhedlele, ngoko ke amathuba okuba oku kwenzeke aphantsi kakhulu. Nangona kunjalo, ukuba ukrokrela ukuba kukho ukugqithisa okugqithisileyo, kufuneka wazise abasebenzi bezonyango ngoko nangoko. Ngokubanzi, xa kukho nasiphi na isiyobisi okanye ityhefu etyiweyo, ungatsalela umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso. Xa kukho imeko engxamisekileyo, kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko.
Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)
Amanye amayeza owasebenzisayo anokuchaphazela ukuchaneka kolu vavanyo. Ngoko ke, kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, iimveliso zezityalo). Qiniseka ukuba uxelele ugqirha wakho ukuba usebenzisa naliphi na kula mayeza adweliswe ngezantsi.
- Ii-inhalers ezisetyenziselwa i-asthma kunye nobunzima bokuphefumla (umz. i-albuterol, ipratropium, i-salmeterol, i-tiotropium)
- Amayeza anjenge-theophylline
- Iintlobo zee-steroids (umz. i-prednisone, i-cortisone)
- Amanye amayeza oxinzelelo lwegazi oluphezulu, isifo sentliziyo, okanye ukubetha kwentliziyo okungaqhelekanga
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Zithini iziphumo ebezingalindelekanga?
Njengalo naliphi na iyeza, i-methacholine inokubangela ezinye iziphumo ebezingalindelekanga. Uninzi lwazo zincinci kwaye ziyaphela ngokukhawuleza emva kovavanyo.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha okanye kumongikazi ngoko nangoko | |
|---|---|
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Ubunzima bokuphefumla | Ukuziva uphelelwa ngumphefumlo okanye ukuqina kwesifuba kunokuba bekulindelwe. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukukhwehlela | Ukukrwempa emqaleni okanye ukukhwehlela kancinci. |
| Ukuziva unesiyezi | Ndiziva ngathi yimpukane. |
| Intloko ebuhlungu | Intloko ebuhlungu kancinci. |
| Umqala obuhkungu | Uziva ngathi umqala wakho ubuhlungu. |
Ukuba ufumana naluphi na uvakalelo olungathandekiyo ngexesha lovavanyo, xelela ugqirha okanye umongikazi ngokukhawuleza. Bahlala bekulungele ukukunceda.
Umyalezo Wokuya Ekhaya
- I-Methacholine ayilonyango, kodwa luvavanyo lokuxilonga olulinganisa uvakalelo lwemiphunga yakho.
- Olu vavanyo lwenziwa esibhedlele okanye eklinikhi kuphela, phantsi kweliso likagqirha. Ngoko ke ungoyiki.
- Qiniseka ukuba uxelela ugqirha wakho ngezinye izifo zakho, ii-allergies, kunye nayo nayiphi na imithi oyithathayo ngaphambi kovavanyo.
- Iimpawu ezincinci ezifana nokukhohlela kunye nentloko ebuhlungu zinokuvela ngexesha lovavanyo. Nangona kunjalo, ukuba ufumana ubunzima obukhulu bokuphefumla okanye iimpawu ze-allergy, nceda usazise ngoko nangoko .
- Eli yeza lelakho wedwa. Musa ukwabelana ngalo nabanye abantu. (Ekubeni linikwa esibhedlele, loo ngxaki ayiveli).
- Ukuba uneminye imibuzo malunga noku, ungathandabuzi ukubuza ugqirha wakho.
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