Ngaba nawe une-asthma ngexesha lokukhulelwa? Makhe sithethe ngale nto!

Ukuba ukhulelwe, kuyinto eqhelekileyo ukuziva uphelelwa ngumphefumlo ngamanye amaxesha. Kodwa ukuba une-asthma, unokuziva uphelelwa ngumphefumlo ngakumbi. Emva koko, kunye nokuxinana kwesifuba, ukukhohlela, kunye noloyiko lokuba wena nomntwana wakho nifumana ioksijini eyaneleyo na, akunjalo? Ungakhathazeki, masithethe ngale nto ngokweenkcukacha.

Yintoni isifo sesifuba ngexesha lokukhulelwa?

Ngamafutshane, isifo sesifuba sisifo esihlala ixesha elide . Oku kulapho iindlela zethu zomoya, okanye iindlela zokuphefumla, zincipha kwaye zivalekile. Oku kwenza kube nzima ukuphefumla. Ngexesha lokukhulelwa, kuyinto eqhelekileyo ukuba kubekho utshintsho oluthile ekuphefumleni kwakho. Nangona kunjalo, kumntu one-asthma, oku kunokubonakala ngakumbi. Ukuphefumla, ukukhwehlela okungapheliyo, kunye nokuziva uxinezelekile esifubeni konke oku kunokuhamba nako.

Ukuba une-asthma, kubaluleke kakhulu ukuqhubeka nonyango ukuze kuthintelwe ukudumba emva kokukhulelwa. Ukuba ayilawulwa kakuhle, i-asthma inokubangela umngcipheko kwimpilo yakho nakumntwana wakho.

Kodwa khumbula oku: Ukuba ulandela imiyalelo kagqirha wakho ngononophelo kwaye uthatha amayeza akho ngexesha, akukho nto inokukuthintela ekukhulelweni okunempilo nasekuzaleni umntwana osempilweni.

Ngaba isifo se-asthma siba sibi kakhulu ngexesha lokukhulelwa?

Oku kunokwahluka kumntu nomntu. Kwabanye abantu, isifo sombefu sinokuba mandundu ngexesha lokukhulelwa. Uphando lwakutshanje lubonisa ukuba malunga nama-40% abafazi abakhulelweyo bafumana ukwanda kweempawu zesifo sombefu . Kodwa oku kuchaphazela kakhulu abo sele benesifo sombefu esincinci okanye esiphakathi ngaphambi kokukhulelwa. Amanye ama-60% akafumani tshintsho lukhulu kwiimpawu zawo okanye afumana ukuphucuka okuncinci kwisifo sombefu sabo.

Nantsi into efunyenwe ngabaphandi:

• Ukuba isifo sesifuba siba sibi kakhulu, sidla ngokuvela phakathi kweeveki ezingama-29 nezingama-36 zokukhulelwa .
• Ukuba isifo sesifuba siyaphucuka, siya kwenzeka kancinci kancinci ngexesha lokukhulelwa.
• Iimpawu ze-asthma azidli ngokwanda ngexesha lokubeleka nokubeletha .
• Ukuba iimpawu zakho zesifuba ziyatshintsha ngexesha lokukhulelwa, zihlala zibuyela kwisiqhelo kwiinyanga ezintathu zokuqala emva kokubeleka.
• Ukuba ukhe watshintsha iimpawu zesifuba ngexesha lokukhulelwa kwangaphambili, kusenokwenzeka ukuba nawe utshintshe okufanayo ekukhulelweni okulandelayo.

Ngaba i-asthma ngexesha lokukhulelwa iyamchaphazela umntwana?

Ewe, isifo sesifuba singabeka umngcipheko kwimpilo yomntwana ukuba asiphathwa kakuhle.. Le nxalenye "engalawulwayo" yeyona ibalulekileyo. Ulawulo olufanelekileyo lwalo naliphi na imeko yezonyango ngexesha lokukhulelwa lubalulekile kwimpilo yakho nakwimpilo yomntwana wakho. Isifo sesifuba esingalawulwayo sinokunciphisa ubungakanani beoksijini egazini lakho, nto leyo enokubangela ukuba umntwana wakho angafumani oksijini eyaneleyo. Kwakhona kwandisa umngcipheko weengxaki zokukhulelwa.

Amaxesha amaninzi, kuvela iingxaki koomama abane-asthma ngexesha lokukhulelwa kuba bengayiqondi indlela yokulawula i-asthma yabo ngokufanelekileyo ngexesha lokukhulelwa. Umzekelo, abanye abantu bacinga ukuba amayeza e-asthma aya kulimaza umntwana, ngoko ke bayayeka ukuwasebenzisa. Kodwa inyani yile, ukungawulawuli u-asthma wabo kunokuba nefuthe elibi kakhulu kumntwana kunayo nayiphi na impembelelo embi yalo naliphi na iyeza.

Kwelinye icala, ukuba uthatha amanyathelo afunekayo ukulawula isifo sakho sesifuba (umzekelo, ukuthatha amayeza akho njengoko ugqirha wakho ekuyalele), unamathuba amaninzi okukhulelwa okunempilo nomntwana osempilweni.

Ixhaphake kangakanani i-asthma phakathi kwabasetyhini abakhulelweyo?

EMelika, phakathi kwe-3% kunye ne-8% yabasetyhini abakhulelweyo bane-asthma . Sesona sifo sixhaphakileyo semiphunga esinyangwa ngoogqirha ngexesha lokukhulelwa. Imeko isenokuba ifana naseSri Lanka.

Zithini iimpawu ze-asthma ngexesha lokukhulelwa?

Iimpawu ze-asthma ngexesha lokukhulelwa ziyafana nezo zibonakaliswa ngumntu onesifo se-asthma ngokubanzi. Usenokuba neempawu ezingapheliyo, okanye usenokuba nokuhlaselwa sisifo se-asthma ngamaxesha athile. Oku kuthetha ukuba ngequbuliso uba nobunzima bokuphefumla emva kokuba uphilile.

Iimpawu eziphambili zezi:

• Ukuqhawukelwa ngumphefumlo
• Ukukhwehlela (ingakumbi ebusuku)
• Ukuqina kwesifuba, intlungu okanye uxinzelelo
• Ukuphefumla - Oku kwenzeka xa iindlela zakho zomoya zivalekile kancinci.

Ubunzima bezi mpawu buyahluka ngexesha lokukhulelwa. Iimpawu zinokuphucuka, zibe mandundu, okanye zingatshintshi.

Ziziphi izizathu zotshintsho kwi-asthma ngexesha lokukhulelwa?

Ukukhulelwa akubanga sisifo sesifuba esitsha. Nangona kunjalo, umzimba wakho uyatshintsha ngexesha lokukhulelwa, ngoko ke ungahlangabezana nemeko yakho ngendlela eyahlukileyo. Nazi ezinye iinguqu ezinokuchaphazela ukuphefumla kwakho:

• Ukwandiswa kwesibeleko: Njengoko umntwana wakho ekhula, isibeleko sakho siyakhula. Oku kubeka uxinzelelo kwi -diaphragm yakho - umsipha okuncedayo ukuphefumla ngaphakathi nangaphandle kwemiphunga yakho. Oku kunokwenza kube nzima ukuba i-diaphragm yakho ihambe ngokukhululekileyo kwaye iphefumle ngokupheleleyo.
• Ukwanda kweehomoni zokukhulelwa: Ngexesha lokukhulelwa, amanqanaba eehomoni ayatshintsha. Oku kunokubangela ukuba ii-sinus zakho zivuvuke.Ingomile kwaye idumbe. Oku kungenza impumlo yakho ivaleke kwaye kwenze kube nzima ukuphefumla. Ngokukodwa, ukwanda kwehomoni yeprogesterone kunokubangela ukuba izinga lokuphefumla kwakho linyuke.
• Ukunyuka kwesantya sentliziyo: Intliziyo yakho kufuneka isebenze nzima ukuze inike wena nomntwana wakho igazi. Lo mzamo wongezelelweyo unokukwenza uzive udiniwe kwaye uphelelwe ngumphefumlo.

Ukuba awukaze ufunyaniswe une-asthma ngaphambili, kwaye ngequbuliso uba nengxaki yokuphefumla, isenokuba yingxaki eqhelekileyo yokuphefumla ebangelwa lolu tshintsho lomzimba. Asiso-asthma. Nangona kunjalo, kusenokwenzeka ukuba ngaphambili wawune-asthma encinci, engafunyaniswanga ebangelwe lutshintsho ngexesha lokukhulelwa.

Ngoko ke, ukuba unengxaki yokuphefumla, qiniseka ukuba ubonana nogqirha ukuze akunike ingcebiso .

Ngaba isifo sombefu singabangela iingxaki ngexesha lokukhulelwa okanye lokuzala?

Ewe, i-asthma engalawulekiyo inokunyusa umngcipheko weengxaki ezithile zokukhulelwa . Kwakhona, abantu abane-asthma enzima banamathuba amaninzi okuba neengxaki kunabo bane-asthma encinci okanye ephakathi. Ezi ngxaki zingabandakanya:

• I-Preeclampsia: Le yimeko enzima enxulunyaniswa noxinzelelo lwegazi oluphezulu. Ingachaphazela amalungu akho angaphakathi kwaye ibe yingozi enkulu kumntwana wakho.
• Ukuzalwa ngaphambi kwexesha: Usana oluzelwe ngaphambi kweeveki ezingama-37. Olu hlobo lweentsana lunokuba neengxaki zempilo ngenxa yeengxaki zokukhula.
• Ubudala obuncinci bokukhulelwa okanye ubunzima bokuzalwa obuphantsi: Iintsana ezincinci kunesiqhelo zinokuba neengxaki zempilo kuba iinkqubo zazo zomzimba azikakhuli ngokupheleleyo.

Nokuba isifo sakho sesifuba sincinci, siphakathi, okanye sinzima, ukuba nesicwangciso sonyango sokuthintela nokulawula ukuqhambuka kwesifo sesifuba kunokunceda ukunciphisa iingxaki ezinokubakho kuwe nakumntwana wakho.

Zeziphi izinto ezibangela umngcipheko weengxaki?

Kukho izinto ezithile ezinokubangela ukuba isifo sesifuba sibe sibi kakhulu ngexesha lokukhulelwa kwaye zonyuse umngcipheko weengxaki:

• Ukutshaya.
• Ukungawasebenzisi amayeza e-asthma achazwe ngugqirha okanye ukungalandeli isicwangciso sonyango ngokufanelekileyo.
• Ukuba nobunzima obukhulu (i-BMI ephakathi kwama-25 nama-29) okanye ukutyeba kakhulu (i-BMI engama-30 nangaphezulu).

Oogqirha bayixilonga njani i-asthma ngexesha lokukhulelwa?

Kwiimeko ezininzi, isifo sombefu sifunyanwa ngaphambi kokukhulelwa. Nangona kunjalo, inkqubo yokuxilonga isifo sombefu ngexesha okanye emva kokukhulelwa iyafana kakhulu. Ugqirha wakho uza kwenza uvavanyo olukhuselekileyo kuwe nakumntwana wakho.

Uxilongo lungabandakanya:

• Imbali yezonyango: Iinkcukacha malunga neempawu zakho, njengokuba zivela nini rhoqo.
• Uvavanyo lomzimba.
• Uvavanyo lwe-Spirometry: Olu vavanyo lulinganisa isantya kunye nokusebenza kakuhle komoya emiphungeni yakho.

Uvavanyo lwegazi kunye nezinye iinkqubo zokuthatha imifanekiso zinokufuneka ukuze kuchongwe ukuba ingaba imbangela yobunzima bakho bokuphefumla sisifo sombefu okanye yenye imeko yezonyango.

Ndinganyanga njani isifo sam sesifuba ngexesha lokukhulelwa?

Ufanele uqhubeke nokulandela isicwangciso sakho sokulawula isifo sesifuba ngexesha lokukhulelwa. Oku kuquka ukuthatha amayeza akho esifo sesifuba owayalelweyo. Ugqirha wakho uya kuqinisekisa ukuba zeziphi amayeza akhuselekileyo kuwe nakumntwana wakho.

Oku kuthetha ukuthini ukulawula kakuhle isifo sakho sesifuba:

• Ukunciphisa iimpawu kancinci (okanye ukungabikho) emini.
• Ukukwazi ukulala kakuhle ubusuku bonke ngaphandle kweempawu ze-asthma.
• Ukukwazi ukwenza imisebenzi yemihla ngemihla ngokuqhelekileyo.
• Kunqabile kakhulu ukuba kufuneke usebenzise i-reliever inhaler (i-rescue inhaler).
• Umsebenzi womphunga uqhelekile okanye uphantse ube semgangathweni.

Yenza isicwangciso sonyango nogqirha wakho.

Oogqirha abaninzi bacebisa ukuba wenze idinga ngaphambi kokuba ukhulelwe ngaphambi kokuba uqale ukuzama ukuba nomntwana. Eli lixesha apho unokwenza isicwangciso sendlela yokulawula naziphi na iimeko zempilo, ezifana ne-asthma, ngexesha lokukhulelwa, kunye notshintsho ekufuneka ulwenze emva kokuba ukhulelwe.

Emva kokuba ukhulelwe, thetha nogqirha wakho malunga nesicwangciso sokujonga isifo sakho sesifuba ukuqinisekisa ukuba silawulwa ngendlela efanelekileyo.

Jonga imeko yakho.

Oku kuquka ukujonga impilo yakho neyomntwana wakho. Ugqirha wakho uza kwenza oku kulandelayo:

• Ukujonga imiphunga yakho nokuphefumla: Ukuphefumla kwakho kunokufuneka kuhlolwe rhoqo. Usenokuba novavanyo lwe-spirometry ukujonga ukusebenza kwemiphunga yakho. Olu luvavanyo olwenziwa eofisini kagqirha okanye esibhedlele. Usenokuba nesixhobo sokulinganisa ukuhamba komoya ekhaya ukulinganisa ukuhamba komoya wakho yonke imihla.
• Ukujonga ukusebenza kunye nophuhliso lwezitho zomntwana: Kusenokufuneka wenze uvavanyo lokujonga ukukhula komntwana wakho. Ii-ultrasound zihlala zenziwa ngexesha lokukhulelwa ukujonga ukuba umntwana wakho ukhula njani. Ukuba une-asthma ephakathi okanye enzima, okanye ukuba i-asthma yakho ayilawulwa kakuhle, kunokufuneka wenze uvavanyo lwe-ultrasound okanye uvavanyo olungenaxinzelelo lokujonga ukubetha kwentliziyo yomntwana wakho emva kweeveki ezingama-32 zokukhulelwa.

Ziphephe izinto ezibangela isifo se-asthma kangangoko unako.

Kufuneka uzazi izinto ezenza isifo sakho sesifuba sibe sibi kakhulu, ezibizwa ngokuba "zizinto ezibangela isifo," kwaye uziphephe kangangoko unako. Izinto ezibangela esi sifo ziquka:

• Umsi wecuba.
• Ubulongwe bezinambuzane (iimpethu, iimpuku).
• Iivumba ezibukhali zeekhemikhali (ezifana neemveliso zokucoca).
• Ivumba elinamandla (njengevumba elimnandi, i-cologne).
• Iincukuthu zothuli lwendlu.
• Ukugula (umkhuhlane, umkhuhlane).
• Izilwanyana zasekhaya ezifuywayo. Izinja ezikumakhaya ethu zifana neekati.
• Uxinzelelo.
• Impova.
• Umngundo.

Sela amayeza ngokwesicwangciso sonyango.

Kukho iintlobo ezahlukeneyo zamayeza e-asthma akhuselekileyo kwaye asebenzayo. Ezi ziquka ii-inhalers, amayeza omlomo (iipilisi, kunye nolwelo). Xa unika amayeza e-asthma ngexesha lokukhulelwa, ugqirha wakho uya kuqwalasela izinto ezininzi:

• Ngawaphi amayeza anembali ende yokusetyenziswa ngokukhuselekileyo ngexesha lokukhulelwa?
• Ngawaphi amayeza asebenza kakuhle ekulawuleni isifo sakho sesifuba (kuxhomekeke ekubeni sibi kangakanani)?
• Ngawaphi amayeza akhuselekileyo nasebenzayo kakhulu kwikota nganye yokukhulelwa?

Uninzi lwabantu lunokuqhubeka nokuthatha amayeza alo aqhelekileyo ngexesha lokukhulelwa, ukubeletha, kunye nokuncancisa.

Injani imeko yabantu abane-asthma ngexesha lokukhulelwa?

Xa kuthelekiswa nabantu abangenaso isifuba, abantu abanesifuba banomngcipheko ophezulu kancinci weengxaki zokukhulelwa. Kodwa lo mngcipheko uphezulu kakhulu ukuba isifuba sakho asilawulwa kakuhle. Yiyo loo nto kubaluleke kangaka ukulandela isicwangciso sakho sonyango kulo lonke ixesha lokukhulelwa kwakho. Musa ukuyeka ukuthatha naliphi na iyeza ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenjenjalo.

Ungayinciphisa njani ingozi yeengxaki ezinxulumene ne-asthma ngexesha lokukhulelwa?

Eyona ndlela ilungileyo yokunciphisa umngcipheko wakho kukulandela isicwangciso sakho sonyango ngokuchanekileyo. Oku kuquka ukuphepha izinto ezibangela oku kwaye uthathe amayeza akho ngexesha. Abantu abaninzi bayayeka ukuwathatha amayeza abo ngexesha lokukhulelwa kuba besoyika ukuba aza kuchaphazela umntwana.

Khumbula, i-asthma engalawulwa kakuhle inokuba nefuthe elibi kakhulu kumntwana wakho kunemiphumo emibi yonyango oluqhelekileyo. Kwakhona, ugqirha wakho uza kukubeka esweni ukuqinisekisa ukuba ufumana unyango olukhuselekileyo kangangoko.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa undwendwela ugqirha wakho, ungathandabuzi ukubuza imibuzo efana nale:

• Ngabaphi oogqirha abanokundinceda ndilawule isifo sam sesifuba? (umz., ingcali ye-allergies, i-immunologist )
• Ngaba kuya kufuneka sitshintshe amayeza am?
• Kufuneka ndidibane nogqirha kangaphi ukuze ndijonge isifo sam sesifuba?
• Ndingawujonga njani umkhuhlane wam wesifuba ekhaya?
• Ziziphi iimpawu ekufuneka ndidibane nogqirha ngazo? Okanye ndiye kwigumbi longxamiseko?(ETU) Ufuna ukuhamba?

Uthini umthetho "wesinye nesithathu" malunga nesifuba ngexesha lokukhulelwa?

Uphando lwangaphambili lubonise ukuba utshintsho kwiimpawu zesifuba ngexesha lokukhulelwa lunokuqondwa ngeendlela ezintathu:

• Iimpawu zomntu omnye kwabathathu ziyaphucuka.
• Iimpawu zomntu omnye kwabathathu ziba mandundu.
• Isinye kwisithathu seempawu azitshintshi.

Nangona kunjalo, uphando lwakutshanje lubonisa ukuba inani labantu abaneempawu ezibi kakhulu lisondele kwi-40% .

Ngaba kukhuselekile ukuthatha i-Albuterol ngexesha lokukhulelwa?

I-Albuterol ithathwa njengenye yamayeza akhuselekileyo okusebenzisa ngexesha lokukhulelwa. Ngenxa yokuba eli yeza belisetyenziswa ixesha elide, oomama abaninzi abakhulelweyo abaye balisebenzisa ukulawula isifuba sabo bazale abantwana abasempilweni.

Nangona kunjalo, amayeza akhuselekileyo onokuwathatha lelo lilawula kakuhle isifuba sakho kwaye likukhusele kwingozi yeengxaki zokukhulelwa. Ugqirha wakho uya kukucebisa amayeza afanelekileyo kwimeko yakho.

Ngaba ndingakwazi ukufumana imijovo ye-allergy ngelixa ndikhulelwe?

Oogqirha abaqali ukunika imijovo emitsha ye-allergy ngexesha lokukhulelwa. Kodwa ukuba sele uyisebenzisa, ugqirha wakho usenokuqhubeka nokuyisebenzisa.

Ndingafumana inaliti yomkhuhlane ngexesha lokukhulelwa?

Ewe, ngokuqinisekileyo ufanele ufumane inaliti yomkhuhlane. Inaliti yomkhuhlane iyacetyiswa nangaliphi na ixesha lokukhulelwa. Ingakukhusela ekuguleni - eyona nto ibangela ukuba i-asthma ibe nzima ngakumbi.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuze ukhulelwe ngempumelelo, kubalulekile ukuzinyamekela kakuhle. Oku kuyinyani nokuba unesifo se-asthma esihlala ixesha elide okanye akunjalo. Thetha nomboneleli wakho wokhathalelo lwangaphambi kokukhulelwa malunga nendlela i-asthma enokuchaphazela ngayo ukukhulelwa kwakho kunye notshintsho onokulufuna ukwenza kumayeza akho okanye kwimisebenzi yakho yemihla ngemihla. Nje ukuba unesicwangciso, namathela kuso. Ukuthatha amanyathelo okulawula i-asthma yakho kuya kwandisa amathuba akho okuba nomntwana osempilweni.

Musa ukoyika ukubuza ugqirha wakho nayiphi na imibuzo onayo, nokuba incinci kangakanani na. Impilo yakho nomntwana wakho yeyona nto ibalulekileyo!

Isifuba , ukukhulelwa, ubunzima bokuphefumla, amayeza esifuba, impilo yomntwana, iingxaki zokukhulelwa, ulawulo lwesifuba