Ingabe uzizwa uphelelwa umoya ngokuzumayo? Ingabe isifuba sakho siyaqina? Ake sifunde ngalokhu (Bronchospasm)!

Ingabe ngezinye izikhathi uthola kunzima ukuphefumula ngokuzumayo? Ingabe uzizwa sengathi isifuba sakho siyacindezelwa bese uzwa umsindo wokuphefumula lapho uphefumula? Noma ubani oke wabhekana nento efana nale uzoqonda ukuthi ingaba yinto engakhululekile futhi eyesabekayo kangakanani. Lokhu akusikho kuwe kuphela, kodwa kungenzeka kubantu abaningi. Namuhla sizokhuluma ngesimo esibizwa ngokuthi `(Bronchospasm)`, esingaba yimbangela eyinhloko yokuphelelwa umoya kanje. Ungakhathazeki, sizokhuluma ngalokhu kalula nangendlela ongayiqonda.

Kuyini lokhu `(i-Bronchospasm)`?

Kalula nje, i-bronchospasm yilapho izakhiwo ezincane ezifana ne-tube emigudwini yethu yomoya ezithwala umoya ziye emaphashini ethu - ezaziwa ngokwezokwelapha ngokuthi i-bronchi - ziqina ngokuzumayo, okubangela imisipha ebucayi ezungezile ukuba inciphe. Cabanga ngakho njengokucindezela ipayipi lamanzi kuzo zombili izinhlangothi, okubangela amanzi ukuba anciphe.

Lawa ma-bronchi yiwona amapayipi athwala umoya usuka epayipini lakho lomoya uye emaphashini akho. Ngakho-ke uma lawa mapayipi evalekile, inani lomoya-mpilo ofika emaphashini akho liyancipha. Yingakho unenkinga yokuphefumula, futhi kuzwakala sengathi isifuba sakho siyacinana.

Kuzwakala kanjani uma une-`(Bronchospasm)`?

Empeleni, ukuba ne-`(Bronchospasm)` kungaba yinto eyesabekayo. Ngoba ngokuzumayo uzizwa sengathi awukwazi ukuphefumula ngendlela oyifunayo. Kumuntu ongakaze abe nento efana nale ngaphambili, kungaba yinto eyesabekayo kakhulu okokuqala.

Cabanga nje, uma udidekile, ngokuzumayo uthola kunzima ukuphefumula, njengokungathi othile ukukhama isifuba. Kunzima nakakhulu ukuphefumula, futhi mhlawumbe kukhona umsindo ovela esifubeni sakho. Kuvamile ukuzizwa ukhathazekile futhi wesaba ngaleso sikhathi.

Uma uhlangabezana nalezi zimpawu ngokuzumayo:

• Uma uzizwa isifuba sakho siqina
• Uma uzizwa sengathi kunzima kakhulu ukuphefumula
• Uma wenza umsindo wokuphefumula lapho uphefumula
• Uma ukhwehlela njalo

Uma uhlangabezana nalezi zimpawu ezinzima, ikakhulukazi ubuhlungu besifuba nobunzima bokuphefumula, kufanele nakanjani uye egumbini lezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Lokhu kungalawulwa uma uthola ukwelashwa ngesikhathi.

Ubani onamathuba amaningi okuthola `(i-Bronchospasm)`?

I-bronchospasm ingenzeka kunoma ubani. Kodwa-ke, abanye abantu banamathuba amaningi okuba nayo.

• Kulabo abanezinkinga zokungezwani komzimba ezahlukahlukene
• Kulabo abane-asthma
• Kulabo abanezinye izifo zamaphaphu (isib. `(COPD)` - Isifo Esingamahlalakhona Sokuvimbela Amaphaphu)

Ngaphezu kwalaba bantu, izingane ezincane kanye nabantu abadala abaneminyaka engaphezu kwengu-65 nabo banamathuba amaningi okuthola i-bronchospasm.

Lokhu kuvame kakhulu kangangokuthi i-bronchospasm ibhekwa njengophawu ezifweni eziningi zamaphaphu ezifana ne-asthma, i-emphysema, kanye ne-COPD. Kungavela nasezifweni ezahlukahlukene zamaphaphu.

Uyini umehluko phakathi kwe-`(Bronchospasm)`, `(Laryngospasm)` kanye ne-`(Asthma)`?

La magama amathathu angabonakala edida kancane. Nakuba wonke amathathu ethinta inqubo yakho yokuphefumula, ahlukile komunye nomunye.

• `(I-Laryngospasm)` vs `(I-Bronchospasm)`:

I-Bronchospasm ithinta i-bronchi (imigudu yomoya) emaphashini akho. I-Laryngospasm ithinta izintambo zakho zezwi (ingxenye yomphimbo wakho evevezela uma ukhuluma). I-Laryngospasm yilapho izintambo zakho zezwi zivaleka ngokuzumayo uma uphefumula, zivimba ukugeleza komoya emaphashini akho. Lokhu kungaba yinto eyesabekayo, engazelelwe, kodwa ngokuvamile iyanyamalala yodwa phakathi nomzuzu noma emibili. Akuvamile njenge-bronchospasm.

• `(I-Bronchospasm)` vs `(Isifuba somoya)`:

Kubalulekile ukuqonda lokhu. I-Bronchospasm iyisibonakaliso sezifo ezifana ne-asthma. Okusho ukuthi, umuntu one-asthma angaba ne-bronchospasm. Kodwa-ke, akuwona wonke umuntu one-bronchospasm one-asthma. Zombili lezi zimo zibangelwa ukuvuvukala, ukuvuvukala, noma ukucasuka kwemigudu yomoya.

Ziyini izimpawu ze-`(Bronchospasm)`?

Izimpawu ze-`(Bronchospasm)` ziyesabeka kancane, futhi ngezinye izikhathi zingavela ngokuzumayo. Abantu abaningi bazizwa sengathi abakwazi ukuphefumula kakhulu njengoba kufanele. Ezinye izimpawu eziyinhloko yilezi:

• Ukuqina kwesifuba
• Ukuphelelwa umoya
• Ukuphefumula ( umsindo wokukhala kwekhwela ovela esifubeni lapho uphefumula )
• Ukukhwehlela - Kungaba ukukhwehlela okomile noma ukukhwehlela okune-phlegm.
• Ukukhathala - Lokhu kungaba ngenxa yokuntuleka komoya-mpilo.
• Isiyezi

Uma unesinye noma ngaphezulu salezi zimpawu, kubalulekile ukuzinakekela.

Yini ebangela lokhu `(i-Bronchospasm)`?

I-bronchospasm ingenzeka noma nini lapho kukhona ukucasuka noma ukuvuvukala emigudwini yomoya. Njengoba sesixoxile, i-asthma iyimbangela evame kakhulu ye-bronchospasm. Kodwa-ke, kunezinye izimbangela eziningana:

• Ukutheleleka kwamaphaphu noma kwemigudu yomoya: Lokhu kungaba ukutheleleka kwamagciwane, amagciwane, noma isikhunta. Isibonelo, izimo ezifana ne-pneumonia noma i-bronchitis.
• Isifo Sokuvinjelwa Kwamaphaphu Esingapheli (i-COPD): Lesi futhi yisifo samaphaphu sesikhathi eside.
• Izinto ezibangela ukungezwani komzimba: Izinto ezifana nothuli, impova, i-dander yezilwane ezifuywayo, kanye nokudla okuthile.
• Ukuzivocavoca:Abanye abantu bangayithola le `(Bronchospasm)` ngisho noma bezivocavoca. Siyibiza ngokuthi `(i-bronchospasm ebangelwa ukuzivocavoca)`. Cabanga nje, ngemva kokuqeda ukugijima nokudlala kanzima, ukuthola kunzima ukuphefumula, futhi uzizwa sengathi usuzokhwehlela. Kungaba yilokho kuphela.
• Intuthu yamakhemikhali noma ezinye izinto ezicasulayo: Izinto ezifana namaphunga athile, intuthu evela emikhiqizweni yokuhlanza, kanye nentuthu yezibulala-zinambuzane.
• Isimo sezulu esibandayo: Ngokungazelelwe ukuphefumula umoya obandayo kungathinta nabanye abantu.
• Ukubhema noma ukufutha: Lokhu kwandisa ingozi ye-bronchospasm ngoba kulimaza imigudu yomoya.
• Ukubulala izinzwa okuvamile: Abanye abantu bangase babe nalesi simo ngemva kokuhlinzwa.

Kodwa into eyodwa okufanele uyikhumbule ukuthi ngenxa nje yokuthi unesifo esishiwo ngenhla, awukwazi ukuqiniseka ukuthi uzoba ne-"Bronchospasm". Kodwa kukhona ingozi.

Okubalulekile: Akuvamile ukuthi amanye ama-bronchodilator asetshenziswa ukwelapha i-bronchospasm angenza isimo sibe sibi kakhulu. Lokhu kubizwa ngokuthi i-paradoxical bronchospasm. Uma lokhu kwenzeka kuwe, okusho ukuthi unobunzima bokuphefumula ngemva kokusebenzisa i-inhaler yakho, kufanele uyeke ukusebenzisa umuthi ngokushesha bese utshela udokotela wakho.

Wazi kanjani ukuthi une-`(Bronchospasm)`?

Udokotela wakho angaqinisekisa ukuthi une-bronchospasm. Uzokuhlola, akubuze ngezimpawu zakho, futhi akubuze ngomlando womndeni wakho. Ngezinye izikhathi, ungathunyelwa kuchwepheshe wamaphaphu (i-pulmonologist).

Hlobo luni lokuhlolwa okwenziwayo ngalokhu?

Udokotela wakho angase ancome ukuhlolwa okuhlukahlukene ukuze abone ukuthi amaphaphu akho asebenza kahle kangakanani. Ezinye zalezi zifo zifaka:

• I-pulse oximetry: Lokhu kuhilela ukunamathisela idivayisi encane efana ne-clip emunweni wakho noma endlebeni ukuze kulinganiswe izinga lomoya-mpilo egazini lakho. Lokhu kuyindlela elula kakhulu futhi engenabuhlungu.
• I-Spirometry: Kulolu vivinyo, ucelwa ukuthi uphefumulele ngaphakathi nangaphandle ngepayipi elincane. Idivayisi (i-spirometer) ilinganisa ukuthi uphefumula ngokushesha kangakanani nokuthi uphefumula umoya ongakanani.
• Ukuhlolwa komthamo wamaphaphu: Lokhu kuvumela udokotela wakho ukuthi azi ukuthi amaphaphu akho angabamba umoya ongakanani.
• Ukuhlolwa komthamo wokusabalalisa amaphaphu: Lokhu kuhlolwa kukucela nokuthi uphefumulele epayipini. Kukala ukuthi umoya-mpilo ushintshaniswa kahle kangakanani phakathi kwamaphaphu akho kanye negazi lakho.
• Ukuhlolwa kwegesi yegazi lemithambo:Lokhu kulinganisa inani le-oxygen kanye ne-carbon dioxide egazini lakho, kanye ne-pH yegazi lakho.
• Ukuphefumula ngokweqile kwe-Eucapnic: Lokhu kuhlolwa kungenziwa ukuze kubonakale ukuthi une-bronchospasm ngesikhathi sokuzivocavoca. Kulesi sivivinyo, wenzelwe ukuphefumula ingxube ye-oxygen ne-carbon dioxide. Lokhu kulingisa indlela ophefumula ngayo ngesikhathi sokuzivocavoca. Uma kuthinta kabi amaphaphu akho, ungase ube ne-bronchospasm ebangelwa ukuzivocavoca.

Ngaphezu kwalezi zivivinyo zokuphefumula, udokotela wakho angase futhi ancome izivivinyo zezithombe, njenge-X-ray yesifuba noma i-CT scans, ukuhlola ukutheleleka noma ezinye izinkinga ngamaphaphu akho.

Iphathwa kanjani i-bronchospasm?

Ukwelashwa okuyinhloko kwe-bronchospasm uhlobo lomuthi olubizwa ngokuthi ama-bronchodilators. Le mithi isebenza ngokwandisa imigudu yomoya emincane (i-bronchi) nokwenza kube lula ukuphefumula. Ama-bronchodilators eza ngezindlela ezahlukene, njenge-inhaler, izixazululo ze-nebulizer, kanye namaphilisi.

Uma isimo sibi kakhulu, udokotela angase anikeze uhlobo lomuthi olubizwa ngokuthi ama-steroids ukunciphisa ukuvuvukala emigudwini yomoya.

Ama-bronchodilator asebenza isikhathi esifushane

Lezi zisetshenziswa njenge-"rescue inhalers". Zisiza ekunikezeni impumuzo esheshayo lapho kuvela izimpawu ze-'(Bronchospasm)'. Le mithi isebenza ngemizuzu embalwa ukwandisa izindlela zakho zokuphefumula, okwenza kube lula ukuphefumula. Imiphumela ingahlala amahora afinyelela kwayi-6. Ama-'short-acting `(Bronchodilators)` asetshenziswa kakhulu yi-`(Albuterol)` kanye ne-`(Levalbuterol)`.

Ama-bronchodilator asebenza isikhathi eside

Le mithi isetshenziselwa ukunciphisa ingozi ye-bronchospasms yesikhathi esizayo. Ayinconywa njenge-"rescue inhalers" (ngaphandle kwe-Formoterol), njengoba inganikezi impumuzo ngokushesha. Ithatha isikhathi ukuqala ukusebenza, kodwa ihlala cishe amahora ayi-12. Ama-bronchodilator asebenza isikhathi eside asetshenziswa kakhulu yi-Salmeterol, i-Formoterol, ne-Vilanterol.

Olunye uhlobo lwe-bronchodilator esebenza isikhathi eside lubizwa ngokuthi i-anticholinergic. Lokhu kuyatholakala futhi njenge-inhaler esebenza isikhathi esifushane (isb., ipratropium) kanye ne-inhaler esebenza isikhathi eside (isb., i-tiotropium, umeclidinium, aclidinium).

Ama-steroid

Ama-steroid asebenza ngokunciphisa ukuvuvukala (ukuvuvukala) emigudwini yakho yomoya. Le mithi ivame ukunikezwa njenge-inhaler. Kodwa-ke, uma i-bronchospasm yakho inzima, inganikezwa njengamaphilisi noma nge-intravenously ngokusebenzisa i-IV line.

Yini ongayenza ekhaya uma une-`(Bronchospasm)`?

Eqinisweni, ayikho ikhambi lasekhaya eliqondile elingamisa i-bronchospasm uma isiqalile. Ngokuqinisekile kuzodingeka usebenzise i-bronchodilator esebenza ngokushesha (isb. i-inhaler) ukuze unciphise izimpawu zakho.

Uma udokotela esethole ngaphambilini ukuthi uke waba ne-`(Bronchospasm)`, kufanele usuvele unayo i-`(Bronchodilator)`. Kodwa-ke, uma lokhu kuyinto yakho yokuqala oyenzekile, futhi ungenayo i-`(Bronchodilator)`, kungcono ukuya esibhedlela esiseduze ngokushesha ufune ukwelashwa.

Abanye ochwepheshe bathi ukuzivocavoca kokuphefumula kunganciphisa ingozi ye-bronchospasm. Kodwa-ke, lokhu kusacwaningwa, ngakho-ke kudingeka ubufakazi obengeziwe. Kodwa-ke, lokhu kuzivocavoca ngeke kumise i-bronchospasm uma isiqalile. Uma une-bronchospasm evame ukwenzeka, khuluma nodokotela wakho mayelana nendlela yokuyiphatha.

Ingabe i-bronchospasm ingavinjelwa?

Akunakwenzeka ukuvimbela ngokuphelele i-bronchospasm. Kodwa-ke, kunezinto ezithile ongazenza ukuze unciphise ingozi yakho. Isibonelo:

• Phuza amanzi amaningi. Azokwenza kube lula ukuphefumula futhi anciphise uketshezi olusesifubeni sakho.
• Gwema ukubhema nokubhema ugwayi ngokuphelele.
• Fudumala ngaphambi kokuzivocavoca.
• Uma une-allergies, nciphisa ukuchayeka kwakho ezintweni ezifana ne-pollen.
• Nciphisa ukuzivocavoca ezindaweni ezibandayo.
• Thola imithi yakho yokugoma ngesikhathi, ikakhulukazi uma uneminyaka engaphezu kwengu-65 ubudala. (isib. umuthi wokugomela i-pneumonia, umuthi wokugomela i-influenza)

Yini okufanele ilindelwe ngumuntu one-`(Bronchospasm)`?

Uma udokotela ethola ukuthi une-bronchospasm, cishe uzokunikeza i-bronchodilator esebenza isikhathi esifushane (i-rescue inhaler) ongayisebenzisa esimweni esiphuthumayo. Bangase futhi bakunikeze i-bronchodilator esebenza isikhathi eside ukusiza ekunciphiseni ingozi ye-bronchospasms yesikhathi esizayo.

I-bronchospasm ivame ukuhlala cishe izinsuku eziyi-7 kuya kweziyi-14. Phakathi nalesi sikhathi, udokotela wakho uzokunikeza imithi yokulawula izimpawu zakho.

Ingabe i-bronchospasm ingaba yingozi empilweni?

Uma kungelashwa kahle, i-bronchospasm enzima ingaba yingozi empilweni. Kodwa-ke, uma yelashwa ngokushesha, izimpawu zivame ukuphela ngemizuzu embalwa. Uma uhlangabezana nezimpawu ze-bronchospasm, sebenzisa i-bronchodilator yakho ngokushesha. Uma ungenayo i-bronchodilator, shayela u-911 noma uye esibhedlela esiseduze.

Kufanele ubonane nini nodokotela?

Uma unezimpawu eziqhubekayo ze-`(Bronchospasm)`, noma uma ziphazamisa imisebenzi yakho yansuku zonke, bona udokotela.

Ikakhulukazi, uma kwenzeka noma yikuphi kwalokhu okulandelayo, shayela u-911 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha, noma uye egumbini lezimo eziphuthumayo lesibhedlela esiseduze:

• Uma kunzima kakhulu ukuphefumula.
• Uma ukhwehlela igazi kanye ne-mucus.
• Uma uzwa ubuhlungu esifubeni uma uphefumula.
• Uma uzizwa unesizungu noma uphelelwa amandla.

## Izinto Ezibalulekile Okufanele Uzikhumbule (Umyalezo Ofanele Uwuthathe Uhambe Nawe Ekhaya)

I-bronchospasm yisimo esingelapheka. Kodwa-ke, kungaba yinto eyesabekayo kakhulu ukuyibona.

Khumbula, awuwedwa. Singakusiza ukuthi ubhekane nalesi simo.

• Uma unesifo sokuphefumula esifana ne-asthma noma i-COPD esikubeka engcupheni enkulu ye-bronchospasm, khuluma nodokotela wakho ngaso.
• Sebenzisa imithi enqunywe udokotela wakho (ikakhulukazi ama-inhaler) njengoba kuqondiswe futhi ngezikhathi ezifanele.
• Hlala uphethe "i-rescue inhaler" uma kwenzeka isimo esiphuthumayo. Buza udokotela wakho ngendlela efanele yokuyisebenzisa.
• Thola izimbangela ezingabangela i-bronchospasm bese uzama ukuziqhelelanisa nazo ngangokunokwenzeka.
• Uma ubhekene nobunzima bokuphefumula, ukuqina kwesifuba, noma umsindo wokuphefumula, ungawushayi indiva. Funa iseluleko sezokwelapha ngokushesha.

Nakekela impilo yakho yokuphefumula. Uma unenkinga, ungangabazi ukubuza udokotela wakho.

i- bronchospasm, ubunzima bokuphefumula, ukuqina kwesifuba, i-asthma, isifo sokuphefumula, i-bronchodilator, i-inhaler