Ingabe umane nje ukhwehlela njalo? Ake sixoxe ngalesi sifo sesifuba esingavamile (i-Cough-Variant Asthma)!

Ngezinye izikhathi sikhwehlela nje, akunjalo? Kodwa uma lokhu kukhwehlela kuqhubeka, noma kunganciphi izinyanga, sidinga ukucabanga ngakho kancane. Ikakhulukazi uma kungukukhwehlela nje okungenazo ezinye izimpawu, ukuqina kwesifuba, kungase kungabi ukukhwehlela okuvamile esikucabangayo. Lolu uhlobo oluthile lwezingubo esizokhuluma ngalo namuhla.

Kuyini i-asthma ehlukahlukene yokukhwehlela?

Kalula nje, lokhu kuyilungu lomndeni we-asthma. Kodwa kuhlukile kancane. Ngokungafani nezinye izinhlobo ze-asthma, akukho ukukhwehlela, ukuphefumula kanzima , noma ubunzima bokuphefumula. Kukhona ukukhwehlela kuphela . Esikhathini esiningi, lokhu kukhwehlela okomile. Kodwa abanye abantu bangase babe nokukhwehlela okune-mucus. Into ebaluleke kakhulu ukuthi uma usebenzisa imithi ye-asthma, ikakhulukazi i-inhaler, lokhu kukhwehlela kunciphisa. Ngokungafani ne-asthma evamile, lapha ukukhwehlela kuyisibonakaliso esiyinhloko futhi ngezinye izikhathi uphawu olulodwa kuphela.

Ingabe i-asthma ehlukahlukene yokukhwehlela iyingozi?

Into eyodwa abantu abaningi abayesabayo ukuthi lokhu kuyingozi yini. Uma ngikhuluma iqiniso, lesi simo (i-Cough-Variant Asthma) ngokuvamile singalawulwa kahle ngemithi efana ne-inhaler . Lokho kusho ukuthi akukho okufanele ukhathazeke ngakho. Kodwa-ke, ngezinye izikhathi lokhu kungaba kubi kakhulu, futhi kamuva ezinye izimpawu ze-asthma, njengokuphefumula, zingase zihlangane. Ngisho nalapho, kungalawulwa futhi. Kodwa-ke, njengoba ngezinye izikhathi ukuhlaselwa yi-asthma okukhulu kungenzeka, kubaluleke kakhulu ukuqaphela ngalokhu. Ngakho-ke, kubalulekile ukulandela iseluleko sezokwelapha.

Ziyini izimpawu ze-asthma ehlukahlukene yokukhwehlela?

Njengoba sishilo ngaphambili, nakuba ezinye izinhlobo ze-asthma zinezimpawu eziningi, njengobunzima bokuphefumula nokuphefumula , uphawu olulodwa kuphela lwalokhu (i-Cough-Variant Asthma) ukukhwehlela. Lokhu kuvame ukuba ukukhwehlela okomile, okungenamphumela. Kodwa-ke, abanye abantu bangase babe nokukhwehlela okune-mucus encane. Into ebaluleke kakhulu ukuthi azikho ezinye izimpawu ze-asthma. Lokhu kukhwehlela ngezinye izikhathi kungaba kubi kakhulu ebusuku, noma kungaba kubi kakhulu ngesikhathi sokuzivocavoca noma ukuvezwa emoyeni obandayo.

Kungani sihlakulela i-asthma ehlukahlukene yokukhwehlela kanje?

Kulungile, manje ake sibone ukuthi kungani lokhu kwenzeka. Imbangela eyinhloko ye-asthma ukuncipha nokuvuvukala (ukuvuvukala) kwemigudu yethu yomoya, amapayipi amancane athwala umoya emaphashini . Ku-asthma evamile, lokhu kuncipha kwenza kube nzima ukuphefumula. Kodwa-ke, kulokhu (i-Cough-Variant Asthma) , okwenzekayo ukuthi ukuncipha nokuvuvukala kubangela ukukhwehlela. Cabanga nje, iziphetho zemizwa emigudwini yethu yomoya zikhuthazwa yilokhu kuvuvukala, okubangela ukukhwehlela. Lokhu kukhwehlela akuqhubeki. Kuyeza futhi kudlule (iziqephu noma ukuhlaselwa) . Ngezinye izikhathi lokhu kukhwehlela kungahlala amahora noma ngisho nezinsuku. Amaphaphu ethu acasukile yinto ethileLokhu kukhwehlela kuyanda kuphela uma kwenzeka.

Yiziphi izinto ezibangela i-asthma ehlukahlukene yokukhwehlela?

Noma yini engabangela i-asthma ingadala ne-asthma ehlukahlukene yokukhwehlela . Okusho ukuthi, uma une-allergy entweni ethile, noma uma uphefumula into eyingozi emaphashini akho, ukukhwehlela kwakho kunganda.

Kodwa-ke, kubantu abane-asthma ababhekana nalokhu kukhwehlela kuphela , kunezimbangela eziningana eziyinhloko ezivame ukwandisa ukukhwehlela :

• Umoya obandayo: Uma ungena ngokuzumayo endaweni ebandayo, isibonelo, uma uphuma egumbini elinomoya opholile (AC).
• Izinguquko zesimo sezulu: Imvula eqhubekayo, noma isimo sezulu esomile kakhulu, izinguquko ezisheshayo ekushiseni.
• Ukuzivocavoca: Uma wenza ukuzivocavoca umzimba, njengokugijima noma ukugxuma, ikakhulukazi ezindaweni ezibandayo nezomile.
• Uthuli nentuthu: Izinto ezifana nezindaweni ezinothuli, ukukhishwa kwentuthu emotweni, intuthu kagwayi, kanye nentuthu yesitofu sokhuni.
• Ukuphefumula amakha noma amakhemikhali athile (isib. imikhiqizo yokuhlanza, upende) nakho kungathinteka.
• Ukutheleleka kwemigudu yokuphefumula: Lokhu kukhwehlela kunganda nezinto ezifana nomkhuhlane kanye nomkhuhlane.

Ubani osengozini enkulu yalesi simo?

Asazi ngempela ukuthi kungani abanye abantu bethola i-asthma kanti abanye abayithola. Kodwa-ke, abanye abantu basengozini enkulu yokuba nanoma yiluphi uhlobo lwe-asthma, okuhlanganisa nalokhu (i-Cough-Variant Asthma) . Ake sibone ukuthi bangobani?

• Uma omunye wabazali bakho noma isihlobo esiseduze sine-asthma , kungase kube nethonya lezakhi zofuzo.
• Uma ubhema (ukuba seduze nabantu ababhemayo - ukubhema ugwayi ngaphandle kokubhema - nakho kungaba nomthelela).
• Uma i-Body Mass Index (BMI) yakho ingu-30 noma ngaphezulu , kusho ukuthi ukhuluphele kakhulu.
• Uma ubuhlala endaweni enokungcola komoya okuningi kusukela useyingane .
• Uma usebenza emsebenzini ohilela ukuchayeka njalo othulini, kumakhemikhali, noma emisipheni (isib., izisebenzi zasefektri, izisebenzi zokuhlanza).
• Abanye abantu bane -allergies (isib. izibungu zothuli, impova).

Odokotela basithola kanjani ngokunembile lesi simo (i-Asthma Ehlukahlukene Yokukhwehlela)? (Ukuxilongwa)

Ukuze uthole ukuthi unesifo sofuba esibangelwa ukukhwehlela, udinga ukubona udokotela. Udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wakho wezempilo, njengokuthi ngabe kukhona yini emndenini wakho one-asthma . Bangase benze nokuhlolwa kokusebenza kwamaphaphu ukuze babone ukuthi amaphaphu akho asebenza kahle kangakanani.

Ngezinye izikhathi, udokotela wakho uzokutshela ukuthi uzame imithi yakho ye-asthma izinsuku ezimbalwa ukuze abone ukuthi iyasiza yini ekunciphiseni ukukhwehlela kwakho.(I-Asthma Ehlukahlukene Yokukhwehlela). Lokhu kubizwa ngokuthi isivivinyo sokwelapha.

Hlobo luni lokuhlolwa ongalulindela? (Ukuhlolwa)

Kunezivivinyo eziningana ezingasiza udokotela wakho aqonde isimo sakho:

• Ukuhlolwa Kokusebenza Kwamaphaphu: Lokhu kuhlola ukuthi amaphaphu akho asebenza kahle kangakanani, nokuthi umoya ongakanani ongangena futhi uphume uma uphefumula uphuma. I-Spirometry ukuhlolwa okuvame kakhulu okusetshenziselwa lokhu. Uphefumula umoya ungene epayipini elincane. Lokhu kungabonisa ukuthi kukhona yini ukuvaleka kwemigudu yakho yokuphefumula.
• Imibuzo: Udokotela wakho angakunika ifomu elifushane ongaligcwalisa. Lizokubuza imibuzo mayelana nokuthi ukhwehlela kangaki, yini eyenza ukukhwehlela kwakho kube kubi kakhulu, yini eyenza kube kubi kakhulu, nokuthi ukukhwehlela kwakho kuphazamisa kangakanani imisebenzi yakho yansuku zonke. Lokhu kuzosiza udokotela wakho ukuthola isithombe esiphelele sesimo sakho.
• I-X-ray yesifuba: Lokhu kuthatha isithombe samaphaphu ukuze kuhlolwe ezinye izimbangela zokukhwehlela, njengokutheleleka kwamaphaphu, i-pneumonia, noma isifo sofuba.
• Ukuhlolwa kwe-Bronchoprovocation: Kulolu vivinyo, unikezwa inani elincane lomuthi (njenge-methacholine) ukuze uwuphefumule. Lo muthi ungabangela ukuthi izindlela zakho zomoya zinciphe kancane. Lokhu kulinganisa ukuthi izindlela zakho zomoya zizwela kangakanani (zisabela kanjani) . Abantu abane-asthma banezindlela zomoya zizwela kakhulu kunabantu abangenazo i-asthma.
• Izivivinyo zokwelapha: Njengoba sishilo ngaphambili, udokotela wakho angakunika ama-corticosteroids aphefumulayo noma iphilisi elifana ne -Leukotriene Receptor Antagonists amasonto amabili kuya kwamane ukuze abone ukuthi izimpawu zakho ziyathuthuka yini.

I-asthma ehlukahlukene yokukhwehlela yelashwa kanjani? (Ukwelashwa)

I-asthma ehlukahlukene yokukhwehlela iphathwa ngendlela efanayo nezinye izinhlobo ze-asthma. Kunezinhlobo eziningana eziyinhloko zemithi esetshenziswayo:

• Ama-bronchodilator asebenza ngokushesha: Lawa ama-inhaler okusindisa asetshenziswa ezimweni eziphuthumayo . Avula imigudu yomoya ngokushesha futhi anikeze impumuzo lapho kuvela ukukhwehlela okungazelelwe. Izibonelo zifaka phakathi ama-beta-agonists (ama-SABA) asebenza ngokushesha (isib. i-Salbutamol) kanye nama-muscarinic antagonists (ama-SAMA) asebenza ngokushesha .
• Ama-Corticosteroids Aphefumulayo (ICS): Lawa ama-inhaler okugcina.Inikezwa nsuku zonke njengephilisi. Le mithi inciphisa ukuvuvukala kanye namafinyila emigudwini yomoya. Lokhu kusiza ukulawula ukukhwehlela. Lokhu kufanele kuthathwe nsuku zonke isikhathi esithile, ngesilinganiso esinqunywe udokotela.
• Ama-Leukotriene Receptor Antagonists: Isibonelo, iphilisi elibizwa ngokuthi iMontelukast . Leli iphilisi elithathwa nsuku zonke. Lokhu kusiza futhi ukuvimbela izimpawu ze-asthma, ikakhulukazi i-asthma ebangelwa ukuvivinya umzimba.
• Ama-bronchodilator asebenza isikhathi eside (i-LABA): Lawa abuye abe yi-inhaler yokulungisa, kodwa anikezwa kanye ne-ICS (isib. i-Salmeterol/Fluticasone, i-Formoterol/Budesonide). Lawa nawo adinga ukusetshenziswa nsuku zonke.

Kubaluleke kakhulu: Akukhuthazwa ukusebenzisa lawa ma-bronchodilator asebenza isikhathi eside (ama-LABA) kuphela ukwelapha i-asthma ngaphandle kwe-ICS. Ukuwasebenzisa kuphela kungandisa ingozi yezinkinga ezinkulu ze-asthma (ngisho nokufa). Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.

Ngizozizwa impumuzo isikhathi esingakanani ngemva kokuqala ukwelashwa?

Uma usuqalile ukusebenzisa imithi yokunakekela, njenge- ICS inhaler, kungathatha amasonto ambalwa ukuthi ukukhwehlela kwakho kudambe futhi uzizwe ukhululekile . Ngakho-ke ungesabi. Kubalulekile ukusebenzisa imithi yakho ngendlela efanele. Kodwa-ke, ama-rescue inhaler asebenza ngokushesha. Ngokuvamile anikeza impumuzo zingakapheli imizuzu eyi-15-20 .

Uma nginalokhu (i-Cough-Variant Asthma), yini engingayilindela?

Uma une -asthma ehlukahlukene yokukhwehlela , ungalawula izimpawu zakho ngokugwema izinto ezibangela lokhu kanye nokusebenzisa imithi yokunakekela oyinikezwe udokotela wakho .

Kodwa-ke, cishe amaphesenti angama-40 (40%) abantu abane -Cough-Variant Asthma bangase babe nezinye izimpawu ze-asthma kamuva (njengokuphefumula kanzima, ukuqina kwesifuba, kanye nokuphelelwa umoya) . Ngakho-ke, kubaluleke kakhulu ukuhlala uxhumana nodokotela wakho njalo futhi uye ezivivinyweni ezivamile.

Ingabe lesi simo (i-Cough-Variant Asthma) singavinjelwa?

Ngenxa yokuthi asazi kahle ukuthi kungani abanye abantu bethola i-asthma kanti abanye abayithola, ayikho indlela yokuyivimbela ngokuphelele .

Nokho, kunezinto eziningana ongazenza ukuze unciphise ingozi:

• Ungabhemi. Futhi gwema ukuba seduze nabantu ababhemayo.
• Uma kufanele usebenze njalo ngothuli noma ngamakhemikhali, gqoka imaski noma ezinye izinto zokuzivikela ezifanele.
• Gcina isisindo esinempilo . Ukukhuluphala kwandisa ingozi ye-asthma.
• Zama ukulawula izinto ezibangela ukungezwani komzimba njengezibungu zothuli lwendlu .

Kufanele ngizinakekele kanjani? (Ukuzinakekela)

Uma uphila nalesi simo, kunezinto ongazenza ukuze ulawule izimpawu zakho futhi unciphise ingozi yokuba nokuhlaselwa ukukhwehlela okukhulu:

• Thola izimbangela zakho ezaziwayo bese uzigwema ngangokunokwenzeka.
• Sebenzisana nodokotela wakho ukuze wakhe uhlelo lokusebenza nge-asthma. Kufanele lufake iziqondiso zendlela yokwelapha izigaba ezahlukene zezimpawu zakho nokuthi uzobona nini udokotela wakho. Gcina lokhu nawe.
• Bona udokotela wakho njalo futhi umtshele ngesimo sakho. Tshela udokotela wakho uma uthola izimpawu ezintsha noma uma umuthi owuphuzayo ungabonakali usebenza kahle njengakuqala.
• Funda ukuthi ungayisebenzisa kanjani i-inhaler yakho ngendlela efanele. Sebenzisa i-spacer uma kudingeka.

Kufanele ngimbone nini udokotela?

• Uma ukhwehlela okuhlale isikhathi esingaphezu kwamasonto ayisishiyagalombili futhi ungakwazi ukuthola imbangela , qiniseka ukuthi ubona udokotela.
• Uma usuvele utholakale une-asthma ehlukahlukene yokukhwehlela , tshela udokotela wakho uma uqala ukuzwa izimpawu ezintsha ze-asthma, njengokuphelelwa umoya kanye nokuphefumula .
• Uma ukukhwehlela kwakho kungalawulwa ngisho nangemva kokusebenzisa i-inhaler yakho yokunakekela noma udinga ukusebenzisa i-inhaler yakho yokusindisa kaningi , bona udokotela wakho.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Ngezinye izikhathi lesi simo singaba sibi kakhulu. Ezimweni ezinjalo, kufanele uye esibhedlela ngokushesha. Izimpawu zalesi simo esibi zifaka:

• Ubunzima obukhulu bokuphefumula, kuze kube sezingeni lokungakwazi ukukhuluma.
• Isilinganiso senhliziyo esiphezulu (i-Tachycardia).
• Umbala oluhlaza okwesibhakabhaka wesikhumba, izindebe, noma izinzipho (i-cyanosis). Lokhu kubonisa ukuntuleka komoya-mpilo.
• Ukudideka noma isimo sengqondo esishintshile.
• Uma kungekho mpumuzo ngemva kokusebenzisa i-rescue inhaler.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela wakho, kuzokusiza kakhulu ukubuza le mibuzo:

• Ungangibonisa isinyathelo ngesinyathelo ukuthi ngiyisebenzisa kanjani i-inhaler ngendlela efanele? (Lokhu kubaluleke kakhulu!)
• Yiziphi izimpawu ezintsha okufanele ngiziqaphele? Noma yini okufanele ngiyiqaphele uma izimpawu zami zamanje ziba zimbi kakhulu?
• Kufanele ngiyithathe kanjani imithi yami? Izinto ezifana nesikhathi, umthamo, njll.
• Yini okufanele ngiyenze uma ngihlaselwa ukukhwehlela ngokuzumayo?
• Ungangisiza yini ukuthi ngidale uhlelo lokusebenza lwe-asthma?
• Ingabe kuwumqondo omuhle ukusebenzisa imitha yokugeleza kwegazi eliphezulu ukukala ukusebenza kwamaphaphu ami?

Ingabe i-asthma ehlukahlukene yokukhwehlela ivela ngenxa ye-acid reflux emhubheni?

Abanye abantu bacabanga ukuthi lokhu kukhwehlela kubangelwa yi -acid reflux , okuyisimo esifana ne-gastritis. Yiqiniso, i-acid reflux ingabangela nokukhwehlela okuqhubekayo. Kodwa-ke, akuqinisekisiwe ukuthi i-acid reflux ibangela i-asthma ehlukahlukene yokukhwehlela . Kodwa-ke, abanye abantu bangase babe nazo zombili lezi zimo ndawonye. Ezimweni ezinjalo, ukwelapha i-acid reflux kunganciphisa ukukhwehlela kancane. Kodwa-ke, ukwelashwa okuyinhloko kwe -asthma ehlukahlukene yokukhwehlela imithi ye-asthma.

Okokugcina, izinto okufanele uzikhumbule

Ukukhwehlela okuqhubekayo kuyinkinga enkulu. Kungaba nzima ukuthola imbangela. Kodwa kulokhu (i-Cough-Variant Asthma) , izimpawu zakho zingathuthuka ngemithi ye-asthma. Ngokuhlala kude nezinto ezikwenza ukhwehlele kakhulu, usebenzisane nodokotela wakho ukuthola imithi efanele, futhi uyisebenzise kahle, ungagcina ukukhwehlela kwakho kulawulwa. Khumbula, awuwedwa, futhi akukaze kube sekwephuzile ukufuna iseluleko sezokwelapha. Sithemba ukuthi lolu lwazi luzokusiza ukuthuthukisa ikhwalithi yokuphila kwakho.

Ukukhwehlela , Isifuba Somoya, Isifuba Somoya Esihlukahlukene Sokukhwehlela, Izifo Zokuphefumula, Izinto Zokuphefumula, Ukwelashwa, Izimpawu