Ungase wazi ukuthi izingane eziningi kanye nabantu abadala abaphila ne-asthma banikezwa imithi yansuku zonke. Ungase uzibuze, "Kungani ngidinga ukuthatha imithi nsuku zonke, ngisho nangezinsuku engizizwa ngiphilile kahle?" Eqinisweni, kukhona isizathu esibalulekile salokhu. Le mithi yokulawula yesikhathi eside—evame ukubizwa ngokuthi i-Controller Medicines noma i-Maintenance Medicines —yenzelwe ngqo ukugcina izindlela zakho zokuphefumula zicacile, zivulekile, futhi ziphilile, okwenza kube lula kakhulu ngawe ukuphefumula nsuku zonke.
Kuyini i-Asthma?
Kalula nje, i-asthma yisimo esithinta izindlela zakho zokuphefumula—izindlela ezithwala umoya ungene emaphashini akho. Nge-asthma, imigudu yakho yomoya iba nomuzwa omkhulu, isabela kalula ngisho nasezintweni ezincane ezibangela lokhu. Uma lokhu kwenzeka, ingaphakathi lemigudu yakho yomoya lingavuvukala, futhi imisipha eyizungezile ingaqina. Cabanga ngepayipi elivuvukele ngaphakathi futhi licindezelwa ngaphandle; ngokwemvelo kuba nzima kakhulu ukuthi umoya ugeleze. Yingakho ungase ube nezimpawu ezifana nokuphefumula, ukuqina kwesifuba, noma ukukhwehlela. I-asthma yawo wonke umuntu ihlukile, kusukela ekuvukeni okuncane, ngezikhathi ezithile kuya ezinseleleni ezivame kakhulu.
Iyini Imithi Yokulawula Yesikhathi Eside?
Uma une-asthma, udokotela wakho cishe uzokunikeza izinhlobo ezimbili zemithi. Eyokuqala yi -Reliever Medicine , oyisebenzisela ukuthola impumuzo esheshayo lapho kuvela izimpawu, njengalapho uzizwa uphefumula kanzima noma uphelelwa umoya. Cabanga ngalokhu njengokusebenzisa isicishamlilo ukucima ilangabi elingazelelwe.
Kodwa-ke, Imithi Yokulawula Yesikhathi Eside isebenza ngendlela ehlukile kakhulu. Lena akuyona imithi yokulungisa ngokushesha; kunalokho, isebenza njengesisekelo sendlu yakho. Njengoba nje isisekelo esiqinile sigcina ikhaya lizinzile, le mithi isebenza ukunciphisa ukuvuvukala nokuzwela emigudwini yakho yomoya ngokuhamba kwesikhathi, igcina i-asthma yakho iphathwa kahle. Yingakho ivame ukubizwa ngokuthi imithi "yokulawula" noma "yokulungisa".
Isebenza kanjani le mithi? Ingabe isebenza kancane noma ngokushesha?
Lena yingxenye ebaluleke kakhulu. Imithi yokulawula yesikhathi eside isebenza kancane kakhulu. Ngokungafani nama-inhaler aqeda ubuhlungu ngokushesha, ngeke uzizwe umehluko ngokushesha ngemva kokuyisebenzisa. Le mithi idinga isikhathi—ngezinye izikhathi izinsuku eziningana noma ngisho namasonto—ukuze ifinyelele umphumela wayo ogcwele. Cabanga ngakho njengokutshala imbewu engadini yakho; kuthatha isikhathi ukuthi ikhule, iqhakaze, futhi ithele izithelo. Ikhula kahle kuphela uma uyinisela futhi uyinakekela njalo nsuku zonke. Yileyo ndlela le mithi esebenza ngayo.
Indima yabo eyinhloko ukunciphisa ukuvuvukala okungapheli emigudwini yakho yomoya nokusiza ukuyigcina ivulekile ukuze ingaphinde ivaleke.
Ngakho-ke, ingabe ngidinga ukuthatha le mithi nsuku zonke ngisho noma ngizizwa ngiphilile ngokuphelele?
Yebo, impela! Yilapho abantu abaningi bephambuka khona. Ungase ucabange, “Anginazo izimpawu ze-asthma njengamanje,” noma “Angikhwehleli, pho kungani kufanele ngithathe umuthi wami?” Kodwa-ke, isizathu sokuthi uzizwe uphilile kungenzeka ukuthi usebenzisa njalo imithi yakho yokulawula.
Cabanga ngomuntu onesifo sikashukela i-Diabetes Mellitus osebenzisa i-insulin. Ngisho noma ezizwa ephilile, kumele aqhubeke nemithi yakhe njengoba eyalelwe udokotela wakhe ukuze avimbele lesi simo ukuba singabi sibi kakhulu. I-asthma ayihlukile.
Uma uthatha le mithi nsuku zonke, njengoba nje udokotela wakho ekuyalele, umzimba wakho unethuba lokuphulukiswa. Lokhu kusiza ukuvimbela izindlela zakho zokuphefumula ukuthi zingavuvukali futhi zinciphe, okukuvumela ukuthi uphefumule kalula isikhathi eside. Uma uyeka imithi, lezo zimpawu cishe zizobuya ngemva kwezinsuku ezimbalwa.
Yiziphi izinhlobo eziyinhloko zemithi yokulawula yesikhathi eside?
Kunezinhlobo eziningana zemithi kulesi sigaba. Udokotela wakho kungenzeka ukuthi ukunike enye yalezi:
- Ama-Corticosteroids Aphefumulayo (ICS):Lena imithi yokulawula evame kakhulu futhi ebalulekile. Ungesabi igama elithi “steroid”; le mithi ihluke kakhulu kuma-steroid owathathayo njengamaphilisi. Ngenxa yokuthi ihanjiswa nge-inhaler ngqo emaphashini akho, umthelela womzimba emzimbeni wakho wonke uncane kakhulu. Isebenza ngokunciphisa ukuvuvukala emigudwini yakho yomoya, njengokufaka amafutha esilondeni ukuze siphole.
- Ama-Beta-Agonists Asebenza Isikhathi Eside (LABA): Lawa asebenza ngokukhulula imisipha ezungeze izindlela zakho zomoya, esiza ukugcina zivulekile. Akuvamile ukusetshenziswa zodwa; ngokuvamile, ahlanganiswa nama-Corticosteroids aphefumulelwe ku-inhaler efanayo. Uma esetshenziswa ndawonye, anikeza ukulawula okuhle kakhulu kwe-asthma.
- Eminye Imithi: Kukhona nemithi yomlomo, njenge-Leukotriene Modifiers. Ngezinye izikhathi, udokotela wakho angase akuncome lokhu ngaphezu kwezinye izindlela zakho zokwelapha.
Iningi lale mithi liza njenge- inhaler , ithuluzi elenzelwe ukuletha umuthi ngqo emaphashini akho njengoba uphefumula. Kwabanye abantwana abancane, le mithi inganikezwa nge-nebulizer.
Kwenzekani uma ungayisebenzisi kahle le mithi nsuku zonke?
Leli yiphuzu okudingeka ulinake kakhulu. Uma udokotela wakho ekuyalele ukuthi usebenzise i-inhaler yakho kabili ngosuku, kodwa unquma ukuyisebenzisa kanye kuphela ngoba "uzizwa kahle namuhla," noma uma weqa imithamo izinsuku ezimbalwa, nakhu okungenzeka:
- Izimpawu ze-asthma zingabuya: Ukukhwehlela, ukuphefumula, kanye nokuqina kwesifuba kuzoqala ukwanda kancane kancane.
- Izimpawu zasebusuku: Ungase uqale ukuvuka ebusuku ngenxa yokukhwehlela noma ubunzima bokuphefumula.
- Ingozi eyengeziwe yokuhlaselwa yi-asthma enzima: Lena ingozi eyingozi kakhulu. Uma ungayithathi imithi yakho, izindlela zakho zomoya zilahlekelwa ukuvikelwa kwazo. Lokhu kusho ukuthi ngisho nezinto ezincane ezibangela ukuvuvukala njengothuli, intuthu, noma umkhuhlane ovamile zingaholela ekuhlaselweni yi-asthma okukhulu, okungadinga ukuvakashelwa egumbini eliphuthumayo.
- Ukulimala kwamaphaphu isikhathi eside: Ukuqubuka kwesifuba njalo kungaba yingozi emaphashini akho ngokuhamba kwesikhathi.
Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho mayelana nomthamo kanye nesikhathi semithi yakho yokulawula.
Ingabe kufanele ukhathazeke ngemiphumela emibi?
Abantu abaningi bazizwa bekhathazekile lapho bezwa igama elithi “steroid.” Kuyiqiniso ukuthi ezinye izinhlobo zama-steroid zingabangela imiphumela emibi uma zithathwa isikhathi eside. Kodwa-ke, umthamo we-Inhaled Corticosteroids we-asthma uphansi kakhulu. Ngaphezu kwalokho, ngoba zilethwa ngqo emaphashini, inani elimuncwa yiwo wonke umzimba wakho alinakwa.
Lokho kusho ukuthi, imiphumela emibi emincane ingavela, njenge:
- Ukutheleleka okuncane komlomo noma komphimbo (isb., i-Oral Thrush).
- Ukuhosha kwezwi.
Kulula kakhulu ukuvimbela lokhu:
1. Hlanza umlomo wakho kahle ngamanzi njalo ngemva kokusebenzisa i-inhaler yakho.
2. Sebenzisa i-inhaler yakho ngedivayisi yokuhlukanisa.(Buza udokotela wakho ngolwazi olwengeziwe ngalokhu).
Nakuba kungase kube neminye imiphumela emibi engavamile, udokotela wakho unikeza le mithi ngoba izinzuzo zidlula kakhulu izingozi ezincane. Uma uzizwa ungakhululekile, sicela ungangabazi ukuxoxa ngayo nodokotela wakho eNirogi Lanka.
Ukubaluleka kokukhuluma nodokotela wakho
Wena nodokotela wakho nisebenzisana ukuthola indlela engcono kakhulu yokuphatha i-asthma yakho ngokucabangela okulandelayo:
- Izimpawu zakho ezithile.
- Indlela yakho yokuphila.
- Kulula kangakanani ukusebenzisa umuthi.
Udokotela wakho ucabangela zonke lezi zici ukuze anqume umuthi olawulayo ofanele kakhulu kanye nomthamo wakho. Ngakho-ke, zizwe ukhululekile ukuxoxa nganoma yimiphi imibuzo noma ukukhathazeka onakho (isb., indlela yokusebenzisa i-inhaler, ukukhathazeka ngemiphumela emibi) nodokotela wakho. Lokhu kuzokunikeza ukuthula kwengqondo futhi kukusize uphathe i-asthma yakho ngempumelelo.
Izinto Ezibalulekile Okufanele Uzikhumbule: Okudingeka Uzikhumbule
Ukufingqa ingxoxo yethu, nanka amaphuzu abaluleke kakhulu okufanele uwakhumbule ukuze uphathe i-asthma yakho ngempumelelo nge-Nirogi Lanka:
- Imithi Yokulawula Yesikhathi Eside (Ama-Controller Inhalers) yenzelwe ukuthathwa nsuku zonke, noma ngabe uzizwa uphilile futhi ungenazo izimpawu.
- Le mithi isebenza kancane kancane ukunciphisa ukuvuvukala emigudwini yakho yomoya, okubalulekile ekuvimbeleni ukuhlaselwa yi-asthma ngaphambi kokuba kuqale.
- Sebenzisa imithi yakho yokwelapha kuphela uma uzwa izimpawu ezingazelelwe. Khumbula, imithi yakho yokulawula iyisisekelo sakho sansuku zonke sempilo yokuphefumula.
- Ukweqa imithi yakho yansuku zonke enqunyiwe kungaholela ekubhebhethekeni kwe-asthma futhi kungabangela ukuhlaselwa okukhulu nokusongela ukuphila.
- Ungakhathazeki kakhulu ngemiphumela emibi engaba khona. Ngokusebenzisa i-inhaler yakho ngendlela efanele nokuhlanza umlomo wakho ngemva kokusebenzisa ngakunye, ungavimbela kalula imiphumela emibi evame kakhulu.
- Hlala uxhumene nodokotela wakho ukuze ubukeze futhi ubuyekeze uhlelo lwakho lokusebenza lwe-Asthma njalo.
Khumbula, ngokuphathwa kahle, i-asthma akudingeki ikuvimbele ukuba uphile impilo esebenzayo, evamile, neyanelisayo. Ukusebenzisa njalo imithi yakho yokulawula isikhathi eside kuyithuluzi elingcono kakhulu onalo ukuze uhlale ulawula.
I - Asthma, Imithi Yokulawula Yesikhathi Eside, Imithi Yokulawula, Imithi Yokulungisa, Ama-Corticosteroids Aphefumulayo, Ukuphathwa Kwe-Asthma
