Ukhathazekile yini ngokuthatha imithi nsuku zonke uma une-asthma? Ake sixoxe ngale mithi yokulawula yesikhathi eside!

Cishe uyazi ukuthi ezinye izingane kanye nabantu abadala abane-asthma kufanele baphuze imithi yabo nsuku zonke. Ungase uzibuze ukuthi kungani bekutshela ukuthi uphuze imithi yakho nsuku zonke, ngisho nangezinsuku lapho ungenazo izimpawu. Kunesizathu esihle salokho. Le mithi yokulawula yesikhathi eside, noma lokho esikubiza ngokuthi imithi yokulawula noma imithi yokulungisa, isetshenziselwa ukugcina izindlela zakho zokuphefumula zivulekile futhi zicacile, okwenza kube lula ukuphefumula.

Iyini ngempela i-asthma?

Kalula nje, i-asthma yisimo esithinta imigudu yomoya, noma imigudu yomoya. Okwenzekayo kulokhu ukuthi imigudu yakho yomoya iba bucayi kancane. Kufana nomuntu othukuthela kalula ngisho nasezintweni ezincane kakhulu. Ngenxa yalokhu, ngezinye izikhathi le migudu yomoya iyavuvukala ngaphakathi, futhi imisipha eyizungezile iyaqina bese ivaleka. Cabanga ngepayipi lamanzi elivuvukele ngaphakathi futhi licindezelwa othile. Bese kuba nzima ukuphefumula nokuphuma, akunjalo? Yingakho izimpawu ezifana nokuphefumula, ukuqina kwesifuba, nokukhwehlela zenzeka lapho kuvela i-asthma. Lesi simo singahluka kumuntu ngamunye. Abanye abantu banakho ngaso sonke isikhathi, kanti abanye abavamile ukuba nakho.

Ngakho-ke yimiphi le mithi yokulawula yesikhathi eside?

Uma une-asthma, udokotela wakho cishe uzokunika izinhlobo ezimbili zemithi. Omunye ubizwa ngokuthi umuthi wokukhulula ubuhlungu . Lezi zisetshenziselwa ukukunikeza impumuzo esheshayo lapho i-asthma yakho iba yimbi kakhulu, okusho ukuthi uma uphefumula kanzima noma uphefumula kanzima. Kufana nokubeka amanzi emlilweni.

Kodwa imithi yokulawula yesikhathi eside esikhuluma ngayo namuhla ihlukile. Lena akuyona imithi enikeza impumuzo ngokushesha. Ifana nesisekelo sendlu. Isisekelo siqinile, futhi indlu iqinile. Ngendlela efanayo, le mithi isiza ekunciphiseni kancane kancane ukuvuvukala nokuzwela emigudwini yakho yomoya, futhi igcine i-asthma yakho ilawulwa. Yingakho ibizwa ngokuthi imithi "yokulawula" noma "yokulungisa".

Lomuthi usebenza kanjani? Kancane kancane? Ngokushesha?

Lokhu kuyinto ebaluleke kakhulu. Le mithi yokulawula yesikhathi eside isebenza kancane kakhulu. Njengemithi yokusiza ngokushesha, awuzizwa umehluko omkhulu ngemva kokuyisebenzisa. Le mithi ingathatha izinsuku ezimbalwa, mhlawumbe ngisho namasonto ambalwa, ukwenza umsebenzi wayo kahle. Cabanga ngakho, uma utshala isitshalo engadini, kuthatha isikhathi ukuthi sikhule, siqhakaze, futhi sithele izithelo, akunjalo? Sikhula kahle kuphela uma usinisela nsuku zonke futhi usinakekela. Yileyo ndlela le mithi ekhula ngayo.

Umsebenzi oyinhloko walokhu ukunciphisa ukuvuvukala okungapheli (ukuvuvukala) emigudwini yakho yomoya nokusiza ukuyigcina ivulekile futhi ingenazo izindlela zomoya ezivalekile futhi.

Ngakho-ke, ingabe kufanele ngithathe lo muthi nsuku zonke, noma ngabe ngizizwa ngiphilile?

Yebo, impela! Yilapho abantu abaningi benza khona amaphutha. Ungase ucabange, "Angisaphathwa umkhuhlane," "Angisaphathwa ngisho nokukhwehlela," "Pho kungani ngithatha lo muthi nsuku zonke?" Kodwa, isizathu sokuthi uphile kahle kangaka mhlawumbe kungenxa yokuthi uthatha umuthi wakho ngendlela efanele.

Cabanga nje, umuntu onesifo sikashukela usebenzisa i-insulin. Ngisho noma ezizwa ephilile, kusadingeka athathe umuthi njengoba etshelwe udokotela. Ngaphandle kwalokho, lesi sifo singase sibuye sibe sibi kakhulu. Kunjalo nangezingubo.

Uma uthatha le mithi nsuku zonke, njengoba nje udokotela wakho ekuyalele, izoba nethuba lokusebenza emzimbeni wakho. Kungaleso sikhathi kuphela lapho izindlela zakho zokuphefumula zizoyeka ukuvuvukala nokuvaleka, okukuvumela ukuthi uqhubeke nokuphefumula kahle. Uma uyeka ukuthatha imithi, izinkinga zingase ziqale ukuvela zingakapheli izinsuku ezimbalwa.

Yiziphi izinhlobo eziyinhloko zemithi yokulawula yesikhathi eside?

Kunezinhlobo eziningana zemithi eziwela kulesi sigaba. Imithi udokotela wakho akunike yona ingaba ngomunye wayo.

• Ama-Corticosteroids Aphefumulayo (ICS): Lawa uhlobo lomuthi olawulayo olusetshenziswa kakhulu nolubaluleke kakhulu. Ungakhathazeki ngegama elithi "steroid," kodwa lawa awafani nama-steroids ovame ukuwathatha ngesimo samaphilisi. Alethwa ngqo emaphashini nge-inhaler, ngakho-ke awathinti kakhulu ezinye izingxenye zomzimba. Asebenza ngokunciphisa ukuvuvukala emigudwini yomoya. Kufana nokufaka umuthi ekushiseni ukuze kusizwe kuphole.

• Ama-Beta-Agonists Asebenza Isikhathi Eside (LABA): Le mithi isiza ukugcina imigudu yomoya ivulekile ngokukhulula imisipha ezungezile. Ayisetshenziswa njalo yodwa. Ivame ukuhlanganiswa nama-corticosteroids aphefumulayo ku-inhaler eyodwa. Uma lokhu kokubili kuhlanganiswa, kusebenza kahle kakhulu ekulawuleni i-asthma.

• Eminye imithi: Ngaphezu kwalokho, kunemithi ethathwa ngesimo samaphilisi, njenge-leukotriene modifiers. Ngezinye izikhathi, udokotela wakho angase ancome ukusebenzisa le mithi kanye neminye imithi.

Iningi lale mithi liza ngesimo se -inhaler . Lena idivayisi ekuvumela ukuthi ulethe imithi emaphashini akho njengoba uphefumula. Ezinye izingane ezincane zinganikezwa lo muthi nge-nebulizer.

Kwenzekani uma ungawusebenzisi kahle lo muthi, nsuku zonke?

Lokhu kuyinto okufanele uyicabangele ngokucophelela. Cabanga ukuthi udokotela wakho ukutshelile ukuthi usebenzise i-inhaler yakho kabili ngosuku. Kodwa kwenzekani uma uthi, "Ngizizwa kahle kakhulu namuhla," bese uyisebenzisa kanye kuphela, noma uma ungayisebenzisi izinsuku ezimbili noma ezintathu?

• Izimpawu ze-asthma zingase ziphinde zivele: izinto ezifana nokukhwehlela, ukuphefumula, kanye nokuqina kwesifuba kungase kuqale ukwanda kancane kancane.
• Izimpawu zingase zibe zimbi kakhulu ebusuku:Ungase uvuke ebuthongweni ukhwehlela futhi uphefumula kanzima.
• Ingozi yokuhlaselwa yi-asthma ngokuzumayo iyanda: Lena yinto eyingozi kakhulu. Uma ungayithathi kahle imithi yakho, ukuvikelwa kwemigudu yakho yomoya kuyancipha. Ngisho nento encane (isib. uthuli, intuthu, umkhuhlane) ingabangela ukuhlaselwa yi-asthma okukhulu. Ngemuva kwalokho kungadingeka uye esibhedlela.
• Umonakalo wesikhathi eside emaphashini ungenzeka: Uma i-asthma ivame ukuqubuka, ayilungile nasemaphashini.

Ngakho-ke, kubaluleke kakhulu ukuthatha le mithi yokulawula njengoba nje udokotela esho, ngenani elibekiwe, nangesikhathi esibekiwe.

Ingabe kufanele sesabe imiphumela emibi?

Abantu abaningi bayesaba lapho bezwa igama elithi "ama-steroid." Kuyiqiniso ukuthi amanye ama-steroid angabangela imiphumela emibi uma ethathwa njalo. Kodwa-ke, ama-corticosteroids aphefumulayo, asetshenziselwa i-asthma , anikezwa ngemithamo ephansi kakhulu. Futhi, ngoba aya ngqo emaphashini, kuncane kakhulu okumuncwa ngumzimba.

Noma kunjalo, kungase kube nemiphumela emibi emincane. Isibonelo:

• Ukutheleleka okuncane komlomo nezindebe (isb., i-oral thrush).
• Ukuhosha kwezwi.

Kunezindlela ezilula kakhulu zokuvimbela izinto ezinjengalezi.

1. Hlanza umlomo wakho kahle ngamanzi ngemva kokusebenzisa i-inhaler.

2. Ukusebenzisa i-inhaler ngedivayisi yokuhlukanisa (ungabuza udokotela wakho ngalokhu).

Nakuba eminye imiphumela emibi ingase ivele kaningi, udokotela utusa le mithi ngoba izinzuzo zayo zidlula kakhulu imiphumela emibi emincane engaba khona. Uma uzwa noma yikuphi ukungakhululeki, ungesabi ukukhuluma nodokotela ngakho.

Ukubaluleka kokukhuluma nodokotela wakho ngalokhu

Wena nodokotela wakho nizonquma ndawonye ukuthi ningayilawula kanjani kangcono i-asthma yakho.

• Izimpawu zakho.
• Indlela yakho yokuphila.
• Kulula ukusebenzisa umuthi.

Udokotela wakho uzocabangela zonke lezi zici ukuze anqume umuthi olawulayo ofanele kakhulu kanye nomthamo wakho. Ngakho-ke, xoxa nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho (isb., indlela yokusebenzisa umuthi, ukukhathazeka ngemiphumela emibi) nodokotela wakho. Ngaleyo ndlela, ungaqiniseka ukuthi uthatha umuthi wakho ngendlela efanele nokuthi i-asthma yakho ilawulwa kahle.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okufanele uzikhumbule:

• Imithi Yokulawula Yesikhathi Eside iyimithi okumele ithathwe nsuku zonke, noma ngabe izimpawu azikho.
• Lokhu kusebenza kancane, kodwa kubalulekile ekunciphiseni ukuvuvukala emigwaqweni yomoya nokuvimbela ukuhlaselwa yi-asthma.
• Imithi yokunciphisa ingcindezi isetshenziswa kuphela uma i-asthma ivutha. Kodwa imithi yokulawula kufanele ithathwe nsuku zonke.
• Uma ungayithathi kahle imithi yakho, i-asthma yakho ingaba yimbi kakhulu futhi iholele ekuhlaselweni okukhulu.
• Ungakhathazeki kakhulu ngemiphumela emibi. Uma usebenzisa i-inhaler yakho ngendlela efanele futhi ugeza umlomo wakho, ungagwema imiphumela emibi eminingi.
• Khuluma nodokotela wakho njalo bese wenza uhlelo lokulawula i-asthma yakho.

Khumbula, i-asthma yisifo, uma silawulwa kahle, esingakuvimbeli ukuba uphile impilo evamile nesebenzayo. Ukusebenzisa le mithi yokulawula isikhathi eside ngendlela efanele kuwusizo olukhulu!

I - Asthma, Imithi Yokulawula Yesikhathi Eside, Imithi Yokulawula, Imithi Yokulungisa, Ama-Corticosteroids Aphefumulayo, I-Asthma Sinhala