Ingabe uyaphelelwa umoya uma uzivocavoca? Lokhu kungaba yi-asthma ebangelwa ukuzivocavoca!

Ngokuvamile, sibona ukuthi abanye abantu, ikakhulukazi izingane ezincane, bavele bashaye umoya lapho begijima bedlala, bethi, "Angikwazi ukuphefumula." Abanye abazali bayasaba futhi bakhathazeke kancane uma bebona lokhu. Empeleni, lokhu akuyona into okufanele siyesabe, kodwa ngokuqinisekile kuyisimo okufanele sikhathazeke ngaso futhi sifune iseluleko sezokwelapha. Namuhla, ake sixoxe ngokuthi yini ebangela lokhu, yini engenziwa ngakho, nokuthi iyini ngempela le (i-Asthma Ebangelwa Ukuzivocavoca).

Kuyini lokhu (i-asthma ebangelwa ukuzivocavoca)?

Kalula nje, i-Asthma Ebangelwa Ukuzivocavoca yisimo lapho izimpawu ezifana ne-asthma zivela khona kuphela uma uzivocavoca, njengalapho ugijima, ugxuma, udlala, noma wenza noma yimuphi umsebenzi womzimba. Isibonelo, abanye abantu abanakho ukuphefumula kanzima noma ubunzima bokuphefumula empilweni yabo yansuku zonke, kodwa lezi zimpawu zivela kuphela lapho bezivocavoca. Bese kuthi abanye abantu babe ne-asthma , okusho ukuthi bane-asthma ngezinye izikhathi. Kubantu abanjalo, ukuzivocavoca kungenza i-asthma yabo ibe yimbi kakhulu. Ngamanye amazwi, ukuzivocavoca kungaba yimbangela , noma isikhuthazi, esenza i-asthma yabo ibe yimbi kakhulu.

Ungesabi ngokushesha uma uzwa lokhu, kulungile? Ngoba lesi simo (i-Asthma Ebangelwa Ukuzivocavoca) siyinto engalawulwa kahle kakhulu . Okudingeka ukwenze nje ukuthatha iseluleko sezokwelapha esifanele bese wenza ngokufanele.

Ziyini izimpawu zalokhu? Sikubona kanjani?

Cabanga ngengane yakho idlala kanzima bese ima ngokuzumayo, noma iqala ukukhwehlela. Noma lapho iphefumula, kuvela umsindo omncane wokukhala kwekhwela noma wokukhala kwekhwela ngaphakathi esifubeni. Ungasho nokuthi isifuba siyaqina. Lezi yizimpawu eziyinhloko ze-(I-Asthma Ebangelwa Ukuzivocavoca). Ake sibone ukuthi ziyini:

• Ukukhwehlela: Ukukhwehlela okomile okwenzeka ikakhulukazi ngesikhathi noma ngemva kokuzilolonga.
• Ukuphefumula kanzima: Ukuzizwa sengathi kunzima ukuphefumula, ukuzizwa sengathi uyacinana.
• Ukuphefumula: Umsindo wokukhala kwekhwela esifubeni, njengecilongo elincane, lapho uphefumula.
• Ukuqina kwesifuba: Umuzwa wokucindezela noma ukusinda noma ukucinana esifubeni.
• Ukukhathala ngokushesha lapho uzivocavoca: Uma kuqhathaniswa nabanye, okusho ukuthi bakhathala futhi bakhathale ngokushesha kunezinye izingane abadlala nazo.
• Ukuncipha kwekhono lokuzivocavoca: Ukungakwazi ukugijima noma ukugxuma kahle njengangaphambili.
• Ukuzwa sengathi kukhona okubambeke emphinjeni wakho.

Lezi zimpawu zivame ukuqala cishe imizuzu emi-5 kuya kweyi-10 ngemva kokuqala ukuzivocavoca. Ngezinye izikhathi, lezi zimpawu zingabonakala ngokushesha ngemva kwemizuzu eyi-10-15 ngemva kokuqeda ukuzivocavoca. Kodwa-ke, lezi zimpawu ngokuvamile azihlali isikhathi esingaphezu kwehora noma amabili.

Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?

Manje ungase uzibuze, "Kungani lokhu kwenzeka kuphela uma sizivocavoca?" Kalula nje, uma sizivocavoca, imizimba yethu idinga umoya-mpilo owengeziwe. Yilapho-ke siqala khona ukuphefumula ngokushesha. Isikhathi esiningi, siphefumula ngomlomo wethu esikhundleni samakhala ethu. Manje, bheka, uma siphefumula ngamakhala ethu, umoya ongena uyafudumala kancane, umanzi, futhi uhlungwe ngaphakathi kwemigudu yethu yamakhala. Kodwa lokho akwenzeki uma siphefumula ngomlomo wethu.

Ngakho-ke, lapho lo moya obandayo, owomile ungena ngqo emigwaqweni emincane yomoya (izindlela zomoya noma ama-bronchioles) emaphashini ethu, amaseli asezindongeni zalezo zindlela zomoya akhipha amakhemikhali athile (abaxhumanisi bamakhemikhali). La makhemikhali abangela imisipha ezungeze imigwaqo yomoya ukuba iqine, okwenza imigwaqo yomoya iqine noma inciphe . Yilapho imigwaqo yomoya iba mincane, okwenza kube nzima ukuphefumula, futhi lezo ezinye izimpawu zivela.

Lokhu kungase kube ngenxa yezinye izizathu:

• Isimo sezulu esibandayo nesomile: Lesi simo singaba sibi kakhulu uma uzivocavoca ngaphandle ngezinsuku ezinjengalezi.
• Impova noma izinhlayiya zothuli emoyeni, intuthu: Lokhu kungaba yinkinga kubantu abane-allergies.
• Ukungcoliswa komoya: Izinto ezifana nomusi wezimoto, intuthu evela ezimbonini.
• Abanye abantu bayalizonda iphunga le-chlorine emachibini okubhukuda.
• Ukuzivocavoca umzimba uma unesifo sokuphefumula, njengomkhuhlane noma umkhuhlane.
• Ukuchayeka kumakhemikhali athile: Isibonelo, amagesi afana ne-nitrogen dioxide akhishwa emishinini yokuhlanza iqhwa ezindaweni zokuphumula ze-ice hockey.

Udokotela ukuqinisekisa kanjani lokhu?

Uma utshela udokotela wakho ngalezi zimpawu, uzoqala ngokukubuza imibuzo eminingi. Ziyini izimpawu zakho, usunesikhathi esingakanani unazo, zivela nini kaningi, nokuthi ngabe kukhona yini emndenini wakho one-asthma noma i-allergies. Lokhu kubizwa ngokuthi ukuthatha umlando wezokwelapha . Ngemuva kwalokho udokotela uzokuxilonga, ikakhulukazi ngokubeka i-stethoscope esifubeni sakho nokulalela imisindo yokuphefumula uma uphefumula.

Ngaphezu kwalokho, kukhona ukuhlolwa okukhethekile ukuqinisekisa lesi simo (i-Asthma Ebangelwa Ukuzivocavoca). Sibizwa ngokuthi i-spirometry . Kulokhu, ucelwa ukuthi uphefumule ngokushesha kudivayisi encane. Ingalinganisa ukuthi ungakhipha umoya ongakanani emaphashini akho, nokuthi ushesha kangakanani.

Ngemuva kwalokho, udokotela wakho uzokugijimisa ku-treadmill noma ugibele ibhayisikili elingashukumi imizuzu engaba ngu-6-8 bese ekucela ukuthi uphinde uphefumulele emshinini we-spirometry. Lokhu kungalinganisa ukuthi izindlela zakho zokuphefumula zinciphile kangakanani nokuthi ungaphefumula kangakanani ngemva kokuzivocavoca. Lokhu kubizwa nangokuthi ukuhlolwa kwenselele yokuzivocavoca .

Ngezinye izikhathi, esikhundleni sokuzivocavoca, lokhu kuhlolwa kungenziwa ngokuhogela ikhemikhali efana ne-methacholine. Lokhu futhi kulinganisa ukuzwela kwemigudu yomoya.

Ingabe ikhona indlela yokwelapha lokhu? Kungalawulwa kanjani?

Ukwelashwa kuhilela kakhulu imithi kanye nezinguquko ezincane endleleni yokuphila.

1. Imithi yokuqeda ubuhlungu ngokushesha

Ngokuvamile, udokotela wakho uzokutshela ukuthi usebenzise i- inhaler . Lokhu kuqukethe umuthi owenza izindlela zakho zomoya zibe zinkulu kancane, noma uzikhulise. Lawa abizwa ngokuthi ama-beta-agonists asebenza isikhathi esifushane (SABA) , isibonelo, i-Salbutamol inhaler. Kalula nje, le mithi yandisa izindlela zakho zomoya futhi yenza kube lula ukuphefumula.

Le inhaler kufanele isetshenziswe imizuzu eyi-10-15 ngaphambi kokuzivocavoca. Lokhu kungasiza ekuvimbeleni noma ekunciphiseni ukuvaleka kwemigudu yomoya ngesikhathi sokuzivocavoca. Umphumela uhlala cishe amahora angu-4-6.

2. Imithi yokulawula yesikhathi eside

Kwabanye abantu, ikakhulukazi labo abanesifo sofuba esivame ukuba khona noma abane-asthma ebangelwa ukuzivocavoca, udokotela wakho angase akunike uhlobo oluhlukile lwe-inhaler okufanele ulusebenzise nsuku zonke. Lawa abizwa ngokuthi ama-inhaler alawulayo . Aqukethe imithi efana ne-corticosteroids ephefumulayo. Lokhu kusebenza ngokunciphisa ukuvuvukala okungapheli emigwaqweni yomoya. Lokhu kwenza imigwaqo yomoya ingazweli kakhulu ezintweni ezibangela ukuzivocavoca.

Kuneminye imithi, njenge-leukotriene modifiers, engasetshenziswa njengamaphilisi. Le mithi ingasiza nakwabanye abantu.

3. Izinguquko zendlela yokuphila kanye namanye amasu

Ngaphezu kwemithi, kubaluleke kakhulu ukunakekela lezi zinto ezilandelayo:

• Ukuzifudumeza: Kubaluleke kakhulu ukuzifudumeza imizuzu engaba yi-10 kuya kweyi-15 ngaphambi kokuqala ukuzivocavoca. Yenza izinto ezifana nokuhamba kancane nokwenza izivivinyo ezincane ezinyakazisa amalunga akho. Lokhu kuzosiza uhlelo lwakho lokuphefumula ukuthi lujwayele kancane kancane ukuzivocavoca.
• Ukuzipholisa: Futhi, ngemva kokuqeda ukuzilolonga kwakho, akufanele uyeke ngokushesha, kodwa kunalokho pholisa cishe imizuzu emi-5-10.
• Zama ukuphefumula ngekhala lakho: Uma uzivocavoca, zama ukuphefumula ngekhala lakho ngangokunokwenzeka. Ngale ndlela, umoya ongena emaphashini akho ufudumele futhi umanzi.
• Zivikele ngezinsuku ezibandayo: Uma udlala ngaphandle ngezinsuku ezibandayo nezomile, gqoka isikhafu noma imaski ekhethekile (imaski yobuso yomoya obandayo) emboza umlomo nekhala lakho. Lokhu kuzonciphisa inani lomoya obandayo ongena ngqo.
• Gwema izinto ezibangela lokhu: Ngezinsuku lapho inani lempova liphezulu khona, kungcono ukunciphisa ukuzivocavoca kwakho ngaphandle. Noma, zama ukuzivocavoca ekuseni kakhulu noma kusihlwa lapho kunokungcola okuncane komoya.
• Phuza amanzi amaningi: Phuza amanzi amaningi ngaphambi, ngesikhathi, nangemva kokuzivocavoca. Kubalulekile ukuhlala unamanzi emzimbeni.

Ingabe abantu abane-asthma ebangelwa ukuvivinya umzimba abakwazi ukudlala imidlalo?

Lona ngumbuzo oyinhloko abazali abaningi, kanye nalabo abanalesi simo, abawubuzayo. "Uma mina noma ingane yami sinayo (i-Asthma Ebangelwa Ukuzivocavoca), ingabe ingadlala futhi ivivinye umzimba?" Impendulo ithi, "Impela! Akunankinga!"

Eqinisweni, akuwona umqondo omuhle ukuyeka ukuzivocavoca noma ukudlala ngoba nje unalesi simo. Ngoba ukuzivocavoca kubaluleke kakhulu empilweni yethu yomzimba neyengqondo. Cabanga nje, kukhona ngisho nabawine izindondo zegolide ezingeni lama-Olympic abaye balawula lesi simo ngempumelelo (i-Exercise-Induced Asthma) futhi bawina umhlaba!

Into ebaluleke kakhulu ukukhuluma nodokotela bese ufunda ukuthi ungasiphatha kanjani lesi simo ngendlela efanele. Uma ulandela imiyalelo kadokotela wakho, sebenzisa imithi yakho (ikakhulukazi i-inhaler yakho) ngendlela efanele, futhi ulandela izinyathelo zokuphepha ezishiwo ngenhla (ukufudumeza, ukuphola, kanye nokuvikela emakhazeni), abantu abaningi bangadlala noma yimuphi umdlalo abawufunayo ngaphandle kwezinkinga.

Eminye imidlalo kuthiwa ikhuthaza kakhulu lesi simo. Isibonelo, ukubhukuda . Ngoba umoya ozungeze ichibi lokubhukuda uvame ukufudumala futhi unomswakama. Futhi, imidlalo esebenzisa amandla amaningi ngesikhathi esifushane, enezikhathi zokuphumula ezivamile (isb. i-volleyball, i-baseball, i-sprints) ingase ifaneleke kakhulu kwabanye abantu kunemidlalo edinga izikhathi ezinde zokugijima okuqhubekayo (isb. ukugijima i-marathon, ibhola likanobhutshuzwayo, i-basketball). Kodwa-ke, lokhu akusho ukuthi eminye imidlalo ayinakudlalwa. Ngokuphathwa okufanele, noma yini ingenzeka.

Kufanele ngimbone nini udokotela?

• Uma wena noma ingane yakho nizwa noma yiziphi izimpawu ezibalwe ngenhla (ukukhwehlela, ukuphelelwa umoya, ukuqina kwesifuba, ukuphefumula) ngesikhathi nizivocavoca noma ngemva kokuzivocavoca, qiniseka ukuthi ubona udokotela oseduze nawe. Ungakushayi indiva lokho.
• Uma utholakale une-Asthma Ebangelwa Ukuzivocavoca (ama-EIA) futhi uphuza imithi, kodwa izimpawu zakho azilawulwa ngokwanele yimithi, njengokuthi uma usenenkinga yokuzivocavoca, bona udokotela wakho futhi. Isilinganiso semithi yakho singadinga ukulungiswa noma ukwelashwa okuhlukile kunganconywa.
• Uma udinga ukusebenzisa i-inhaler yakho yokunciphisa ubuhlungu izinsuku ezingaphezu kwezimbili ngesonto, kusho ukuthi i-asthma yakho ayilawulwa kahle. Uma kunjalo, bona udokotela.

Lokhu kubaluleke kakhulu:Uma ngokuzumayo uba nobunzima bokuphefumula, uzizwa unesizungu kakhulu kangangokuthi awukwazi ukukhuluma, izindebe zakho nezinzipho zakho zibonakala ziphenduka zibe luhlaza okwesibhakabhaka, futhi i-inhaler yakho ayinikezi impumuzo, kuyisimo esiphuthumayo sezokwelapha . Esimweni esinjalo, kufanele uye esibhedlela esiseduze ngokushesha.

Izinto okufanele uzikhumbule ngamafuphi

Kulungile, ngakho-ke ekugcineni ake sikukhumbuze ezinye zezinto esicabange ukuthi zibalulekile nge-Asthma Ebangelwa Ukuzivocavoca:

• Ukuphefumula kanzima, ukukhwehlela, kanye nobunzima bokuphefumula okwenzeka kuphela ngesikhathi sokuzivocavoca kungabizwa ngokuthi i-Asthma Ebangelwa Ukuzivocavoca .
• Lokhu akusikho okufanele ukwesabe , kuyisimo esilawuleka kalula.
• Asikho isidingo sokuyeka ukuzivocavoca, ukudlala, noma ukudlala imidlalo ngoba nje unalokhu. Eqinisweni, ukuzivocavoca kungasiza ekulawuleni lesi simo.
• Uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, qiniseka ukuthi ubona udokotela ukuze uthole ukuxilongwa okunembile kanye neseluleko kanye nokwelashwa okudingekayo.
• Sebenzisa imithi oyinikezwe udokotela wakho (ikakhulukazi ama-inhaler) ngendlela efanele, ngesikhathi esifanele, nangendlela efanele. Ungakhohlwa ukufudumala ngaphambi kokuzivocavoca bese uphola ngemva kokuzivocavoca.
• Ngokuthola isifo esifanele, ukwelashwa okufanele, kanye nokuphathwa, noma ubani one-Asthma Ebangelwa Ukuzivocavoca angaphila impilo esebenzayo, enempilo, nejabulisayo.

Ngakho-ke, uma unenkinga efana nale, ungalibali uyobona udokotela. Khona-ke nawe ungadlala umdlalo owuthandayo ngaphandle kwesithiyo futhi uhlale uphilile!

` isifuba somoya esibangelwa ukuzivocavoca, ukuzivocavoca, isifuba somoya, ubunzima bokuphefumula, i-inhaler, ezemidlalo, impilo, isihloko sezokwelapha saseSinhala