Ingabe ngezinye izikhathi ukhwehlela okungapheli, ube nobunzima bokuphefumula, noma uzizwe sengathi isifuba sakho siyacinana? Ungase uzibuze nokuthi lokhu kungenxa ye
-asthma noma okunye. Ngezinye izikhathi
, ngisho nodokotela angaba nesikhathi esinzima sokukutshela ngokushesha. Ezimweni ezinjalo, kuba nokuhlolwa okukhethekile okwenziwayo ukuthola ukuthi amaphaphu akho azwela kangakanani i-asthma. Namuhla, sizokhuluma ngomuthi "Methacholine" osetshenziswe kulolo vivinyo.
Kalula nje, iyini i-methacholine?
Into yokuqala okufanele uyikhumbule
ukuthi i-methacholine ayilona ikhambi le-asthma. Iwumuthi osetshenziswa kuphela ekuhlolweni kokuxilonga ukuze kutholakale ukuthi une-asthma yini. Lokhu kuhlolwa kubizwa ngokuthi "i-Methacholine Challenge Test." Cabanga ngakho, abanye bethu bazwela kancane, akunjalo? Sithola ukungezwani komzimba ngokushesha ngisho nasezintweni ezincane kakhulu. Ngokufanayo, izindlela zomoya emaphashini omuntu one-asthma zizwela kancane kunezomuntu ojwayelekile. Ngakho-ke kulokhu kuhlolwa, uphefumula inani elincane kakhulu le-methacholine bese ubona ukuthi amaphaphu akho asabela kanjani kuyo. Uma une-asthma, izindlela zakho zomoya zizoqala ukuncipha kancane. Lolo shintsho lungalinganiswa ngemishini ekhethekile, okuvumela udokotela ukuthi afinyelele esiphethweni esicacile ngesimo sakho.
Izinto okudingeka uzitshele udokotela ngaphambi kwalolu vivinyo
Lokhu kubaluleke kakhulu. Ngaphambi kokunikeza i-methacholine, kubalulekile ukuthi udokotela wakho azi umlando wakho wezokwelapha ophelele. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zingenza kube yingozi ukusebenzisa lo muthi. Bheka ithebula elingezansi. Uma unezinye zalezi zimo,
qiniseka ukuthi uyamtshela udokotela wakho.
| Isimo sakho sezokwelapha noma isimo sakho | Kungani kubalulekile ukwazisa udokotela? |
|---|
| Umfutho wegazi ophakeme | Lo muthi ungabangela izinguquko ekucindezelweni kwegazi. |
| Umlando wesifo senhliziyo noma ukuhlaselwa yinhliziyo | Ngoba kungathinta ukusebenza kwenhliziyo. |
| Umlando wesifo sohlangothi | Ngoba imithambo yegazi ingathinteka. |
| I-Aneurysm (ukuvuvuka komthambo wegazi) | Ngoba lesi isimo esiyingozi kakhulu. |
| Ukuquleka | Ngoba kukhona ingozi yokuquleka ngenxa yemiphumela yomuthi. |
| Isifo se-thyroid | Ngoba amazinga ama-hormone angathinteka. |
| Uma ukhulelwe noma uzama ukukhulelwa | Ukugwema ukuthatha izingozi ezingadingekile ngesikhathi sokukhulelwa. |
| Uma umntwana enceliswa ibele | Qaphela ukuthi kungenzeka ukuthi umuthi udluliselwe enganeni ngobisi lwebele. |
| Ukungezwani komzimba nanoma yimuphi omunye umuthi noma ukudla | Ukuthola ukuthi kungenzeka yini ukuthi kube nokungezwani komzimba kulo muthi. |
Lo muthi unikezwa kanjani emzimbeni?
Lokhu kuhlolwa kwenziwa kuphela
ngaphansi kokuqondisa kwezokwelapha esibhedlela noma emtholampilo . Ngeke unikezwe lo muthi ozowuthatha uye nawo ekhaya. Lo muthi uza ngesimo soketshezi. Unikezwa usebenzisa idivayisi ekhethekile ebizwa ngokuthi
i-nebulizer . Kungenzeka ukuthi uke wabona izingane ezincane ziphefumula umhwamuko uma zinomkhuhlane. Lokhu kuyafana. Lo mshini uguqula umuthi woketshezi ube umhwamuko omuhle kakhulu (i-aerosol). Ngemuva kwalokho kufanele uphefumule lowo mhwamuko ngomlomo wakho, noma ngomlomo wakho namakhala. Ngokuvamile, izingane ezingaphezu kweminyaka emi-5 ubudala nazo zingaba nalolu vivinyo uma kudingeka, kodwa kunezikhathi lapho kuthathwa khona ukunakekelwa okukhethekile.
Njengoba lokhu kunikezwa esibhedlela, amathuba ' okusebenzisa ngokweqile ', okungukuthi, ukuthatha umuthi omningi kakhulu, aphansi kakhulu. Kodwa-ke, uma ucabanga ukuthi lokhu kwenzekile, kufanele wazise abasebenzi bezokwelapha ngokushesha. Esimweni esiphuthumayo, kufanele uye ngqo e-Emergency Treatment Unit (ETU) .
Eminye imithi engase ihlangane nalo muthi
Uma uphuza imithi yezinye izimo, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi yakho. Eminye imithi ingathinta imiphumela yokuhlolwa kwe-methacholine. Lokhu kusho ukuthi ungase ube ne-asthma ongenayo, noma ungase ube nayo kakhulu kunaleyo onayo ngempela.
| Uhlobo/isigaba semithi | Izinto okufanele uzicabangele |
|---|
| Ama-inhalers asetshenziselwa i-asthma (isib. i-Salbutamol, i-Salmeterol, i-Fluticasone, i-Ipratropium, i-Tiotropium) | Lokhu kungathinta ukunemba kokuhlolwa ngoba kwandisa imigudu yokuphefumula. Udokotela wakho uzokweluleka ukuthi kufanele uyeke yini ukuthatha lokhu ngaphambi kokuhlolwa. |
| Ama-Beta-blockers (isib. i-Metoprolol, i-Propranolol) | Le mithi, evame ukunikezwa ngenxa yomfutho wegazi ophakeme kanye nesifo senhliziyo, ingashintsha indlela amaphaphu asabela ngayo. |
| Imithi ye-steroid (isib. i-Prednisone, i-Cortisone) | Lokhu kunganciphisa ukuzwela kwamaphaphu, okungathinta imiphumela yokuhlolwa. |
| I-Theophylline | Lo muthi, osetshenziselwa ukwelapha i-asthma, ungathinta nokuhlolwa. |
Lolu hlu luyizibonelo ezimbalwa nje. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo.
Imiphumela emibi engase ivele ngenxa yalo muthi
Njenganoma yimuphi umuthi, i-methacholine ingabangela imiphumela emibi kwabanye abantu. Kodwa-ke, akukho okufanele ukhathazeke ngakho njengoba lokhu kuhlolwa kwenziwa ngaphansi kokuqondisa okugcwele kodokotela nabahlengikazi. Uma kuvela noma yikuphi ukungakhululeki, bakulungele ukukwelapha ngokushesha.
Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha: Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka.
| Umphumela ongemuhle | Incazelo |
|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ubunzima obukhulu bokuphefumula | Ukuqina kwesifuba, ukuphefumula. |
| Ikhanda elibuhlungu | Ikhanda elincane. |
| Isiyezi | Ukuzizwa unesiyezi kancane. |
| Umphimbo obuhlungu | Ukuluma okuncane noma ubuhlungu emphinjeni. |
| Ukuluma | Ukulunywa okuncane kwesikhumba. |
Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yikuphi okunye ukungakhululeki, sicela wazise abasebenzi bezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Methacholine ayilona ikhambi le-asthma. Iwumuthi osetshenziswa kuphela ekuhlolweni ukuthola i-asthma.
- Lokhu kuhlolwa kwenziwa njalo esibhedlela noma emtholampilo, ngaphansi kokuqashwa kwezokwelapha. Lo muthi awuvunyelwe ukuthathwa uye ekhaya.
- Ngaphambi kokuhlolwa, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo (kufaka phakathi imithi yendabuko).
- Uma ubhekene nobunzima obukhulu bokuphefumula noma izimpawu zokungezwani komzimba ngesikhathi sokuhlolwa, yazisa abasebenzi bezokwelapha ngokushesha.
- Uma unemibuzo mayelana nalolu vivinyo, ungangabazi ukubuza udokotela wakho.
I-Methacholine, i-Methacholine, i-Asthma, Ubunzima bokuphefumula, Amaphaphu, Izifo zokuphefumula, Ukuhlolwa kwezokwelapha
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