Ingabe nawe une-asthma ngesikhathi sokukhulelwa? Ake sixoxe ngalokhu!

Uma ukhulelwe, kuvamile ukuzizwa uphelelwa umoya ngezinye izikhathi. Kodwa uma une-asthma, ungase uzizwe uphelelwa umoya kakhudlwana. Bese, kanye nokuqina kwesifuba, ukukhwehlela, kanye nokwesaba okuncane kokuthi wena nomntwana wakho nithola umoya-mpilo owanele yini, akunjalo? Ungakhathazeki, ake sixoxe ngalokhu ngokuningiliziwe.

Iyini i-asthma ngesikhathi sokukhulelwa?

Kalula nje, i-asthma yisimo sesikhathi eside . Lokhu kwenzeka lapho izindlela zethu zokuphefumula, noma izindlela zokuphefumula, zincipha futhi zivalekile. Lokhu kwenza kube nzima ukuphefumula. Ngesikhathi sokukhulelwa, kuvamile ukuzwa izinguquko ezithile ekuphefumuleni kwakho. Kodwa-ke, kumuntu one-asthma, lokhu kungabonakala kakhulu. Ukuphefumula, ukukhwehlela okuqhubekayo, kanye nomuzwa wokuqina esifubeni konke kungahambisana nakho.

Uma une-asthma, kubaluleke kakhulu ukuqhubeka nokwelashwa ukuze kuvinjelwe ukuqubuka kwesikhumba ngemva kokukhulelwa. Uma kungaphathwa kahle, i-asthma ingaba yingozi empilweni yakho nakumntwana wakho.

Kodwa khumbula lokhu: Uma ulandela imiyalelo kadokotela wakho ngokucophelela futhi uphuza imithi yakho ngesikhathi, akukho lutho oluzokuvimba ukuthi ukhulelwe kahle futhi ubelethe umntwana onempilo.

Ingabe i-asthma iba yimbi kakhulu ngesikhathi sokukhulelwa?

Lokhu kungahluka kumuntu nomuntu. Kwabanye abantu, i-asthma ingaba yimbi kakhulu ngesikhathi sokukhulelwa. Ucwaningo lwamuva lubonisa ukuthi cishe ama-40% abesifazane abakhulelwe babhekana nokwanda kwezimpawu ze-asthma . Kodwa lokhu kuthinta kakhulu labo asebevele benesifo se-asthma esincane noma esimaphakathi ngaphambi kokukhulelwa. Abanye abangama-60% abazizwa ushintsho olukhulu ezimpawini zabo noma empeleni bazizwa bethuthuka kancane kwi-asthma yabo.

Nakhu abacwaningi abakutholile:

• Uma i-asthma iba yimbi kakhulu, ivame ukwenzeka phakathi kwamasonto angama-29 nama-36 okukhulelwa .
• Uma i-asthma ithuthuka, izokwenzeka kancane kancane phakathi nokukhulelwa.
• Izimpawu ze-asthma ngokuvamile azikhuli ngesikhathi sokubeletha kanye nokubeletha .
• Uma izimpawu zakho ze-asthma zishintsha ngesikhathi sokukhulelwa, ngokuvamile zizobuyela esimweni sazo esijwayelekile phakathi nezinyanga ezintathu zokuqala ngemva kokubeletha.
• Uma uke waba nezinguquko ezimpawini ze-asthma ngesikhathi sokukhulelwa kwangaphambilini, cishe uzoba nezinguquko ezifanayo ekukhulelweni okulandelayo.

Ingabe i-asthma ngesikhathi sokukhulelwa iyamthinta umntwana?

Yebo, i-asthma ingaba yingozi empilweni yengane uma ingaphathwa kahle.. Le ngxenye "engalawulwa" iyona ebaluleke kakhulu. Ukuphathwa kahle kwanoma yisiphi isimo sezokwelapha ngesikhathi sokukhulelwa kubalulekile empilweni yakho kanye neyomntwana wakho. I-asthma engalawulwa inganciphisa inani lomoya-mpilo egazini lakho, okungabangela ukuthi ingane yakho ingatholi umoya-mpilo owanele. Futhi kwandisa ingozi yezinkinga zokukhulelwa.

Izikhathi eziningi, kuvela izinkinga komama abane-asthma ngesikhathi sokukhulelwa ngoba abaqondi ukuthi bangayiphatha kanjani kahle i-asthma yabo ngesikhathi sokukhulelwa. Isibonelo, abanye abantu bacabanga ukuthi imithi ye-asthma izolimaza ingane, ngakho bayayeka ukuyithatha. Kodwa iqiniso liwukuthi, ukungalawuli i-asthma yabo kungaba nomthelela omubi kakhulu enganeni kunanoma yimuphi umphumela omubi wanoma yimuphi umuthi.

Ngakolunye uhlangothi, uma uthatha izinyathelo ezidingekayo zokulawula i-asthma yakho (isibonelo, ukuphuza imithi yakho njengoba nje udokotela wakho ekuyalele), kungenzeka kakhulu ukuthi ube nokukhulelwa okunempilo futhi ube nomntwana onempilo.

I-asthma ivame kangakanani kwabesifazane abakhulelwe?

E-United States, phakathi kuka-3% no-8% wabesifazane abakhulelwe bane-asthma . Yisifo samaphaphu esivame kakhulu ukwelapha odokotela ngesikhathi sokukhulelwa. Isimo singase sifane naseSri Lanka.

Ziyini izimpawu ze-asthma ngesikhathi sokukhulelwa?

Izimpawu ze-asthma ngesikhathi sokukhulelwa zifana nalezo ezibonwa umuntu one-asthma ngokujwayelekile. Ungase ube nezimpawu eziqhubekayo, noma ungase ube nokuhlaselwa yi-asthma ngezikhathi ezithile. Lokhu kusho ukuthi ngokuzumayo uba nobunzima bokuphefumula ngemva kokuba uphilile.

Izimpawu eziyinhloko yilezi:

• Ukuphelelwa umoya
• Ukukhwehlela (ikakhulukazi ebusuku)
• Ukuqina kwesifuba, ubuhlungu noma ingcindezi
• Ukuphefumula - Lokhu kwenzeka lapho imigudu yakho yomoya ivalekile kancane.

Ubukhulu balezi zimpawu buyahlukahluka ngesikhathi sokukhulelwa. Izimpawu zingathuthuka, zibe zimbi kakhulu, noma zingashintshi.

Yiziphi izizathu zokushintsha kwe-asthma ngesikhathi sokukhulelwa?

Ukukhulelwa akubanga isifo sofuba esisha. Kodwa-ke, umzimba wakho uyashintsha ngesikhathi sokukhulelwa, ngakho-ke ungase ubhekane nesimo sakho ngendlela ehlukile. Nazi ezinye izinguquko ezingathinta ukuphefumula kwakho:

• Ukukhulisa isibeletho: Njengoba ingane yakho ikhula, isibeletho sakho siyakhula. Lokhu kucindezela i-diaphragm yakho - imisipha ekusiza ukuthi uphefumulele ngaphakathi nangaphandle kwamaphaphu akho. Lokhu kungenza kube nzima ukuthi i-diaphragm yakho ihambe ngokukhululeka futhi iphefumule ngokugcwele.
• Ama-hormone okukhulelwa ayanda: Ngesikhathi sokukhulelwa, amazinga ama-hormone ayashintsha. Lokhu kungabangela ukuthi ama-sinus akho avuvuke.Kungomile futhi kuvuvuke. Lokhu kungenza impumulo yakho izwakale ivalekile futhi kube nzima ukuphefumula. Ikakhulukazi, ukwanda kwe-hormone i -progesterone kungabangela izinga lokuphefumula kwakho likhuphuke.
• Ukwanda kwesilinganiso senhliziyo: Inhliziyo yakho kufanele isebenze kanzima ukuze inikeze igazi kuwe nakumntwana wakho. Lo mzamo owengeziwe ungakwenza uzizwe ukhathele futhi uphelelwa umoya.

Uma ungakaze utholakale une-asthma ngaphambili, futhi ngokuzumayo uba nenkinga yokuphefumula, kungaba yinkinga evamile yokuphefumula ebangelwa yilezi zinguquko zomzimba. Akuyona i-asthma. Kodwa-ke, kungenzeka ukuthi wake waba ne-asthma encane, engatholakali ngaphambili ebangelwe izinguquko ngesikhathi sokukhulelwa.

Ngakho-ke, uma unenkinga yokuphefumula, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko .

Ingabe i-asthma ingabangela izinkinga ngesikhathi sokukhulelwa noma sokubeletha?

Yebo, i-asthma engalawulwa ingandisa ingozi yezinkinga ezithile zokukhulelwa . Futhi, abantu abane-asthma enzima banamathuba amaningi okuba nezinkinga kunalabo abane-asthma encane noma ephakathi. Lezi zinkinga zingafaka:

• I-Preeclampsia: Lesi yisimo esibi esihambisana nomfutho wegazi ophakeme. Singathinta izitho zakho zangaphakathi futhi sibe yingozi enkulu enganeni yakho.
• Ukuzalwa ngaphambi kwesikhathi: Ingane ezelwe ngaphambi kwamasonto angu-37. Izingane ezinjalo zingase zibe nezinkinga zempilo ngenxa yezinkinga zokukhula.
• Ubudala bokukhulelwa obuncane noma isisindo sokuzalwa esiphansi: Izingane ezincane kunezivamile zingase zibe nezinkinga zempilo ngoba izinhlelo zazo zezitho zomzimba azikakhuli ngokugcwele.

Kungakhathaliseki ukuthi i-asthma yakho incane, iphakathi nendawo, noma inzima, ukuba nohlelo lokwelapha lokuvimbela nokulawula ukuqubuka kwe-asthma kungasiza ekunciphiseni izinkinga ezingase zenzeke kuwe nakumntwana wakho.

Yiziphi izinto ezandisa ingozi yezinkinga?

Kunezici ezithile ezingadala i-asthma embi ngesikhathi sokukhulelwa futhi zandise ingozi yezinkinga:

• Ukubhema.
• Ukungayisebenzisi imithi ye-asthma ebhalwe ngudokotela noma ukungalandeli uhlelo lokwelashwa ngendlela efanele.
• Ukuba nesisindo esingaphezulu (i-BMI ephakathi kuka-25 no-29) noma ukukhuluphala ngokweqile (i-BMI engu-30 noma ngaphezulu).

Odokotela bahlonza kanjani i-asthma ngesikhathi sokukhulelwa?

Ezimweni eziningi, i-asthma itholakala ngaphambi kokukhulelwa. Kodwa-ke, inqubo yokuxilonga i-asthma ngesikhathi sokukhulelwa noma ngemva kwayo iyafana kakhulu. Udokotela wakho uzokwenza kuphela ukuhlolwa okuphephile kuwe nakumntwana wakho.

Ukuxilongwa kungafaka:

• Umlando wezokwelapha: Imininingwane mayelana nezimpawu zakho, njengokuthi zivela nini kaningi.
• Ukuhlolwa komzimba.
• Ukuhlolwa kwe-Spirometry: Lokhu kulinganisa ijubane kanye nokusebenza kahle komoya emaphashini akho.

Kungadingeka ukuhlolwa kwegazi nezinye izinqubo zokuthwebula izithombe ukuze kutholakale ukuthi imbangela yobunzima bokuphefumula kwakho yi-asthma noma esinye isimo sezokwelapha.

Ngingayelapha kanjani i-asthma yami ngesikhathi sokukhulelwa?

Kufanele uqhubeke nokulandela uhlelo lwakho lokuphathwa kwe-asthma ngesikhathi sokukhulelwa. Lokhu kuhlanganisa nokuthatha imithi yakho ye-asthma oyinikezwe ngudokotela. Udokotela wakho uzoqinisekisa ukuthi yimiphi imithi ephephile kuwe nakumntwana wakho.

Nakhu okushiwo ukuphatha i-asthma yakho kahle:

• Ukukhululeka okuncane (noma okungekho) kwezimpawu emini.
• Ukukwazi ukulala kahle ubusuku bonke ngaphandle kwezimpawu ze-asthma.
• Ukukwazi ukwenza imisebenzi yansuku zonke ngendlela evamile.
• Akuvamile kakhulu ukudinga ukusebenzisa i-reliever inhaler (i-rescue inhaler).
• Ukusebenza kwamaphaphu kuyinto evamile noma cishe kujwayelekile.

Yenza uhlelo lokwelashwa nodokotela wakho.

Odokotela abaningi batusa ukuthi ube ne-aphoyintimenti yokukhulelwa ngaphambi kokuba uqale ukuzama ukukhulelwa. Yilapho-ke ungenza khona uhlelo lokuthi ungaphatha kanjani noma yiziphi izimo zezokwelapha, njenge-asthma, ngesikhathi sokukhulelwa, nokuthi yiziphi izinguquko okungadingeka uzenze ngemuva kokukhulelwa.

Ngemva kokukhulelwa, khuluma nodokotela wakho mayelana nohlelo lokuqapha i-asthma yakho ukuqinisekisa ukuthi iphathwa kahle.

Qapha isimo sakho.

Lokhu kuhilela ukuqapha impilo yakho neyengane yakho. Udokotela wakho uzokwenza okulandelayo:

• Ukuhlola amaphaphu akho nokuphefumula: Ukuphefumula kwakho kungadinga ukuhlolwa njalo. Ungase futhi wenze ukuhlolwa kwe-spirometry ukuhlola ukusebenza kwamaphaphu akho. Lokhu ukuhlolwa okwenziwa ehhovisi likadokotela noma esibhedlela. Ungase futhi ube nemitha yokugeleza okuphezulu ekhaya ukuze ulinganise ukuhamba komoya wakho nsuku zonke.
• Ukuhlola ukusebenza kanye nokukhula kwesitho somntwana: Kungadingeka ukuthi uhlolwe ukuze kuhlolwe ukukhula komntwana wakho. Ama-ultrasound avame ukwenziwa ngesikhathi sokukhulelwa ukuze kuhlolwe ukuthi umntwana wakho ukhula kanjani. Uma une-asthma ephakathi noma enzima, noma uma i-asthma yakho ingalawulwa kahle, kungadingeka ukuthi wenze i-ultrasound noma ukuhlolwa okungenangcindezi ukuze kuhlolwe ukushaya kwenhliziyo komntwana wakho ngemva kwamasonto angu-32 okukhulelwa.

Gwema izinto ezibangela i-asthma ngangokunokwenzeka.

Kufanele uqaphele izinto ezenza i-asthma yakho ibe yimbi kakhulu, ezibizwa ngokuthi "izibangeli," futhi uzigweme ngangokunokwenzeka. Izinto ezivame ukubangela i-asthma zifaka:

• Intuthu kagwayi.
• Amanzi ezinambuzane (amaphela, amagundane).
• Iphunga elibi lamakhemikhali (njengemikhiqizo yokuhlanza).
• Amaphunga anamandla (njengephunga elimnandi, i-cologne).
• Izibungu zothuli lwendlu.
• Ukugula (umkhuhlane, umkhuhlane).
• I-dander yezilwane ezifuywayo. Izinja emakhaya ethu zifana namakati.
• Ukucindezeleka.
• Impova.
• Isikhunta.

Thatha imithi ngokwecebo lokwelashwa.

Kunezinhlobo eziningana zemithi ye-asthma ephephile futhi esebenza kahle. Lezi zifaka phakathi ama-inhalers, imithi yomlomo (amaphilisi, kanye noketshezi). Lapho unikeza imithi ye-asthma ngesikhathi sokukhulelwa, udokotela wakho uzocabangela izici eziningana:

• Yimiphi imithi enomlando omude kakhulu wokuphepha ukuyisebenzisa ngesikhathi sokukhulelwa?
• Yimiphi imithi ephumelela kakhulu ekulawuleni i-asthma yakho (kuye ngokuthi inzima kangakanani)?
• Yimiphi imithi ephephile nesebenza kahle kakhulu phakathi nekota ngayinye yokukhulelwa?

Iningi labantu lingaqhubeka nokuphuza imithi yabo evamile kadokotela ngesikhathi sokukhulelwa, ukubeletha, kanye nokuncelisa.

Iyini imbono yabantu abane-asthma ngesikhathi sokukhulelwa?

Uma kuqhathaniswa nabantu abangenayo i-asthma, abantu abane-asthma basengozini enkulu kancane yezinkinga zokukhulelwa. Kodwa le ngozi iphakeme kakhulu uma i-asthma yakho ingalawulwa kahle. Yingakho kubaluleke kakhulu ukulandela uhlelo lwakho lokwelashwa phakathi nokukhulelwa kwakho. Ungayeki ukuthatha noma yimiphi imithi ngaphandle kokuthi udokotela wakho akutshele ukuthi uyenze.

Unganciphisa kanjani ingozi yezinkinga ezihlobene ne-asthma ngesikhathi sokukhulelwa?

Indlela engcono kakhulu yokunciphisa ingozi yakho ukulandela uhlelo lwakho lokwelashwa ngqo. Lokhu kuhlanganisa ukugwema izinto ezibangela ukukhulelwa kanye nokuphuza imithi yakho ngesikhathi. Abantu abaningi bayayeka ukuthatha imithi yabo ngesikhathi sokukhulelwa ngoba besaba ukuthi izothinta ingane.

Khumbula, i-asthma engalawulwa kahle ingaba nomthelela omubi kakhulu enganeni yakho kunemiphumela emibi yokwelashwa okuvamile. Futhi, udokotela wakho uzobe ekuqapha eduze ukuqinisekisa ukuthi uthola ukwelashwa okuphephile ngangokunokwenzeka.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uvakashela udokotela wakho, ungangabazi ukubuza imibuzo efana nale:

• Hlobo luni lodokotela abangangisiza ukuphatha i-asthma yami? (isib., udokotela wezifo ezibangelwa ukungezwani komzimba, isazi sezifo ezibangelwa amasosha omzimba )
• Ingabe kuzodingeka sishintshe imithi yami?
• Kukangaki ngidinga ukubona udokotela ukuze aqaphe i-asthma yami?
• Ngingayiqapha kanjani i-asthma yami ekhaya?
• Yiziphi izimpawu okufanele ngizibonele udokotela? Noma ngiye ekamelweni lezimo eziphuthumayo?(ETU) Ufuna ukuhamba?

Uyini "umthetho owodwa kuya kwemithathu" mayelana ne-asthma ngesikhathi sokukhulelwa?

Ucwaningo lwangaphambilini luphakamise ukuthi izinguquko ezimpawu ze-asthma ngesikhathi sokukhulelwa zingaqondwa ngezindlela ezintathu:

• Izimpawu zomuntu oyedwa kwabathathu ziyathuthuka.
• Izimpawu zomuntu oyedwa kwabathathu ziba zimbi kakhulu.
• Ingxenye eyodwa kwezintathu yezimpawu azikashintshi.

Kodwa-ke, ucwaningo lwamuva lubonisa ukuthi inani labantu abanezimpawu eziba zimbi kakhulu licishe libe ngu-40% .

Ingabe kuphephile ukuthatha i-Albuterol ngesikhathi sokukhulelwa?

I-Albuterol ibhekwa njengenye yemithi ephephile kakhulu ongayisebenzisa ngesikhathi sokukhulelwa. Ngenxa yokuthi lo muthi ubulokhu usetshenziswa isikhathi eside, omama abaningi abakhulelwe abawusebenzisele ukulawula i-asthma yabo bazale izingane ezinempilo.

Kodwa-ke, umuthi ophephile kakhulu ongawuthatha yilowo olawula kangcono i-asthma yakho futhi uvikele engcupheni yezinkinga zokukhulelwa. Udokotela wakho uzoncoma umuthi ofaneleka kakhulu esimweni sakho.

Ngingathola yini imijovo yokungezwani komzimba ngesikhathi ngikhulelwe?

Odokotela abaqali ukunikeza imijovo emisha yokungezwani komzimba ngesikhathi sokukhulelwa. Kodwa uma usuvele uyithola, udokotela wakho angase aqhubeke nokukunikeza.

Ngingayithola yini ijekiseni lomkhuhlane ngesikhathi sokukhulelwa?

Yebo, kufanele nakanjani uthole umjovo womkhuhlane. Umjovo womkhuhlane uyanconywa kunoma yisiphi isigamu sokukhulelwa. Ungakuvikela ekuguleni - imbangela enkulu yokwanda kwesifo sofuba.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuze ukhulelwe ngempumelelo, kubalulekile ukuzinakekela kahle. Lokhu kuyiqiniso kungakhathaliseki ukuthi unesifo sesikhathi eside njenge-asthma noma cha. Khuluma nomhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha mayelana nokuthi i-asthma ingakuthinta kanjani ukukhulelwa kwakho nokuthi yiziphi izinguquko okungase kudingeke uzenze emithini yakho noma ohlelweni lwakho lwansuku zonke. Uma usunecebo, namathela kulo. Ukuthatha izinyathelo zokuphatha i-asthma yakho kuzokwandisa amathuba akho okuba nomntwana onempilo.

Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo, kungakhathaliseki ukuthi incane kangakanani. Impilo yakho neyomntwana wakho iyona nto ebaluleke kakhulu!

I- asthma, ukukhulelwa, ubunzima bokuphefumula, imithi ye-asthma, impilo yengane, izinkinga zokukhulelwa, ukulawula i-asthma