Mwana wako ane chirwere cheputi here? Izvozvo zvinoratidzika semubvunzo wakakwana, asi kunze kwekuti mwana wako akangoita zviratidzo zvechirwere, kufanana nekukandira, kuputika uye kunetseka kufema, iwe ungasaziva kuti ane homa.
Vana vazhinji vane zviratidzo zvisinganzwisisiki, kusanganisira kuora kweusiku, kukwezva kunowedzera nekurovedza muviri kana kuita basa, kana kungova nechirwere chisingaperi chisingazopfuuri.
Muvana ava, kunyanya kune vacheche nevana vaduku, chirwere chemafi chinogona kuva chakaoma kufungidzira.
Vabereki vanowanzobvunza nezve 'kuedza' vana vavo nokuda kwepifma. Muvana vakwegura, mapirmita mabasa uye miedzo uye / kana kukwira kwepamusoro ndiko kuongororwa kunogona kubatsira kuti uongorore hutachiona, asi zvakaoma kuita kuvana vari pasi pemakore mana kusvika ku5.
Zvimwe zvikonzero zvinogona kuita kuti zvive nyore kuti chiremba wako kuti aone kuti mwana wako ane chirwere chinonzi asthma chinosanganisira kuti vana vaduku vaduku, kunyanya vacheche nevana vaduku, vanogona kufamba kana vaine utachiona hwehutachiona. Bronchiolitis, kazhinji inokonzerwa neRVV , ndicho chikonzero chinowanzokonzera vana. Kana iri chikamu chekutanga chemwana wako, uye iye anewo chifuva, runnyva mumhino, uye fivhiri, saka inogona kunge iine bronchiolitis uye isiri yechokwadi yemafi, kunyanya panguva yeRVV (nguva yekupedzisira yechando / yechando / kutanga kwegore).
Vamwe vana vanoita zvakawanda sevana vanoongororwa neReactive Airway Disease.
Ndinofunga kuti RAD inowanzoongororwa mucheche nokuti vanogona kuvhara kana vane mawere, uye hazvirevi kuti vacharamba vachifema kana kuti vane matambudziko apo vachikura. Kana mwana wako aine RAD uye ave nezvakawanda zvishoma zvezvikamu zvekufema uye kukwezva, zvino angangove ane chirwere cheputi.
Kuongorora chirwere cheplmma kunogonawo kunge kana mwana wako akawana pneumonia, 'bronchitis' kana bronchiolitis yakawanda, kana 'ikapinda muchipfuva chake' nguva dzose paanenge aine hota, kana kuti ane chikwereti chisingaperi, kunyanya kana chiri chakaipa pane husiku.
Mishonga
Mishonga yokurwiswa kwemafi inowanzobatanidza mhando yemishonga inonzi bronchodilator, yakadai se albuterol, Proventil, Ventolin, kana Xopenex, iyo inogona kupa nebulizer, iner dose inhaler kana syrup. Nokurwisa kuenzanisa kana kwakakomba, steroid yemuromo, yakadai sa prednisolone (Prelone) kana Orapred, inowanzodiwa.
Bronchodilator mishonga inowanzonzi 'reliever' kana kuti 'kukurumidza kununura' mishonga sezvo inoderedza zviratidzo zvemwana wako zvechirwere. Zvinowanzoshandiswa chete pane 'zvinodiwa' uye mwana wako haafaniri kunge achida kuishandisa nguva dzose kana wake wehma ari kunyatsogadziriswa.
Kunyange zvazvo albuterol inowanikwa sechirasi, mishonga inononoka-mishonga inowanzopiwa nebulizer kana kuti iner dose inhaler. Vana vaduku vanowanzoshandisa inhaler kana vanewo mavara echeche nechecheche.
Kudzivisa Mishonga
Imwe mhando yemishonga inoshandiswa kurapa chirwere chemukati ndiwo mishonga yekudzivirira, iyo inobatsira kudzivirira zviratidzo zvechirwere.
Izvi zvinosanganisira kwenguva yakareba inobata maronchodilators, yakadai seSerevent neForadil, uye steroids, dzakadai sa Flovent, Qvar, Pulmicort, Asmanex, uye Azmacort. Pulmicort inopfugama inorativo rwe steroid iyo inogona kupiwa nebulizer uye inobatsira vana vaduku vasingakwanisi kushandisa inhaler kana vasingatenderi kushandisa masikisi uye kusiyana. Advair inoshandiswa mishonga inobatanidza chirwere chemafivha, iyo inosanganisira Flovent uye Serevent kuva imwe nyore nyore kushandisa yakaoma yehupfu inhaler.
Vanopikisa leukotriene ndeimwe rudzi rwemishonga yekudzivirira uye vanosanganisira Singulair , inowanikwa sehwendefa inonaka chevana vane makore anopfuura 2 uye inopiwa kamwe chete pazuva, uye Accolate, iyo inoratidzwa kuvana vanopfuura makore manomwe.
Iko kune imwe mishonga yokudzivirira uye inowanikwa semvura inerer inhaler uye nebulizer, asi inowanzofanira kushandiswa 3-4 nguva pazuva kuti ibudirire.
Mwana wako ane chirwere cheputi here?
Izvozvo zvinoratidzika semubvunzo wakakwana, asi kunze kwekuti mwana wako akangoita zviratidzo zvechirwere, kufanana nekukandira, kuputika uye kunetseka kufema, iwe ungasaziva kuti ane homa.
Vana vazhinji vane zviratidzo zvisinganzwisisiki, kusanganisira kuora kweusiku, kukwezva kunowedzera nekurovedza muviri kana kuita basa, kana kungova nechirwere chisingaperi chisingazopfuuri . Muvana ava, kunyanya kune vacheche nevana vaduku, chirwere chemafi chinogona kuva chakaoma kufungidzira.
Vabereki vanowanzobvunza nezve 'kuedza' vana vavo nokuda kwepifma. Muvana vakwegura, mapirmita mabasa uye miedzo uye / kana kukwira kwepamusoro ndiko kuongororwa kunogona kubatsira kuti uongorore hutachiona, asi zvakaoma kuita kuvana vari pasi pemakore mana kusvika ku5.
Reactive Airway Disease
Zvimwe zvikonzero zvinogona kuita kuti zvive nyore kuti mwana wako aone kuti mwana wako ane chirwere chinonzi asthma chinosanganisira kuti vana vaduku vaduku, kunyanya vacheche nevana vaduku, vanogona kufamba kana vaine utachiona hwehutachiona. Bronchiolitis, kazhinji inokonzerwa neRVV, ndicho chikonzero chinowanzokonzera vana. Kana iri chikamu chekutanga chemwana wako, uye iye anewo chifuva, runnyva mumhino, uye fivhiri, saka inogona kunge iine bronchiolitis uye isiri yechokwadi yemafi, kunyanya panguva yeRVV (nguva yekupedzisira yechando / yechando / kutanga kwegore).
Reactive Airway Disease kana RAD inowanzoongororwa mucheche nokuti vanogona kuvhara kana vane zvirwere zvehutachiwana, uye hazvirevi kuti vacharamba vachienda kana kuti vane matambudziko pavanokura. Kana mwana wako aine RAD uye ave ane zvikamu zvishomanana zvekufema uye kukwezva, zvino angangodaro ane chirwere cheputi, kana kuti kwete kana chiremba wevana vako akazvinyora sechimiro chechirwere.
Kuongorora chirwere cheplmma kunogonawo kunge kana mwana wako akawana pneumonia, 'bronchitis' kana bronchiolitis yakawanda, kana 'ikapinda muchipfuva chake' nguva dzose paanenge aine hota, kana kuti ane chikwereti chisingaperi, kunyanya kana chiri chakaipa pane husiku.
Cough Variant Asthma
Chirwere chinowedzera kuoma kurapa kana mwana wako achingova nechikwereti uye haasi kufamba. Vanachiremba vakawanda vanoita sevasingadi kubata vana ava nehasha uye vanogona kufunga kuti mwana wenyu anongova nechando kana kuti bronchitis. Kana mwana wako ane chigofu chisingaperi chisingagumi kwemavhiki mashomanana, kunyanya kana zvakanyanya kuitika usiku kana kutevera basa rekuita, ipapo iwe unofanira kubvunza chiremba wako kana kuti kwete iyo inogona kunge iri mweya.
Kufanana nedzimwe mhando dzekurwisana nehutema, kuora kwechimiro chinonzi asthma chinowanzofanira kubatwa nechisimba, nekushandisa nguva dzose barodildilator, yakadai se albuterol kana Xopenex, uye steroid yemuromo. Kungoshandisa inhaler dzimwe nguva pazuva kungasava kukwana.
Kudzidzira-Kunobatsira Chirwere
Kudzidzira muviri kunowanzoitawo kuti munhu ave nechirwere chinonzi asthma.
Kudzidzira-kunokonzerwa nechirwere (EIA) dzimwe nguva kunopesana nevana vane mafungiro asina kunaka, zvakadaro.
Ko mwana wako ane zviratidzo zvekusimuka izvo zvinowedzera kuitika kana achiita mitambo kana mamwe maitiro ekurovedza muviri? Panzvimbo pokudzivisa kuita zvekuita, zviratidzo zvinokonzerwa nekurovedza muviri zvinokonzerwa nehutachiona zvinogona kuvandudzwa kana kudziviswa kuburikidza uchishandisa mushonga we 'reliever' pamberi pemabasa iwayo.
Dzimwe Mhando dzeAshmma
Mimwe mhando dzemafi dzinogona kusanganisira:
- Allergic Asthma - asthma inokonzerwa nehutachiona chaihwo, semuvhu kana miti inonzi pollens
- Nocturnal Asthma - asthma iyo yakaipa usiku
- Steroid-Resistant Chirwere chepamuviri - chirwere chisina kupindira mukurapa nesteroid
Kunyange zvazvo vanhu vakawanda vachifunga kuti asthma ihma, kunzwisisa kuti kune marudzi akasiyana ehuputi inogona kubatsira mwana wako kuti aongororwe zvakanaka.
> Sources:
> National Heart, Lung, uye Blood Institute. Mirayiridzo yeKutsvaga uye Kutungamirirwa kweAphma. July 2007.