Chirwere chekurapa ndicho apo chiremba anoita kuti aongororwe uye anotanga kurapwa zvichienderana nezviratidzo chete, pasina kuwedzerwa kuwedzerwa kuongororwa. Semuenzaniso, murwere anogona kutangwa paAluteruter kana achikurumidza kana Prilosec kana ane gastroesophageal reflux (GERD) zviratidzo.
Sei Zvingaita Kuti Chiremba Wangu Atange Kutanga Kurapa Kwokurapa?
Kazhinji, iwe unopa chiremba wako nezviratidzo.
Muhutema, izvo zvinogona kureva kuti une chikamu chezviratidzo zvehutema zvakadai sechifu chisimbiso , chifukidziro chisingaperi , kufema kwekufema , kuputika kana kunyange pamwe zvimwe zviratidzo zvechimiro. Chero chii chaunenge uchinetseka nacho, chiremba wako anokanganisa chirwere. Ivo vanobva vasarudza kuti vanoda kuone kana iwe uchibatsirwa nemamwe marudzi ekurapwa kwechirwere. Kazhinji kacho izvi zvichange zvichikupa kuponesa mukati uye kuona kana izvi zvichibvisa zviratidzo zvako, asi hapana chikonzero nei kuedza kwekurapa kusingatange kuiswa ne-steroid inopinza. Chimwe chepakati chechirwere chekurapa ne steroid inoputika ndeyekuti zvinotora nguva yakareba kwenguva kuona kana iri kushanda.
Ndichiri Kuda Miedzo Yokuongorora Kurapa Here?
Izvi zvichatsigira pane zvisarudzo iwe uye chiremba wako anoita. Kazhinji, ndingati hongu.
Kuongororwa kwepfungwa kunoda kuvapo kwezvinhu zviviri: 1) Zviratidzo zvinobatanidzwa ne asthma; 2) Chimwe chimiro chechinangwa chekuderera kwema airflow (zvichida kusarura kana kukwana) iyo inovandudza pakarepo kana nekurapa.
Pasina kuratidza izvi zvinogona kuva nemamiriro ezvinhu anonyanya kufanana nechirwere chinogonawo kuvandudza zviratidzo, asi iwe hausi kuzobata mamiriro ezvinhu.
Zvimwe zvekuedzwa kunoitwa nachiremba zvinogona kusanganisira:
- Peak Expiratory Flow Rate (PEFR ): Hazviwanzoshandiswa kuongorora zvirwere, asi chiremba wako angangowanikwa zviri nyore muhofisi yavo. PEFR chiyero chemhepo yakawanda iwe unogona kuunza kubva kumapapu ako. Iri ruoko rune ruoko rwakabata chigadziro chinokera huwandu hwemweya iwe unogona kunyatsobudisa. Chiremba wako angakwanisa kuti iwe uchengetedze nhamba yezviyero pamba sechikamu chechirongwa chako chechirwere uye kuzvipira kwako kunobva pane yako pega PEFR iyo inokuudza kuti mweya wako unotungamirirwa zvakadini.
- Spirometry: Muedzo wakafanana ne PEFR unoda mimwe midziyo yakakwirira uye inogona kuitwa mumahofisi akawanda echiremba. Uyu muedzo unobvumira chiremba wako kuti awedzere kutarisa kuoma kwechikonzero uye chikonzero chekudzivirira kwako kumhepo. Chiremba wako achakwanisa kugadzirisa FEV1 nezvimwe zvikamu zvepapu zvinoshanda nemuedzo uyu.
- Bronchodilator Mhinduro: Chimiro chinokosha chechirwere ndechekuvandudza kwezviratidzo uye mapapu mushure mekurapwa nekununura muhuturi kana bronchodilator . Kana uchidzokorora spirometry 10-15 maminitsi mushure mekubata iwe ne bronchodilator inoratidza kuwedzerwa mumhepo yekufema kwe10% kana kupfuura, chiremba wako angangotarisa ichi chiedza chakanaka uye anobatsira mukugadzirisa chirwere chemafi.
Kuti uite chirwere cheputi, chiremba wako achafunga nezvehupenyu hwako hwemararamiro nezvemhuri, kuongorora kwako kwepanyama, nemugumisiro wemuedzo wako wechinangwa kusarudza kuti kurapa chii uye chirongwa chakakodzera iwe.
Kuedza Kurapa Kunogona Kuipa Here?
Handifungi zvakadaro. Chiitiko chega chandinogona kufunga pamusoro pekunge munhu angave akaipa kune iwe mamiriro ezvinhu apo kuponesa inhaler kunovandudza zviratidzo zvako uye unosarudza kurega kuongororwa zvakare. Muchiitiko ichi, iwe hauna kumbobvira waonekwa uye ini ndinonetseka kuti iwe ungasave uchirapa chikonzero chinokonzera zviratidzo zvako.
> Kwakabva:
> Clinical Pulmonary Function Testing, Practice Testing, and Disability Assessment. MuChifu Mishonga: Zvidimbu zvePulmonary And Critical Care Medicine . Vatori: Ronald B. George, Richard W. Chiedza, Richard A. Matthay, Michael A. Matthay. May 2005, 5th edition.
> The Cochrane Collaboration. Zvinyorwa zvekudzidzisa vana vari pangozi yekuuya kwehutano hwemhepo inosangana nedambudziko.
> National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma