Kudzidzira-kunokonzerwa ne-asthma, kana kuti kupindira-kunokonzerwa ne-bronchoconstriction, kunokonzera bronchoconstriction uye zviratidzo zvechirwere zvakadai sokuputika , kufema kwekufema , kukwezva, uye chifuko chisimbiso chinowedzera panguva yekurovedza muviri. Inobata zvinomwe kusvika ku20 kubva muzana zvehuwandu hwevanhu.
Kunyange iwe zvichida wakanzwa nezvekurovedza muviri-kunokonzerwa nechirwere chepachimara zvisati zvaitika, mupiki wako wekuchengeta utachiona angangodaro anotaura nezvayo seEIB.
Asthma vanachiremba vanosarudza izwi rokuti EIB pamusoro pekushandisa-induced asthma nokuti kurovedza muviri hakusi ngozi kune asthma , asi pane chikonzero .
Zviratidzo
Zviratidzo zvekudzidzira-induced asthma zvinogona kuitika nguva pfupi pashure penguva pfupi yekudzidzira kana maminitsi 10 kusvika ku15 munguva yakareba yekurovedza muviri. Zviratidzo zvakajairika zvekuvhima-inokonzerwa nechirwere chinosanganisira:
- Kupfupika kwemhepo
- Chest tightness
- Kuchema
Zviratidzo zvinowanzogadzirisa nekuzorora mumaminitsi makumi matatu kusvika makumi matatu. Cold weather inowedzera huwandu uye hutsinye hwezviratidzo.
Kuziva
Kune vanorwara vanoziva nezvechirwere vanoona zviratidzo zvinowanzoitika panguva kana mushure mokunge vaita zvekuita, chiremba anowanzoita kunyanya kuongororwa kwekuvhima-kunokonzerwa nechirwere nekukurukura zviratidzo nemurwere. Kazhinji chiremba haazotsvaki kuongororwa kwekuongororwa kunze kwekuti chirwere chekuita-chinokonzera zviratidzo zvechirwere zvinoramba zvichiripo kana zviratidzo zvinoshandiswa-izvo zvinokonzera zviratidzo zvechirwere hazvisi kudzivirirwa nezvimwe zvezviyero zvataurwa pasi apa.
Kana iwe usina chirwere chekushaya chimiro chemafi, asi kuva nekufema kwekufema, chifukidzo chechifukidzo, nekukanganiswa panguva kana mushure mokunge uchitevedza muviri, kupfuurira mberi kunowanikwa kuitira kuve nechokwadi kuti zviratidzo hazvisi zvechimwe chiitiko, chakadai sehosha yemwoyo.
Mune zviitiko zvizhinji, maitiro ekuenzanisa maitiro neyokutanga uye yekupedzisira-exercise spirometry inoshandiswa kusimbisa kushandiswa-kunokonzerwa nehutachiona hutachiona.
Kazhinji, iwe uchaita zvekushandisa pane bhasikoro kana mabhasikoro kusvikira iwe uchisvika kumazana makumi mashanu ematambudziko ako anotarisirwa. Iwe unofungidzirwa uine maitiro-wakaderedza asthma kana yako FEV1 (yakamanikidzirwa kuporesa ivhu) inowedzera zvinopfuura 10 muzana nemishonga.
Vamwe vanotarisira zvekusimudzira mweya vanogona kukurudzira chirwere chinonzi bronchoprovocation muedzo , asi izvi hazvisi zvakananga zvekuvhima-kunokonzerwa nechirwere chemafi. Saizvozvowo, kuenzanisa nhepfenyuro inoyerera isati yapfuura uye shure kwekurovedza muviri haifaniri kukurudzirwa kuti uongorore hutano-hunokonzerwa nechirwere cheputi nokuti mhinduro dzinowanzosava.
Zvimwe zvinokonzera kupfupika kwemhepo, chifuva chisimbiso, nekukanganiswa kunofanana nekuita basa-kunokonzerwa nechirwere chemafi inodawo kufungwa. Izvi zvinonyanya kukosha kana iwe usati uratidze dzimwe zviratidzo zvechirwere uye haubatsiri pane zvimwe zvekudzivirira zvinorondedzerwa pasi apa. Zvimwe zvirwere zvinogona kuitwa nachiremba wako zvinosanganisira:
Kudzivirira
Kana iwe usina kutungamirirwa zvakanaka nechirwere uye unoziva zviratidzo nemishonga yekurovedza muviri, kubata chirwere chisina kunaka chetachiona chinogona kuva nzira inobatsira iwe. Kushandisa-induced asthma kunogona kudzivirirwa kushandisa rimwe remishonga inotevera inhaled:
- Kukurumidza-kuita bronchodilator : Kushandisa mhemberero mbiri yekurapa kwakakurumidza-kutora mishonga yakadai seAluteruterol kana Formoterol maminitsi gumi vasati vashanda zvidzidzo zvinogona kudzivirira zviratidzo-zvinokonzera zviratidzo zvechirwere.
- Cromolyn sodium (Intal): Cromolyn sodium inogona kushandiswa kudzivirira maitiro-induced asthma uye inogona kushandiswa pamwe chete nemishonga inoponesa inobatsira nokukurumidza.
Kune vana nevakuru vanoita zvisingatauriki mukati mezuva uye vasingakwanisi kutora mishonga vasati vaita basa rimwe nerimwe, barodilator refu (BABA) kana kuti leukotriene inhibitor inogona kushandiswa:
- Kubata kwenguva yakareba bronchodilators: LABAs seSalmeterol uye Formoterol, asi isingakurudzirwi seye chete kurapwa kwechirwere, inogona kushandiswa pakudzidzira-kunokonzerwa nechirwere chemafi. Salmeterol uye Formoterol inofanira kutorwa 30 nemaminitsi mashanu mushure mekuita maitiro, maererano. Uyewo haufaniri kushandiswa kakawanda kupfuura maawa gumi nemaviri.
- Leukotriene inhibitors: Leukotriene inhibitors seMontelukast (Singulair) uye Zafirlukast (Accolate) inogona kushandiswa kudzivirira zviratidzo zvinokonzerwa nekurovedza muviri zvinokonzera varwere vanoda nguva yakareba yekuchengetedzwa kana vane matambudziko ekushandisa inhalers. Kana iwe uchitanga zviratidzo zvekuvhura kana kuti maronchoconstriction mushure mokutanga kurovedza muviri, kana iwe kukanganwa kutora mishonga isati yatanga kuedza muviri, iwe unoda kushandura yako kuponesa inhaler uye kutevera chirongwa chako chechirwere chechirwere .
> Sources:
> O'Byrne PM. Dzidzo yevarwere: Kuita-induced asthma (Beyond the Basics). In: UpToDate. 2017.
> Dutu WW. Nyeredzi Yakabatanidzwa Nokurovedza muviri. Immunol Allergy Clin North Am. 25 (1): 31-43.