Dzidza Zvaunoda Kuti Uzive Uye Uite Nezvekuoma Kwako Kubudirira
Kana uri kutarisana nekufema kwakaoma, inogona kunge iri chirwere. Zvose zvinotevera zviratidzo zvechirwere zvingave zvakabatana nekuoma kufema:
Zvisinei, mitemo yakasiyana-siyana inogona kutungamirira kuhutano kufema. Kana uchida kuziva zvakawanda pamusoro pekuoma kwako kufema, chinyorwa ichi chichakubatsira kuziva chikonzero.
Iva nechokwadi chokuti usangoti "hazvisi uye ini ndichazvidya mwoyo pamusoro payo gare gare." Kunyange zvazvo kunetseka kufema kunogona kuva chirwere, zvinogona kuva chimwe chinhu chakakomba.
Nzira chete yaunenge uchizoziva nayo uye kukwanisa kugadzirisa kunetseka kwako kufema ndeyokuona chiremba wako uye kuigadzirisa. Kana iwe uchifungidzira kuti ihma uye uchangotora pane chikwata chinonzi asthma chibereko kana shamwari yako inhaler, unogona kunge uchibata zvisina kunaka uye uchizviisa pangozi.
Ndezvipi Zvingave Zvimwe?
Kufema kwako kunetseka kunogona kunge kuri masikati, asi zvinogonawo kuva chimwe chezvinhu izvi zvakakomba. Nepo chirwere chinonzi kurapwa chichirapa chinogona kugovera zororo, hazvigoni kusvika pamwoyo wechinetso kana izvi zvichitungamirira mukuoma kwako kufema:
- Kukanganisa mwoyo kukanganisa: Mamiriro ezvinhu aya mwoyo wako haunamati zvakanaka uye haugoni kupa zvakakwana muviri wose pamwe neropa uye oksijeni inodiwa kuti ishande zvakanaka. Somugumisiro iwe unogona kukurira mumumucheto wakadzika uye kupfupika kwepfufu kana uine chidimbu, pamwe nekushushi sezviratidzo zvekutsvaira (nemhaka yemvura mumapapu panzvimbo pokuputika) uye kupera kwekufema.
- Pulmonary Embolism kana PE: Ichi chiitiko chinowanzobva muropa rekuvhara mumapapu. Varwere vane njodzi dzakadai sekusava kwemazuva ano kubva pamotokari / ndege kuenda kana nekuda kwechirwere chekurapa. Mamwe mishonga inowedzera njodzi dzakadai sekuzvidzivirira kwepiritsi mapiritsi. Kugurusa chinhu chisingazivikanwi uye chisingazivikanwi muPe. Varwere vanowanzosangana nekukurumidza kwekufema kwekufema uye kurwadziwa kwepfupa.
- Gastroesophageal Reflux Disease kana GERD : GERD dzimwe nguva inogona kukonzera chirwere chepifu, asi inewo iyo inokonzera pneumonitis uye kupora kwemapapu zvinogona kutungamirira kuzviratidzo.
- Hypersensitivity pneumonitis: Kusuruvara kwenguva refu kune zvimwe zvinhu zvakadai semafuta anokonzera uye madonhi emarudzi zvinogona kutungamirira kumatambudziko ekufema. Kunyange zvazvo chiitiko ichi chinogona kutungamirira kumakumbo, maitiro anoonekwa pamapapu ekugadzirisa maitiro haasi maitiro ehutema.
Kuongorora Kuongororwa Kwekuoma Kwekufukura
Kana iwe uchinetseka nekufema, chiremba wako anogona kuraira mhando dzakasiyana dzakasiyana dzekuongororwa. Iko kuongororwa kwekurapa kwechiremba kwako kunobva pane nhoroondo yako, kuongorora muviri uye zvipingamupinyi. Miedzo inogona kusanganisira:
- Peak Expiratory Flow Rate (PEFR) - muedzo unoyera kuti mweya unogona sei kukurumidza kubuda kubva kumapapu.
- Spirometry- kuongororwa kwakawandisa kudarika PEFR uye kunosanganisira huwandu hwemapapu akasiyana-siyana.
- Bronchoprovocation Challenge Kuedza- kuedza kunopesana kunoedza kuita kuti magetsi awedzere.
- Chifu x-ray-mufananidzo wemapapu anogona kuona matambudziko akasiyana-siyana.
- CT kuongorora kunowanzoitwa kana chiremba wako achifungira PE.
Zvirwere Zvokuda Kwako Kubudirira
Kana uchinetseka nekufema, chiremba wako angashandisa mishonga yakawanda iyo inoshandiswawo kuhma.
Izvi zvinosanganisira:
1. Muchidimbu chekuita Beta Agonists (SABA) yakafanana neAluteruterol
SABAs inogona kushandiswa kukurumidza-zororo kana iwe uchinetseka nekufema. SABAs inoshandiswa pakusununguka kwakanyanya kwezviratidzo zvechirwere uye zvakare kushandiswa kudzivirira kuedza kunokonzerwa nechirwere chemafi .
Vamwe veSABAs vanosanganisira:
- Albuterol
- Proventil
- Ventolin
- Xopenex
- Maxair
2. Kubata kwenguva refu Beta Agonists (LABA)
Kana kuoma kwako kufema kunokonzerwa nechirwere, iyi mishonga inogona kushandiswa apo inhaled steroids haikwanisi kudzora zviratidzo zvako, zvichida inozivikanwa sekuti adjunctive therapy . LABAs hadzisi kushandiswa semishonga imwechete yechirwere yekurapa nekudzivirira zviratidzo zvechirwere.
LABAs hazvisati dzashandiswa kurapa zviratidzo zvakanyanya zvechirma kana kuti kuwedzera kweputi . Kana iwe uchinetseka nekufema usiku, LABA inogona kukubatsira kuti uwane zororo rakanyanya.
LABAs dzinosanganisira:
- Brovana
- Foradil
- Perforomist
- Serevere
3. Inhaled Steroids
Inhaled steroids ndiyo inonyanya kukosha mishonga kana kunetseka kwako kufema kunokonzerwa nechirwere. Inhaled steroids ndiyo inonyanya kushandiswa nemishonga inonzi asthma inowanikwa kwenguva refu yekudzora mweya. Hazviitike kuti chiremba wako achakuisa pamushonga uyu kusvikira chikonzero chekubata kwako kunetseka kuchizivikanwa.
Inhaled steroids inokupa iwe ingasanganisira:
4. Leukotriene Modifiers
Mhando iyi yemishonga inogona kuongororwa kana chiremba wako achifunga kuti kunetseka kwako kufema kunokonzerwa nekuvhima-kunokonzerwa nechirwere chemafi kana kuti kufema kwako kunetseka kunobatana nekurapa.
Mafuta matatu eukotriene modifiers aripo panguva ino:
- Yakarurama
- Singulair
- Zyflo
5. Anticholinergics
Anticholinergics inogona kubata kutambudzika kufema nekuita se bronchodilator uye inowanzoshandiswa pamwe chete neSABAs mukurapa kwakanyanya kwekufema kunonetsa mune dhipatimendi rekukurumidzira kana chipatara. Muenzaniso weAnchocholinergic ndiAtrovent.
Dzidza Zvakawanda Pamusoro Pekuoma Kwekufema
- Mamiriro Etsanu Okufungisisa Nekuoma Kwekufema
- Ndezvipi Zvimwe Zvingaita Kuti Ndisanyanya Kuoma?
- Ndinofanirwa Kuona Anyanzvi Nezvekuoma Kwangu Kunetseka Here?
Sources:
National Heart, Lung, uye Blood Institute. Inosvika: November 1, 2010. Gwaro Rejeri Rejeri 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma?