Kuramba, kuomeswa kwakaoma kwemavhiki anopfuura masere kunogona kuva chirevo
Chirwere chisingaperi chisingaoneki sechiratidzo chechikamu chechirwere , izvo zvinowanzobatanidzwa ne wheezing, chifu chisimbiso, uye kupererwa kwepemu. Pamwe chete, inoumba maitiro ezviratidzo zvinobatsira vanachiremba kuita chirwere chekushaya mweya.
Asi pane dzimwe nguva apo chifuva ndicho chete chiratidzo chiripo. Uye, kunyange zvazvo inogona kuve yakabatanidzwa kune nhamba ipi zvayo yezvinhu, pangava nezvimwe zvinoratidza kuti chinhu chisinganyanyi kuzivikanwa chinonzi chifukidziro chinokwana asthma (CVA).
Mamiriro eCough Variant Asthma
CVA inoratidziro yehutema iyo inonyanya kukoshesa isingagumi, isingaiti (yakaoma) kuora. Inofungidzirwa nevamwe kuti ndeyepamberi ye "classic" asthma umo kuora kunogona kuva chiratidzo chokutanga chezviratidzo zvakawanda zvinouya. Dzidzo dzakaratidza kuti inogona kuva yakajairika kupfuura yekutenda uye kuti kubva kune chechina kusvika kune chetatu chevarwere vane chigofu chisingaperi, inotova neCVA.
Kazhinji kutaura, vanhu vane CVA vane zvinhu zvakasiyana-siyana zvinokosha izvo zvinozvisiyanisa nevanhu vane classic asthma. Vanhu vane CVA vane chiremera chakanyanya kuora mwoyo reflex kupfuura avo vane classic asthma.
Uye, apo zvose zviviri zveCVA uye classic asthma zvinoratidzirwa ne hyperresponsiveness (kuwedzerwa kunzwisiswa kwemhepo), vanhu vane CVA vanowanzove vashoma, kana pane, kugadzirisa methacholine, chimiro chakakanganiswa chinoshandiswa kuongororwa nechirwere mumiganhu yakasara.
Pakupedzisira, kujekesa zvikamu zveCVA kushuva kwakanyanya kunogara kwemavhiki masere kana kupfuura, kunoitika usiku kana masikati, uye kunobudisa zviduku, kana zvikasadaro, mucus.
Nzira Yakasanganiswa Nayo Chirwere Chirwere Chinoonekwa
Kuongorora hutachiona hweCVA kunofanirwa kuve kwakakosha sezvo kushivirira kwechifuva kunoderedza hupenyu hwomunhu. Saka chinetso chikuru, naizvozvo, chiri kuratidza mamiriro apo pasina humwe humwe uchapupu hwehutema. Kunyange zvazvo kuongorora kwe spirometry (iyo inoderedza kufema basa) inogona kuitwa, vanhu vane CVA havawanzove neuchapupu hunooneka hwemapapu kudzivirira.
Mumamiriro ezvinhu akadaro, methacholine inogona kushandiswa kugadzirisa hyperresponsiveness sechikamu chekutsvaga kwekutsvaira kwechirwere . Kana isingakwanisi kuita izvi, zvimwe zvinokonzera zvakadai sechando, maitiro, kana histamines zvingashandiswa. Kana pasina chimwe chezvinhu izvi chinokwanisa kupa mhinduro, saka CVA haigoneki.
Asi, kunyange kana pane zvinopindurwa, hutachiona hwega hunoita kuti kuongororwa. Muchikamu chechiitiko cheCVA, tsanangudzo yekujekesa inogona kugadziriswa chete kana iyo hyperresponsiveness isunungurwa uchishandisa mishonga yemafiya inonzi bronchodilator .
Zvimwe, chiremba angangotarisa sputum yako pasi pe microscope nokuda kweuchapupu hwemuchena weropa reinzi eosinophil. Kuwedzerwa eosinophil nhamba kazhinji kunowanzoitika mukusangana nemanzwiro. Saizvozvowo, mweya yekufema ye nitric oxide yakabudiswa (gasi rinoputika rinobudiswa mumasero emapapu) rinonyanya kufungidzira kweCVA kunyange kana mamwe mimwe miedzo isinganzwisisiki.
Kurapa Chirwere Chisingaperi Chirwere
Kurapa kweCVA kunenge kwakangofanana neyechirwere chephma. Kushandiswa kwebronchodilator se albuterol kunogona kupa rusununguko rushoma mukukurumidza sevhiki. Zvimwe kuora kwakanyanya kunogona kubatwa ne steroid inoputika se Flovent . Kana kurapwa kwakanyanyisa kusakwanisa kugadzirisa zvakakwana kukorodzwa, muromo steroid sezvakaitwa prednisone zvinogona kushandiswa.
Uyezve, kana kune uchapupu hwehutachiona, chirwere chinopesana nekuputika seZafirlukast chave chiratidzwa kuti chivandudze chifukidziro kune vanhu avo vakagadziriswa steroid vakakundikana.
> Sources:
> Niimi, A. "Kusvuta, uye Chirwere." Curr Respir Med Rev. 2011; 7 (1): 47-54.
> Matsumoto, H .; Niimi, A .; Takemura, M .; et al. "Kufungidzira kwekukanganiswa kwakasiyana-siyana kwema asthma: kuongorora zvakare." J Nyota. 2006; 43 (2): 131-135.