Zvaunofanira Kuita Kana Uri Kuve neApmma Attack
Kurwiswa kwekusimudzirwa kunowedzera kukurumidza kwezviratidzo zvako zvechirma zvinokonzerwa nokuputika kwemhepo yako, kana kuti maronchoconstriction, semugumisiro wekuputika, kupfugama, uye kukonzera. Zvinogona kuva chiitiko chinotyisa, zvichikusiya iwe kuti uomerwe kufema apo uchinzwa kuomeswa kwechifuva chako, sekunge uremu hukuru huripo pauri.
Kune umwe munhu ane chirwere cheputi, chirongwa chekuchengetedza chirwere chekushaya mweya chinokosha kuti udzivirire kuwedzera kwezviratidzo zvako uye kuzere-kuzadza kwepamukira.
Izvi zvichaitawo sekutungamira apo iwe unofanira kutsvaga rubatsiro rwekukurumidza.
Overview
Kurwisana neAshmma-kana chero kuchinja kwakanyanya muzviratidzo zvechirma zvinopesanidza tsika yako yekare uye zvinoda mishonga yakawedzerwa kana zvimwe zvinopindira kuti ufemire kazhinji zvakare-zvinowanzoonekwa pakati:
- Vana vane makore mashanu uye vaduku
- Vakuru mumakore avo makumi matatu
- Vakuru vezera remakore makumi matanhatu nemashanu
Kurwiswa kweputi kunogona kuuraya, kunyange chete chetatu chemapfupa ekufema anoitika muchipatara. Izvi zvinoreva kuti varwere vakawanda vemazamu vangave vasingazivi zviratidzo zvinoratidza kuti vanoda rubatsiro rwekukurumidzira, vasingatsvaki kuchengetedza, kana kuti havachipatari nehupenyu hwavo huri kuwedzera .
Ichi chiitiko chinoshamisa, chikonzero nei zvichikosha kuti munhu wese ane astmma anonzwisisa zvaanofanira kuita kana akaurayiwa. Icho chinogona kuponesa hupenyu hwako kana hwemwana wako kana mumwe munhu wakakupoteredza. Danho rokutanga nderokushanda nachiremba wako kuti ugadzire chirongwa chekuchengeta mweya.
Asthma Care Plan
Chirongwa chekuchengetedza chirwere chepfma ndicho chinotungamira chako kuti uone kuti mweya wako unotungamirirwa zvakadini. Inoratidza kuti zviito zvipi zvinoda kutorwa kana urombo hwako huchikuvadza uye hukubatsira iwe kuziva maziso ekutanga anonyeverwa ekurwisana kweAsthma. Ichakubatsirawo kuti uite zvinhu zvezuva nezuva zvinoda kudzivirira kurwisa.
Nezvipo zvako, chiremba wako achakudziridza chirongwa chekuchengeta asthma. Zvose zvirongwa zvine zvinhu zvitatu:
- Chikamu chekuoma, chinoratidzirwa nepamusoro pekufema kwemafuro ekuyerera.
- Runyora rwezviratidzo zvekutarisa.
- Zvimwe zviito zvekutora zvichienderana nepamusoro pekuyerera kana zviratidzo.
Iva nechokwadi chokuti unonzwisisa chirongwa uye usatya kubvunza mibvunzo. Igovera ruzivo urwu kune vapi vati vatarisi uye zvikoro kuitira kuti vanzwisise chirongwa chekuchengetedzeka kwechirwere pamwe chete.
Mukutaura kwekudzivirira, chirongwa chekuita chichaona zvose zvako zvinoita kuti uite zvinhu uye zvinhu zvaunoda kuita kuti uzvidzivirire. Uyezve, chirongwa chacho chinonyora mutevedzeri wemishonga yako uye kuti unofanira kunge uri kutora sei.
Chaizvoizvo, chirongwa chenyu chiito chinhu chinotarisa zviratidzo zvako uchishandisa chiedza chinowanzozivikanwa semutungamiri. Paunenge uri munzvimbo yakasvibirira, zvinhu zvose zvakanaka. Munzvimbo yakatsvuka, iwe unofanirwa kuva wakangwarira, uye nzvimbo yakatsvuka iri kusangana nematambudziko.
Iwe uchaziva kuti uri kupi mauri iwe uri mukutevera kana peak inopera kana zviratidzo. Nzvimbo imwe neimwe ichava nezviito zvakanakira iwe kutora kuti uwedzere kurapa kwako. Funga nezverongwa hwehutachiona hwehutachiona semapupa ako emugwagwa kusvika kune kupfuuridza zviri nani nekuvandudza zviratidzo zvechirwere.
Risk Factors
Zvimwe zvakasiyana-siyana zvakasiyana-siyana zvinokonzerwa nechirwere chinogona kuwedzera mikana yako yekuvandudza kurwiswa kwepifma.
Kana iwe uine hutachiwana hweHIV, iwe uri pangozi yekurwiswa kwepifema.
Iwe uri pangozi yakawanda yekurwisa chirwere chepifma kana iwe:
- Wakave nechirwere chakakomba chechirwere munguva yakapfuura
- Zvinotenderwa kubvuma kuchipatara kana kuti chiremera chikuru chekuchengetedza kuti uchengetedze chirwere chako chepamu mugore rapera
- Ita zviratidzo zvakangoerekana kana kurwiswa kwe asthma kuchiita sekukwira pamusoro pako usingaone kuchinja kwezviratidzo zvako
- Anoda nguva dzose kushandisa kwako kuponesa inhaler
- Iva nhoroondo yekushandisa zvinodhaka
- Iva nhoroondo yekurwara kwepfungwa
Zvimwe zvinowanzoisa pangozi zvinodzivirirwa-zvakadai sekusvuta kusvuta nekudya zvimwe zvokudya-asi vamwe, semhuri yekare, haisi chinhu chaunogona kudzora kana kugadzirisa.
Pakupedzisira, panewo zvishoma zvekudzivirira zvirwere zvinokonzerwa nehutachiona izvo zvinoita kuti uwedzere njodzi yekurapa.
Zvimwe zvinokonzerwa nechirwere chepfma zvinokonzerwa nevakuru uye vana zvinosanganisira:
- Mhuri yehutachiona hwemafi. Kana iwe uine mubereki ane chirwere cheputi iwe unowanikwa kaviri kana katanhatu kuti uve nechirwere cheputi kana uchienzaniswa nemunhu ane vabereki vasina chirwere chepamu.
- Kana iwe wakagara uchitarisana nemamiriro ezvinhu, chirwere chako chekushaya mweya chinowedzera. Inenge hafu yevana vane eczema kana atopic dermatitis vanoita kuti mweya uve nechirwere.
- Nhoroondo yehutano hwemakumbo
- Kuita sechipiri-kusvuta utsi
- Kurarama kwemuguta, kunyanya kana pane kuchena kwemhepo kusvibiswa. Zvinosvibisa zvakadai seSulfur dioxide zvinokanganisa kufamba kwemhepo kunotungamirira kumanikidzi uye zviratidzo zvemhepo.
- Low mazinga e vitamini D
- Kuwedzera muviri . Zvakawanda zvitsvakurudzo zvekutsvakurudza zvakaratidza kuwedzera kwemafiya muvanhu vane uwandisa uye vanorema. Pane humwe uchapupu hwokuti kuneta kunowedzera mukana wekusava nehutachiona hwema asthma.
- Kuderedza kuberekwa
- Kuberekwa mumwedzi yechando
- Kunzvimbo yekushanda kunoshanda kumakemikari kana zvimwe zvinhu zvinogona kutungamirira kuchirwere chebasa
- Gastroesophageal reflux chirwere (GERD)
- Sinusitis
- Antibiotic inoshandisa mugore rekutanga rehupenyu
- Kudya zvokudya zvakawanda zvekutsanya
- Nguva dzose acetaminophen kushandiswa
- Ozone exposure. Ozone inhengo huru yehutu inowedzera zviratidzo zvechirwere zvechirwere zvakadai sokuputika, kukwezva, uye kupererwa kwemhepo.
Deredza Dambudziko Rako
Kune rumwe rutivi, zvinhu zvinotevera zvinogona kuderedza dambudziko rako rekugadzirisa kurwisa kwepifma:
- Kunwisa (kunoderedza dambudziko remwana wako wekudzidzira chirwere)
- Kuenda kune rimwe zuva
- Iko kune mhuri yakakura
- Kuwedzera kudya kwako kwezvibereko nemiriwo
- Kuva neruzivo rwemagariro emunharaunda semafambisirwo emari ekubudirira
- Kudya omega-3 fatty acids inowanikwa muhove
- Kuva nechirongwa chekuita chirongwa uye kunzwisisa kuti ungashandise sei
Zvinokonzera
Kunze kwemukati uye kunze kwekunze ndeimwe yezvinhu zvakajairika zvaunofanira kudzivisa kudzivirira kuwedzera kuora mweya. Paunenge uri kunze, unotarisa pane zvinowanzofungidzirwa: zvinokonzera semapenene, mhuka dzemhuka, uye guruva ndizvo zvinowanzoitika. Asi, isu tinokwanisa kupedza zvikamu zvinenge 90 muzana zvehupenyu hwedu mumba, saka zvakarewo pfungwa yakanaka yekuve yakatarisa zvinotevera:
- Dust mite zvipembenene zviduku zvemukati zvisingagoni kuonekwa neziso risina kusimba. Zvakakosha kuziva kuti chii chinowedzera guruva rako mite .
- Mold inowedzera mukati-kati mumvura, mvura ine mvura, kana nzvimbo dzine humvu semakamuri ekugezera, makicheni, uye mabheji. Kana chiganda chiri dambudziko mumusha mako, kutarisa unyoro kunogona kutungamirira kukurapa kwakanakisisa kwehupmma yako.
- Mitezo yemuviri, urini, uye madonhwe emapuro uye mamwe mhuka dzakasuruvara dzine mapuroteni chaiwo anogona kukonzera zviratidzo zvese.
- Utsi hwehutachiona hwehupenyu hunokonzera kenza-inokonzera makemikari, zvakadai seBenene, vinyl chloride, uye arsenic, izvo zvinogona kuvhiringidza mapapu uye kutungamirira zviratidzo zvechirwere.
Kuziva zvirwere zvinokonzera hutachiona hwako zvinogona kutungamirira pakuvandudza kukuru. Zvimwe vadzivise zvachose kana kuti vauye chirongwa chekutarisana nemutambo.
Ramba uchifunga mupfungwa, zvisinei, kuti munhu wose ane asthma yakasiyana. Kunyange zvazvo izvi zvingangove zvikonzero zvinowanzokonzera kurwisa, zvingasashanda kwauri uye iwe unogona kunge uchinetseka kune zvimwe zvinokonzera. Ndosaka zvakakosha kuzivisa avo vane chiremba wenyu uye kukurudzira hurongwa hwekuita hunokodzera zvido zvako.
Zvinokonzera Vana
Vana vanogona kunge vakanyanyisa kunowanzosangana nechirwere chemafi. Zvinhu zvinoratidzika sezviri nyore sezvinotonhora kana kuti zvinomhanya zvakaoma panguva yekutamba zvinogona kukonzera kurwisa kweAsthma. Mhepo inotonhora yekuvhuvhu uye yechando uye kunyange kuseka kana kuchema zvakanyanya kunogona kukonzera kurwisa zvakare.
Zviratidzo
Munhu wose ane astmma akasiyana. Vamwe vanhu vachagara vachirwisa apo vamwe vanogona kuenda kwenguva yakareba pakati pekurwa. Kurwiswa kwakajeka kunogona kupedza maminetsi mashomanana apo chirwere chinokonzera kuputika chinogona kupfuurira kwemaawa, kana mazuva.
Somumwe munhu anobata nehuputi, zvakakosha zvikuru kuti iwe uzive uye utarise zviratidzo zvokutanga zvekunyevera kwekurwiswa kwepifma. Kururamisira kwakakodzera pakutanga kunogona kudzivirira rwendo kuenda kune imwe nzvimbo yekukurumidzira kana kupindira kuchipatara. Uyezve, zvirwere zvakanyanya, zvisingaverengeki zvechirwere zvinogona kutungamirira kurufu .
Kazhinji, zviratidzo zvokutanga kunyeverwa kwekuwedzera kuora mwoyo uye kurwisa kwechirwere zvinosanganisira:
- Dhesi riri pamusoro pekufema kwemafuro ekuyerera
- Kuwedzera kukorodzwa / chigunzva chisingaperi
- Wheezing
- Kupfupika kwemhepo
- Chest tightness
- Zvimwe zvakaoma kuita mabasa ezuva nezuva
- Zvinhu chimwe nechimwe chinocherechedza pane nguva zvinoratidza kuwedzera kukura kwechirwere kana kuputika kwechirwere
Iwe unogona kunge uri mu "yellow zone" ye chirongwa chekuchengeta asthma apo uchikudziridza zviratidzo zviri pamusoro apa. Kubva paurongwa hwekuchengeta mweya wako, tevera mirayiridzo pamusoro pekutora mimwe miviri yekurapa-mishonga yekurapa uye kutanga mamwe mishonga yakafanana nedzimwe remuromo we corticosteroids . Chirongwa chekuchengetedzeka kwechirwere chichave nemirairo pamusoro pekufamba uye nguva yekudana chiremba wako.
Batsira Mwana Wako Kudzidza Zviratidzo
Kana mwana wako ane chirwere cheputi, zvinokosha kuvadzidzisa nezvezviratidzo zvinogona kutungamirira kukurwisa. Izvi zvichavabatsira kuti vakuchenjerere iwe kana muchengeti wavo kana vakatanga kutanga kushamisika.
Iwe-zvakadzama sei unowana huchavimba nezera remwana wako. Vana vaduku vanogona kudzidziswa maitiro avo ekufema uye nguva yekukumbira rubatsiro. Kazhinji, vana gumi nevakuru vanogona kubatanidzwa mukuvandudzika kwechirongwa chebasa ravo rechirwere.
Chimwe chinhu chaunogona kuita ndechekuongorora zvakaitika panguva yekurwiswa kwepamu kana mwana wako akachengeteka uye munhu wose akadzikama. Taura pamusoro pezvavakafunga uye uvabatsire kunzwisisa kuti sei zvakaitika. Iwe unogona zvakare kugadzirisa zviito zvevanhu vose zvavakatora, nei vakabatsira, uye kutsvaga nzira dzekuvandudza nayo kana ikaitika zvakare.
Nguva Yokudaidza Chiremba
Chirwere chechirwere zviratidzo zvinokuisa iwe mu "nzvimbo yakatsvuka" yechirongwa chako chekuchengeta asthma chiri chakakomba. Kana ukaona chero ipi zvayo, unofanira kutanga uchitevera mirairo iyoyo pakarepo. Izvi zvinosanganisira kuona mutarisiri wehutano wekutarisira kune imwe nguva pakarepo:
- Kugurusa kunoitika apo uchifema mukati nokunze
- Kushungurudza izvo zvave zvichienderera mberi
- Kuoma kufema kufema
- Tachypnea kana kufema nekukurumidza
- Kudzokorora apo ganda rako rinosungirwa mukati apo iwe unofema
- Kupfupika kwemhepo
- Kutambudzika kutaura mumitsara yakazara
- Kuva akajeka
- Kuva nehanya
Zvizhinji zvakanyanyisa, kana ukawana chimwe chezviratidzo izvi, usanonoka. Vanogona kuuraya. Pakarepo itaidza 911 kana nhamba yako yekukurumidza inowanikwa munharaunda:
- Kuoma kufamba kana kutaura kunokonzerwa nekupererwa kwekufema kwakanyanya.
- Miromo yebhuruu kana zvigunwe, zvinonzi cyanosis
Iva nechokwadi chekuti unochengetedza nhamba dzako dzekukurumidzira uye nhoroondo yekuti ndiani angataurirana mune imwe nguva inokurumidzira munzvimbo inonyoresa nyore, sefriji kana bhodhi remashoko pedyo nefoni yako yepamba. Iyowo pfungwa yakanaka kutakura mashoko aya newe uye kuwedzera pane yako foni.
Mishonga
Nguva yakawanda apo zviratidzo zvinowanikwa uye zvichirapwa kare, iwe uchaona kukurumidza kukurumidza mukumhanya kwepamusoro uye zviratidzo. Zvisinei, unofanirwa kuve wakagadzirira kana zviratidzo zvako zvisingavandudzi.
Peak Flow Meter
Nhamba yepamusoro yemamita inokosha yekugadzirisa kuti mweya wako unoita sei uye unodzivirira kurwisa kwepifma. Inokuudza kuti uri kufema zvakadini uye kushandiswa kwayo kwakakosha kune chirongwa chinoshanda chechirwere chechirwere.
Kana kukwirira kwehuwandu kwehuwandu kuri kuderera, hutachiona hwako huri kukura uye iwe unoda kuita chimbichimbi kudzivisa kurwisa. Iwe unoda kutora mishonga inobva pamirayiridzo iri mu chirongwa chako chekuchengeta asthma kuti usiye zviratidzo kubva pakuwedzerwa zvakanyanya uye kuchinja mukurwisa kwakazara.
Kana iwe kazhinji uchida kukwidza kurapwa kwechirwere nekuda kwezviratidzo, kuwedzera kukura kwepamusoro, kana kugara uchirwisana nehma, ichi chiratidzo chekushaya masimba. Kugadziriswa kwepurogiramu yako kunogona kudiwa, saka iva nechokwadi chekudzoka zvakare nemupiki wako wehutano.
Mishonga
Kunzwisisa chinangwa chemishonga imwe neimwe mukurapwa kwako kwechirwere kunokosha zvikuru. Mimwe mishonga-iko kuponesa kwako, semuenzaniso-yakagadzirirwa kusunungurwa kwakanyanya kwezviratidzo zvechirwere uye kurwiswa kweputi. Zvimwe zvinoshandiswa zvekutora nguva kwenguva refu yehutema.
Kutora kwenguva yakareba beta agonist kudzora mishonga panguva yekurwadza kwechirwere chemafi inogona kukonzera kuwedzera kwemafi. Chirongwa chekuchengeta mweya wako chichifananidzira kuti mishonga yakadini inotora zvichienderana nepamusoro pekuyerera uye zvimwe zviratidzo.
Kufuridzirwa Kurovedza
Kushungurudzika kunogona kukuvadza zviratidzo zvako zvechirwere uye kushungurudzika kwaunonzwa panguva yekurwiswa kungaita kuti zviwedzere kuipa nokuti zvinoita kuti ndege dzako dziwedzere. Kukwanisa kugara wakadzikama panguva yakadaro chiitiko chinogona kuderedza zvakanyanya migumisiro yaunonzwa.
Izvozvo zviri nyore kutaura pane kuita apo iwe unonzwa sokuti haugone kufema. Zvisinei, nekutenda kwechirongwa chechirwere chechirongwa chinotsigirwa nehupenyu hwekugara hwakadzikama huchakubatsira, unogona kuona mutsauko.
Vanhu vazhinji vane astmma vakatendeuka pakufema kwakadzika maitiro sekuBeyeyko . Kunyange zvazvo zvisingakwanisi kubvisa chido chako chekuponesa inhaler, chinogona kuita kusiyana kwakakura muhutungamiri hwako hwepmma. Izvi zvingavawo nzira yaunogona kuvimba nayo kana iwe uchinzwa kukurwisa kuri kuuya uye iwe hauna inhaler yako.
Shoko Rinobva
Kana iwe kana mwana wako wehma uri pasi pesimba, iwe unofanira kunge uine rusununguko rwezvirwere zvepmhesi uye unokwanisa kuita zvakawanda zvezviito zvako zvekare. Kuzivikanwa kwekukurumidza kwekurwisa kwemafi uye kutora zviito zvakakodzera munguva yekuwedzera zvirwere zvekudzivirira zvirwere kunodzivirira kusangana uye kushanyira nguva dzose kune dhipatimendi rekukurumidzira.
Kana iwe ukaona kuti kuputika kwechirwere kuri kuitika kakawanda, inguva yekudzokorora zvakare chirongwa chako chechiito nachiremba wako. Kuva wakagadzikana, uchiziva kuti mweya wako unokonzera sei, uye kuita humwe hutano hwakanaka hupenyu, pamwe nemishonga yakakodzera inogona kuwana mushonga wako wepmma kudzokera shure.
> Sources:
> George RB, Chiedza RW, Matthay RA, Matthay MA. Asthma. MuChifu Mishonga: Zvidimbu zvePulmonary And Critical Care Medicine . 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2006.
> National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma. 2007.
> National Heart, Lung, uye Blood Institute. Ndiani Ari Pangozi Pamusoro Pemafiropu? 2014.
> Toskala E, Kennedy DW. Zvinokonzera Njodzi dzeApmma. International Forum of Allergy & Rhinology . 2015; 5: S11-6. doi: 10.1002 / alr.21557.