Kana iwe wakamboudzwa kuti unenge uine chimiro chekusimudzira mweya, izvo zvinorevei uye chii chinotsanangurwa? Ndezvipi zvinoitwa kuti zviongororwe iri danho remafi, uye rinorapwa sei? Chii chaunogona kutarisira munguva refu, uye chichaita kuti zvive nani kana kuti kuwedzere?
Overview
Unyoro huri kuramba uhwu humwe hwemarudzi mana ehma. Vanhu vanotambura nehupenzi husingaperi vanowanzove nezviratidzo zvechirwere zvakapetwa kaviri pavhiki , asi kwete kupfuura kamwe chete pazuva (paavhareji).
Zviratidzo zvavo zveusiku zvinowanikwa kanopfuura kaviri pamwedzi. Kukira kweputi kunogona kukanganisa mabasa ezuva nezuva evanhu vane mweya wakasimba unopfuurira.
Kurongwa
Nzira yekuti mweya inotsanangurwa inobva pane zviratidzo uye kuoma kwemamiriro acho ezvinhu. Kuti uone kuti ndechipi chikamu chechirwere chechirwere chako chinowira mukati, chiremba wako achafunga zvinotevera:
- Zviratidzo zvakadai sokuoma kunetseka kufema, kuputika, chifuko chisimbiso, nekukanganiswa, zvose zvisati zvaitwa -Ona kuti kuora mwoyo kwakanyanya kunokwanisika mune chero upi zvawo hwechirwere, kunyangwe muchikamu chinonyoroka chechirwere.
- Maitiro aunoita pamapapu ekuedza kuedza kana kuvhara kwemapurisa (kuti uone kuwanda uye kukurumidza kwemhepo unogona kurira)
Mafupa ako anogona kuchinja munguva. Zvakakosha kucherechedza kuti chirwere chakaoma kuongorora uye kuisa muvana vaduku kudarika makore makumi mana, sezvo zviratidzo zvingasiyana zvakasiyana nemhando dzechirwere chinoratidzwa mune vanhu vakuru kana vana vaduku.
Zvikamu
Chirwere chinoshandiswa muzvikamu zvina zvinotevera ne National Asthma Education and Prevention Program. Zvakakosha kunzwisisa kuti sei chiremba wako angangodaro akarondedzera yako asthma sechinyararire chekusimudzira mweya uye kunzwisisa mutsauko pakati pezvikamu izvi. Unhu uye nguva yezviratidzo zvinotsanangurwa:
Inonzi Asthma
- Zviratidzo zvinopera mazuva maviri kana zvishoma pavhiki uye usapindira nemabasa anowanzoitika
- Chiratidzo cheusiku chinoitika mazuva maviri kana pasi pamwedzi
- Kana usingave nechirwere chepamu, mapapu anoshandisa maitiro ezvakanaka uye anosiyana zvishoma kubva mangwanani kusvikira masikati.
- Dzidza zvakawanda pamusoro pemhepo inonzi asthma
Unyoro Unoramba Uchida Chirwere
- Chiitiko chezviratidzo zvinopfuura mazuva maviri pavhiki asi kwete zuva rega rega.
- Kukira kweputi kunopesana nemabasa ezuva nezuva.
- Zviratidzo zveusiku zvinowanikwa katatu kana mana pamwedzi.
- Mhemberero yekushanda mabasa inowanzoitika kana isina kuve nekurwisa uye inogona kusiyanisa zvishoma kubva mangwanani kusvika masikati.
Moderate Persistent Asthma
- Kuitika kwezuva nezuva kwezviratidzo uye pfupi-acting inhaler inoshandiswa mazuva ose.
- Zviratidzo zvinopindira nemabasa ezuva nezuva.
- Nguva dzeusiku zviratidzo zvinowanzoitika kanopfuura kamwe kamwe pavhiki, asi hazviitike miedzo yezuva nezuva uye mapapu haisi yemazuva uye inoparadzanisa kudarika 30 kubva kubva mangwanani kusvikira masikati.
Severe Persistent Asthma
- Zviratidzo zvinowanikwa zuva rimwe nerimwe uye zvinowedzera kukanganisa mabasa ezuva nezuva.
- Chiratidzo cheusiku chinowanzoitika, dzimwe nguva usiku humwe.
- Nhengo dzemaitiro emhando dzisina kufanana uye dzinogona kusiyana kubva mangwanani kusvika masikati.
Kuziva
Maererano neNational Guidelines for managing asthma, chiremba wako achacherechedza kuoma kwepifupa yako sekunyatsopfuurira maererano nezvinhu zvinotevera:
- Kakawanda kwezviratidzo (kupfuura mazuva maviri pavhiki, asi kwete zuva nezuva)
- Kakawanda kwekumuka kweusiku kune zviratidzo zvechirwere (katatu kusvika mana pamwedzi)
- Kushandisa kwekurumidza-kubvisa inhaler (kupfuura mazuva maviri pavhiki, asi kwete zuva rega rega)
- Iko kusvibiswa kwakadini kunopindira kuita mabasa ezuva nezuva (zvishoma zvishoma)
- Peak flow flow readings (at least 80 percent of your best)
- Pasinei nokuti asthma flares inoda kushandiswa kana kuti steroid mumuromo (kaviri kana kupfuura kamwe mugore)
Kurapa
Kana imwe nguva kuongororwa kweAphma kwave kuchiitwa, chiremba achapa mishonga inonzi asthma .
Unyoro huri kuramba huchirwere hunowanzobatwa nemhando mbiri miviri yemishonga yekurapa:
- Kurumidza-mishonga yokurapa (kununura mishonga)
- Yenguva refu yekurapa mishonga
Mhando miviri miviri yemishonga yekurapa inobatsira-kukurumidza-mishonga inobatsira (inoshandiswa mukurwirwa pakarepo apo kurwisa kwechirwere kunotanga) uye mishonga yenguva refu yekudzivirira, iyo inofanira kutorwa zuva rega rega kudzivirira zviratidzo uye kurwiswa kweAsthma.
Prognosis
Mumakore ose aya, kusuruvara kwepifema kunogona kuchinja kune vanhu vazhinji, izvo zvinoreva kuti mishonga uye kurapwa kunogona kuchinja zvakare, nechinangwa chikuru chekuchengetedza chirwere chepasi.
Shoko Rinobva
Sezvakataurwa pamusoro apa, unyoro husingaperi hunopindira hunovhiringidza hupenyu hwemunhu pane hutachiona hwepakati asi husiri hwakanyanya sehuwandu kana hutsinye hunoramba huchiwedzera. Mukuwedzera, ani naani ane nhanho ipi neipi yeAsthma angakurira kurwisa kwakanyanya kana kutyisa upenyu. Kana uri kurarama nechirwere chemhando chero ipi zvayo, ita nechokwadi chokuti une chirongwa chechirwere chema asthma panzvimbo. Kunyangwe zvisingabviri nehuwandu huno kupfuura mamwe akadai sehutachiona hunoramba huripo, kukwanisa kwekurwisana nehutachiona kwakasimba nguva dzose kuripo.
Zvakakosha kuva iwe mumutsigiri wako mune hutano hwako, uye kudzidza nezvezvinodikanwa zvemarudzi akasiyana-siyana ehutema, uyewo mazano ekugadzirisa kwako zuva rezuva rehma pane rimwe danho rakadaro mumutungamiri wakanaka. Mishonga yakanaka inowanikwa mukurapa unyoro husingaperi huripo asi iyi inongova danho rimwe chete mukuchengeta utano hwako. Iva nechokwadi chekuti unoziva nezvezvinhu zvinoita kuti uve nechirwere cheputi .
Semashoko ekupedzisira, iva nechokwadi chekudzidza pamusoro pezvikanganiso zvakakura zvikuru izvo vanhu vane asthma vanoita .
Sources:
Fanta, C., Kurapa kwepakati nepakati uye unyoro hunoramba huchiri mumakore ekuyaruka nevakuru. UpToDate . Updated 03/18/16.
Kasper, Dennis L .., Anthony S. Fauci, naStephen L .. Hauser. Mazano eHarrison ekurapa mukati. New York: Mc Graw Hill yembudzi, 2015. Print.
Makikyro, E., Jaakola, M., naJJ Jaakola. Zvikamu zvehutema zvichibva mukuraira kwechirwere uye kuoma: Chikoro chekupedzisira chekuongorora. Kufuridzirwa kweHupiratory . 2017. 18 (1): 24.