Ndiani ari pangozi uye chii chingakubatsira kurarama zviri nani?
Kana iwe uine chirwere chakasimba chechirwere, izwi racho rinogona kuvhiringidza. Ko kuva nechirwere chakasimba chinoreva here kuti une zviratidzo zvakakomba, kana kuti rudzi rwakasiyana rwechirwere zvachose?
Kunyanya asthma zvirokwazvo inonyanya kunyatsotaridzika yemafi. Iko dzimwe nguva inonzi inoramba ichinge yakaoma asthma uye inonyatsotsanangurwa pane kuva nenguva dzimwe nguva zviratidzo zvakakomba kana zvisingadzorwi.
Ndiani Ane Chirwere Chisingaiti?
Anofungidzirwa mashanu muzana yevanhu vose vane astmma vanopindira mvumo yekurwisa mweya. Iwe unogona kunge uri munjodzi kana:
- Iwe une zvimwe zvinetso zvehutano kunze kwehutachiona hwako, zvakadai sweshuga uye kuneta. Zviratidzo zvepfungwa zvakadai sekuzvidya mwoyo zvinogonawo kuita kuti matambudziko ekufema.
- Kana iwe uri kusvuta.
- Kana iwe usingawirirani nekurapa kwako kwechirwere.
Iwe unogona kuongororwa kana zviratidzo zvako zvisina kudzorwa nekushandiswa kwemimwe mishonga yakadai semvura yakakura inhaled glucocorticoids yakabatana ne systemic corticosteroids, kwenguva refu-bhata beta agonists, kana kuti leukotriene modifiers. Iwe unogona kuonekwa zvakare kana iwe uchida kurapwa kwechirwere ichi kuti uchengetedze chirwere chako chinotungamirirwa kupfuura 50 muzana yegore rapfuura.
Pulmonary function test may or can not play a role in diagnosis of asthma. Muvanhu vazhinji, vanhu vane chirwere chakanyanya kufema vanowanzova nechisimba chekudzimisa chivharo pasi pe 60 muzana yezvakafanotaurwa.
Zviratidzo
Huru yehma ine zviratidzo zvakanyanyisa zvinowanzosadzivirirwa pasinei nekushandiswa kwemishonga chaiyo. Dzinosanganisira:
- Kutambudzika kufema kunopfuurira zuva rese.
- Kuvhiringidza kakawanda panguva yeusiku ane zviratidzo.
- Kusada kushandisa shanduro inhaler kakawanda pazuva.
- Zvinetso zvinopisa zvinokonzera kukwanisa kwako kuita zviito zvezvinhu zvakasikwa kana kunyange kushanda.
Kurarama nemigumisiro yezviratidzo izvi zvakaoma-kana iwe une chirwere chakasimba, iwe unowanzosagona kubata basa uye unogonawo kushandisa nguva muchipatara. Mari yakakosha yekurapa nekurasikirwa kwebasa inogona kukonzera kushungurudza mune zvemari. Kuora mwoyo uye manzwiro ekugumburwa zvakanyanyawo.
Zvisinei, kune rubatsiro runowanikwa. Vanhu vane ruzivo rwemhuri uye rubatsiro rwemhuri vanowanzova nemigumisiro yehutano iri nani kune avo vasina zvinhu izvi zvinokosha. Kutsvaga kurapwa nemamwe mapoka ekutsigira, kufanana nevaya vari paIndaneti, vanogona kuita kusiyana kukuru mumanzwiro uye zuva nezuva kumubata pamwe chete.
Treatment Options
Chirwere chekudzivirira chinonyanya kurapwa nachiremba anonyanya uye ane ruzivo mukurapa chirwere ichi. Mhando dzakawanda dzechiremba dzingave dzakakosha mukurapa zvinhu zvose zvechirwere ichi chakaoma. Bhodhi rako rinogona kusanganisira pulmonologist, otolaryngologist (nzeve, mhuno, chirwere chehuro), uye an immunologist / allergist.
Mamiriro ezvinhu akadai semakemikari, mapapiro emasipu , kana zvinetso zve sinus anogonawo kuita kuti zviratidzo zvako zvepmma zvivepo. Kana iwe uine chirwere chakaoma iwe unofanirwa kuongororwa uye zvakakodzera kurapwa nekuda kwemamiriro aya. Kurwara kwemhuka, kunyanya, kunogona kukonzera zviratidzo zvechirwere uye kunofanira kutarisirwa zvakakodzera.
Immunotherapy (allergy shots) yeguruva mite, pollen, kana mhuka dzomusango dzinogona kukurudzirwa.
Zvakakosha kuti ani naani ane chirwere chakasimba chinamatira pamitemo yavo yekurapa nokutora mishonga yavo yose nenguva uye sezvinorayirwa. Iwe unofanirwawo kushanda nachiremba wako kuti uite chirongwa chekurapa chakanyorwa chakakubatsira kuona kana hutano hwako huchikurira kana kana uchida kurapwa nokukurumidza.
Iwe unofanirwa kugamuchira kurairirwa nenzira yakanakisisa yekushandisa mishonga inopindira kuti uone kuti iri kushandiswa zvakanaka. Izvi zvinogona kusanganisira murairo pamusoro pekushandiswa kwema spacers uye iner doer inhalers .
Nebulizers inogona kudikanwa kuti inunure mishonga yakanyanyisa.
Zvinotyisa zvakadai sekurovedza muviri kana kuora mwoyo zvinofanira kuonekwa nekudziviswa. Uyewo, kuneta kunogona kuita kuti matambudziko akawanda anopfurikidza awedzere kushaya chimiro zvakanyanya kuitira kuti uremu hwekurema huve huve hunoenderana nekurapa kwako.
Kwete-kurapa kwakadai sa physiotherapy inogona kubatsira pamwe chete nemishonga inoratidzwa pamusoro apa. A physiotherapist angakudzidzisa nzira dzakasiyana dzekufema (kufema kufema), kuchinja mafungiro ako ekufema, maitiro ekuzorora, kana kukubatsira kuti uchinje chiito chako chekuita muviri kuitira kuti iwe urambe uine chikamu mumabasa epanyama pasinei nezvinetso zvako kufema. Hapana humwe huchapupu hwakakwana hwokurumbidza izvi sechimiro chekumira-oga, asi zvimwe zvidzidzo zvinoratidza kuti inogona kuvandudza zviratidzo uye kuva nemafungiro epfungwa.
> Sources:
> Pollart, SM & Elward, KS. (2009). Kubva kwekuchinja kune Asthma Guidelines: Kuziva nekuongorora. Ndiye Chiremba weNzara. 79 (9): 761-767.
> Severe Asthma. Asthma.net. Yakarongwa musi waMarch 31, 2016. https://asthma.net/living/severe-asthma/
> Thomas, M naBruton, A. (2014). Kuporesa maitiro ekufema mweya. Fema. 10: 312-322; DOI: 10.1183 / 20734735.008414