Chirwere chechirwere chikamu chikamu chinokosha cherongwa hwekuchengeta asthma . Nokugadzirisa mweya wako wehma, iwe unogona kuwana pfungwa yehutachiona hwako. Iwe unogonawo kutora matanho chaiwo ekuvandudza yako asthma.
Nhengo yako yekusimudza mweya inoshanduka pane nguva. Pane nzira dzakasiyana-siyana dzaunogona kufungisisa pamusoro pechikwata chako chephma.
Asthma Severity
Kusuruvara kwechirwere kunotsanangura kushanda kwepfungwa yako yepifma.
Tafura iri pasi apa inoratidza nzira dzakasiyana-siyana dzekutarisa zvakanyanya.
Chiremba wako achakuisa iwe mune chimwe chezvikamu zvinotevera zvinokonzerwa nehutachiona hwehutano huchienderana nemararamiro ako akaipa. Somuenzaniso, kana dzakawanda zvezviratidzo zvako ndezvokuti "Unhu Hwakasimba" asi iwe une chiratidzo chimwe chiri mu "Moderate Persistent," iwe uchanzi se "Moderate Persistent." Kusiyana kwehutachiona hwakasiyana-siyana hunotsanangurwa kubva muNHLBI Expert Panel Report 3 ( EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweAphma inosanganisira:
- Intermittent
- Unyoro Unopfuurira
- Moderate Persistent
- Severe Persistent
Kuti uwane kukwanisa kugovera chirongwa chechirwere, chiremba wako achada kukubvunza mibvunzo yakasiyana yakasiyana. Mimwe mibvunzo inogona kusanganisira:
- Mazuva mangani pavhiki unoona zviratidzo zvepudhe?
- Ndeapi mausiku husiku nevhiki mushure mokunge mweya wako unomuka iwe?
- Iwe kangani unoda kushandisa ikokununura kwako?
- Ko astma yako inopesana nemabasa ako ezuva ose here?
Mhinduro dzemibvunzo iyi dzichabatsira chiremba wako kuti aongorore chikamu chako chechifu.
Dhiyabhorosi Chiratidzo
Zviratidzo ndeimwe chikamu chakakosha chechikamu chako chepifma. Zviratidzo zvekare zvechirwere zvinosanganisira:
Munowanzo, zviratidzo zvakawanda iwe unowedzera zvakanyanya kukura kwako kwema astmma.
Uyezve, zviratidzo zvinotevera zvinoratidza kudzora mashoma uye kuoma kwakanyanya kwakanyanya:
- Kuramba uchikwira usiku
- Kushungurudza kana kuputika nekurovedza muviri kana kuita zvekuita
- Kuneta nokuita izvo zvaunowanzozadza nyore nyore
- Zvinoderera mumusoro wako wepamusoro
- Usingaregi kurara kana kumuka wakaneta
- Kuwedzera zviratidzo zvekunetseka sezvinoramba zvichinzwa mhuno, mhete yerima pasi peziso rako kana kuti chinopisa, ganda rinopisa
Kununura Inhaler Use
Chinangwa chako chinofanira kuva chekusada kushandisa yako kuponesa inhaler kakawanda. Kana iwe uchiri kushandisa zuva rega rega kana kunyanya kudarika kaviri pavhiki, mweya wako wepimusi hauna kutaridzika zvakanaka. Kazhinji kuponeswa kushandiswa kushandiswa kunotungamirira ku kuwedzera kwechirwere chechirwere.
Tarisira chiremba wako kuti akubvunze mibvunzo yakadai se "Iwe wakashandisa kangani nguva yako kuponesa inhaler vevhiki yapfuura?"
FEV1 uye Peak Flow
Peak flow inoratidza kuti iwe unogona kukurumidza sei kuputira mweya kubva mumapapu ako uye unogadziriswa nekushandisa nheyo yepamita mamita. Vanachiremba vanowanzofananidza nhamba yenyu ikozvino kune iwe pachako.
Kuvharidzirwa kuporesa ivhu ndiro iyo yakawanda yemhepo iwe unogona kunyora nesimba. Inowanzoonekwa pane imwe yechipiri (FEV1) uye inoshandiswa kuwanikwa chete muhofisi yeyanyanzvi. Iye zvino inowanikwa mune imwe mhembodo yemapokotometers.
Nepo kune dzimwe nharo pamusoro pekuti chirongwa chema asthma uye kurapwa kunofanira kunge chakavakirwa pane nhamba dzakaoma idzi majoni anobudisa, kana kuti pane zviratidzo zvako, zvizhinji zvezvo zvinowirirana newe. Uyezve, hapanawo chikonzero nei iwe usingakwanisi kuisa sarudzo yako yekuita purogiramu kubva kune nhamba kubva kumapuranga aya kwemwedzi mitatu uye dzokorora uchishandisa chirongwa chechirwere chechirwere chezviratidzo zvemwedzi mitatu inotevera. Iwe unogona kuona ipapo iyo iwe iwe unofunga kuti inotungamirira kuhutano hwakakwana hutungamiri hwehma yako.
Mifungo Yokupedzisira
Iwe iwe uye chiremba wako wakasarudza kuisa chirwere chako chepifu mumazuva ekupedzisira zvichida zvinhu zvishoma kudarika kuti uone kuti iwe unoziva chikamu chako chechifu (zvisinei iwe iwe nachiremba wako tsanangudzo) uye kuti inobata sei kurapwa kwako.
Kana iwe usingazivi nezvehutachiona hwako uye usakwanisa kutora zviito zvakananga zvichibva pazviri, taura nechiremba wako munguva pfupi pamusoro pokuti chii chinonzi chidimbu chako chemafi uye chii chaunoda kuita kuti utachiona hwako huve pasi pesimba.
Asthma Severity
| Intermittent | Unyoro Unopfuurira | Moderate Persistent | Severe Persistent | |
| Zviratidzo | 2 kana mazuva mashoma pavhiki | Kupfuura mazuva maviri pavhiki | Zuva nezuva | Muzuva rose |
| Nighttime Awakenings | 2 X pamwedzi kana zvishoma | 3-4 X pamwedzi | Zvinopfuura kamwechete pavhiki asi kwete usiku | Nightly |
| Kununura Inhaler Use | 2 kana mazuva mashoma pavhiki | Kupfuura mazuva maviri pavhiki, asi kwete zuva rega rega | Zuva nezuva | Kazhinji kacho pazuva |
| Kushamwaridzana Nebasa Rinowanikwa | Hapana | Minor kupedzisira | Zvimwe zvishoma | Zvikuru zvakanyanya |
| Mhemberero | FEV1> 80% yakafanotaurwa uye yakashata pakati pekuwedzera | FEV1> 80% yakafanotaurwa | FEV1 60-80% yakafanotaurwa | FEV1 pasi pe 60% vakafanotaura |
> Kwakabva:
> National Asthma Control Initiative- Nheyo dzeNational Health. Chirwere Chisingaiti: Ziva Kwaunofanira Kutanga.