Chirwere chetachiona chirwere chinotyisa uye chingave chinotyisa chinobata vana vazhinji. Nenzira yakanaka, kune mishonga yakawanda inogona kubatsira kudzora uye kudzivirira kushaya mweya.
Zviratidzo zvehutema zvevana vazhinji zvinosanganisira kuora, kusvetuka, nekuoma kufema. Zvinogona kuendeswa pamusoro kana kuti zvinokonzerwa nekutonhora, kuchinja mumamiriro ekunze, kushandura muviri, kana kutaridzirwa utsi hwefodya, mhuka, mhuka, mhuka, uye kusvibiswa.
Kana iwe ukakwanisa kudzidza zvinhu zvinokonzera matambudziko emwana wako, zvinogona kubatsira kuti uzvidzivirire, kunyange zvazvo kuwana chirwere chemafi inowanzooma.
Nyeredzi inowanzova nyore kuongororwa mumwana anenge ari kubhururuka uye ane dambudziko rokufema, asi zvinowedzera kuoma kana mwana achingova nechifuva kana kukwezva-kuchinja mweya. Iwe unofanirwa kufungidzira kuti mwana wako angave ane asthma kana iye ane chikwata chisingagumi chiri chakaipa usiku kana kuti ivo vari kutamba uye vachitamba, kunyange vasina kutenderera.
Kurapa
Chirwere chikuru kana mwana wako achikandira, kuputika, kana kuti ane dambudziko rekushaya mweya ndiko kushandisa bronchodilator, seAluterol, Proventil, Ventolin, kana Xopenex. Izvi zvinonziwo 'kukurumidza kusunungurwa' kana kuti 'reliever' mishonga. Iyi mishonga inowanikwa kuti ishandiswe nebulabulizer, iner doer inhaler, kana sirasi (kazhinji isiri kushandiswa). Vana vaduku vangave vakakwanisa kushandisa aya asthma inhalers vane spacer kana spacer uye mask.
Iyi mishonga yakasununguka yokurapa inowanzoshandiswa pane imwechete inoda. Kana iwe uri kuzvishandisa nguva dzose, ingave yevhiki nevhiki kana kuti yega yega, ipapo mwana wako wehma inenge isina kunyatsogadziriswa uye angabatsirwa nemishonga inodzivirira. (Panguva yekurwiswa kwemafi, vana vakawanda vanotorawo steroid yemuromo, yakadai sa prednisone kana prednisolone.)
Kudzivirira
Chinangwa chekubata chirwere chepimma ndechekuti mwana wako ave asina zviratidzo uye asina kukwanisa kuita mabasa akajairika. Nyeredzi haifaniri kuvhara mabasa emwana wako, kunze kwekuti ivo vachirwisana nehumukati panguva iyoyo.
Mukuwedzera pakudzivisa zvinokonzera, chirwere cheputi chinogona kudziviswa nekutora mishonga yezuva nezuva yekudzivirira. Izvi zvinosanganisira steroid inhaled, yakadai se Flovent, Pulmicort, Qvar, Alvesco, Aerospan, uye Asmanex, iyo inoshandiswa zuva rega rega, kunyange kana mwana wako asina zviratidzo zvepamu. Izvi zvinowanikwa semvura iner inermer uye itsva inowanika yakaoma inhalers. Pulmicort inowanikwawo mufananidzo (Pulmicort Respons) iyo inogona kupiwa nebulizer, iyo inobatsira vana vaduku.
Mimwe mishonga yekudzivirira inosanganisira steroid ne-long-acting broncholitator. Iyo inoshandiswa muvana vane miviri yakaenzana kusvika yakaoma yemafiya iyo isiri kutarisirwa ne steroid inopinza uye inogona kusanganisira Advair HFA, Advair Diskus, Dulera, uye Symbicort. Imwe mhando yakakura yekudzivirira mishonga inonzi leukotriene modifiers, yakadai sa Singulair (Monteleukast), inowanikwa segranules uye sepiritsi yakavhenganiswa yevana vaduku.
Kana mwana wako atova nemishonga inodzivirira uye achiri kuramba achida mishonga 'reliever' nguva dzose, ipapo mwana wako angave achida kutora mimwe mishonga inodzivirira kana kuwedzerwa kuwedzerwa kwezvino.
Somuenzaniso, kana vakatotora Advair 100/50, vangave vachida kuwedzerwa kusvika kune imwe yepamusoro, yakadai sa 250/50 yeAdvair uye / kana Singulair vangawedzerwa kurongwa hwekurapa.
Kuongorora
Nzira iri nyore yekucherechedza kuti mwana wako anonyatsogadziriswa sei nehutachiona ndechekuona kana vane zviratidzo. Kana mwana wako asina kukwezva kana kuti ane dambudziko rokufema uye haawanzoshandisa mushonga wokurambidza, ipapo ivo vanogona kunge vari pasi pekutonga kwakanaka. Kana ivo vachigara vachikanda-kunyanya usiku kana panguva yezviitiko-kana kuti vari kushandisa mushonga wokurambidza zuva rimwe nerimwe kana kunyange vhiki yega yega, ipapo mweya wavo unenge uri pasi pekutonga kwakashata.
Peak inoyerera inogona kukubatsira kuti ucherechere mwana wako wehma kana ava nemakore mashanu kusvika kumatanhatu. Nhamba yepamusoro yemamita inoshandiswa nechecheche iyo mwana wako inopinza mukati uye, zvichienderana nhamba yavanoridza, inogona kubatsira vabereki kuziva kana mwana wacho ane dambudziko rekushushikana kana kuti ari kutonga zvakanaka.
Pulmonary work test chimwe chinhu chinogona kubatsira kuti uone kuti mwana wako ane hutachiwana hwakadini. Zvisinei, inogona kungoitwa chete muhofisi yeanoristor or pulmonologist. Vanazhinji vanachiremba havaiti izvi muhofisi yavo.
Chirongwa chekurapa kana chiito chirevo chinonyatsonaka chokuti chiremba wako anofanira kukupa kuti akubatsire kuziva mishonga yaunofanira kunge yakashandisa panguva dzakasiyana. Chirongwa chekurapwa kwechirwere chinowanzoburitsa mishonga yemwana wako zuva rega rega uye kuti ndeyei inofanira kutora apo nhamba yepamusoro yadzo inodonha kana ivo vari kuwedzera zviratidzo zvechirwere.
Dzidzo
Kana mwana weAhma yako asingatongorwi kana kuti iwe usinganzwisisi nzira yekugadzirisa nayo zvakakwana, kutumira kune mwana wepermonologist mwana kunogona kubatsira. Iwe unogonawo kutarisa kupinda kutora kirasi yezvidzidzo zveputi kana iripo munzvimbo yako.
Kunewo mabhuku akawanda anobatsira, kusanganisira American Academy of Pediatrics Rinotungamirira Kumwana Wenyu Wezvokurwisa uye Asthma, uye mawebsite anogona kukubatsira kuti udzidze zvakawanda nezvemafi. Pakati pezvinhu zvinokosha pamusoro pehutema zvaunofanira kuziva zvinosanganisira:
- Ndeipi mishonga yaunofanira kunge uchipa mwana wako uye nguva yekuishandisa. Kuva nepurogiramu yekurapwa kwepamu kunogona kukubatsira kunzwisisa zvaunoda kuita.
- Nzira yekugadzirisa kurwisa kwe asthma.
- Nzira yekushandisa nebulizer (kana iwe uine imwe) uye / kana kuti iner dose inhaler (MDI) kana kuti pasina spacer.
- Nzira yekushandisa nheyo yepamusoro mamita uye nzira yekududzira mhinduro.
- Nzira yekudzivirira mwana wako kuti ave nechirwere chepifema, kusanganisira kunzwisisa kushandiswa kwakakodzera kwekudzivirira mishonga uye kudzivisa zvinokonzera.
Kudzora kusina kudzora
Unofungei kana mwana weAhma asiri pasi pekutonga kwakanaka? Kudzidza zvakawanda pamusoro pehutori ndiko kutanga kwakanaka, asi iwe unogona kunge uchida kushanyira-chire nachiremba wako kana kutumira kune imwe nyanzvi kune mamwe rubatsiro.
Chimwe chikonzero chikuru chekuti mwana ave nechirwere chepifu kuti ave pasi pekutambudzika kwakashata ndechokuti ivo vari kutora mishonga yavo kana kuti havasi kuatora nenzira yakarurama. Kuunza mishonga yavo yese yekushanyira kwako kwachiremba uye kuratidza kuti mwana wako anoshandisa sei kunogona kubatsira chiremba wevana vako kuti vaone zviri nani.
Iwe unogonawo kufunga kuti mwana wako ane chirwere cheputi, kunyanya kana ivo vanewo chinhu chinoputika kana mhepo inoputika apo zvinetso zvechirwere zvinoitika. Vana vakawanda vane chirwere chinokonzera mishonga uye vane chirwere cheputi, uye kusagadziriswa kana kusagadziriswa kunogona kuita kuti zvive zvakaoma kubata zvakasimba mwana wepamu.
Kuongororwa kwezveruzhinji kunogonawo kubatsira kana usingakwanisi kuziva kuti chii chinoita kuti mwana wako ave nechirwere chepifupa. Gastroesophageal reflux inogonawo kukonzera uye inokonzera chirwere mune vamwe vana, kunyange mune izvo zvisingaoneki kupfira mate.
Kunobva:
National Heart, Lung, uye Blood Institute. Mirayiridzo yeKutsvaga uye Kutungamirirwa kweAphma. July 2007.