Wakambozvibvunza iwe here kana kuti chiremba wako "inorema inobata chirwere here?"
Unoyeuka here iwe wairema makore makumi maviri apfuura? Ndakayera makirogiramu anenge 40 pasi pandinenge ndichiyera nhasi. Iko zvishoma nezvishoma zvishoma nezvishoma zvakasimuka pamusoro pangu-zvishoma nezvishoma asi zvechokwadi, mapaundi mashoma pagore. Apo ini nevamwe vose ndinotaurirana nekuchikombera kuti ichinje 40, 50, kana chipi nechipi chekutsvaga kwezera rako, zvichida kuwedzera zviratidzo zvechirwere zviri kunyanya nezveaundi maundi mapaundi?
Kuneta Kunobatsira Chirwere Chepfungwa Here?
Kunyange zvazvo zvingasaita sezvakawanda, kuwana 5 pounds chete yakaratidzwa kuwedzera kukura kwechirwere uye hupenyu hwehupenyu. Mune rumwe ruzivo rwakabudiswa mumagazini rinonzi Respiratory Medicine kuwana mapaundi 5, achienzaniswa nevaya vakawana zvishoma kana kurasika, vakabatanidzwa ne / a:
- 22% varombo vanozvimiririra vanozvidzivirira
- 18% yehurombo hwehurombo hwehupenyu hwehupenyu
- 31% inowedzera mumatambudziko ekuda steroid kuputika
Vanyori vakapedzisa kuti "nzira dzekudzivirira hupfumi hunogona kubatsira varwere kuti vawane hutachiona hwakanaka hwekusimudza nekuvandudza hutano hwehupenyu hwehutachiona. Kunzwisiswa kwakajeka kwehutano hunorema muviri / BMI hunoita hutachiona hwekudzivirira uye humwe humwe hunoenderana nehutachiona huchaita kuti nyanzvi dzezvehutano dzigadzire zvirongwa zvekurapa zvinosanganisira nhengo yekutakura-nhengo. "Kutaura zvazviri, zvidzidzo zvishomanana zvakanyatsoongorora maitiro ekurapa kudarika / akawana asthmatics kana zvinokonzerwa nekurema kuora mumarima.
Kuwandisa kwepamusoro kunotungamirira kune mhinduro dzakasiyana-siyana kune Asthma Meds
Muchiitiko ichi, uremu hunoita kuti hutachiona huve nesimba. Kunyange zvazvo kusina kuve nekudzidza kwakanyanya kunongedzera kuwandisa kwepamusoro kana kuwedzeredza asthmatics, vese vanorwara havaoneki kuti vanopindura mutevedzeri wemishonga nenzira imwecheteyo isiri yepamusoro-soro inonzi asthmatics.
Kune rumwe rutivi, kupindura kumishonga ekununura hakushanduri. Hazvishamisi kuti kutsvakurudza ikozvino muAhma hazvirevi varwere vakawanda kwazvo uye izvi zvinofanira kuva chinangwa chekutsvakurudza kwekliniki mune ramangwana. Parizvino, hapana hutano hwakarongwa hunoenderana nekurema kwako.
Kuneta Kurasikirwa Kunoita Kuti Chirwere Chishuwo Chimufukidze Here?
Zvinogona kuita sezviri pachena kuti kana kuwandisa kwepamusoro kunobatanidzwa nehurombo hwehutachiona hwehutachiona uye kuderedza hupenyu hwehupenyu hunorema kurasikirwa hunogona kuchinja izvi. Kunyange zvazvo vazhinji veAmerica vachizobatsirwa nekubvisa mapaundi mashomanana, handigoni kuvimbisa kuti ichavandudza mweya wako.
Tsvakurudzo dzinoverengeka dzakaratidza kuti kurasikirwa kwekureruka kubva kuvayatric kuravhidzi kunovandudza chirwere chechirwere muvarwere vakawanda. Chimwe chidzidzo chatakambokurukura kare chakataura kuti mishonga yekurapa yakaderera nepamusoro pe50% kutevera chirongwa chebhaatric. Zvimwe zvinyorwa zvechangobva kuitika zvakave zvichiratidza kuvandudzwa kwezviratidzo zvechirwere pamwe nemapurmoni mabasa anoshandiswa makore mashanu mushure mekuvhiyiwa. Chimwe chekudzivirira kukuru kweongororo dzose dzinobata chirongwa chemaaratric uye chirwere chemaitiro chidiki chidiki, kurerutsa generalizability yemigumisiro.
Kunyange zvazvo izvi zviitiko zvichivimbisa, kuvhiyiwa kwebhanatric danho rakanaka chaizvo. Iyo nzira ine zvikanganiso zvayo pachayo uye zvinetso.
Kana mararamiro ekugadzirisa zvinorema kushaya kurasikirwa anoita zvibereko zvakafanana, kuvhiya hakugone kuve kwakakosha.
Chimwe chirongwa chekliniki chinonzi randomized trial (RCT) chakabatanidza kudya uye kuratidza muviri kwakaratidza hupenyu huri nani huri muna 83% yevatori vechikamu uye kutonga kwepamu muna 58% yevatori vechikamu mushure me 5-10% kuora muviri. Mukupindira kwezvokudya, vatori vechikamu vakashandisa 2 kupfurikidza kwekudya kunodengenyeka, kudya kumwe kukuru, 2 kudya pamwe chete nekupa mazano ekudya. Muchiito chemuviri, kupindira varwere vakagamuchira sangano rekuita zvekudzidzira uye 1 awa pavhiki yekudzidzira pachake nehurongwa hwekuita basa.
Kunyange zvazvo chidzidzo ichi uye vamwe vashomanana vachivimbisa, kuti vasati vatarise, hapana miedzo yakasiyana-siyana yakaitwa kuitira kuona kana izvi zvingagadziriswa.
Migumisiro Kwandiri
Saka ndinofunga kuti ndinokwanisa kupindura mubvunzo wakabvunzwa pakutanga kwechinyorwa chino "chiremera chinokanganisa chirwere" uye hongu. Kunyange zvazvo ini ndisingakwanisi kukurudzira kuora kurasikirwa kweAsthma zvakanyanya muhuwandu hwehuwandu hwevanhu uye vanorema zvikuru, ndinokwanisa kukurudzira kuora kurasikirwa kwevarwere ava vose. Varwere mune zvidzidzo zviduku vakagadziridzwa zvinonzwisisika mumigumisiro ye astmma uye kuora kurasikirwa. Chero munhu ane chirwere chakanyanya kupfutidza kana akareruka anofanira kuedza kurasikirwa kwemazivo mushure mekunge akakodzera kurapwa kwechiremba
Nzira dzinoshandiswa muRCT pamusoro apa dzinogona kubudirira munharaunda yako kana iwe une zvigaro zvekuona nyanzvi uye mudzidzisi wega. Zvisinei, nechinangwa chakanaka uye ruzivo ruduku, iwe unogona kukura iwe purogiramu yako yekurasikirwa kwehupfumi pasina mari yakawanda.
Chinhu
> Haselkorna T, > Fishb > JE, > Chippsc > BE, Millerd PE, Chene H, Weiss ST. Migumisiro yekurema inoshandura pane zvoutano hwehutano hwehutachiona hwevarwere vane chirwere chakakomba kana chakaoma kubata. Bhuku 103, Nyaya 2, February 2009, Mapeji 274-283
> Scott HA, Gibson PG, Garg ML, Pretto JJ, Morgan PJ, Mumiririri R, Wood LG. Kurasikirwa kwezvokudya uye kuita zvekudzidzira kunatsiridza kuvhiringidza kwepanyika uye zvirwere zvechirwere muhuwandu hwehuwandu uye hutachiona hwepamusoro: chirongwa chisinganzwisisiki. . Clinical & Experimental Allergy Volume 43, Nyaya 1, mapeji 36-49, January 2013.