Dhigirii Wangu Anoita Sei Kuongorora Chirwere Chepfungwa?
Kunyangwe iwe ungagamuchira kurapwa kwechirwere pane imwe nguva, vanhu vakawanda vachawanikwa muhuduku. Kunyange zvazvo chiremba wako angangodaro akajairika nezviratidzo zvekare zvekusimudza , chifuva chisimbiso , kufema kwekufema , nekukanganiswa -kunyatsoongorora chirwere kunogona kuva kwakaoma zvikuru nekuda kweizvi zviratidzo zvisingaiti.
Kuongororwa kwepfungwa kunoda kuti:
- Kuvapo kwezviratidzo kunowirirana ne asthma.
- Chinangwa chechinangwa chekuderera kwemhepo mumapapu ako anokonzera kana zvishoma zvachose anovandudza zvishoma kana nekurapa.
Chiremba wako achange achida kuve nechokwadi chekuti chirwere chako chepimma chinonzi chakarurama uye zviratidzo ndezvechokwadi zvechirwere uye kwete imwe kuongororwa kutevedzera mafimma mumwana wako. Chiremba wako angangokubvunza mibvunzo yakawanda uye akaronga miedzo yakawanda.
Kunyanya kunetseka kuti iwe kana mwana wako ane chirwere chekudzivirira chirwere chemafu chinogona kuva nguva inotyisa. Kuziva mamwe emibvunzo iyo chiremba wako angabvunza uye zvimwe zvekuedza zvinogona kurairwa mukuongorora chirwere cheputi zvinokubatsira kuwana zvakanakisa kushanya kwachiremba wako uye kuderedza zvimwe zvekusaziva 'zvisingazivikanwi' kuenda kunechiremba kunogona kuumba.
Historical Questions
Zviratidzo zvekare: Kana iwe kana mwana wako kuverenga bhuku racho usati wamboona chiremba wako, unenge uchingonyunyuta nezvechikwata chechidiki chekukanganiswa, kufema kwekufema, uye kukurumidza-kunyoresa kuridza mhere kana iwe uchifema.
Kuora kwako kusingaperi kunoratidzika kuti 'kwakasviba,' kusina kubereka, uye kunowanzova kwakaipa usiku. Vamwe varwere vanotsanangurawo kupfupika kwemhepo yekufema sechifukidzo chechipfuva kana bhan-sekunzwa.
Episodic Symptoms: Kazhinji muhutachi, zviratidzo zvako zvichauya nekufamba kwenguva uye chiremba wako angakukumbira kuti utsanangure kuti nokukurumidza zviratidzo zvakasvika sei uye chii chakaita kuti zororo rivepo.
Anogona kukubvunza iwe kuti ufungisise nezvekukonzera kwezviratidzo zvekare, zvakadai sokutsvaira kune zvinokonzera zvipembenene seguruva, utsi kana kuchinja mumamiriro ekunze, zvakadai semhepo inotonhora .
Dzidzira zviratidzo : Zviratidzo zvechirwere zvinounzwa nemishonga zvinowanzoitika mushure memaminitsi gumi nemashanu emabasa uye zvinogadzirisa mushure mokuzorora kwemaminitsi makumi matatu kusvika paawa-saka kupererwa kwepfungwa kunonzwa mushure mokufamba muchikwata chemasitepisi anowedzera zviri nani mumaminitsi mashoma haasi zvichida kurovedza-kukanganisa asthma. Kuita zviratidzo zviratidzo zvinowanzova zvakanyanya uye zvinowanzoitika kakawanda nekutarisana nemhepo inotonhora.
Allergic Symptoms and History : Chirwere chinowanzoonekwa kune vanhu vane mhuri yehutachiona, humwe hutano mumhuri yavo, kana zvimwe zvirwere zve-atopic-zvinoreva kukanganisa zvirwere, sezvinonzi fever fever . Chiremba wako angangobvunza nezve zviratidzo zvakadai se:
- Kusakwanisa kugara nevanodzidza navo kuchikoro
- Chirwere chisingagumi kana usiku kana kusina kwehutachiona
Vachabvunzawo kana pane nhoroondo yemamiriro ezvinhu akadai se:
- Hay fever
- Allergic rhinitis
- Atopic dermatitis
Nhoroondo yezvimwe zviitiko izvi mumurwere ane zviratidzo zvinowirirana ne asthma zvinokonzera chirwere chemafi. Chiremba wako angangodaro akabvunza nezvekutsvaga uye kuitika kwezviratidzo nezvimwe zvirwere.
Iye / iye achada kuziva kana iwe uine zviratidzo apo:
- Iwe uri pedyo ne furry zvipfuwo
- Muruzha inowedzera kuwedzera
- Iwe unoratidzirwa kuguruva uye muumbwa
Kuongorora Panyama
- Kugurusa: Sezvineiwo , chiremba wako anonzwa rwiyo rukuru rwemimhanzi pakupera-apo iwe unofema kunze kana kubudisa-izvo zvinowanzoitika, asi hazvirevi zvechirwere (zvinoreva kuti mamwe mamiriro ezvinhu anogona kukonzera magumbo). Iwe unogona kunge zvakadaro, zvisinei, kwete nguva yose nguva uye kuruya hakuratidzi kuti unyoro kana hutachiwana hwehma yako ndeyei.
- Nasal Kurwiswa : Kuvhurika kwepachivara kwemapapiro emvura kunoratidza kuti inorgenic rhinitis inogona kukuvadza zviratidzo zvechirwere.
Kuedzwa
- Peak Expiratory Flow Rate (PEFR): PEFR, chiyero chemhepo inobuda mumapapu ako, inotaridzwa nefoni iri nyore yaunofambisa. Chiremba wako angakwanisa kuti iwe uchengetedze nhoroondo yekuyera kumba. Iwe uchakudziridza PEFR yako yakanakisisa ichakuudza kuti mweya wako unotungamirirwa zvakadini. Imi nechiremba wenyu muchaita urongwa hwezvingaita kana PEFR yako iri pasi pe80 muzana yezvakanaka.
- Spirometry: Muedzo wakafanana ne PEFR unoda mimwe midziyo yakakwirira uye inowanzoitwa muhofisi yechiremba wako. Uyu muedzo unobvumira chiremba wako kuti awedzere kutarisa kuoma kwekuvhara kwako kwomweya.
- Bronchodilator Mhinduro: Chimiro chechirwere ndechekuvandudzwa mushure mekurapwa neBronchodilator , mushonga wokukurumidza kunobatsira pakubatsira. Kazhinji, chiremba wako achadzokorora spirometry 10-15 maminitsi mushure mekubata ne bronchodilator. Kuwedzerwa mukati memhepo yekufema kwe12 muzana kunofungidzirwa kwakanaka uye kunobatsira mukugadzirisa chirwere chemafi.
- Bronchoprovocation Challenge Kuedzwa: Zvakangosiyana nekutsvaga kuvandudzwa mumapapu ekushanda pamwe neBronchodilator, kuedzwa kwechirwere kuedza kutyisa kubhururuka kwemhepo pashure pokunge iwe uine chinhu chinogumbura. Uku kuedza kunongowanzoitwa apo vanhu varipo vane zviratidzo zvepamuviri.
- Chep x-ray: Chifuva x-rays inowanzowanzoonekwa nevarwere vane chirwere chemafi, asi chiremba wenyu anogona kurayira imwe kana iwe uchiuya kwekutanga kokugadzira. Kana smafu isati yasvika isingazivikanwi kwenguva yakareba, chifu che x-ray chinogona kuratidza kufungidzirwa.
- Dambudziko reRopa: Hakuchina kuongororwa ropa kweropa. Mutapi wehutano wako anogona kuronga dzimwe kuongorora ropa kuti abatsire kutonga zvimwe zvikonzero zvezviratidzo zvako.
Kuti uite chirwere, chiremba wako achashandisa kusanganiswa kwenhau, kuongorora muviri, uye kuedza kuti asarudze kuti ndeupi mushonga wakakodzera iwe.
Sources:
Asthma. Nzvimbo dzekurapa nekudzivirira. https://www.cdc.gov/asthma/
Asthma. MuChifu Mishonga: Zvidimbu zvePulmonary And Critical Care Medicine . Vatori: Ronald B. George, Richard W. Chiedza, Richard A. Matthay, Michael A. Matthay. May 2005.
National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma
Mashoko ekushivirira UpToDate.com. Zviratidzo zvechirwere uye kuongororwa muvana