Nzira Yokuderedza Kushandiswa Kwekushandisa
Mumwe murwere akapinda muhofisi yangu kamwechete uye akandibvunza kana zvaive zvichibvira kudzidza kudzimira kuvhara pasina inhaler?
Ndakanga ndakatorwa zvishoma sezvo murwere uyu asina kumbobvira akandikumbira chero chinhu chakadai kare. Pandakafungisisa zvishoma mubhuku rake ndaive nokunzwisisa zviri nani kuti zvakaoma sei nguva yaaiva nayo. Akanga asiri kufema uye akanga achiomerwa nokufema.
Zhizha raive rakanyanya kupisa uye kwandinogara mazhizha echando kwave kuri kushungurudza anenge munhu wese- kunyange avo vasina chirwere chakanyanya kuomera. Kuita kuti zvinhu zviwedzere kuipa, iye akanga ari nyanzvi yemudye uye ari mumunda wakanga achimuita kuti adye uye awedzere zvimwe.
Paainge akaodzwa mwoyo mhinduro yangu, ndakamuudza kuti aisazoziva kuti angamisa sei magumbo. Kune rumwe rutivi, ndaifunga kuti pane zvimwe zvinhu zvataigona kuita kuti kuderedzwa zviratidzo zvepuropu zvakadai se:
Vamwe varwere vane mibvunzo yakaita seyi vari kutarisa mune zvinowirirana uye nzira dzakasiyana-siyana (CAM) yehutachiona hwavo. Maongororo emunyika anoratidza kuti asthma ndiyo yechirwere chetatu chinowanzosangana nevarwere vese vanoda kurapwa uye dzimwe nzira dzokurapa. Zvidzidzo zvakafanana zvevana zvinotarisana nemamiriro ezvinhu saiyo yechinomwe chirwere chevabereki vanotarisa CAM yevana vavo. Kunyange zvazvo hutsika iyi yakawedzera mumakore achangobva kupfuura, pane zvishoma zvishoma zvesayenzi zvitsigiro.
Zvidzidzo zvinotarisa kugadziriswa kana kuiswa kwemasingano pane dzimwe nhengo mumuviri, asi hazvina kuratidza hukuru hunobudirira. Zvidzidzo zvishomanana zvakaratidza kuderera mukushandiswa kwemishonga uye hupenyu hwekuvandudza hupenyu, asi zvidzidzo zvakawanda zvaisanganisira kurapwa kwemishonga hazvina kuratidza kuvandudzwa kwezviratidzo zvemafi.
Zvinofadza kuti chidzidzo che2011 chakaratidza kubatsirwa kwepa placebo apo varwere vaine nzvimbo yekugara inhaler uye vakafanirwa kugadziriswa zvakave nekuvandudzwa kwezviratidzo zvakadai sechifu chisimbiso uye pfungwa yekuoma kufema. Chiremera chinoshanda, zvisinei, hazvina kubudirira.
Dzidza Kuzvidzivirira Kuita Nemafu
Kunyange imwe yezvinyorwa zvinowanzoitika zvepifma ndeyekuti kuenda kune imwe nzvimbo kunogona kubatsira kuvandudza
hutachiona hwake hwemhepo , chirongwa chinonyanya kufadza ndechokudzivirira zvirwere zvekusimudza zvakadai se:
- Utsi hwefodya
- Animal dander
- Dust mites
- Cockroaches
- Mold
- Pollen
- Mamiriro okunze akanyanyisa
- Dzidzira
- Kushungurudzika
- Mamwe mishonga
Weather Matters
Kwandinogara kumaodzanyemba, zvinoratidzika sezvenyeredzi nguva isingagumi. Pakupera kwechando chakanyanyisa uye chinopisa, tinowanzova mumamiriro ezvinhu emvura zvinoreva kuti guruva uye mapureni zvichava mumhepo apo mhepo inouya.
Kutinhira kukuru kwemheni kunogona kutungamirira kuwedzera aerosolization ye fungal spores uye mapepa. Kunyanya kupisa kunowanzobatanidzwa nekunyanyisa kwakanyanyisa kunobvumira kuguruva mite nemafuta kuti zvibudirire.
Kugara mumba kunogona kubatsira kana kudzivirira zvikamu zvinopisa zvezuva zvinogona kukubatsira kuti usapinda vakawanda vanoita kuti mweya uite. Uyezve, unogona kutarisa hutano hwemunharaunda yako pane webusaiti yeEPA.
Shandisa Zvipfuwo
Ganda rakapfa, madonheji, urini, uye salivha zvinogona kuita kuti zviratidzo zvepachimusi zvirwe.
Kunyange zvazvo usingaregi mhuka dzemhuka mudzimba ndiyo nzira inonyanya kushandiswa yekudzivisa izvi zvinokonzera, vanhu vazhinji havawani ichi chinhu chaicho. Izvo zvinogona "shumiro inofadza" ndeyekuzivisa "zvipfuwo zvisingabhadharwi" munzvimbo dziri mumba. Iko yekurara ndeimwe yenzvimbo dzakanakisisa kuti usabvumira chipfuwo chako. Dzimwe nzira dzekugadzirisa mhuka dzemhuka dziri mumba dzinosanganisira:
- Chenesa imba yako nguva dzose
- Dzivisa chigadziro muchidimbu chevhu rakaoma kana sarimani kana zvichibvira
- Usasarudza shanduro yepamusoro kana zvichibvira
- Usatora zvidhori zvepayipi nemhuka (geza kazhinji kana uchiita
Tarisa Zvimwe Zvokudya
Kunyange zvazvo kudya kwemazuva ose hakusi chikonzero chinowanzokonzera kuputika, unoda kuve nechokwadi kuti unofunga nezvekudya kunotevera:
- Eki
- Hove
- Peanuts
- Shellfish
- Soy
- Muti mtambo
- Gorosi
Zvakakosha kuyeuka kurwara kwehutachiona ndicho chikonzero chinowanzovhiringidza chekutsvaira. Nezvokudya zvinokonzera zvokudya, ndinotarisira chete kana murwere achinzwa kune chimwe chikafu uye kuti kufamba kunenge kuchiitika nguva dzose pavanenge vazarura.
Kufuridzirwa Kurovedza
Kusiyana nemamwe mazano ari munyaya ino apo uri kudzivisa kukonzera, ichi chinhu chaunogona kuita nesimba kuti uvandudze mweya wako. Asieyko kufema, kupfurikidza maitiro zvakagadzirwa nechiremba chiUkraine Konstantin P. Buteyko muma1960, inotarisa kuderedza mbiri uye nhamba yemhepo inofema iwe unotora paminiti. Kupfurikidza nemakwikwi ezvidzidzo, unozvidzorera kuti unofema sei. Izvo zvidzidzo zvakave zvichiratidzwa kuti zvivandudze huwandu hwehupenyu hwehutachiona . Zvidzidzo zvakaratidza mafambiro ekuvandudzika kwezviratidzo zvechipatara, asi hazvikwani kune mamwe mazano. Bhuku reBritish Thoracic Society (BTS) / Scottish Intercollegiate Guidelines Network (SIGN) UK Asthma Guideline inopa chikwata-A kukurudzira kumashoko okuti "Breathing zvirongwa zvekuvhima (kusanganisira physiotherapist-dzidziso dzakadzidziswa) zvinogona kupiwa kune vanhu vane mweya wepimma sechirongwa chemaprojemi kurapwa kunatsiridza hupenyu hwehupenyu nekuderedza zviratidzo. "Global Initiative for Asthma (GINA) inotaura kuti" kufema kufema kunogona kubatsira pakurapa "
Alternative Medicine
Kurapa kwakasiyana-siyana kana kurapwa kunogona kushandiswa sechidimbu kune (kuwedzera) kana panzvimbo ye (alternative) mishonga yekurapa kwemafi. Kutaura zvazviri, vanopfuura 60% varwere vemafi anotaura kuti vakaedza mamwe maitiro ekugadzirisa kana kushandiswa kwechirwere chechirwere.
Kana ukasarudza kutsvaka kurapwa kana kushandiswa kwechirwere chechirwere, unofanira kutaurirana nachiremba wako. Kunyange zvazvo dzimwe tsvakurudzo dzakaratidza kuti unokwanisa kuderedza zviratidzo, nguva yakawandisa kana kuti chirwere chemishonga yako yephma, hazvigoneki kuti iwe uchakwanisa kuregerera kurapwa kwako kwechirwere.
Kugadzirwa kwemishonga chikamu chemishonga yemitauro yeChina uye kunosanganisira kushandiswa kwetsano kusimbisa pfungwa dzakananga pamuviri. Kunyange zvazvo zvidzidzo zvakasanganiswa nezvimwe zvinoratidza rubatsiro uye vazhinji vasingaratidzi kubatsirwa, kugadziriswa kwemaitiro inowanzochengetedza tsika dzatisingaiti kuti tiwedzere kuora mweya wako.
Asieyko kupemha muviri, imwe nzira yekufema, inoderedza zvose zvinodikanwa zvekuponesa kushandiswa kwekushandisa uye nhamba yehutachiona hwehutachiona hwepamusoro mune zvidzidzo zvakasiyana-siyana.September 2003 Cochrane Review kuongororodza maitiro ekufema kwechirwere uye maBritain Guidelines pamusoro pekutungamirirwa kweAsthma muna 2008 vose vakawana mamwe mazano.
Kunyange zvazvo zvingaita sezvisinganzwisisiki (zvinondiitira ini), dzimwe nyika dzeCentral neEast Europe dzakagadzira imwe nzira yekushandisa uchishandisa mapako uye zvimwe zvinhu zvinotarisirwa pasi pepasi zvekurapa kwemafi. Muitiro unonzi spleotherapy uye hauna kufanirwa kana kukurudzirwa muUnited States. Iyi mapako ane microenvironment yemunyu inofungidzirwa kuti inobatsira zvirwere zvokufema. Kunyange zvazvo gore re2002 Cochrane Review rakaziva kuti pangave nekubatsirwa kune vamwe varwere vane cystic fibrosis, imwezve kuongorora kweCochrane yakawana uchapupu husina kukwana hwotsigira kushandiswa kwayo muhutema.
> Sources
> McHugh P, Aitcheson F, Duncan B, Houghton F. Buteyko Breathing Technique yeAsthma: kushanda kwakasimba. NZ Med J. 2003; 116: 1187.
> Bowler SD, Green A, Mitchell CA. Buteyko maitiro ekufema mumhepo: chifukidzo chinonzi randomized test trial. Med J Aust. 1998; 169 (11-12): 575-8.
> Centers for Disease Control. Asthma.
> National Heart, Lung, uye Blood Institute .. Gwaro Rejeri Rejeri 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma.
> Mazano Okuyeuka. American Academy of Allergy, Asthma uye Immunology. Indoor Allergens
> Vashandi veZveruzhinji. Environmental Protection Agency. Chirwere Chinokonzera Kuita: Kuwana Kudzora
> Global Strategic Formal Management and Prevention, Global Initiative for Asthma (GINA). Zuva rakagadziridzwa: August 2014.
> British Thoracic Society, Scottish Intercollegiate Guideline Network. British Guideline pamusoro pekutungamira kweAsthma, 2014. www.brit-thoracic.org.uk/document-library/clinical-information/asthma/btssign-asthma-guideline-2014 Zuva rakagadziridzwa: Gunyana 2014.
> Wark P, McDonald VM. Nebulised hypertonic saline ye cystic fibrosis. Cochrane Database yekuongorora kwakarongeka 2009, Nyaya 2. Art. Kwete: CD001506. doi: 10.1002 / 14651858.CD001506.pub
> Beamon S, Falkenbach A, Fainburg G, Linde K. Speleotherapy yeAsthma. Cochrane Database Database Rev. 2001; (2): CD001741.