Mhando dzakasiyana dzeAshmma nemararamiro avo
Waizviziva here kuti pane zvinyorwa zvakasiyana zvakasiyana zvema asthma? Kunzwisisa rudzi rwechirwere chaunacho chingakubatsira kuti udzivirire zviratidzo uye utore matanho anobudirira kana iwe uchikudziridza.
Overview
Nhamba yemarudzi akasiyana ehuputi inoratidza kuti inobatsira zvikuru munzanga:
- Vanhu vanopfuura mamiriyoni 39 vari muUnited States vakaonekwa kuti vane asthma
- Mamiriyoni 26 vanhu vachiri kutakura chirwere chacho
- Vanopfuura mamiriyoni manomwe vana vanobatwa
- $ 50 biliyoni mumari yezvokurapa zvakananga uye inenge $ 4 mabhiriyoni kubva pakucherechedza kurasikirwa gore negore
- Mazuva anopfuura mamiriyoni gumi echikoro uye mazuva gumi nemamiriyoni emabasa anosakara pagore
- 1000 vakapindira kuchipatara uye 11 kufa pazuva
Hazvina mhosva kuti unhu hwepi hupi huripo, zviratidzo zvinogara zvakafanana:
Izvi zvinogona dzimwe nguva zvinotungamirira mukuvhiringidzika sezvo mamwe emishonga angave akasiyana. Apo patinoshevedza vose zvavo masikati, pathophysiology inowanikwa inogona kunge yakasiyana zvakasiyana, ichiita kuhutano hwakasiyana. Ngatitarisei zvose zvemarudzi ehuputi anogona kukukanganisa iwe.
Allergic Asthma
Ichi chinyorwa chemafi chinokonzera anenge makumi matanhatu kubva muzana yeaima yose. Inosanganisira kuvhara kwendege uye zviratidzo zvinokonzerwa nehutachiona zvinowanzobatana nehutano uye zvinokonzerwa nemagetsi.
Zvakakosha kuti ugokwanisa kuziva izvo zvinokonzera kuora mwoyo kwako .
Mienzaniso yezvinhu zvinowanzokonzera zvinosanganisira mapolen, zviputi, guruva, uye mhuka dzomusango.
Kazhinji, basa rako rekudzivirira muviri ndekukurwisa hutachiona, asi mune allergenic asthma, muviri wako unotarisana nehutachiona hunokonzera, zvichiita kuti zviratidzo zve asthma zviratidzo. Kurapa kwe-allergenic asthma kuchaisa pfungwa pakudzivisa kubuda kwechirwere kana kupindira mhinduro dzomuviri wako.
Non-Allergic Asthma
Inenge chikamu chetatu chevanhu vose vane asthma havasi yea allergic asthma. Ichi chifema chinokonzerwa nehutachiwana hwehutachiona uye zvimwe zvinogumbura. Mienzaniso yezvinhu zvinogona kutungamirira kune kwete-allergenic asthma inosanganisira:
- Utsi hwehupakati hwehupenyu
- Viral zvirwere
- Kunhuwirira kwakasimba uye sprays
- Zvimwe zvirwere zvehutano
Dzimwe tsvakurudzo dzakaratidza kuti haisi-allergenic asthma kuti ive yakanyanya kukura sezvayakaenzaniswa ne Global Initiative for Asthma, kana GINA, pota. Zvimwe zvidzidzo zvakaratidza kupararira kwepamusoro pakati pevakadzi, asi izvi hazvina kuitika pasi rose.
Non-allergenic asthmatic varwere vanoita chirwere ichi mushure mehucheche uye vasina mamiriro ezvinhu, sezvinonzi rhinosinusitis neGERD, uye havawanzoiti kupindura steroid inhared. Vakawanda vevarwere ava vari panjodzi yekushanda kwepasa.
Kudzidzira-Kunobatsira Chirwere
Kudzidzira-kutengesa mweya (EIA), kana zvinowanzoshandiswa nemutungamiri wako wekusimudzira mweya sekuita basa-kunokonzerwa ne-bronchoconstriction, ndiyo apo inofamba nemhepo yako yakadzika uye iwe unotanga zviratidzo zvechirwere semugumisiro wekuita muviri.
EIA inogona kukuvadza mweya wako wehma kana iwe unogona kunge uine zviratidzo zvehupenzi paunenge uchitevedza. Kazhinji, zviratidzo zvinogona kuitika maminitsi gumi nemaminetsi mushure memakore mashoma ekurovedza muviri kana maminetsi makumi maviri nemashanu mumakore akawanda ekurovedza muviri, zvakadai sokumhanya.
(Zvakakosha kuziva kuti kurovedza muviri hakuiti kuti mweya uve nechirwere asi chinotyisa chinogona kuita kuti uve nechirwere chemafi.)
Kune EIA uye mamwe maitiro epi, zvakakosha kuti uve nechirongwa chechirwere chechirwere uye nguva dzose uve nerununuri rwako rune simba. Izvi zvinogona kunyanya kukosha kune EIA sezvo iwe ungave uchingogara uchirwiswa.
Uyezve, iwe unogona kufunga kuwana chiremba weAIDS chirwere kana kuwana "In Case of Emergency" kubatana kwefoni yako kuti vanhu vakuzive iwe une astmma uye ndiani angataurirana kana iwe usingagoni kutaura.
Occupational Asthma
Waiziva here kuti nzvimbo yako yekushanda inogona kukuisa pangozi yekuputika?
Kuratidzwa kwakabatanidzwa kwebasa kune kusuruvara seguruva nemakemikari ndizvo zvinokonzera zviitiko zvitsva uye zvinowedzera kuora mwoyo. Chirwere chinogona kukonzerwa nekutsamwa kwakananga kwemapapu ako kana kuburikidza nekukurudzirwa kune zvinhu zvinogumbura.
Cough Variant Asthma
Kunyange zvazvo chifuva chinogona kuenderera mberi nechiratidzo chinowanzobatanidzwa nechirwere , kukohwa pachako kungangova chirevo chekutanga kana kuti chiratidzo chega chiri muchirwere chemafi. Apo chifukidzi ndicho chiratidzo choga chechirwere, ichi chinozivikanwa sechifukidziro chinokwana asthma (CVA).
Mishonga-Inobatsira Chirwere Chepfungwa
Vanhu vazhinji havafungi pamusoro pezve-the-counter zvinoderedza kuwedzera kwemafivha avo, asi izvi zvinogona kuva zvakakosha kune boka duku revanhu. Asi, kune vamwe varwere vemafi, zvirwere zvepamusoro-zvinorwadza zvinogona kuva nengozi.
Aspirin nedzimwewo zvisina-steroidal anti-inflammatory drugs (inozivikanwawo seNSAIDs) inogona kukuvadza kushaya mweya uye kunyange kuuraya. Nekunzwa kworudzi urwu, unofanirwa kugara kure nemishonga yakadai se ibuprofen, naproxen, uye diclofenac sezvo zvingaita kuti kurwiswa kwechirwere kana uve nechirwere.
Nocturnal Asthma
Kana iwe uine magumbo, kufuridzira, chifuko chisimbiso, kana kuperevedza kwekufema usiku, zviratidzo zvako zvinogona kureva kuwedzera kwehupenyu hwako hwemazuva ose kana kuti hunomiririra kubuda kwemafiya sechinhu chinoparadzaniswa. Inenge 75 muzana ye asthmatics inoona zviratidzo zveusiku sekukanganiswa kamwechete kamwe pavhiki. Uye vazhinji vanopfuura 40 muzana vanoona zviratidzo zvemasikati usiku.
Glucocorticoids-Resistant Asthma
Kunyange zvazvo glucocorticoids imwe yezvinonyanya kupikisa zvinodhaka zvinowanikwa uye inowanzobudirira chaizvo mukurapwa kwechirwere, boka duku revarwere haritauri pamishonga iyi uye rinowanzonyorwa se "steroid inopesana."
Ava havasi varwere vasingatori mishonga yavo kana vasina kuwana steroid nekuda kwemari kana zvimwe zvikonzero. Ava varwere havangobvumiri kurapwa.
Hazvinyatsonzwisisi kuti nei vamwe varwere vasingagamuchiri kurapwa, asi zvinyorwa zvinosanganisira kusimba kukwanisa kwe steroid kuti yakwanise kusunga kumasero emapapu uye ukama nehutsika hwemavhitamini D. Kugadzirisa iyi fomu yeApmma inodhura zvikuru uye inomiririra chinetso chikuru chekutarisira utano.
Zvimwe Mamiriro Ekuti Mimic Asthma
Zvose zvinotasva hazvizi mafi. Zvimwe zvirwere zvakajairika uye zvisingawanzoita zvinogona kuita kuti iwe ugare. Izvo huwandu hwezvirwere pano hwakanaka kwazvo. Nzvimbo yekudzima uye kuwedzera kwematoni ndeimwe mamiriro ezvinhu anowanzoita kuti tive nemafungiro mune vamwe varwere, asi chikonzero chaicho hachisi chema asthma.
Saizvozvowo, mitemo isingawanzoiti inogonawo kutungamirira kumhepo. Kunyange zvazvo isingawanzoitiki, utachiona hwakawedzerwa hutachiona hunogona kukonzera zvikamu zvemhepo yako uye zvinoguma nokuputika. Iwe unogonawo kuberekwa nemhete yevascular (mitsipa yeropa inopoteredza ndege) iyo inomanikidzira kumapfupa ekufema anotungamirira kukurumidza kufema uye kufema.
> Sources:
> Bonini M, Polange P. Kuita-induced bronchoconstriction: new evidence in pathogenesis, kuongororwa uye kurapwa Asthma Research and Practice, 2015, 1: 2.
> Dicpinigaitis PV. Chirwere Chisingaperi Nokuda kweAsmhma: ACCP Uchapupu-Hwakagadzirirwa Mazano Ekudzidzisa Maitiro.
> O'Byrne, P. Patient Information. Kudzidzira-Kunobatsira Chirwere.
> Tan NC, Nadkarni NV, Lye WK, et al. Kudzidza kwemazuva gumi ekureba kwezvinhu zvinokonzera zviratidzo zvechirwere zvemasikati pakati pevaAsia vari mukutarisira kwekutanga. NPJ Prim Care Respir Med. 2015; 25: 15064.