Chirwere chinogara chisingaiti chirwere chepapu chinokonzera anenge 10 muzana yevanhu. Zviratidzo zvinowanzobatanidza kufema kufema, kuputika, kukohwa, uye chifu chisimbiso. Zvinokonzera zvinogona kusanganisira airgen allergens (mapoleni, mold, animal dander, uye guruva mite), zvirwere zvehutachiona (huwandu hwehutano), inhaled irritants (utsi hwefodya uye kupera dizeli), kurovedza muviri, kutonhora / yakaoma, uye kushungurudzika / manzwiro.
Kurapa kwakakurumbira kwemafivha kunosanganisira kudzivisa zvinokonzera uye kurapwa kwemishonga. Mishonga yemishonga yeAsphma inosanganisira mishonga yokununura, yakadai seyo inonzi bronchodilators (somuenzaniso, albuterol) pamwe nemishonga yemagetsi seyakakonzerwa ne corticosteroids , leukotriene modifiers (semuenzaniso, Singulair ), nemimwe mishonga yemuromo kana inorapwa.
Alternative Treatments
Pamusana pekutsvaga kwemigumisiro kubva pamishonga yemishonga, vanhu vazhinji vane astmma vakatsvaga mamwe maitiro ekurapa mamwe maitiro nokuda kwezviratidzo zvavo. Zvirwere zvepanyama zvakamboedzwa nekuda kwechirwere zvinosanganisira chiropractic manipulation , acupuncture , uye yoga.
Zvidzidzo pamusoro pezvipembenene zvakasiyana-siyana zvechirwere zvakaratidza migumisiro yakavhengana. Vamwe vanoratidza kuti maitiro aya akasiyana-siyana anobatsira pakurapa kwemafi asi vamwe vanoratidza kusabatsirwa. Kutsvakurudzwa kwemazuva ano kwakatsvaga kuita meta-analysis (nzira yekujekesa migumisiro kubva kune dzakawanda zvidzidzo) kuona kana yoga inobatsira kurapwa kwechirwere.
Yoga yakaitwa muIndia kwezviuru zvemakore uye inzira yekubatanidza pfungwa, muviri, uye mweya kuburikidza nekuita basa, kufema, uye kufungisisa. Vanhu vane astmma vakashandisa yoga kwemakore akawanda, uye nepo vanhu vazhinji (uye zvimwe zvidzidzo) vanoti yoga inobatsira pakucherechedza chirwere chemafi, iyo dhiyabhorosi iyo inobatsira ichokwadi chaizvo.
Yoga Iko Kunobatsira Chirwere Here?
Boka revanotsvakurudza kubva kuGermany neUnited Kingdom rakabudisa meta-analysis yekudzidza muna 2014 kuti vaone kana yoga inobatsira kurapwa kwemafi. Iyo meta-yeruzhinji yaisanganisira zvidzidzo zvese zve14 zvaisanganisira vanhu vanopfuura 800 vane astmma.
Zvidzidzo zvakatsvaga kutsvaga migumisiro yezvikamu zvakasiyana-siyana zve yoga, kwemavhiki mashoma kusvika pamwedzi, pamusoro pezviratidzo zvechirwere, mapapu ekushanda, uye chidimbu chemishonga yekurapa. Zvakanakira yoga zvakafananidzwa ne "chiitiko chechirwere chechirwere" (chero zvaiitwa nachiremba chaidiwa) pamwe ne "sham yoga" (fomu ye yoga yakashanda se placebo).
Migumisiro ye meta-analysis yakanyatsofadza. Muzviitiko zvizhinji, kuita yoga kwakaguma nekuvandudzika kwezviratidzo zvechirwere nekuderera mune zvinodikanwa zvemishonga yekurapa, zvichienzaniswa nekuchengetedzwa kwechirwere chemafi.
Mitezo emapapu inowedzerawo mune vakawanda vevanhu vakawana kurapwa kwegaga kana vachienzanisa nekugara kwavo kwechirwere chechirwere. Zvisinei, apo yoga yakaenzaniswa neyey yo sham, pakanga pasina misiyano muzviratidzo zvechirwere, kudikanwa kwemishonga yekurapa, kana mapapu emabasa.
Ikoko kunoratidzikawo kuva nechisarudzo mubhuku rezvidzidzo zvakaratidza kubatsirwa kwe yoga pakurapa kwemafi.
Izvi zvinoreva kuti zvinonyanya kukosha kuti zvidzidzo zvisingaratidzi kubatsirwa yegaga kuitira kurapwa kwechirwere zvakanga zvisati zvambobudiswa, asi zvidzidzo zvakaratidza kubatsirwa zvakabudiswa.
Kudzidzira uye Kudzvinyirira Kunetseka Ndiko
Ikoko kunoratidzika kuva nerubatsiro rwekushandisa maitiro ekufema ane chokuita nega yoga kurapwa kwemafi. Zvisinei, kubatsirwa uku hakuratidzi kuti ndeyekuti kungoita yoga kupfuudza maitiro. Kunyange "fake" maitiro e yoga, anosanganisira kufema, kushandisa muviri, uye kufungisisa, zvinobatsira kurapwa kwemafi.
Ichi chienzanidzo chinokosha kuita nokuti hapana chimwe chakanyanya kunyanya kuenzaniswa negaga chekurapa chirwere.
Placebo maitiro ekurapa ane simba zvikuru, zvakare, saka zvinokosha kuenzanisa chero nzira ipi zvayo yekurapa kunzvimbo yekuita.
Kushandiswa kwe yoga pakurapa chirwere hakusi. Sezvo migumisiro ye yoga isingakoshi, kushandiswa kwe yoga kana yoga-semabasa (uye chero chiito chekuita , nekuda kwechocho, icho chinoguma nekuvandudzika mumuviri nepfungwa mupfungwa) inogona kuva chikamu chinobatsira chekurapa kwechirwere , asi haafaniri kutora nzvimbo yekuchengetedza chirwere chemafi.
Kuchengetedza kwepasma kunosanganisira nguva dzose kutevedza mazita nechiremba ane unyanzvi mukutarisa kwemafi, chiitiko chemapapu chinoshandiswa, uye kushandiswa kwekununura uye kurairira mishonga yekushaya mweya zvichienderana nekuoma kwemafi.
> Kwakabva:
> Cramer H, Posadzki P, Dobos G, Langhorst J. Yoga yeApmma: Ongororo Yakarongeka uye Meta-Kuongorora. Ann Allergy Chirwere Immunol. 2014; 112: 503-10.