Okufanele Ukwazi Ngokukhwehlela Isifo Somoya

-Delile

• Ziyini izimpawu ze-CVA?
• Yini ebangela i-CVA?
• Ixilongwa kanjani i-CVA?
• Iphathwa kanjani i-CVA?
• Uyini umbono?
• Amathiphu okuphatha i-asthma

Ukubuka konke

Isifuba somoya ngesinye sezimo ezihlala njalo ezingalapheki e-United States. Imvamisa iziveza ngezimpawu ezihlukile ezibandakanya ukuphefumula nokukhwehlela.

Kwesinye isikhathi i-asthma iza ifomu elibizwa ngokuthi i-asthma asthma (CVA), elingenazo izimpawu ezijwayelekile ze-asthma. Ngezansi sichaza umehluko phakathi kwe-CVA ne-asthma engapheli.

Ziyini izimpawu ze-CVA?

I-CVA ichazwa kuphela ngesibonakaliso esisodwa: ukukhwehlela okungapheli okungachazwa ngezinye izimbangela. Lokhu kukhwehlela kuvame ukoma futhi kuhlala okungenani amasonto ayisithupha kuya kwayisishiyagalombili. Akubandakanyi ezinye zezimpawu ezichazayo zesifuba somoya, njenge:

• ukuqina kwesifuba
• ukuphefumula lapho ukhipha umoya
• ukuphelelwa umoya
• uketshezi emaphashini
• ukukhwehlela nge-phlegm noma amafinyila
• unenkinga yokulala ngenxa yanoma yiziphi kulezi zimpawu ezingenhla

Noma i-CVA ingazivezi izimpawu ngaphandle kokukhwehlela, ivame ukudala ukuvuvukala okwandayo ezindleleni zomoya. Ngakho-ke, kubaluleke kakhulu ukuphatha i-CVA kahle.

Uma ishiywe ingalashwa, i-CVA ingaqhubekela phambili ibe yisifuba somoya (i-asthma) esibi kakhulu. Amanothi “amaphesenti angama-30 kuye kwangama-40 eziguli esezikhulile ezine-CVA, ngaphandle kwalapho zelashwa ngokwanele, angadlulela ekubeni nesifuba somoya.” kubonise ukuthi i-CVA ingenye yezimbangela ezivame kakhulu zokukhwehlela emhlabeni jikelele.

Omunye ovela eJapan waphawula ukuthi kumaphesenti angama-42 abantu, ukukhwehlela okungaqondakali, nokuphikisayo kuthiwa kwenziwa yi-CVA. Cishe amaphesenti angama-28 angachazwa ngesifuba somoya esidala ukukhwehlela, esihlobene kakhulu ne-CVA. Ukukhwehlela okungapheli kungakhombisa nezinye izimo ezifana ne-postnasal drip ne-GERD.

Yini ebangela i-CVA?

Njenge-asthma ejwayelekile engapheli, ososayensi abazi ukuthi yini ebangela i-CVA. Esinye sezizathu ezingaba khona ukuthi ukungezwani komzimba okufana nempova kungadala ukukhwehlela. Okunye ukuthi izifo ezisezingeni lokuphefumula zingadala iziqephu zokukhwehlela.

Ososayensi bakholelwa ukuthi i-CVA kwabanye abantu ingahle ihlotshaniswe nokuthatha ama-beta-blocker. Le mithi ijwayele ukusetshenziselwa ukwelapha izimo ezahlukahlukene ezibandakanya:

• Isifo senhliziyo
• ukuhluleka kwenhliziyo
• migraines
• umfutho wegazi ophezulu
• isigqi senhliziyo esingajwayelekile

Ama-beta-blocker atholakala nasemaconsi wamehlo asetshenziselwa ukwelapha i-glaucoma. I-Aspirin nayo inganikela ekukhwehleleni okuhambisana ne-CVA.

Ixilongwa kanjani i-CVA?

Ukuthola i-CVA kungaba yinselele. Inophawu olulodwa oluphawulekayo. Abantu abane-CVA bangaba nemiphumela ejwayelekile yokuhlolwa kwamaphaphu, njenge-spirometry, esetshenziselwa ukuxilonga i-asthma ejwayelekile.

Odokotela bavame ukusebenzisa ukuhlolwa kwenselele ye-methacholine ukuxilonga i-CVA. Kulesi sivivinyo, uhogela i-methacholine ngesimo senkungu ye-aerosol ngenkathi wenza i-spirometry. Udokotela wakho ube eseqapha imigwaqo yomoya njengoba ikhula futhi incipha. Uma umsebenzi wakho wamaphaphu wehla okungenani ngamaphesenti angama-20 ngesikhathi sokuhlolwa, khona-ke udokotela uzoxilonga i-asthma.

Ukuhlolwa kwenselele ye-methacholine kuvame ukwenziwa esikhungweni esikhethekile. Uma udokotela esola i-CVA, bangaqala ukwelashwa yisifuba somoya ngaphandle kokuthola ukuxilongwa okucacile. Uma kusiza ukuphatha ukukhwehlela kwakho, lokhu kungaqinisekisa i-CVA.

Iphathwa kanjani i-CVA?

I-CVA ingelashwa ngemishanguzo yesifuba somoya esingalapheki. Lezi zindlela zifaka:

• I-corticosteroids emuncwe (ama-inhalers): Enye yezindlela ezibaluleke kakhulu zokwelapha i-CVA ukusebenzisa i-corticosteroids emuncu, eyaziwa nangokuthi i-inhalers. Le mithi ilawula ukukhwehlela, ivimbela ukuqala kwe-wheeze, futhi inciphisa ukuvinjelwa komoya kubantu abane-CVA. Uma une-CVA noma i-asthma engapheli, kungcono ukuthatha ama-inhalers nsuku zonke njengoba kunqunyiwe. Izibonelo zifaka phakathi i-budesonide (Pulmicort) ne-fluticasone (i-Flovent). Ungafunda kabanzi ngokuthi iyiphi i-corticosteroid ekulungele kakhulu e-Partners Healthcare Asthma Center.
• Imithi yomlomo: Odokotela bavame ukufaka ama-inhalers ngamaphilisi omlomo abizwa ngokuthi ama-leukotriene modifiers. Basiza ukuqeda izimpawu ze-asthma amahora angama-24. Izibonelo zifaka i-montelukast (i-Singulair) ne-zileuton (i-Zyflo).
• Ama-Bronchodilators: Lezi zinto zikhulula imisipha ebophelelayo emizileni yomoya, iholele ekutheni ivuleke. Bangasebenza okwesikhashana noma isikhathi eside. Ama-bronchodilator wesikhashana, njenge-albuterol, asetshenziselwa ukukhulula izimpawu ze-asthma ngesikhathi sokuhlaselwa noma ngaphambi kokuzivocavoca okukhulu. Azisetshenziswa ekwelapheni i-asthma nsuku zonke. Ngokuphambene nalokho, ama-bronchodilator wesikhathi eside asetshenziswa nge-inhaled steroids nsuku zonke ukuphatha i-asthma engapheli. Ama-agonists e-Beta-2 ngesinye isibonelo se-bronchodilators, futhi angasebenza okwesikhashana noma isikhathi eside.
• Ama-Nebulizers: Kwesinye isikhathi odokotela bazokunika i-nebulizer uma eminye imithi ingakusebenzeli. Ama-Nebulizers afutha ngokuzenzakalela imithi enkungwini ngomlomo. Lokhu kuvumela amaphaphu ukuthi amunce kalula umuthi.

Uyini umbono?

I-CVA iyindlela engajwayelekile, kodwa ejwayelekile yesifuba somoya. Ingaphathwa njenge-asthma ejwayelekile engapheli. Uma unesikhwehlela esiphikelelayo nesomile esihlala amasonto ayisithupha noma ngaphezulu, vakashela uchwepheshe wesifuba somoya ukuthola ukuxilongwa okufanele.

Amathiphu okuphatha i-asthma

Kunezindlela eziningi zokusiza ukuvimbela ukuhlaselwa yisifuba somoya uma une-CVA:

• Hambisana nemithi yakho. Lokhu mhlawumbe kuyinto ebaluleke kakhulu ongayenza ukuphatha i-asthma yakho. Ukuthatha imishanguzo yansuku zonke, njenge-inhalers, kubalulekile ekwenzeni intuthuko. Uma uhlaselwa ukukhwehlela, ukuthatha imishanguzo enamandla, esebenza okwesikhashana nakho kubalulekile.
• Gwema ukungezwani komzimba nomzimba. Izifo ezithile zomzimba zingadala noma zenze zibe zimbi izimpawu ze-asthma. Lokhu kungafaka ukungcoliswa komoya, uboya bezilwane, kanye nempova emoyeni. Ukusuka ku-2014 kukhombise ukuthi i-allergen, ikakhulukazi impova, ingahle inyuse ukuvuvukala ezindleleni zomoya zabantu abane-CVA.
• Yenza izinguquko zokuphila. Ama-humidifiers angathuthukisa umswakama emoyeni, olungele abantu abane-asthma. I-in the Cochrane Review iphakamisa ukuthi i-yoga ingathuthukisa izimpawu zesifuba somoya. Noma kunjalo, kudingeka ezinye izivivinyo ukuqinisekisa lokhu.
• Gwema ukubhema. Ukubhema kuzodala ukukhwehlela uma une-CVA, nezinye izimpawu uma une-asthma engapheli. Kuzokwandisa nobungozi bakho kwezinye izimo zamaphaphu nokuphefumula.
• Sebenzisa imitha yakho yokugeleza ephakeme. Le yindlela enhle yokubona inqubekelaphambili yakho ene-asthma nokuthi kufanele ubone udokotela wakho ukuze ulandele noma cha.
• Vocavoca umzimba njalo. Ukuzivocavoca umzimba kuthuthukisa ukugeleza kwegazi nomthamo wamaphaphu, futhi kunciphisa ukukhathazeka. Abantu abaningi abaphuza imishanguzo efanele bathola ukuthi ukuzivocavoca umzimba kuyindlela enhle yokuphatha izimpawu ze-CVA.