Okufanele Ukwazi Nge-Asthma Yasebusuku

-Delile

• Izimpawu
• Ezinganeni
• Izimbangela
• Izici zobungozi
• Ukubonana nodokotela nini
• Ukwelashwa
• Uyini umbono?
• Amathiphu okulala okungcono ebusuku

Ukubuka konke

Izimpawu ze-asthma zivame ukuba zimbi ebusuku futhi zingaphazamisa ukulala. Lezi zimpawu ezimbi zingabandakanya:

• isifuba
• ukuqina kwesifuba
• ukuphefumula kanzima

Odokotela ngokuvamile babhekisela kulokhu ngokuthi “isifuba somoya sasebusuku.” I-asthma yasebusuku ivamile kubantu okutholakala ukuthi bane-asthma. Kungenzeka nganoma yiluphi uhlobo lwe-asthma, kufaka phakathi:

• emsebenzini
• iguliswa
• ukuzivocavoca umzimba

Ucwaningo olulodwa ekubandakanyeni iziguli ezingaba ngu-14,000 lubonisa ukuthi iziguli ezingama-60% ezine-asthma eqhubekayo zinezimpawu zasebusuku ngesikhathi esithile.

Izimpawu

I-asthma yasebusuku yabelana ngezimpawu eziningi ezifana ne-asthma ejwayelekile. Ngokuvamile, lezi zimpawu zimbi kakhulu ebusuku futhi zifaka:

• ukuphefumula, umsindo omuncu owenzeka lapho uphefumula ngenxa yemikhawulo yomoya eminyene
• ukukhwehlela okwenza kube nzima ukulala
• ukuqina esifubeni
• ukuphefumula okuncane, okubizwa nge-dyspnea

Ezinganeni

Ucwaningo olushicilelwe lucwaninga ngomthelela wesifuba sasemini ezinganeni ezisemadolobheni ezineminyaka engu-4 kuya kwengu-10 ezazinesifuba somoya esiqhubekayo. Kutholakale ukuthi izingane ezingama-41% zinezimpawu zesifuba somoya ebusuku. Labo abanezimpawu zesifo se-asthma esilinganiselwe kuze kube sebusuku babelala kabi kakhulu. Babenazo nezinye izimpawu, kufaka phakathi:

• ukuvuka ebusuku
• ukuphefumula okungaphazamiseki ebuthongweni, noma ukuphefumula okungavinjelwe okubangelwa yizinhlobo ezahlukahlukene zokuphefumula kokulala
• ama-parasomnias, noma okuhlangenwe nakho okungavamile ngenkathi ulele, ulele noma uvuka, njenge:
  • ukunyakaza okungavamile
  • ukusangana
  • ukulala
  • imizwa eyeqisayo

Ucwaningo luphethe ngokuthi izimpawu ze-asthma zasebusuku zazandile ezinganeni ezine-asthma. Lokhu kubangele ukulala kabi kubo kanye nempilo ebhedayo kubazali babo.

Izimbangela

Odokotela abaqiniseki ngokuphelele ukuthi yini ebangela i-asthma yasebusuku. Kodwa-ke, kucatshangwa ukuthi kunezici ezilandelayo ezinikela kukho:

• isikhundla sokuhlala ngesikhathi sokulala
• ukukhiqizwa komkhiqizo okwandisiwe
• ukwanda kwamanzi kusuka ezonweni, okubizwa nge-sinusitis
• amazinga aphansi e-hormone epinephrine, esiza ukukhululeka nokwelula izindlela zomoya
• amazinga aphezulu we-hormone histamine, evimbela imigwaqo yomoya
• impendulo yesigaba sekwephuzile, noma impendulo ebambezelekile ku-allergen ehlangabezane nayo ngesikhathi sasemini
• ukuvezwa kwezifo ezifana nezibungu zothuli kumatilasi ebusuku
• isifo se-reflux se-gastroesophageal (GERD)
• ukucindezeleka kwengqondo
• izimo ezihlobene nokulala, njengokuvimbela ukuphefumula kokulala
• ukuhogela izinga elikhudlwana lomoya obandayo ovela kwisipholisi somoya noma emthonjeni ongaphandle
• ukukhuluphala nokukhuluphala ngokweqile

Izici zobungozi

Amaqembu athile abantu abane-asthma asengozini enkulu yokuthola i-asthma yasebusuku kunamanye amaqembu, kufaka phakathi lawo:

• une-rhinitis yokungezwani
• ungaboni udokotela wabo njalo
• bancane
• zikhuluphele
• ngibheme njalo
• uhlala endaweni yasemadolobheni
• ube nezimo ezithile zempilo yengqondo
• unenkinga yamathumbu

Ucwaningo olulodwa olukhulu olushicilelwe kulokho kwandisa ingozi yokuba nesifuba somoya sasebusuku phakathi kwabantu abadabuka e-Afrika, kodwa bekunzima ukuhlukanisa izici zofuzo nezindlela zokuphila.

Ukubonana nodokotela nini

Umthetho omuhle wesithupha kufanele uvakashele udokotela wakho uma une-asthma futhi uvuka ebusuku ngaphezu kwesisodwa ngesonto ngemuva kokusebenzisa imishanguzo. Udokotela wakho angahlola ukuthi yini engabangela izimpawu zakho futhi asize ukuguqula uhlelo lwakho lwezokwelapha. Ukuhlola ukuphefumula kwakho kumamitha wokugeleza okuphezulu ebusuku nakho kungasiza.

Uma ungatholakali une-asthma kodwa unezimpawu ezifana ne-asthma ebusuku, kufanele ubike iziqephu zakho kudokotela wakho. Ngenkathi ungahle ungabi nayo i-asthma, udokotela wakho angakukhomba endaweni efanele yokwelashwa.

Ukwelashwa

Njenge-asthma ejwayelekile, alikho ikhambi le-asthma yasebusuku. Kuyisimo esingalapheki. Ungakwazi ukuphatha i-asthma yasebusuku ngokusebenzisa izindlela ezahlukahlukene ezelapha i-asthma ejwayelekile, noma kunjalo.

Olunye lwezindlela ezibaluleke kakhulu zokwelapha imithi ebizwa nge-inhaled steroids, eyehlisa ukuvuvukala nezinye izimpawu zesifo somoya. Kufanele uthathe i-steroid emuncu nsuku zonke uma une-asthma yasebusuku.

Ukuthatha imithi yomlomo yansuku zonke, njenge-montelukast (i-Singulair), nakho kuyasiza. I-bronchodilator esebenza ngokushesha, njenge-albuterol noma i-nebulizer, ingasiza ekwelapheni noma yiziphi iziqephu zasebusuku ezenzeka.

Enye indlela yokwelapha i-asthma yasebusuku ukuphatha izinto ezingaba nomthelela kuyo. Nazi ezinye izindlela ezithile ongazisebenzisa, kuya ngesizathu:

Nciphisa ukucindezeleka kwengqondo: Ukubona umelaphi nokusebenzisa izivivinyo zokuphumula ezifana ne-yoga nokubhalwa kwephephabhuku kuyizindlela ezinhle zokwehlisa ingcindezi. Uma unesimo somtholampilo, njengesifo sokukhathazeka esijwayelekile noma ukucindezeleka, imithi ethile ingasiza.

Phatha i-GERD: Ungaqala ukwelapha i-GERD ngokugwema ukudla okuphezulu kuwo womabili amafutha agcwele, njengezinyama ezinamafutha, ukudla okuthosiwe, ubisi lonke noshokoledi. I-caffeine esekhofini noma etiyeni, ukudla okubabayo, amajusi e-citrus ane-asidi, neziphuzo ezibandayo kungabacasula umhosha, futhi kubanciphise noma kukugwebe. Imithi ethengiswayo, efana neTums, Maalox, noma Prilosec, iyasiza ekwehliseni izimpawu ze-GERD. Uma lezi zindlela zingasizi, ungavakashela nodokotela wakho ngemithi kadokotela, njenge-Axid.

Gcina isisindo esinempilo: Ukukhuluphala kuyisici esiyingozi kukho kokubili i-asthma yasebusuku ne-GERD. Ukudla ukudla okunomsoco kubalulekile. Shintshanisa ukudla okunamafutha agcwele kanye nama-carbohydrate acwengekile ngokudla okunamaprotheni amaningi, amafutha angasuthisi nefayibha. Ingcwethi yokudla ebhalisiwe ingumuntu osizayo ukubonisana naye, futhi iningi labomshwalense liyakufihla lokhu kuvakashelwa. Ukuqala inqubo yokuzivocavoca nakho kubalulekile ukuze ufinyelele esisindweni sakho esifanelekile. Zama ukufaka izinhlobo ezilandelayo zokuzivocavoca ohlelweni lwakho:

• ukuzivocavoca umzimba ngokulingene
• ukuvivinya umzimba ngamandla we-cardio
• ukumelana nokuqeqeshwa

Sika ukubhema: Izicubu zeNicotine ziyisinyathelo sokuqala esiwusizo ekuqedeni ugwayi. Ukubona umelaphi obambe iqhaza ekuyekeni ukubhema ngezikhathi zomuntu ngamunye kungaba wusizo, njengoba kungaba nokuya ohlelweni lokuxhaswa kweqembu.

Sula konke okwaliwa ngumzimba: Izibungu zothuli kumatilasi wakho zingazenza zibe zimbi izimpawu zakho ebusuku. Kuyasiza ukugeza umatilasi wakho nengubo yakho ngezikhathi ezithile. Uma uxabana nezilwane ezifuywayo futhi ulala eduze kwesinye, kungasiza ukuthi zilale ngaphandle kwekamelo lakho lokulala.

Lawula ukushisa kwegumbi lakho ebusuku: Kwezinye izindawo, izinga lokushisa lingehla kancane ebusuku. Ukuze ulawule ukushisa kwegumbi lakho, zama lokhu:

• Qiniseka ukuthi igumbi lakho linamakhaza afanele.
• Qiniseka ukuthi amawindi akho avaliwe, avalelwe ngci, futhi awanakho ukuqhekeka noma ukuvuza.
• Sebenzisa i-humidifier ukuthola umswakama ongcono.

Uyini umbono?

Izimpawu ze-asthma zasebusuku zivamile futhi zibonakala kakhulu kubantu abanezinhlobo ezinzima kakhulu ze-asthma. Kungabangelwa yizici eziningi, kufaka phakathi:

• isigqi se-circadian
• amashifu we-hormonal
• ukushintsha kokushisa
• isikhundla sokulala

Uma unezimpawu ezinamandla kakhulu zesifuba somoya phakathi nobusuku, ungasebenzisa izindlela ezahlukahlukene zokwelapha:

• Sebenzisa izindlela zokwelapha ezijwayelekile ze-asthma, ezingasiza ebusuku.
• Phatha izimo ezingaphansi ezingaba nomthelela ezimpawu zakho, njenge-GERD.
• Gcina indawo yokulala enempilo.

Uma izimpawu zakho ze-asthma ebusuku ziphazamisa iphethini yakho yokulala nekhwalithi yempilo, kubalulekile ukuxhumana nodokotela wakho noma uchwepheshe we-asthma ukuze ufunde ngezimbangela kanye nokwelashwa okungenzeka.

Amathiphu okulala okungcono ebusuku

Kungakhathaliseki ukuthi unezimpawu zesifuba somoya noma cha, ungazama ezinye zalezi zindlela zokulala ubusuku obuhle:

• Khipha kumadivayisi kagesi okungenani imizuzu engama-30 ngaphambi kokulala.
• Cabanga ukuzindla ngehora ngaphambi kokulala.
• Yenza ukuvivinya umzimba ngamandla okungenani amahora ambalwa ngaphambi kokulala.
• Gwema ukulala nesilwane sakho uma uxabana nazo.
• Lawula ukushisa kwegumbi lakho.
• Lala usebenzisa i-humidifier.