Yiziphi Izinketho Zami Zokwelapha Nge-Asthma Ye-Allergic? Imibuzo Yodokotela Wakho

-Delile

• Yiziphi izinketho zami zokwelashwa ze-asthma yokugula?
• Ukunquma ukuqina kwesifuba somoya
• Imithi esebenza ngokushesha
• Imithi yesikhashana
• Imithi yesikhathi eside
• Ngazi kanjani ukuthi yini ebangela i-asthma yami?
• Ngabe ngidinga ukwenza ushintsho endleleni yokuphila?
• Kuthiwani uma ngingezwa zimpawu?
• Kuthiwani uma ngihlaselwa ngokuzumayo?
• Kuthiwani uma imithi yami iyeka ukusebenza?
• Ingabe likhona ikhambi lesifuba somoya i-allergies?
• Ukudla okudlela endlini

Ukubuka konke

Isifuba somoya (i-asthma) esingezwani nhlobo yilona oluvame kakhulu, oluthinta abantu abangamaphesenti angama-60 abanesifo. Ilethwa yizifo ezihlasela umoya ezifana nothuli, impova, isikhunta, isilwane esidonsa izilwane, nokuningi.

Izimpawu zifaka phakathi ukuphefumula kanzima, ukukhwehlela, nokuhefuzela. Lokhu kungasongela impilo uma kwenzeka kuhlaselwa kanzima.

Udokotela wakho ungumthombo obalulekile wolwazi nezeluleko ekwelapheni i-asthma yakho. Letha imibuzo yakho mayelana nokuphatha isimo kuma-aphoyintimenti akho ngamunye. Uma ungaqiniseki ukuthi uzobuza ini, nazi izihloko ezimbalwa ukukusiza ukuthi uqalise.

Yiziphi izinketho zami zokwelashwa ze-asthma yokugula?

I-asthma yokungezwani komzimba yisimo sesikhathi eside, kodwa futhi ibandakanya iziqephu, noma ukuhlaselwa, lapho uzodinga ukukhululeka okusheshayo.

Udokotela wakho angancoma ukwelashwa okuqhubekayo nokwesikhashana ukunciphisa izimpawu. Ngokujwayelekile bazoqala ngokuthola ubunzima bezimpawu zakho ngaphambi kokuncoma ukwelashwa okuthile.

Ukunquma ukuqina kwesifuba somoya

Kunezigaba ezine zesifuba somoya. Isigaba ngasinye sisekelwe ebukhali besifuba somoya, esilinganiswa nobuningi bezimpawu zakho.

• Okuphakathi. Izimpawu zenzeka kuze kube yizinsuku ezimbili ngesonto noma zikuvuse ebusuku okungenani ubusuku obubili ngenyanga.
• Ukuphikelela okumaphakathi. Izimpawu zenzeka ngaphezu kokuphindwe kabili ngesonto, kepha hhayi ngaphezu kwesisodwa ngosuku, futhi zikuvusa ebusuku izikhathi ezi-3-4 ngenyanga.
• Ukuphikelela okumaphakathi. Izimpawu zenzeka nsuku zonke futhi zikuvusa ebusuku ngaphezu kwesisodwa ngesonto kepha hhayi njalo ebusuku.
• Ukuphikelela okukhulu. Izimpawu zenzeka usuku lonke ezinsukwini eziningi futhi zivame ukukuvusa ebusuku.

Kubalulekile ukulandelela nokuqapha izimpawu zakho ukuze ubone ukuthi ziyathuthuka yini. Udokotela wakho angancoma ukusebenzisa imitha yokugeleza ephakeme ukukala umsebenzi wakho wamaphaphu. Lokhu kungakusiza ukuthi unqume ukuthi ngabe i-asthma yakho iya ngokuya iba yimbi, noma ngabe ungazizwa uhlukile.

Imithi esebenza ngokushesha

Abantu abaningi abane-asthma baphatha i-inhaler, okuwuhlobo lwe-bronchodilator. I-bronchodilator esebenza ngokushesha yiyona ongayisebenzisa uma kuhlaselwa. Ivula izindlela zakho zomoya futhi ikwenze kube lula kuwe ukuphefumula.

Imithi esebenza ngokushesha kufanele ikwenze uzizwe ungcono ngokushesha futhi uvimbele ukuhlaselwa okungathi sína ngokwengeziwe. Uma zingakusizi, kufanele ufune usizo oluphuthumayo.

Imithi yesikhashana

Udokotela wakho angakunikeza eminye imithi odinga ukuyithatha kuphela isikhashana lapho izimpawu zakho ziqhuma. Lokhu kufaka phakathi ama-corticosteroids, okuyizidakamizwa ezilwa nokuvuvukala ezisiza ngokuvuvukala komoya. Zivame ukuza ngesimo samaphilisi.

Imithi yesikhathi eside

Imithi yesifuba somoya yesikhathi eside yokwaliwa yenzelwe ukukusiza ukuphatha lesi simo. Iningi lalezi zithathwa nsuku zonke.

• I-corticosteroids emuncwe. Le yimithi elwa nokuvuvukala efana ne-fluticasone (Flonase), i-budesonide (i-Pulmicort Flexhaler), i-mometasone (i-Asmanex) ne-ciclesonide (i-Alvesco).
• Izinguquko zeLeukotriene. Le yimithi yokwelapha ekhulula izimpawu kuze kube ngamahora angama-24. Izibonelo zifaka i-montelukast (i-Singulair), i-zafirlukast (i-Accolate), ne-zileuton (i-Zyflo).
• Ama-agonists we-beta asebenza isikhathi eside. Le mithi ivula imigwaqo yomoya futhi ithathwa ihlanganiswe ne-corticosteroid. Izibonelo zifaka i-salmeterol (Serevent) ne-formoterol (Foradil).
• Inhalers yenhlanganisela. La ma-inhalers ayinhlanganisela ye-beta agonist kanye ne-corticosteroid.

Udokotela wakho uzosebenzisana nawe ukuthola umuthi ofanele. Kubalulekile ukugcina ukuxhumana okuhle nodokotela wakho ukuze bakwazi ukunquma ukuthi uhlobo noma umthamo wakho wemithi udinga ukushintsha yini.

Ngazi kanjani ukuthi yini ebangela i-asthma yami?

Isifuba somoya (i-asthma) esingezwani ne-aleji silethwa izinhlayiya ezithile ezibizwa ngama-allergener. Ukuthola ukuthi yiziphi ezikudalela izinkinga, udokotela wakho angakubuza ukuthi uzithola nini futhi kuphi izimpawu zokungezwani komzimba.

I-allergenist nayo ingenza ukuhlolwa kwesikhumba kanye negazi ukuthola ukuthi yini ongezwani nayo. Uma kutholakala izimbangela ezithile, udokotela wakho angancoma i-immunotherapy, okuyinto yokwelashwa okunciphisa ukuzwela kuma-allergen.

Udokotela wakho futhi angancoma ukugwema i-allergen. Lokhu kusho ukuthi kuzodingeka ugcine ikhaya lakho lingenazo izinhlayiya ezibangela ukusabela okweqile.

Kungadingeka futhi ukuthi ugweme ukuya ezindaweni lapho unethuba eliphakeme lokuhlaselwa khona ngenxa yokungezwani komzimba emoyeni. Isibonelo, kungadingeka ukuthi uhlale ngaphakathi ezinsukwini lapho isibalo se-pollen siphezulu noma ususe okhaphethi ekhaya lakho ukugwema uthuli.

Ngabe ngidinga ukwenza ushintsho endleleni yokuphila?

Ama-Allergen ayimbangela eyinhloko yesifuba somoya. Ngokuhlala kude nalezi zinto ezibangela ukwaliwa, ungasiza ekuvikeleni izimpawu ze-asthma.

Izinguquko zokuphila okudingeka uzenze zincike kwizimbangela zakho ezithile. Ngokuvamile, ungasiza ukunciphisa ukuhlaselwa ngokuhlola i-allergen ekhaya lakho nokuguqula imisebenzi yakho yansuku zonke yangaphandle ukuvimbela ukuvezwa.

Kuthiwani uma ngingezwa zimpawu?

Isifuba somoya yisimo esingalapheki, futhi alikho ikhambi. Ungahle ungazitholi izimpawu, kepha kusadingeka ukuthi uhlale umkhondo nemithi yakho yesikhathi eside.

Kubalulekile futhi ukugwema izimbangela zakho zomzimba. Ngokusebenzisa imitha yokugeleza okuphezulu, ungathola inkomba yokuqala yokuthi isilinganiso sakho sokugeleza komoya siyashintsha, nangaphambi kokuba uzwe ukuhlaselwa kuqala.

Kuthiwani uma ngihlaselwa ngokuzumayo?

Hlala njalo unemithi esebenza ngokushesha. Lokhu kufanele kukusize uzizwe ungcono kungakapheli imizuzu engama-20 kuya kwengama-60.

Uma izimpawu zakho zingathuthuki noma ziqhubeka nokuba zimbi kakhulu, iya egumbini labezimo eziphuthumayo noma ushayele u-911. Izimpawu ezinzima ezivumela ukuvakashelwa kwegumbi lezimo eziphuthumayo zifaka ukungakwazi ukukhuluma noma ukuhamba ngenxa yokuphefumula okuncane nezindebe noma izinzipho eziluhlaza okwesibhakabhaka.

Gcina ikhophi yohlelo lwakho lokusebenza lwesifuba somoya ukuze abantu abaseduze kwakho babe nemininingwane edingekayo yokusiza.

Kuthiwani uma imithi yami iyeka ukusebenza?

Uma imithi yakho ingabonakali isebenza, kungadingeka ukuthi uguqule uhlelo lwakho lokwelashwa.

Izimpawu ze-asthma ye-allergen zingashintsha ngokuhamba kwesikhathi. Eminye imithi yesikhathi eside ingahle ingasebenzi kahle njengoba isikhathi siqhubeka. Kubalulekile ukuxoxa ngoshintsho lwezimpawu nemithi nodokotela wakho.

Ukusebenzisa i-inhaler noma eminye imithi esebenza ngokushesha kaningi kuwuphawu lokuthi i-asthma yakho yokungezwani komzimba ayilawulwa. Khuluma nodokotela wakho ngezinketho zakho zamanje zokwelashwa nokuthi ngabe uzodinga ukwenza noma yiziphi izinguquko.

Ingabe likhona ikhambi lesifuba somoya i-allergies?

Alikho ikhambi lesifuba somoya i-allergies. Ngakho-ke, kubalulekile ukunamathela ekwelashweni kwakho futhi ulandele izeluleko zikadokotela wakho.

Ukwenza kanjalo kungavimbela ubunzima obunzima, njengokulungiswa kabusha komoya, okuncipha unomphela kwezindima zokuphefumula. Le nkinga ithinta ukuthi ungangena kanjani kahle emoyeni futhi ukhiphe umoya emaphashini akho.

Ukudla okudlela endlini

Ukugcina ubudlelwano obuhle nodokotela wakho kukusiza ukuthi ube nolwazi olufanele nokusekelwa kwesifo somoya esiluthayo. Udokotela wakho angaxoxa ngokujulile ngezinketho zakho zokwelashwa.

Kokubili imithi esebenza ngokushesha nangesikhathi eside ingakusiza ukuphatha isimo sakho, futhi ushintsho lwendlela yokuphila lunganciphisa ukuvezwa kwezimbangela zakho. Ukuthatha lezi zinyathelo ukuphatha i-asthma yakho yokungezwani komzimba kungenza kube lula ukuphila impilo enempilo, nenenjabulo.