Izinhlobo Zokwelashwa Kwe-Asthma Enzima: Yini Ongayibuza Udokotela Wakho

-Delile

• Ngazi kanjani ukuthi ngine-asthma enamandla?
• Yini ama-corticosteroids adonswayo?
• Yini ama-corticosteroids omlomo?
• Yini i-biologics?
• Yini ama-agonists ama-beta asebenza isikhathi esifushane futhi asebenza isikhathi eside?
• Yini ama-leukotriene modifiers?
• Yini engingayenza ukusiza ukuphatha izimpawu zami?
• Uyini umbono wami wesikhathi eside?
• Ukudla okudlela endlini

Ukubuka konke

Isifo somoya esibucayi yisimo sokuphefumula esingapheli lapho izimpawu zakho zinamandla kakhulu futhi kunzima ukuzilawula kunamacala amnene kuya kokulinganiselayo.

I-asthma engalawulwa kahle ingathinta ikhono lakho lokuqedela imisebenzi yansuku zonke. Kungaholela nasekuhlaselweni yisifuba somoya okusongela impilo. Uma uhlangabezana nemiphumela emibi evela emithini noma ungacabangi ukuthi iyasebenza, kubalulekile ukubona udokotela wakho. Bangabuyekeza umlando wakho wezokwelapha futhi balungise ukwelashwa kwakho ngokufanele.

Nayi eminye imibuzo ongaletha ekuqokweni kwakho okulandelayo kwezokwelapha ukuze uqale ingxoxo.

Ngazi kanjani ukuthi ngine-asthma enamandla?

Qala ngokucela udokotela wakho ukuthi akuchazele izimpawu nezimpawu zesifuba somoya. Isifuba somoya (i-asthma) esimaphakathi kuya kokujwayelekile singalawulwa ngemithi kadokotela. Abantu abane-asthma enamandla badinga imithamo ephakeme yale mithi futhi basengazithola besegumbini lezimo eziphuthumayo ngenxa yokuhlaselwa yisifuba somoya.

Isifuba somoya esibucayi singadala izimpawu eziqeda amandla eziholela esikoleni noma emsebenzini. Ungahle ungakwazi ukubamba iqhaza emisebenzini yomzimba njengokuya ejimini noma ukudlala imidlalo.

Isifuba somoya esibi kakhulu kungenzeka futhi sihambisane nezinye izimo zezokwelapha, njengokukhuluphala, ukuphefumula ubuthongo, nesifo se-reflux se-gastroesophageal.

Yini ama-corticosteroids adonswayo?

Udokotela wakho angahle anikeze i-corticosteroids emuncu ye-asthma enamandla ukuvimbela izimpawu zakho nokuphatha ukuvuvukala ezindleleni zakho zomoya. Ngokusetshenziswa njalo, ama-corticosteroids ahogelwe ngaphakathi anganciphisa imvamisa namandla okuhlaselwa yisifuba somoya. Ngeke zivimbele noma zimise ukuhlaselwa uma sekuqalile.

I-corticosteroids emuncwe ingadala imiphumela emibi yendawo, ekhawulelwe engxenyeni ethile yomzimba. Zingaholela nasemiphumeleni emibi yasesistimu, ethinta umzimba wonke.

Imiphumela emibi engaba khona ifaka:

• i-candidiasis yomlomo, ukutheleleka komlomo komlomo
• ukushaqeka
• umlomo obuhlungu noma umphimbo
• ama-spasms we-trachea
• ukunciphisa okuncane kokukhula ezinganeni
• kwehle ukuqina kwamathambo kubantu abadala
• ukulinyazwa okulula
• ngamehlo
• i-glaucoma

Yini ama-corticosteroids omlomo?

Ama-corticosteroids omlomo angahle anqunywe ngaphezu kwama-corticosteroids ahogelwayo uma usengozini yokuhlaselwa yisifuba somoya okuyingozi, noma uma usunayo phambilini. Zisebenza ngokuxegisa imisipha ezungeze imigudu yakho yomoya. Zinciphisa nezimpawu ezifana nokukhwehlela, ukuvunguza, nokuphefumula okuncane.

Lokhu kungathwala imiphumela emibi efanayo kuma-corticosteroids ahogelwayo, yize ejwayelekile kakhulu futhi angaba sibi kakhulu. Imiphumela emibi ingafaka:

• ukukhuluphala ngokweqile
• ukugcinwa koketshezi
• umfutho wegazi ophakeme
• ukukhula okucindezelwe ezinganeni
• i-osteoporosis kubantu abadala
• isifo sikashukela
• ubuthakathaka bemisipha
• ngamehlo
• i-glaucoma

Yini i-biologics?

Izidakamizwa ze-Biologic zivame ukuthathwa ngomjovo futhi zisize ukulawula izimpawu zesifuba somoya. I-biologics ijwayele ukubiza kakhulu kuneminye imithi yesifuba somoya. Kodwa zisetshenziswa kakhulu futhi njengenye indlela ye-steroids yomlomo, kwesinye isikhathi engaholela emiphumeleni emibi kakhulu.

Ama-biologics ngokuvamile aphephile ukusetshenziswa. Imiphumela emibi ngokuvamile mincane, kufaka phakathi:

• ukukhathala
• ikhanda
• ubuhlungu bezungeza indawo yokujova
• imisipha namalunga
• Umphimbo obuhlungu

Ezimweni ezingavamile, ukusabela okweqile komzimba ku-biologics kungenzeka. Uma ucabanga ukuthi uhlangabezana nokuphendula okweqile, xhumana nodokotela wakho ngokushesha.

Yini ama-agonists ama-beta asebenza isikhathi esifushane futhi asebenza isikhathi eside?

Ama-agonists we-beta asebenza ngamafushane (ama-SABAs) kwesinye isikhathi asetshenziswa njengemithi yokutakula yokukhululeka okusheshayo kwezimpawu zesifuba somoya. Ama-beta agonists asebenza isikhathi eside (ama-LABAs) asebenza ngendlela efanayo kodwa aqhubeke nokuhlinzeka ukukhululeka amahora angu-12 noma ngaphezulu.

Lokhu kokubili kunemiphumela emibi efanayo, njengoba isebenza ngezindlela ezifanayo kakhulu. Kepha imiphumela emibi yama-SABAs ivame ukuxazululwa ngokushesha. Ngama-LABA, imiphumela emibi ingaqhubeka isikhathi eside. Imiphumela emibi ingafaka:

• ikhanda
• isiyezi
• ukukhuphuka kwenhliziyo
• ukukhathazeka
• ukuthuthumela
• isifuba noma ukuqubuka

Yini ama-leukotriene modifiers?

Ama-leukotriene modifiers asebenza ngokuvimba ikhemikhali lokuvuvukala emzimbeni elibizwa ngeleukotriene. Le khemikhali ibangela imisipha yakho yomoya ukuba iqine lapho uhlangana ne-allergen noma i-asthma trigger.

I-leukotriene modifiersarere kuvame ukubekezelelwa kubantu abane-asthma enamandla, kepha banemiphumela emibi eminingana, efaka:

• isisu esibuhlungu
• ikhanda
• uvalo
• isicanucanu noma ukuhlanza
• ukuminyana kwamakhala
• izimpawu ezinjengomkhuhlane
• ukuqubuka

Yini engingayenza ukusiza ukuphatha izimpawu zami?

Ukuphatha izimpawu zakho kuyingxenye ebalulekile yokuphila nesifuba somoya. Udokotela wakho angakweluleka ngamasu okusiza ukunciphisa umphumela wesifuba somoya empilweni yakho yansuku zonke.

Bheka udokotela wakho njalo ukuze ubheke ukuthi imithi yakho isebenza kahle kangakanani. Yazisa udokotela wakho ngokushesha uma uzizwa sengathi noma imuphi umuthi wakho awusebenzi njengoba kufanele.

Udokotela wakho angasiza futhi ekuboneni ukuthi iziphi izinto ezingcolisa umoya nezicasulayo ezibangela isifuba somoya. Lapho usukwazi ukuthi yini okudala, ungathatha izinyathelo zokuzigwema.

Uma ubhema, kufanele wenze umzamo wokuyeka ngokushesha ngangokunokwenzeka. Ukubhema kungazandisa izimpawu zakho futhi kwandise amathuba akho ezinye izimo ezisongela impilo njengomdlavuza nesifo senhliziyo. Khuluma nodokotela wakho ngezinhlelo noma imishanguzo engakusiza uyeke ukubhema.

Uyini umbono wami wesikhathi eside?

Kungenzeka ukuthi unelukuluku mayelana nombono wakho wesikhathi eside onesifo somoya esibucayi. Uma kunjalo, cabanga ukubuza udokotela wakho ngalokhu.

Isifuba somoya esibucayi singalindeleka, ngakho-ke umbono wesikhathi eside uhlukile kuwo wonke umuntu. Izimpawu zabanye abantu ziyathuthuka, abanye babhekana nezikhathi ezinzima nezimbi, kanti abanye bathola ukuthi izimpawu zabo ziba zimbi ngokuhamba kwesikhathi.

Udokotela wakho angakunika isibikezelo esinembile kunazo zonke ngokuya ngomlando wakho wezokwelapha nokuthi ubuphendula kahle kangakanani ekwelashweni kuze kube manje.

Ukudla okudlela endlini

Ukugcina inkhulumomphendvulwano nodokotela wakho kuyisihluthulelo sokuthola ukwelashwa okufanele kuwe. Le mibuzo engenhla iyindawo enhle yokuqala, kepha akuyona nje kuphela into okufanele uyibuze.

Ungesabi ukuxhumana nehhovisi likadokotela wakho noma kunini lapho uneminye imibuzo noma ukukhathazeka. Uma wazi kakhulu ngesifuba somoya sakho esibucayi, kuzoba lula kakhulu kuwe ukuphatha izimpawu zakho futhi uphile impilo ejwayelekile, nenempilo.