Into omele uyazi Nge-Asthma yasebusuku

Umxholo

• Iimpawu
• Ebantwaneni
• Oonobangela
• Imiba yomngcipheko
• Uza kubona nini ugqirha
• Unyango
• Yintoni imbono?
• Iingcebiso zokulala okungcono ebusuku

Ushwankathelo

Iimpawu zesifo sombefu zihlala zibi ebusuku kwaye zinokuphazamisa ukulala. Ezi zimpawu zibi zingabandakanya:

• ukuvutha
• ukuqina kwesifuba
• ubunzima bokuphefumla

Oonoklinikhi badla ngokubhekisela koku “njengesifuba sasebusuku.” Isifuba sasebusuku siqhelekile kubantu abafunyaniswa benesifuba. Inokwenzeka ngayo nayiphi na indlela yesifuba, kubandakanya:

• emsebenzini
• ayidibani
• ukuzilolonga

Olunye uphononongo lokubandakanya malunga nezigulana ezingama-14,000 lubonisa ukuba i-60% yezigulana ezine-asthma eqhubekayo zineempawu zobusuku ngamanye amaxesha.

Iimpawu

Isifuba sasebusuku sabelana ngeempawu ezininzi ezifana ne-asthma yesiqhelo. Ngokwesiqhelo, ezi zimpawu ziba mandundu ebusuku kwaye zibandakanya:

• ukuvutha, isandi esikhawulezayo esenzeka xa uphefumla ngenxa yokuxinana komoya
• ukukhohlela okwenza kube nzima ukulala
• ukuqina esifubeni
• ukuphefumla okufutshane, okubizwa ngokuba yi-dyspnea

Ebantwaneni

Uphando lupapashwe kwisifundo se-asthma yasebusuku kubantwana basezidolophini abaneminyaka emi-4 ukuya kweli-10 abanesifo sesifuba. Kufumanise ukuba iipesenti ezingama-41 zabantwana zazineempawu zesifuba sasebusuku, ngokunjalo. Abo baneempawu zesifuba se-asthma ngokumodareyitha ukuya ebusuku. Babenazo nezinye iimpawu, kubandakanya:

• ukuvuka ebusuku
• ukuphefumla okungalunganga, okanye ukuphefumla okungaphazamiseki okubangelwa ziindlela ezahlukeneyo zokuphefumla ubuthongo
• parasomnias, okanye amava angaqhelekanga ngelixa ulele, ulele okanye uvuka, njenge:
  • iintshukumo ezingaqhelekanga
  • nemibono
  • ukulala
  • iimvakalelo ezigabadeleyo

Uphononongo luphelile ukuba iimpawu ze-asthma zasebusuku zixhaphake phakathi kwabantwana abane-asthma. Oku kubangele ukulala kakubi kubo kunye nomgangatho wobomi obubi kubazali babo.

Oonobangela

Oogqirha abaqinisekanga ngokupheleleyo ukuba yintoni ebangela i-asthma yasebusuku. Nangona kunjalo, ezi zinto zilandelayo kucingelwa ukuba zinegalelo kuyo:

• indawo yokulala ngexesha lokulala
• ukwanda kwemveliso yencindi
• ukwanda kwamanzi kwiisono, ezibizwa ngokuba yi-sinusitis
• amanqanaba asezantsi ehomoni epinephrine, enceda ukuphumla nokwandisa iindlela zomoya
• amanqanaba aphezulu e-hormone histamine, ethintela iindlela zomoya
• Impendulo yesigaba emva kwexesha, okanye impendulo ebambezelekileyo kwi-allergen ehlangane nayo ngexesha lasemini
• ukuvezwa kwezifo ezifana nothuli kumatyhini ebusuku
• isifo se-reflux sesifo se-gastroesophageal (GERD)
• uxinzelelo lwengqondo
• iimeko ezinxulumene nokulala, ezinje ngokuthintela ukuphefumla ubuthongo
• ukusezela inqanaba elikhulu lomoya obandayo ovela kwisincedisi-moya okanye kumthombo ongaphandle
• ukutyeba kakhulu kunye namafutha agqithisileyo

Imiba yomngcipheko

Amanye amaqela abantu abane-asthma kunokwenzeka ukuba bafumane i-asthma yasebusuku kunamanye amaqela, kubandakanya abo:

• une-rhinitis egulayo
• musa ukumbona ugqirha wabo rhoqo
• bancinci
• batyebe kakhulu
• utshaye rhoqo
• uhlala kwindawo yasezidolophini
• baneemeko ezithile zempilo yengqondo
• baneengxaki zesisu

Olunye uphononongo olukhulu olupapashiweyo kubonakalise ukwanda komngcipheko wesifuba sasebusuku phakathi kwabantu bemvelaphi yaseAfrika, kodwa kwakunzima ukwahlula izinto zofuzo kunye nendlela yokuphila.

Uza kubona nini ugqirha

Umgaqo olungileyo wesithupha kufuneka utyelele ugqirha wakho ukuba une-asthma kwaye uvuke ebusuku ngaphezulu kwesinye ngeveki emva kokusebenzisa unyango. Ugqirha wakho unokuvavanya ukuba yintoni enokubangela iimpawu zakho kwaye uncede ukuguqula isicwangciso sakho sonyango. Ukujonga ukuphefumla kwakho kwimitha yokuhamba okuphezulu ebusuku kunokuba luncedo.

Ukuba awufumaniswanga ukuba une-asthma kodwa uneempawu ezifana ne-asthma ebusuku, kuya kufuneka uxele iziqendu kugqirha wakho. Ngelixa ungenayo i-asthma, ugqirha wakho unokukukhomba kwicala elifanelekileyo lonyango.

Unyango

Njengesifuba somzimba esiqhelekileyo, akukho lunyango lwesifuba sasebusuku. Yimeko engapheliyo. Unako ukulawula i-asthma yasebusuku ngeendlela ezahlukeneyo zokunyanga i-asthma esemgangathweni, nangona kunjalo.

Olunye lonyango olubaluleke kakhulu lunyango olubizwa ngokuba yi-inhaled steroids, elinciphisa ukudumba kunye nezinye iimpawu zesifo sombefu. Kuya kufuneka uthathe i-inhaled steroid yonke imihla ukuba une-asthma yasebusuku.

Ukuthatha amayeza omlomo emihla ngemihla, anje nge-montelukast (Singulair), kuyanceda. I-bronchodilator esebenza ngokukhawuleza, njenge-albuterol okanye i-nebulizer, inokunceda ukuphatha naziphi na iziqendu zobusuku ezenzekayo.

Enye indlela yokunyanga i-asthma yasebusuku kukunyanga izinto ezinokuba negalelo kuyo. Nazi iindlela ezithile onokuzisebenzisa, kuxhomekeke kwisizathu:

Nciphisa uxinzelelo lwengqondo: Ukubona ugqirha kunye nokusebenzisa iindlela zokuphumla ezinje ngeyoga kunye nokubhalwa kwejenali ziindlela ezilungileyo zokunciphisa uxinzelelo. Ukuba unemeko yeklinikhi, njengokuphazamiseka koxinzelelo ngokubanzi okanye uxinzelelo, amayeza athile anokunceda.

Phatha i-GERD: Ungaqala ukunyanga i-GERD ngokuphepha ukutya okuphezulu kuwo omabini amafutha, njengokutya okunamafutha, ukutya okuqhotsiweyo, ubisi olupheleleyo kunye netshokholethi. I-caffeine kwikofu okanye iti, ukutya okune-spice, ezinye iijusi ze-citrus, kunye neziselo ezinxilisayo zinokucaphukisa umqala, ngokunjalo, ukunciphisa okanye ukuwathintele. Amayeza angaphaya kwekhawuntareni, anje ngeTums, Maalox, okanye Prilosec, aluncedo ekunciphiseni iimpawu zeGERD. Ukuba ezi ndlela azincedi, ungandwendwela nogqirha wakho amayeza, njengeAxid.

Gcina ubunzima obusempilweni: Ukutyeba kakhulu yinto enobungozi kubo bobabini i-asthma yasebusuku kunye ne-GERD. Ukutya ukutya okunesondlo kubalulekile. Ukutshintsha ukutya okuphezulu kumafutha agcweleyo kunye neecarbohydrate ezicokisekileyo ngokutya okuneprotheyini eninzi, amafutha angagcwaliswanga kunye nefayibha. Ingcali yezidlo ebhalisiweyo ingumntu oluncedo ekunokuqhagamshelwana naye, kwaye uninzi lweinshurensi luyalugquma olu tyelelo. Ukuqala indlela yokwenza umthambo kubalulekile ukufikelela kubunzima bakho obulungileyo. Zama ukubandakanya ezi ntlobo zilandelayo zomthambo kwinkqubo yakho:

• ukuzivocavoca umzimba ngokulinganayo
• ukusetyenziswa ngamandla kwe-cardio
• uqeqesho lokuchasa

Sika ukutshaya: Amachaphaza eNicotine linyathelo lokuqala eliluncedo ekucutheni icuba. Ukubona ugqirha obandakanyekayo ekuyekeni ukutshaya kwiiseshoni ezizezinye kunokuba luncedo, njengoko kunokuba njalo kwinkqubo yenkxaso yeqela.

Cima i-allergener: Uthuli luthuli kumatrasi wakho lunokuzenza mandundu iimpawu zakho ebusuku. Kuyanceda ukuhlamba umatrasi nengubo yakho amaxesha ngamaxesha. Ukuba uxabisa izilwanyana kwaye ulala ecaleni kwenye, kunokuba luncedo ukuba balale ngaphandle kwegumbi lakho lokulala.

Lawula ubushushu begumbi lakho ebusuku: Kwezinye iindawo, ubushushu bunokwehla kancinci ebusuku. Ukulawula ubushushu begumbi lakho, zama ezi:

• Qiniseka ukuba igumbi lakho linokugquma kakuhle.
• Qinisekisa ukuba iifestile zakho zivaliwe, zitywinwe ngokuqinileyo, kwaye azinantanda okanye ukuvuza.
• Sebenzisa i-humidifier ukufuma okungcono.

Yintoni imbono?

Iimpawu zesifuba sasebusuku ziqhelekile kwaye zichazwa ngakumbi kubantu abaneendlela ezinobuzaza kakhulu zesifuba. Inokubangela izinto ezininzi, kubandakanya:

• isingqisho esijikeleze umzimba
• Ukutshintsha kwehomoni
• utshintsho lobushushu
• indawo yokulala

Ukuba uneempawu ezinesifo sombefu ebusuku, ungasebenzisa iindlela ezahlukeneyo zonyango:

• Sebenzisa unyango lwe-asthma oluqhelekileyo, olunokukunceda ebusuku.
• Phatha iimeko ezingaphantsi ezinokuthi zibe negalelo kwiimpawu zakho, ezinje nge-GERD.
• Gcina indawo yokulala esempilweni.

Ukuba iimpawu zakho ze-asthma ebusuku zihlala ziphazamisa indlela yakho yokulala kunye nomgangatho wobomi, kubalulekile ukuba unxibelelane nogqirha wakho okanye ingcali yesifuba ukuze ufunde ngezizathu kunye nonyango olunokwenzeka.

Iingcebiso zokulala okungcono ebusuku

Nokuba unayo okanye awunayo impawu yesifuba ebusuku, ungazama ezinye zezi ndlela zokulala ubusuku obubhetele:

• Ukukhupha izixhobo ze-elektroniki ubuncinci imizuzu engama-30 ngaphambi kokulala.
• Cinga ukucamngca ngeyure ngaphambi kokulala.
• Yenza umthambo wokuzivocavoca umzimba ubuncinci iiyure ezimbalwa ngaphambi kokulala.
• Kuphephe ukulala nesilwanyana sakho xa uxabana naso.
• Lawula ubushushu begumbi lakho.
• Lala nge humidifier kwi.