Sukuyikhupha: Kutheni Isifuba Se-Asma Esiyingozi Sifuna Ukhathalelo Olongezelelweyo

Umxholo

• Yintoni isifo sombefu esiqatha?
• Yintoni ebangela isifo sombefu?
• Ufumana nini unyango
• Iingxaki ze-asthma ebukhali
• Ungayinyanga njani i-asthma ebukhali

Yintoni isifo sombefu esiqatha?

Isifo sombefu sisifo esinciphisa ukuhamba kwakho, okwenza kube nzima ukuphefumla umoya. Oku kukhokelela ekubanjweni komoya, ukwandisa uxinzelelo ngaphakathi kwemiphunga yakho. Ngenxa yoko, kuba nzima ukuphefumla.

Isifo sombefu sinokubangela iimpawu ezibandakanya:

• ukuqhawukelwa ngumphefumlo
• ukubetha - isandi sokubetha impempe xa uphefumla
• ukuphefumla ngokukhawuleza
• ukukhohlela

Isifuba somntu wonke sahlukile. Abanye abantu baneempawu ezibuthathaka kuphela. Abanye banokuhlaselwa rhoqo okunamandla ngokwaneleyo ukuba bafike esibhedlele.

Unyango lwe-asthma luthintela uhlaselo kwaye lubanyange xa ​​beqala. Nangona kunjalo malunga neepesenti ezi-5 ukuya kwezi-10 zabantu abane-asthma abayi kufumana isiqabu, naxa besebenzisa amayeza aphezulu. Isifo sombefu esingalawulekiyo kunyango sithathwa njengesibi.

Isifo sombefu esinganyangekiyo siyanyangeka, kodwa sifuna unyango kunye nenkxaso eyahlukileyo kuleyo ye-asthma ethambileyo. Kubalulekile ukuba unyangwe, kuba isifo sombefu esibi kakhulu singakhokelela kwiingxaki ukuba awusombululi.

Funda ukuze ufunde ukuba ungabona nini ugqirha wakho kwaye ufumanise ukuba loluphi unyango olufumanekayo kwisifuba.

Yintoni ebangela isifo sombefu?

Ukuba uthabathe iyeza lakho lesifuba njengoko ugqirha wakho ekuyalele kwaye usahlaselwa qho, unokuba nesifuba. Kukho izizathu ezimbalwa zokuba unyango olusemgangathweni lwe-asthma lungenakwanela ukulawula iimpawu zakho.

• Iindlela zakho zomoya zidumbile kangangokuba iziyobisi zangoku azomelelanga ngokwaneleyo ukuba zehle ukudumba.
• Iikhemikhali ezibangela ukudumba emiphungeni yakho aziphenduli kulo naliphi na iziyobisi ozithathayo.
• Uhlobo lweseli emhlophe yegazi ebizwa ngokuba yi-eosinophil ibangela isifuba sakho. Amayeza amaninzi e-asthma awajolise kwi-asthma ye-eosinophilic.

Ubukrakra be-asthma yakho bunokutshintsha ekuhambeni kwexesha. Unokuqala nge-asthma emnene okanye emodareyithayo, kodwa ekugqibeleni inokuba mbi ngakumbi.

Ufumana nini unyango

Wena kunye nogqirha kufuneka ube nesicwangciso sokusebenza se-asthma. Esi sicwangciso sichaza indlela yokunyanga isifo sakho sombefu kunye namanyathelo ekufuneka uwalandele xa iimpawu zakho zisenyuka. Landela esi sicwangciso nanini na xa uhlaselwa sisifo sombefu.

Ukuba iimpawu zakho aziphuculanga kunyango okanye uhlaselwa rhoqo, tsalela ugqirha wakho.

Fumana uncedo lwezonyango kwangoko ukuba:

• awukwazi ukubamba umphefumlo wakho
• uphefumlelwe kakhulu ukuba ungathetha
• ukuvutha, ukukhwehlela, kunye nezinye iimpawu ziya zisiba mandundu
• unezifundo ezisezantsi ekubekweni kweliso lokuhambahamba okuphezulu
• iimpawu zakho aziphucuki emva kokusebenzisa inhaler yakho yokuhlangula

Iingxaki ze-asthma ebukhali

Rhoqo, isifo sombefu esinamandla sinokutshintsha isakhiwo semiphunga yakho. Le nkqubo ibizwa ngokuba yindlela yokulungisa indlela yomoya. Iindlela zakho zomoya ziba nkulu kwaye zinciphise, zisenza kube nzima ukuphefumla naxa ungenaso isifo sombefu. Ukulungiswa kwendlela yokuhamba ngomoya kunokubangela ukuba uhlaselwe rhoqo sisifo sombefu.

Ukuhlala nesifo sombefu esibi iminyaka emininzi kunokwandisa umngcipheko wesifo esinganyangekiyo semiphunga (COPD). Le meko ibandakanya iqela leemeko zemiphunga ezifana ne-emphysema kunye ne-bronchitis engapheliyo. Abantu abaneCOPD bakhohlela kakhulu, bavelisa i-mucus eninzi, kwaye banengxaki yokuphefumla.

Ungayinyanga njani i-asthma ebukhali

Olona nyango luphambili lonyango lwe-asthma lunyango lwemihla ngemihla lokulawula njenge-corticosteroid ephefumlelweyo, kunye namayeza okunceda ngokukhawuleza ("ukuhlangula") anjenge-beta-agonists emfutshane esebenza ukumisa uhlaselo lwesifuba xa kusenzeka. Ugqirha wakho uya kunyusa idosi njengoko kufuneka ukulawula iimpawu zakho. Ukuba isifo sombefu sakho asikalawulwa ngeedosi eziphezulu zala mayeza, inyathelo elilandelayo kukongeza elinye iyeza okanye unyango.

Amachiza e-Biologic luhlobo olutsha lwamayeza e-asthma ajolise kwisizathu seempawu zakho. Basebenza ngokuthintela ukusebenza kweekhemikhali zomzimba ezenza ukuba iindlela zakho zomoya zidumbe. Ukuthatha i-biologic kunokukuthintela ekufumaneni uhlaselo lwesifuba kwaye wenze uhlaselo onalo lube namandla kakhulu.

Amachiza amane e-biologic avunyelwe ukunyanga isifo sombefu esibuhlungu:

• I-reslizumab (iCinqair)
• mepolizumab (iNucala)
• i-omalizumab (iXolair)
• ibenralizumab (Fasenra)

Ugqirha wakho unokuphinda acebise olunye lonyango olongezayo kwisifo se-asthma:

• I-Tiotropium (iSpiriva) isetyenziselwa ukunyanga i-COPD kunye nokunceda ukulawula i-asthma.
• Iinguqu zeLeukotriene, njengemontelukast (i-Singulair) kunye ne-zafirlukast (i-Accolate), vimba ikhemikhali enciphisa umoya wakho ngexesha lokuhlaselwa sisifuba.
• Iipilisi zeSteroid yehlisa ukudumba kwiindlela zakho zomoya.
• I-bronchial thermoplasty yinkqubo yotyando evula umoya wakho.

Sebenza nogqirha wakho ukufumana indibaniselwano efanelekileyo yamayeza ukulawula iimpawu zakho. Unokuhamba ngamaxesha apho i-asthma yakho iya isiba mandundu kunye namaxesha okuphucula. Namathela kunyango lwakho, kwaye yazisa ugqirha wakho kwangoko ukuba ayisebenzi ukuze uzame enye into.