Ngaba Mfutshane Ukuphefumla luphawu lwe-Asthma?

Umxholo

• Ngaba ukuphefumla kancinci luphawu lwesifuba?
• Ukuxilongwa kancinci nokuphefumla
• Unyango lokuphefumla olufutshane
• Ngaphantsi kakhulu
• Eqine ngakumbi
• Ukuqhubeka nokunyanga isifo sombefu
• Yise kude

Ukuphefumla kancinci kunye nesifuba

Uninzi lwabantu luye lwafumana ubunzima bokuphefumla, nokuba kulandela ukuzivocavoca kakhulu okanye ngelixa ulawula isifo esibandayo okanye isifo sesono.

Ukuphefumla kancinci nako yenye yeempawu eziphambili zesifo sombefu, imeko apho iindlela zomoya wemiphunga zivutha kwaye zivaliwe.

Ukuba une-asthma, imiphunga yakho ixhaphake ngakumbi kukucaphuka okubangela ukuphefumla okufutshane. Usenokuba nengxaki yokuphefumla rhoqo kunasemntwini ongenasifuba. Umzekelo, unokufumana uhlaselo lwesifuba xa iimpawu zesifo sombefu ziya zisiba mbi ngaphandle kwesilumkiso, nangaphandle kwesizathu sokusebenza ngamandla komzimba.

Ngaba ukuphefumla kancinci luphawu lwesifuba?

Ukuphefumla okufutshane kunokuthetha ukuba unesifuba, kodwa ngokuqhelekileyo uya kuba neempawu ezongezelelweyo ezifana nexesha lokukhwehlela okanye ukuphefumula. Ezinye iimpawu zibandakanya:

• iintlungu zesifuba kunye nokuxinana
• ukuphefumla ngokukhawuleza
• Ndiziva ndidiniwe xa ndisenza umthambo
• ingxaki yokulala ebusuku

Ukuba ufumana naziphi na kwezi mpawu, nxibelelana nogqirha wakho ukuze uqonde ukuba zizimpawu zesifo sombefu. Ezi mpawu zinokuba sisiphumo seemeko zempilo ngaphandle kwesifuba. Ugqirha wakho unokuqhuba uvavanyo ukuze akunike isifo esifanelekileyo.

Ukuxilongwa kancinci nokuphefumla

Ukufumana oyena nobangela weempawu zakho, ugqirha wakho uya kukubuza malunga nembali yakho yezonyango kwaye akuvavanye, unike ingqalelo ekhethekileyo entliziyweni nakwimiphunga yakho. Banokwenza iimvavanyo ezinje:

• X-reyi yesifuba
• ukubetha kwe-oximetry
• Uvavanyo lomsebenzi weplmonary
• Ukuskena i-CT
• iimvavanyo zegazi
• qeebloyi
• i-electrocardiogram (ECG)

Ezi mviwo zinokukunceda ukumisela ukuba ukuphefumla okufutshane kunxulumene nesifuba okanye enye imeko yezonyango enje:

• Imiba yevalve yentliziyo
• isifo semithambo
• arrhythmia
• usulelo lwesono
• ianemia
• izifo zemiphunga ezinjenge-emphysema okanye inyumoniya
• ukutyeba kakhulu

Unyango lokuphefumla olufutshane

Unyango oluthile lokuphefumla kancinci luya kuxhomekeka kwisizathu esingunobangela kunye nobukrakra baso. Ukuba sele ufumanekile ukuba unesifo sombefu unokumisela isenzo sakho ngokubhekisele kubukhali bokuphefumla okufutshane.

Ngaphantsi kakhulu

Kwisiganeko esincinci, ugqirha wakho unokuncoma ukusebenzisa i-inhaler yakho kunye nokuziqhelanisa nokuphefumla komlomo.

Ukuphefumla okufutshane ayisiyongxamiseko kwezonyango, kukho unyango ekhaya njengokuhlala phambili kunye nokuphefumla okungapheliyo. Ukusela ikofu kuye kwafunyanwa ukuba kuphumle iindlela zomoya zabo bafumana isifo sombefu kwaye kunokuphucula ukusebenza kwemiphunga ixesha elifutshane.

Eqine ngakumbi

Ngexesha elinzima lokuphefumla okanye iintlungu zesifuba, kuya kufuneka ufune unyango ngokukhawuleza.

Ukuqhubeka nokunyanga isifo sombefu

Ngokusekwe kwiimfuno zakho ezithile, ugqirha wakho unokuyalela amayeza kubandakanya

• I-corticosteroids ebhalwe ngaphakathi
• ii-agonists ezisebenza ixesha elide ezinje ngefomoterol (iPerforomist) okanye isalmeterol (iSerevent)
• indibaniselwano ye-inhalers efana ne-budesonide-formoterol (Symbicort) okanye i-fluticasone-salmeterol (Advair Diskus)
• iinguqu ze-leukotriene ezifana ne-montelukast (i-Singulair) okanye i-zafirlukast (i-Accolate)

Ugqirha wakho unokusebenza nawe ukumisela isisombululo sexesha elide ekuphefumlweni okuphefumlayo okubangelwa sisifo sombefu. Izisombululo zinokubandakanya:

• ukuphepha izinto ezingcolisayo
• ukuyeka ukusetyenziswa kweemveliso zecuba
• ukwenza isicwangciso sokuba kwenzeke nini iimpawu

Yise kude

Ukuphefumla okufutshane kunokuba sisiphumo sesifuba, kodwa isifuba asikuphela kwesizathu sokuphefumla.

Ukuba ufumana ukuphefumla okufutshane, yenza idinga nogqirha wakho onokuqhuba uvavanyo ukunceda ukubonelela ngesifo esifanelekileyo kwaye, ukuba kukho imfuneko, enze isicwangciso sonyango.

Ukuba uye wafumanisa ukuba une-asthma kwaye ufumana ngokukhawuleza ukuphefumula okanye ukuphefumula okufutshane kuhamba kunye nentlungu yesifuba, sebenzisa i-inhaler yakho kwaye ubone ugqirha wakho.

Buza ugqirha wakho malunga nezinto ezibangela imeko kunye neendlela zokuthintela ubunzima bokuphefumla.