Luthini Unyango Olunokundinyanga Isifuba Se-Asma Esibangelwa Kukwalana Nezinto? Imibuzo kugqirha wakho

Umxholo

• Luthini unyango lwam lwesifo sombefu?
• Ukuchonga ubukhali besifuba
• Amayeza asebenza ngokukhawuleza
• Amayeza exesha elifutshane
• Amayeza exesha elide
• Ndazi njani ukuba yintoni ebangela isifuba sam?
• Ngaba kufuneka ndenze utshintsho kwindlela yokuphila?
• Kuthekani ukuba andiziva naziphi na iimpawu?
• Kuthekani ukuba ndingahlaselwa ngesiquphe?
• Kuthekani ukuba amayeza am ayayeka ukusebenza?
• Ngaba likhona unyango lwe-asthma egulayo?
• Yise kude

Ushwankathelo

Isifuba se-asthma esiqhelekileyo sisona sifo esiqhelekileyo, sichaphazela malunga neepesenti ezingama-60 zabantu abanesi sifo. Iziswa zizinto ezihamba nomoya ezinjengothuli, umungu, ukungunda, isilwanyana esingumlwanyana, kunye nokunye.

Iimpawu zibandakanya ingxaki yokuphefumla, ukukhwehlela kunye nokuvutha. Oku kunokuba sesichengeni xa kuhlaselwa ngokuqatha.

Ugqirha wakho ngumthombo obalulekileyo wolwazi kunye neengcebiso kunyango lwakho lwesifuba. Yiza neyakho imibuzo malunga nokulawula imeko kulowo nalowo utyunjiweyo. Ukuba awuqinisekanga ukuba ubuze ntoni, nazi izihloko ezimbalwa zokukunceda uqalise.

Luthini unyango lwam lwesifo sombefu?

Isifuba se-asthma esiyingozi sisifo sexesha elide, kodwa sikwabandakanya iziqendu, okanye uhlaselo, xa uzakufuna isiqabu ngokukhawuleza.

Ugqirha wakho unokucebisa unyango oluqhubekayo kunye nolwexeshana ukunciphisa iimpawu. Ngokwesiqhelo baya kuqala ngokumisela ubukhali beempawu zakho ngaphambi kokucebisa unyango oluthile.

Ukuchonga ubukhali besifuba

Kukho iindidi ezine zesifuba. Icandelo ngalinye lisekwe kubukrakra besifuba, obulinganiswa ngokuhamba rhoqo kweempawu zakho.

• Ukuphazamiseka. Iimpawu zivela kwiintsuku ezimbini ngeveki okanye zikuvuse ebusuku ubuninzi bobusuku bobabini ngenyanga.
• Uzingisile. Iimpawu zenzeka ngaphezu kokuphindwe kabini ngeveki, kodwa hayi ngaphezulu kwesinye ngosuku, kwaye kukuvusa ebusuku amaxesha ama-3-4 ngenyanga.
• Ukuzingisa okuphakathi. Iimpawu zenzeka mihla le kwaye zikuvusa ebusuku ngaphezulu kwesinye ngeveki kodwa hayi rhoqo ebusuku.
• Uyazingisa ngokuzingisileyo. Iimpawu zenzeka ngalo lonke usuku kwiintsuku ezininzi kwaye zihlala zikuvusa ebusuku.

Kubalulekile ukulandelela kunye nokubeka iliso kwiimpawu zakho ukuze ubone ukuba ziphucula. Ugqirha wakho unokucebisa ukuba usebenzise imitha yokuhamba okuphezulu ukulinganisa ukusebenza kwemiphunga. Oku kunokukunceda ukuba ubone ukuba i-asthma yakho iya isiba mandundu, nokuba awuziva wahlukile.

Amayeza asebenza ngokukhawuleza

Abantu abaninzi abane-asthma bathwala i-inhaler, eluhlobo lwe-bronchodilator. I-bronchodilator esebenza ngokukhawuleza yinto onokuyisebenzisa xa uhlaselwa. Ivula iindlela zakho zomoya kwaye yenza kube lula kuwe ukuba uphefumle.

Amayeza asebenza ngokukhawuleza kufuneka akwenze uzive ungcono ngokukhawuleza kwaye uthintele uhlaselo olubi kakhulu. Ukuba abancedi, kufuneka ufune unyango olungxamisekileyo.

Amayeza exesha elifutshane

Ugqirha wakho unokuyalela amanye amayeza ekufuneka uwathathe ixesha elifutshane xa iimpawu zakho zivutha. Oku kubandakanya i-corticosteroids, ezichasene neziyobisi ezichaphazela ukuvuvukala komoya. Bahlala beza kwifom yeepilisi.

Amayeza exesha elide

Amayeza esifuba se-asthma exesha elide ayilelwe ukukunceda ulawule imeko. Uninzi lwezi zithathwa mihla le.

• Ukurhoxa kwiicorticosteroids. Ezi ziyeza ezichasayo ezifana ne-fluticasone (Flonase), i-budesonide (i-Pulmicort Flexhaler), i-mometasone (i-Asmanex) kunye ne-ciclesonide (i-Alvesco).
• Iinguqu zeLeukotriene. La ngamayeza eyeza athoba iimpawu ukuya kuthi ga kwiiyure ezingama-24. Imizekelo ibandakanya i-montelukast (i-Singulair), i-zafirlukast (i-Accolate), kunye ne-zileuton (iZyflo).
• I-beta agonists esebenza ixesha elide. La mayeza avula iindlela zomoya kwaye athathwe ngokudibanisa ne-corticosteroid. Imizekelo ibandakanya i-salmeterol (Serevent) kunye nefomoterol (Foradil).
• Inhalers yokudibanisa. Ezi inhalers ziyindibaniselwano ye-beta agonist kunye ne-corticosteroid.

Ugqirha wakho uya kusebenza nawe ukufumana amayeza afanelekileyo. Kubalulekile ukugcina unxibelelwano oluhle kunye nogqirha wakho ukuze babone ukuba uhlobo lwakho okanye idosi yamayeza kufuneka itshintshe.

Ndazi njani ukuba yintoni ebangela isifuba sam?

Isifuba se-asthma (i-allergen) i-Allergic asthma iziswa ngamasuntswana athile abizwa ngokuba zii-allergener. Ukuchonga ukuba zeziphi ezibangela iingxaki kuwe, ugqirha unokukubuza ukuba nini kwaye phi xa ufumana iimpawu zokungabikho komzimba.

I-allergist nayo inokwenza ulusu kunye novavanyo lwegazi ukumisela ukuba yintoni onayo. Ukuba kukho izinto ezithile ezifumanekayo, ugqirha wakho unokucebisa unyango lwe-immunotherapy, olunyango olunciphisa ubuntununtunu kwizigulo.

Ugqirha wakho unokucetyiswa ukukhusela ukukhusela. Oku kuthetha ukuba kuyakufuneka ugcine ikhaya lakho lingenawo amasuntswana abangela uguquko.

Kuya kufuneka uphephe nokuya kwiindawo apho unethuba eliphezulu lokuhlaselwa ngenxa yeentsholongwane ezisemoyeni. Umzekelo, kungafuneka uhlale ngaphakathi ngeentsuku apho ukubala komungu kuphezulu okanye ususe iikhaphethi ekhayeni lakho ukuthintela uthuli.

Ngaba kufuneka ndenze utshintsho kwindlela yokuphila?

I-Allergener ziyingcambu yesifo se-asthma. Ngokuhlala kude nezi zifo, unokunceda ukukhusela iimpawu zesifuba.

Iindlela zokuphila ekufuneka uzenze zixhomekeke kwizizathu zakho ezithile. Ngokubanzi, unokunceda ukunciphisa ukuhlaselwa ngokujonga ubungqina be-allergen kwikhaya lakho kunye nokuguqula imisebenzi yakho yangaphandle yemihla ngemihla ukukhusela ukubonakaliswa.

Kuthekani ukuba andiziva naziphi na iimpawu?

Isifo sombefu sisigulo esinganyangekiyo, kwaye akukho lunyango. Usenokungafumani zimpawu, kodwa kusafuneka uhlale emgceni kunye namayeza akho exesha elide.

Kwakhona kubalulekile ukuthintela izinto ezibangela ukungabikho komzimba. Ngokusebenzisa imitha yokuhamba okuphezulu, unokufumana isalathi sokuqala sokuba inqanaba lokuhamba komoya liyatshintsha, nangaphambi kokuba uve uhlaselo luqala.

Kuthekani ukuba ndingahlaselwa ngesiquphe?

Soloko ugcina amayeza asebenza ngokukhawuleza kunye nawe. Oku kuya kukunceda uzive ungcono kwisithuba semizuzu engama-20 ukuya kwengama-60.

Ukuba iimpawu zakho aziphucuki okanye ziqhubeke zisiba mbi, yiya kwigumbi likaxakeka okanye ucofe u-911. Iimpawu ezinzima ezigunyazisa ukutyelelwa kwegumbi likaxakeka kubandakanya ukungakwazi ukuthetha okanye ukuhamba ngenxa yokuphefumla okufutshane kunye nemilebe eluhlaza okwesibhakabhaka okanye iinzipho.

Gcina ikopi yesicwangciso somsebenzi sakho sombefu kuwe ukuze abantu abakungqongileyo babe nolwazi oluyimfuneko lokukunceda.

Kuthekani ukuba amayeza am ayayeka ukusebenza?

Ukuba amayeza akho abonakala ngathi awasebenzi, kungafuneka uguqule isicwangciso sakho sonyango.

Iimpawu zesifo se-asthma esinokugulisa umzimba sinokutshintsha ngokuhamba kwexesha. Olunye unyango lwexesha elide lunokungasebenzi kakuhle njengoko ixesha liqhubeka. Kubalulekile ukuxoxa ngophawu kunye notshintsho kumayeza nogqirha wakho.

Ukusebenzisa i-inhaler okanye amanye amayeza asebenza ngokukhawuleza rhoqo luphawu lokuba isifuba sakho se-asthma asibi phantsi kolawulo. Thetha nogqirha wakho malunga nokhetho lwakho lwangoku kunye nokuba kuya kufuneka wenze naluphi na utshintsho.

Ngaba likhona unyango lwe-asthma egulayo?

Akukho lunyango lwesifuba somzimba esibuhlungu. Ke ngoko, kubalulekile ukuba ubambelele kunyango lwakho kwaye ulandele iingcebiso zikagqirha wakho.

Ukwenza njalo kunokuthintela iingxaki ezinzima, ezinje ngokulungiswa komoya, okucothisa ngokusisigxina kweendlela zokuphefumla. Le ngxaki ichaphazela indlela onokuthi uwukhuphe ngayo umoya kunye nokukhupha umoya ngaphandle kwemiphunga yakho.

Yise kude

Ukugcina ubudlelwane obulungileyo kunye nogqirha wakho kukunceda ukuba ube nolwazi oluchanekileyo kunye nenkxaso yesifo se-asthma. Ugqirha wakho unokuxoxa ngeendlela zakho zonyango ngokunzulu.

Omabini la mayeza asebenzayo ngokukhawuleza kunye nexesha elide anokukunceda ulawule imeko yakho, kwaye utshintsho kwindlela ophila ngayo lunokunciphisa ukubonakala kwakho. Ukuthatha la manyathelo ukulawula isifo sakho se-asthma kunokwenza kube lula ukuphila ubomi obusempilweni, obonwabisayo.