Iindidi zonyango lwe-Asthma enamandla: Yintoni ekufuneka uyibuze ugqirha wakho

Umxholo

• Ndazi njani ukuba ndinesi sifo sombefu?
• Zithini ii-corticosteroids ezinganyangekiyo?
• Zithini ii-corticosteroids zomlomo?
• Yintoni i-biologics?
• Zithini ii-agonists ezimfutshane kunye nezisebenza ixesha elide?
• Zithini iinguqulelo zeleukotriene?
• Ndingenza ntoni ukunceda ukulawula iimpawu zam?
• Ithini imbono yam yexesha elide?
• Yise kude

Ushwankathelo

Isifo sombefu esinamandla sisifo esinganyangekiyo sokuphefumla apho iimpawu zakho zinamandla kwaye kunzima ukuzilawula kunamatyala anobulali.

Isifo sombefu esingalawulwa kakuhle sinokuchaphazela ukubanakho kwakho ukugqiba imisebenzi yemihla ngemihla. Ingakhokelela nasekuhlaselweni sisifuba esisongela ubomi. Ukuba ufumana iziphumo ebezingalindelekanga ezivela kunyango okanye ungacingi ukuba ziyasebenza, kubalulekile ukubona ugqirha wakho. Banokujonga kwakhona imbali yakho yezonyango kwaye bahlengahlengise unyango lwakho ngokufanelekileyo.

Nantsi eminye imibuzo onokuyizisa kwimeko yakho elandelayo yonyango ukuze uqalise incoko.

Ndazi njani ukuba ndinesi sifo sombefu?

Qala ngokubuza ugqirha wakho ukuba achaze iimpawu kunye neempawu zesifo sombefu. I-asthma emodareyithayo enokumodareyitha inokulawulwa ngamayeza amiselweyo. Abantu abane-asthma ebukhali bafuna iidosi eziphezulu zala mayeza kwaye banokuzifumana bekwigumbi likaxakeka ngenxa yokuhlaselwa sisifuba.

Isifo sombefu esinganyangekiyo sinokubangela iimpawu zokudodobala ezikhokelela ekuphosweni sisikolo okanye emsebenzini. Awunakho ukuthatha inxaxheba kwimisebenzi yomzimba njengokuya kwindawo yokuzivocavoca okanye ukudlala imidlalo.

Isifo sombefu esibuhlungu nako kunokwenzeka ngakumbi ukuba sikhatshwe zezinye iimeko zonyango, njengokutyeba kakhulu, i-apnea yokulala, kunye nesifo se-reflux se-gastroesophageal.

Zithini ii-corticosteroids ezinganyangekiyo?

Ugqirha wakho unokumisela i-corticosteroids enganyangekiyo yesifuba esibi ukukhusela iimpawu zakho kunye nokulawula ukudumba kwindlela yakho yomoya. Ngokusetyenziswa rhoqo, ii-corticosteroids ezinganyangekiyo zinokunciphisa ukubetha nokuqina kohlaselo lwesifuba. Abayi kuthintela okanye bayeke uhlaselo xa sele luqalile.

Ukufakwa ngaphakathi kwi-corticosteroids kunokubangela iziphumo ebezingalindelekanga zalapha ekhaya, ezinqunyelwe kwicandelo elithile lomzimba. Banokukhokelela kwiziphumo ebezingalindelekanga ezichaphazela umzimba wonke.

Iziphumo ezinokubakho zibandakanya:

• i-candidiasis yomlomo, usulelo lomngundo lomlomo
• ukudinwa
• umlomo okanye umqala obuhlungu
• spasms yetrachea
• ukunciphisa okuncinci kokukhula ebantwaneni
• kunciphise ukuxinana kwethambo kubantu abadala
• ukutyunyuzwa ngokulula
• ngamehlo
• iglaucoma

Zithini ii-corticosteroids zomlomo?

Ii-corticosteroids zomlomo zinokumiselwa ukongeza kwi-inhalled corticosteroids ukuba usemngciphekweni wokuhlaselwa sisifuba esibi, okanye ukuba sele ubukhe wanayo ngaphambili. Basebenza ngokuphumla kwimisipha ejikeleze umoya wakho.Baye banciphise iimpawu ezinjengokukhohlela, ukuvutha kunye nokuphefumla kancinci.

Ezi zinokuthwala iziphumo ebezingalindelekanga ezifanayo kwi-inhaled corticosteroids, nangona zixhaphake kakhulu kwaye zinokuba zibi kakhulu. Iziphumo ezinokubandakanya:

• ukutyeba kakhulu
• ukugcinwa kolwelo
• igazi elonyukayo
• ukukhula koxinzelelo kubantwana
• i-osteoporosis kubantu abadala
• isifo seswekile
• ubuthathaka bemisipha
• ngamehlo
• iglaucoma

Yintoni i-biologics?

Amachiza e-Biologic ahlala ethathwa ngenaliti kwaye anceda ukulawula iimpawu zesifo sombefu. I-Biologics ihlala ibiza kakhulu kunamanye amayeza e-asthma. Kodwa zisetyenziswa ngakumbi nangakumbi njengenye indlela ye-steroids yomlomo, enokuthi ngamanye amaxesha ikhokelele kwiziphumo ebezingalindelekanga ezibi.

I-Biologics ikhuselekile ukusetyenziswa. Iziphumo ebezingalindelekanga zihlala zincinci, kubandakanya:

• ukudinwa
• intloko ebuhlungu
• iintlungu ezijikeleze indawo yenaliti
• izihlunu eziqaqambayo kunye namalungu
• umqala obuhkungu

Kwiimeko ezinqabileyo, uguquko olunzima kwi-biologics lunokwenzeka. Ukuba ucinga ukuba ufumana uguquko, nxibelelana nogqirha ngoko nangoko.

Zithini ii-agonists ezimfutshane kunye nezisebenza ixesha elide?

Ama-agonists asebenza ngokufutshane (ii-SABAs) ngamanye amaxesha asetyenziswa njengamayeza okuhlangula ngokukhawuleza kweempawu zesifo sombefu. Ama-agonists asebenza ixesha elide (LABAs) asebenza ngendlela efanayo kodwa aqhubeke nokubonelela ngoncedo kangangeeyure ezili-12 okanye nangaphezulu.

Zombini zineziphumo ebezingalindelekanga ezifanayo, njengoko zisebenza ngeendlela ezifanayo. Kodwa iziphumo ebezingalindelekanga ze-SABAs zihlala zisombulula ngokukhawuleza. Ngee-LABAs, iziphumo ebezingalindelekanga zinokuqhubeka ixesha elide. Iziphumo ezinokubandakanya:

• intloko ebuhlungu
• isiyezi
• ukwanda kwentliziyo
• ixhala
• ukungcangcazela
• urhashalala okanye irhashalala

Zithini iinguqulelo zeleukotriene?

Izilungiso zeLeukotriene zisebenza ngokuthintela imichiza etshisayo emzimbeni obizwa ngokuba yileukotriene. Le khemikhali ibangela ukuba izihlunu zakho zomoya ziqiniswe xa udibana ne-allergen okanye i-asthma trigger.

I-Leukotriene modifiersa ihlala inyamezeleka kubantu abane-asthma ebukhali, kodwa banemiphumela emibi, kubandakanya:

• isisu esimoshakele
• intloko ebuhlungu
• uvalo
• isicaphucaphu okanye ukugabha
• ukuxinana kwempumlo
• Iimpawu ezinjengomkhuhlane
• irhashalala

Ndingenza ntoni ukunceda ukulawula iimpawu zam?

Ukulawula iimpawu zakho yinxalenye ebalulekileyo yokuphila nesifo sombefu. Ugqirha wakho unokukucebisa ngeendlela zokunceda ukunciphisa isifuba kubomi bakho bemihla ngemihla.

Jonga ugqirha wakho rhoqo ukuze ujonge ukuba amayeza akho asebenza njani. Yazisa ugqirha wakho kwangoko ukuba uziva ngathi nawaphi na amayeza akho awasebenzi njengoko kufanelekile.

Ugqirha wakho unokunceda ekuchongeni ukuba zeziphi izinto ezingcolisa umoya nezicaphukisayo ezibangela isifuba sakho sombefu. Nje ukuba wazi ukuba zeziphi izinto ezibangela ukuba uthathe amanyathelo, ungathatha amanyathelo okuphepha.

Ukuba uyatshaya, kuya kufuneka wenze iinzame zokuyeka ngokukhawuleza. Ukutshaya kunokuzandisa iimpawu zakho kwaye kwandise amathuba akho ezinye iimeko ezisongela ubomi njengomhlaza kunye nesifo sentliziyo. Thetha nogqirha wakho malunga neenkqubo okanye amayeza anokukunceda uyeke ukutshaya.

Ithini imbono yam yexesha elide?

Mhlawumbi unomdla malunga nembono yakho yexesha elide nesifuba esibi. Ukuba kunjalo, cinga ukubuza ugqirha wakho malunga noku.

Isifo sombefu esinganyangekiyo sinokungaqiniseki, ngenxa yoko umbono wexesha elide wahlukile kuwo wonke umntu. Iimpawu zabantu abathile ziyaphucuka, abanye bafumana amava amahla ndinyuka, kwaye abanye bafumanisa ukuba iimpawu zabo ziya zisiba nzima ngokuhamba kwexesha.

Ugqirha wakho unokukunika olona qikelelo luchanekileyo olusekwe kwimbali yakho yezonyango nokuba uphendule njani kunyango ukuza kuthi ga ngoku.

Yise kude

Ukugcina incoko kunye nogqirha wakho kubalulekile ekufumaneni unyango olufanelekileyo. Imibuzo engentla yindawo elungileyo onokuqala kuyo, kodwa ayisiyiyo kuphela kwezinto ekufuneka ubuzile.

Musa ukoyika ukuqhagamshelana neofisi kagqirha wakho nanini na xa uneminye imibuzo okanye inkxalabo. Okukhona usazi ngesifuba sakho sombefu, kuya kuba lula ngakumbi kuwe ukulawula iimpawu zakho kwaye uphile ubomi obuqhelekileyo nobusempilweni.