Chirwere muvana

Asthma chirwere chinokonzeresa kuti mhepo dziwande uye dzive shoma. Inotungamira mukufema, kufema kwekufema, kuomesa pachipfuva, uye kukosora.

Asima inokonzerwa nekuzvimba (kuzvimba) mumhepo. Munguva yekurwiswa kwechirwere, mhasuru dzakatenderedza nzira dzemhepo dzinosimbisa. Lining yemipaseji yemhepo inozvimba. Nekuda kweizvozvo, mweya mushoma unokwanisa kupfuura.

Asima inowanzoonekwa muvana. Icho chiri chikonzero chinotungamira chekupotsa mazuva echikoro uye kushanya kuchipatara kwevana. Kurwara kwevamwe chinhu chakakosha cheasthma muvana. Asima uye chisimbwa zvinowanzoitika pamwechete.

Muvana vane mweya unonzwisisika, zviratidzo zveasima zvinogona kukonzerwa nekufema muzvinhu zvinonzi allergens, kana zvinokonzeresa.

Zvinowanzoitika zvechirwere zvinosanganisira:

• Mhuka (vhudzi kana dander)
• Guruva, chakuvhuvhu, uye mukume
• Aspirin nemimwe mishonga
• Shanduko mumamiriro ekunze (kazhinji kazhinji kutonhora kwemamiriro ekunze)
• Makemikari mumhepo kana muchikafu
• Fodya utsi
• Rovedza muviri
• Manzwiro akasimba
• Utachiona hutachiona, hwakadai sehwahwa hwakawanda

Matambudziko ekufema anowanzoitika. Zvinogona kusanganisira:

• Kufema kwekufema
• Kunzwa kufema
• Kufemera mweya
• Kutambudzika kufema kunze (kufema)
• Kufema nekukurumidza kupfuura zvakajairwa

Kana mwana achiomerwa nekufema, ganda rechipfuva uye remutsipa rinogona kuyamwa mukati.

Zvimwe zviratidzo zveasthma muvana zvinosanganisira:

• Kukosora izvo dzimwe nguva kunomutsa mwana husiku (chingave icho chete chiratidzo).
• Masaga erima pasi pemeso.
• Kunzwa kuneta.
• Kushatirwa.
• Kuomarara mubhokisi.
• Ruzha rwemuridzo wakaitwa kana uchifema (uchifema). Unogona kuzviona zvakanyanya kana mwana afema.

Zviratidzo zveasthma zvemwana wako zvinogona kusiyana. Zviratidzo zvinogona kuoneka kazhinji kana kukura chete kana zvinokonzeresa zviripo. Vamwe vana vanowanzo kuve nezviratidzo zveasima husiku.

Anopa hutano anoshandisa stethoscope kuteerera kumapapu emwana. Mupiki anogona kukwanisa kunzwa ruzha rweasima. Nekudaro, ruzha rwemapapu runowanzoitika kana mwana asiri kurwara neasthma.

Iye mupi achaita kuti mwana afemere muchinhu chinonzi peak flow mita. Peak kuyerera mamita anogona kutaura kuti mwana anogona sei kufuridzira mweya kubuda mumapapu. Kana iyo nzira yemumhepo yakatetepa nekuda kweasima, yepamusoro yekuyerera tsika inodonha.

Iwe nemwana wako muchadzidza kuyera yepamusoro kuyerera kumba.

Mupiki wemwana wako anogona kuraira bvunzo dzinotevera:

• Allergy kuyedza paganda, kana kuongororwa kweropa kuti uone kana mwana wako ari alejiki kune zvimwe zvinhu
• Chest x-ray
• Lung basa bvunzo

Iwe nevapi vemwana wako munofanira kushanda pamwechete sechikwata kugadzira nekuita chirongwa cheasthma chiito.

Iri zano rinokuudza kuti ungaita sei:

• Dzivisa zvinokonzeresa asima
• Tarisa zviratidzo
• Pima kukwirira kuyerera
• Tora mishonga

Iyo zano rinofanira zvakare kukuudza iwe kuti ufonere kupi mupi. Izvo zvakakosha kuti uzive mibvunzo ipi yekubvunza mupi wemwana wako.

Vana vane asthma vanoda rutsigiro rukuru kuchikoro.

• Ipa vashandi vechikoro chirongwa chako cheasthma chiito kuti vazive mabatiro aungaita asthma yemwana wako.
• Tsvaga maitiro ekurega mwana wako kuti atore mushonga panguva yechikoro. (Ungangoda kusaina fomu yekubvuma.)
• Kuve neasthma hazvireve kuti mwana wako haakwanise kurovedza muviri. Varairidzi, vadzidzisi vekurovedza muviri, uye mwana wako anofanira kuziva zvekuita kana mwana wako aine zviratidzo zveasima zvinokonzerwa nekurovedza muviri.

Mishonga YEASHMA

Kune maviri akakosha marudzi emishonga anoshandiswa kurapa asima.

Yenguva refu-yekudzora mishonga inotorwa zuva rega rega kudzivirira zviratidzo zveasima. Mwana wako anofanirwa kutora mishonga iyi kunyangwe pasina zviratidzo zviripo. Vamwe vana vangangoda kanopfuura kamwechete kwenguva refu kudzora mushonga.

Mhando dzenguva refu-yekudzora mishonga inosanganisira:

• Inhaled steroids (izvi zvinowanzova sarudzo yekutanga yekurapa)
• Yakareba-inoshanda bronchodilators (izvi zvinowanzoshandiswa neinhaled steroids)
• Leukotriene inhibitors
• Cromolyn sodium

Kurapa nekukurumidza kana kununura asthma zvinodhaka zvinoshanda nekukurumidza kudzora zviratidzo zveasima. Vana vanovatora pavanenge vachikosora, kufema, vachinetseka kufema, kana kurwara neasthma.

Mimwe mishonga yembeu yemwana wako inogona kutorwa uchishandisa inhaler.

• Vana vanoshandisa inhaler vanofanirwa kushandisa spacer chishandiso. Izvi zvinovabatsira kupinza mushonga mumapapu zvakanaka.
• Kana mwana wako akashandisa inhaler nenzira isiri iyo, mushonga mushoma unopinda mumapapu. Ita kuti mupi wako aratidze mwana wako kuti angashandisa sei inhaler.
• Vana vadiki vanogona kushandisa nebulizer pane inhaler kutora yavo mishonga. Nebulizer inoshandura mushonga weasima kuita mhute.

KUDZIVISA VANODZISA

Izvo zvakakosha kuti uzive zvinokonzeresa zveasthma zvemwana wako. Kudzivisa idanho rekutanga mukubatsira mwana wako kuti anzwe zvirinani.

Chengeta zvipfuwo panze, kana zvirinani kure nemubhedhuru wemwana.

Hapana munhu anofanira kuputa mumba kana padhuze nemwana ane asthma.

• Kubvisa hutsi hwefodya mumba ndicho chinhu chakakosha kuita mhuri kubatsira mwana ane asthma.
• Kusvuta kunze kwemba hakuna kukwana. Nhengo dzemhuri nevashanyi vanosvuta vanotakura hutsi mukati mehembe uye bvudzi ravo. Izvi zvinogona kukonzera zviratidzo zveasima.
• Usashandise nzvimbo dzemoto dzemukati.

Chengeta imba yakachena. Chengeta chikafu mumidziyo uye kunze kwemakamuri ekurara. Izvi zvinobatsira kudzora mukana wemapete, ayo anogona kukonzera kurwisa kweasima. Kuchenesa zvigadzirwa mumba zvinofanirwa kunge zvisina zviyero.

ONGORORA PFU YEMWANA WAKO

Kuongorora kukwirira kwekuyerera ndeimwe yedzakanakisa nzira dzekudzora asima. Inogona kukubatsira kuchengetedza asthma yemwana wako kubva pakuwedzera. Kurwiswa neasthma kazhinji KUSAITIKA pasina yambiro.

Vana vari pasi pemakore mashanu vangangotadza kushandisa iyo yepamusoro kuyerera mita zvakakwana kuti ive inobatsira. Nekudaro, mwana anofanirwa kutanga kushandisa iyo yepamusoro kuyerera mita achiri mudiki kuti ajairane nayo. Munhu mukuru anofanira kugara achiona zviratidzo zveasima zvemwana.

Nokurapwa kwakakodzera, vana vazhinji vane asthma vanogona kurarama hupenyu hwakajairika. Kana asima isinganyatso kudzorwa, inogona kutungamira kuchikoro, matambudziko ekutamba mitambo, kurasikirwa nebasa revabereki, uye kushanya kwakawanda kuhofisi yemupi uye imba yekukurumidzira.

Zviratidzo zveasima zvinowanzodzikira kana kuenda zvachose kana mwana achikura. Chirwere chisina kunyatso kudzorwa chinogona kutungamira kumatambudziko emapapu asingaperi.

Muzviitiko zvisingawanzoitika, asthma chirwere chinotyisa. Mhuri dzinofanirwa kushanda padhuze nevavanopa kuti vagadzire chirongwa chekuchengeta mwana ane asthma.

Fonera mupi wemwana wako kana iwe uchifunga kuti mwana wako ane zviratidzo zvitsva zvechirwere. Kana mwana wako akaonekwa kuti ane asthma, danaidza mupi:

• Mushure mekushanyira imba yekukurumidzira
• Kana nhamba dzekuyerera dzakakwira dzave kudzikira
• Kana zviratidzo zvikawanda uye zvichinyanya kuoma, kunyangwe mwana wako ari kutevera chirongwa cheasthma chiito

Kana mwana wako achinetseka kufema kana kurwara neasthma, tora rubatsiro rwechiremba ipapo ipapo.

Emergency zviratidzo zvinosanganisira:

• Kunetseka kufema
• Bhuruu bhuruu kumiromo uye kumeso
• Kushushikana kwakanyanya nekuda kwekufema kwekufema
• Kukurumidza kupisa
• Kudikitira
• Yakadzikira mwero wekusvinura, sekukotsira kwakanyanya kana kuvhiringidzika

Mwana arikurwara neasthma zvakanyanya angangoda kugara muchipatara otora okisijeni nemishonga kuburikidza netsinga (intravenous line kana IV).

Pediatric asthma; Chirwere - chiremba; Kufuridzira - asthma - vana

• Asima nechikoro
• Chirwere - kudzora zvinodhaka
• Asima muvana - chii chekubvunza chiremba wako
• Chirwere - kukurumidza-kununura zvinodhaka
• Exercise -inokonzera bronchoconstriction
• Kuita maekisesaizi uye asima kuchikoro
• Mashandisiro aungaita nebulizer
• Mashandisiro ekushandisa inhaler - hapana spacer
• Mashandisiro ekushandisa inhaler - ine spacer
• Mashandisiro ekushandisa yako yepamusoro kuyerera mita
• Ita kukwirira kuyereke tsika
• Zviratidzo zveasthma kurwisa
• Gara kure nezvinokonzera mweya

• Kazhinji neasthmatic bronchiole
• Peak kuyerera mita
• Mapapu
• Kazhinji asthma inokonzeresa

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Dhipatimendi reUtano reHurumende neHuman Services; National Moyo, Lung, uye Ropa Institute webhusaiti. Kuchengetedza asthma nekukurumidza kutarisa: kuongorora uye kugadzirisa asima; nhungamiro kubva kuNational Asthma Dzidzo uye Kudzivirira Chirongwa, nyanzvi mapaneru mushumo 3. www.nhlbi.nih.gov/files/docs/guidelines/asthma_qrg.pdf. Yakagadziridzwa Nyamavhuvhu 2012. Yakasvika May 8, 2020.