Chii chinonzi Brittle Asthma?

Zvemukati

• Ndedzipi mhando dzebrittle asthma?
• Tora 1
• Tora 2
• Ndezvipi zvinhu zvinokonzeresa kuti ubate mweya?
• Icho chinonzi brittle asthma chinoonekwa sei?
• Chirwere cheasthma chinotarisirwa sei?
• Kurapa zvinodhaka
• Asingamiriri ekurapa zvinodhaka
• Ndeupi maonero ako ne brittle asthma?
• Matipi ekudzivirira asthma kurwisa

Mhedziso

Brittle asthma chimiro chisingawanzoitika cheasthma yakaoma. Izwi rekuti "brittle" rinoreva kunetsa kudzora. Brittle asthma inonzi zvakare kusagadzikana kana kusatarisika asthma nekuti inogona kungoerekana yaita kurwisa kunotyisa.

Kusiyana nemhando dzisinganyanyi kuoma dzeasima, chirwere chinonzi asthma chinowanzoita kunge chisingagone kurapwa, sekufema corticosteroids. Inogona kutyisidzira hupenyu, uye inosanganisira kushanya kwachiremba kwakawanda, kurapwa muchipatara, uye kurapwa kupfuura mamwe marudzi easima.

Brittle asthma inobata nezve 0.05 muzana yevanhu vane asthma. Havasi vese vanachiremba vanobvumirana nekushandiswa kwechikamu ichi, sezvo vamwe vanhu vane asthma vane zviratidzo zvavo vari pasi pesimba vanogona vachiri kusangana nehupenyu-hutyisidzira mweya.

Ndedzipi mhando dzebrittle asthma?

Kune maviri marudzi e brittle asthma. Ose ari maviri akaomarara, asi ane mapatani akasiyana kwazvo ekuomarara.

Tora 1

Rudzi urwu rwe brittle asthma runosanganisira nguva dzezuva nezuva dzekufema uye kugara uchirova kamwe kamwe kwakanyanya. Kufema kunoyerwa maererano neiyo yepamusoro kufema kuyerera (PEF). Kuti uwane chirwere ichi, iwe uchafanirwa kuve nemisiyano yakakura zuva nezuva mukufema zvinopfuura makumi mashanu muzana yenguva mukati memwedzi mishanu.

Vanhu vane mhando 1 vanowanzo kuve nehutachiona hwemuviri uye vanogona kutapukirwa nezvirwere zvekufema. Vanopfuura makumi mashanu muzana yevanhu vane mhando 1 brittle asthma zvakare vane chikafu chekudya kugorosi uye zvigadzirwa zvemukaka. Iwe unogona zvakare kuda kuwedzerwa kuchipatara kubvumidzwa kudzikamisa zviratidzo zvako.

Tora 2

Kusiyana nerudzi rwekutanga asthma asthma, mhando iyi yeasthma inogona kudzorwa nemushonga kwenguva yakareba. Nekudaro, kana kukonzeresa kweasthma kurwisa kukaitika, kunouya kamwe kamwe, kazhinji mukati memaawa matatu. Unogona kusakwanisa kuona chero chinokonzeresa chinokonzeresa.

Rudzi urwu rweasthma kurwisa kunoda kurapwa kwekukurumidza, kazhinji kusanganisira kutsigirwa nemhepo. Inogona kutyisidzira hupenyu kana ikasarapwa nekukurumidza.

Ndezvipi zvinhu zvinokonzeresa kuti ubate mweya?

Zvinokonzera chirwere chakakomba hachizivikanwe, asi zvimwe zvinhu zvine njodzi zvakaonekwa. Zvizhinji zvezviitiko zvengozi zvebrittle asthma zvakafanana neizvo zvemhando dzakadzika zvakanyanya dzeasima. Izvi zvinosanganisira mamiriro ehutano hwako hwemapapu, kuti une asthma kwenguva yakareba sei, uye kuomarara kwealgget yako.

Kuva mukadzi ari pakati pemakore gumi nemashanu nemakumi mashanu nemashanu kunowedzera njodzi yako yerudzi rwekutanga brittle asthma. Type 2 brittle asthma inoonekwa zvakaenzana muvarume nevakadzi.

Zvimwe zvinowedzera njodzi zvebrittle asthma zvinosanganisira:

• kuva wakakora, izvo zvinowanzo kuperekedzwa neapnea yekurara
• chaiwo majini shanduko, kusanganisira nemajini akatsunga kuramba mamwe maasifma zvinodhaka
• kusvibiswa kwezvakatipoteredza kune allergener, senge guruva mite, mapete, chakuvhuvhu, katsi dander, uye mabhiza
• zvekudya zvekudya, zvinosanganisira allergies kune zvigadzirwa zvemukaka, gorosi, hove, macitrus, zai, mbatatisi, soy, nzungu, mbiriso, uye chokoreti
• kusvuta fodya
• mweya wekufema, kunyanya muvana
• sinusitis, iyo inobata makumi masere kubva muzana yevanhu vane asthma yakaoma
• utachiona hwakadai mycoplasma uye chlamydia
• kutadza kudzivirira immune system
• shanduko yechimiro mumhepo
• zvepfungwa, kusanganisira kushushikana

Zera rinogona zvakare kuve njodzi. Mune kumwe kuongorora kwevanhu makumi masere vane asthma yakaoma, inosanganisira brittle asthma, vaongorori vakawana kuti:

• vangangoita zvikamu zviviri kubva muzvitatu zvevatori vechikamu vakaita asthma vasati vava nemakore gumi nemaviri
• chetatu-chetatu chakaita asima mushure memakore gumi nemaviri
• 98 muzana yevatangi-vekutanga-vatori vechikamu vaive nemaitiro akanaka ehutano hwezvirwere
• chete 76 muzana yevanononoka-kutora chikamu vatori vechikamu vaive neakanaka maitirwo ekurwisa
• vanhu vane asthma yekutanga-kazhinji vaiwanzove nenhoroondo yemhuri yeeczema neasthma
• VaAfrica -America vari panjodzi yekuwedzera kweasthma yekutanga

Chaizvoizvo kuti izvi zvinhu zvinopa sei ku brittle asthma ndiyo nyaya yezvinoenderera mberi zvidzidzo zvekutsvaga.

Icho chinonzi brittle asthma chinoonekwa sei?

Kuti uonekwe uine brittle asthma, chiremba wako achakuongorora mumuviri, kuyera mapapu ako basa uye PEF, uye kubvunza nezvezviratidzo uye nhoroondo yemhuri. Ivo vanofanirwa zvakare kutonga kunze zvimwe zvirwere zvinogona kukanganisa mapapu ako kuita, senge cystic fibrosis.

Kuomarara kwezviratidzo zvako uye mhinduro yako pakurapwa ichaita basa rakakura mukuongororwa.

Chirwere cheasthma chinotarisirwa sei?

Kugadzirisa brittle asthma kwakaoma uye kunoda maitiro emunhu mumwe nemumwe. Chiremba wako achakurukurawo nezvematambudziko akakomba anogona kubuda kubva muchiitiko ichi. Vanogona kukuraira kuti usangane nemupi wezano weasthma kana boka kuti unzwisise zviri nani chirwere uye kurapwa.

Chiremba wako acharapa nekucherechedza chero hosha dzinoperekedza dzaungave nadzo, senge gastroesophageal reflux (GERD), kufutisa, kana kutadzisa kufema kufema. Ivo vanozoongorora zvakare kudyidzana pakati pemishonga yekurapa kwezvirwere izvi neasthma yako.

Kurapa zvinodhaka

Kurapa kwe brittle asthma kunogona kusanganisira kusanganiswa kwemishonga, se:

• inhaled corticosteroids
• beta agonists
• leukotriene modifiers
• muromo theophylline
• tiotropium bromide

Iko hakuna kwenguva yakareba zvidzidzo zveakasanganiswa emishonga ekurapa, saka chiremba wako anonyatso tarisa mhinduro yako. Kana yako asthma iri pasi pekutonga pamwe neiyo yekubatanidza kurapa, chiremba wako anogona kugadzirisa ako madhiragi kune yakaderera inoshanda madosi.

Vamwe vanhu vane brittle asthma vanoshingirira kune inhaled corticosteroids. Chiremba wako anogona kuyedza inhaled corticosteroids kana kuraira kushandiswa kwavo kaviri pazuva. Chiremba wako anogona zvakare kuyedza mukanwa corticosteroids, asi izvi zvine mhedzisiro, senge osteoporosis, uye inoda kuongororwa.

Chiremba wako anogona zvakare kukurudzira anotevera ekurapa mukuwedzera kune steroid:

• Macrolide mishonga inorwisa mabhakitiriya. Mhedzisiro kubva inoratidza kuti clarithromycin (Biaxin) inogona kudzikisira kuzvimba, asi kumwe kutsvagurudza kunodiwa.
• Anti-fungal kurapa. inoratidza kuti oral itraconazole (Sporanox), inotorwa kaviri pazuva kwemavhiki masere, inovandudza zviratidzo.
• Recombinant monoclonal anti-immunoglobulin E antibody. Omalizumab (Xolair), inopihwa pamwedzi pasi peganda, ine mhedzisiro pane kuomarara kwezviratidzo uye hupenyu hwehupenyu. Mushonga uyu unodhura uye unogona kukonzera mhedzisiro.
• Terbutaline (Brethine). Iyi beta agonist, inopihwa ichienderera pasi peganda kana inhaled, yakaratidzirwa kugadzirisa basa remapapu mune zvimwe zvidzidzo zvemakiriniki.

Asingamiriri ekurapa zvinodhaka

Dzimwe mhando dzekurapa dzinogona kubatsira mukuderedza kukomba kwezviratidzo kune vamwe vanhu vasingapindure zvakanaka kune zvakajairika kurapwa. Aya ndiwo marapirwo ari kuitwa kiriniki miedzo:

• Imwe yero yeiyo intramuscular triamcinolone. Mumakiriniki ekuedzwa, kurapwa uku kwakaonekwa kudzikisira kuzvimba muvanhu vakuru uyezve huwandu hwematambudziko easthma muvana.
• Anti-kupisa mishonga yekurapa, senge bundu necrosis factor-alpha inhibitors. Kune vamwe vanhu, mishonga iyi ye immune immune.
• Immunosuppressive vamiririri senge cyclosporin A. Vamwe vakavaratidza kuve nemhedzisiro inobatsira.
• Dzimwe nzira dzokurapa dzinoenzanisira immune system, senge deoxyribonucleic acid (DNA) majekiseni, ari muzvidzidzo zvekutanga zvekiriniki uye anoratidza kuvimbisa senzira dzekurapa mune ramangwana.

Ndeupi maonero ako ne brittle asthma?

Iyo kiyi yekugadzirisa brittle asthma zvinobudirira kuziva zviratidzo zvekurwisa kwakanyanya uye nekuziva zvako zvinokonzeresa. Kuwana rubatsiro rwechimbichimbi nekukurumidza kunogona kuponesa hupenyu hwako.

Kana uine mhando 2, zvakakosha kushandisa yako EpiPen pachiratidzo chekutanga chekutambudzika.

Iwe unogona kuda kutora chikamu muboka rekutsigira vanhu vane brittle asthma. Iyo Asthma uye Allergy Foundation yeAmerica inogona kukuisa iwe mukubatana nemapoka emunharaunda ekutsigira.

Matipi ekudzivirira asthma kurwisa

Pane zvimwe zvinhu zvaunogona kuita kuti ubatsire kudzikisa njodzi yako yekurwiswa neasthma:

• Deredza guruva repamba nekuchenesa nguva dzose, uye pfeka chifukidzo kuti uzvidzivirire kubva kuguruva paunenge uchichenesa.
• Shandisa chinodzora mhepo kana kuyedza kuchengeta mahwindo akavharwa panguva yemukume.
• Chengetedza humidity level yakakwana. Humidifier inogona kubatsira kana iwe uchigara mune yakaoma mamiriro ekunze.
• Shandisa guruva-chiratidzo chevhavha pamapiro ako nemamatiresi kuti udzikise guruva mite mukamuri yekurara.
• Bvisa makapeti pazvinogoneka, uye geza kana kusuka machira nemumvuri.
• Chengetedza mold mukicheni uye muimba yekugezera, uye bvisa yadhi yako yemashizha nehuni zvinogona kukura muforoma.
• Dzivisa pet dander. Dzimwe nguva anonatsa mweya anogona kubatsira. Kugeza yako furry pet nguva dzose kunobatsirawo kuchengeta dander pasi.
• Dzivirira muromo wako nemhino kana iwe uri kunze kuchitonhora.