Izvo Zvaunofanirwa Kuziva Nezve Kukosora Kwakasiyana Asthma

Zvemukati

• Ndezvipi zviratidzo zveCVA?
• Chii chinokonzera CVA?
• CVA inoonekwa sei?
• Inoitwa sei CVA?
• Ndeapi maonero?
• Matipi ekugadzirisa asthma

Mhedziso

Asima ndeimwe yemamiriro akajairika muUnited States. Inowanzozviratidza kuburikidza nezviratidzo zvakasiyana zvinosanganisira kufema uye kukosora.

Dzimwe nguva asima inouya muchimiro chinonzi chikosoro chakasiyana asthma (CVA), iyo isina zviratidzo zveasthma. Pazasi isu tinotsanangudza mutsauko uripo pakati peCVA uye wenguva dzose asima.

Ndezvipi zviratidzo zveCVA?

CVA inongotsanangurwa nechiratidzo chimwe chete: chikosoro chisingaperi chisingagoni kutsanangurwa nezvimwe zvikonzero. Ichi chikosoro chinowanzooma uye chinotora angangoita mavhiki matanhatu kusvika masere. Izvo hazvisanganise zvimwe zvezvimwe zvinotsanangudza zviratidzo zveasima, senge:

• kuomesa pachipfuva
• kufema kana uchifema
• mweya wekufema
• Urume mumapapu
• chikosoro pamwe phlegm kana bota
• kunetseka kurara nekuda kwechero ipi yezviratidzo zviri pamusoro

Kunyangwe CVA isingaratidzi zviratidzo kunze kwekukosora, inowanzo kukonzera kuwedzera kuzvimba mumhepo. Saka, zvakakosha zvikuru kubata CVA zvakanaka.

Kana ikasiiwa isingarapwe, CVA inogona kufambira mberi mukuwedzera zvakanyanya, asthma isingagumi. Chinyorwa "makumi matatu kusvika makumi mana muzana evarwere vakuru vane CVA, kunze kwekunge vakarapwa zvakakwana, vanogona kufambira mberi kusvika paasthma yechinyakare." yakaratidza kuti CVA ndechimwe chezvikonzero zvinowanzoitika zvekukosora pasirese.

Mumwe anobva kuJapan akacherekedza kuti mu42 muzana yevanhu, kukosora kusingatsanangurike, kusingagumi kwakakonzerwa neCVA. Inenge makumi maviri neshanu muzana inogona kutsanangurwa nechikosoro-chakanyanya asthma, iyo iri padhuze neCVA. Kuramba uchikosora kunogona kuratidzawo mamwe mamiriro senge postnasal kudonha uye GERD.

Chii chinokonzera CVA?

Kungofanana neyakajairika asthma asthma, masayendisiti haazive chinokonzeresa CVA. Chimwe chingangodaro chikonzero ndechekuti maoregengen akadai semukume anogona kukonzera kukosora. Chimwe ndechekuti hutachiona muhutachiona hunogona kukonzeresa kukosora zvikamu.

Masayendisiti anotenda kuti CVA mune vamwe vanhu inogona kusangana nekutora beta-blockers. Iyi mishonga inowanzo shandiswa kurapa akasiyana mamiriro ayo anosanganisira:

• chirwere chemoyo
• kutadza kwemoyo
• migraines
• neBP
• zvisina kujairika moyo mutinhimira

Beta-blockers inowanikwawo mumadonhwe eziso anoshandiswa kurapa glaucoma. Aspirin inogona zvakare kubatsira kukosora kwakabatana neCVA.

CVA inoonekwa sei?

Kuongorora CVA kunogona kunetsa. Iyo inongova nechiratidzo chimwe chinozivikanwa. Vanhu vane CVA vanogona zvakare kuve nemhedzisiro mhedzisiro yemapurmonary bvunzo, senge spirometry, inoshandiswa kuongorora chirwere chenguva dzose.

Vanachiremba vanowanzo shandisa methacholine dambudziko bvunzo kuongorora CVA. Mune bvunzo iyi, iwe unofema methacholine muchimiro cheaerosol mhute paunenge uchiita spirometry. Chiremba wako anobva atarisa nzira dzekufema sezvavanokura uye kutetepa. Kana yako yemapapu basa ikadzikira neinosvika makumi maviri muzana panguva yekuyedzwa, ipapo chiremba anozoongorora chirwere chemafi.

Iyo methacholine dambudziko bvunzo inowanzoitwa munzvimbo yakakosha. Kana chiremba achifungidzira CVA, vanogona kutanga kurapwa kwechirwere pasina kunyatso kuongororwa. Kana ikabatsira kubata chikosoro chako, izvi zvinogona kusimbisa CVA.

Inoitwa sei CVA?

CVA inogona kurapwa nemarapirwo echirwere chisingaperi. Idzi nzira dzinosanganisira:

• Inhaled corticosteroids (inhalers): Imwe yenzira dzakakosha pakurapa CVA ndeyekushandisa inhaled corticosteroids, inozivikanwa seinhalers. Iyi mishonga inodzora kukosora, inodzivirira kutanga kwehuroe, uye inoderedza kuvharika kwemhepo kune vanhu vane CVA. Kana iwe uine CVA kana chisingaperi asima, zviri nani kutora inhalers zuva nezuva sekurairwa. Mienzaniso inosanganisira budesonide (Pulmicort) uye fluticasone (Flovent). Iwe unogona kudzidza zvakawanda nezve iyo corticosteroid yakakunakira iwe kuPartners Healthcare Asthma Center.
• Oral mishonga: Vanachiremba vanowanzo wedzera inhalers nemapiritsi emuromo anonzi leukotriene modifiers.Vanobatsira kubvisa zviratidzo zveasima kwemaawa makumi maviri nemana. Mienzaniso inosanganisira montelukast (Singulair) uye zileuton (Zyflo).
• Bronchodilators: Izvi zvinhu zvinozorodza mhasuru dzinosunga dzakatenderedza nzira dzemhepo, dzichivatungamira kuvhura. Ivo vanogona kuita pfupi-pfupi kana refu-temu. Pfupi-yenguva bronchodilators, senge albuterol, anoshandiswa kudzikamisa zviratidzo zveasthma panguva yekurwiswa kana kusati kwanyanya kurovedza muviri. Izvo hazvishandiswe pakurapa kwemazuva ese kweasima. Kusiyana neizvi, ma-bronchodilator marefu anoshandiswa neinhaled steroids zuva nezuva kugadzirisa asthma isingaperi. Beta-2 agonists mumwe muenzaniso wevabronchodilator, uye inogona kuita pfupi-kwenguva kana kwenguva refu-kuita.
• Nebulizers: Dzimwe nguva vanachiremba vanonyorera nebulizer kana mimwe mishonga isiri kukushandira. Nebulizers inongoerekana yasasa mishonga mumhute kuburikidza nemuromo. Izvi zvinobvumira mapapu kuti apinze mushonga zviri nyore.

Ndeapi maonero?

CVA inzira isina kujairika, asi yakajairika yeasima. Inogona kutarisirwa senge yenguva dzose asima. Kana iwe uchiramba uchirwara, chikosoro chakaomarara chinogara kwemavhiki matanhatu kana kupfuura, shanyira nyanzvi yeasthma kuti uwane kuongororwa kwakakodzera.

Matipi ekugadzirisa asthma

Pane nzira dzinoverengeka dzekubatsira kudzivirira asthma kurwisa kana uine CVA:

• Iva anoenderana nemushonga wako. Izvi zvimwe ndicho chinhu chakanyanya kukosha chaungaite kubata asima yako. Kutora mishonga yezuva nezuva, senge inhalers, yakakosha mukuita fambiro mberi. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita kukosora, kutora mishonga yakasimba, inoita pfupi-zvakare yakakosha.
• Dzivisa allergener. Zvimwe zvinokanganisa zvinogona kukonzera kana kuwedzera zviratidzo zveasima. Izvi zvinogona kusanganisira kusvibiswa kwemweya, huni hwemhuka, uye pollen mumhepo. Kubva muna2014 yakaratidza kuti maorerergen, kunyanya mukume, anogona kuwedzera kuzvimba munzira dzemweya dzevanhu vane CVA.
• Ita mararamiro ehupenyu. Humidifiers inogona kugadzirisa hunyoro mumhepo, inova yakanaka kune vanhu vane asthma. Imwe iri muCochrane Ongororo inoratidza kuti iyo yoga inogona kusimudzira zviratidzo zveasima. Nekudaro, mimwe miedzo inodiwa kuratidza izvi.
• Dzivisa kusvuta. Kusvuta kunokonzera kukosora kana uine CVA, uye zvimwe zviratidzo kana uine chirwere chisingaperi. Izvo zvinowedzerawo njodzi yako kune mamwe mapapu uye mamiriro ekufema.
• Shandisa yako yepamusoro kuyerera mita. Iyi inzira huru yekuona kufambira mberi kwako neasthma uye kana uchifanira kukuona iwe chiremba kwekutevera.
• Rovedza muviri nguva dzose. Kudzidzira muviri kunovandudza kuyerera kweropa uye kugona kwemapapu, uye kunoderedza kunetseka. Vanhu vazhinji vanotora mishonga yakakodzera vanoona kurovedza muviri kuti ive nzira inoshamisa yekugadzirisa zviratidzo zveCVA.