Mayeso ochiritsira ndi pamene dokotala akufufuza kuti ayambe kuchipatala pogwiritsa ntchito zizindikiro zokha, popanda kuyesedwa kwakukulu koonjezera. Mwachitsanzo, wodwalayo angayambe ku Albuterol ngati akupuma kapena Prilosec ngati ali ndi zizindikiro za reflux (GERD) za gastroesophageal (GERD).
N'chifukwa Chiyani Dokotala Wanga Angayambe Kuyesa Kachilombo?
Kawirikawiri, mumauza dokotala wanu zizindikiro.
Mu chifuwa cha mphumu, izi zikhoza kutanthauza kuti muli ndi zizindikiro zakuda za mphumu monga chifuwa cholimba , chifuwa chachikulu , mpweya wochepa , kupuma kapena ngakhale chizindikiro china chowopsa. Kaya mukudandaula bwanji, dokotala wanu akukayikira za mphumu. Amasankha kuti aone ngati mumapindula ndi mankhwala ena a mphumu. Kawirikawiri izi zidzakupatsani mpulumutsi wodzitetezera ndikuwona ngati izi zimachepetsa zizindikiro zanu, koma palibe chifukwa chomwe mayesero achiritsi sangayambe ndi steroid yosakanizidwa. Chinthu chokhacho chotsutsana ndi mayesero ochiritsira ndi steroid yosakanizidwa ndi kuti idzatenga nthawi yambiri kuti muwone ngati ikugwira ntchito.
Kodi Ndikufunikirabe Kuyesedwa Kachilombo?
Izi zidzadalira paziganizo zomwe inu ndi dokotala wanu mumapanga. Kawirikawiri, ndinganene inde.
Kufufuza kwa mphumu kumafuna kukhalapo zigawo ziwiri: 1) Zizindikiro zogwirizana ndi mphumu; 2) Mtundu wina wamtunduwu wa kuchepa kwa mpweya wa mpweya (mwina wosakwanira kapena wamphumphu) womwe umapindula pokhapokha kapena mankhwala.
Popanda kuwonetsa izi mungakhale ndi chikhalidwe chomwe chimatsanzira asthma chomwe chingasinthe chizindikiro, komabe simudzakhala ndi vutoli.
Zina mwa mayesero omwe dokotala angachite zingakhale monga:
- Zowonongeka Zowonongeka (PEFR ): Sichikugwiritsidwa ntchito kwambiri kuti mupeze matenda a asthma, koma dokotala wanu angakhale atapezeka mosavuta ku ofesi yawo. PEFR ndiyeso ya kuchuluka kwa mpweya womwe mungathe kupanga kuchokera m'mapapu anu. Dzanja lophweka linagwiritsira ntchito chipangizo kuti chiyezeretse kuchuluka kwa mpweya umene mungathe kuwutulutsa. Dokotala wanu akhoza kukupatsani mbiri yanu pakhomo monga gawo la ndondomeko yanu ya mphumu ndi kudzipangira kwanu kumachokera pa PEFR yanu yabwino kwambiri yomwe ingakuuzeni momwe mphumu yanu imayendera.
- Spirometry: Chiyeso chofanana ndi PEFR chomwe chimafuna zipangizo zamakono ndipo zingatheke m'maofesi ambiri a madokotala. Mayesowa amalola dokotala wanu kuti adziwe bwino kuopsa kwake ndi chifukwa cha chitetezo chanu cha mpweya. Dokotala wanu adzatha kudziwa kuti FEV1 ndi zigawo zina za mapapu zimagwira ntchito ndi mayeso awa.
- Yankho la Bronchodilator: Chikhalidwe chachikulu cha mphumu ndi kusintha kwa zizindikiro ndi mapapu kumagwira ntchito pambuyo pochiritsidwa ndi opulumutsira inhaler kapena bronchodilator . Ngati kubwereza spirometry 10-15 Mphindi atakupatsani mankhwala a bronchodilator akuwonetsa kuwonjezeka kwa mpweya wa 10% kapena kuposerapo, dokotala wanu angaganizire izi ndi mayeso abwino ndikuthandizira kupeza matenda a mphumu.
Pofuna kupeza matenda a mphumu, dokotala wanu adzakumbukira mbiri yanu yokhudza zizindikiro ndi banja, kuyezetsa thupi lanu, ndi zotsatira za mayesero anu pofuna kutsimikiza kuti chithandizo ndi ndondomeko yanu ndi yoyenera kwa inu.
Kodi Mayendedwe Ochiritsira Angakhale Oipa?
Sindikuganiza choncho. Chinthu chokha chomwe ndingathe kuganizira kuti wina angakhale choipa kwa inu ndi chochitika chomwe kupulumutsira inhaler kumalimbitsa zizindikiro zanu ndipo mukuganiza kuti musapitirize kuyesedwa. Pankhaniyi, simunayambe mwapezapo ndipo ndikudandaula kuti simungathetse chifukwa cha zizindikiro zanu.
> Chitsime:
> Ntchito Yothandizira Pulogalamu Yamakono Kuyesedwa, Kuyeza Zochita, ndi Kuyezetsa Magulu. Mu Chifuwa Mankhwala: Zofunika Zachidziwitso Ndi Zofunikira Zothandiza Mankhwala . Okonza: Ronald B. George, Richard W. Kuwala, Richard A. Matthay, Michael A. Matthay. May 2005, mpukutu wachisanu.
> Kugwirizana kwa Cochrane. Njira zothandiza pophunzitsa ana omwe ali pachiopsezo chokumana nawo mwamsanga.
> National Heart, Lung, ndi Blood Institute. Report of Panel Panel 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu