Kupirira, chifuwa chouma kwa milungu yoposa 8 chikhoza kukhala chitsimikizo
Chifuwa chachikulu chimaonedwa kuti ndi chizindikiro chachizindikiro cha mphumu , makamaka kuyanjana ndi magudumu, chifuwa cholimba, ndi kupuma pang'ono. Pamodzi, amapanga mbiri ya zizindikiro zomwe zimathandiza madokotala kupanga matenda opatsirana pogonana.
Koma nthawi zina chifuwa ndicho chizindikiro chokhacho. Ndipo, ngakhale kuti zitha kukhala ndi chiwerengero cha zinthu zilizonse, pangakhale zizindikiro zomwe zimasonyeza kuti ndizochepa zomwe zimadziwika kuti chifuwa chosiyana ndi asthma (CVA).
Makhalidwe a Chisakanizo Chosiyana ndi Nthenda
CVA ndi mtundu wa mphumu yomwe chikhalidwe chake chachikulu ndi chachilendo, chosabala (chiume) chifuwa. Ena amaganiziridwa kuti ndi chithunzithunzi cha "mphumu" ya mphumu yomwe chifuwa chingakhale chizindikiro choyamba cha zizindikiro zambiri zomwe zikubwera. Kafukufuku wasonyeza kuti zikhoza kukhala zofala kwambiri kuposa zomwe amakhulupirira ndi kuti paliponse kuyambira kotala kapena gawo limodzi mwa atatu mwa odwala ali ndi chifuwa chachikulu, akhoza kukhala ndi CVA.
Kawirikawiri, anthu okhala ndi CVA ali ndi zizindikiro zingapo zomwe zimawasiyanitsa ndi anthu omwe ali ndi asthma. Anthu omwe ali ndi CVA ali ndi chifuwa chovuta kwambiri kuposa chifuwa cha asthma.
Ndipo, ngakhale kuti CVA zonse ndi asthma zapamwamba zimadziwika ndi hyperresponsiveness (kuwonjezeka kutengeka kwa mphepo), anthu omwe ali ndi CVA nthawi zambiri amakhala ndi zochepetsetsa, ngati zilipo, zomwe zimagwiritsidwa ntchito ndi methacholine, mankhwala osakaniza omwe amagwiritsidwa ntchito kuti apeze matenda a asthma omwe ali m'malire ozungulira.
Potsirizira pake, kufotokozera za CVA ndi chifuwa chouma chomwe chimatenga masabata asanu ndi atatu kapena kuposerapo, chimachitika usiku kapena usana, ndipo chimapanga ntchentche, ngati ilipo.
Mmene Kusinthasintha Kwambiri Kumafikira Kumafikira
Kuzindikira CVA kumawoneka kofunikira ngati kupitiriza kwa chifuwa kumachepetsa moyo wa munthu. Chovuta chachikulu, chotero, ndikutanthauzira chikhalidwe pamene palibe umboni wina wa mphumu. Ngakhale kuyesa kwa spirometry (komwe kumapangitsa kupuma kumapangidwe), anthu omwe ali ndi kachilombo kawirikawiri sadzakhala ndi umboni wotsimikizirika wa kulepheretsa mapapo.
Zikatero, methacholine ingagwiritsidwe ntchito kuyambitsa hyperresponsiveness monga gawo la kuyesedwa kopweteketsa . Ngati sangathe kuchita izi, zizindikiro zina monga zozizira, zozoloŵera, kapena histamines zingagwiritsidwe ntchito. Ngati palibe mwazinthu izi zingayankhe, ndiye kuti SVA sitingathe kuyankha.
Koma, ngakhale ngati atayankha, kunyalanyaza nokha sikungapangitse kuganizira. Pogwiritsa ntchito CVA, chitsimikizo chotsimikizirika chingapangidwe ngati mankhwalawa amamasulidwa pogwiritsa ntchito mankhwala a mphumu wotchedwa bronchodilator .
Mwinanso, dokotala angayang'ane sputum wanu pansi pa microscope chifukwa cha umboni wa selo loyera la magazi lotchedwa eosinophil. Kuwonjezeka kwa chiwerengero cha eosinophil nthawi zambiri kumachitika chifukwa cha zovuta. Mofananamo, kuyesera kwa mpweya wa nitric oxide (yotupa mpweya wochokera m'maselo amapapu) ndikulingalira kwambiri za CVA ngakhale mayesero ena onse sali ovomerezeka.
Kuchiza Chinthu Chokhalitsa Chotsatira cha Asthma
Chithandizo cha CVA chiri chimodzimodzi ndi kalasi ya asthma. Kugwiritsiridwa ntchito kwa bronchodilator ngati albuterol kungapereke mpumulo wapadera mwamsanga ngati sabata. Chifuwa choopsa kwambiri chingachiritsidwe ndi steroid yosakanizidwa ngati Flovent . Ngati mankhwala otsekemera sakutha kuthetsa chifuwa, steroid zamlomo monga prednisone zingagwiritsidwe ntchito.
Kuonjezerapo, ngati pali umboni wa mankhwala a eosinophilia, mankhwala odana ndi kutupa ngati Zafirlukast awonetsedwa kuti apangitse chifuwa kwa anthu omwe saliidalitsidwa.
> Zotsatira:
> Niimi, A. "Kukhumudwa, ndi Chisokonezo." Mph . 2011; 7 (1): 47-54.
> Matsumoto, H .; Niimi, A .; Takemura, M .; et al. "Kutupa kwa chifuwa chachikulu cha mphumu: kufufuza mobwerezabwereza." J Nthenda. 2006; 43 (2): 131-135.