Kodi munayamba mwadzifunsa nokha kapena dokotala wanu "kodi kulemera kumakhudza mphumu?"
Kodi mukukumbukira zimene munayeza zaka 20 zapitazo? Ndinkalemera makilogalamu pafupifupi 40 kuposa momwe ine ndikuwerengera lero. Zinkangowonjezera pang'onopang'ono koma pang'onopang'ono, mapaundi angapo pachaka. Pamene ine ndi anthu ena ndimalankhula ndikukakamira kuti mutembenukire 40, 50, kapena chilichonse chomwe mumakhala nacho posachedwa, mwina kuwononga zizindikiro za mphumu zenizeni zenizeni zenizenizi?
Kodi Kunenepa Kumakhudza Khunyu?
Ngakhale kuti sizikuwoneka ngati zambiri, kupeza mapaundi asanu okha amasonyezedwa ku kulamulira kovuta kwa mphumu ndi khalidwe la moyo. Mu kafukufuku wina wofalitsidwa m'nyuzipepa ya Respiratory Medicine yomwe inapeza mapaundi asanu, poyerekeza ndi omwe adapeza pang'ono kapena kutaya kulemera, adagwirizanitsidwa ndi / a:
- 22% olemera omwe amadziletsa kuti azikhala ndi mphumu ya mphumu
- 18% osauka omwe amafotokoza khalidwe la moyo
- Kuwonjezeka kwa 31% pazovuta zofuna kuti steroid iphuke
Olembawo anatsimikizira kuti "njira zothandizira kuchepetsa kulemera kungathandize odwala kupeza mpumulo wabwino wa mphumu ndikuthandizira kukhala ndi moyo wokhudzana ndi mphumu. Kumvetsetsa bwino njira zomwe thupi / BMI zimakhudzidwira kulamulira kwa mphumu ndi zotsatira zina zokhudzana ndi mphumu zidzathandiza akatswiri azachipatala kupanga mapulogalamu omwe akuphatikizirapo mbali yothandizira kulemera. "Ndipotu, kafukufuku wowerengeka adafufuza mosamala mankhwala owonjezera pa kulemera kwa thupi / odwala asthmatics kapena zotsatira za kulemera kwa mphumu.
Kunenepa kwambiri kumayambitsa mauthenga osiyanasiyana kwa ma ARV
Mu zochitika izi, kulemera kumakhala ndi mphamvu yothetsera mphumu. Ngakhale kuti palibe pulogalamu yomwe yakhala ikukhudzana kwambiri ndi kulemera kwambiri kwa odwala kapena asthmatics yowonjezera, odwala ambiri samawoneka kuti amayankha mankhwala omwe amalamulira mofanana ndi asayansi omwe sali olemera kwambiri.
Koma, yankho la mankhwala opulumutsa silingasinthe. N'zosadabwitsa kuti kafukufuku wamakono omwe ali mu mphumu sikuti adalimbikitsa odwala kwambiri ndipo izi ziyenera kukhala cholinga cha kafukufuku wamtsogolo. Pakalipano, palibe kusiyana kwa mankhwala ovomerezeka chifukwa cha kulemera kwako.
Kodi Kuperewera Kwambiri Kumakhudza Khunyu?
Zikuwoneka kuti zodziwikiratu kuti ngati kunenepa kwambiri kumagwirizanitsa ndi osowa mphamvu ya asthma ndi kuchepetsa umoyo wa moyo umene umataya kulemera kwake. Ngakhale kuti Ambiri Ambiri adzapindula pochotsa mapaundi pang'ono, sindingatsimikizire kuti zidzakupangitsani mphumu yanu.
Kafukufuku wambiri wanena kuti kuperewera kwa kulemera kwa opaleshoni ya baatric kumapangitsa kuti odwala apitirize kulamulira. Kafukufuku wina amene ndatchulapo poyamba adanena kuti mankhwala ochepetsa mankhwala amachepetsa ndi 50% potsatira opaleshoni ya bariatric. Zofalitsa zatsopano zaposachedwapa zawonetsa kusintha kwa zizindikiro za mphumu komanso kuyesedwa kwa pulmonary zaka zisanu pambuyo pa opaleshoni. Chimodzi mwa zoperewera zazikulu za maphunziro onse okhudza opaleshoni ya araatric ndi mphumu ndi kukula kwakukulu, kuchepetsa generalizability ya zotsatira.
Ngakhale mauthenga awa akulonjeza, opaleshoni yokhayokha ndi sitepe yowona bwino. Njirayi ili ndi zoopsa zake komanso zovuta zake.
Ngati moyo wanu kusinthidwa kukuthandizani kuti mukhale ndi zotsatira zofanana, opaleshoni ingakhale yopanda phindu.
Chiyeso chachithandizo chamakono (RCT) chomwe chinakhudza kudya ndi kuchita masewera olimbitsa thupi chinasonyeza kuti moyo wa anthu oposa 83% uli ndi mphamvu zowonongeka ndi 58% mwa ophunzira pambuyo pa 5-10%. Pazochita zowonjezera, anthu adagwiritsa ntchito 2 kusinthanitsa chakudya, kugwilitsa chakudya chimodzi, chakudya chokwanira 2 pamodzi ndi uphungu wa zakudya. Pazochitika zathupi, odwala athandizidwa ndi olowa masewera olimbitsa thupi ndi ora limodzi pa sabata la phunziro laumwini ndi pulogalamu yogwiritsira ntchito.
Ngakhale kuti phunziro ili ndi ena ochepa akulonjeza, kuti asanakhalepo palibe mayesero aakulu, apakatikati apakati omwe adachitidwa kuti awone ngati zotsatirazi zikhoza kufotokozedwa.
Zotsatira Kwa Ine
Kotero ine ndikuganiza ine ndikhoza kuyankha funso lomwe linayankhidwa kumayambiriro kwa nkhaniyi "kulemera kumakhudza mphumu" ndi inde. Ngakhale sindingathe kulimbikitsa kulemera kwa mphumu kwa mphumu makamaka pa olemera kwambiri komanso odwala kwambiri, ndikhoza kulangiza kulemera kwa odwalawa. Odwala m'maphunziro ang'onoang'ono apindula kwambiri ndi zotsatira za mphumu ndi kulemera. Wodwala wodwala kwambiri kapena wodwala kwambiri ayenera kuyesa kuperewera kwazitsulo pambuyo pa kuyankhulana kwachipatala.
Njira zomwe zimagwiritsidwa ntchito m'Bungwe la RCT pamwambapa zimathekadi m'dera lanu ngati muli ndi zofunikira zowona katswiri wa zakufa komanso wophunzira. Komabe, ndi zolinga zabwino ndikudziwitsa pang'ono, mungathe kukonza dongosolo lanu lopanda kulemera popanda ndalama zambiri.
Kuchokera
> Haselkorna T, > Fishb > JE, > Chippsc > BE, Millerd PE, Chene H, Weiss ST. Zotsatira za kulemera zimasintha pa zotsatira zaumoyo wokhudzana ndi mphumu kwa odwala omwe ali ndi vuto la mphumu yovuta kapena yovuta. Vesi 103, Gawo 2, February 2009, masamba 274-283
> Scott HA, Gibson PG, Garg ML, Pretto JJ, Morgan PJ, Wopempha R, Wood LG. Kuletsa zakudya ndi kuchita masewero olimbitsa thupi kumapangitsa kuti kutupa kwapakati pa nthaka komanso zotsatira za matenda zikhale bwino kwambiri poyesa kupitirira muyeso komanso kupatsirana mphumu. . Zomwe Amayi Ambiri Amayambitsa Vuto 43, Nkhani 1, masamba 36-49, January 2013.