Kodi Kupuma Kachimake Kovuta Kwambiri Kapena Kosakaniza?

Phunzirani Zimene Mukuyenera Kudziwa ndi Kuchita Zokhudza Zovuta Zanu

Ngati mukuvutika kupuma, zikhoza kukhala mphumu. Zonsezi zizindikiro zokhudzana ndi mphumu zikhoza kukhala zokhudzana ndi kupuma kovuta:

• Kupuma
• Chimake cha chifuwa
• Kupuma pang'ono
• Chifuwa chachikulu

Komabe, zikhalidwe zosiyanasiyana zingayambitse kupuma. Ngati mukufuna kudziwa zambiri za vuto lanu lopuma, nkhaniyi ikuthandizani kuzindikira chomwe chimayambitsa.

Onetsetsani kuti musangonena kuti "palibe kanthu ndipo ine ndikudandaula za izo mtsogolo." Ngakhale kupuma kovuta kungakhale mphumu, ingakhalenso chinthu chovuta kwambiri.

Njira yokhayo yomwe mungadziwire ndi kuthetsa kupuma kwanu ndiko kuona dokotala wanu ndikuwunika. Ngati mukuganiza kuti ndi mphumu ndipo mumangotenga mankhwala osokoneza bongo kapena mnzanu wa inhaler, mwina mukuzunza ndikudziyika nokha pangozi.

Zingakhale Zotani?

Kuvutika kwanu kupuma kungakhale mphumu, koma kungakhalenso chimodzi mwazimenezi. Ngakhale kuti mphumu yothandizidwa ikhoza kupatsa mpumulo, sizidzafika pamtima wa vuto ngati izi zikutsogolera kuvutika kwanu kupuma:

• Kusweka mtima kwa mtima: M'moyo mwanu mtima wanu suli bwino kwambiri ndipo sungathe kupereka thupi lonse ndi magazi ndi mpweya wokwanira kuti zizigwira bwino ntchito. Zotsatira zake zimakhala zotupa pamapeto ndi mpweya wochepa pamene ukugona, kuphatikizapo mphumu ngati zizindikiro za kupuma (chifukwa cha madzi m'mapapo kusiyana ndi kutupa) ndi kupuma pang'ono.

• Pulmonary Embolism kapena PE: Matendawa amachokera ku magazi m'mapapo. Odwala ali ndi zifukwa zoopsa monga posachedwa kutuluka chifukwa cha galimoto / ndege kapena chifukwa cha matenda. Mankhwala ena amachulukitsa ngozi monga mapiritsi oletsa kubereka. Kugunda ndi chizindikiro chochepa komanso chodziwika kwambiri mu PE. Odwala ambiri amavutika mwadzidzidzi kupuma pang'ono ndi kupweteka pachifuwa.

• Matenda a Reflux kapena GERD : GERD nthawi zina imayambitsa matenda a mphumu, komanso imayambitsa pneumonitis ndi kupweteka kwa mapapo omwe angapangitse zizindikiro.
• Hypersensitivity pneumonitis: Kutenga nthawi kwa zinthu zina monga udzu woumba ndi zitosi za mbalame zingabweretse mavuto opuma. Ngakhale kuti vutoli lingapangitse kuphulika, kachitidwe kamene kakuwoneka m'mapapu kamayesetsero kazitsulo sikakhala kofanana ndi mphumu ya mphumu.

Mayesero Odziwitsa Kuvuta Kwambiri

Mukapeza vuto lopuma, dokotala wanu akhoza kulamula mayesero osiyanasiyana osiyanitsa. Ndi mayesero ati omwe madokotala anu adzalandila amadalira mbiri yanu, kuyeza thupi ndi zifukwa zoopsa. Mayesero angaphatikizepo:

• Zowonongeka Zowonjezera Mtengo (PEFR) - mayesero omwe amayeza kuchuluka kwa mpweya womwe ungatulukemo mwamsanga kuchokera m'mapapo.
• Spirometry- kuyesa kosakwanira kuposa PEFR ndipo kumaphatikizapo mapepala osiyanasiyana osiyanasiyana.
• Kuyesedwa kwa Broncho Kuyesedwa-kuyesa kokakamiza komwe kumafuna kuyambitsa magetsi.
• Chifuwa x-ray chithunzi cha mapapo omwe amatha kuzindikira mavuto osiyanasiyana.
• Kafukufuku wa CT amachitika ngati dokotala akudandaula ndi PE.

Kuchiza Kwa Kupweteka Kwako Kovuta

Mukapeza kupuma kovuta, dokotala wanu angagwiritse ntchito mankhwala ambiri omwe amagwiritsidwa ntchito pa asthma.

Izi zikuphatikizapo:

1. Otsatira Beta Agonists (SABA) ochepa omwe ali ngati Albuterol

SABAs ingagwiritsidwe ntchito mofulumira ngati mutapuma kupuma. SABAs imagwiritsidwa ntchito pofuna kuthandizira kwambiri zizindikiro za mphumu komanso kugwiritsidwa ntchito popewera masewera olimbitsa thupi .

Ena mwa a SABA ndi awa:

• Albuterol
• Proventil
• Ventolin
• Xopenex
• Maxair

2. Kutenga Kwambiri Beta Agonists (LABA)

Ngati kupuma kwako kuli chifukwa cha mphumu, mankhwalawa angagwiritsidwe ntchito ngati mankhwala opatsirana steroid sakuyendetsa mokwanira zizindikiro zanu, zomwe zimatchedwa kuti adjunctive therapy . Ma LABA sagwiritsidwa ntchito monga mankhwala amodzi a mphumu yothandizira ndi kupewa zizindikiro za mphumu.

Ma LABA sagwiritsidwanso ntchito pochiza zizindikiro zovuta za asthma kapena kuphulika kwa mphumu . Ngati mukuvutika kupuma usiku, LABA ingakuthandizeni kupeza mpumulo wochuluka.

LABAs ndi awa:

• Brovana
• Foradil
• Perforomist
• Serevent

3. Kutsegula Steroids

Steroids yosakanizidwa ndi mankhwala ofunikira kwambiri ngati vuto lanu likupuma chifukwa cha mphumu. Steroids yosakanizidwa ndi mankhwala othandiza kwambiri a mphumu omwe amapezeka kuti athetse mphamvu ya mphumu. N'zachidziwikire kuti dokotala wanu adzakuikani pa mankhwalawa mpaka vuto lanu lopuma likudziwika.

Steroid yosakanizidwa ndikulembera kuti mungaphatikizepo:

• Aerobid
• Alvesco
• Asmanex
• Azmacort
• Flovent
• Pulmicort
• Qvar

4. Leukotriene Modifiers

Mankhwalawa angaganizidwe ngati dokotala akuganiza kuti kupuma kwanu kumayambitsa matenda opatsirana pogonana kapena ngati kupuma kwanu kukugwirizanitsa ndi chifuwa.

Maulendo atatu a leukotriene alipo panopa:

• Zolondola
• Singulair
• Zyflo

5. Anticholinergics

Anticholinergics ikhoza kupuma kupweteka pogwiritsa ntchito bronchodilator ndipo imagwiritsidwa ntchito mophatikiza ndi SABAs pakamwa kovuta kupuma mu chipatala kapena chipatala. Chitsanzo cha anticholinergic ndi Atrovent.

Phunzirani zambiri za mavuto

• Zinthu Zisanu Zomwe Mungaganizire ndi Kuvuta Kwambiri Kwambiri
• Kodi Ndingatani Kuti Ndizivutika Kwambiri?
• Kodi Ndikufunikira Kuwona Wachidziwitso Ponena za Kutaya Kwanga Kwambiri?

_Zotsatira:

_{National Heart, Lung, ndi Blood Institute. Kufikira: November 1, 2010. Lipoti la Panja la Akatswiri 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalidwa kwa Khunyu?}