Kodi mwana wanu ali ndi mphumu? Izi zikuwoneka ngati funso losavuta, koma ngati mwana wanu alibe zizindikiro za chifuwa cha mphumu, monga chifuwa, kupuma ndi kupuma kupuma, mwina simukudziwa kuti ali ndi mphumu.
Ana ambiri ali ndi zizindikiro zobisika, kuphatikizapo chifuwa cha usiku, chifuwa chovutitsa ndi zochita masewero olimbitsa thupi kapena ntchito, kapena chifuwa chachikulu chomwe sichidzachoka.
Mwa ana awa, makamaka kwa ana ndi makanda, mphumu ikhoza kukhala yovuta kudziwitsa.
Nthawi zambiri makolo amafunsa za 'kuyesa' ana awo kuti apeze mphumu. Ana okalamba, mayeso a mapiritsi ndi / kapena kuthamanga kwapakati ndi mayesero omwe angathandize kupeza matenda a mphumu, koma zimakhala zovuta kuchita kwa ana osapitirira zaka 4-5.
Zinthu zina zomwe zingachititse kuti mwana wanu asamadziwe kuti ali ndi mphumu zimakhala kuti ana ang'onoang'ono, makamaka ana ndi makanda, amatha kuyenda ngati akudwala matenda a tizilombo. Bronchiolitis, kawirikawiri imayambitsidwa ndi RSV , ndi chifukwa chofala cha ana opuma. Ngati ndilo gawo loyamba la mwana wanu, ndipo ali ndi chifuwa, mphuno, ndi malungo, ndiye kuti mwina ndi bronchiolitis osati mphumu yeniyeni, makamaka nthawi ya RSV (mochedwa kugwa / yozizira / kumayambiriro kwa nyengo).
Ana ena omwe amapuma kwambiri ngati makanda amapezeka kuti ali ndi Reactive Airway Disease.
Ndikuganiza kuti mafupa amapezeka kawirikawiri m'mabanja chifukwa amatha kuphulika pamene ali ndi kachilombo ka HIV, ndipo sizikutanthauza kuti apitiriza kupuma kapena kukhala ndi mavuto akamakula. Ngati mwana wanu ali ndi kachilombo ka HIV ndipo ali ndi zizindikiro zochepa zokhala ndi chifuwa komanso akakokera, ndiye kuti ali ndi mphumu.
Ngati mukudwala matenda a mphumu, ngati mwana wanu ali ndi chibayo, 'bronchitis' kapena bronchiolitis kwambiri, 'ikafika m'chifuwa chake' nthawi iliyonse yomwe imakhala yozizira, kapena ngati ili ndi chifuwa chachikulu, makamaka ngati usiku.
Kuchiza
Mankhwala opatsirana ndi mphumu kawirikawiri amakhala ndi mankhwala a bronchodilator, monga albuterol, Proventil, Ventolin, kapena Xopenex, omwe angaperekedwe ndi nebulizer, inhaler kapena metered dose. Powonongeka moyenera kapena koopsa, mankhwala otchedwa steroid, monga prednisolone (Prelone) kapena Opangidwa, amafunikanso.
Mankhwala a bronchodilator amatchedwanso 'reliever' kapena 'mankhwala othandiza mwamsanga' chifukwa amachotsa zizindikiro za mwana wa mphumu. Nthawi zambiri amagwiritsidwa ntchito pokhapokha ngati akufunika komanso mwana wanu sayenera kugwiritsa ntchito nthawi zonse ngati mphumu yake ikuyendetsedwa bwino.
Ngakhale kuti albuterol imapezeka ngati madzi, mankhwala othandizira mwamsanga amaperekedwa ndi nebulizer kapena mlingo wa mankhwala wambiri. Ana ocheperako nthawi zambiri amagwiritsa ntchito inhaler ngati ali ndi masakiti osiyana ndi ana.
Mankhwala Oletsa
Mitundu ina ya mankhwala omwe amagwiritsidwa ntchito pochizira mphumu ndiyo mankhwala oletsa kupewa matenda, omwe amathandiza kupewa zizindikiro za mphumu.
Izi zikuphatikizapo bronchodilators omwe amachita nthawi yaitali, monga Serevent ndi Foradil, ndi steroids, monga Flovent, Qvar, Pulmicort, Asmanex, ndi Azmacort. Pulmicort amapuma ndi mawonekedwe a steroids omwe angaperekedwe ndi nebulizer ndipo ndi othandiza kwa ana aang'ono omwe sangathe kugwiritsa ntchito inhaler kapena osalola kugwiritsa ntchito mask ndi spacer. Advair ndi mankhwala atsopano osakanikirana a mphumu, omwe amaphatikizapo Flovent ndi Serevent kukhala imodzi yosavuta kugwiritsa ntchito ufa wouma mu inhaler.
Otsutsana ndi leukotriene ndi mtundu wina wa mankhwala ochizira ndipo ali ndi Singulair , omwe amawoneka ngati piritsi yosungirako ana kwa zaka zoposa 2 ndipo amapatsidwa kamodzi patsiku, ndi Accolate, yomwe imasonyezedwa kwa ana opitirira zaka zisanu ndi ziwiri.
Intal ndi mankhwala ena oletsa kuteteza ndipo amapezeka ngati njira yothetsera inhaler ndi nebulizer, koma nthawi zambiri amagwiritsidwa ntchito 3-4 pa tsiku kuti agwire ntchito.
Kodi mwana wanu ali ndi mphumu?
Izi zikuwoneka ngati funso losavuta, koma ngati mwana wanu alibe zizindikiro za chifuwa cha mphumu, monga chifuwa, kupuma ndi kupuma kupuma, mwina simukudziwa kuti ali ndi mphumu.
Ana ambiri ali ndi zizindikiro zobisika, kuphatikizapo chifuwa cha usiku, chifuwa chovutitsa ndi zochita masewero olimbitsa thupi kapena ntchito, kapena chifuwa chachikulu chomwe sichidzachoka. Mwa ana awa, makamaka kwa ana ndi makanda, mphumu ikhoza kukhala yovuta kudziwitsa.
Nthawi zambiri makolo amafunsa za 'kuyesa' ana awo kuti apeze mphumu. Ana okalamba, mayeso a mapiritsi ndi / kapena kuthamanga kwapakati ndi mayesero omwe angathandize kupeza matenda a mphumu, koma zimakhala zovuta kuchita kwa ana osapitirira zaka 4-5.
Matenda Othawa Kwambiri
Zinthu zina zomwe zingachititse kuti mwana wanu asadziwe kuti ali ndi mphumu sizingakhalepo kuti ana ang'onoang'ono, makamaka makanda ndi ana, amatha kuyenda ngati akudwala matenda a tizilombo. Bronchiolitis, kawirikawiri imayambitsidwa ndi RSV, ndi chifukwa chofala cha ana opuma. Ngati ndilo gawo loyamba la mwana wanu, ndipo ali ndi chifuwa, mphuno, ndi malungo, ndiye kuti mwina ndi bronchiolitis osati mphumu yeniyeni, makamaka nthawi ya RSV (mochedwa kugwa / yozizira / kumayambiriro kwa nyengo).
Matenda Omwe Amawopsa Omwe Amawopsa Akumidzi kapena Odwala Ambiri amapezeka kawirikawiri mu makanda chifukwa amatha kuphulika pamene ali ndi matenda a mavairasi, ndipo sizikutanthauza kuti apitiriza kupuma kapena mavuto akamakula. Ngati mwana wanu ali ndi kachilombo ka HIV ndipo ali ndi zizindikiro zochepa zokhala ndi chifuwa, ndiye kuti mwina ali ndi mphumu, kaya adokotala kapena ana anu amawatcha kuti asthma kapena ayi.
Ngati mukudwala matenda a mphumu, ngati mwana wanu ali ndi chibayo, 'bronchitis' kapena bronchiolitis kwambiri, 'ikafika m'chifuwa chake' nthawi iliyonse yomwe imakhala yozizira, kapena ngati ili ndi chifuwa chachikulu, makamaka ngati usiku.
Chotupa Chosakaniza Chifuwa
Nthendayi imakhala yovuta kwambiri kuchitira ngati mwana wanu ali ndi chifuwa komanso sakuwombera. Madokotala ambiri amawoneka kuti sakuzengereza kuwachitira ana mwankhanza ndipo angaganize kuti mwana wanu ali ndi chimfine kapena bronchitis. Ngati mwana wanu ali ndi chifuwa chachikulu chokhalirapo kuposa masabata angapo, makamaka ngati ndi usiku kapena kutsatira masewera olimbitsa thupi, ndiye kuti mufunse dokotala ngati ali ndi mphumu kapena ayi.
Mofanana ndi mitundu ina ya matenda a mphumu, chifuwa chachikulu cha mphumu kawirikawiri chiyenera kuchitiridwa nkhanza, pogwiritsa ntchito bronchodilator, monga albuterol kapena Xopenex, ndi steroid yovomerezeka. Kungogwiritsa ntchito inhaler kangapo patsiku sikungakhale kokwanira.
Kufufuzika Kwambiri
Kuchita masewera olimbitsa thupi ndi kachilombo kaŵirikaŵiri ka asthma.
Nthawi zina amayamba kusokonezeka ndi ana omwe ali ndi vuto labwino.
Kodi mwana wanu ali ndi zizindikiro za mphumu zomwe zimangowonjezera pamene akuchita maseŵera kapena zochitika zina zolimbitsa thupi? M'malo mopewa kuchita masewera olimbitsa thupi, zizindikiro za mphumu zimayambitsidwa kapena kupewedwa pogwiritsira ntchito mankhwala ochiritsa odwala.
Mitundu Yamtundu wa Khunyu
Mitundu ina ya mphumu ingaphatikizepo:
- Nthenda yotchedwa Asthma - mphumu yomwe imayambitsa matenda enaake, monga nkhungu kapena mitengo
- Dzuwa la mphumu - mphumu yomwe imakhala yovuta usiku
- Steroid-Resistant Pumupumu - mphumu yomwe imayankha mankhwala ndi steroids
Ngakhale anthu ambiri amaganiza kuti mphumu ndi mphumu, kumvetsetsa kuti pali mitundu yosiyanasiyana ya mphumu kungathandize mwana wanu kupeza bwino.
> Zotsatira:
> National Heart, Lung, ndi Blood Institute. Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu. July 2007.