Maphunziro a mphumu ndi gawo lofunika pa dongosolo la chisamaliro cha aspirma . Mwa kuika mphumu yanu ya mphumu, mukhoza kupeza lingaliro la mphumu yanu ya mphumu. Mungathenso kutenga njira zomwe zingakuthandizeni kuti mukhale ndi mphumu.
Maphunziro anu a mphumu adzasintha pakapita nthawi. Pali njira zingapo zomwe mungaganizire za chikhalidwe chanu cha mphumu.
Kuchuluka kwa mphumu
Kuchuluka kwa mphumu kumafotokoza kukula kwa mphumu yako.
Gome ili m'munsiyi likufotokoza njira zosiyanasiyana zoyang'ana kukhwima kwa mphumu.
Dokotala wanu adzakupatsani inu chidziwitso cha mphumu zotsatirazi chifukwa cha zizindikiro zanu zovuta kwambiri. Mwachitsanzo, ngati ambiri mwa zizindikiro zanu ndi "Okhazikika Otsatira" koma muli ndi chizindikiro chimodzi chomwe chili mu "Wopitirizabe", mudzatchulidwa kuti "Okhazikika Pakati." Kusiyana kosiyana kwa mphumu yochokera ku NHLBI Report Panel Report 3 ( EPR3): Malangizo Othandizira Kuzindikira ndi Kuyendetsa Nthenda ya Phumu ndi:
- Zosintha
- Makhalidwe Abwino
- Okhazikika Pakati
- Kulimbikira Kwambiri
Pofuna kukupatsani chiwerengero cha mphumu, dokotala wanu akufunika kukufunsani mafunso osiyanasiyana osiyana. Mafunso ena angaphatikizepo:
- Kodi mumakhala ndi zizindikiro za mphumu masiku angati pa sabata?
- Kodi mphumu yanu imakuukitsani maulendo angati pa sabata?
- Kodi ndi kangati komwe mumayenera kugwiritsa ntchito chipulumutso chanu?
- Kodi mphumu yanu imasokoneza ntchito zanu zachizolowezi?
Mayankho a mafunso awa athandizira dokotala wanu kudziwa momwe mungakhalire kachirombo ka asthma.
Zizindikiro za Phumu
Zizindikiro ndi mbali ina yofunikira ya chiwerengero chanu cha mphumu. Zizindikiro za chifuwa cha mphumu zikuphatikizapo:
Kawirikawiri, zizindikiro zomwe mumakhala nazo zimakhala zovuta kwambiri.
Kuwonjezera apo, zizindikiro zotsatirazi zimasonyeza kuti ndizosauka kwambiri komanso kuwonjezereka kwakukulu kwa mphumu:
- Kuthamanga kawirikawiri usiku
- Kuwotcha kapena kupuma ndi kuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi
- Kutopa ndi ntchito zomwe mungathe kuzikwaniritsa mophweka
- Zimachepa pamtunda wanu
- Kugona mopanda tulo kapena kudzuka atatopa
- Kuchepetsa zizindikiro za zovuta monga phokoso lopitirira, mdima wandiweyani m'maso mwanu kapena phokoso, khungu lamoto
Kupulumutsa Kugwiritsa Ntchito Powonjezera
Cholinga chanu chiyenera kukhala kuti musagwiritse ntchito nthawi yanu yopulumutsira inhaler. Ngati mukuligwiritsa ntchito tsiku lililonse kapena kuposa nthawi zingapo pa sabata, mphumu yanu siili bwino kwambiri. Kugwiritsa ntchito mosavuta kugwiritsa ntchito mankhwala kumayambitsa kuwonjezeka kwa mphumu ya asthma.
Yembekezerani dokotala kuti akufunseni mafunso monga "Kodi munagwiritsa ntchito kangati maulendo anu opulumutsira sabata yatha sabata yatha?"
FEV1 ndi Peak Flow
Kuthamanga kwachitsulo kumasonyeza momwe mungathamangire mpweya mumapapo anu mofulumira ndipo mumatsimikiza pogwiritsa ntchito chiwerengero cha mapiri. Nthawi zambiri madokotala amafanizira nambala yanu tsopano ndi yabwino kwambiri.
Voliyumu yothamangitsidwa ndi mpweya ndiyo mpweya waukulu womwe mungathe kuwutulutsa. Kawirikawiri amayesedwa pamphindi umodzi (FEV1) ndipo amagwiritsidwa ntchito kupezeka pa ofesi ya katswiri. Tsopano izo zimapezeka m'mawotchi ena apakhomo.
Ngakhale pali kutsutsana kwina kuti mtundu wa asthma ndi mankhwala ayenera kukhazikitsidwa pa nambala zovuta izi zipangizo zimabweretsa, kapena kuchotsa zizindikiro zanu, zambiri zimadalira inu. Kuonjezerapo, palibe chifukwa chomwe simungakhazikitsire mapulani anu a asthma kuchoka ku manambala kuchokera pa zipangizozi kwa miyezi itatu ndikubwerezanso pogwiritsa ntchito ndondomeko yogwiritsira ntchito mphumu kwa miyezi itatu yotsatira. Mutha kuwona zomwe mukuganiza kuti zimayambitsa matenda a mphumu.
Maganizo Otsiriza
Momwe inu ndi dokotala wanu mumasankhira mphumu yanu mu nthawi yayitali mwina ndi zochepa kuposa kuonetsetsa kuti mukudziwa kuti mukudziwa bwanji mphumu yanu (ngakhale inu ndi dokotala mukufotokoza) ndi momwe zimakhudzira mankhwala anu.
Ngati simukudziwa bwino mtundu wanu wa mphumu ndipo simungathe kuchita zochitika zake, kambiranani ndi dokotala mwamsanga za momwe chiwerengero chanu cha mphumu chiriri ndi zomwe muyenera kuchita kuti mphumu yanu ikhale yoyenera.
Kuchuluka kwa mphumu
| Zosintha | Makhalidwe Abwino | Okhazikika Pakati | Kulimbikira Kwambiri | |
| Zizindikiro | Masiku awiri kapena osachepera | Masiku oposa 2 pa sabata | Tsiku lililonse | Pa tsiku lonse |
| Kuwuka kwausiku | 2 X pamwezi kapena osachepera | 3-4 X pamwezi | Koposa kamodzi pa sabata koma osati usiku | Usiku |
| Kupulumutsa Kugwiritsa Ntchito Powonjezera | Masiku awiri kapena osachepera | Masiku oposa 2 pa sabata, koma osati tsiku lililonse | Tsiku lililonse | Kangapo patsiku |
| Kusagwirizana ndi Ntchito Yachizolowezi | Palibe | Zochepa zochepa | Zina zochepa | Kwambiri kwambiri |
| Ntchito Yokwiya | FEV1> 80% inaneneratu ndi yachibadwa pakati pa kuwonjezera | FEV1> 80% adaneneratu | FEV1 60-80% adaneneratu | FEV1 zosakwana 60% zinaneneratu |
> Chitsime:
> Njira Yoyendetsa Nthenda ya Nthenda Yachifuwa-National Institutes of Health. Kuchuluka kwa mphumu: Dziwani Kumene Mungayambe.