Kodi Ndili Pangozi Yowonjezereka?
Kodi mukukumana ndi chiopsezo chachikulu ngati mukuchitidwa opaleshoni komanso muli ndi mphumu?
Inde, asthmatics ali pachiopsezo cha mavuto ena chifukwa cha mphumu yawo. Komabe, chiwopsezo chenichenicho chimadalira kukula kwa mphumu yako, kuchuluka kwa hyperresponsiveness, kuchuluka kwa chitetezo chawomwe muli nacho, ndi mtundu wa anesthesia yogwiritsidwa ntchito. Ngati mphumu yanu imayendetsedwa bwino kuposa momwe mungagwirire opaleshoni popanda vuto lalikulu.
Komabe, ngati muli ndi mphumu ya steroid kapena mphumu yosagwidwa bwino ( yosalekeza molimbika kapena yolimbikira kwambiri ), mudzawona dokotala wanu wa mphumu asanayambe opaleshoni. Zakale zimakhala zabwino, koma patapita sabata pasanafike ngati mankhwala anu akufunikira kusintha. Mwatsoka, mphamvu yanu ya mphumu sikuti nthawi zonse imaneneratu chiopsezo cha mavuto pamene mukuchitidwa opaleshoni pamene owerengeka a odwala omwe amawoneka kuti akuwongolera bwino akhoza kukhala ndi mavuto zovuta.
Komabe, olemba ena akhala akudabwa ngati nthenda ya mphumu ikadali chiopsezo cha anesthesia wamba? Maganizo awo ali ndi kusintha kwakukulu kwa mankhwala kuti asamaphunzire zambiri zomwe zachitika kale ndikukambilana za zoopsa ndi zovuta sizili zovomerezeka lero. Ngakhale odwala ambiri atakhala ndi anesthesia ambiri popanda vuto, ndibwino kuti mukambirane ndi dokotala wanu asanayambe opaleshoni ndikuganizira zomwe zili pano.
Chofunikira ndi kukonzekera chisanakhale ndi kudziwika za chiopsezo.
Kodi Ndizoopsa Bwanji?
Bronchospasm , zodabwitsa kwa ine, zimapezeka pafupipafupi ndi 2% pa milandu yomwe anthu ambiri amadzimva kuti ndi odwala. Zikutheka kuti zimachitika panthawi yoperekera mankhwala, nthawi imene wodwalayo akudwala matenda am'thupi (dokotala yemwe amachititsa kuti munthu asamamveke) amayamba thupi lanu lopweteka.
Komabe, mavuto omwe angakhalepo angakhale oopsa ndipo amachititsa kuvulala kwa ubongo kapena imfa.
Kupweteka kwakukulu kumabwera chifukwa cha kutupa (pamene chubu imayikidwa m'mapapu anu kuti mupume kupuma nthawi yanu). Izi zingathenso kutulutsa mpweya wabwino
Zowopsa zina zimaphatikizapo chibayo ndi atelectasis . Pamene muli pansi pa anesthesia ndi zotsatira za mankhwala muli ndi chifuwa chosakhudzidwa chomwe chingabweretse chikoka ndi matenda omwe angathe.
Mafupa saganiziridwa kuti angapangitse chiopsezo chanu cha masewera olimbitsa thupi kwambiri. Komabe, mwa njira zina zomwe zimayambitsa matenda a mphumu zomwe zimakhudzana kwambiri ndi chifuwa chachikulu chingayambitse kuopsa koyambitsa matenda ena monga njira yowonjezera yowonjezera mabala opaleshoni.
Ngati muli otsekemera kwa latex muyenera kuonetsetsa kuti dokotala wanu ndi ogwira ntchito onse akudziwa izi. Mudzafunsanso kufunsa ndi gulu lanu la ntchito momwe angapewe kukuwonetsani ku latex.
Ulendo Wokonzekera
Muyenera kuonana ndi dokotala wanu wa mphumu kuti mudziwe bwinobwino musanachite opaleshoni. Dokotala wanu adzakonzekera mbiri, kuyeza thupi, ndikuwongolera kugwiritsa ntchito mankhwala anu posachedwapa. Ngati mphumu yako siikwanilitsidwe bwino, ikhoza kutero kuti opaleshoni iliyonse yosasankhidwa iwonongeke.
Ngati dokotala wanu sakudziwa za ulamuliro wanu wa asthma angayesedwe. Ngakhale kuti chiwerengero chachikulu cha odwala opitirira 80% chomwe chinanenedweratu ndi chabwino, nthawi yowonjezera kuyesa kuyesa sikuli bwino. Ngati adokotala akuwona kuti kuyesedwa kumafunika, spirometry idzalamulidwa. FEV1 imagwiritsidwa ntchito popenyera mphumu pa ofesi ndipo madokotala ena opaleshoni amapempha mayesero kuti apange njira zoopsa za m'mimba pamimba, thoracic, kapena opaleshoni ya mtima. A FEV1 oposa 80% omwe amanenedweratu kawirikawiri amasonyeza kulamulira kwa mphumu wabwino.
Dokotala wanu nthawi zina amafuna kuitanitsa mayesero ena apadera chifukwa cha mphumu yanu.
Mankhwala apamwamba a mankhwala a mphumu angayambitse kusintha kwa shuga, potaziyamu, kapena magnesium yomwe iyenera kufufuzidwa. Ngakhale kuti chifuwa chachikulu chimagwiritsidwa ntchito nthawi zambiri, nthawi zambiri sizothandiza ngati mulibe zizindikiro za chifuwa kapena matenda.
Mwinanso mungafunse kulankhula ndi dokotala wanu wamagetsi (dokotala yemwe amakugonetsani kuti mugone nthawiyo) zokhudzana ndi zosankha za m'deralo motsutsana ndi anesthesia. Kawirikawiri anesthesia mumayikidwa mokwanira kugona pamene anesthesia ya m'derali sali. Phindu lalikulu ndi lakuti chigawo cha anesthesia cha m'deralo chimapangitsa kuti pakhale ngozi yowonongeka pamene ndege yanu ikugwiritsidwa ntchito.
Ngati mphumu yako isayang'ane bwino, yang'anani mankhwala opambana musanapange opaleshoni yanu. Izi zingaphatikizepo zochepa za mankhwala otchedwa steroids ndi mankhwala ena. Ichi ndi chimodzi mwa zifukwa zomwe zili bwino kuti muwone dokotala wanu wa mphumu mwamsanga mwamsanga musanachite opaleshoni. Cholinga chanu ndi chakuti FEV1 yanu kapena chiwerengero cha chiwerengero chanu chikhale pazinthu zawo zomwe zanenedweratu kapena zoyenera pamaso pa opaleshoni.
Zina mwa mbiriyakale yanu ya zachipatala zimawonjezera chiopsezo cha bronchospasm pa opaleshoni ndipo ziyenera kutchulidwa kuphatikizapo:
- Atopy
- Eczema
- Allergic rhinitis
- Mbiri ya banja ya asthma kapena atopy
Kugwiritsa ntchito Steroid posachedwa
Chodetsa nkhaŵa kwambiri (kotero ndikofunikira kuti wodwalayo amudziwe) ali odwala omwe ali ndi matenda osamalidwa otchedwa oral steroids ndi omwe akusowa mankhwala otchedwa oral steroid m'miyezi isanu ndi umodzi yapitayo. Nthawi zina odwalawa amalandira mankhwala opatsirana pogonana.
Kodi Ndiyenera Kusiya Kusuta?
Ngakhale kuti yankho la funsoli ndilo inde, odwala ena (ngati muli ndi mphumu kapena ayi) amene asiya kusuta asanatumikire opaleshoni amadzipangitsa kukhala ndi chiopsezo chochulukirapo chifukwa cha opaleshoni. Ngati mumasiya masabata awiri musanachite opaleshoni, izi sizingakhale zovuta. Pamene kusuta ndi mphumu sizitsulo zabwino, onetsetsani kuti mukuyankhula ndi dokotala musanayambe kuchita opaleshoni yanu.
Zotsatira
- National Heart, Lung, ndi Blood Institute. Report of Panel Panel 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu
- Li J, McPherson R. Kodi chifuwa cha asthma chiribe chiopsezo chachikulu cha anesthesia? Journal of Anesthesiology 2014; 2 (1): 8-12