I-asthma ye-Bronchial, iyini nokuthi ungayiphatha kanjani

Indlela yendabuko yokwelapha isifo sokuphefumula kwesifo sofuba ihluke ngokuyisisekelo emithini yezidakamizwa ezingavumelani "ezokuhambisana" zeziguli eziya ezweni elingcono. Yenzelwe ukubuyisela ubuchwepheshe be-airway ngokudala izigaba ezingaphakathi zamapayipi umphumela wokugwinya, okukuvumela ukuba uqede ukuvinjelwa kwe-bronchi ne-bronchioles encane ngokugodla ngamagundane e-sputum, ukuvula ukufinyelela kwe-oksijeni ohlelweni lokujikeleza futhi ngaleyo ndlela kukhishwe ukuhlaselwa kokuphefumula. Lokhu kungukuthi, imbangela yokuthuthukiswa kwenqubo yokwelapha isusiwe, ngakho-ke, isifuba sokuphefumula kwesifo sofuba njengendlela yokusabela komzimba kule nqubo.

Ngemuva kokukhipha ukuhlaselwa kwesifo sokuphefumula, inqubo yokuvuvukala emaphashini ihlala, futhi enye inokwelapha kuphela i-bronchitis. Ukwelashwa kuyashesha futhi kuyaphumelela uma kwenzeka ukuthi i-asthma ye-bronchial ingatholakali (okungukuthi, i-hormone ayisetshenziswanga). Kulesi sigaba, i-asthma iphathwa kalula futhi ngempumelelo. Ngesikhathi eside sesifo futhi ukuthuthukiswa kokwelashwa kwe-pneumofibrosis kunenkinga yayo, kodwa ayinakunqotshwa. Ngeshwa, manje abantu abaningi (kuze kube ngu-90%) banefomu elixhomeke kwi-hormone ye-asthma ye-bronchial. Endabeni yokunganaki, kanye nokuphefumula kwesifo se-hormone esisekelwe ku-hormone, kuyadingeka ukusebenzisa izindlela eziphambili nezokuxuba zokwelashwa. Indlela yokuphatha kahle i-asthma ye-bronchial, thola ku-athikili ethi "I-asthma ye-Bronchial, iyini nokuthi ungaphatha kanjani."

Amaphuzu ambalwa abalulekile mayelana ne-inhalers ye-hormone. Kumele kube sobala kuwo wonke umuntu ukuthi ukusetshenziswa kwamahomoni kuyingozi emzimbeni. Kodwa ukusetshenziswa okuyingozi kunazo zonke kwe-inhalers ye-hormonal ukususwa kokuhlaselwa kwesifuba sokuphefumula. Kungani? Okuqukethwe kwala ma-inhalers kuthatha isenzo sokugcina esihlahleni somuthi futhi ngaleyo ndlela "ukuqeqesha" i-bronchospasm. Ngokuphindaphindiwe nangesikhathi eside ukusebenzisa i-inhalers, okunamandla kuzoba i-bronchospasm. Ngaphezu kwalokho, kuzobe kungalawuleki, futhi kuyoba nzima ukuyiqeda kunokuthatha amahomoni (ngomlomo) noma ngisho nangaphakathi. Ezimweni ezimbili zokugcina, ama-hormone enza ngokusebenzisa i-hypothalamus, isimiso se-hormonal, ngokufanayo namahomoni avamile, okuyinto enganqamuki nakancane ukungalungi kwawo. I-inhaler ye-hormone ithinta ngqo kuma-receptor we-pulmonary, okuyingozi ngoba:

1) "ukuqeqesha" ukuhlushwa kwemisipha;

2) kuphazamisa umsoco wodonga lwamasongo (futhi hhayi nje kuphela e-bronchi encane), okwenza ukuba kube nokuhlanganiswa kwe-bronchi ne-bronchioles;

3) uma evezwa, endaweni yakhona isakhiwo lapho ama-receptors wokugcina asabela khona kuma-hormone amaningi angena odongeni lwamasongo ngokushesha, futhi ukuphendula kwabo "amahomoni" abo "abomdabu" bahlehla.

Uma, ngokusebenzisa ama-hormone, isimiso se-hormonal sesiguli sisengathi ngandlela-thile sinzima futhi silawulwa, khona-ke ukwelashwa nge-hormone inhalers kuholela ngokushesha ekuqinisweni ukuthi kunikezwa. Futhi ngesinye isikhathi, ukusebenzisa i-inhaler kungaholela ekufeni, ngoba kusetshenziswa lolu hlobo lwe-hormone ukusetshenziswa okwenziwa yi-bronchospasm iyonke, okuyinto, njengoba ngiyibona eminyakeni yamuva, iqala ukuphazamisa hhayi amaphaphu kuphela kodwa futhi i-larynx. Uhlelo lonke lokusebenza lokuphefumula luyeka ukusebenza, futhi ukucindezeleka okunamandla kwephaphu, okuqeqeshwe yi-inhalers, akususiwe ngisho nezidakamizwa eziqine kakhulu. Futhi uma uphoqa ngamandla esifubeni namaphaphu ngezandla zakho, khona-ke kusukela ekucindezelweni okudaliwe, i-bronchioles ne-alveoli kwezinye izindawo ziqhekekile, kanti nezinye izindawo zihlala zihlaselwa. Ngakho-ke, ngokusebenzisa i-hormone inhalers, i-asthma yokugcina iqala ngokushesha kakhulu. Ngenhlanhla, inhalation ayithinti iminyango ejulile, ithonya layo lilinganiselwe emaphakathini aphakathi, lokhu kusindisa abagulayo. Uma kungenjalo, umphumela obulalayo uzohlinzeka emva kwezinsuku ezingu-3-4 zokungena. Yilokho okwenzekayo eNgilandi, lapho iziguli zifa khona ezithatha ama-hormone ngamazinga aphezulu, ngendlela yamathebulethi, kokubili ngaphakathi nangenhlawulo. Kukhona ukuphazamiseka kwamagciwane - ukusabela okuphazamisayo okukhulu, futhi inhlupheko ifa kungakapheli imizuzu engu-15. Uma ukuphazamiseka kwamaphaphu akhe kusaphila, uzokwazi ukuphuthuma ngokushesha isimo sakhe.

I-Bronchial asthma (BA) yisifo esisodwa, hhayi izinhlobo ezingu-20-30, ezakhiwa yizikhungo ezihlukahlukene ezweni lakithi nakwamanye amazwe. Kodwa uma le nqubo yokwelashwa iqhubeka isikhathi eside, izinkinga ezingaphezu kwazo futhi zilukhuni nakakhulu. Ukulwa nalezi zinkinga, ukuqedwa kwabo kubangela ubunzima obukhulu obuvela ekwelapheni izinhlobo ezixubile ze-hormone ezixhomeke ku-asthma ye-bronchial. Empeleni, ukwelashwa cishe noma yisiphi isifo esingapheli, futhi hhayi AD kuphela, kuncishiswe ukwelashwa kwalezo zinkinga ezikhula ngenxa yesikhathi eside eside inqubo yokuvuvukala. Le nqubo iba yindabuko kakade esigabeni sokuqala. Njengoba ukuvuvukala kuqhubeka, isakhiwo samaphaphu sithinteka yizinguquko ze-fibro-sclerotic, okungukuthi, kunenkinga efuna indlela yokwelapha ekhethekile. Esikhathini esibizwa ngokuthi i-atopic uhlobo lwesifuba somoya, sithola inani elikhulu le-sputum ehlanzekile ngasemaphethelweni. Ngaphambi kwalokho, isiguli sasinomkhuhlane owomile iminyaka eminingi, futhi kwakubonakala sengathi akukho phlegm. Eqinisweni, yayisondliwa kuphela e-periphery. Le sputum ibangela umonakalo omkhulu kwisakhiwo samaphaphu. Uma ungena egazini, ubuthiza umzimba, ubangele ukuzibulala, okuwukudakwa kwamaphaphu ngokwawo.

Ukuqaliswa ngokuphelele, okucatshangelwayo kuzo zonke izincomo zami mayelana nokuphathwa kwe-asthma ye-bronchial.

2. Ukugeza okushisayo noma ukugeza ngaphambi kokulala. Ukwamukela "Termopsisa" (amaphilisi amabili izikhathi ezingu-6 ngosuku). Isiphuzo esiningi. Ezimweni ezimbi, sebenzisa i-eustrillin (ithebulethi eli-1) noma ugwayi we-dandelion.

Ukuphefumula okungenasisekelo (ukuphefumula umzimba No. 1).

4. Ukuguqa kwesifuba, ikakhulukazi ingxenye engezansi, ishidi.

5. Ukwamukelwa kwe-calcium gluconate (ithebhulethi eli-1 izikhathi ezintathu ngosuku).

6. Amaconsi okuphefumula we-Cardiovascular of Sukhanov (40-50 awela izikhathi ezintathu ngosuku).

7. I-Steam ngokwemigomo ethi "Imithetho yokugeza okufanele" nokuphuza okuningi.

8. "I-Pulmodet" (i-20-30 yehla njalo isigamu sehora phakathi nosuku ngokukhwehlela nokuhlaselwa ukuhlushwa, - izikhathi ezingu-6 ngosuku ngamaconsi angu-20).

Okufanele ukwenze uma kwenzeka ukuhlasela kwesifo se-asthma

Lapho ukuhlaselwa kokuqala kungesabi. Thuthukisa ukuhlaselwa ngokuthula. Uma kwenzeke ebusuku, futhi uvuka, ungakhathazeki, ungadli noma udele, kodwa ngesineke, ngokuhlakanipha, ngokuthula, ngokuphumelelayo nangokweqile ukukhipha ukuhlaselwa futhi ubuyisele isigqi sokuphefumula.

Hlala esihlalweni. Ingemuva igcwele, amahlombe asakazeka, ubheke phezulu ezingeni lomugqa wokuguqulwa kodonga nophahla. Okokuqala, susa ukungezwani kwemisipha ebusweni, ibhande lehlombe, ucingo lwesisu; noma kunokwenzeka, phumula. Qala ngokuthula, ngesineke nangokuphikelela ukulawula ukuphefumula kwakho. Zama ukunciphisa inani lemimoya ehoxisiwe. Faka ingxenyana encane yomoya ngaphandle kokubandakanya imisipha yamahlombe, imisipha ye-intercostal kanye nemisipha yomzimba kuhlelo lokuphefumula (njengoba kuvame ukwenza). Zonke lezi misipha kufanele zikhululeke. Uma ukuphefumula okujulile kwenzeke ngezikhathi ezithile, kuzomele ume isikhashana ngemva kwabo, ungaphefumuli (ukujula ukuphefumula, isikhathi eside), bese uphumelela kahle emakhaleni. Ngizokukhumbuza futhi: phefumula ngekhala lakho - umoya omfishane, omfishane kanye nokuphefumula okubushelelezi nokuzolile. Uma kwakungenzeka ukudala isimo esidingekayo ngokomzwelo (njalo ngomzuzu kufanele kubonakale sengathi unaphakade), thola phansi futhi wenze kahle, bese kuthi emaminithini angu-3-5 kuzoba lula kakhulu. Uma uzizwa ungcono, shintsha isigqi sokuphefumula: manje ume isikhashana ekuphumuleni, ugcine ukuphefumula okungajulile. Ubude bekhefu bungabhekana, ngokuya kombuso, kufanele ukhululeke. Ngokujwayelekile, uma uthuthuka, unciphisa umsebenzi wokubuyisela ukuphefumula. Akusekho lokhu okungeke kwenzeke lokhu! Ngokuphambene nalokho, qaphela ukuthi ukuphefumula kwakho kuhlala kungenasisekelo futhi kuzolile. Uma kunzima ukubhekana nokuvusa, thatha 1 tbsp. spoon of motherwort, amaphilisi amabili "Thermopsis" kanye nengilazi yetiyi elishisayo. Manje siyazi ukuthi lesi sifo siphuthuma kanjani isifuba sokuphefumula, sini nokuthi siyiphathe kanjani.