Kutentha

Kupuma ndimphokoso kwambiri mukamapuma. Zimachitika pamene mpweya umadutsa m'machubu zopumira m'mapapu.

Kupuma ndi chizindikiro chakuti munthu akhoza kukhala ndi vuto la kupuma. Phokoso la kupuma limadziwika kwambiri popumira (kutulutsa mpweya). Zitha kumvekanso mukamapumira (inhaling).

Kupuma nthawi zambiri kumachokera m'machubu zazing'ono zopumira (m'machubu wa bronchial) mkatikati mwa mapapu. Koma mwina chifukwa cha kutsekeka kwa mayendedwe akuluakulu apamtunda kapena mwa anthu omwe ali ndi vuto lamawu amawu.

Zomwe zimayambitsa kugunda zingaphatikizepo izi:

• Mphumu
• Kupumulira chinthu chachilendo munjira zopumira mpaka m'mapapu
• Kuwonongeka ndi kukulira kwa njira yayikulu yamapweya m'mapapu (bronchiectasis)
• Kutupa ndi ntchentche zimakhazikika m'magawo ang'onoang'ono am'mapapu (bronchiolitis)
• Kutupa ndi ntchentche zimakhazikika m'magawo akulu omwe amatengera mpweya m'mapapu (bronchitis)
• COPD, makamaka ngati matenda opuma amapezeka
• Matenda a acid a reflux
• Kulephera kwa mtima (mphumu yamtima)
• Mbola ya tizilombo yomwe imayambitsa zovuta
• Mankhwala ena (makamaka aspirin)
• Matenda a m'mapapo (chibayo)
• Kusuta
• Matenda a kachilombo, makamaka makanda osapitirira zaka 2

Tengani mankhwala anu onse monga mwauzidwa.

Kukhala pansi komwe kuli konyowa, mpweya wotentha ungathandize kuthana ndi zina. Izi zitha kuchitika poyambitsa shawa lotentha kapena kugwiritsa ntchito vaporizer.

Itanani yemwe akukuthandizani ngati akupuma:

• Zimapezeka koyamba
• Zimapezeka ndi kupuma pang'ono, khungu labuluu, chisokonezo, kapena kusintha kwamaganizidwe
• Zosungidwa zikuchitika popanda kufotokozera
• Amayamba chifukwa chakuluma kwa mankhwala kapena mankhwala

Ngati kupuma kuli kovuta kapena kumachitika ndi mpweya wochepa kwambiri, muyenera kupita molunjika ku dipatimenti yapafupi yoopsa.

Wothandizira adzakuyesani ndikufunsani za mbiri yanu yazachipatala. Mafunso okhudza kupuma kwanu atha kuphatikizira pomwe idayamba, idatenga nthawi yayitali bwanji, idakulirakulira liti, komanso zomwe zidayambitsa.

Kuyeza kwakuthupi kungaphatikizepo kumvera mawu am'mapapu (auscultation). Ngati mwana wanu ali ndi zizindikiro, woperekayo adzaonetsetsa kuti mwana wanu sanameze chinthu chachilendo.

Mayeso omwe angachitike ndi awa:

• Ntchito yamagazi, mwina kuphatikiza mpweya wamagazi wamagazi
• X-ray pachifuwa
• Kuyesa kwa mapapo

Kukhala kuchipatala kungafunike ngati:

• Kupuma kumakhala kovuta kwambiri
• Mankhwala amafunika kuperekedwa kudzera mumitsempha (IV)
• Mpweya wowonjezera umafunika
• Munthuyo amafunika kuyang'aniridwa kwambiri ndi ogwira ntchito zamankhwala

Sibilant rhonchi; Kutulutsa mphumu; Kufufuma - bronchiectasis; Kufufuma - bronchiolitis; Kupuma - bronchitis; Kutulutsa - COPD; Kupuma - kulephera kwa mtima

• Mphumu ndi sukulu
• Mankhwala osokoneza bongo
• Mphumu - mankhwala othandizira mwachangu
• Bronchoconstriction yochita zolimbitsa thupi
• Momwe mungagwiritsire ntchito nebulizer

• Mapapo

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Kupuma, bronchiolitis, ndi bronchitis. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 418.

Woodruff PG, Bhakta NR, Fahy JV. Mphumu: pathogenesis ndi phenotypes. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 41.