Tsokomola

Kukhosomola ndi njira yofunika kuti khosi lanu ndi mpweya muziyenda bwino. Koma kutsokomola kwambiri kungatanthauze kuti muli ndi matenda kapena vuto.

Ena chifuwa ndi youma. Zina zimakhala zothandiza. Chifuwa chopindulitsa ndi chomwe chimabweretsa ntchofu. Ntchofu imatchedwanso phlegm kapena sputum.

Kukopa kumatha kukhala kovuta kapena kosatha:

• Chifuwa chachikulu chimayamba mofulumira ndipo nthawi zambiri chimakhala chifukwa cha chimfine, chimfine, kapena matenda a sinus. Nthawi zambiri zimatha patatha milungu itatu.
• Chifuwa cha subacute chimatha masabata atatu mpaka 8.
• Chifuwa chachikulu chimatha milungu 8.

Zomwe zimayambitsa kutsokomola ndi izi:

• Nthenda zomwe zimakhudza mphuno kapena sinus
• Mphumu ndi COPD (emphysema kapena bronchitis)
• Chimfine ndi chimfine
• Matenda am'mapapo monga chibayo kapena bronchitis pachimake
• Sinusitis ndikutsitsa pambuyo pake

Zina mwa zifukwa zake ndi izi:

• ACE inhibitors (mankhwala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi, kulephera kwa mtima, kapena matenda a impso)
• Kusuta ndudu kapena kukhudzana ndi utsi wa fodya
• Matenda a reflux a gastroesophageal (GERD)
• Khansa ya m'mapapo
• Matenda am'mapapo monga bronchiectasis kapena matenda am'mapapo amkati

Ngati muli ndi mphumu kapena matenda ena am'mapapo, onetsetsani kuti mukumwa mankhwala omwe akuchipatala akukupatsani.

Nawa maupangiri othandizira kuchepetsa kutsokomola:

• Ngati muli ndi chifuwa chowuma, chokoma, yesani madontho a chifuwa kapena maswiti olimba. Musapereke izi kwa mwana wosakwanitsa zaka zitatu, chifukwa zimatha kuyambitsa kutsamwa.
• Gwiritsani ntchito vaporizer kapena kusamba madzi kuti muwonjezere chinyezi mlengalenga ndikuthandizani kukhosomola kowuma.
• Imwani madzi ambiri. Zamadzimadzi zimathandiza kuchepetsa ntchentche m'mero ​​mwanu kuti zikhale zosavuta kuzitsokomola.
• Osasuta fodya, ndipo pewani kusuta fodya.

Mankhwala omwe mungagule nokha ndi awa:

• Guaifenesin amathandiza kuthetsa ntchofu. Tsatirani malangizo amomwe mungatenge. Musatenge zochuluka kuposa zomwe mukulimbikitsidwa. Imwani madzi ambiri mukamamwa mankhwalawa.
• Odzipangira mavitamini amathandiza kutsegula mphuno ndikuchepetsa kutuluka kwa postnasal. Funsani omwe akukuthandizani musanadye mankhwala opatsirana pogonana ngati muli ndi kuthamanga kwa magazi.
• Lankhulani ndi omwe amakupatsani mwana wanu musanapatse ana azaka 6 kapena kupitirira mankhwala a chifuwa, ngakhale atalembedwa kuti ana. Mankhwalawa mwina sagwira ntchito kwa ana, ndipo amatha kukhala ndi zovuta zina.

Ngati muli ndi ziwengo za nyengo, monga hay fever:

• Khalani m'nyumba m'nyumba masana kapena nthawi zamasana (nthawi zambiri m'mawa) pamene ma allergen obwera chifukwa cha mpweya amakhala okwera.
• Sungani mawindo otsekedwa ndikugwiritsa ntchito chowongolera mpweya.
• Musagwiritse ntchito mafani omwe amakoka panja panja.
• Sambani ndikusintha zovala mutakhala panja.

Ngati muli ndi ziwengo chaka chonse, tsekani mapilo anu ndi matiresi ndi zokutira fumbi, gwiritsani ntchito choyeretsera mpweya, ndipo pewani ziweto zomwe zili ndi ubweya ndi zina zoyambitsa.

Itanani 911 ngati muli:

• Kupuma pang'ono kapena kupuma movutikira
• Ming'oma kapena nkhope yotupa kapena pakhosi movutikira kumeza

Itanani omwe akukuthandizani nthawi yomweyo ngati munthu yemwe ali ndi chifuwa ali ndi izi:

• Matenda a mtima, kutupa m'miyendo yanu, kapena chifuwa chomwe chimakulirakulira mukamagona pansi (zitha kukhala zizindikilo za kulephera kwa mtima)
• Mudakumana ndi munthu yemwe ali ndi chifuwa chachikulu
• Kuchepetsa mwangozi kapena thukuta usiku (atha kukhala chifuwa chachikulu)
• Mwana wakhanda wosakwana miyezi itatu yemwe ali ndi chifuwa
• Chifuwa chimatenga masiku opitilira 10 mpaka 14
• Chifuwa chomwe chimatulutsa magazi
• Kutentha thupi (kungakhale chizindikiro cha matenda a bakiteriya omwe amafunikira maantibayotiki)
• Phokoso lamphamvu kwambiri (lotchedwa stridor) popumira
• Phlegm wonenepa, wonunkha, wobiriwira wachikasu (atha kukhala kachilombo ka bakiteriya)
• Chifuwa champhamvu chomwe chimayamba mwachangu

Woperekayo ayesa mayeso. Mudzafunsidwa za chifuwa chanu. Mafunso angaphatikizepo:

• Pamene kutsokomola kunayamba
• Zomwe zimamveka
• Ngati pali chitsanzo chake
• Zomwe zimapangitsa kuti zikhale bwino kapena zoyipa
• Ngati muli ndi zizindikiro zina, monga malungo

Wothandizira adzayang'ana makutu anu, mphuno, mmero, ndi chifuwa.

Mayeso omwe angachitike ndi awa:

• X-ray pachifuwa kapena CT scan
• Kuyesa kwa mapapo
• Kuyesa magazi
• Kuyesa kuyesa mtima, monga echocardiogram

Chithandizo chimadalira chifukwa cha chifuwa.

• Chimfine ndi chimfine - zomwe mungafunse dokotala wanu - wamkulu
• Chimfine ndi chimfine - zomwe mungafunse dokotala - mwana
• Mwana wanu wakhanda akatentha thupi

• Mapapo

Chung KF, Mazzone SB. Tsokomola. 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 30.

Kraft M. Njira kwa wodwala yemwe ali ndi matenda opuma. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 83.