Kuchulukitsitsa kwa Phumu

Zamkati

• Kodi zizindikiro za kukula kwa mphumu ndi zotani?
• Nchiyani chimayambitsa kuchulukitsitsa kwa mphumu?
• Ndani ali pachiwopsezo chowopsa cha mphumu?
• Kodi kuwonjezeka kwakukulu kwa mphumu kumapezeka bwanji?
• Chiyeso chapamwamba chotuluka
• Spirometry
• Mayeso a nitric oxide
• Mayeso okosijeni wamagazi
• Kodi kukulira koopsa kwa mphumu kumathandizidwa bwanji?
• Kodi malingaliro a anthu omwe ali ndi mphumu ndi otani?
• Kodi pali njira iliyonse yopewera kukula kwa mphumu?
• Malangizo popewa
  

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi chimachitika ndi chiyani pamene mphumu ikuwonjezeka kwambiri?

Mphumu ndi matenda am'mapapo osatha. Zimayambitsa kutupa komanso kuchepa kwa mayendedwe anu. Izi zingakhudze mpweya wanu.

Zizindikiro za mphumu zimabwera ndikutha. Zizindikiro zikayamba kukula ndikuipiraipira, titha kuzitcha:

• kukulitsa
• kuukira
• gawo
• kukwiya

Ndege zanu zimayamba kutupa pakukulira koopsa. Minofu yanu imalumikizana ndipo machubu anu am'mimba amakhala ochepa. Kupuma nthawi zambiri kumakhala kovuta.

Ngakhale mutakhala ndi zovuta kale ndikudziwa zoyenera kuchita, ndibwino kuti mulankhule ndi dokotala wanu. Kukula kwakukulu kwa mphumu ndi koopsa ndipo kumatha kupha moyo. Ndiye chifukwa chake ndikofunikira kuzindikira zizindikilo koyambirira ndikuchitapo kanthu moyenera.

Ndikofunika kukhazikitsa "dongosolo la mphumu" momwe mungachitire ndi zizindikilo zanu. Gwiritsani ntchito ndi dokotala wanu kuti mupeze njira yoti muchite pamene zizindikiro zanu zikuwonekera.

Kodi zizindikiro za kukula kwa mphumu ndi zotani?

Zizindikiro za mphumu zimasiyana. Simungakhale ndi zisonyezo zilizonse pakati pakukula. Zizindikirozi zimatha kuyambira kufatsa mpaka zovuta. Zitha kuphatikiza:

• kupuma
• kukhosomola
• kufinya pachifuwa
• kupuma movutikira

Kukula kumatha kupitilira mwachangu kapena popanda mankhwala. Itha kukhalanso kwa maola ambiri. Zomwe zimapitilira, zimakhudzanso kuthekera kwanu kupuma. Zizindikiro za kukulira koopsa kapena kuwuka kwa mphumu ndi monga:

• kubvutika
• kutulutsa mpweya
• kuchuluka kwa kugunda kwa mtima
• kuchepa kwa mapapo
• kuvuta kulankhula kapena kupuma

Zizindikirozi ziyenera kutengedwa ngati zachipatala. Itanani dokotala wanu nthawi yomweyo ngati izi zitachitika.

Nchiyani chimayambitsa kuchulukitsitsa kwa mphumu?

Kuwonjezeka koopsa kumatha kuyambitsidwa ndi zinthu zosiyanasiyana. Zina mwazomwe zimayambitsa ndi izi:

• matenda opatsirana apamwamba
• chimfine
• allergen monga mungu, nkhungu, ndi nthata za fumbi
• amphaka ndi agalu
• utsi wa fodya
• kuzizira, mpweya wouma
• kuchita masewera olimbitsa thupi
• matenda amtundu wa gastroesophageal reflux

Zitha kukhala zinthu zingapo zomwe zimayambitsa kuyanjana kwa unyolo. Popeza pali zinthu zambiri zomwe zingayambitse, sizingatheke kuzindikira chomwe chimayambitsa.

Dziwani zambiri za zomwe zimayambitsa mphumu.

Ndani ali pachiwopsezo chowopsa cha mphumu?

Aliyense amene ali ndi mphumu ali pachiwopsezo chakuwonjezereka kwambiri. Vutoli limakhala lalikulu ngati mudakhalako kale, makamaka ngati linali lalikulu kwambiri kuti mukayendere chipinda chadzidzidzi. Zina mwaziwopsezo ndizo:

• kugwiritsa ntchito opulumutsa opitilira awiri pamwezi
• kukhala ndi kukulira kwa mphumu, kapena kuukira, komwe kumadza mwadzidzidzi
• kukhala ndi mavuto ena azaumoyo
• kusuta
• osagwiritsa ntchito mankhwala a mphumu monga momwe adalangizira
• kukhala ndi chimfine, chimfine, kapena matenda ena opuma

Mmodzi adawonetsa kuti azimayi amakonda kukhala ndi ziphuphu zowonjezereka kuposa amuna. Komanso, anthu aku Africa-America ndi Puerto Rico omwe ali ndi mphumu amalowetsedwa kuchipatala chifukwa chakuwonjezereka kwambiri kuposa aku Caucasus.

Kodi kuwonjezeka kwakukulu kwa mphumu kumapezeka bwanji?

Ngati mwakhala mukukula koopsa kale, mwina mudzazindikira zizindikirazo. Dokotala wanu adzatha kupeza matenda mwamsanga.

Ngati mukukula koyamba kovuta, dokotala wanu adzafunika kudziwa mbiri yanu yazachipatala, makamaka mbiri yanu ya mphumu. Kuti mupeze matenda oyenera, dokotala wanu amatha kukupimani ndikuyesera mapapu anu.

Pali mayeso angapo omwe angagwiritsidwe ntchito kuwona momwe mapapu anu akugwirira ntchito:

Chiyeso chapamwamba chotuluka

Kuyesa kwapamwamba kwambiri kumayesa momwe mungatulutsire mwachangu. Kuti muwerenge, mumapumira pakamwa mwamphamvu momwe mungathere. Muthanso kugwiritsa ntchito mita yayitali kwambiri kunyumba.

Spirometry

Dokotala wanu amathanso kugwiritsa ntchito spirometer. Makinawa amatha kuyeza momwe mumathamangira kupuma ndikutuluka. Zimathandizanso kudziwa kuchuluka kwa mpweya m'mapapu anu. Kuti mupeze miyeso iyi, muyenera kupumira mu payipi yapadera yolumikizidwa ndi mita.

Mayeso a nitric oxide

Kuyesaku kumaphatikizapo kupumira pakamwa kamene kamayeza kuchuluka kwa nitric oxide mu mpweya wanu. Mulingo wapamwamba kumatanthauza kuti machubu anu a bronchial atupa.

Mayeso okosijeni wamagazi

Mukamakumana ndi mphumu yayikulu, mwina pangafunike kuyang'ana kuchuluka kwa mpweya m'magazi anu. Izi zitha kuchitika pogwiritsa ntchito pulse oximeter. Oximeter ya pulse ndi kachipangizo kakang'ono kamene kamaikidwa kumapeto kwa chala chanu. Chiyesocho chimatenga masekondi pang'ono kuti mumalize ndipo chitha kuchitidwa kunyumba.

Gulani oximeter yamagetsi kuti mugwiritse ntchito kunyumba.

Kodi kukulira koopsa kwa mphumu kumathandizidwa bwanji?

Nthawi zambiri, kukulira kwa mphumu kumatha kuyang'aniridwa kunyumba kapena kuchezera dokotala. Dongosolo la mphumu lomwe mudapanga ndi dokotala wanu lingakuthandizeni kuthana ndi zizindikilo zanu komanso kuwonongeka kwamphamvu.

Komabe, kukulira koopsa nthawi zambiri kumabweretsa ulendo wopita kuchipinda chadzidzidzi. Chithandizo chadzidzidzi chingaphatikizepo:

• kuyang'anira mpweya
• ovuta beta-2 agonists, monga albuterol (ProAir HFA, Ventolin HFA)
• corticosteroids, monga fluticasone (Flovent Diskus, Flovent HFA)

Kukula kwakukulu kumafunikira kuyang'anitsitsa. Dokotala wanu akhoza kubwereza mayeso a matenda kangapo. Simudzatulutsidwa mpaka mapapu anu atagwira ntchito mokwanira. Ngati kupuma kwanu kukugwirabe ntchito, mungafunikire kuvomerezedwa masiku angapo mpaka mutachira.

Mungafunike kumwa ma corticosteroids masiku angapo kuchulukirachulukira. Dokotala wanu angakulimbikitseninso chithandizo chotsatira.

Kodi malingaliro a anthu omwe ali ndi mphumu ndi otani?

Anthu ambiri omwe ali ndi mphumu amatha kuthana ndi matendawa ndikukhala ndi moyo wabwino.

Kuwonjezeka koopsa kwa mphumu kumatha kukhala choopsa pangozi. Komabe, muyenera kuyambiranso ntchito zanu zanthawi zonse mukamaziyang'anira. Zachidziwikire, muyenera kupewa zoyambitsa zomwe mungadziwe ndikutsatira upangiri wa dokotala wanu pakuwongolera mphumu yanu.

Ngati muli ndi mphumu, muyenera kukhala ndi ndondomeko yothandizira. Gwirani ntchito ndi dokotala kuti mupange pulani kuti mudziwe zoyenera kuchita zikayamba kuwonekera.

Kodi pali njira iliyonse yopewera kukula kwa mphumu?

Malangizo popewa

• Onetsetsani kuti muli ndi mankhwala okwanira ndikutsatira malangizo mosamala.
• Ganizirani zopezera mita yoyenda kwambiri kuti mugwiritse ntchito kunyumba.
• Uzani dokotala wanu ngati mankhwala anu sakugwira ntchito. Mlingo wake ungasinthidwe kapena mutha kuyesa mankhwala ena. Cholinga ndikuchepetsa kutupa.
• Kumbukirani kuti kuchiza msanga msanga ndikofunikira. Kuchedwa kulikonse kungaike pangozi moyo.
• Samalani ndi zizindikiro ngati mukudwala chimfine kapena chimfine.
• Pezani thandizo lachipatala nthawi yomweyo ngati mukuganiza kuti mukukula kwambiri.

Sizophweka, koma ngati mungathe kuzindikira zomwe zimayambitsa kukwiya kwanu, mutha kuyapewa mtsogolo.

Ndikofunika kuphunzira momwe mungasamalire mphumu yanu. Mwa kuisunga momwe ingathere, mumachepetsa mwayi wokhala ndi kukulirakulira koopsa.