Kodi ziwengo zingayambitse bronchitis?
Zamkati
- Zizindikiro
- Zoyambitsa
- Zowopsa
- Matendawa
- Chithandizo
- Achifwamba
- Steroids
- Thandizo la oxygen
- Chopangira chinyezi
- Kukonzanso kwamapapo
- Njira zopumira
- Katemera
- Chiwonetsero
- Kupewa
Chidule
Bronchitis imatha kukhala yovuta, kutanthauza kuti imayambitsidwa ndi kachilombo kapena bakiteriya, kapena itha kuyambitsidwa ndi chifuwa. Matenda opatsirana nthawi zambiri amatha pakatha masiku angapo kapena milungu ingapo. Matenda a bronchitis satha, ndipo amatha kuyambitsa matendawa monga utsi wa fodya, kuipitsa fumbi kapena fumbi. Muthanso kumva kuti amatchedwa bronchitis osachiritsika.
Matenda a bronchitis ndi ena mwa matenda osokoneza bongo (COPD), komanso emphysema. Matenda a bronchitis amatha miyezi kapena kupitilira apo.
Bronchitis ndikutupa kapena kutupa kwa machubu am'mimba omwe amalowetsa mpweya m'mapapu anu. Mukakhala ndi bronchitis, mayendedwe anu amapangitsanso ntchofu zambiri. Nkhungu nthawi zambiri zimateteza mapapu anu pogwira mabakiteriya, fumbi, ndi tinthu tina tomwe musanalowe. Mafinya ambiri amalepheretsa kupuma. Anthu omwe ali ndi bronchitis nthawi zambiri amatsokomola kwambiri ndipo amavutika kupuma.
Pitilizani kuwerenga kuti mudziwe zambiri za matupi awo sagwirizana kapena matenda.
Zizindikiro
Kukhosomola ndicho chizindikiro chachikulu cha bronchitis yovuta komanso yovuta. Ndi chifuwa chachikulu, chifuwa chimatha pakatha masiku angapo kapena milungu ingapo. Chifuwa cha bronchitis chosatha chimatha milungu ingapo kapena miyezi.
Mukatsokomola mudzatulutsa kamadzimadzi kakang'ono, koterera kotchedwa ntchofu. Mu bronchitis yovuta, ntchofu imatha kukhala yachikaso kapena yobiriwira. Matenda a bronchitis osachiritsika nthawi zambiri amakhala omveka kapena oyera.
Kupatula pa chifuwa, bronchitis yovuta komanso yamatenda ali ndi zizindikiro zosiyanasiyana.
Zizindikiro za bronchitis | Zizindikiro zovuta za bronchitis |
chifuwa chomwe chimatha milungu ingapo kapena miyezi ingapo | chifuwa chomwe chimatenga masiku angapo kapena masabata |
chifuwa chopangira zipatso chimatulutsa mamina oyera kapena oyera | kupanga chifuwa kumatulutsa ntchofu zachikasu kapena zobiriwira |
kupuma | malungo |
kupanikizika kapena kukakamira pachifuwa | kuzizira |
kutopa |
Zoyambitsa
Kusuta ndudu ndiye chifukwa chofala kwambiri cha bronchitis. Utsi umadzazidwa ndi mankhwala owopsa. Mukapuma utsi wa ndudu, umasokoneza m'mbali mwa mpweya wanu ndikupangitsa mapapu anu kutulutsa ntchofu zowonjezera.
Zina mwazomwe zimayambitsa bronchitis yayitali ndi monga:
- kuipitsa mpweya
- utsi wa mankhwala
- fumbi
- mungu
Zowopsa
Kusuta fodya ndichimodzi mwaziwopsezo zazikulu za chifuwa. Mwinanso mumakhala ndi izi ngati:
- ndi akulu kuposa 45
- gwirani ntchito komwe mumakumanapo ndi fumbi kapena mankhwala osokoneza bongo, monga migodi yamalasha, nsalu, kapena ulimi
- amakhala kapena kugwira ntchito kudera lomwe lili ndi mpweya wambiri
- ndi akazi
- khalani ndi chifuwa
Matendawa
Itanani dokotala wanu kuti mudzakumane nanu:
- muli ndi chifuwa chomwe chimatha milungu yopitilira itatu
- umatsokomola magazi
- mukupuma kapena kupuma movutikira
Dokotala wanu amakuyesa ndikufunsani za mbiri yanu yazachipatala. Dokotala wanu akhoza kufunsa kuti:
- Mwakhala mukutsokomola kwanthawi yayitali bwanji?
- Kodi umatsokomola kangati?
- Kodi mumatsokomola ntchofu iliyonse? Zingati? Mafinyawo ndi otani?
- Mumasuta? Mwakhala mukusuta kwa nthawi yayitali bwanji? Kodi mumasuta ndudu zingati tsiku lililonse?
- Kodi mumakonda kucheza ndi munthu amene amasuta?
- Kodi posachedwapa mwakhala mukudwala chimfine kapena chimfine?
- Kodi mumakumanapo ndi utsi wamafuta kapena fumbi kuntchito? Kodi mumakumana ndi mankhwala amtundu wanji?
Dokotala wanu amveranso mapapu anu ndi stethoscope. Mutha kukhala ndi mayeso ena a bronchitis, monga:
- Mayeso a sputum. Dokotala wanu amayang'ana nyemba zomwe mumatsokomola kuti muwone ngati muli ndi matenda kapena chifuwa.
- X-ray pachifuwa. Kuyesa kolingalira uku kumayang'ana kukula kapena mavuto aliwonse m'mapapu anu.
- Kuyesa kwa mapapo. Muphulitsa chida chomwe chimatchedwa spirometer kuti muwone m'mapapo mwanu muli mphamvu komanso mpweya wokwanira.
Chithandizo
Dokotala wanu akhoza kukulemberani kapena amalangiza chimodzi kapena zingapo zamankhwalawa kuti atsegule njira zanu zopumira ndikuthandizani kuti mupume mosavuta.
Achifwamba
Ma bronchodilator amasungunula minofu mozungulira mlengalenga kuti iwatsegule. Mumapuma mankhwalawo kudzera pachida chotchedwa inhaler.
Bronchodilators achidule amayamba kugwira ntchito mwachangu. Zitsanzo za ma bronchodilator achidule ndi awa:
- ipratropium (Atrovent)
- albuterol (Proventil HFA, ProAir, Ventolin HFA)
- levalbuterol (Xopenex)
Ma bronchodilator omwe atenga nthawi yayitali amapita kukagwira ntchito pang'onopang'ono, koma zotsatira zake zimakhala kwa maola 12 mpaka 24. Mankhwalawa ndi awa:
- tiotropium (Spiriva)
- salmeterol (Serevent)
- mawonekedwe (Foradil)
Steroids
Steroids imabweretsa kutupa m'mayendedwe anu. Nthawi zambiri mumapuma ma steroids kudzera mwa inhaler. Zitsanzo ndi izi:
- budesonide (Pulmicort)
- fluticasone (Flovent, Chikondi Ellipta)
- mometasone (Asmanex)
Mutha kutenga steroid pamodzi ndi bronchodilator yanthawi yayitali.
Thandizo la oxygen
Oxygen Therapy imapereka mpweya m'mapapu anu kuti akuthandizeni kupuma. Mumavala ma prong omwe amapita m'mphuno mwanu kapena chophimba kumaso chomwe chimakwanira nkhope yanu. Dokotala wanu adzazindikira ngati mukufuna chithandizo cha oxygen kutengera kupuma kwanu kwa oxygen popuma komanso kuchita masewera olimbitsa thupi.
Chopangira chinyezi
Kukuthandizani kupuma usiku, mutha kuyatsa chopangira chinyezi chotentha. Mpweya wofunda umathandizira kumasula mamina mumayendedwe anu. Sambani chopangira chinyezi nthawi zambiri kuti mabakiteriya ndi majeremusi ena asakule mkati.
Kukonzanso kwamapapo
Ili ndi pulogalamu yokuthandizani kupuma bwino. Mukamakonzanso mapapu, mudzagwira ntchito ndi madotolo, manesi, ndi akatswiri ena. Pulogalamuyi ingaphatikizepo:
- masewera olimbitsa kupuma
- zakudya
- njira zokuthandizani kusunga mphamvu
- malangizo okuthandizani kupuma bwino
- uphungu ndi chithandizo
Njira zopumira
Anthu omwe ali ndi bronchitis osachiritsika nthawi zambiri amapuma mwachangu kwambiri. Njira zopumira monga kupumira pakamwa zingakuthandizeni kuchepetsa kupuma kwanu. Ndi njirayi, mumapumira m'milomo yolondola, ngati kuti mumpsompsona wina.
Katemera
Matenda a bronchitis amatha kukulitsa chiopsezo cha matenda am'mapapo. Kupeza katemera wotsatira kungakuthandizeni kukhala wathanzi:
- chimfine chimawombera kamodzi pachaka
- chibayo chimawombera zaka zisanu kapena zisanu ndi chimodzi zilizonse
Chiwonetsero
Mawu oti "aakulu" mu "bronchitis osachiritsika" amatanthauza kuti amamatira kwa nthawi yayitali. Kutsokomola ndi kupuma pang'ono sikungathe kwathunthu. Mankhwala monga mankhwala ndi mankhwala a oxygen amatha kuchepetsa zizindikilo zanu ndikuthandizani kuti mubwerere m'moyo wabwinobwino.
Kupewa
Njira yabwino yopewera matendawo ndi kusiya kusuta. Kutsata chizolowezichi kudzakutetezaninso ku matenda ena, monga khansa ndi matenda amtima. Funsani dokotala wanu kuti akulimbikitseni njira yosuta fodya, monga m'malo mwa chikonga kapena mankhwala omwe amachepetsa zilakolako.