Kodi Ndili Ndi Chifuwa? Zizindikiro, Chithandizo, ndi Zambiri

Zamkati

• Zimayambitsa chifuwa chachikulu
• Zizindikiro zina zotheka
• Zowopsa za chifuwa chachikulu
• Nthawi yoti muwonane ndi dokotala
• Chithandizo cha chifuwa chachikulu
• Reflux ya acid
• Mphumu
• Matenda aakulu
• Matenda
• Kukapanda kuleka pambuyo pake
• Njira zina zothanirana ndi matenda anu
• Chiyembekezo cha chifuwa chosatha

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

Chidule

Kutsokomola nthawi zina kumakhala kovuta, koma kumathandizadi. Mukatsokomola, mumabweretsa mamina ndi zinthu zakunja kuchokera kumpweya wanu zomwe zimatha kukhumudwitsa mapapu anu. Kutsokomola kumathanso kuyankha kutupa kapena matenda.

Chifuwa chachikulu sichikhala kwakanthawi. Mutha kutenga chimfine kapena chimfine, kutsokomola kwa masiku kapena milungu ingapo, kenako mudzayamba kumva bwino.

Nthawi zambiri, kutsokomola kumatenga milungu ingapo, miyezi, kapenanso zaka. Mukapitilira kutsokomola popanda chifukwa, mutha kukhala ndi china chachikulu.

Chifuwa chomwe chimatha milungu eyiti kapena kupitilira apo chimatchedwa chifuwa chosatha. Ngakhale chifuwa chosatha nthawi zambiri chimakhala ndi zochiritsika. Zitha kubwera chifukwa cha zinthu monga kudontha kapena kubadwa kwa postnasal. Sizingakhale kawirikawiri chizindikiro cha khansa kapena zina zomwe zingawononge moyo.

Chifuwa chosatha chingakhudze moyo wanu, komabe. Ikhoza kukupangitsani kukhala maso usiku ndikukulepheretsani kuntchito ndi moyo wanu wachikhalidwe. Ndicho chifukwa chake muyenera kuti dokotala wanu ayang'ane chifuwa chilichonse chomwe chimatha kwa milungu yoposa itatu.

Zimayambitsa chifuwa chachikulu

Zomwe zimayambitsa chifuwa chachikulu ndi izi:

• kukapanda kuleka pambuyo pake
• mphumu, makamaka mphumu yosiyanasiyana ya chifuwa, yomwe imayambitsa chifuwa ngati chizindikiro chachikulu
• asidi Reflux kapena gastroesophageal Reflux matenda (GERD)
• bronchitis yayikulu kapena mitundu ina yamatenda am'mapapo (COPD)
• matenda, monga chibayo kapena chifuwa chachikulu
• ACE inhibitors, omwe ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi
• kusuta

Zomwe zimayambitsa chifuwa chachikulu ndi izi:

• bronchiectasis, yomwe imawononga mayendedwe amlengalenga omwe amachititsa kuti zipupa zam'mapapo m'mapapo zizitupa ndikuthinana
• bronchiolitis, yomwe ndi matenda ndi kutupa kwa bronchioles, timene tating'onoting'ono tomwe timapuma m'mapapu
• cystic fibrosis, mkhalidwe wobadwa nawo womwe umawononga mapapu ndi ziwalo zina poyambitsa kutulutsa kokulira
• Matenda am'mapapo am'mapapo, vuto lomwe limaphatikizaponso khungu lam'mapapo
• kulephera kwa mtima
• khansa ya m'mapapo
• pertussis, matenda omwe amadziwikanso kuti chifuwa chachikulu
• sarcoidosis, yomwe imakhala ndi masango otupa, omwe amadziwika kuti granulomas, omwe amapangidwa m'mapapu ndi mbali zina za thupi

Zizindikiro zina zotheka

Pamodzi ndi chifuwa, mutha kukhala ndi zizindikilo zina, kutengera chifukwa. Zizindikiro zomwe zimakonda kutsokomola zimaphatikizapo:

• kumverera kwamadzimadzi omwe akutsikira kumbuyo kwa mmero wanu
• kutentha pa chifuwa
• mawu okweza
• mphuno
• chikhure
• modzaza mphuno
• kupuma
• kupuma movutikira

Chifuwa chosatha chingayambitsenso izi:

• chizungulire kapena kukomoka
• kupweteka pachifuwa ndi kusapeza bwino
• kupweteka mutu
• kukhumudwa ndi nkhawa, makamaka ngati simukudziwa chomwe chimayambitsa
• kugona tulo
• Kutuluka kwamkodzo

Zizindikiro zowopsa ndizosowa, koma itanani dokotala ngati:

• kutsokomola magazi
• khalani thukuta usiku
• akutentha thupi kwambiri
• alibe mpweya
• kuonda osayesa
• khalani ndi kupweteka pachifuwa kosalekeza

Zowopsa za chifuwa chachikulu

Mutha kukhala ndi chifuwa chachikulu ngati mumasuta. Utsi wa fodya umawononga mapapo ndipo umatha kubweretsa zinthu ngati COPD. Anthu omwe ali ndi chitetezo chamthupi chofooka nthawi zambiri amatenga matenda omwe angayambitse chifuwa.

Nthawi yoti muwonane ndi dokotala

Onani dokotala ngati chifuwa chanu chimatha milungu yopitilira itatu. Komanso, aimbireni foni ngati mukukumana ndi zizindikilo monga kutaya thupi mosakonzekera, kutentha thupi, kutsokomola magazi, kapena kuvutika kugona.

Mukamusankha dokotala, dokotala wanu amakufunsani za chifuwa ndi zina. Mungafunike kukhala ndi mayesero amodzi kuti mupeze chomwe chimayambitsa chifuwa chanu:

• Mayeso a acid reflux amayesa kuchuluka kwa asidi mumadzimadzi mkati mwanu.
• Endoscopy imagwiritsa ntchito chida chosinthika, chowala kuti chifufuze m'mimba, m'mimba, ndi m'matumbo ang'ono.
• Chikhalidwe cha Sputum chimayang'ana ntchofu yomwe mumatsokomola mabakiteriya ndi matenda ena.
• Kuyesedwa kwa ntchito yam'mapapo mwanga kumawona kuchuluka kwa mpweya womwe mungatuluke, pamodzi ndi zochitika zina m'mapapu anu. Dokotala wanu amagwiritsa ntchito mayesowa kuti adziwe COPD ndi zina zam'mapapo.
• Ma X-ray ndi ma CT scan amatha kupeza zizindikilo za khansa kapena matenda monga chibayo. Mwinanso mungafunike X-ray ya machimo anu kuti muwone zizindikiro za matenda.

Ngati mayeserowa samathandiza dokotala kudziwa chomwe chimayambitsa chifuwa chanu, atha kuyika chubu chofiyira pakhosi panu kapena m'mphuno kuti muwone mkatikati mwa njira zanu zakumtunda.

Bronchoscopy imagwiritsa ntchito mawonekedwe kuti muwone kuyala kwa mpweya wanu wam'munsi ndi mapapu. Dokotala wanu amathanso kugwiritsa ntchito bronchoscopy kuti achotse chidutswa kuti ayesedwe. Izi zimatchedwa biopsy.

Rhinoscopy imagwiritsa ntchito mawonekedwe kuti muwone mkatikati mwa mphuno zanu.

Chithandizo cha chifuwa chachikulu

Chithandizo chimadalira chifukwa cha kutsokomola kwanu:

Reflux ya acid

Mutenga mankhwala kuti muchepetse, kuchepetsa, kapena kuletsa kupanga acid. Mankhwala a Reflux ndi awa:

• antacids
• Olandira H2
• proton pump pump inhibitors

Mutha kupeza ena mwa mankhwalawa pakauntala. Ena adzafunika mankhwala ochokera kwa dokotala wanu.

Mphumu

Mankhwala omwe amagwiritsidwa ntchito pochizira mphumu atha kuphatikizira ma steroids ndi ma bronchodilator, omwe amafunikira mankhwala. Mankhwalawa amabweretsa kutupa m'mayendedwe ndikukulitsa magawo am'mlengalenga kuti akuthandizeni kupuma mosavuta. Mungafunike kuwamwa tsiku lililonse, nthawi yayitali, kuti mupewe kuwonongeka kwa mphumu kapena pakufunika kuti muchepetse ziwopsezo zikachitika.

Matenda aakulu

Bronchodilators ndi ma inhaled steroids amagwiritsidwa ntchito pochiza bronchitis osachiritsika ndi mitundu ina ya COPD.

Matenda

Maantibayotiki amatha kuthandiza kuchiza chibayo kapena matenda ena a bakiteriya.

Kukapanda kuleka pambuyo pake

Ma decongestants amatha kuyanika kutulutsa. Ma antihistamines ndi ma nasal sprays amatha kulepheretsa kuyanjana komwe kumayambitsa mamina ndikupangitsa kuti pakhale kutupa m'mayendedwe anu amphuno.

Njira zina zothanirana ndi matenda anu

Kafukufuku wasonyeza kuti chithandizo chamankhwala chitha kukhala chothandiza pochepetsa chifuwa chachikulu. Dokotala wanu akhoza kukupatsani mwayi woti mutumizidwe kwa wothandizira kulankhula.

Kuti muchepetse chifuwa chanu, mutha kuyesa kupondereza chifuwa. Mankhwala otsokometsera omwe ali ndi dextromethorphan (Mucinex, Robitussin) amatsitsimutsa chifuwa.

Dokotala wanu akhoza kukupatsani mankhwala monga benzonatate (Tessalon Perles) ngati mankhwala owonjezera pa kontrakitala sakuthandiza.Izi zimalepheretsa chifuwa. Mankhwala a gabapentin (Neurontin), mankhwala ochepetsa mphamvu, amapezeka kuti amathandiza anthu ena omwe ali ndi chifuwa chachikulu.

Mankhwala ena achikhalidwe a chifuwa nthawi zambiri amakhala ndi nodeotic codeine kapena hydrocodone. Ngakhale mankhwalawa atha kuthandiza kutsokomola, amayambitsanso tulo ndipo amatha kukhala chizolowezi.

Chiyembekezo cha chifuwa chosatha

Maganizo anu amatengera zomwe zidakupangitsani kutsokomola kosalekeza, komanso momwe amafunikira kuthandizira. Nthawi zambiri chifuwa chimatha ndi chithandizo choyenera.

Ngati mwakhala mukukumana ndi chifuwa kwa milungu yoposa itatu, onani dokotala wanu. Mukadziwa chomwe chikuyambitsa chifuwa, mutha kuchitapo kanthu kuti muchiritse.

Mpaka chifuwa chitatha, yesani malangizo awa kuti muthane nacho:

• Imwani madzi ambiri kapena msuzi. Madzi owonjezera amasula ndi ntchofu zochepa. Zamadzimadzi ofunda monga tiyi ndi msuzi zitha kutonthoza kukhosi kwanu.
• Suck pa chifuwa lozenge.
• Ngati muli ndi asidi Reflux, pewani kudya mopitirira muyeso ndikudya mkati mwa maola awiri kapena atatu musanagone. Kuchepetsa thupi kungathandizenso.
• Tsegulani chopangira chinyezi chowonjezera kuti muwonjezere chinyezi mlengalenga, kapena kusamba motentha ndikupuma nthunzi.
• Gwiritsani ntchito mankhwala amphuno amchere kapena kuthirira m'mphuno (mphika wa neti). Madzi amcherewo adzamasuka ndikuthandizira kukhetsa ntchofu zomwe zimakupangitsa kutsokomola.
• Mukasuta, funsani dokotala kuti akuthandizeni momwe mungasiyire. Ndipo musayandikire wina aliyense amene amasuta.