Nchiyani Chimayambitsa Kukhosomola Kwachiwawa Kokwanira?

Zamkati

• Zomwe zimayambitsa kutsokomola kwa paroxysmal
• Kuzindikira komanso kuchiza kukhosomola kumakwanira
• Mankhwala apanyumba akutsokomola amatha
• Kupewa kutsokomola kwa paroxysmal
• Nthawi yoti muwonane ndi dokotala
• Tengera kwina

Chidule

Kutsokomola kwa paroxysmal kumaphatikizapo kutsokomola pafupipafupi komanso koopsa komwe kumatha kupangitsa kuti munthu apume movutikira.

Kukhosomola ndi njira yokhayo yomwe imathandizira thupi lanu kuchotsa mamina, mabakiteriya, ndi zinthu zina zakunja. Ndi matenda monga pertussis, chifuwa chanu chimatha kupitilira kwa nthawi yayitali, zomwe zimapangitsa kuti zikhale zovuta kupeza mpweya wokwanira kapena kupuma. Izi zitha kukupangitsani kupumira mwamphamvu ndikupumira mokweza mpweya, ndichifukwa chake pertussis imadziwikanso kuti kutsokomola.

Mu 2012, chaka chapamwamba kwambiri cha chifuwa chachikulu, Centers for Disease Control and Prevention inanena pafupifupi. Zambiri mwazinthuzi, makamaka kwa ana aang'ono, zimakhudzana ndi kutsokomola kwa paroxysmal.

Werengani kuti mudziwe zomwe zimayambitsa kutsokomola kwa paroxysmal, momwe amachiritsidwira, njira zomwe mungapewere, komanso nthawi yomwe muyenera kuwona dokotala wanu.

Zomwe zimayambitsa kutsokomola kwa paroxysmal

Kutsokomola kwa paroxysmal kumayambitsidwa ndi Bordetella pertussis bakiteriya. Tizilombo toyambitsa matenda timayambitsa matenda anu (mphuno, mmero, mphepo, ndi mapapo) ndipo amachititsa chifuwa chachikulu. Matendawa ndi opatsirana kwambiri.

Kutsokomola kwa paroxysmal ndiye gawo lachiwiri la chifuwa. Gawo ili limabwera ndikutenga kachilomboka. Chizolowezi cha kutsokomola kwa paroxysmal chimakhala chisanachitike. Zikakhala zovuta kwambiri, kukhosomola kwa paroxysmal kumatha kukula kwambiri mpaka kusanza, ndipo milomo kapena khungu lanu limatha kutembenukira buluu chifukwa chosowa mpweya m'magazi. Funsani chithandizo chadzidzidzi ngati mukukumana ndi izi.

Zina mwazomwe zimayambitsa kutsokomola paroxysmal ndizo:

• mphumu, vuto la kupuma momwe mpweya wanu umatupa ndikudzaza ntchofu zochulukirapo
• bronchiectasis, vuto lomwe machubu m'mapapu anu amakulirakulira mkatikati mwa m'mimba mwake ndi makoma olimba chifukwa cha kutupa, kuchititsa kuchuluka kwa mabakiteriya kapena ntchofu
• bronchitis, kutupa mu bronchi yamapapu
• Matenda a reflux a gastroesophageal (GERD), momwe acid kuchokera m'mimba mwanu imabwereranso kummero kwanu ndi kukhosi kwanu ndipo nthawi zina mumlengalenga
• Kuvulala kwamapapu chifukwa chovulala, kupuma utsi, kapena kugwiritsa ntchito mankhwala osokoneza bongo
• chibayo, mtundu wa matenda am'mapapo
• chifuwa chachikulu (TB), matenda opatsirana a bakiteriya m'mapapu omwe amatha kufalikira ku ziwalo zina ngati atapanda kuchiritsidwa

Kuzindikira komanso kuchiza kukhosomola kumakwanira

Mukawona dokotala wanu za chifuwa chokwanira, akhoza kuyitanitsa chimodzi kapena zingapo za mayesero otsatirawa kuti adziwe chifukwa chake:

• mphuno kapena khosi swab kuyesa ngati kuli mabakiteriya opatsirana
• kuyezetsa magazi kuti muwone kuchuluka kwa maselo oyera a magazi, omwe amatha kuwonetsa matenda
• Kujambula kwa X-ray kapena CT pachifuwa kapena kumachimo kuti ayang'ane zizindikiro za matenda opumira, kuwonongeka, kapena zovuta
• spirometry kapena mayeso ena am'mapapo kuti muwone momwe thupi lanu limalowerera ndi kutulutsira mpweya, kuti mupeze mphumu
• bronchoscopy yokhala ndi chubu chowonda, chowunikira ndi kamera yomwe imatha kuwonetsa zithunzi zenizeni zenizeni zamkati mwa mapapu anu
• rhinoscopy kuti muwone zithunzi zenizeni zenizeni mkatikati mwa mphuno ndi mphuno
• chapamwamba m'mimba endoscopy yamagawo anu am'mimba kuti muwone GERD

Dokotala wanu atazindikira chifukwa, amatha kukupatsani mankhwala osiyanasiyana kutengera chifukwa. Izi zingaphatikizepo:

• maantibayotiki, kuphatikizapo azithromycin (Z-Pack), kuthandiza chitetezo cha mthupi lanu kumenyana ndi mabakiteriya opatsirana
• decongestants, monga pseudoephedrine (Sudafed), kapena chifuwa choyembekezera guaifenesin (Mucinex), kuti muchepetse kuchuluka kwa ntchofu, kutsokomola, ndi zizindikilo zina
• antihistamines, monga cetirizine (Zyrtec), kuti achepetse ziwopsezo zomwe zingawonjezere chifuwa, monga kuchulukana, kuyetsemula, ndi kuyabwa
• mankhwala a inhaler kapena nebulized bronchodilator othandizira kuti atsegule njira zapaulendo mukamatsokomola kapena kuphulika kwa mphumu
• Ma antacids azizindikiro za GERD
• proton pump inhibitors monga omeprazole (Prilosec), yomwe imachepetsa kupangika kwa asidi m'mimba, kuti mimbayo ipole kuchokera ku GERD
• machitidwe opuma panjira yothandizira kupuma mothandizidwa ndi bronchitis

Mankhwala apanyumba akutsokomola amatha

Yesani zotsatirazi kunyumba kuti muchepetse kutsokomola:

• Imwani madzi osachepera 64 aunsi patsiku kuti mukhale ndi madzi okwanira.
• Sambani nthawi zonse kuti thupi lanu likhale loyera ndikuchepetsa kufalikira kwa bakiteriya.
• Sambani m'manja nthawi zambiri kuti mabakiteriya asamange ndikufalikira.
• Gwiritsani ntchito chopangira chinyezi kuti mpweya wanu uzikhala wouma, womwe ungathandize kumasula mamina ndikupangitsa kuti kukokoloka kukhale kosavuta. Musagwiritse ntchito chopangira mphamvu zanu, chifukwa izi zitha kupangitsa kuti mabakiteriya aberekane mosavuta.
• Ngati mukusanza, idyani pang'ono pokha pakudya kuti muchepetse masanzi.
• Kuchepetsa kapena kuthetsa kusuta kwanu chifukwa cha fodya kapena utsi wochokera kuphika ndi malo amoto.
• Khalani otalikirana ndi ena momwe mungatetezere kuti matenda a bakiteriya asafalikire. Izi zimaphatikizapo masiku asanu odzipatula mukamamwa maantibayotiki. Valani chigoba ngati mukufuna kukhala pafupi ndi ena.
• Musagwiritse ntchito mankhwala onunkhira kwambiri monga opopera mpweya, makandulo, mafuta onunkhiritsa, kapena mafuta onunkhira omwe angakwiyitse mayendedwe anu.

Kupewa kutsokomola kwa paroxysmal

Kutsokomola kwa paroxysmal kuchokera kutsokomola ndikofala kwa ana aang'ono. Pezani mwana wanu katemera wa diphtheria-tetanus-pertussis (DTaP) kapena katemera wa tetanus-diphtheria-pertussis (Tdap) kuti awateteze kuti asatengeke ndi mabakiteriya a pertussis.

Ngati wina wapafupi ndi inu ali ndi chifuwa chachikulu, pewani kukhudza kapena kukhala nawo pafupi mpaka atamwa maantibayotiki kwa masiku osachepera asanu.

Nazi njira zina zothandizira kupewa kutsokomola kwa paroxysmal:

• Pewani kusuta fodya kapena mankhwala ena osokoneza bongo.
• Kugona mutu wanu utakwezedwa kuti ntchofu kapena asidi m'mimba asayende bwino ndi mpweya kapena pakhosi.
• Chitani masewera olimbitsa thupi nthawi zambiri kuti kupuma kupepuke komanso kupewa kunenepa komwe kungapangitse acid reflux ndi GERD.
• Idyani pang`onopang`ono ndi kutafuna nthawi zosachepera 20 poluma kuti chimbudzi chikhale chosavuta.
• Gwiritsani ntchito chopangira mafuta kuti mutsegule mayendedwe anu. Mafuta ena amatha kukhala amphamvu kuposa ena, chifukwa chake samalani ngati mutayesa izi kuti mupumule. Ngati izi zikuwonjezera chifuwa chanu, pewani kugwiritsa ntchito.
• Yesani njira zopumulira, monga yoga kapena kusinkhasinkha, kuti muzitha kupuma bwino, kulimbitsa chitetezo cha mthupi lanu, komanso kupewa kupuma kwa asidi.

Nthawi yoti muwonane ndi dokotala

Onani dokotala wanu posachedwa ngati kutsokomola kwa paroxysmal kumatha kupitilira sabata limodzi ndikukhala pafupipafupi kapena mwachiwawa.

Zizindikiro zina zomwe zikutsatirazi zitha kutanthauza kuti muli ndi matenda akulu kapena vuto lomwe limayambitsa kukhosomola kwanu. Funsani thandizo lachipatala ngati mwakumana ndi izi:

• kutsokomola magazi
• kusanza
• Kulephera kupuma kapena kupuma msanga
• milomo, lilime, nkhope, kapena khungu lina losandulika buluu
• kutaya chidziwitso
• malungo
• kuzizira

Tengera kwina

Kutsokomola kwa paroxysmal kumatha kukhala ndi zifukwa zosiyanasiyana, koma nthawi zambiri kumachitika chifukwa cha matenda a pertussis. Nthawi zina komanso kutengera choyambitsa, chimangochoka chokha, koma zifukwa zina, monga mphumu, pertussis, ndi TB, zimafunikira chithandizo mwachangu kapena kasamalidwe ka nthawi yayitali.

Onani dokotala wanu ngati muli ndi chifuwa chosalekeza chomwe chimasokoneza moyo wanu kapena chomwe chimakupangitsani kukhala kovuta kuti mupume. Zambiri zimatha kuchiritsidwa popanda chiwopsezo cha zovuta ngati zapezeka msanga.