Mitundu Yachithandizo cha Phumu Yaikulu: Zomwe Muyenera Kufunsa Dokotala Wanu

Zamkati

• Kodi ndingadziwe bwanji ngati ndili ndi mphumu yoopsa?
• Kodi corticosteroids yopuma ndi chiyani?
• Kodi oral corticosteroids ndi chiyani?
• Kodi biologics ndi chiyani?
• Kodi agonists omwe amatenga nthawi yayitali komanso yayitali ndi ati?
• Kodi leukotriene modifiers ndi chiyani?
• Kodi ndingatani kuti ndithane ndi matenda anga?
• Kodi malingaliro anga okhalitsa ndi ati?
• Tengera kwina

Chidule

Mphumu yoopsa ndiyo matenda opuma omwe matenda anu amakhala ovuta komanso ovuta kuwongolera kuposa milandu yofatsa.

Mphumu yomwe siyiyendetsedwa bwino ingakhudze kuthekera kwanu kumaliza ntchito za tsiku ndi tsiku. Zingayambitsenso matenda a mphumu owopsa. Ngati mukukumana ndi zovuta zamankhwala kapena simukuganiza kuti zikugwira ntchito, ndikofunikira kuti muwone dokotala wanu. Amatha kuwunikiranso mbiri yanu yazachipatala ndikusintha momwe mungapangire mankhwala moyenera.

Nawa mafunso omwe mungabweretse ku msonkhano wanu wotsatira wachipatala kuti muyambe kukambirana.

Kodi ndingadziwe bwanji ngati ndili ndi mphumu yoopsa?

Yambani pofunsa dokotala wanu kuti akufotokozereni zizindikilo za mphumu yoopsa. Mphumu yofatsa imatha kuwongoleredwa ndi mankhwala akuchipatala. Anthu omwe ali ndi mphumu yoopsa amafunika kumwa mankhwalawa mopitirira muyeso ndipo atha kukhalabe mchipinda chadzidzidzi chifukwa cha mphumu.

Mphumu yayikulu imatha kuyambitsa matenda ofooketsa omwe amatsogolera kusukulu kapena ntchito. Muthanso kuchita nawo masewera olimbitsa thupi monga kupita kumalo ochitira masewera olimbitsa thupi kapena kusewera masewera.

Mphumu yoopsa imaperekedwanso ndi matenda ena, monga kunenepa kwambiri, kugona tulo, ndi matenda a reflux a gastroesophageal.

Kodi corticosteroids yopuma ndi chiyani?

Dokotala wanu akhoza kukupatsani corticosteroids yopumira kuti mukhale ndi mphumu yoopsa kuti muteteze zizindikiritso zanu ndikuwongolera kutupa kwanu. Pogwiritsidwa ntchito pafupipafupi, kupuma kwa corticosteroids kumachepetsa kuchepa kwamphamvu ndi kuwopsa kwa mphumu. Sadzateteza kapena kuyimitsa chiwembu chikangoyamba.

Inhaled corticosteroids imatha kubweretsa zovuta zam'deralo, zomwe zimangokhala gawo linalake la thupi. Zitha kuperekanso zotsatira zoyipa zomwe zimakhudza thupi lonse.

Zotsatira zoyipa ndizo:

• candidiasis wamlomo, matenda opatsirana pakamwa
• ukali
• kupweteka pakamwa kapena pakhosi
• spasms ya trachea
• kuchepa pang'ono kwa kukula kwa ana
• kuchepa kwamafupa mwa akulu
• kuvulaza kosavuta
• ng'ala
• khungu

Kodi oral corticosteroids ndi chiyani?

Oral corticosteroids itha kuperekedwa kuwonjezera pa kupuma kwa corticosteroids ngati muli pachiwopsezo chodwala mphumu, kapena ngati mudakhalapo kale m'mbuyomu. Amagwira ntchito potsekula minofu mozungulira momwe mumayendera.Amachepetsanso zizindikiro monga kukhosomola, kupuma, komanso kupuma movutikira.

Izi zitha kukhala ndi zovuta zofananira ndi ma corticosteroids opumira, ngakhale ali ofala kwambiri ndipo amatha kukhala ovuta kwambiri. Zotsatira zoyipa zingaphatikizepo:

• kunenepa kwambiri
• posungira madzimadzi
• kuthamanga kwa magazi
• kulepheretsa kukula kwa ana
• kufooka kwa mafupa akuluakulu
• matenda ashuga
• kufooka kwa minofu
• ng'ala
• khungu

Kodi biologics ndi chiyani?

Mankhwala a biologic nthawi zambiri amatengedwa ndi jakisoni ndipo amathandiza kuchepetsa zizindikilo za mphumu yayikulu. Biologics imakhala yotsika mtengo kuposa mankhwala ena a mphumu. Koma akugwiritsidwa ntchito mochulukira ngati njira ina ya mankhwala amlomo, zomwe nthawi zina zimatha kubweretsa zovuta zoyipa.

Biologics nthawi zambiri imakhala yotetezeka kugwiritsa ntchito. Zotsatira zake zoyipa nthawi zambiri zimakhala zazing'ono, kuphatikiza:

• kutopa
• mutu
• ululu kuzungulira malo opangira jekeseni
• minofu ndi mafupa opweteka
• chikhure

Nthawi zina, zotheka thupi lawo siligwirizana ndi biologics ndizotheka. Ngati mukuganiza kuti mukukumana ndi vuto linalake, pitani kuchipatala nthawi yomweyo.

Kodi agonists omwe amatenga nthawi yayitali komanso yayitali ndi ati?

Ma agonist a beta achidule (SABAs) nthawi zina amagwiritsidwa ntchito ngati mankhwala opulumutsa kuti athane ndi matenda a mphumu. Ogwira ntchito kwa beta agonists (LABAs) omwe amagwira ntchito nthawi yayitali amagwiranso ntchito chimodzimodzi koma akupitilizabe kupereka chithandizo kwa maola 12 kapena kupitilira apo.

Zonsezi zimakhala ndi zovuta zomwezo, chifukwa zimagwira ntchito mofananamo. Koma zoyipa za SABAs nthawi zambiri zimatha msanga. Ndi ma LABA, zovuta zimatha kupitilira kwakanthawi. Zotsatira zoyipa zingaphatikizepo:

• mutu
• chizungulire
• kuchuluka kwa kugunda kwa mtima
• nkhawa
• kunjenjemera
• ming'oma kapena zidzolo

Kodi leukotriene modifiers ndi chiyani?

Omasulira a Leukotriene amagwira ntchito poletsa mankhwala otupa mthupi otchedwa leukotriene. Mankhwalawa amachititsa kuti minofu yanu yothamanga iwonongeke mukakumana ndi allergen kapena mphumu.

Ma leukotriene modifiersare nthawi zambiri amalekerera bwino anthu omwe ali ndi mphumu yoopsa, koma amakhala ndi zovuta zingapo, kuphatikizapo:

• kukhumudwa m'mimba
• mutu
• manjenje
• nseru kapena kusanza
• Kuchuluka kwa mphuno
• zizindikiro ngati chimfine
• zidzolo

Kodi ndingatani kuti ndithane ndi matenda anga?

Kuthetsa matenda anu ndi gawo lofunikira pakukhala ndi mphumu yayikulu. Dokotala wanu akhoza kukulangizani za njira zokuthandizani kuchepetsa zovuta za mphumu m'moyo wanu watsiku ndi tsiku.

Pitani kuchipatala nthawi zonse kuti muwone momwe mankhwala anu akugwirira ntchito. Lolani dokotala wanu adziwe nthawi yomweyo ngati mukumva ngati kuti mankhwala anu sakugwira ntchito monga akuyenera.

Dokotala wanu amathanso kuthandizira kuzindikira kuti ndi ziti zomwe zimayambitsa matenda anu a mphumu. Mukadziwa zomwe zimayambitsa, mutha kuchitapo kanthu kuti muzipewe.

Ngati mumasuta, muyenera kuyesetsa kusiya msanga. Kusuta kumatha kukulitsa zizindikiritso zanu ndikuwonjezera mwayi wanu wazowopsa zina monga khansa ndi matenda amtima. Lankhulani ndi dokotala wanu za mapulogalamu kapena mankhwala omwe angakuthandizeni kusiya kusuta.

Kodi malingaliro anga okhalitsa ndi ati?

Mwinamwake mukufunitsitsa kudziwa momwe mukuonera nthawi yayitali ndi mphumu yoopsa. Ngati ndi choncho, lingalirani kufunsa dokotala za izi.

Mphumu yayikulu imatha kukhala yosayembekezereka, chifukwa chiyembekezo cha nthawi yayitali ndichosiyana ndi aliyense. Zizindikiro za anthu ena zimawongolera, ena amakumana ndi zotsika, ndipo ena amawona kuti zizindikilo zawo zimawonjezereka pakapita nthawi.

Dokotala wanu akhoza kukupatsani kuneneratu kolondola kwambiri kutengera mbiri yanu yazachipatala komanso momwe mwayankhira kuchipatala mpaka pano.

Tengera kwina

Kusunga zokambirana ndi dokotala ndikofunikira kuti mupeze chithandizo choyenera kwa inu. Mafunso ali pamwambapa ndi malo abwino kuyambira, koma sizinthu zokha zomwe muyenera kufunsa.

Musaope kulumikizana ndi ofesi ya dokotala mukakhala ndi mafunso kapena nkhawa zina. Mukamadziwa zambiri za mphumu yanu, kumakhala kosavuta kuti muchepetse matenda anu ndikukhala moyo wabwinobwino.