I-asthma ye-Bronchial ibhekisela kwizifo eziphazamisayo apho kubandakanyeka khona inkqubo ye-bronchial, kwaye kule nkalo isongelo lokuxhatshazwa luyadalwa ngexesha lokutshatyalaliswa.
Iimpawu ze-asthma eziqhekezayo zinzima kwaye ngoko ke kukho imfuno yokhathalelo lwengxamiseko, njengoko kukho isongelo ebomini bomntu - kwi-bronchi kukho i-spasm, ukukhushulwa kwembranchi kwenyuka, ekhulayo kwaye i-lumen ye-bronchi iyancipha.
Ndifuna nini uncedo?
Unonophelo olungxamisekileyo luyimfuneko ukuba ikliniki yokuhlaselwa kwesifo se-asthma i-bronchial ibukeka kanje:
- ukubonakaliswa kweempawu zokuhlaselwa;
- isigulane kunzima ukukhupha (okubizwa ngokuba yi- dyspnea yokuphefumula);
- Ukuphefumula kuhamba kunye nengxolo kunye nokubetha;
- Ulusu lwesigulane lufumana umthunzi ohlaza okwesibhakabhaka (oko kuthiwa yi-cyanosis);
- xa uphulaphule imiphunga, ukuvuthwa kukuvakala;
- isigulane sinendawo apho ekhululekile khona - uhlala egxininise ezandleni zakhe.
Uncedo olungxamisekileyo lokuqala lwe-asthma ye-bronchi kufuneka lenziwe kwimeko apho kukho ubungqina bokuthi isifo se-asthma sinobuqhophololo, kwaye asiyi-cardiac. Qinisekisa ukuba luphi uhlobo lwe-asthma oluye lwaphuhliswa ngabantu, unokwenza ngohlobo lwe-smiffing: ukuba umntu ophefumula isifo se-asthma uphefumula kakhulu, ngoko unesifo sokuphefumula komzimba kunzima ukuba angene.
I-asthma ye-Bronchial - i-algorithm yokunakekelwa kwengxamiseko
- Ngethuba lokuhlaselwa kwe-asthma ye-bronchial, inqaku lokuqala lokunyamekela ngenyameko kukuqinisekisa ukuphumla kwesigulane kwaye kuqinisekiswe ukuqhuma komoya omtsha ukuba ukuhlaselwa kwenzeka ekamelweni. Ukuguqulela isiguli akufanelekanga, kufuneka abe nesithuba sokuhlala, esinceda ukuphucula imisipha yokuphefumula kwaye iququze ukuhamba kwe-phlegm.
- Isigulane sidinga ukumbamba iingubo, ukuba sithinte isifuba.
- Nika isigulane inhaler esinceda ukwandisa ukukhutshwa kwebronchi (ngeAluterol, Metaproterenol okanye Terbutaline).
- Nika isigulane i-diphenhydramine okanye isenzo esifanayo sonyango.
- Shayela i-ambulensi ukuba imeko yesigulane ilukhuni kakhulu, okanye ugqirha wokunyanga, ukuba imeko yesigulane iqikelelwa ukuba isondele.
- Zonke izilwanyana ezinokuthi zijikeleze isigulane mazipheliswe.
- Ukuba akukho phuculo lwenzeka, isigulane senziwa 60 mg we-Prednisolone - oku kuya kunciphisa ukuvuvukala kunye nekhondo elibi lokuhlaselwa.
- Ukuba i-Prednisolone ayinciphisi imeko yesigulane, ngoko kukho isongelo se-asthmatic status eshiya imiphumo emibi kwimpilo yomntu - isigulane silahlekelwa ingqalelo kwaye ilahlekelwe ngumphefumlo wayo. Kule meko, ukulala esibhedlele ngokukhawuleza kuyimfuneko.