Chirwere ichi chave chichizivikanwa kuvanhu kwenguva yakareba. Ichi chirwere chakashandiswa zvakasimba munguva yekubudirira kweGreece yekare. Zvino yakazonzi "kuguta". Munguva yedu chirwere chacho hachina kunyangarika, asi, pane kudaro, chakawana mutsva uye chakachinja. Imwe yenzira dzakanyanya kuwanda dzechirwere ndeye atopic bronchial asthma. Kupararira kwaro kwakanyanya kwazvo.
Chii chinonzi atopic bronchial asthma chinoreva?
Ichi chirwere chinokonzerwa nemuviri we hypersensitivity kune kunze kwezvinhu - kune zvose zvinokonzera. Iko ndiko, ndiko kugadzirisa kune chinokurudzira. Atopic bronchial asthma ine pathogenesis yakaoma. Iyi nzira inoshandiswa nezvose zviri mukati nekunze zvinokonzera. Masero anotevera anoshanda mukuumbwa kwezvinoitika:
- basophils ;
- mast cells;
- leukocytes;
- epithelial cells;
- macrophages.
Mushure mekugadziriswa kwechirwere, anphylactic reaction inowanikwa mumuviri. Nokufamba kwenguva izvi zvinogona kuitika mumaminitsi maviri kana maawa maviri. Allergic asthma inoitika mumarudzi akadaro:
- Dusty (inovawo imba). Kazhinji inoratidzwa panguva yekupisa, asi dzimwe nguva inowanikwa kunyange muzhizha. Ichi chirwere chinoratidzwa nekuvandudzika nokukurumidza muhutano hwomurwere. Inongova munhu wokubuda mumba, uye munguva pfupi hapana dambudziko rematambudziko.
- Chirwere cheFungal, chimiro chacho chinobatanidzwa ne sporulation ye pathogenic fungi. Kurwiswa nehutachiona hunoitika kakawanda manheru, apo huwandu hwehupenyu hunowedzera.
- Chirwere chinokonzerwa nemapenene. Inogona kuratidzwa mushure mekudya michero yemvura yega kana kuwana kune pedo ne "provocateurs".
- Iyo epidermal fomu haigoni kunyanya. Izvi zvakadai sechirwere chechirwere chirwere chechiremba chevashandi mubazi rekuongorora. Ikoko kune chirwere chakadaro mumakwenzi ezvipfuwo.
Atopic bronchial asthma - kukurudzira zvinhu
Nhaka inotora nhaka inobatsira zvikuru mukutanga kwechirwere ichi. Kana mumwe wevabereki ane chirwere ichi, mukana wekuti uchazoonekwa mumwana inopfuura 40%. Uyewo, kuwedzera kwehutachiona hwechirwere chinoputika kunoitika mumatambudziko anotevera:
- kushandisa kwenguva refu kwemishonga;
- zvakaipa zvedzidzo;
- mamiriro ezvinhu anokanganisa;
- kushandiswa kushandiswa kwezvokudya zvine huwandu hwakawanda hwezvidziviriro, dyes nezvimwe zvinowedzera zvinokuvadza;
- utsi hwefodya;
- kuita zvinonhuwira.
Allergic asthma zviratidzo
Kuvapo kwechirwere ichi kunogona kutongwa pane dzimwe nzvimbo. Zviratidzo zvepopic bronchial asthma zvinogona kuita zvinotevera:
- kunyanya kufema kufema;
- kupfupika kwemhepo;
- paroxysmal chikwama;
- kurwadziwa mubhokisi.
Kuwedzera kwekuratidzwa kwezviratidzo izvi kunobva pakusimba kwechirwere chechirwere. Nehuwandu hwechirwere ichi, pane kuwedzera kwekuita kwechimiro chekusimudzira. Kukanganiswa kunogona kukonzera zvinhu zvakadai:
- Gara mumba, uko kune guruva uye tsvina;
- kusangana nemhuka nemiti-provocateurs;
- basa rakasimba mumuviri.
Atopic bronchial asthma inopfuurira kuenderera mberi
Panguva ino, chirwere chacho chinozviratidza pachavo 2-3 nguva pamwedzi. Pausiku, kurwisa kunenge kusingaiti kunetsa. Atopic bronchial asthma inowanikwa pane ino yero kuratidzwa kwezviratidzo zvinotevera:
- wheezing;
- chifuva;
- kupfupika kwemhepo ;
- kuwedzera mumapurmonary kusakwana.
Atopic bronchial asthma yekunyanya kuoma
Panguva ino, chirwere ichi chinonyanya kuoma upenyu. Bronchial atopic asthma yekuoma kwakanyatsoratidzwa kunoratidzika sezvinotevera:
- kunetseka kwezuva nezuva;
- kurara kunetseka;
- kuonekwa kwemaitiro emakemikari asina kukwana.
Atopic bronchial asthma - kuongororwa
Kuongorora kunofanirwa kuitwe neanoristorist and pulmonologist. Basa guru rinotarisana nevanyanzvi idzi nderokuziva zvikonzero zvechirwere chepachivi uye kuziva kuti zvinokonzerwa sei nekukura kwechirwere. Bronchial asthma - iyo inokonzera - inoratidzwa nemitemo inotevera:
- ventilation test (uyewo spirometry);
- sputum analysis;
- ganda test for allergens.
Allergic asthma - kurapa
Kurwisana nechirwere ichi kunofanira kunge kwakakwana. Kurapa kwechirwere chechirwere chinosanganisira 4-danho. Iko ndiko kuti, kurapwa kunosarudzwa kufungisisa danga rechirwere ichi:
- Mune hunyoro - kutanga kwechirwere - atopic bronchial asthma inodzorwa ne leukotriene modifiers.
- Muchikamu chinoramba chiine unyoro, chirwere chacho chinorapwa nekugadziriswa nzira nekushandisa korticosteroids.
- Varwere vane danho rekuenzanisa-kusvika-rakanyanya vanorayirwa kubvumirwa kwevashandi venguva refu.
- Nechimiro chakaoma chechirwere, kunyora kunyorera kwe corticosteroids kunosungirwa.
Kurapa kweeverigic bronchial asthma kunoda dambudziko. Inosanganisira zvinhu zvakadai:
- Kukanganiswa kwakakwana kwekubatana nechokukurudzira. Izvi zvinogona kusanganisira basa rekushandura (kana zvinokanganisa kushanda kwemamiriro), zviyero zvekurwisa fungus, kudya uye nezvimwe zvakadaro. Zvose izvi zvinonzi kushandiswa kwekurapa.
- Kana murwere asingagoni kuzvidzivirira zvachose kusangana ne-allergen, zvinokurudzirwa kuti iite hyposensitized.
- Mishonga inorwisa chirwere ichi inogona kurongerwa pazvikamu zviviri zvekutanga uye zvakaoma zvechirwere.
Kugadzirira kwakaoma kweatopic bronchial asthma kunosanganisira kugadzirira kwemapoka akadaro:
- nguva refu adrenoreceptor blockers;
- expectorants;
- cromones;
- glucocorticosteroids;
- immunostimulants;
- methylxanthine nezvimwewo.
Kudya muAtopic Pma
Nokuti urwere uhwu hunoonekwa nehupenyu husingaperi, saka kurwisana nawo kunogona kuramba kwemakore akawanda, uye kunyange kwehupenyu hwako hwose. Mune nguva ino, kwete chete kurapwa kwakanyorwa kwakakosha, asiwo chirongwa chakakodzera. Kubatsira pano kunouya kudya kunokosha. Chinangwa cherongwa hwekudya kwakadaro ndotevera:
- kushandiswa kwemagetsi ekugadzirisa;
- kusunungurwa kwemamiriro emurwere;
- kuderedza kuparadzwa kwemangwana.
Murwere, uyo anorwara ane allergenic bronchial asthma, haafaniri kurega kubva pakudya kwake zvinhu zvakadai:
- Bhabheri michero yakabikwa kubva muhupfu hwakachena hwepamusoro-soro;
- mafuta nemafuta ane pfuma;
- kofi;
- chokoti necocoa powder;
- doro;
- uchi;
- kubika mafuta (margarine, kupararira);
- dzakaomeswa uye nyama ine munyu uye zvigadzirwa zvehove;
- zvinokonzerwa ne carbonated;
- tsvina;
- kuchengetedza;
- michero inogona kukonzera kurwara;
- vhiniga, masardadhi, mayonnaise, zvinonhuwira, zvinonhuwira.
Zvokudya zvinofanira kunge zvakanyanyiswa, zvakabikwa kana kubikwa. Dzimwe nguva murwere anogona kuzvibika. Hakuchina zvakabikwa zvakabikwa. Nhamba yakakwana yezvokudya inokwana 5-6 kakawanda pazuva. Zvakakosha kuderedza kushandiswa kwematafura emunyu, nokuti sodium inowanikwa mukati maro inowedzera kugadzirisa mafungiro emuviri. Sodium inokwanisa kuchengetedza unyoro, izvo zvinogona kukonzera kubvongodza kwehuputi hwemuchu, uye inopic bronchial asthma kwete chete inodzokorora, asi inotanga kuratidza nekunyanya kukuru.