Chifuwa cha chifuwa chachikulu ndi chiwopsezo chachikulu cha mphumu yowonongeka, yomwe imatchulidwa kutaya kupuma chifukwa cha edema ya chimbudzi cha maluwa, minofu ya misomali ya bronchi ndi yowonongeka ndi mphepo yamkuntho. Pachifukwa ichi, vutoli silinayidwe ngakhale ndi mlingo waukulu wa mankhwala a bronchodilator, omwe nthawi zambiri amatenga wodwalayo. Matendawa ndiwopseza moyo ndipo amafunika kuthandizidwa mwamsanga.
Zifukwa za chikhalidwe cha asthmatic
Odwala omwe ali ndi mphumu yowonongeka, vutoli lingayambe chifukwa cha izi:
- Kulibe mankhwala aakulu a matenda (makamaka, kulowetsa glucocorticosteroids).
- Kuwonjezera pa beta-adrenostimulants (kulandira mwamsanga kumachepetsa kuchepa ndi kuwonjezeka kwa edema ya bronchi).
- Zotsatira za zowonongeka (fumbi, zomera zala, ubweya, nthenga, nkhungu, zakudya zina, etc.).
- Mankhwala ena (mankhwala osagwiritsidwa ntchito poletsa kutupa mankhwala , mapiritsi ogona ndi mankhwala osokoneza bongo, maantibayotiki, ma seramu osiyanasiyana ndi katemera).
- Kusokonezeka maganizo.
- Matenda opatsirana komanso opweteka a bronchopulmonary system.
Zizindikiro ndi magawo a chikhalidwe cha asthmatic
Njirayi yagawidwa mu magawo atatu, omwe amadziwika ndi zizindikiro zake:
1. Gawo loyamba ndi nthawi ya malipiro owerengeka, owonetsedwa ndi zizindikiro zotere:
- nkhawa, mantha a wodwala;
- vuto lalikulu pakuwotha;
- Kulimbikitsidwa kuti athe kupuma - kukhala kapena kuimirira ndi nthenda ikuyenda patsogolo, mothandizidwa ndi manja;
- chifuwa chowawa chopanda phokoso;
- kulira kwakukulu mu chifuwa;
- mtima;
- cyanosis ya nasolabial triangle;
- thukuta;
- kubwezeretsanso malo osungirako zinthu.
Pachifukwa ichi chifukwa cha mphamvu zowonjezerapo za thupi, mpweya womwe umagawidwa mwazi umasungidwa mu malire. Wodwala akudziwa, akhoza kulankhulana.
2. Gawo lachiwiri - nthawi ya malipiro, omwe amadziwika ndi zizindikiro:
- kupweteka kwa zizindikiro za digiri yoyamba;
- kulepheretsa, nthawi zina kusangalatsa;
- mpweya wochepa;
- chifuwa pa malo opatsirizika kwambiri, kayendetsedwe kake kakakhala kosaoneka;
- kugawidwa kwazitsulo zapamwamba ndi zapamwamba;
- milomo ya khungu ndi khungu;
- kuthamanga kwa magazi;
- zofooka komanso zosavuta.
Panthawi imeneyi, kupweteka kwa bronchi kumawonjezeka, pali pafupifupi kayendetsedwe ka mpweya m'mapapu, mbali zina za mapapo zimachotsedwa ku kupuma. Izi zimapangitsa kuti mpweya usakhale ndi mpweya wabwino komanso thupi limakula.
3. Gawo lachitatu - matenda otsekemera a mpweya, omwe amadziwika ndi mawonetseredwe awa:
- kutaya kukhudzana ndi ena;
- kupuma pang'ono kapena kusowa mpweya;
- chofooka arrhythmic pulse;
- phokoso;
- kutaya chidziwitso.
Kusamalidwa koopsa kwa chikhalidwe cha asthmatic
Thandizo loyambirira loyamba la chikhalidwe cha asthmatic ndilo:
- Limbikitsani ambulansi mwamsanga.
- Perekani wodwalayo ndi mpweya wabwino.
- Thandizani wodwala kuti akhale ndi malo abwino.
- Perekani wodwalayo chakumwa chofunda.
- Chotsani zotsatira za zotsegula.
Kuchiza kwa chikhalidwe cha asthmatic
Kuchiza (kuphika) kwa chikhalidwe cha asthmatic kumachitidwa mu zikhalidwe za chipatala chachikulu. Pa siteji yachitatu ya chiwonongeko, akuyambitsa njira zamankhwala zowonongeka kale kunyumba komanso panthawi yopitako. Mankhwalawa akuphatikizapo:
- mpweya wabwino;
- mankhwala opatsirana;
- kugwiritsa ntchito antihistamines ;
- kugwiritsa ntchito mankhwala a bronchodilator.
Ngati kuli kotheka, wodwalayo amasamutsidwa kupita kumapapo.