Idan kana da fuka-fuka marar lahani, ƙwanan tilasta tilasta ka ( FEV1 ) ya ragu da akalla kashi 15 daga lokacin kwanta barci don tashi da safe. Ga wasu, lalata aiki na huhu zai iya zama mafi muhimmanci. Wannan yana haɗuwa da ƙãra alamun bayyanar cututtuka, kamar taurrawa, raguwa, da rashin ƙarfi na numfashi wanda ya rushe barci.
Risks na Harshen Ƙari
Marasa lafiya tare da babban dare na canzawa a cikin FEV1 na iya samun karin alamar rana da rashin kula da asibiti.
Wani kuma batun gaskiya shi ne cewa asibitan maras amfani na iya dangantaka da ƙwayar ƙwayar fuka. Kashi 70 cikin dari na mutuwar da kashi 80 cikin dari na kamuwa da cututtuka da fuka take faruwa a lokacin sa'o'i maraice. Kyakkyawan bambanci a cikin ƙwanƙwasaccen ƙwayar ƙira ba a haɗa shi da tsananin ƙwayar ƙwayar ƙwayar cuta amma yana da wata haɗari mai hadarin gaske don kamawa na numfashi. Yawancin marasa lafiya sun fahimci cewa mafi yawan cututtuka suna haɗuwa da haɗarin mutuwa, amma mutane da yawa suna sane da bambancin da yawa a cikin kullun kullun da yake tafiya a matsayin wani abu mai hadarin gaske ga sakamakon rashin talauci.
Dalilin
Ba'a san ko raguwa na aiki na huhu ba saboda sabuntawar juyiyar circadian (canje-canje a cikin aiki na huhu kamar yadda ya dace da agogo mai kama da halitta) ko kuma suna da dangantaka da barci kanta. Ba duk marasa lafiya na asibiti ba, sukan fuskanci matsalolin da dare.
Akwai wasu sauye-gyaren ilimin lissafi wanda ke faruwa a lokacin barci wanda zai iya taimakawa wajen bayyana dalilin da yasa wasu marasa lafiya na asibiti suka fuskanci matsalolin.
Tsayayyar yana da ƙaruwa a daren dare da aikin ƙwayar cuta yana ragu yayin ƙarfin barci. Wannan hujja ta ƙarshe ita ce gaskiya ga marasa lafiya ba tare da ciwon fuka ba, amma ba ga ma'anar inda suke ci gaba da bayyanar cututtuka ba.
Sanin asali
Hanyar da ta fi dacewa don gano asibiti na asibiti shine don bincika kwafin kwanciyar kwanciyar hankali da kuma kwarara a kan tada.
Idan akwai fiye da kashi 15 cikin dari a cikin kullun ku, kuna da matukar mahimmanci wanda zai iya zama dalilin hanyar bayyanarku. Duk da haka, ƙananan mita mita ba su da matukar damuwa ga ganewar canje-canje FEV1. Kai da mai bada sabis na kiwon lafiya na iya buƙatar la'akari da wannan kuma fara gwajin warkewa .
Nazarin fuka sun bayyana cewa kashi 74 cikin dari na mutanen da suka sami ciwon sukari suna da tarin duniyar dare a kalla sau ɗaya a mako, yayin da yawanci 64 bisa dari na iya samun ciwon fuka da dare sau uku ko sau sau a kowace mako. Mafi mahimmanci, yawancin mutane 40 da suke fama da fuka-fuka sunadarai a cikin dare.
Mutane masu fama da ciwon sukari na iya watsi da bayyanar cututtukan dare kamar alamar rashin kula da asibiti . A wani binciken kuma, kashi 26 cikin 100 na marasa lafiya da suka gano asirin su kamar "m" sun ruwaito suna fama da cututtukan fuka-fuka kamar ƙwayar tsohuwar laushi, tayarwa, da kuma rashin ƙarfi a cikin dare. Yana da mahimmanci mu gane wadannan alamun daji na yau da dare kamar yadda rashin kulawa da rashin lafiya saboda yawancin mummunar fuka a cikin tsofaffi da yara daga kamawa na numfashi da mutuwa ta kwatsam ya faru tsakanin tsakar dare da karfe 8 na safe.
Physiology Bayan Tashin Karatu
Yayin da babu wanda ya san tabbas, anyi amfani da fuka da dare tare da:
- Rage ƙananan matakan nitric: Saboda nitric oxide ne mai haɗari mai tarin hankali , ƙananan matakai zai iya bayyana ƙimar bayyanar rana da yawa.
- Rage rage beta 2-masu karɓa: Dukansu lambar da aikin beta 2 masu karɓa-masu karɓa da ke da alhakin bronchodilation wanda ke buɗewa kan hanyoyi na sama - rage tsakanin 4 da 4 da 4 am
- Rage masu karɓar steroid: Kamar su masu karɓa na beta 2, duka lambobin da aikin masu karɓan steroid-suna da alhakin rage ƙonawa-ƙi a daren. Wannan rushewa na iya zama alhakin ƙara ƙonawa saboda rashin amsawa ga jikinka ya haifar da kwayoyin steroid ko steroid wanda likitanku ya umurce ku.
- Ayyuka na al'ada: Hanyoyin cortisol, hormone da glandon pituitary yayi, ya rage a cikin dare. Wannan raguwa ya danganta da raguwa a cikin FEV1 . Yin maganin marasa lafiya wadanda ke da matakan cortisol marasa ƙarfi tare da hydrocortisone (wani maganin maganin tarin lafiya), an haɗa shi da inganta a FEV1.
- Melatonin: An lura da marasa lafiya da cututtukan fuka da ƙananan ƙwayar malatonin idan aka kwatanta da marasa lafiya ba tare da fuka ba.
Jiyya
Yawancin marasa lafiya tare da ciwon sukari da dare sun dace da ka'idodin azaman matsananciyar mummunar ƙwayar fuka bisa ga ka'idojin NHLBI. Ya kamata a bi da ku bisa ga waɗannan sharuɗɗa, amma ku da mai bada ku iya so su bincika wasu daga cikin matakai masu zuwa idan kuna tsammanin kuna da fuka-fuka marar lahani:
- Glucocorticoids inhaled: A cikin binciken da aka kwatanta da nau'i-nau'i 800 (nau'i hudu na Azmacort inhaler) a karfe 3 na rana a kowace rana zuwa kashi na al'ada guda hudu sau hudu a kowace rana, azumi na 3 na aiki tare da sau hudu a kowace rana. Lokacin da aka sake yin gyare-gyare a ranar 8:30 am ko 5 na yamma don saukakawa, sau ɗaya a kowace rana 5:30 am dosing har yanzu bai fi sau hudu a kowace rana ba, amma safiya da safiya sunyi muni.
- Abunists mai tsanani β2: Masu aikin hawan β2 na tsawon lokaci, kamar maganin mai ceto naka amma yana da sa'a shida ko fiye kamar salmeterol, an nuna su don inganta aikin huhu a cikin dare, darajar barci, da kuma kyakkyawar rayuwa a cikin asiri.
- Oral β2 adonergic agonists: Tsarin maganganu na albuterol da aka ba a matsayin jinkirin saki kwaya ƙara safiya ƙaddara gudu ƙididdiga rates kuma rage ragewa da kuma rashin ƙarfi na numfashi.
- Theophylline: Dabbobi daban-daban na theophylline suna da nau'ayi daban-daban. Wani wanda zai iya taimakawa cikin asibiti marar amfani shine shiri da aka tsara don samun matakan da suka fi girma a cikin dare kamar Uniphyl-lokacin da kake fuskantar karin bayyanar cututtuka. Tare da wannan tsarin, matakan toophylline suna karuwa a yayin rana kuma marasa lafiya suna fama da kwarewa fiye da yadda aka tsara.
- Jiyya na sauran yanayi da ke ciwo da ƙwayar ƙwayar ƙwayar cuta : Wasu lokuta na kiwon lafiya, kamar ƙwayar daji, matsalolin sinus , da kuma kiba, na iya kara yawan ciwon asma. Idan kuna da alamun fuka-fuka na asali , tabbatar da cewa ba ku da haɗarin waɗannan yanayi.
Sources:
> Ginsberg D. Wani Ba'a Tsinkaya a cikin Bakin - Tattaunawa da Harsashin Cutar a cikin Yara. McGill Journal of Medicine: MJM . 2009; 12 (1): 31-38.
> Martin RJ. Asthma mara kyau. Na zamani. https://www.uptodate.com/contents/nocturnal-asthma.