Ukuba unesifo sombefu, unokuqaphela ukuba iimpawu zakho zimbi kakhulu ebusuku - awuwedwa. Abantu abangaphezu kwezigidi ezintlanu e-UK banesifo sombefu kunye nexesha lasebusuku, ekwabizwa ngokuba sisifuba sasebusuku, kucingelwa ukuba sinokuchaphazela ukuya kwikota ezintathu zazo.

Iimpawu zesifo sombefu wasebusuku zibandakanya ukukhohlela, ukuqina esifubeni, ukuvutha kunye nokuphefumla ngaphambi nje kokuba ulale. Abagulayo banokuvuswa amatyeli aliqela, okukhokelela ekudinweni, ukungabikho koxinzelelo kunye nobunzima bokulawula iimpawu zesifuba emini, kubantu abadala nasebantwaneni. Oku kunokuba nefuthe elibonakalayo kumgangatho wobomi.

Ukufa okunxulumene nesifuba kunye nokuhlaselwa okunzima kwenzeka ebusuku, ngoko ke i-asthma yasebusuku yimeko enzima efuna amanyathelo othintelo kunye nonyango olusebenzayo. Esona sizathu sokuba i-asthma ibe mandundu kwabanye abantu ebusuku asicacanga nangona izinto ezithile kucingelwa ukuba zidlala indima kwaye kukho izinto onokuzenza ukunciphisa umngcipheko.

Oonobangela kunye nezinto ezibangela isifuba sasebusuku

Ayaziwa ngokuthe ngqo ukuba kutheni isifuba sombefu sibubi nangakumbi ebusuku kwabanye abantu, nangona kukho izinto ezithile ezinokubangela ukuba isifo sombefu sihlasele ebusuku ngakumbi. Izinto ezibangela uhlaselo lwesifuba ebusuku zezi:

  • Indawo yokulala. Iindawo ezithile zokulala, ezinje ngokulala ngecala okanye ngaphambili, zinokuyinyanzela imiphunga yakho, inokwenza ukuba iimpawu zesifuba sasebusuku zibe mbi ngakumbi. Okwangoku, ukulala ucabale emqolo kunokubangela ukuba impumlo yakho ivuza ngasemva komqala wakho kwaye ibangele ukukhwehlela ebusuku.
  • Ukuphefumla emoyeni obandayo. Igumbi elipholileyo lingcono ukulala kodwa i-asthma yakho yexesha lobusuku inokuba mandundu ebusika okanye ukuba ulele kwigumbi elinomoya. Kungenxa yokuba umoya obandayo womile- ukulahleka kokufuma kunye nobushushu kwiindlela zomoya kunokubangela uhlaselo lwesifuba.
  • Ukuboniswa kwezinto ezichasayo ebusuku. indlu iintsholongwane zothuli kwi-b yakhoeddukungena okanye umatrasi, kunye nesilwanyana sasekhaya, amasuntswana othuli okanye ukungunda kwigumbi lakho lokulala konke kunokucaphukisa umoya wakho kwaye kukwenze uthambekele kwisifuba sasebusuku.
  • Ukuboniswa kwezinto ezichasayo ngexesha lokuhlwa. Ukuvezwa kukungabikho komzimba kwi-allergener ngokuhlwa, ukusuka kwi-pollen ukuya kwiinwele zasekhaya, kunokubangela impendulo ebambezelekileyo okanye 'yokuhamba kwexesha' Unokufumana ukuphazamiseka komoya emva kweeyure ezimbalwa kamva, ukwandisa umngcipheko wokuhlaselwa sisifuba ebusuku.
  • Ukulawulwa kakubi kwexesha le-asthma. Ukungalandeli isicwangciso sakho sonyango sombefu ngokufanelekileyo emini kunokukubeka emngciphekweni omkhulu wokubandezeleka ngenxa yokuhlaselwa sisifuba ebusuku.
  • Umsebenzi wemiphunga utshintsha. Iinkqubo zomzimba zendalo ngexesha lokulala zinokukwenza ukuba uthambekele ngakumbi kwisifuba sasebusuku. Umsebenzi wemiphunga ungaphantsi ngokwendalo ebusuku. Njengoko izihlunu ziphumla ngexesha lokulala, umoya ophezulu uyancipha kwaye ukhokelele ekunyukeni okungaphezulu kwimiphunga. Oku kuthetha ukuba kunokwenzeka ukuba ube nobunzima bokuphefumla kunye nokukhohlela ngokulingana ebusuku.
  • Utshintsho lwehomoni. Ngexesha lokulala, umzimba wakho uhamba ngotshintsho lwehomoni olunokwenza ukuba isifuba sakho sombefu sibe sibi ngakumbi. Abanye izifundo, umzekelo, ubonise ukuba ukwehla kwamanqanaba e-cortisol ngexesha lokulala kunegalelo kuthintelo lomoya.

Iimpawu zombefu wasebusuku

Iimpawu zesifo sombefu zivela xa umoya uvutha kwaye unyanzelekile ukuba wenze ukuphefumla kube nzima. Iimpawu eziqhelekileyo zesifo sombefu ebusuku:

  • Ukuqhawukelwa ngumphefumlo
  • Ukugubha
  • Ubungqina bentloko
  • Ukuhlahlela

Ukongeza, ezinye iimpembelelo zesifuba sasebusuku kubantu abadala nabantwana zibandakanya:

  • Ukungabikho koxinaniso emini
  • Ukulala kakhulu emini
  • Kunzima ukulawula iimpawu zesifuba sasemini.

Ukuba uneempawu zesifuba ebusuku, kodwa khange zibekho ufunyaniswe unesifuba, Kuya kufuneka ubonane nogqirha okanye umongikazi oyingcali. Ukuba unesifo, kuya kufuneka uqiniseke ukuba izinto ezinokubangela ixesha lasebusuku ziye zaqwalaselwa kwisicwangciso sakho se-asthma.

Imiba yengozi

Amaqela athile abantu abane-asthma asengozini yokufumana i-asthma yasebusuku ngenxa yemingcipheko ethile ebandakanya:

  • Ubunzima obugqithisileyo esifubeni nakwisisu bunokuminyanisa imiphunga ngelixa izicwili ezinamafutha zivelisa izinto ezinokuchaphazela ezinokuchaphazela ukusebenza kwemiphunga. Abanye izifundo Ndibonise abantu abanesifuba somzimba abaphulukene nobunzima baphucula ukusebenza kwemiphunga ebusuku.
  • ukutshaya yonakalisa imiphunga kwaye iya kukwenza uthambekele ngakumbi kwiimpawu zesifuba kubandakanya ukuhlaselwa sisifuba ebusuku.
  • Ukuthimliswa komzimba. Olunye uphononongo lufumanise ukuba unyango olungalunganga lwe-rhinitis egulayo lwalunxulunyaniswa ne-50% yokwanda kweempawu zesifuba ebusuku Imeko ibangela ukuba i-mucus egqithileyo iqokelele ngexesha lokulala kwaye oku kuyacaphukisa umqala, onokubangela ukulunga kokukhohlela.
  • I-Sinusitis inxulunyaniswe neemeko ezinzima zesifuba. Imeko, uhlobo losulelo lwentsholongwane lwee-sinus, lubangela ukukhutshwa kwempumlo okunokunyusa isifuba sakho somzimba xa ulele kwaye kukuvuse ngesidingo sokukhohlela.
  • I-apnea yokulala ethintelayo (i-OSA). Ngale meko, izihlunu zomqala ziyaphumla xa ulele, zithintela indlela yomoya, kwaye uphando lubonise unxibelelwano phakathi kwe-OSA kunye ne-asthma yasebusuku.
  • Acidx. Abantu abane-asthma banamathuba aphindwe kabini okuphuhlisa ifom ye-acid engapheliyo evutha ebusuku, eyaziwa ngokuba sisifo se-gastroesophageal reflux (GERD). Ithiyori enye kukuba i-acid reflux inokubangela ukuba i-bronchial spasm yenze kube nzima ukuphefumla kwaye oku kubi xa ulele phantsi.
  • Nangona ubungqina bungacacanga, olunye uphando lubonisa ukuba uxinzelelo lubangela impendulo yomzimba enokuthi ixhase i-airways, ekhokelela ekwandeni kokuhlaselwa kwabantu abanesifuba.

Ungayikhusela njani i-asthma yexesha lasebusuku

Ngelixa lungekho unyango lwe-asthma, zininzi iindlela zokunceda ukuthintela i-asthma yasebusuku kunye namayeza okuphelisa ukukhwehlela kwesifuba ebusuku. Iingcebiso zokunciphisa iimpawu ze-asthma yasebusuku zezi:

  • Gcina igumbi lakho lokulala licocekile kwaye lingenazinto zomzimba. Musa ukuvumela izilwanyana zasekhaya kwigumbi lakho lokulala; Hlamba ilinen yokulala rhoqo kubushushu obushushu ukuze ususe uthuli lwendlu; umoya wegumbi lakho lokulala kwaye uphathe nakuphi na ukungunda ezindongeni; kuphephe ukusebenzisa iiduvethi kunye nemiqamelo eneentsiba.
  • Lawula ubushushu kwigumbi lokulala ebusuku. Qinisekisa ukuba iifestile zivaliwe, thintela umoya opholileyo kwaye utyale imali ekucoceni umoya ukuze ufumane umoya ophucukileyo kwigumbi lakho lokulala.
  • Phatha iimeko ezisisiseko: Ukuba unengxaki evela kwimeko enje nge-GERD, i-allergen rhinitis okanye isithintelo sokuphefumla xa ulele, qiniseka ukuba uthatha amanyathelo okuyinyanga nokunyanga. Uphando lubonisa, umzekelo, ukuba abantu abathatha amayeza e-GERD banokuhlaselwa kancinci sisifuba kunye neempawu zesifuba sasebusuku. Thatha amayeza afanelekileyo kunye nawaphi na amanyathelo obomi anje ngotshintsho kwindlela yokutya ukunciphisa i-asidi ye-asidi.
  • Gcina i-ineverr yakho yokunciphisa isondele. Gcina i-inhaler yakho ecaleni kwebhedi yakho ukuze uyisebenzise xa unokukhwehlela ebusuku.
  • Gcina amanzi ecaleni kwebhedi yakho. Sipha amanzi xa iimpawu zakho ziqala ukuvutha. Ukufuma kuya kuthoba umoya kwaye kuncede ukukhulula ukukhwehlela kwakho ebusuku.
  • Ukuzilolonga ngokuphefumla. ezahlukeneyo iindlela zokuphefumla zisetyenziselwa ukunciphisa iimpawu zesifuba kwaye zinokukunceda uyeke ukukhwehlela kwesifuba ebusuku. Ukuba uvuka ukhwehlela, unokuzama umthambo wokuphefumla ukunceda ukulawula ukukhohlela kwakho.
  • Yenza uphononongo lwesifuba kunye noGqirha wakho okanye umongikazi wokuziqhelanisa. Banokujonga ukuba usebenzisa i-inhalers yakho ngokuchanekileyo kwaye uxoxe ngazo naziphi na izinto ezinokubangela isifuba sakho sasebusuku.
  • Landela isicwangciso sonyango lwesifuba. Gcina isifuba sakho siphantsi kolawulo ngokusebenzisa amayeza akho ngokufanelekileyo, ukulandelela iimpawu zakho, ukulandela isicwangciso esisebenzayo sonyango lwesifuba nokulungisa amayeza ukuba kukho imfuneko, ngengcebiso kagqirha wakho.
  • Gcina ubunzima obusempilweni. Yitya ukutya okunezondlo kunye nokuzilolonga ukugcina ubunzima bakho buphantsi kolawulo.
  • Yeka ukutshaya.

Yeyiphi indawo efanelekileyo yokulala nesifuba?

Ukunciphisa ezinye zeempawu zakho ze-asthma zasebusuku kunokuba lula njengokutshintsha indawo yakho yokulala. Olunye uphononongo lufumanise ukuba indawo yokulala supine (ilele ngomqolo) iphucule iimpawu zesifuba sasebusuku kwaye yenza imiphunga yakho ibe ngaphantsi kokulala esiswini okanye ecaleni.

Indawo efanelekileyo yokulala kwizigulana ezinesifo sombefu kukuzixhasa ngokwakho ngemiqamelo eyongezelelweyo. Oku kuyakunceda ukugcina iindlela zomoya zivulekile kwaye kunciphise umngcipheko wokukhohlela ebusuku.

Unyango lwe-asthma yasebusuku

Akukho lunyango lwe-asthma yasebusuku, nangona lukhona unyango ukuze luyilawule. Xoxa ngeempawu zakho noGqirha wakho okanye umongikazi wesifuba kwaye baya kuba nakho ukukucebisa ngesona sicwangciso sonyango silungileyo kuwe. Unyango lwe-asthma yasebusuku inokubandakanya:

  • Uthintelo lwe-inhaler. Oku kuhambisa idosi yeyeza le-steroid ophefumla kulo ukuthomalalisa ukudumba kunye nokudumba kwindlela yomoya. Ukusebenzisa i-inhaler yokukhusela rhoqo kwakha ukukhuselwa ukuze ungazithatheli ngoyaba kubangela. Ulawulo lwexesha elifanelekileyo lwe-asthma yakho luya kunciphisa ukuqhuma ebusuku.
  • I-inhaler yokukhulula. Oku kuzisa idosi yamayeza asebenza ngokukhawuleza njenge salbutamol eya kuvula iindlela zomoya kwaye incede ekuthomalaliseni iimpawu zesifuba sasebusuku. Yigcine ecaleni kwebhedi yakho ukuze uyisebenzise ngokukhawuleza xa uhlaselwa ebusuku.
  • Inhalers yokudibanisa. Ukuba ezinye i-inhalers zakho azincedi, unokufuna ukudityaniswa kwe-inhaler okuxuba amayeza kunye nokuyeka iimpawu ezenzeka ngelixa kubonelela ngoncedo ukuba ziyenzeka.
  • I-Leukotriene Receptor Antagonists (ii-LTRAs). Eli yeza linikwa kwifom ye-tablet kwaye ngamanye amaxesha lisetyenziswa ukongeza kwi-inhalers ukunceda kwiimpawu zesifuba ezinzima kunye nokuhlaselwa ngexesha lasebusuku.