Chirwere chechirwere chinhu chakakonzerwa nekurwisa kwakanyanya kwechirwere chechirwere, umo kune chirevo chekufema chinoputika nekuda kwedema ye bronchial mucosa, kupararira kwemisungo yebronchi uye inoputika maziso emuchakamusiya airways. Muchiitiko ichi, kurwiswa hakuregi kunyange nepamusoro-soro yemaruvadilator, anowanzotora murwere. Ichi chiitiko chinopisa upenyu uye chinoda rubatsiro rwekurumidza.
Zvinokonzerwa nechimiro chechihedheni
Mune varwere vane chirwere chechirwere chinopisa, izvi zvinogona kukura nekuda kwezvinhu zvinotevera:
- Kusabatwa kwechirwere chikuru chechirwere (kunyanya, inhaled glucocorticosteroids).
- Kuwedzerwa kwebeta-adrenostimulants (kunyanya kugamuchira kunounza kuderera kwekunzwa uye kuwedzera kwedema yebronchi).
- Migumisiro yemagetsi (guruva, zvigunwe zvemunwe, mvere, marhenga, zviputi, zvimwe zvokudya, nezvimwewo).
- Mimwe mishonga ( kwete-steroidal anti-inflammatory drugs , mapiritsi okurara uye sedatives, antibiotics, serums dzakasiyana uye zvirwere).
- Kushungurudzika mupfungwa.
- Zvirwere zvinotapukira uye zvinoputika zve bronchopulmonary system.
Zviratidzo uye zvikamu zvehutachiona hwehutachiona
Nzira yekurwisa yakakamurwa kuva zvikamu zvitatu, chimwe nechimwe chaicho chinoratidzwa nezviratidzo zvechipatara:
1. Nhanho yekutanga ndeye nguva yekuenzanisira mari, inoratidzwa nezviratidzo zvakadaro:
- kuzvidya mwoyo, kutya murwere;
- chinetso chakaoma pakubudisa simba;
- kumanikidzirwa kumanikidziro yekufema kufema-kugara kana kumira nechitsiko ichikotamira mberi, nekutsigirwa kwemaoko;
- Kufukidzwa kunorwadza pasina bhudzi;
- vachirira ruzha mubhokisi;
- moyo palpitations;
- cyanosis of the nasolabial triangle;
- sweating;
- kubviswa kwezvikamu zve intercostal.
Panguva iyi nekuda kwekugona kubhadhara kwemuviri, kushandiswa kwegesi kweropa kunochengetwa mukati memiganhu yakakwana. Murwere anoziva, anogona kutaura.
2. Chikamu chechipiri - nguva yekubhadhara, inoratidzwa nezviratidzo izvi:
- kukura kwezviratidzo zvedigiri yekutanga;
- inhibition, periodically inrising excitement;
- kupera kwekufema kwakanyanya;
- chifuva muchinzvimbo chekufuridzirwa, kushambadzira kwayo kunenge kusingaonekwi;
- kunyorerwa kwe-supra-uye supraclavicular masango;
- cyanosis yemiromo neganda;
- kuderera kwemuviri weropa;
- iyo isina simba uye kazhinji inopisa.
Munguva iyi, kupera kwebronchi kunowedzera, kune mhepo inenge isina kufamba mumapapu, dzimwe nzvimbo dzemapapu dzinobudiswa kubva pakufema. Izvi zvinotungamirira kushayikidzi ye okisijeni uye kuwedzerwa kwehuwandu hwekhabhoni dioxide mumuviri.
3. Chikamu chechitatu - zvinonzi zvinonzi ventilation disorders, zvinoratidzwa nezviratidzo izvi:
- kurasikirwa kwekubatana nevamwe;
- kufema kusingawanzoki kana kushaya kufema;
- weak arrhythmic pulse;
- kunetseka;
- kurasikirwa kwekuziva.
Emergency care for status asthmatic
Iko rubatsiro rwekutanga rwekutanga rwechimiro chechimiro ndechekuti:
- Kukurumidzira kudana ambulensi.
- Ipai murwere nemhepo itsva.
- Batsira murwere kuti atore nzvimbo yakanaka.
- Ipai murwere chirwere chinotonhora.
- Bvisa mararamiro emagetsi ose.
Kurapa kwechimiro chechihedheni
Kurapa (kuikanya) kwechimiro chechirwere kunoshandiswa mumamiriro ezvinhu ehurumende huru. Pachitatu chechitatu chekurwisa, dambudziko rekurapa rinotanga kushandiswa kare kumba uye panguva yekufambisa. Therapy inosanganisira:
- oxygen therapy;
- infusion therapy;
- kushandisa antihistamines ;
- kushandisa bronchodilator madhiragi.
Kana zvichidikanwa, murwere wacho anotamirwa kumhepo inoputika yemapapu.