Chimwe chezvikanganiso zvakakura zvakakonzerwa nepamuviri ye asthmatics ndeyekurega kushandura mishonga yavo yepimma kana vaona kuti vane pamuviri. Kunyange zvazvo mishonga inogona kuisa zvipingamupinyi kumucheche, zvipembenene zvehutachiona husina kutora zvinowanzopfuura zvishoma nezvengozi yekutakura kushandiswa kwemashure kubva mumishonga yakawanda yekurapa. Chimwe chikanganiso chakakurumbira chekudzivirira asthmatics ndechekurega kuona vanachiremba vavo vanogara vachinge vava nepamuviri.
Maererano neDaily and Drug Administration (FDA), hapana mishonga yekurapa iyo inofungidzirwa yakachengeteka pakuberekwa. Izvi ndezvokuti hapana mukadzi ane pamuviri angada kusayina kuti awane kuchengetedzwa kwemishonga pakudzivirira paanove nepamuviri. Nokudaro, FDA yakapa mikana inowanikwa kune mishonga inobva mukushandiswa pakuberekwa.
Pregnancy Medication Categories
Kubata pamuviri "A" mishonga ine mishonga umo mune zvidzidzo zvakanaka mumadzimai ane pamuviri anoratidza kuchengetedzwa kwemishonga kumwana mukutanga kwevatatu. Kune mishonga mishomanana mune iyi uye hapana mishonga yekurapa.
Chikamu "B" mishonga inoratidzira kudzivirirwa kwakanaka mumhuka dzakatakura asi hapana dzidzo dzevanhu dziripo.
Kubata chikwata che "C" mishonga kungaguma nemigumisiro yakaipa pamucheche paanodzidza mumhuka dzine mimba, asi zvakakosha zvemishonga iyi zvinogona kurema kuisa njodzi muvanhu.
Chikamu "D" mishonga inoratidza mungozi yakajeka kumucheche, asi pangave pane zviitiko umo zvikomborero zvinopfuura zvipingamupinyi zvevanhu.
Uye pakupedzisira, chirongwa che "X" mishonga chinoratidza uchapupu hwakajeka hwekuremererwa kwekuberekwa kwemhuka uye / kana kudzidza kwevanhu uye hazvifaniri kushandiswa pakuzvitakura.
Chirwere Mishonga Kuputsa
Kununura mishonga , yakashandiswa pakununurwa pakarepo kwezviratidzo zvechirwere, inosanganisira bronchodilators inhaled dzakadai se albuterol.
Kunyange zvazvo mishonga iyi iri chikamu che "C", ruzivo rwedu nekushandisa madhiragi aya mumadzimai ane pamuviri inokura uye hairatidzi uchapupu hwekuvhiringidza kwakanyanya pamucheche.
Muchengeti wemishonga yekusimudza mweya inosanganisira steroid inhaled, iyo ndiyo nzira inoshandiswa kugadzirisa kuputika kwepachimiro chemafi. Mimwe mishonga iri muboka iri inosanganisira Advair (fluticasone / salmeterol), theophylline, cromolyn, uye Singulair (montelukast).
Steroid inosarudzwa inoshandiswa inosanganisira Pulmicort (budesonide), iyo chete inonzi "B" inhaled steroid, uye QVAR (beclomethasone), sezvo iyi steroid yakanyanyisa yakave yakapoteredza kwenguva yakareba, uye inowanikwa nayo yakanaka. Zvisinei, zvinonzwisisika kuenderera mberi nemamwe marudzi e-steroid inhaled during pregnancy kana amai vakachengetedzwa zvakanaka vachishandisa mishonga vasati vaita pamuviri.
Rimwe sangano rakafanana neAdvair kana Symbicort rinogona kudiwa kune varwere vane chirwere chakanyanya kuoma. Iyi mishonga inobatanidza inhaled steroids ne-long-acting beta-agonist (albuterol-semishonga), uye inoshandiswa sechirwere chekuraira. Varwere vachiri kungoda albuterol kuti "sezvinodiwa" kana kuti kusunungurwa kushandiswa.
Mimwe mishonga yemishonga yakadai seyodophylline (chitubu "C") uye cromolyn, nedrocromil, uye Singulair (yose yeboka "B") inonzwisisika kupfuurira panguva yekuzvitakura kana amai vakabatsirwa nemishonga vasati vaita pamuviri.
Zvisinei, hapana yemishonga iyi inogona kuonekwa se "chokutanga chokutanga" kutanga panguva yekuzvitakura.
Xolair (omalizumab), inonzi injectable mishonga inoshandiswa pakucherechedza chirwere chemhepo sechirwere chemasimba. Inenge ine chikamu che "B", kunyange zvazvo iyi mishonga yave ichingowanikwa kwemakore mashomanana, inofanira kushandiswa nekuchenjerera mumakumbo ekudzidzira asthmatics.
> Sources:
> NAEPP Expert Panel Report. Kugadzirisa Utachiona Muhutano: Kurudziro ye Pharmacologic Treatment - 2004 Update. J Allergy Clin Immunol. 2005; 115: 36-46.
> Blaiss MS. Kutungamirirwa kweAphma Panguva Yokudzivirira. Allergy Chirwere Proc. 2004; 25: 375-379.
> ACOG / ACAAI. Kushandiswa kweNewer Asthma uye Kurwisa Mishonga Inorwisa Mikana Panguva Yokuzvitakura. Ann Allergy Chirwere Immunol. 2000; 84: 475-480.