Chirwere chinhu chinowanzogara chisingaperi chemapapu chinokanganisa vanhu vanopfuura mamiriyoni 25 muUnited States. Zviratidzo zvinogona kusanganisira kugoverwa, kuputika, kufema, uye chifu chisimbiso. Zvikamu zvezviratidzo zvinowanzoitika nekuda kwekurovedza muviri, kuputika kwezvirwere zvakadai sehuwandu hwekutsvaira, kusvibiswa kune zvinorwadza zvakadai semhepo inotonhorera uye asidi reflux, kutaridzirwa kune zvakasiyana-siyana zvinokonzera zvakadai semapenene uye pet dander, pamwe nekudzvinyirira.
Muzviitiko zvakawanda, chirwere chemafi chinonyanyisa uye chinowanzotungamirirwa nemishonga yakadai seS Singulair kana kuti inoripira inhaled steroids , uyewo nekushandiswa kwebhedhaini inonzi bronchodilators shomanana (inonzi albuterol ) inobata zvirwere zvishoma.
Chirwere chinogona kuva chakaoma uye chakaoma kurapa, pasinei nekushandiswa kwemishonga yakasimba yakagadzirisa, zvakadai soreji inhaled inhaled steroids uye zvinhu zvakasanganiswa zvakadai seAdvair , uye kunyange nemishonga inoshandiswa yakafanana neXolair kana systemic steroid yakadai seforenisone. Huru yehmhma inogona kutungamirira kune imwe nzvimbo yekukurumidzira mukamuri, kushanyira zvirwere, nekuderera kwehupenyu hwevanhu vanotambura nemamiriro aya. Izvo zvinokonzerwa nehutachiona hwakanyanya muUnited States zvakakura uye zviri mu $ 50 mabhiriyoni emari pagore.
Kune vanhu ava vane chirwere chakasimba, panofanira kuva rumwe rudzi rwechirapa kune avo vasingaratidzi kupindura mishonga.
Bronchial thermoplasty (BT) isiri-pharmacologic therapy inoratidzirwa kurapwa kwechirwere chakasimba kune vanhu vasingagamuchirwe zvakanaka pamishonga inowanzoitwa asthma mishonga. BT yakagamuchirwa neU.S. Food and Drug Administration muna 2010 pakurapa chirwere chakanyanya muvarwere kwemakore gumi nemana kana kupfuura avo vane zviratidzo zvisingadzorwe pasinei nekugara kwechirwere chemaitiro.
Bronchial Thermoplasty Basics
BT inoshandisa simba rinopisa (kupisa) pamusana unotapira mukati me airways yemapapu. Ndiyo mutsara unotapira wakawedzerwa (hypertrophy) uye huwandu (hyperplasia) mumapapu e-asthmatics akaoma. Izvo zvipfeko zvemuviri uyu ndizvo zvinokonzera zviratidzo zvechirwere, uye chii chakakonzera mishonga yekurapa inofanirwa kupumbuka (bronchodilators) uye kudzivirira zvimwe zviratidzo (inhaled steroids). BT inoshandiswa nekushandiswa kwekateti yakakosha iyo inowanikwa mumapapu airways munguva yebronchoscopy . Iyo catheter inowedzerwa mumhepo yakakura-miviri inoenda mumapapu, uye kupisa kwesimba kunobudiswa. Nzvimbo dzakasiyana dzemapapu dzinobatwa pamazuva akasiyana-siyana, pamwe nesangano rega rega rinopera pasi peawa.
Ko Bronchial Thermoplasty Work?
Hazvinyatsozivikanwi kuti BT inoshanda sei kubata chirwere chemafi, asi pfungwa dzinosanganisira kuderedzwa kwemisipiresi mumapapu, kuderera kwechisimba cheputika yemusefu inotapira mumapapu, uye / kana kuti kuderedza kuvharwa kwemakemikari anopisa kubva mumasero matsvina ari mumapapu.
Mazana evarwere vakagamuchira kurapwa kweBT, nemigumisiro yavo yakabudiswa mune zvidzidzo zvakasiyana-siyana zvezesayenzi. Vakawanda vanorwara vanoona kuderera kwemhepo yekugadzirisa mhepo inopindurwa nehuturi inhaled (methacholine chinetso), kuderera muzviratidzo zvechirwere, nekuderedza kurwiswa kwechirwere zvinoda kupinda mune imwe nguva muchimbichimbi kana kutarisirwa.
Mune zvimwe zviitiko, kubatsirwa kweBT kwaivepo kwemakore akawanda mushure mokunge kurapwa.
Migumisiro Yechiri
Kazhinji kutaura, BT inobvumirwa zvakanaka nenzira ine zviduku zvinetso. Zvipingamupinyi zvizhinji ndezvinyoro uye hazvitsvaki kurapa kunorwadza. Zvinetso zvinowanzoitika zvinosanganisira kuipa kwezviratidzo zvechirwere, kukurudzirwa kwepamusoro kwekudzivirira mafungiro erwere, discolored sputum (phlegm), uye kushungurudzika kwechirwere. Zvakawanda zvezvikamu izvi zvakafanana ndezviya zvinoitika mushure mokunge maitiro echinyakare. Zvizhinji zvemigumisiro yemigumisiro inopedza mushure memazuva mashomanana kusvika masvondo mushure meBT iri kuitwa.
Kusarudza Kana Bronchial Thermoplasty Yakakunakira Iwe
BT inofanira kuchengetwa vanhu vane chirwere chakanyanya kusingadi kupindura mishonga inonzi asthma, yakadai shalaidhe inhaled, Singulair, theophylline uye zvinhu zvakasanganiswa zvakadai seAdvair kana Symbicort.
Nhungamiro dzepasi rose kubva muna 2014 nokuda kwenguva refu yekurapa kwemafupa e-asthma BT mune imwechete yakadai seXolair kana prednisone. Saka, BT inofanirwa kutaridzirwa kune vanhu vane chirwere chakakomba pasinei nekushandiswa kwechirwere chemaitiro echirwere.
Kunobva:
> Wilhelm CP, Chipps BE. Bronchial Thermoplasty: Kuongorora kweUchapupu. Ann Allergy Chirwere Immunol. 2016; 116: 92-98.