Ngozi inonyanya kukwirira kune vanhu vane chirwere chakanyanya
Zvisiri-steroidal anti-inflammatory drugs (NSAIDs) ikirasi yemishonga inoshanda iyo kuderedza marwadzo, kuderedza fivhiri, uye, pakuwedzerwa kwepamusoro, kuderedza kuputika. Aspirin yaive iyo NSAID yekutanga yakabudiswa muma 1800 kubva kumakemikari ari oga kubva pamakwenzi emuorivhi.
Pamusana pemigumisiro yaro yakavhurwa, aspirin inozivikanwa kuti inokonzera kukanganisika kune vamwe vanhu.
Uyezve, kunongedza kune aspirin kunowanzoshandura kune dzimwe mhando dzeNSAID kusanganisira ibuprofen (Advil, Motrin) uye naproxen (Aleve).
NSAID kurwisa zvinotendwa kunokanganisa chikamu chimwe chete chevanhu vazhinji. Uyezve, vazhinji vevanhu vane gumi vane astmma vachaona kuwedzera kwezviratidzo mushure mekutora NSAID. Kune avo vane astmma inofambidzana nekusingaperi sinusitis uye mapapiro emvura, dambudziko rinogona kuwedzera kusvika kune 40%.
Kunzwisisa Aspirin Allergy
Aspirin allergy inoratidzwa nekutarisana katatu kwakasiyana, rimwe nerimwe rine zvaro zvakasiyana-siyana zvezvinhu. Mhinduro yacho dzimwe nguva inokanganisa inokonzera zviratidzo kubva kubva kune unyoro kusvika kuhupenyu hunotyisidzira. Izvi zvinosanganisira:
- Aspirin-yakawedzera chirwere chepemhetu (AERD), chinokonzera zviratidzo zvakadai se rhinitis uye asthma
- Aspirin-yakawedzera urticaria / angioedema, iyo inoratidzira zviratidzo zvemuviri zvakadai semisango uye kurira
- Aspirin-yakawedzera urticaria pamwe kana kuti isina angioedema, umo mikoko uye kurira kunogona kufambira mberi kune zvinogona kutyisidzira upenyu, zvose-muviri unozivikanwa seanaphylaxis
Zvishoma nezvishoma, NSAIDs dzinozivikanwa kuti dzinokonzera mamiriro akakomba akadai seaseptic meningitis uye hypersensitivity pneumonitis, kunyange zvazvo nzira dzemhinduro idzi hadzina kunzwisiswa zvachose.
Kuongororwa Aspirin Allergy
Kurwisana kweplrens, cat dander, uye kudya zvinogona kuongororwa nekuongorora ropa kwezvinonzi zvinonzi antiergic antibodies. Iko rudzi rwehupikisi hwemapurisa hahuwanzoitiki neNSAIDs. Sezvakadai, kuora kwemarudzi akadai kunowanzoongororwa kunochengetedzwa zvichienderana nekuonekwa uye nguva yezviratidzo.
Mumatambudziko akaoma, mhinduro yemuromo inogona kuve inoshandiswa kuona kuti munhu anonzwa sei pane imwe NSAID. Izvi zvinofanira kungoitwa chete pasi pekutarisa kweanoripoteri.
Kurapa Aspirin Allergy
Chinonyanya kukosha pakurapa ndiko kudzivirirwa kweimwe NSAID inozivikanwa kana inotendwa inokonzera kurwisa. Izvi zvinonyanya kukosha kune vanhu vane hutano hwekunyanyisa. Izvi hazvirevi chete kubvisa mapiritsi easpirin nemapirisi asi chero chigadzirwa chine aspirin, kusanganisira Alka Selzer, Vanopish, Pepto-Bismol, Kaopectate, Maalox, Doan's, Sine-Off, uye Pamprin.
Kusiyana neizvi, acetaminophen (Tylenol) inowanzoonekwa yakachengeteka seye COX-2 inhibitors seye celecoxib (Celebrex).
Aspirin Desensitization
Mune mamwe mamiriro ezvinhu, nzira yakagadziridzwa yeApirin therapy inogona kushandiswa kubatsira munhu kuti akunde hypersensitivity. Chimwe chimiro chakadai chinosanganisira vanhu vane chirwere chakakomba chinoda kuvhiyiwa kuti vabvise mashizha.
Mushure mokunge vaita chirongwa ichi, vanachiremba dzimwe nguva vanokurudzira aspirin deensitization kubatsira avo vane AERD kuti vanakidzwe zvakanakisisa nezvibereko zve aspirin.
Izvo zvinotarisirwa kuderedza aspirin senitivity kuburikidza nekuisa pachena munhu wacho kuderera zvakanyanya kweaspirin uye zvishoma nezvishoma kuwedzera muyero kusvikira aikwanisa kutsungirira ma 650 milligrams. Izvi zvinofanira kungoitwa chete pasi pekutarisirwa kweanoristor anokwanisa uye chete muvanhu avo aspirin inopa rubatsiro rwaidiwa zvikuru.
> Kwakabva:
> Lee, R. naStevenson, D. "Aspirin-Yakanyanya Kuwedzera Kufuridza Matambudziko: Kuongorora uye Kutungamirirwa." Allergy Pure Immunol Res. 2011; 3 (1): 3-10.