Uri kushamisika kuti ndeipi mishonga yakanakisisa yepamu yako? Izvo zvinoenderana nokuti mweya wehafu yakanyanya sei. Munhu wese ane astmma anofanira kuva nemishonga yokununura inowanikwa, yakadai se albuterol , nokuda kwekununurwa nekukurumidza kwezviratidzo zvechirwere. Zvisinei, huwandu hwevanhu vane asthma hunodawo mushonga wevarindi. Mutevedzeri mishonga inoshandiswa kudzivirira zviratidzo zvechirwere uye inotorwa zuva rega roga pasinei nokuti mweya weAhma uri kuita sei zuva iroro.
Chokutanga, tsvaga kana mweya wako uchidzora; uye kana iwe uchifanira kuona chiremba wako kuitira kuti chirwere chekurapa (kana kuti chirongwa chechirwere chakasiyana) chinogona kurongerwa.
Ndeipi Mishonga Yakanakisisa yeApma?
Mishonga yemirayiro ndiyo mishonga inotorwa zuva rega rega (dzimwe nguva kakawanda pazuva) pasinei nezviratidzo zvechirwere. Iyi mishonga inotorwa nguva yose kuitira kuti igadzire kuputika nekuputika kwemhepo. Izvi zvinokonzera kushungurudzika kuduku uye kugadzikana kwemisungo kunotenderera kumhepo uye saka zvishoma zviratidzo zvepamu. Iyi mishonga inotora mazuva mashomanana kusvika kumavhiki mashomanana kuitira kuti itange kushanda, asi zvino munhu ane mazamu anozivikanwa kuti mushonga unoponesa unodarika unoda.
Vatongi vakawanda veAIDS Vanowanikwa
Izvi zvinosanganisira steroid inhaled yakaita se Flovent (fluticasone) uye Pulmicort (budesonide), leukotriene blockers dzakadai sa Singulair (montelukast), pamwe nekurapa kwema-long-acting beta-agonists seAdvair (fluticasone / salmeterol) uye Symbicort (budesonide / formoterol) .
Mimwe mishonga, yakadai se theophylline uye Xolair , inowanzoshandiswa mukuwedzera kune yakagadziriswa corticosteroid kana kuti leukotriene blocker kuti itarise asthma. Zvinenge zvisina kujairika kuti murwere atore chete theophylline kana Xolair pasina mumwe mushonga wokurapa mweya.
Ndeupi Mushonga Munhu Angazogara Achitora Nguva Dzose?
Hazvina basa kuti mushonga unoshanda sei kana munhu akanganwa kuitora.
Vanhu vazhinji vanofarira pfungwa yekutora mapiritsi kamwechete-zuva nezuva, akadai sa Singulair, nokuda kwekugara kwenguva refu kwemafivha avo. Zvinosuruvarisa, Singulair haisi mishonga yakanakisisa yemapirma kune vanhu vazhinji, kunyange zvazvo inoshanda zvakanaka kune vamwe. Zvingava zvine musoro kuedza mishonga sa Singulair, chero bedzi paine kuongororwazve kwehutachiona hwemafi mushure memakore mashomanana. Steroid dzakawanda dzakapetwa dzinotorwa kaviri pazuva, kunyange zvazvo vamwe vari FDA-vakabvumirwa kutorwa kamwe pazuva (seAsaneane).
Ndeipi Mishonga Inonyanya Kuita Inogona Kurapa Huru hwemunhu?
Inhaled steroids ndiyo inoshandiswa mutungamiriri wemishonga yevanhu vane mweya usingadzorwi. Iyi mishonga inopa hutachidziro hwekutarisa zviratidzo zvechirwere uye kudzivirira mune ramangwana chirwere chinonzi "asthma" chinokurudzira zviri nani kupfuura leukotriene blockers. Kune vanhu avo vane masimba asina kutongerwa zvakanaka pa steroid inoputika kana avo vane mafi, vane steroid inhaled uye aneta-beta-agonist kwenguva refu inogona kudiwa. Izvi zvinoshandiswa pakurapa zvinoratidzika kuva mishonga yakanakisisa yevanhu ava, izvo zvinoita kuti kuderedzwa kwezviratidzo zvechirwere, kuvandudzwa kwemapapu ekushanda, uye kuderedza kushandiswa kwemishonga yokununura.
Ipi Inonzi Asthma Medicine Ndiyo Yakachena, Izvo Zvichiri Kutonga Zviratidzo zveAsmafa?
Kazhinji, mishonga yeAsia ndeyekuchengetedzwa kwakachengetedzwa, uye kazhinji, zvikomborero zvemishonga iyi zvinopfuura zvakanyanya kuipa kwavo.
Izvo zvinotaurwa, kune mimwe miviri yakaipa inofungidzirwa nevana vakasiyana-siyana vanorapa maitiro. Heano zvimwe zvibatanidzi kune rumwe rutivi rwemigumisiro yakafanana yemishonga inowanzozivikanwa yekurapa mafivha:
- Inhaled corticosteroids inokonzera thrush, kukura kuwedzera uye bone kupera.
- Singulair zvichiita mafungiro uye mafambiro ekuchinja.
- Inhaled corticosteroids uye kwenguva refu-acting beta agonists (yakadai seAdvair) ichikonzera kuwedzera kuora mwoyo mune mamwe madzinza.
- Xolair inokonzera anaphylaxis (yakaoma miviri inogadzirisa).
- Theophylline inokonzera chirwere chemarimu .
Sources:
> Dennis RJ, Solarte I, Rodrigo G. Asthma muVakuru. BMJ Clin Evid. 2011.13; 2011.
> Ongororo yePanel Panel 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma. 2007.