Kunyange zvazvo huwandu hwehutachiona hunokonzerwa nekuputika kwevhu, varwere vane zviratidzo zvechirwere zvinokonzerwa nezvimwe zvinokonzera kutuka (semuenzaniso basophils , lymphocytes , kana neutrophils ) havangabatsirwe nekuongorora kweFoNO. Maererano neKliniki Practice Guideline kubva kuAmerican Thoracic Society, FeNO inogona kushandiswa kugadziriswa kwekusagadzikana kwekusagadzikana uye kutsigirwa kwekutsvaga kwehutenda kana uchapupu hunodiwa hunodiwa.
Kunyanya zvakanyanya, zvikwata zvepamusoro zveFoNO zvinoratidza kuvhiringidzika mumapapu uye kuti murwere angangodaro apindure kune steroid inoputika yakabva pane tsvakurudzo yapfuura. Nokudaro, FeNO inonyatsotsanangura zvinogona kupindura kurapwa panzvimbo yekuita tsanangudzo yakananga yehutenda.
Matambudziko neKutarisa Kwetsika
Zvizhinji zvezvirongwa zvechirwere chechirwere zviripo zvino zvinotungamirirwa nezviratidzo zvechirwere kana peak inopera. Zviratidzo zvetsika zvakadai sekuputika , chifuva chisimbiso , kufuridzira , nekufema kwekufema kunogona kunge kusina kunyanya kuitika uye hazvirevi kuti zvakabatana nehuwandu hwekuputika huripo mumapapu ako. Peak flow can only be correlated with the degree of inflammation of airway according to some research.
Makomborero eFoNku Kuongorora Kutapisa
Inenge hafu yezvose zvinokonzerwa ne-asthma zvinosanganisira maitiro evanhu vanoputika. Urwu ruvara rwekuputika hunokonzerwa nekukwiridzirwa kwemasero emasero nemamwe masero anonyanya kuwedzera nitric oxide mazinga.
Sezvakambotaurwa, varwere vane kuvhiringidzika kwemazuva ano vakakwidziridza mazinga eFeNO, apo varwere vane kuvhiringidza kubva kune zvimwe zvikonzero havasimudzi mazinga eFeNO. Uyezve, zvidzidzo zvakaratidza kuti chirwere chinopupurirwa chinopupurirwa kuvarwere vane maFeji akakwirira. Somugumisiro, mazinga eFevo akasimudzirwa anofungidzirwa kuti azive varwere vanogona kutarisana nekurapwa kwe steroid uye zvidzidzo vakaratidza kuti maFeji akakwirira anokonzera kupindura kwakanaka.
FeNO Nhamba
Mazana eFoNO iye zvino anoyerwa mumahofisi echiremba. Varwere vanowedzera zvachose uye vanozotora kufema kwemazuva ose kuburikidza nefaira rinogadziriswa. Mazinga eFNNO anowanikwa ipapo mumaminetsi mashomanana ekududzirwa nachiremba wako.
Kazhinji, pakati, nepakati yakakwirira zvinowanikwa mu tafura iri pasi apa.
| Vakuru | Vana | |
|---|---|---|
| 12 uye kupfuura | 4-12 | |
| Low | <25 | <20 |
| Pakati pepakati | ≥ 25- ≤ 50 | ≥ 20- ≤ 35 |
| High | > 50 | > 35 |
| ppb = zvikamu pamabhiriyoni | ||
FeNO Shandisa Muhutano Hwekutenda
The Optimum Patient Care Research Data ndeyeUnited Kingdom respiratory database inosingazivikanwi, yakareba kwenguva yakareba dhiyabhorosi varwere veEsphma muUnited States. Dhesiyo iyi yakaongororwa kuti iongorore varwere vasingagamuchiri steroid therapy asi vasingabatsiri uye varwere vakanga vari kutarirwa nemishonga vachishandisa FeNO sechiratidzo.
Vatsvakurudzi vakawana kuti nhamba shomanana dzechirongwa chekuchengeta vanachiremba vanobata chirwere cheputi vachishandisa FeNO. Zvinofadza, kushandiswa kweFeNO kuenzanirana nekuwedzera kwekuteerera kune chirongwa chekurapa pamwe nekushandiswa kwayo kutanga chirongwa che steroid chisinganyatsopindiki kana chiratidzo chechirwere chekutanga. Uyezve, kumwe kutsvakurudza kwakaratidza chiyero chekuwedzera kwemafi kuve muzasi kune varwere vachishandisa FeNO sechikamu chekuongorora kwavo.
Kuongorora kwakadzika kweUnited States pazvikamu gumi zvepamuviri kwakawana kuti feNO inoshandisa kuwedzera kumazinga ekurapa steroid yakaenzaniswa nehutano hwakanaka hunotungamirirwa nemirayiridzo yepifm, asi yakapa kuve nekuvandudza kukuru kwezviratidzo zvechirwere izvo zvaive zvakakosha.
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