Kuratidzwa kweMishonga yeAphma Treatment

Mishonga yemafivha inogona kugoverwa muzvikamu zviviri:

1. Kukurumidza kununurwa kana kuponeswa mishonga yemapirma
2. Mucherechedzo wechirwere chemishonga

Mishonga yekukurumidza -kuponeswa kwechirwere inobata zviratidzo zvakanyanya zvechirwere, zvakadai sokuputika, chifuva chisimbiso, kupera kwekufema, nekukwevera. Mucherechedzo wechirwere chechirwere, pane rumwe rutivi, achiedza kudzivirira zviratidzo izvochete. Pamusoro pezvikamu zvose, mishonga yose yemafupa inoputika, kunyange zvazvo vamwe vachiuya muhuwandu hwemvura uye imwe inopiwa sechidimbu.

Ngatitarisei pane zvisarudzo.

Inhaled Steroids

Inhaled steroids ndiyo inonyanya kukosha mishonga yemaphma nokuti ndiyo inonyanya kukosha uye inoshanda inowanikwa kwenguva refu. Mishonga yavo inopesana nokuvhiringidza inokonzera kukurudzira kukuru kunowanzobatanidzwa nekushandiswa kwemishonga iyi yemafi. Inhaled steroids inonyorwa inogona kusanganisira:

• Aerobid
• Alvesco
• Asmanex
• Azmacort
• Flovent
• Pulmicort
• Qvar

Bata-Kubata Beta Agonists (SABA)

SABAs rudzi rwechirwere chechirwere chinowanzoshandiswa mumishonga inokurumidza-kubatsira mishonga yemahara. Iyi mishonga yemaphma ndiyo mishonga yekusarudzwa kwekusununguka kwakanyanya kwezviratidzo zvechirwere uye inoshandiswawo kudzivirira kudzidzira-kunokonzerwa nechirwere chemafi . Nemhaka yokuti mishonga iyi yemafupa inogona kudzivirira zviratidzo zvako zvechirwere kuti zvisaipisisa, zvinokosha kuti ugare uine iwe. Vamwe veSABAs vanosanganisira:

• Albuterol
• Proventil
• Ventolin
• Xopenex
• Maxair

Kubata kwenguva refu Beta Agonists (LABA)

Iyi mishonga yemapirma inoshandiswa kana steroid yako inoputika isiri kunyatsogadzirisa zviratidzo zvako, zvichida inozivikanwa sekuti adjunctive therapy.

LABAs hadzisi kushandiswa semishonga imwechete yechirwere yekurapa nekudzivirira zviratidzo uye haisashandisi kubata zvirwere zvakanyanya zvechirwere kana kuti kuwedzera kwemafi . LABAs dzinosanganisira:

• Brovana
• Foradil
• Perforomist
• Serevere

Leukotriene Modifiers

Mhando iyi yemishonga yehadha inofungidzirwa kuti ndiyo nzira inogona kurapwa kune vanorwara vane rukudzo rwemhepo ine simba uye rinogona kushandiswa sechirongwa chekugadzirisa steroid inhaled.

Kudzidzira-kunokonzerwa nechirwere chinogonawo kudzorwa navo. Mamwe mafuta eukotriene ayo aripo panguva ino anowanzo:

• Yakarurama
• Singulair
• Zyflo

Oral Steroids

Oral steroid inoshandiswa pakurapa kuenzanisa uye kuoma kwakanyanya kwema asthma kunobatsira kuvandudza zviratidzo uye kudzivirira kupera kwechikamu chekuita kwechirwere chinokonzera. Oral steroid inoshandiswa semutungamiri wemishonga mushure mekunge mamwe mishonga yakawanda inokundikana.

Anticholinergics

Anticholinergics inoshanda sebronchodilator uye inowanzoshandiswa pamwe chete neSABAs mukurapa kwakanyanya kwezviratidzo zvechirwere mune imwe nzvimbo yekukurumidzira kana chipatara. Muenzaniso weAnchocholinergic ndiAtrovent.

Cromolyn Sodium & Nedocromil

Cromolyn uye nedocromil inofungidzirwa sarudzo dzakasiyana-siyana kune varwere vane runyararo runoramba ruchiita. Zvose izvi zvinobatsira kudzivirira kuputira mumapapu. Iyi mishonga haisati yashandiswa pakurapa zviratidzo zvehutachiona zvakanyanya. Zvikwata zvinosanganisira Intal uye Tilade.

Kusanganiswa kweAhma Medication

Makambani mazhinji emakambani anoshandisa mishonga akabatanidza michina, ane marudzi anopfuura rimwechete emishonga ye asthma mune imwe inhaler. Kazhinji kazhinji, izvi zvinosanganisira steroid inhaled pamwe neLABA. I-LABA inowedzera mapapu enyu airways uye steroid inoputika inoderedza uye inodzivirira kuputika kwepaguru.

Varwere vanowana rudzi urwu rwemishonga yechirwere zviri nyore uye vanowanzofunga sokuti vane utano hwakanaka. Mienzaniso inosanganisira:

• Advair
• Symbicort

Immunomodulators

Immunomodulators iboka rezvinodhaka izvo zvinopa nguva yakareba kuraira kwechirwere kana kuonekwa steroid kurega. Iyi mishonga inoshandura mafungiro emagadzirirwo emagadzirirwo emakemikari ekusimudzira mweya. Muzvizhinji, kurapwa uku kunoderedza mararamiro ako eGE kune zvinokonzera mafi. Iga bedzi ikozvino inowanika immunomodulator ndeye Xolair .

Methylxanthine

Izvi zvinoshanda sebronchodilator munyoro uye inofungidzirwa kuti ndiyo imwe nzira yekugadzirisa inoshandiswa kushandiswa nesteroid inhaled.

_Sources:

_{National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma}