Apo patinofunga nezvezvinhu zvinoita kuti tive nechirwere cheputi , kushandiswa kwemishonga kune mamwe matambudziko emishonga hakuwanzo kuuya mupfungwa. Kazhinji, mishonga inobatsira kurapwa kwemunhu-hakuiti kuipa. Zvisinei, pane mishonga iyo munhu anogona kutora iyo inogona kukuvadza zviratidzo zvechirwere, kana kukonzera dzimwe zviratidzo zvokufema zvakadai sekukanganiswa. Nokudaro, zvakakosha kuti iwe uudze chiremba wega wega wega wega anokubata iwe pamusoro pehutenda hwako uye mamwe matambudziko ezvoutano.
Beta-Blockers
Beta-blockers inowanzoshandiswa mishonga yekurapa kukwirira kweropa, mwoyo arrhythmias uye nekudzivirira migraine misoro. Izvo zvinoshandiswawo mune maziso ekuderera kweziso rekurapa glaucoma. Beta-blockers vanoita pane zvimwe zvinogamuchirwa zvinowanikwa nhengo dzakasiyana-siyana mumuviri wose zvichikonzera kuderera kwemwoyo, kurwisa kweropa, uye "pombi" yemwoyo. Zvinosuruvarisa, beta-blockers vane chinopesana nemapapu ayo albuterol anoita, uye zvinogona kuguma nekugadzirisa kwemisungo kumativi e-airways. Izvi zvakatove zvichitaurirwa nekushandiswa kwe beta-blocker madonhwe emeso.
Kunyange zvazvo vatsva beta-blockers vachifanirwa kuita zviri pamwoyo (zvinonzi "cardio-specific"), vakwegura beta-blockers vanozivikanwa kuti vawedzere kuwedzera zviratidzo zvechirwere. Mune zvimwe zviitiko, munhu ane astmma ane chido chikuru che beta-blocker. Kana izvi zvikaitika, munhu wacho anofanira kubvunza chiremba wavo kuti aine cardio-specific version ye beta-blocker.
Kana zviratidzo zvechirwere zvichiri kuipa, mishonga inoputira ne anticholinergic zvinokonzera, zvakadai se ipratropium (Atrovent HFA) kana tiotropium (Spiriva), inogona kubatsira kukurira dambudziko iri.
Aspirini naApirini-SeMishonga
Aspirin nemishonga inoratidzika, inonzi mishonga isiri-steroidal anti-inflammatory (NSAIDs), inowanzoshandiswa mishonga yekurapa kwekubatana nekurwadziwa kwemisimba nekuputika, misoro, fivha, uyewo antiplatelet zvinodhaka zvekudzivirira kwekurwadziwa kwemwoyo uye kurohwa.
NSAIDs inowanika mumhando dzakawanda kupfuura-the-counter uye nemutemo. Vamwe vanhu vane zvinokonzera zvirwere kune NSAIDs , izvo zvinogona kukonzera kukura kwezvirwere zvese uye zviratidzo zvechirwere, kana urticaria / angioedema kana kunyange anaphylaxis. Vanenge 10 muzana yevanhu vane astmma vanogona kuwedzera zvirwere zvinowedzera kuora mwoyo semugumisiro wekutora NSAIDs; izvi zvinowedzera kusvika ku40% yevanhu vane asthma kana nasal polyps iripowo.
Kana imwe nzira yeNSAID inodiwa, vanhu vazhinji vane NSAID-kugadzirisa kunogona kushivirira acetaminophen (Tylenol). Kana mishonga yakasimba ine zvinopesana nezvirwere zvinokonzerwa zvinodiwa, celecoxib (Celebrex) inobvumirwa nevakawanda (asi kwete vose) vane NSAID kurwisa.
Angiotensin Converting Enzyme Inhibitors (ACE Inhibitors)
ACE inhibitors inowanzoshandiswa mishonga yekurapa kukwirira kweropa uye mwoyo kusakundikana. Maitiro anowanzogadzirwa nemagetsi anosanganisira lisinopril, ramipril, nemamwe mavara akazoguma mumakapeti "pril." Uye zvakadaro, vamwe vanhu vane mapfupa ekufema kubva mukirasi iyi yemishonga, uye inenge 10% ine kuvhara, kuoma. Ichi chifukidziro chinogona kukanganisa nekuipisisa kuora mwoyo kana zvimwe zvinokonzera kukonzera . Kazhinji, kukohwa kuchaenda mukati memavhiki mashomanana ekumira ACE inhibitor.
Zvisinei, kana chifukidzi chiri chakakomba, kana kuti ACE inhibitor haigoni kumira, inhaled cromolyn (Intal) kana nedocromil (Tilade) inogona kubatsira kubatsira chirwere chakakonzerwa neACE inhibitor.
Kunobva:
Mishonga Yakajairika Inogona Kuva Nesimba Dzakanyanya. Zvinokonzerwa neAirgia uye Matambudziko Api. Zuva 2009/2010. American Academy of Allergy, Chirwere cheApmma uye Immunology Website.