Kubatsirwa uye Kukanganisika kweEpelerated Allergy Shots
Iwe unogona kunge wakanzwa kuti kukurumidza immunotherapy kana masumbu immunotherapy inzira yekugadzirisa utachiona hwako nekukurumidza, uye nguva shomanana yekuzvipira pasi pamutsara. Ndezvipi zvirongwa izvi, ndezvipi zvinobatsira uye zvisingabatsiri, uye ndezvipi izvi zvinoshandiswa zvinosvika zvinobatsira zvikuru? Chii chaunoda kufunga pamusoro pekuita sarudzo yakanakisisa?
Immunotherapy nokuda Kwemagumisiro Nehutachiona
Immunotherapy , kana kuti zvinokonzera kuputika, zvinopa chete chirwere chinogona kurapa rhinitis , allergic conjunctivitis , atopic dermatitis , allergic asthma uye utachiona hwehutano. Kusiyana nemishonga inongoratidzira zvirwere zvose zvinokonzera zvirwere, kushandiswa kwemazuva ose kunongoita chete kurapa kuti muviri womunhu unobata sei kurwara. Iwe unofunga, saka, kuti munhu wese aizoda kuita zvirwere zvese. Zvinosuruvarisa, kutadza kwemazuva ose kunogona kusakonzera vanhu vazhinji nokuti zvinosanganisira nguva yakawanda yekuzvipira (kazhinji kuenda kuhofisi yeaergist kamwe kamwe kusvika pavhiki pakutanga), uye inogona kutora mwedzi vasati vatanga kushanda.
Rapid build-up (inowedzerwa) zvirongwa zvekurwisa zvese zvinoshandiswa navamwe veseergist kuitira kuti vawane chikwata chepamusoro chekurwisa zvese zvakakurumidza, izvo zvinoguma nekubatsirwa kwepfuti nokukurumidza. Izvi zvinowanzoita kuti munhu awane "chirongwa chekugadzirisa" nokukurumidza, pamwe nekukwanise kupinda muhofisi yeanoristor kazhinji nguva yekutarisa kwemazuva ose kana chirongwa ichi chekugadzirisa chinowanikwa.
Kune marudzi maviri ekukurumidza kuvaka-up schedules-rush immunotherapy uye cluster immunotherapy.
Chii Chinonzi Rush Immunotherapy?
Rush immunotherapy inosanganisira kupa munhu kazhinji zvirwere zvese zvinoputika pane imwe nguva kwemaawa akawanda kusvika kumazuva, kusvika pakuwana chiremba chekuchengetedza munguva shoma shoma. Kazhinji kacho, kuwedzera kwemaawa kunopiwa maminitsi gumi nemashanu kusvika ku60 pane imwe nguva kwemazuva matatu kusvika pakutanga uye ndokuwedzera nokukurumidza kusvika pakugadzirisa doses.
Kubatsirwa
Rush immunotherapy inobvumira vanhu kuti vauye kusvika pakuchengetedza kwemaitiro avo ezveseriti shots zvakanyanya nokukurumidza. Izvi zvinowanzosvika munguva yemavhiki matanhatu. Kusiyana neizvi, nemagetsi anowanzoitwa, vanhu vanowanzogamuchira maitiro asina kurohwa kamwe chete kana kaviri pavhiki uye zvinogona kutora mwedzi mitatu kusvika kumatanhatu kuti dzigadzirire kuchengetedza maitiro. Mushure mokutanga kwenguva yekukurumidza immunotherapy, munhu anokwanisa kupinda muhofisi yeaergist kamwe chete pavhiki kwemavhiki akawanda anotevera, uye kunyange zvishoma.
Vanhu vari kukurumidza kurwisa immunotherapy vanobudirirawo kuburikidza nehuwandu hwemagetsi hunokurumidza kukurumidza, kazhinji mukati mavhiki mashomanana. Kubatsirwa nehuwandu hwehutachiona hunogona kutora nguva yakareba, uye zvikomborero zvinowanzotanga nguva iyo maitiro ekuchengetedza akawanikwa.
Rush immunotherapy inowanzoshandiswa kune vanhu vane utachiona hwehutachiona (nenyuchi dzinokonzera kushaya nenyuchi uye nenyuchi dzinotapira.) Izvi zvinobvumira kuchengetedzwa nokukurumidza kurwisana kweganduki kune zviitiko zvinokonzerwa nezvipembenene, uye inogona kunge iri nzira yakachengeteka yekubata vanhu vane utachiona hwehutano avo vane dambudziko nekugadzirisa zvinokonzerwa neanoripoti kusvika kunezvenyeredzi dzose. Chidzidzo che 2016 chakawana kurwisa immunotherapy kuti ive yakachengeteka uye inoshanda zvakanyanya nokuda kwekurwadziwa kwehutano muvana.
Pamusoro penguva yakareba, kurwisa immunotherapy kunogonawo kuva mari yakawanda-inoshanda.
Kukanganisika
Zvinosuruvarisa, kurwisa immunotherapy zvinokonzera kugadzirisa kwehutano muhuwandu hwevanhu, saka mishonga yakasiyana-siyana (yakadai se antihistamines uye corticosteroids ) inowanzopiwa kuitira kudzivirira kana kuderedza kusarudzwa uku. Munhu ari kukurumidza kurwisa immunotherapy anofanira kunge akagadzirira kupedza kwemazuva mashomanana muhofisi yeanoristor, achiwana zvakawanda zvekurwisa mhepo panguva ino.
Kurwisana kunowedzera nguva yekuzvipira mberi, kazhinji kutora zuva rose kana kupfuura, asi rinowanzopedza nguva yekuzvipira kwekupedzisira.
Chii Chinonzi Cluster Immunotherapy?
Cluster immunotherapy inowanikwa pane imwe yemazuva ano immunotherapy uye rush immunotherapy muchirwere chekuwedzera. Ne cluster immunotherapy, kanowanzopindira maviri kusvika katatu injections (yekuwedzera doses) inopiwa chiitiko chimwe nechimwe. Zvinofungidzirwa kuti nemhando iyi, kugadzirisa dosing kunogona kuwanika kwemavhiki mana kusvika masere (kusiyana nemwedzi mitatu kusvika kumatanhatu.) Sezvo nekurwisa immunotherapy, nzira iyi inobvumira munhu kuti asvike kugadzirisa dosing nokukurumidza asi anotakura ngozi yakawanda yekuita . Kazhinji, zvishomanana zvipembenene zvinodiwa zvinowirirana kupfuura nehutachiona hwema immunotherapy
Pasi Pasi
Kurwisana nemasumbu immunotherapy kunopa imwe nzira yemararamiro emitambo yekurwisa zvese, zvichibvumira munhu kuti ave nekuwedzera kwemaitiro ekurwisa zvishoma nekukurumidza, uye naizvozvo kuwana rubatsiro nokukurumidza. Zvisinei, kurwisa immunotherapy zvichida kunowedzera mukuwedzera kwehuwandu hwemashoko evanhu. Kuramba kunowedzera nguva yekuzvipira mberi, kazhinji kutora zuva rose kana kupfuura, asi rinogona kuva nguva yekuponesa gare gare.
Kazhinji, allergists vane nzira dzekupa varwere varwere zvirwere, uye vanowanzopa chimiro chekuvaka-chimiro kuvarwere vavo vose. Vose allergists havasi kupa varwere vavo chisarudzo chekuvaka-purogiramu. Kana iwe uchida kutevera imwe yeiyo purogiramu yekuvaka yakakurumidza, taura mazita ose ellergist munharaunda yako kuti uwane munhu ane ruzivo mune izvi nzira.
Sources:
Confino-Cohen, R., Rosman, Y., uye A. Goldberg. Rush Venom Immunotherapy muvana. Nyaya yeAllergy uye Clinical Immunology. In Practice . 2016 Nov 30. (Epub mberi kwekudhinda).
Cox, L. Makomborero uye Kukanganiswa Kwekukurumidza Immunotherapy Schedules. The Journal of Allergy and Clinical Immunology . 2008. 122 (2): 432-434.
Fan, Q., Liu, X., Gao, J., Huang, S., uye L. Ni. Kuenzanisa Kuongorora kweCluster nekusanganiswa Immunotherapy muVirwere neAllergic Rhinitis. Ongororo uye Therapeutic Medicine . 2017. 13 (2): 717-722.
Perez-Rangel, I., Rogriguez Del Rio, P., Escudero, C., Sanchez-Garcia, S., Sanchez-Hernandez, J., uye M. Ibanez. Efficacy uye Kuchengetedzwa kweHigh-Dose Rush Oral Immunotherapy muPisistent Egg Allergic Children: A Randomized Clinical Trial. Annals of Allergy, Asthma uye Immunology . 2017. 118 (3): 356-364.
Winslow, A., Turbyville, J., Sublett, JW., Sublett, JL. uye S. Pollard. Kufananidza kweKusarudzwa kweChechi muRush, Cluster, uye Standard-Build Aeroallergen Immunotherapy. Annals of Allergy, Asthma, uye Immunotherapy . 2016. 117 (5): 542-545.