Chirwere Chinorapika Here?

Zvemukati

• Kugadzira yako asthma chiito chirongwa
• Imhandoi yemushonga inobatanidzwa?
• Zvakadiniko nemishonga yemusikirwo?
• Mbeu nhemaNigella sativa)
• Caffeine
• Choline
• Pycnogenol
• Vhitamini D
• Pamusoro: Vimbiso yekurapa munhu zvichienderana
• Maonero

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Iko hakuna mushonga weasthma. Zvisinei, chirwere chakanyanya kurapwa. Muchokwadi, vamwe vanachiremba vanoti kurapwa kwemazuva ano kweasthma kunoshanda kwazvo, vanhu vazhinji vane padyo-kuzara kudzora zviratidzo zvavo.

Kugadzira yako asthma chiito chirongwa

Vanhu vane asthma vane zvakanyanya kukanganisa uye mhinduro. Vamwe vanachiremba vanotenda kuti kune chaiwo asima, imwe neimwe iine zvikonzero zvayo, njodzi, uye kurapwa.

Kana iwe uine asthma, chiremba wako achashanda newe kuti ugadzire chirongwa cheasthma chiitiko chinotarisana nezvako zviratidzo uye zvinhu zvinoita sekuzvikonzera.Asima. (nd). Urongwa hungangodaro hunosanganisira shanduko kunharaunda yako uye zviitiko, pamwe nemushonga wekukubatsira kubata zviratidzo zvako.

Imhandoi yemushonga inobatanidzwa?

Kurapa kweAsthma kunoshanda zviviri zvakakosha zvinangwa: kwenguva refu-kudzora uye pfupi-pfupi chiratidzo chiratidzo. Heano mamwe easthma madhiragi ako chiremba anogona kusanganisira mune yako asthma chiito chirongwa:

Inhalers. Aya maturusi anotakurika anounza chipimo chepakutanga chemushonga weasima mumapapu ako. Iwe unobata mapampu akafanana neJ kumuromo wako uye dzvanya pasi pachigubhu. Pombi inotumira mhute kana hupfu hwaunofema.

Mimwe inhalers ine corticosteroids iyo inodzora kuzvimba uye kutsamwa mune yako nzira yemhepo. Iyi inhalers ndeyekushandisa zuva nezuva kana mwaka.

Mimwe inhalers ine inokurumidza-kuita zvinodhaka (senge bronchodilators, beta2-agonists, kana anticholinergics) iyo inogona kuvhura yako yemhepo nekukurumidza kana iwe uine asthma flare-up.

Mimwe inhalers inogona kunge iine musanganiswa wemishonga kudzora yako chaiyo maitiro.

Nebulizers. Izvi zvishandiso zvakasununguka zvinoshandura mushonga wemvura kuita mhute iwe yaunofema. Iyo mishonga inoshandiswa muma nebulizers inoderedza kuzvimba uye kutsamwa mumhepo.

Mishonga yemumuromo. Yako-yenguva refu yekuita chirongwa inogona zvakare kusanganisira yemuromo mishonga. Oral asthma zvinodhaka zvinosanganisira leukotriene modulators (izvo zvinoderedza kuzvimba) uye theophylline (iyo yakanyanya kutsiviwa nechengetedzeka, inoshanda mishonga) iyo inovhura yako yemhepo nzira. Ose anotorwa mupiritsi fomu. Oral corticosteroid mapiritsi anowanikwawo dzimwe nguva.

Biologics. Iwe unogona kunge uine jekiseni remushonga webiologic kamwe chete kana kaviri pamwedzi. Iyi mishonga inonzi zvakare maunomomodulators nekuti inoderedza mamwe maseru machena eropa muropa rako kana kudzikisira kutapurika kwako kune ma allergener munharaunda yako. Izvo zvinongoshandiswa chete kune mamwe marudzi easthma yakaoma.

Chiremba wako anogona kunyorera imwe kana yakawanda yemishonga iyi kuti ubatsire kudzora asthma yako uye kubvisa zviratidzo.

Yenguva refu: inhaled corticosteroids

• Beclomethasone (Qvar RediHaler)
• Budesonide (Pulmicort Flexhaler)
• Ciclesonide (Alvesco)
• Fluticasone (Flovent HFA)
• Mometasone (Asmanex Twisthaler)

Yenguva refu: leukotriene modifiers

• Montelukast (Singulair)
• Zafirlukast (Yakaringana)
• Zileuton (Zyflo)

Kana iwe uri kutora Singulair, iwe unofanirwa kuziva kuti, sekureva kweFood and Drug Administration (FDA), mune zvisingawanzoitika zviitiko, mushonga uyu wakabatanidzwa nekushushikana, hasha, kushungurudzika, uye kufungidzira.Kalra D, et al. (2014). [Montelukast (Singulair)] Chiremba postmarketing pharmacovigilance uye ongororo yekushandisa zvinodhaka. https://wayback.archive-it.org/7993/20170113205720/http://www.fda.gov/downloads/AdvisoryCommittee/CommitteeMeetingMaterials/PediatricAdvisoryCommittee/UCM414065.pdf Izvo zvinowedzerawo njodzi yekukuvara kwakakomba hutano hwepfungwa, senge pfungwa dzekuzviuraya uye zviito.FDA inoda yambiro yebhokisi nezve zvakakomba hutano hwepfungwa mhedzisiro yeasthma uye allergies zvinodhaka montelukast (Singulair); inopa zano kudzora kushandiswa kweanorgic rhinitis. (2020). Chengetedza chiremba wako kuti azive nezve chero zviratidzo zvepfungwa iwe kana mwana wako zvauri kuona.

Yenguva refu: refu-inoshanda beta-agonists (LABAs)

Iwe unofanirwa kugara uchitora maLABA pamwe necorticosteroids nekuti kana ikatorwa yega inogona kukonzeresa asthma flare-ups.

• Salmeterol (Serevent)
• Formoterol (Perforomist)
• Arformoterol (Brovana)

Dzimwe inhalers dzinobatanidza corticosteroids uye LABA mishonga:

• Fluticasone uye salmeterol (Advair Diskus, Advair HFA)
• Budesonide uye formoterol (Symbicort)
• Mometasone uye formoterol (Dulera)
• Fluticasone uye vilanterol (Breo Ellipta)

Kwayedza bronchodilator iyo yaunotora mune fomu yepiritsi. Dzimwe nguva zvinotengeswa pasi pezita reTheo-24, uyu mushonga hauwanzo kupihwa izvozvi.

Kurumidza-kuita: kununura inhalers

• Albuterol (ProAir HFA, Ventolin HFA, nevamwe)
• Levalbuterol (Xopenex HFA)

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchita ha ha.

Kana yako flare-ups ichiita kunge inokonzereswa nemaargengener, chiremba wako anogona kukurudzira immunotherapy (allergy shots) kana antihistamines uye decongestants.

Biologics

• Xolair® (omalizumab)
• Nucala® (mepolizumab)
• Cinqair® (reslizumab)
• Fasenra® (benralizumab)

Zvakadiniko nemishonga yemusikirwo?

Kune akawanda echisikigo mishonga yeasthma yekufunga.

Chirwere chirwere chakakomba, uye asthma flare-ups inogona kutyisidzira hupenyu. Ive neshuwa yekutaura nachiremba wako usati wawedzera chero mushonga wekumba kwauri kana chirongwa chezviito chemwana wako. Usamborega kutora mushonga weasima usati watanga kutaura nachiremba wako.

Mbeu nhemaNigella sativa)

Nigella sativa chinonhuwira mumhuri yekumini inoshandiswa semushonga mutsika dzinoverengeka, kusanganisira tsika yeAyurvedic. Mbeu nhema dzinogona kudyiwa, kutorwa sepiritsi kana hupfu, kana kushandiswa mune yakakosha fomu yemafuta.

A 2017 ongororo yezvidzidzo nezve Nigella sativa vakawana kuti mhodzi nhema inogona kuvandudza mapapu kushanda uye kubatsira nezviratidzo zveasima.Koshak A, et al. (2017). Kurapa mabhenefiti e Nigella sativa mubronchial asthma: Kuongorora zvinyorwa DOI: 10.1016 / j.jsps.2017.07.002 Kumwe kutsvagurudza kunodiwa nekuti mazhinji ezvidzidzo aive madiki uye akaedzwa mumhuka kana mumasero, kwete vanhu.

Tenga mbeu nhema (Nigella sativa)

Caffeine

Caffeine yakadzidzwawo semushonga wepanyama weasthma nekuti ine hukama nemushonga theophylline, iyo inoshandiswa kuzorodza mhasuru mumhepo dzako.

Kunyangwe pasina zvazvino-zvataurwa zvidzidzo zvinoratidza kubatsira kwayo, ongororo ya2010 yedata yakaratidza kuti kunwa kofi kunokonzeresa kugadzirisa zvishoma mumafambiro emhepo kwemaawa anosvika mana.Welsh EJ, et al. (2010). Caffeine yeasthma. DOI:

Choline

Choline chinhu chinovaka muviri chinodiwa nemuviri wako kuti ushande zvakanaka, asi kushomeka kwech choline hakuwanzoitika. Humwe humbowo hunoratidza kuti choline yekuwedzera inogona kudzora kuzvimba muvanhu vane asthma, asi kumedza yakawandisa choline inogona kuve nemhedzisiro.Mehta AK, et al. (2010). Choline inodzivirira immune kuzvimba uye inodzvinyirira oxidative kusagadzikana mune varwere vane asthma. DOI: 10.1016 / j.imbio.2009.09.004

Choline inogona kutorwa sepiritsi kana kuwanikwa mune zvekudya senge nyama yemombe uye yehuku chiropa, mazai, cod uye salmon, miriwo senge broccoli neholiflower, uye soya mafuta. Mhedzisiro mhedzisiro haigone kana yako choline yekudyiwa ichibva kune chikafu chega.

Tenga choline.

Pycnogenol

Pycnogenol chibodzwa chakatorwa mumakwati emupine muti unokura muFrance. Inowanzo kutorwa se capsule kana piritsi.

Kunyangwe hazvo kutsvagurudza kuchidikanwa, kumwe kuongorora muvanhu makumi manomwe nevatanhatu kwakawana kuti pycnogenol yakaderedza husiku kumutswa kubva kuarthma asthma, uye kudiwa kwemishonga yenguva dzose yeasthma.Belcaro G, et al. (2011). Pycnogenol kugadzirisa mune asthma manejimendi.

Tenga pycnogenol.

Vhitamini D

Imwe yekuwedzera vanhu vanowanzo sanganisira vhitamini D. Vanotsvaga muLondon vakawana kuti kutora vhitamini D pamwe chete nemushonga wako weasthma kwakadzikisa njodzi yekuenda kuimba yekukurumidzira yekurwiswa asima ne50 muzana.Jolliffe DA, et al. (2017). Vitamin D yekuwedzera yekudzivirira kuwedzera kweasima: Kuongorora kwakarongeka uye meta-ongororo yeumwe munhu anotora chikamu data. DOI:

Tenga vhitamini D.

Pamusoro: Vimbiso yekurapa munhu zvichienderana

Zvichiwedzera, vanachiremba vari kutsvaga kushandisa mamwe mabiomarker mukufema kwako kuyedza kugadzirisa yako asthma kurapwa.Godar M, et al. (2017). Yakasarudzika mushonga ne biologics yeakakomba mhando 2 asthma: zvazvino chimiro uye ramangwana tarisiro. DOI: 10.1080 / 19420862.2017.1392425

Iyi nzvimbo yekutsvagisa inonyanya kubatsira kana vanachiremba vachirondedzera kirasi yemishonga inozivikanwa se biologics. Biologics mapuroteni anoshanda mune yako immune system kudzivirira kupisa.

Maonero

Asthma chirwere chinokonzeresa nzira dzako dzekufema kutetepa nekuda kwekuzvimba, kuomesa, kana kuwedzera masi. Kunyange pasina mushonga, pane nzira zhinji dzekurapa dzinogona kudzivirira asthma flare-ups kana kubata zviratidzo pazvinoitika.

Mimwe mishonga yepanyama kana yekumba inogona kubatsira, asi gara uchitaura nachiremba wako usati wawedzera chero chinhu kuchirongwa chako cheasthma.