Phunzirani Zambiri Zambiri Zamatsenga Pansi Pake Lilime
Mankhwala omasulira, kapena SLIT, ndi mawonekedwe a immunotherapy omwe amachititsa kuika madontho a extragen pansi pa lilime. Anthu ambiri amatchula njirayi ngati " madontho okhudza zowononga ," ndipo ndi njira yothetsera vutoli. Mtundu uwu wa immunotherapy wakhala ukugwiritsidwa ntchito kwa zaka zambiri ku Ulaya ndipo posachedwa kwawonjezeka chidwi ku United States.
Fomu ya FDA
Madontho ambiri okhudzana ndi zofooka sivomerezedwa ndi Food and Drug Administration (FDA) ku United States. Komabe, pa March 1, 2017, a FDA adavomereza Odactra kuti athetse matenda a rhinitis ndi conjunctivitis omwe amachitidwa ndi nthiti zapanyumba zapakati pa anthu 18 mpaka 65. Ndipo mu 2014, a FDA adavomereza mankhwala atatu a SLIT. Zogulitsa zimenezi zimaphatikizapo Grazax (chifukwa cha udzu wa udzu ), Oralair (chifukwa cha udzu wa udzu), ndi Ragwitek (chifukwa cha zovuta ).
Ngakhale kuti madontho ambiri okhudzidwa ndi matendawa sali ovomerezedwa ndi FDA, madokotala ena amapereka kwa odwala "kuchoka pamatope," omwe ndi ovomerezeka. Zimangotanthauza kuti angakuwononge chifukwa inshuwalansi ya umoyo sichikuphimba chinthu chomwe sichiri chovomerezedwa ndi FDA.
Kafukufuku wambiri akuchitika panopa pofuna kuyesa kupeza SLIT FDA-kuvomerezedwa ku United States, koma zikutheka kuti kuvomereza kuli zaka zingapo kutali. Samalani ndikulankhulana ndi wovomerezeka wodziwika bwino musanasankhe mankhwalawa.
Mafunso otsala oti ayankhidwe asanayambe SLIT kulandira FDA kuvomereza:
- Kodi mlingo woyenerera ndi wotani, ndi nthawi yanji ya SLIT?
- Kodi zoterezi zingaperekedwe bwanji m'njira yothandiza, yabwino, komanso yotsika mtengo?
- Kodi SLIT ndi yotetezeka ku magulu akuluakulu oopsa?
- Kodi tanthauzo la zotsatira zoyipa zimatanthauzanji?
Momwe Inu Mumatengera Madzi
SLIT kawirikawiri imatulutsidwa njira imodzi: madontho (kapena mapiritsi) a kuchotsa mchere akuikidwa pansi pa lilime, kenako amawameza kapena amavulala. Kafukufuku wochuluka ayang'ana pa kumeza chotsitsacho, chomwe chikuwoneka chikugwira bwino. Njira yowonongeka ndi njira ya pamlomo (kumameza osasungika pansi pa lilime nthawi iliyonse) imayambitsa mavuto ambiri a m'mimba ( kunyoza , kusanza, kutsekula m'mimba), choncho sikunagwiritsidwe ntchito.
Kawirikawiri, SLIT imaperekedwa kaya tsiku ndi tsiku kapena kangapo pa sabata pazaka. Odwala ambiri amatha kudzipangira okha madontho omwe amalembedwa. Sitikudziwitsabe chomwe regimen yabwino kwambiri ya dosing ndi SLIT.
Momwe Madzi Amagwirira Ntchito
Mmene chitetezo cha mthupi chitetezera m'mimba chimakhala "kulekerera" zinthu zakunja, kutanthauza kuti sizimayankha mwa njira yowonjezera yowonjezera zakuthupi. Izi zimakhala zomveka; mwinamwake, thupi likanakwiya kwambiri ndi chirichonse chomeza, kuphatikizapo chakudya. Pamene kugwiritsira ntchito zizindikiro zochepa zokhudzana ndi matenda a m'mimba kumalowa m'matumbo, chitetezo cha mthupi chimapirira tolergen. Izi zimabweretsa zizindikiro zochepa zowononga pamene thupi likuwonekera ku chithandizo chowopsa, monga mungu wamtundu kapena pet dander.
Momwe SLIT Yagwirira Ntchito
SLIT ikuwoneka kuti ikugwira ntchito pochiza matenda okhwima a rhinitis , odwala conjunctivitis , ndipo, mpaka pang'onopang'ono, akusowa asthma .
Ngakhale kuti kafukufuku wambiri pa zovuta zowonongeka zimasonyeza phindu pa chithandizo cha matenda opatsirana, zotsatira zake sizikugwirizana, ndi gawo limodzi mwa magawo atatu a maphunziro osasonyeza phindu pa chithandizo cha placebo.
Chidziwitso cha chitetezo
Kwa zaka khumi zapitazo, chitetezo cha SLIT chalembedwa bwino. Palibe zotsatira zowopsya komanso zopweteka ku madontho osiyana siyana omwe akugwiritsidwa ntchito mpaka pano. Zowonongeka, monga chilakolako chokoma, zimachitika mwa anthu ambiri, ndipo zotsatira zochepa zakhala zolembedwa (chimodzi mwa pafupifupi 12,000 mlingo), kuphatikizapo:
- Mlomo, pakamwa, ndi lilime laukali
- Kuyabwa kwa diso, kufiira, ndi kutupa
- Nsupa, kusanza, kupweteka m'mimba, ndi kutsekula m'mimba
- Kupopera, kuyabwa kwapakhosi, ndi kusokonezeka
- Zizindikiro za mphumu
- Urticaria ndi angioedema (ming'oma ndi kutupa)
Chifukwa cha chitetezo cha SLIT, anthu ambiri amadzichitira okha kunyumba ndipo amatsatiridwa ku chipatala nthawi yayitali kuti ayang'ane kulandira mankhwala.
Ndani Angapeze (kapena Akuyenera) Kulandira Zamagulu Zambiri Zamatsenga?
Anthu omwe ali ndi matenda opatsirana (allerergic rhinitis, allergenic conjunctivitis, ndi / kapena allergic asthma) kuchokera ku mayeso opatsirana angaganizidwe kuti SLIT. Ana aang'ono adasonyezedwa kuti amalekerera ndi kupindula ndi madontho omwe amachititsa kuti azitha kudwala, monga akuluakulu. Azimayi amatha kupitilira SITU panthawi yomwe ali ndi mimba koma sayenera kuyamba mankhwala ali ndi pakati. Anthu omwe ali ndi mphumu yambiri amafunika kuyang'anitsitsa ku SLIT, popeza zizindikiro za mphumu zikhoza kuwonjezereka ndi SLIT.
Kafukufuku wambiri pa zolemba zazing'ono zokhudzana ndi zovuta zowonjezera zakhudzana ndi anthu omwe ali ndi mtundu umodzi wa zovuta, monga udzu kapena fumbi mite zovuta. Anthu omwe ali ndi zilonda zamtundu umodzi, monga nkhungu, pollens, pet dander ndi nsipu zamtundu sangakhale abwino kwa SLIT, atapatsidwa chiwerengero chachikulu cha mitundu yosiyanasiyana yomwe imayenera kutengedwa.
Kodi SLIT Yimalinganiza Bwanji ndi Zotsatira Zamakono Zolimbitsa Thupi?
Zizindikiro zowopsa za mankhwala ndizo mankhwala ochiritsidwa pochiza matenda a rhinitis, odwala conjunctivitis , odwala asthma, ndi zowopsa kwa zaka pafupifupi zana. Kuwombera mliri kwa FDA kwavomerezedwa kwa zaka zambiri, ngakhale kuti akuyenera kuperekedwa ku ofesi ya dokotala chifukwa cha zotsatira zowopsa. Kotero, iwo akhoza kukhala zosokoneza kwa anthu ambiri.
Kafukufuku akuyerekeza ndi mphamvu zowononga ziwalo zogonana ndi SLIT zisonyezeratu kuti zizindikiro zowonongeka ndizobwino pochiza matenda a rhinitis ndi zizindikiro za mphumu. Kuonjezera apo, zizindikiro za immunologic ndi mayesero ena omwe amagwirizana ndi kuyankhidwa kwa immunotherapy amawoneka mochepa mwa anthu omwe amalandira SLIT. Choncho, pamene zizindikiro zowonongeka zikuwoneka kuti ndizopambana pochiza matenda opatsirana, SLIT ikhoza kukhala chithandizo chofunika kwambiri kwa anthu omwe safuna kapena sakutha kulandira zizindikiro zozizira.