Njira yomweyo yomwe ingakuthandizeni kuti muteteze ku matenda, chitetezo chanu cha mthupi-chingakhalenso ndi udindo wa asthma yanu yowonjezereka. Mutha kuzindikira kuti panthawi yomweyi muli ndi mphuno, maso, ndi kusokonezeka kwa sinus , chiwerengero chanu chazitali , mumapuma kwambiri, ndipo mumapuma pang'ono.
Nanga chitetezo chanu cha mthupi ndi asthma chikugwirizana bwanji?
Ndipo, kodi mungachite chilichonse kuti chitetezo chanu cha mthupi chisapangitse kuti mphumu yanu ikhale yoipitsitsa?
Mafupa ndi Zilonda: The Connection
Chitetezo cha mthupi chimakutetezani ku mabakiteriya akunja ndi mavairasi. Mu mphumu ndi matenda ena opatsirana, chitetezo cha mthupi chimayambitsa matenda anu.
Ambiri a asthmatics ali atopic , kutanthauza kuti ali ndi choloŵa chololedwa chokhala ndi chiwopsezo. Nthendayi zimachitika pamene chitetezo chanu cha mthupi chimayambitsa kugwedeza kwa zinthu zina zakunja kapena zovuta zina.
The Allergic Cascade
Ndi chifuwa cha thupi, chitetezo cha mthupi lanu chimapangitsa kuti izi zisawonongeke, ndikuziwona ngati alendo, ndipo zimayamba kukonzekera kuti zizimenyana nazo ngati alendo. Zomwe zimachitika nthawi zambiri zimatchulidwa ngati zothamanga, zomwe zimachitika m'zinthu zitatu izi:
- Kusintha
- Zoyamba kuyankha
- Gawo lachidule loyankhidwa
Kuyanjanitsa: Gawo Loyamba
Nthawi yoyamba yomwe mumakhala kuti mukudwala, izi zimatchedwa kutonthozedwa ndipo simudzakhala ndi zizindikiro.
Mwinamwake mungapezeke ndi zotsekula zomwe zimayambitsa matendawa kudzera mwa:
- Kutsekemera kwa zinthu, monga dander, mungu, kapena fumbi, pamene zinthu zimagwiritsidwa ntchito kumapapu anu
- Kusakaniza kwa zakudya kapena mankhwala kumene machitidwe oyambirira a chitetezo cha mthupi amatenga m'mimba
- Kuyanjana kwa khungu lanu ndi zinthu, monga ivy
Mthupi lanu, thupi lanu limamvetsa kuti allergen ndi yachilendo ndipo limatulutsa zochitika zomwe zimayambitsa mitundu yosiyanasiyana ya maselo a chitetezo cha mthupi, kuphatikizapo:
- Maselo a T amene amachititsa kuti maselo a B apite mwamsanga
- Maselo a B omwe amasanduka maselo a plasma
- Maselo a plasma omwe amabweretsa ma antibodies a IgE omwe amadziwika ndi allergen
- Matenda a Immunoglobulin E (IgE) omwe amamatira maselo akuluakulu
Panthawiyi, mankhwalawa amachititsa kuti zizindikiro zisawonongeke, koma simungakhale ndi zizindikilo kapena kuzindikira kuti chinachitika. Komabe, panthawi yomwe mumakhala ndi matendawa , mungayambe kukhala ndi zizindikiro za mphumu monga gawo la magawo oyambirira.
Gawo Loyamba Kutha: Gawo Lachiwiri
Powonanso kachilomboka, chitetezo chanu cha mthupi chimamvetsa kuti mankhwalawa ndi achilendo, omwe amachititsa zotsatirazi:
- Maselo amtundu / IgE opangidwa m'katikati mwa mphamvu zimakhudza mtundu wonse wa zamoyo, monga mabakiteriya kapena kachilombo ka HIV
- Mast maselo amatulutsa maselo otupa otchedwa a mediator, monga histamine, omwe amayenda mwamsanga thupi lanu ndi cholinga cholimbana ndi adani achilendo
- Mukuyamba kuona zizindikiro za thupi lanu mopitirira muyeso kwa allergen
Omulankhulira amachitanso mbali zosiyanasiyana za thupi lanu kuchititsa zizindikiro zanu zozizira .
Mungayambe kupuma, kutsokomola, kapena kupuma pang'ono pamene chitetezo cha mthupi chimayambitsa kutupa ndi kuthamanga kwa mpweya m'mapapo anu.
Mutha kuwona mphuno kapena madzi amodzi, maso okongola . Yankho la immunologicalic limayamba pafupifupi nthawi yomweyo ndi zizindikiro zikuchitika posakhalitsa pambuyo powonanso kachiwiri ndi maola atatu kapena anai okhazikika.
Yankho lakumapeto kwa gawo: Gawo Lachitatu
Kuyankha kumapeto kwa nyengo kumayambira nthawi imodzimodzimodzi poyambira poyankhidwa koma sizimayambitsa maola ambiri. Akhalapakati omwe amamasulidwa ndi kachilombo koyambitsa matendawa amachititsanso kuti mitundu ina ya maselo amatetezedwa ndi eosinophils.
Mankhwala a Eosinophil ali ndi zinthu zomwe zimatulutsidwa nthawi zambiri kumenyana ndi matenda. Koma, mu mphumu, maselo amawononga mapapu, kuchititsa kutupa kwina ndi kuwonjezereka kwa zizindikiro.
Pakapita nthawi, zizindikiro sizidzatha kwa maola anayi, koma zikhoza kukhala ngati maola 24. Kuwonjezeka kwa kutupa ndi kutsekemera kwa mpweya kungakhale koopsa kwambiri kuposa zomwe zimawoneka pachiyambi.
Kuchiza Cascade Yowopsa
Njira yodziwika bwino yothetsera vuto loyambitsa matendawa ndilo kupeŵa zowonongeka kwathunthu ndikuziletsa kuti zisadzachitike. Ngakhale izi zingagwiritsidwe ntchito ngati zovuta, monga zakudya zenizeni ndi pet dander , zina zotere, monga fumbi ndi nkhungu, zingakhale zovuta kwambiri ndipo mankhwala amafunika nthawi zambiri.
Muyenera kukhazikitsa mndandanda wa oyambitsa mphumu zomwe zimayambitsa kutuluka. Kuonjezerapo, muyenera kudziwa kuti kumatanthauza kutaya mphumu yosauka. Kugwiritsira ntchito kupulumutsa kwanu kuwirikiza kawiri pa sabata kapena kudzuka ndi zizindikiro za mphumu kuposa kawiri pamwezi kumatanthauza kuti mphumu yanu siyendetsedwa bwino. Mukapeza kuti mphumu yanu imakuchititsani kuonetsetsa kuti mumapewa zolakwa, monga kulola ziweto kukhala m'chipinda chanu kapena kugona ndizenera.
Mankhwala ndi Zochiritsira Zina
Zochiritso zamakono za mphumu ndi chifuwachi zimakonda kulumikiza mbali zina za chivomezi choletsedwa. Mankhwala oyambitsa antihistamine monga diphenhydramine (Benadryl) kapena antihistamines yachiwiri monga anti-listatine (Claritin) kapena cetirizine (Zyrtec) amapewa zizindikiro zowopsa chifukwa choletsa kusokoneza kwa omvera omwe amamasulidwa panthawi yoyamba ya kutsekemera.
Antihistamines amaletsa oimira pakati, monga histamine, kuchoka kumalo opita kuzipangizo m'mphuno ndi maso omwe amachititsa kuti zizindikiro zowonongeka, mphuno, chisokonezo, ndi maso. Ndikofunika kuti inu mulembere, kapena muzindikire kuti mutenga antihistamine, ngati ikuthandizani kuti mukhale ndi mphumu komanso zizindikiro. Lingaliro limodzi labwino ndikutenga pamene mutenga antihistamine ndikuwona ngati mwachepetsetsa kuchepetsa kupulumutsidwa kwanu kapena ngati mumangomva bwino.
Zojambulajambula , monga albuterol, zimayambitsa chifuwa cha mphumu, zomwe zimapangitsa kuti mpweya uzikhala wochulukirapo komanso zowonjezereka zowononga mpweya, zomwe zimapangitsa kuti mpweya uzikhala wophweka. Mankhwala odana ndi zotupa, monga steroids ndi antchito a leukotriene, angagwiritsidwe ntchito mwakhama kuti achepetse kuchepa kwa gawolo kapena kugwiritsidwa ntchito monga njira yowonetsera kuti ayesetse kuyankha mochedwa.
Potsirizira pake, zizindikiro zowononga kapena kugwiritsira ntchito matenda a immunotherapy zingagwiritsidwe ntchito pofuna kuyesa wodwala kuti asapitirize. Ndi mfuti, thupi lanu limachepetsa yankho lake lomenyana ndi achilendo-chitetezo cha mthupi chimapanga zochepa za IgE ndipo mosakayikira sichimachita zinthu mwamphamvu kwa mtundu wina uliwonse.
Komanso, mankhwalawa amafunika kuthandizidwa tsiku ndi tsiku kuti akhale ogwira ntchito ndipo sangagwire ntchito ngati mukuyesera kuwatenga pazomwe mukufunikira. Kaya mukugwiritsa ntchito njira yanu yopulumutsira inhaler kapena controller inhaler, muyenera kupatula nthawi kuti muonetsetse kuti njira yanu yowonjezereka ndi yolondola. Ngati mulibe njira yolondola, sikuti mankhwala onse amalowa m'mapapu anu.
Zotsatira:
> Phumu ndi Zowirikiza Foundation ya America (AAFA). Zomwe Zimayambitsa Mafupa Ndiponso Zomwe Zimayambitsa Nthendayi. September 2015.
> Delves, PJ. Zowona Zomwe Zachitika Zomwe Zimayendera. Buku la Merck: Version ya Ogula.
> National Heart, Lung, ndi Blood Institute. Report of Panel Panel 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu. August 28, 2007.