Ubwino ndi Kuipa kwa Kuthamanga Kwambiri Kwambiri
Mwinamwake mwamva kuti kuthamanga kwachangu kapena cluster immunotherapy ndi njira yowonetsera chifuwa chanu mofulumira, ndi kudzipereka pang'ono pa mzere. Kodi njirazi ndiziti, ubwino ndi zovuta ndi ziti, ndipo njira izi zowonjezera zimapindulitsa kwambiri? Kodi muyenera kuganizira chiyani kuti mupange chisankho chabwino?
Immunotherapy kwa Matenda a Nthendayi ndi Chisokonezo
Immunotherapy , kapena zizindikiro zowonongeka, zimapereka chithandizo chokhacho chokha chothetsera matenda a rhinitis , odwala conjunctivitis , atopic dermatitis , odwala asthma ndi matenda oopsa. Mosiyana ndi mankhwala omwe amangozizira zizindikiro zowononga, zizindikiro zozizira ndizo njira yokhayo yomwe imasinthira momwe thupi la munthu limachitira ndi chifuwa. Choncho, mungaganize kuti aliyense angafunike kuchita zozizwitsa. Mwamwayi, ziwombankhanga zingakhale zovuta kwa anthu ambiri chifukwa zimaphatikizapo kudzipereka kwa nthawi yambiri (kawirikawiri amapita ku ofesi yowonongeka kamodzi pawiri pa sabata poyamba), ndipo zingatenge miyezi isanayambe kugwira ntchito.
Ndondomeko zomangirira mwamsanga (zofulumizitsa) zowonongeka zimagwiritsidwa ntchito ndi anthu ena omwe amatsutsa zowonongeka kuti akwaniritse chiwopsezo chothamanga kwambiri, zomwe zimapangitsa kuti mapulaneti apindule mwamsanga. Ndondomekozi zimapangitsanso munthu kupita ku "dose yothandizira" mofulumira, komanso amatha kufika ku ofesi yosayenerera kawirikawiri kuti awonongeke pokhapokha ngati mlingo wokonzansowu ukukwaniritsidwa.
Pali mitundu iwiri ya ndondomeko yomanga mofulumira-rush immunotherapy ndi cluster immunotherapy.
Kodi Kuthamanga Kwambiri N'kutani?
Kuthamanga kuthamanga kumaphatikizapo kupatsa munthu maulendo angapo a ziwopsezo kwa maola ambiri mpaka masiku, kukwaniritsa mlingo wokonzetsa nthawi yochepa kwambiri. Nthawi zambiri, kuchuluka kwa mlingo kumaperekedwa kwa mphindi khumi ndi zisanu ndi zisanu ndi ziwiri (60) mpaka 60 mpaka masiku oyambirira, ndikuyamba kuwonjezeka mofulumira mpaka kufika kuchipatala.
Phindu
Kuthamanga immunotherapy kumapangitsa anthu kuti adzike mpaka kukonzekera mlingo wa ziwombankhanga zawo mofulumira kwambiri. Izi nthawi zambiri zimafika pakapita masabata asanu ndi limodzi. Mosiyana ndi zimenezi, nthawi zambiri anthu amalandira mlingo umodzi kapena kawiri pa sabata ndipo amatha miyezi itatu kapena sikisi kuti amange mlingo woyenera. Pambuyo pa nthawi yoyamba yofulumira kuthamanga, munthu amatha kulowa mu ofesi yowonongeka kamodzi pa sabata kwa masabata ambiri, kenaka nthawi zambiri.
Anthu omwe akuthamangira kuthamanga kwachangu amathandizidwa ndi zoopsa zowopsa kwambiri, kawirikawiri mkati mwa masabata angapo. Zopindulitsa ndi zizindikiro zowonongeka zingatenge nthawi yayitali, ndipo phindu limakhala loyamba nthawi yomwe njira zochezera zimakwaniritsidwira.
Kuthamanga immunotherapy kumagwiritsidwa ntchito mobwerezabwereza kwa anthu omwe ali ndi zilonda zam'mimba (njuchi zimatulutsa chifuwa ndi nyerere.) Izi zimathandiza kuti chitetezo chofulumira chitetezedwe ku zitsamba zowononga tizilombo, ndipo zitha kukhala njira yowononga anthu omwe ali ndi chifuwa cha mimba vuto ndi zomwe zimachitika pakamwa kwawo. Kafukufuku wa 2016 anapeza kuthamanga kwachangu kuti akhale otetezeka komanso ogwira mtima kwambiri chifukwa cha chifuwa cha ana.
Kwa nthawi yaitali, kuthamanga kwachangu kungakhalenso kotsika mtengo.
Kuipa
Mwamwayi, kuthamanga kwachangu kumachititsa kuti anthu ambiri asamayesedwe, choncho mankhwala osiyanasiyana (monga antihistamines ndi corticosteroids ) amaperekedwa kuti athetse kapena kuchepetsani zotsatirazi. Munthu amene akufulumira kuthamanga ayenera kukhala wokonzeka kukhala osachepera masiku angapo mu ofesi yotsutsa, akulandira zidole zambiri zolimbitsa thupi panthawiyi.
Kuthamanga kumakhala nthawi yodzipereka nthawi yambiri, nthawi zambiri kutenga tsiku lonse kapena kuposerapo, pamene nthawi zambiri imachepetsa nthawi yopereka nthawi.
Kodi Cluster Immunotherapy N'chiyani?
Cluster immunotherapy imakhala pakati penipeni pakati pa chidziwitso cha immunotherapy ndi kuthamanga kwachangu m'thupi. Ndi magulu oteteza thupi, nthawi zambiri jekeseni ziwiri kapena zitatu (za kuchuluka kwa mlingo) zimapatsidwa ulendo uliwonse. Zimaganizidwa kuti ndi njirayi, vutoli limatha kupitirira masabata anayi kapena asanu ndi atatu (mosiyana ndi miyezi itatu kapena isanu ndi umodzi.) Mofanana ndi kuthamanga kwamadzi, njira imeneyi imalola munthu kuti azifika pafupipafupi mofulumira koma amachititsa kuti awonongeke kwambiri . Kawirikawiri, zochepa zowonjezera majekesiti zimafunikila chiwerengero chonse kusiyana ndi momwe zimakhalire ndi ma immunotherapy
Pansi
Kuthamanga ndi magulu a immunotherapy kumapereka njira zosiyana ndi ndondomeko ya chikhalidwe cha ziwopsezo zowononga, kuti munthu apindule kwambiri ndi zovuta zowonongeka mofulumizitsa, motero phindu lake lidzafulumira. Komabe, kuthamanga kwachangu kumathandiza kuti pakhale kuchuluka kwa zomwe zimachitika. Kuthamanga kumakhala nthawi yodzipereka nthawi yayitali, nthawi zambiri kutenga tsiku lonse kapena kuposerapo, pamene ikhoza kukhala nthawi yopulumutsa.
Kawirikawiri, akatswiri onse odwala matenda opatsirana amakhala ndi njira zowonetsera odwala awo, ndipo amakonda kupereka odwala onse oyenera. Ambiri opatsa mphamvu sapereka odwala awo kusankha nthawi yokonza. Ngati mukufuna kuchita imodzi mwa ndondomekoyi yomangirira mwamsanga, funsani odwala ambiri a m'deralo kuti mupeze munthu wodziwa bwino njirazi.
Zotsatira:
Confino-Cohen, R., Rosman, Y., ndi A. Goldberg. Kuthamanga Kwambiri Kugonana kwa Ana. Journal of Allergy ndi Clinical Immunology. Muzochita . 2016 Nov 30. (Epub patsogolo pa kusindikiza).
Cox, L. Ubwino ndi Kuipa kwa Mapulitsidwe Odzidzidzikitsa a Immunotherapy. The Journal of Allergy and Clinical Immunology . 2008. 122 (2): 432-434.
Fan, Q., Liu, X., Gao, J., Huang, S., ndi L. Ni. Kuyerekeza Kuyerekezera kwa Cluster ndi Kugonjetsa Immunotherapy Kwa Odwala ndi Allergic Rhinitis. Kuyeza ndi Kuchiza Mankhwala . 2017. 13 (2): 717-722.
Perez-Rangel, I., Rogriguez Del Rio, P., Escudero, C., Sanchez-Garcia, S., Sanchez-Hernandez, J., ndi M. Ibanez. Zogwira Mtima ndi Chitetezo cha Mphamvu Zambiri Zozizira Zomwe Zidzakhala Zosamalidwa M'mazira Okhazikika Odzipiritsa Ana: Njira Yowonongeka Kwambiri. Zizindikiro za Kutsekula kwa Mthupi, Khunyu ndi Immunology . 2017. 118 (3): 356-364.
Winslow, A., Turbyville, J., Sublett, JW., Sublett, JL. ndi S. Pollard. Kuyerekezera Zochitika Zowonongeka mu Kuthamanga, Cluster, ndi Standard-Build Aeroallergen Immunotherapy. Zambiri za matenda a zowononga, mphumu, ndi Immunotherapy . 2016. 117 (5): 542-545.