Pamene tiganizira za kuyambitsa mphumu , kugwiritsa ntchito mankhwala kwa mavuto ena azachipatala sikubwera m'maganizo. Kawirikawiri, mankhwala amathandiza chithandizo chamankhwala cha munthu-samawaipitsa. Komabe, palinso mankhwala amene munthu angatenge omwe angawononge zizindikiro za mphumu, kapena zimayambitsa zizindikiro zina zotuzira monga kukodza. Choncho, nkofunika kuti mudziwe dokotala aliyense yemwe amakuchitirani za asthma ndi mavuto ena azachipatala.
Beta-Blockers
Beta-blockers amagwiritsidwa ntchito kwambiri mankhwala opaleshoni ya kuthamanga kwa magazi, mtima wamagetsi komanso kupewa mutu wa mutu wa migraine. Amagwiritsidwanso ntchito mu mawonekedwe a kutsogolo kwa diso pofuna kuchiza glaucoma. Beta-blockers amagwiritsa ntchito mapulogalamu ena omwe amapezeka pa ziwalo zosiyana thupi lonse chifukwa cha kuchepa mtima kwa mtima, kuthamanga kwa magazi, ndi "ntchito yamapope" ya mtima. Mwamwayi, beta-blockers ali ndi zotsatira zosiyana pa mapapu omwe albuterol amachitako, ndipo ikhoza kuchititsa kupweteka kwa minofu kuzungulira mpweya. Izi zakhala zikudziwika ndi kugwiritsa ntchito madontho a maso a beta.
Ngakhale kuti mabeter-blockers atsopano amafunika kukhala pamtima (otchedwa "cardio-specific"), okalamba otenga beta amadziwika kuti amayambitsa zizindikiro za asthma. Nthawi zina, munthu amene ali ndi mphumu ali ndi chosowa chachikulu cha beta-blocker. Ngati ndi choncho, munthuyo ayenera kufunsa dokotala kuti adziwe ngati beta-blocker.
Ngati zizindikiro za mphumu zidakali zovuta, mankhwala osokoneza bongo ndi zotsatira za anticholinergic, monga ipratropium (Atrovent HFA) kapena tiotropium (Spiriva), zingathandize kuthana ndi vutoli.
Aspirin ndi Aspirin-Monga Mankhwala
Aspirin ndi mankhwala okhudzana ndi mankhwalawa, amatchedwa mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs), amagwiritsidwa ntchito kwambiri mankhwala ochizira kupweteka kwa thupi limodzi ndi minofu, kutupa mutu, malungo, komanso mankhwala osokoneza bongo pofuna kupewa matenda a mtima ndi mikwingwirima.
NSAID zimapezeka m'njira zambiri pamsika ndi pamankhwala. Anthu ena ali ndi vutoli ku ma NSAID , omwe amachititsa kuti zizindikiro zokhudzana ndi matenda a mphumu ziwonjezeke, kapena urticaria / angioedema kapena ngakhale anaphylaxis. Pafupifupi 10% a anthu omwe ali ndi mphumu akhoza kukhala ndi zizindikiro zoopsa za mphumu chifukwa chotsata NSAIDs; izi zimawonjezeka kwa 40% mwa anthu omwe ali ndi mphumu pamene amphindi amphongo amapezeka.
Ngati njira zina zothandizidwa ndi NSAID zikufunika, anthu ambiri okhala ndi NSAID akhoza kupirira acetaminophen (Tylenol). Ngati mankhwala amphamvu okhala ndi zotsatira zowonjezera zotupa ndi zofunikira, celecoxib (Celebrex) imavomerezedwa ndi anthu ambiri (koma osati onse) omwe ali ndi vuto la NSAID.
Angiotensin Kutembenuza Mavitamini a Enzyme (ACE Inhibitors)
ACE inhibitors amagwiritsidwa ntchito kwambiri mankhwala opaleshoni ya kuthamanga kwa magazi ndi mtima wosalimba. Mafomu omwe amachititsa kuti mitundu yambiri ikhale yowonjezeredwa ndi lisinopril, ramipril, ndi mitundu ina yambiri yomwe imathera m'makalata akuti "pril." Komabe, anthu ena ali ndi zotsatira za kupuma kuchokera kuchipatalachi, ndipo pafupifupi 10% ali ndi chifuwa chowuma, chouma. Chifuwachi chikhoza kulakwitsa chifukwa cha kuwonjezereka kwa mphumu kapena zina zomwe zimayambitsa chifuwa . Kawirikawiri, chifuwa chidzachoka mkati mwa masabata angapo kuti asiye ACE inhibitor.
Komabe, ngati chifuwa chiri cholimba, kapena kuti ACE inhibitor silingakhoze kuimitsidwa, kupachikidwa kwa cromolyn (Intal) kapena nedocromil (Tilade) kungakhale kothandiza kuthandizira chifuwa cha ACE choletsa tizilombo toyambitsa matenda.
Chitsime:
Mankhwala Omwe Amatha Kukhala ndi Zotsatira Zovuta Kwambiri. Mavuto okhudzana ndi matenda ndi zifuwa. Zima 2009/2010. American Academy of Allergy, Webusaiti Yachifuwa ndi Immunology Website.