Kodi ndizotheka kumwa mankhwala opatsirana pogonana?
Ndizomveka kuti amayi ambiri samakonda kutenga mankhwala osayenera pamene ali ndi pakati. Palibe mayi yemwe angafunike kumuika mwana wake pangozi yowopsa ya kubala chifukwa cha mankhwala. Komabe, kupweteka kwa thupi kumapangitsa mayi wina kukhala womvetsa chisoni kwambiri kuti mankhwala angafunikire kuti zizindikiro zowonongeka zisatenge miyoyo yawo.
Malingana ndi Food and Drug Administration (FDA), palibe mankhwala omwe amawoneka kuti ali otetezeka mwathunthu pa mimba. Izi zili choncho chifukwa palibe mayi yemwe ali ndi pakati omwe akufuna kulemba kuti apitirize kuphunzira zachipatala pamene ali ndi pakati.
Choncho, a FDA apereka ziopsezo kwa mankhwala okhudzana ndi kugwiritsidwa ntchito mthupi:
- Gawo "A" mankhwala ndi mankhwala omwe amaphunzira bwino kwa amayi apakati akuwonetsa chitetezo cha mankhwala kwa mwanayo m'miyezi itatu yoyamba. Mankhwala amodzi ndi awa ndipo palibe mankhwala a mphumu omwe amawerengedwa ndi gulu A.
- Mankhwala a "B" adaphunziridwa ndi ziweto, zomwe zimasonyeza kuti zili zotetezeka, koma palibe maphunziro aumunthu omwe alipo.
- Mankhwala a "C" angapangitse mwanayo kukhala wopweteka kwambiri akamaphunzira mbuzi zomwe zili ndi pakati, koma phindu la mankhwalawa likhoza kupitirira kuopsa kwa anthu.
- Mankhwala a "D" amasonyeza chiwopsezo chomveka kwa mwana wakhanda, koma pakhoza kukhala zochitika zomwe zimapindulitsa kwambiri kuopsa kwa anthu.
- Mankhwala a "X" amasonyeza umboni woonekeratu wa zilema za kubadwa kwa nyama ndi / kapena maphunziro aumunthu ndipo sayenera kugwiritsidwa ntchito pathupi.
Antihistamines. Antihistamines achikulire, monga chlorpheniramine, ndiwo othandizira kuti azitha kulandira matenda a rhinitis pa nthawi yomwe ali ndi mimba ndipo onsewa ndi mankhwala a B. Ma antihistamines atsopano monga over-the-counter loratadine (Claritin, mafomu a generic) ndi cetirizine (Zyrtec, mawonekedwe achibadwa ) ali ndi mimba ya mimba B.
Mankhwala atsopano antihistamine amene ali ndi mimba B ndi Xyzal (levocetirizine).
Otsutsa kwambiri . Pseudoephedrine (Sudafed®, mitundu yambiri ya ma generic) ndi mankhwala omwe amavomereza kupweteka kwambiri pakamwa pa nthawi yomwe ali ndi pakati, ngakhale kuti ayenera kupewedwa pa trimester yonse yoyamba, monga momwe amathandizira ndi gastroschisis ya khanda. Mankhwalawa ndi chigawo cha mimba C.
Kupopera mankhwala amphongo. Cromolyn nasal spray (NasalCrom) ndi othandiza pochiza matenda a rhinitis ngati agwiritsidwa ntchito asanayambe kugwiritsidwa ntchito kwa allergen komanso kusanayambe kwa zizindikiro. Mankhwalawa ali ndi chigawo chakumimba B ndipo amapezeka pamsika. Ngati mankhwalawa si othandiza, m'modzi wa nasal steroid , budesonide (Rhinocort Aqua), analandira mimba ya mtundu wa B (ena onse ndi gulu C), choncho amatha kukhala chithandizo chamankhwala panthawi yomwe ali ndi mimba.
Immunotherapy. Kuwombera mthupi kungapitirizebe panthawi ya mimba, koma sikuvomerezeka kuti uyambe mankhwalawa pamene ali ndi pakati. Kawirikawiri mlingo wa zizindikiro zowonongeka siwonjezeka, ndipo ambiri omwe amapezako mankhwala amatha kuchepetsa mlingo wa zovuta zomwe zimawombera 50% panthawi yoyembekezera. Akatswiri ena amakhulupirira kuti zizindikiro zowonongeka ziyenera kuimitsidwa panthawi yomwe ali ndi mimba, poika chiopsezo cha anaphylaxis ndipo zingakhale zoopsa kwa mwanayo.
Zina kuposa anaphylaxis, palibe deta yomwe imasonyeza kuti zozizira zimadzivulaza kwenikweni zimayipitsa mwanayo.
Phunzirani zambiri za matenda omwe ali ndi mimba , kuphatikizapo zikhalidwe zomwe zimatsanzira zokhazokha pa nthawi ya mimba.
Zotsatira:
> Allergen Immunotherapy Practice Parameters. Ann Zozizira Nthenda Immunol. 2003; 90: S1-40.
> Dykewicz MS, Fineman S, olemba. Kuzindikira ndi Kulamulira kwa Rhinitis: Zitsogozo Zonse za Gulu Loyamba la Ntchito pa Zomwe Zimagwiritsidwa Ntchito Pochita Zachirombo, Khunyu ndi Immunology.