Kodi mukuganiza kuti ndi mankhwala abwino ati a mphumu yanu? Zimatengera momwe mphumu ya munthu ilili. Aliyense yemwe ali ndi mphumu ayenera kukhala ndi mankhwala opulumutsa, omwe amakhala ngati albuterol , kuti athetse vuto la mphumu. Komabe, ambiri omwe ali ndi mphumu amafunikanso mankhwala olamulira. Mankhwalawa amagwiritsidwa ntchito pofuna kuteteza zizindikiro za mphumu ndipo amatengedwa tsiku lililonse mosasamala kanthu momwe mphumu ya munthuyo ikuchitira tsiku limenelo.
Choyamba, fufuzani ngati mphumu yanu ikulamulidwa; komanso ngati mukuyenera kuonana ndi dokotala wanu kuti wodwala wodwala (kapena mankhwala osiyana) athe kutero.
Kodi mankhwala abwino kwambiri a mphumu ndi iti?
Mankhwalawa ndi mankhwala omwe amatengedwa tsiku ndi tsiku (nthawi zambiri kangapo patsiku) mosasamala kanthu za zizindikiro za mphumu. Mankhwalawa amatengedwa nthawi zonse kuti athetse kutupa ndi kutupa kwa airways. Izi zimabweretsa kukhumudwa pang'ono ndi kumangirira kwa minofu kuzungulira mpweya ndipo kotero zizindikiro zochepa za mphumu zichepa. Mankhwalawa amatenga masiku angapo kwa masabata angapo kuti ayambe kugwira ntchito, koma munthu yemwe ali ndi mauthenga a mphumu kuti mankhwala ocheperapo ochepa amafunika.
Olamulira Ambiri a Asulu Amapezeka
Izi zimaphatikizapo steroid yosakanikirana monga Flovent (fluticasone) ndi Pulmicort (budesonide), zotchedwa leukotriene blockers monga Singulair (montelukast), komanso mankhwala omwe amagwiritsidwa ntchito ndi agonists omwe amatenga nthawi yaitali monga Advair (fluticasone / salmeterol) ndi Symbicort (budesonide / formoterol) .
Mankhwala ena, monga theophylline ndi Xolair , amagwiritsidwa ntchito pophatikizapo corticosteroid kapena ma leukotriene blocker kuti athetse mphumu. Zingakhale zachilendo kuti wodwalayo atenge theophylline kapena Xolair popanda mankhwala ena kuti athe kuchiza mphumu.
Kodi Ndi Njira Yanji Yomwe Munthu Angachitire Nthawi Zonse?
Ziribe kanthu momwe mankhwala amathandizira ngati munthu amaiwala kuti azitenga.
Anthu ambiri amakonda lingaliro la kutenga mapiritsi a patsiku, monga Singulair, kuti athetse mphumu yawo nthawi yayitali. Mwatsoka, Singulair si mankhwala abwino kwambiri a mphumu kwa anthu ambiri, ngakhale kuti amachitira bwino ena. Zingakhale zomveka kuyesa mankhwala monga Singulair, malinga ngati pali ndondomeko yowonongeka ya mphumu pambuyo pa milungu ingapo. Ma steroids ambiri amatha kutengedwa kawiri patsiku, ngakhale kuti ena ndi a FDA omwe amavomerezedwa kutengedwa kamodzi patsiku (monga Asmanex).
Kodi Ndi Njira Yabwino Yanji ya Mankhwala Okhoza Kugonjetsera Chisokonezo cha Munthu?
Steroid yosakanizidwa ndi mankhwala omwe amawakonda kwambiri kwa anthu omwe ali ndi mphumu yosadziletsa. Mankhwalawa amachititsa kuti zizindikiro za mphumu zikhale bwino kwambiri komanso kupewa kuthamanga kwa mphumu kusiyana ndi leukotriene blockers. Kwa anthu omwe mphumu yawo sayang'aniridwa bwino pa steroid yosakanizidwa kapena omwe ali ndi mphumu yoopsa kwambiri, kuphatikiza kwa steroid yosakanizidwa ndi agonist nthawi yayitali angafunike. Mankhwalawa akuwoneka kuti ndi mankhwala abwino kwambiri kwa anthuwa, zomwe zimapangitsa kuchepetsa zizindikiro za mphumu, kusintha kwa mapapu, ndi kuchepetsa kugwiritsa ntchito mankhwala opulumutsa.
Kodi Ndi Njira Yabwino Yothetsera Nthenda ya Asthma, yomwe ikutsogolerabe zizindikiro za mphumu?
Kawirikawiri, mankhwala a mphumu ndi otetezedwa, ndipo kawirikawiri, ubwino wa mankhwalawa umaposa zoopsa zawo.
Izi zikunenedwa, pali zotsatira zambiri zomwe zingagwiritsidwe ntchito ndi odwala osiyanasiyana. Pano pali mauthenga okhudzana ndi mndandanda wa zotsatira zofala za mankhwala omwe amadziwika kwambiri ndi odwala a asthma:
- Kutsegula ma corticosteroids kumayambitsa thrush, kukula kwachangu ndi fupa.
- Singulair amachititsa kusintha ndi kusintha kwa makhalidwe.
- Kutulutsa ma corticosteroids ndi agonists omwe amatenga nthawi yaitali (monga Advair) akuyambitsa mphumu yoipa m'mitundu ina.
- Xolair yochititsa anaphylaxis (zovuta zowonongeka).
- Theophylline yomwe imayambitsa mtima wamagayimu .
Zotsatira:
> Dennis RJ, Solarte I, Rodrigo G. Asthma mwa Achikulire. BMJ Clin Evid. 2011.13; 2011.
> Lipoti la Panja la Akatswiri 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu. 2007.