Zaka zaposachedwapa, mankhwala owonjezera othandizira (CAM) atchuka kwambiri, pafupifupi theka la anthu omwe akugwiritsa ntchito kapena kugwiritsa ntchito CAM pa nthawi imodzi.
Mitundu yowonjezereka ya CAM imaphatikizapo kuchitapo kanthu, mankhwala opatsirana kunyumba, mankhwala a zitsamba, ndi yoga. Kuwonjezeka kwagwiritsidwe ntchito kwa CAM kukuwoneka kuti kumadalira kusakhulupirika kwa mankhwala ochiritsira ndi ochiritsira, zasokonezeka ndi madokotala, ndi / kapena chikhulupiliro kuti CAM ndi yotetezeka, yachilengedwe , ndipo alibe zotsatirapo.
Choncho, tiyeni tione zina mwa mankhwalawa.
Kupangidwanso
Kuchulukitsa thupi ndi mbali ya mankhwala achikhalidwe cha China ndipo amagwiritsidwa ntchito pa matenda ambiri odwala, kuphatikizapo odwala rhinitis ndi mphumu . Njirayi imaphatikizapo kuika zingano pakhungu pa mfundo zenizeni za thupi, zomwe zikuyenera kubwezeretsanso "zofunikira kwambiri."
Kafukufuku wambiri wogwiritsira ntchito mankhwala opatsirana pogwiritsira ntchito kuchiza mphumu sanaganizidwe bwino ndipo sali ovomerezeka ndi zasayansi. Ambiri mwa maphunzirowa amalephera kuphatikizapo "control" (gulubo kapena "chinyengo") gulu ndipo alibe "khungu" (kutanthauza kuti asayansi sangakhale osakondera chifukwa sakudziwa amene amachiritsidwa ndi amene amapeza mankhwala a placebo) monga gawo la kuphunzira.
Kuwunika kwa maphunziro omwe akupezeka bwino pa kudulidwa magazi sikulephera kusonyeza pang'ono, kulipiritsa chithandizo cha mphumu. Kafukufuku wopanga mankhwala opangira mankhwala ophera tizilombo toyambitsa matenda, makamaka, amapangidwa mosavuta, ngakhale angapo amasonyeza phindu pa placebo.
Kafukufuku wina anachitidwa kwa ana, pogwiritsa ntchito mankhwala okhwimitsa minyanga itatu ndi miyezi itatu yotsatira pambuyo pochiritsidwa, adawonetsa phindu kwa iwo omwe adalandira "chenichenicho". Iwo akadalibe, koma ankafuna mankhwala omwewo chifukwa cha chifuwa chawo monga gulu la placebo.
Mankhwala a Zitsamba
Mankhwala ambiri ochiritsira matenda osiyanasiyana amachokera ku zomera ndi zitsamba, kuphatikizapo theophylline, yomwe yakhala ikugwiritsidwa ntchito pochizira mphumu.
Ndipo zowonjezera zowonjezera zitsamba zakhala zikugwiritsidwa ntchito pochiza chifuwa ndi mphumu, ndi zina zokha zopindulitsa.
Phumu
Kafukufuku pa zitsamba za mphumu zasonyeza ubwino poyerekeza ndi placebo, ngakhale kuti maphunziro ambiri sanapangidwe. Zitsamba zothandiza mu mphumu zikuphatikizapo Chitsamba chosakanikirana cha ku China, Tylophora indica (Indian ipecac), ndi pang'ono, Boswellia serrata , butterbur, ndi saiboku-to (TJ96). Komabe, Picrorhiza kurroa sichinawonetsedwe kuti imatha kuchiza mphumu. Ngakhale zotsatira zina zowonjezera pogwiritsira ntchito zitsamba, kufufuza mosamala kafukufukuwa sikukuwonetsa umboni wosatsutsika wakuti zitsamba zimathandiza kuchiza mphumu.
Allergic Rhinitis
Kafukufuku pa zitsamba zomwe zimayambitsa matenda a rhinitis zakhala zowonjezereka kwambiri, komanso maphunziro awiri osagwiritsidwa ntchito pogwiritsa ntchito butterbur pochiza matenda a rhinitis. Phunziro limodzi lopangidwa bwino linasonyeza kuti butterbur anali ofanana ndi letirizine (Zyrtec®), pamene wina anasonyeza kuti butterbur inali yofanana ndi felefenadine (Allegra®).
Phunziro lina lopangidwa bwino lomwe limagwiritsidwa ntchito mosagwiritsidwa ntchito mochedwa rhinitis likuwonetsa kuti biminne inali yothandiza kuti zizindikiro za rhinitis zisawonongeke poyerekezera ndi placebo. Pomalizira, phunziro lokonzedwa bwino linasonyeza kuti chitsamba chosakanikirana cha China chinapindulitsa kwambiri pa zizindikiro zowopsa za rhinitis kusiyana ndi placebo.
Komabe, maphunziro ena pogwiritsira ntchito butterbur amasonyeza kusiyana kulikonse pa malobo pochiza zizindikiro kwa anthu omwe ali ndi matenda enaake oopsa. Tingawonongeke pamtunduwu sizinapezeke kuti ndi zothandizira kuchiza nyengo yowopsa ya rhinitis.
Pamene zitsamba zowonjezereka zikuwonetsa malonjezano pa chithandizo cha mphumu ndi matenda oopsa a rhinitis, pali zovuta zomveka bwino. Zitsamba sizili ndi zotsatirapo (zina zoopsa kwambiri) ndipo zakhala zikudziyanitsa ndi mankhwala ambiri a mankhwala.
Komanso, zitsamba zopangira mankhwala sizimayendetsedwa ndi US Food and Drug Administration mofanana ndi mankhwala a mankhwala, kotero kuti palibe chitsimikizo.
Choncho, zimakhala zopanda nzeru kutenga mankhwala owonjezera chifukwa ndi otetezeka kusiyana ndi mankhwala a mankhwala.
Tizilombo toyambitsa matenda
Matendawa amachokera ku lingaliro lakuti matenda angathe kuchiritsidwa mwa kupereka mankhwala omwe amayambitsa matendawa kwa munthu mwazing'ono kwambiri. Izi zimagwirizana ndi mfundo yogwiritsidwa ntchito mu immunotherapy , kupatulapo mankhwala ochepa kwambiri omwe atsimikiziridwa kukhala opindulitsa pogwiritsira ntchito ziwombankhanga.
Phumu
Maphunziro atatu omwe amapanga bwino amasonyeza kuti palibe phindu lothandizira njira zothandizira anthu kuti azisamalira mphumu.
Allergic Rhinitis
Kafukufuku wina amasonyeza phindu la kutupa kwa tizilombo kuti tipewe matenda a rhinitis, ndi phindu la antihistamines, monga chlorpheniramine kapena zofanana ndi cromolyn nasal spray. Komabe, maphunziro ena ambiri sasonyeza ubwino wokhala ndi tizilombo toyambitsa matenda poyerekeza ndi placebo. Ngakhale kuti pali zotsatira zolimbikitsa za maphunziro ang'onoang'ono, osankhidwa, umboni wonse wa matendawa ndi ofooka, pomwe umboni wa mankhwala ochiritsira kuchipatala ndi matenda amphamvu kwambiri.
Kuchiza Mankhwala-Kusokonezeka Kwambiri
Odwala oposa 100 omwe ali ndi mphumu adaphunzira pamene akugwiritsidwa ntchito ndi "zenizeni" njira zamakono. Panalibe kusiyana pakati pa magulu awiriwa malinga ndi zizindikiro zawo za mphumu.
Komabe, imodzi mwa maphunzirowa inasonyeza kuti odwala omwe analandira chithandizo chenicheni cha mankhwala ochepetsa chiwopsezo cha mankhwala anali atachepetsa kukhudzidwa kwa mankhwala osokoneza bongo (methacholine) omwe ankagwiritsidwa ntchito pozindikira kuti matenda a mphumu anali ovuta kwambiri. Phunziro lina lopangidwa molakwika pa njira za chifuwa cha mphumu linasonyeza kuwonjezereka kwa chifuwa cha mankhwala m'magulu omwe akuchiritsidwa, ngakhale kuti panalibe zizindikiro.
Njira Zopuma / Yoga
Njira zofewa ndi yoga zingakhale zopindulitsa pa umoyo wabwino komanso kusintha kwa moyo wa asthmatics. Komabe, kufufuza pa njira, monga kupuma kwa Buteyko, Sahaja, Hatha, ndi yoga ya Pranayama kumalephera kusonyeza kusintha kulikonse kwa zizindikiro za mphumu kapena kupititsa patsogolo koyesa kupuma. Palibe zofufuza zomwe zilipo zowononga rhinitis.
Biofeedback / Hypnosis
Maphunziro onse omwe adawonekeratu pogwiritsira ntchito biofeedback ndi kuponderezedwa pochiza matenda a asthma anali osaphunzira zopanga maphunziro ndipo alephera kusonyeza phindu lililonse.
Zochitika Zina Zochiritsira
Palibe maphunziro opangidwa bwino omwe amagwiritsidwa ntchito pogwiritsa ntchito aromatherapy, chromotherapy, maluwa a Bach, anthroposophy, makandulo a Hopi, hydro-colon, mankhwala a mkodzo, zamoyo zamakono, kapena iridology pofuna kuchiza asthma kapena allergenic rhinitis. Choncho njira zimenezi siziyenera kuoneka ngati zothandiza.
Mawu Ochokera
Ngakhale zingakhale zomveka kupanga CAM gawo lachidziwitso cha mankhwala, sizingakhale zomveka kuti njira izi zisanavomerezedwe m'malo mwa mankhwala ochiritsidwa omwe amatsimikiziridwa ndi matenda omwe angakhale aakulu, monga mphumu.
CAM ikuwoneka kuti imathandizira kukhala ndi thanzi labwino ndi lauzimu la odwala, zomwe siziyenera kuwerengedwa. Komabe, palibe maziko enieni a sayansi yogwiritsira ntchito CAM monga mankhwala okhawo a asthma kapena allergenic rhinitis.
Nthawi zonse funsani dokotala musanagwiritse ntchito CAM, makamaka ngati mukugwiritsa ntchito izi m'malo mwa mankhwala ochiritsira.
> Zotsatira:
> Passalacqua G, Bousquet PJ, Carlsen KH, ndi al. Pulogalamu ya ARIA. Kukonzekera Mwatsatanetsatane wa Mankhwala Othandizira Omwe Amawonjezera kwa Rhinitis ndi Phumu. J Zachilombo Zamtundu wa Immunol. 2006; 117: 1054-62.
> Engler RJM. Mankhwala Osakaniza ndi Othandiza: Gwero la Mankhwala Othandizira Opatsirana? Kodi N'kovuta Kukonzanso Udindo Wapadera? J Zachilombo Zamtundu wa Immunol. 2000; 106: 627-9.
> Ziment I, Tashkin DP. Mankhwala Omwe Amawathandiza Kulimbana ndi Kutupa ndi Phumu. J Zachilombo Zamtundu wa Immunol. 2000; 106: 603-14.