Sengoli: Robert Simon
Letsatsi La Creation: 15 Phuptjane 2021
Ntlafatsa Letsatsi: 19 November 2024
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Litaba

Re kenyelletsa lihlahisoa tseo re nahanang hore li na le thuso ho babali ba rona. Haeba u reka ka lihokela tse leqepheng lena, re ka fumana khomishene e nyane. Ts'ebetso ea rona ke ena.

Ha ho na pheko ea asthma. Leha ho le joalo, ke lefu le phekolehang haholo. Ebile, lingaka tse ling li re kalafo ea sefuba ea kajeno e sebetsa haholo, batho ba bangata ba na le taolo e haufi ea matšoao a bona.

Ho theha moralo oa hau oa tšebetso ea asthma

Batho ba nang le asthma ba na le lisosa le likarabo tse ikhethang. Lingaka tse ling li lumela hore ho na le asma e ngata, e 'ngoe le e' ngoe e na le lisosa tsa eona, likotsi le kalafo.

Haeba u na le asthma, ngaka ea hau e tla sebetsa le uena ho theha moralo oa ts'ebetso oa asthma o shebaneng le matšoao a hau le lintho tse bonahalang li li baka.Sefuba. (ke). Morero o kanna oa kenyelletsa liphetoho tikolohong ea hau le mesebetsing, hammoho le meriana ho u thusa ho sebetsana le matšoao a hau.

Ke moriana oa mofuta ofe o amehang?

Kalafo ea asma e sebeletsa merero e 'meli e meholo: taolo ea nako e telele le phomolo ea matšoao a nakoana. Mona ke tse ling tsa lithethefatsi tsa asthma tseo ngaka ea hau e ka li kenyelletsang morerong oa hau oa bohato ba asthma:


Li-inhalers. Lisebelisoa tsena tse nkehang li fana ka tekanyetso e lekantsoeng ea moriana oa asma matšoafong a hao. U tšoere lipompo tse bopehileng joaloka J molomong oa hao ebe u tobetsa konopo. Pompo e romela moholi kapa phofo eo u e hulang.

Li-inhalers tse ling li na le li-corticosteroids tse laolang ho ruruha le ho teneha moeeng oa hau. Li-inhalers tsena ke tsa ts'ebeliso ea letsatsi le letsatsi kapa ea sehla.

Li-inhalers tse ling li na le lithethefatsi tse sebetsang ka potlako (joalo ka li-bronchodilators, beta2-agonists, kapa anticholinergics) tse ka bulang moea oa hau oa moea kapele haeba o na le ho phatloha ha asthma.

Li-inhalers tse ling li ka ba le meriana e kopaneng ho laola maikutlo a hau a nepahetseng.

Li-Nebulizer. Lisebelisoa tsena tse tsamaeang ka bolokolohi li fetola meriana ea metsi moholi o ka o hemang. Lithethefatsi tse sebelisoang ho li-nebulizer li fokotsa ho ruruha le ho teneha tseleng ea moea.

Meriana ea molomo. Morero oa hau oa nako e telele o ka kenyelletsa litlhare tsa molomo. Lithethefatsi tsa asthma tsa molomo li kenyelletsa leukotriene modulators (e fokotsang ho ruruha) le theophylline (eo boholo ba eona e nkeloang sebaka ke meriana e bolokehileng, e sebetsang haholoanyane) e bulang moea oa hau. Ka bobeli li nooa ka foromo ea pilisi. Lipilisi tsa molomo tsa corticosteroid le tsona ka linako tse ling lia laeloa.


Likokoana-hloko. U kanna ua ba le ente ea meriana ea biologic hang kapa habeli ka khoeli. Meriana ena e boetse e bitsoa li-immunomodulators hobane e fokotsa lisele tse tšoeu tsa mali maling a hao kapa e fokotsa kutloisiso ea hau ho likokoana-hloko tikolohong ea hau. Li sebelisoa feela bakeng sa mefuta e itseng ea asma e matla.

Meriana ea asthma

Ngaka ea hau e ka u fa e 'ngoe kapa tse' maloa tsa lithethefatsi tsena ho u thusa ho laola asma le ho kokobetsa matšoao.

Nako e telele: inhaled corticosteroids

  • Beclomethasone (Qvar RediHaler)
  • Budesonide (Pulmicort Flexhaler)
  • Ciclesonide (Alvesco)
  • Fluticasone (Mofuthu oa HFA)
  • Mometasone (Asmanex Twisthaler)

Nako e telele: liphetoho tsa leukotriene

  • Montelukast (Singulair)
  • Zafirlukast (e nepahetseng)
  • Zileuton (Zyflo)

Haeba u nka Singulair, u lokela ho tseba hore, ho latela Food and Drug Administration (FDA), maemong a sa tloaelehang, setlhare se hokahantsoe le khatello ea maikutlo, ho ba mabifi, ho ferekana le lipono.Kalra D, le al. (2014). [Montelukast (Singulair)] Phekolo ea bana ea thekiso ea meriana le tlhahlobo ea ts'ebeliso ea lithethefatsi. https://wayback.archive-it.org/7993/20170113205720/http://www.fda.gov/downloads/AdvisoryCommittee/CommitteeMeetingMaterials/PediatricAdvisoryCommittee/UCM414065.pdf E boetse e eketsa kotsi ea litlamorao tse matla tsa bophelo bo botle ba kelello, joalo ka menahano le liketso tsa ho ipolaea.FDA e hloka tlhokomeliso e nang le mabokose ka litlamorao tse tebileng tsa bophelo bo botle ba kelello bakeng sa asthma le allergy drug montelukast (Singulair); e eletsa ho thibela tšebeliso ea alejiki rhinitis. (2020). Etsa ngaka ea hau matšoao a matšoao a kelello ao uena kapa ngoana oa hau u nang le ona.


Nako e telele: li-beta-agonists tsa nako e telele (LABAs)

Kamehla o lokela ho nka li-LABA le li-corticosteroids hobane ha li nooa ka botsona li ka baka mafu a maholo a asma.

  • Salmeterol (Serevent)
  • Formoterol (Perforomist)
  • Arformoterol (Brovana)

Li-inhalers tse ling li kopanya li-corticosteroids le meriana ea LABA:

  • Fluticasone le salmeterol (Advair Diskus, Advair HFA)
  • Budesonide le formoterol (Symbicort)
  • Mometasone le formoterol (Dulera)
  • Fluticasone le vilanterol (Breo Ellipta)

Theophylline ke bronchodilator eo u e sebelisang ka foromo ea pilisi. Ka linako tse ling e rekisoa tlasa lebitso la Theo-24, meriana ena ha e fanoe hangata.

Ho nka bohato kapele: pholoso inhalers

  • Albuterol (ProAir HFA, Ventolin HFA, le ba bang)
  • Levalbuterol (Xopenex HFA)

Haeba u e-na le asma e matla, ngaka ea hau e ka eketsa li-corticosteroids tsa molomo joaloka prednisone morerong oa hau oa bohato ba asthma.

Haeba li-flare-ups tsa hau li bonahala li bakoa ke li-allergen, ngaka ea hau e kanna ea khothaletsa immunotherapy (allergy shots) kapa antihistamine le li-decongestant.

Likokoana-hloko

  • Xolair® (omalizumab)
  • Nucala® (mepolizumab)
  • Cinqair® (reslizumab)
  • Fasenra® (benralizumab)

Ho thoe'ng ka litlhare tsa tlhaho?

Ho na le mekhoa e mengata ea tlhaho ea asma e ka nahanoang.

Kamehla buisana le ngaka ea hau

Pherefatsi ke boemo bo tebileng, 'me li-asthma flare-ups li ka beha bophelo kotsing. Etsa bonnete ba hore o bua le ngaka ea hau pele o eketsa pheko ea lehae ho uena kapa moralo oa ts'ebetso oa ngoana oa hau. Le ka mohla u se ke oa emisa ho noa meriana ea asthma u sa bua le ngaka pele.

Peo e ntšo (Keitumetse

Nigella sativa ke senoko sa lelapa la kumine se sebelisoang e le moriana litsong tse 'maloa, ho kenyeletsoa moetlo oa Ayurvedic. Peo e ntšo e ka jeoa, ea nkoa e le pilisi kapa phofo, kapa ea sebelisoa ka mokhoa oa bohlokoa oa oli.

Tlhahlobo ea 2017 ea lithuto tse mabapi le Nigella sativa e fumane hore peo e ntšo e ka ntlafatsa tšebetso ea matšoafo le ho thusa ka matšoao a asthma.Koshak A, et al. (2017). Melemo ea bongaka ea Nigella sativa ka asthma ea bronchial: Tlhahlobo ea lingoliloeng DOI: 10.1016 / j.jsps.2017.07.002 Liphuputso tse ling lia hlokahala hobane lithuto tse ngata li ne li le nyane mme li lekoa liphoofolong kapa liseleng, eseng ho batho.

Reka peo e ntšo (Keitumetse

K'hafeine

Caffeine e boetse e ithutiloe e le pheko ea tlhaho ea asthma hobane e amana le theophylline ea lithethefatsi, e sebelisetsoang ho phomotsa mesifa moeeng oa hau.

Leha ho se liphuputso tse sa tsoa tlalehoa tse bonts'ang bohlokoa ba eona, tlhahlobo ea tlhaiso-leseling ea 2010 e bonts'itse hore ho noa kofi ho bakile ntlafatso e bobebe ts'ebetsong ea sefofane ho fihlela lihora tse 'ne.Welsh EJ, et al. (2010). Caffeine bakeng sa asthma. ETSA:

Choline

Choline ke limatlafatsi tseo 'mele oa hau o li hlokang hore o sebetse hantle, empa khaello ea choline ha e fumanehe hangata. Bopaki bo bong bo bonts'a hore tlatsetso ea choline e ka fokotsa ho ruruha ho batho ba nang le asthma, empa ho ja choline e ngata haholo ho ka ba le litla-morao.Mehta AK, et al. (2010). Choline e thibela ho ruruha ha sesole sa 'mele le ho hatella khatello ea mali ho bakuli ba nang le asthma. ETSAHALA: 10.1016 / j.imbio.2009.09.004

Choline e ka nkoa e le pilisi kapa ea fumanoa lijong tse kang sebete sa nama ea khomo le ea kana, mahe, cod le salmon, meroho e kang broccoli le cauliflower le oli ea soya. Litla-morao li ke ke tsa etsahala haeba lijo tseo u li jang li tsoa lijong feela.

Reka choline.

Pycnogenol

Pycnogenol ke ntho e nkiloeng makhapetla a sefate sa phaene se hōlang Fora. Ka kakaretso e nkoa e le capsule kapa letlapa.

Le ha ho hlokahala lipatlisiso tse ling, phuputso e 'ngoe ho batho ba 76 e fumane hore pycnogenol e fokolitse ho tsosoa ha bosiu bosiu ho tsoa ho asthma ea alejiki, le tlhoko ea meriana e tloaelehileng ea asthma.Belcaro G, et al. (2011). Pycnogenol ntlafatso ea taolo ea asthma.

Reka pycnogenol.

Vithamine D

Tlatsetso e 'ngoe eo batho ba atisang ho e kenyelletsa ke vithamine D. Bafuputsi ba London ba fumane hore ho noa vithamine D hammoho le meriana ea hau ea asthma ho theotse menyetla ea ho ea kamoreng ea maemo a tšohanyetso bakeng sa tlhaselo ea asma ka liperesente tse 50.Jolliffe DA, et al. (2017). Tlatsetso ea Vitamin D ho thibela ho mpefala ha asma: Tlhahlobo e hlophisehileng le tlhahlobo ea litlhahlobo tsa data ea motho ka mong ea nkang karolo. ETSA:

Reka vithamine D.

Haufinyane: Tšepiso ea kalafo ea motho ka mong

Ka ho eketsehileng, lingaka li batla ho sebelisa li-biomarker tse itseng moeeng oa hau ho leka ho etsa kalafo ea asthma ea hau.Molimoar M, et al. (2017). Meriana e ikhethileng e nang le biologics ea mofuta o matla oa asma: Boemo ba hajoale le litebello tsa bokamoso. ETSA: 10.1080 / 19420862.2017.1392425

Karolo ena ea lipatlisiso e thusa haholo ha lingaka li fana ka sehlopha sa meriana e tsejoang ka hore ke biologics. Biologics ke liprotheine tse sebetsang masoleng a hau a mmele ho thibela ho ruruha.

Pono

Pherekano ke lefu le bakang hore moea oa hau o fokotsehe ka lebaka la ho ruruha, ho tiisa kapa ho eketseha ha mucus. Le ha ho se na pheko, ho na le likhetho tse ngata tsa kalafo tse ka thibelang ho qhoma ha asma kapa ho alafa matšoao ha a hlaha.

Meriana e meng ea tlhaho kapa ea lapeng e ka thusa, empa kamehla bua le ngaka ea hau pele u eketsa letho ho moralo oa hau oa bohato ba asma.

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