Ingabe I-Asthma Iyelapheka?

-Delile

• Ukwakha uhlelo lwakho lwesenzo se-asthma
• Hlobo luni lomuthi oluhilelekile?
• Kuthiwani ngamakhambi emvelo?
• Imbewu emnyamaI-Nigella sativa)
• Ikhafeyini
• Choline
• I-Pycnogenol
• Uvithamini D
• Eduze: Isithembiso sokwelashwa okwenziwe ngezifiso
• Umbono

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Alikho ikhambi le-asthma. Kodwa-ke, yisifo eselapheka kakhulu. Eqinisweni, abanye odokotela bathi izindlela zokwelapha i-asthma zanamuhla zisebenza kahle, abantu abaningi banokulawulwa okuphelele kwezimpawu zabo.

Ukwakha uhlelo lwakho lwesenzo se-asthma

Abantu abane-asthma banezimbangela nezimpendulo ezithile. Abanye odokotela bakholelwa ukuthi empeleni kune-asthmas eminingi, ngayinye enezimbangela zayo, izingozi, kanye nokwelashwa.

Uma une-asthma, udokotela wakho uzosebenzisana nawe ukwakha uhlelo lokusebenza lwe-asthma olugxile ezimpawu zakho nasezintweni ezibonakala zibangela.Isifuba Somoya. (ng). Uhlelo luzofaka phakathi ushintsho kwimvelo nakwimisebenzi yakho, kanye nomuthi wokukusiza ukuphatha izimpawu zakho.

Hlobo luni lomuthi oluhilelekile?

Ukwelashwa kwe-asthma kufeza izinhloso ezimbili eziyinhloko: ukulawula isikhathi eside nokukhululeka kwezimpawu zesikhashana. Nazi ezinye izidakamizwa ze-asthma udokotela wakho angafaka kuhlelo lwakho lokusebenza lwe-asthma:

Abahogelwayo. Le mishini ephathekayo iletha isilinganiso esilinganiselwe somuthi wesifuba emaphashini akho. Ubamba amaphampu amise okwakwa-J emlonyeni wakho bese ucindezela phansi ku-canister. Iphampu ithumela inkungu noma impuphu oyidonsela ngaphakathi.

Amanye ama-inhalers aqukethe ama-corticosteroids alawula ukuvuvukala nokucasuka ezindleleni zakho zomoya. La ma-inhaler enzelwe ukusetshenziswa nsuku zonke noma ngezikhathi ezithile zonyaka.

Amanye ama-inhalers aqukethe izidakamizwa ezisebenza ngokushesha (njenge-bronchodilators, i-beta2-agonists, noma i-anticholinergics) engavula imigwaqo yakho yomoya ngokushesha uma une-asthma flare-up.

Amanye ama-inhalers angaqukatha inhlanganisela yemithi yokulawula ukusabela kwakho okuqondile.

Ama-Nebulizers. Lezi zinsiza ezizimele ziguqula umuthi owuketshezi ube yinkungu ongayiphefumula. Izidakamizwa ezisetshenziswa kuma-nebulizers zinciphisa ukuvuvukala nokucasuka ezindleleni zomoya.

Imithi yomlomo. Uhlelo lwakho lwesenzo sesikhathi eside lungafaka nemithi yomlomo. Izidakamizwa ze-asthma zomlomo zifaka ama-leukotriene modulators (anciphisa ukuvuvukala) kanye ne-theophylline (eye yathathelwa indawo kakhulu yimithi ephephile, esebenza kangcono) evula izindlela zakho zomoya. Zombili zithathwa zifomu lephilisi. Amaphilisi omlomo we-corticosteroid nawo kwesinye isikhathi anqunyiwe.

I-Biologics. Ungaba nomjovo womuthi we-biologic kanye noma kabili ngenyanga. Le mithi ibizwa nangokuthi ama-immunomodulators ngoba yehlisa amangqamuzana amhlophe egazi egazini lakho noma yehlisa ukuzwela kwakho kuma-allergen endaweni yakho. Zisetshenziselwa kuphela izinhlobo ezithile ze-asthma enzima.

Udokotela wakho angakunikeza eyodwa noma ngaphezulu yale mithi ukusiza ukulawula i-asthma yakho nokunciphisa izimpawu.

Isikhathi eside: i-corticosteroids emuncwe

• I-Beclomethasone (Qvar RediHaler)
• I-Budesonide (Pulmicort Flexhaler)
• I-Ciclesonide (Alvesco)
• I-Fluticasone (i-Flovent HFA)
• I-Mometasone (Asmanex Twisthaler)

Isikhathi eside: izinguquko ze-leukotriene

• I-Montelukast (Singulair)
• I-Zafirlukast (Accolate)
• I-Zileuton (Zyflo)

Uma uthatha i-Singulair, kufanele wazi ukuthi, ngokwe-Food and Drug Administration (FDA), ezimweni ezingavamile, umuthi uxhunyaniswe nokudangala, ulaka, ukukhathazeka, kanye nemibono.UKalra D, et al. (2014). [Montelukast (Singulair)] Ukubuyekezwa kwezingane ngemuva kokumaketha kanye nokusetshenziswa kwezidakamizwa. https://wayback.archive-it.org/7993/20170113205720/http://www.fda.gov/downloads/AdvisoryCommittee/CommitteeMeetingMaterials/PediatricAdvisoryCommittee/UCM414065.pdf Futhi kwandisa ubungozi bemiphumela emibi yempilo yengqondo, efana nemicabango yokuzibulala nezenzo.I-FDA idinga ukuxwayiswa ngebhokisi ngemiphumela emibi yezempilo yengqondo ye-asthma kanye ne-allergies montelukast (Singulair); yeluleka ukukhawulela ukusetshenziswa kwe-allergen rhinitis. (2020). Gcina udokotela wakho azi nganoma yiziphi izimpawu ezingokwengqondo wena noma ingane yakho enizibonayo.

Isikhathi eside: ama-beta-agonists asebenza isikhathi eside (ama-LABAs)

Kufanele uhlale uthatha ama-LABA kanye nama-corticosteroids ngoba uma ethathwa wodwa angadala ukuqhuma okukhulu kwesifuba somoya.

• I-Salmeterol (Serevent)
• I-Formoterol (i-Perforomist)
• I-Arformoterol (Brovana)

Amanye ama-inhalers ahlanganisa i-corticosteroids nemithi ye-LABA:

• I-Fluticasone ne-salmeterol (i-Advair Diskus, i-Advair HFA)
• I-Budesonide ne-formoterol (Symbicort)
• I-Mometasone ne-formoterol (iDulera)
• I-Fluticasone ne-vilanterol (uBreo Ellipta)

Theophylline yi-bronchodilator oyithatha ifomu lephilisi. Kwesinye isikhathi ithengiswa ngaphansi kwegama elithi Theo-24, lo muthi kuyaqabukela unikezwe manje.

Ukusebenza ngokushesha: ama-inhaler wokutakula

• I-Albuterol (ProAir HFA, Ventolin HFA, nabanye)
• I-Levalbuterol (Xopenex HFA)

Uma uhlangabezana nesifuba somoya, udokotela wakho angangeza i-corticosteroids yomlomo efana ne-prednisone kuhlelo lwakho lwesenzo se-asthma.

Uma ama-flare-ups wakho ebonakala edalwa yizifo ezibangela ukonakala komzimba, udokotela wakho angancoma i-immunotherapy (i-allergies shots) noma ama-antihistamines nama-decongestants.

I-Biologics

• I-Xolair® (omalizumab)
• I-Nucala® (mepolizumab)
• ICinqair® (reslizumab)
• I-Fasenra® (benralizumab)

Kuthiwani ngamakhambi emvelo?

Kunezindlela eziningi zokwelapha isifo somoya ezizocatshangelwa.

Isifuba somoya yisimo esibi kakhulu, futhi ukuqhuma kwesifuba somoya kungasongela impilo. Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuthi ungeze noma iliphi ikhambi lasekhaya kuwe noma ohlelweni lokusebenza lwengane yakho. Ungalokothi uyeke ukuthatha imithi yesifuba somoya ngaphandle kokukhuluma nodokotela wakho kuqala.

Imbewu emnyamaI-Nigella sativa)

UNigella sativa yisinongo emndenini we-cumin osetshenziswa njengomuthi kumasiko amaningana, kufaka phakathi isiko le-Ayurvedic. Imbewu emnyama ingadliwa, ithathwe njengephilisi noma impuphu, noma isetshenziswe kwifomu elibalulekile lamafutha.

Ukubuyekezwa kwezifundo ze-2017 mayelana UNigella sativa ithole ukuthi imbewu emnyama ingathuthukisa ukusebenza kwamaphaphu futhi isize ngezimpawu zesifuba somoya.UKoshak A, et al. (2017). Izinzuzo zokwelashwa ze UNigella sativa ku-asthma ye-bronchial: Ukubuyekezwa kwezincwadi i-DOI: 10.1016 / j.jsps.2017.07.002 Ucwaningo oluningi luyadingeka ngoba izifundo eziningi bezincane futhi zivivinywa ezilwaneni noma kumaseli, hhayi abantu.

Thenga imbewu emnyama (I-Nigella sativa)

Ikhafeyini

I-caffeine nayo ifundwe njengekhambi lemvelo lesifuba somoya ngoba ihlobene nomuthi i-theophylline, osetshenziselwa ukukhulula izicubu ezindleleni zakho zomoya.

Yize zingekho izifundo ezisanda kubikwa ezibonisa usizo lwayo, ukubuyekezwa kwedatha ngo-2010 kukhombisile ukuthi ukuphuza ikhofi kudale ukuthuthuka okuncane ekusebenzeni komoya kuze kube ngamahora amane.Isi-Welsh EJ, et al. (2010). I-caffeine yesifuba somoya. INGABE:

Choline

I-Choline yisakhi somzimba esidinga umzimba wakho ukuze usebenze kahle, kepha ukuntuleka kwe-choline akuvamile. Obunye ubufakazi bukhombisa ukuthi isengezo se-choline singanciphisa ukuvuvukala kubantu abane-asthma, kepha ukufaka i-choline eningi kakhulu kungaba nemiphumela emibi.UMehta AK, et al. (2010). I-Choline inciphisa ukuvuvukala komzimba futhi icindezele ukucindezeleka kwe-oxidative ezigulini ezine-asthma. INGXENYE: 10.1016 / j.imbio.2009.09.004

I-Choline ingathathwa njengephilisi noma itholakale ekudleni okufana nesibindi senkomo nenkukhu, amaqanda, i-cod ne-salmon, imifino efana ne-broccoli ne-cauliflower, namafutha wesoya. Imiphumela emibi ayinakwenzeka uma ukudla kwakho kwe-choline kuvela ekudleni kuphela.

Thenga i-choline.

I-Pycnogenol

IPycnogenol yisicashunwa esithathwe kumagxolo esihlahla sikaphayini esikhula eFrance. Ngokuvamile kuthathwa njenge-capsule noma ithebhulethi.

Yize kudingeka olunye ucwaningo, ucwaningo olulodwa kubantu abangu-76 luthole ukuthi i-pycnogenol inciphise ukuvuswa ebusuku kusuka kwi-asthma yokugula, kanye nesidingo semithi ejwayelekile yesifuba somoya.UBelcaro G, et al. (2011). Ukuthuthuka kwePycnogenol ekuphathweni kwesifuba somoya.

Thenga i-pycnogenol.

Uvithamini D

Okunye ukwengeza abantu okuvame ukufaka i-vitamin D. Abaphenyi baseLondon bathola ukuthi ukuthatha uvithamini D kanye nemithi yakho yesifuba kwehlisa ingozi yokuya egumbini lezimo eziphuthumayo ukuhlaselwa yisifuba somoya ngamaphesenti angama-50.UJolliffe DA, et al. (2017). Ukwengeza i-Vitamin D ukuvimbela ukukhushulwa kwe-asthma: Ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta kwedatha yomhlanganyeli ngamunye. INGABE:

Thenga uvithamini D.

Eduze: Isithembiso sokwelashwa okwenziwe ngezifiso

Ngokwandayo, odokotela bafuna ukusebenzisa ama-biomarker athile ekuphefumuleni kwakho ukuzama ukwenza ngokwezifiso ukwelashwa kwakho kwesifuba somoya.UGodar M, et al. (2017). Imithi eyenziwe yaba ngeyakho nge-biologics yohlobo olunzima lwe-2 isifuba somoya: Isimo samanje namathemba esikhathi esizayo. INGXENYE: 10.1080 / 19420862.2017.1392425

Le ndawo yocwaningo ilusizo kakhulu lapho odokotela bebeka isigaba semithi eyaziwa ngokuthi yi-biologics. I-Biologics ngamaphrotheni asebenza kumasosha akho omzimba ukuvimbela ukuvuvukala.

Umbono

Isifuba somoya yisifo esidala ukuthi izindlela zakho zomoya zinciphise ngenxa yokuvuvukala, ukuqina, noma ukwanda kwefinyila. Yize lungekho ikhambi, kunezindlela eziningi zokwelashwa ezingavimbela ukuqhuma kwesifuba somoya noma ukwelapha izimpawu lapho zivela.

Amanye amakhambi emvelo noma asekhaya angasiza, kepha khuluma njalo nodokotela wakho ngaphambi kokungeza noma yini kuhlelo lwakho lwesenzo se-asthma.