Ngaba Isifo Sombefu Siyanyangeka?

Umxholo

• Ukwenza isicwangciso sentshukumo sombefu
• Loluphi uhlobo lwamayeza olubandakanyekileyo?
• Kuthekani ngamayeza endalo?
• Imbewu emnyamaUNigella sativa)
• Icaffeine
• Choline
• IPycnogenol
• Vitamin D
• Elundini phaya: Isithembiso sonyango lomntu
• Imbonakalo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Akukho lunyango lwesifuba. Nangona kunjalo, sisifo esinyangeka kakhulu. Ngapha koko, abanye oogqirha bathi unyango lwe-asthma lwanamhlanje lusebenza kakhulu, abantu abaninzi banokulawula okufutshane-okupheleleyo kweempawu zabo.

Ukwenza isicwangciso sentshukumo sombefu

Abantu abane-asthma banezinto ezithile ezibangela ukuba umntu aphendule kunye neempendulo. Abanye oogqirha bakholelwa ukuba zininzi ii-asthmas, nganye inezizathu zayo, umngcipheko kunye nonyango.

Ukuba une-asthma, ugqirha wakho uya kusebenza nawe ukwenza isicwangciso sesenzo se-asthma esigxile kwiimpawu zakho nakwizinto ezibonakala ngathi zibangela.Isifo sombefu. (nd). Isicwangciso sinokubandakanya utshintsho kwindalo esingqongileyo kunye nemisebenzi, kunye neyeza lokukunceda ulawule iimpawu zakho.

Loluphi uhlobo lwamayeza olubandakanyekileyo?

Unyango lwe-asthma lusebenza kwiinjongo ezimbini eziphambili: ulawulo lwexesha elide kunye nonyango lweempawu zexesha elifutshane. Nazi ezinye zeziyobisi ze-asthma ugqirha wakho anokuzibandakanya kwisicwangciso sakho sesenzo se-asthma:

Abaphefumli. Ezi zixhobo ziphathekayo zihambisa idosi yangaphambi kwexesha yamayeza esifuba kwimiphunga yakho. Ubambe iimpompo ezimile okwe-J emlonyeni wakho kwaye ucofe ezantsi kwisitya. Impompo ithumela inkungu okanye umgubo owuphefumlayo.

Ezinye i-inhalers ziqukethe i-corticosteroids elawula ukudumba kunye nokucaphuka kwindlela yakho yomoya. Ezi inhalers zisetyenziselwa yonke imihla okanye ukusetyenziswa kwamaxesha athile.

Ezinye i-inhalers ziqulethe iziyobisi ezisebenza ngokukhawuleza (ezinje ngebronchodilators, i-beta2-agonists, okanye i-anticholinergics) ezinokuvula iindlela zakho zomoya ngokukhawuleza ukuba une-asthma flare-up.

Ezinye i-inhalers zinokuqulatha indibaniselwano yamayeza ukulawula iimpendulo zakho ezichanekileyo.

Iincwadana. Ezi zixhobo ezizimeleyo zijika amayeza alulwelo abe yinkungu onokuyiphefumla. Amachiza asetyenziswe kwi-nebulizers anciphisa ukudumba kunye nokucaphuka kwi-airways.

Amayeza omlomo. Isicwangciso sakho sesenzo sexesha elide sinokubandakanya amayeza omlomo. Amachiza esifuba somlomo abandakanya ii-leukotriene modulators (ezinciphisa ukuvuvukala) kunye ne-theophylline (ethe yathathelwa indawo ngamayeza akhuselekileyo, asebenza ngokukuko) avula iindlela zakho zomoya. Zombini zithathwa kwifom yeepilisi. Ngamanye amaxesha iipilisi zomlomo ze-corticosteroid zimiselwe.

Ibhayoloji. Unokuba nenaliti yeyeza lebhayoloji kanye okanye kabini ngenyanga. La mayeza abizwa ngokuba zii-immunomodulators kuba anciphisa iiseli ezithile ezimhlophe zegazi egazini lakho okanye anciphise ubuntununtunu bakho kwizigulo ezikwindawo ohlala kuyo. Zisetyenziselwa kuphela iintlobo ezithile zesifuba.

Ugqirha wakho unokukunika elinye okanye nangaphezulu kula machiza ukunceda ukulawula isifuba sakho kunye nokunciphisa iimpawu.

Ixesha elide: inhaled corticosteroids

• I-Beclomethasone (iQvar ​​RediHaler)
• IBudesonide (iPulmicort Flexhaler)
• ICiclesonide (Alvesco)
• IFluticasone (Umgangatho weHFA)
• IMometasone (Asmanex Twisthaler)

Ixesha elide: iinguqulelo zeleukotriene

• IMontelukast (Singulair)
• I-Zafirlukast (eyiyo)
• I-Zileuton (Zyflo)

Ukuba uthatha i-Singulair, kuya kufuneka uyazi ukuba, ngokwe-Food and Drug Administration (i-FDA), kwiimeko ezinqabileyo, ichiza linxulunyaniswa noxinzelelo, ubundlongondlongo, ukuphazamiseka, kunye nemibono.Kalra D, okqhubekayo. (2014). [Montelukast (Singulair)] Ukuthengisa abantwana emva kwemakethi kunye nokuphononongwa kokusetyenziswa kweziyobisi. https://wayback.archive-it.org/7993/20170113205720/http://www.fda.gov/downloads/AdvisoryCommittee/CommitteeMeetingMaterials/PediatricAdvisoryCommittee/UCM414065.pdf Ikonyusa umngcipheko wempembelelo yezempilo yengqondo, ezinje ngeengcinga zokuzibulala kunye nezenzo.I-FDA ifuna isilumkiso esibhokisiweyo malunga nemiphumela emibi yezempilo yengqondo yesifo sombefu kunye nokunyanga kweziyobisi i-montelukast (Singulair); icebisa ukuthintela ukusetyenziswa kwe-allergen rhinitis. (Ngo-2020). Gcina ugqirha wakho ezazi naziphi na iimpawu zengqondo wena okanye umntwana wakho ahlangabezana nazo.

Ixesha elide: i-beta-agonists esebenza ixesha elide (i-LABAs)

Kuya kufuneka usoloko uthatha ii-LABAs kunye nee-corticosteroids kuba xa zithathwa zodwa zinokubangela ukuba umntu abe nesifuba.

• Isalmeterol (iSerevent)
• IFomoterol (iPerforomist)
• IArformoterol (iBrovana)

Ezinye i-inhalers zidibanisa i-corticosteroids kunye namayeza e-LABA:

• I-Fluticasone kunye ne-salmeterol (Advair Diskus, Advair HFA)
• I-Budesonide kunye ne formoterol (Symbicort)
• IMometasone kunye nefomoterolol (iDulera)
• I-Fluticasone kunye ne-vilanterol (uBreo Ellipta)

Ithiophylline yi-bronchodilator oyithatha kwifom yeepilisi. Ngamanye amaxesha kuthengiswa phantsi kwegama elithi Theo-24, eli yeza kunqabile ukuba libekwe ngoku.

Ukwenza ngokukhawuleza: ukuhlangula inhalers

• Albuterol (ProAir HFA, Ventolin HFA, kunye nabanye)
• ILevalbuterol (Xopenex HFA)

Ukuba unesifo se-asthma esibi, ugqirha wakho unokongeza i-corticosteroids yomlomo njenge-prednisone kwisicwangciso sakho sokusebenza se-asthma.

Ukuba i-flare-ups yakho ibonakala ngathi ibangelwa zizinto ezaliwa ngumzimba, ugqirha wakho unokucebisa nge-immunotherapy (i-allergies shots) okanye i-antihistamines kunye ne-decongestants.

Ibhayoloji

• IXolair® (i-omalizumab)
• INucala® (mepolizumab)
• ICinqair® (reslizumab)
• IFasenra® (ibenralizumab)

Kuthekani ngamayeza endalo?

Zininzi iindlela zonyango lwesifuba ezinokuqwalaselwa.

Isifo se-asthma sisimo esibi, kwaye isifo sombefu sinokubeka ubomi esichengeni. Qiniseka ukuba uthethe nogqirha wakho ngaphambi kokuba ungeze naliphi na iyeza lasekhaya kuwe okanye kwisicwangciso somsebenzi somntwana wakho. Ungaze uyeke ukuthatha amayeza esifuba ngaphandle kokuqala uthethe nogqirha wakho.

Imbewu emnyamaUNigella sativa)

UNigella sativa sisiqholo kusapho lwe-cumin olusetyenziswa njengeyeza kwiinkcubeko ezininzi, kubandakanya nesiko le-Ayurvedic. Imbewu emnyama ingatyiwa, ithathwe njengepilisi okanye umgubo, okanye isetyenziswe kwifom yeoyile ebalulekileyo.

Uphengululo luka-2017 lwezifundo malunga UNigella sativa ifumanise ukuba imbewu emnyama inokuphucula ukusebenza kwemiphunga kwaye incede kwiimpawu zesifuba.UKoshak A, et al. (2017). Izibonelelo zonyango ze UNigella sativa kwi-asthma ye-bronchial: Ukuphononongwa koncwadi INGXELO: 10.1016 / j.jsps.2017.07.002 Uphando oluthe kratya luyafuneka kuba uninzi lwezifundo bezincinci kwaye kuvavanywa izilwanyana okanye iiseli, hayi abantu.

Ivenkile yembewu emnyama (UNigella sativa)

Icaffeine

I-caffeine ikwafundwe njengeyeza lendalo lesifuba kuba inxulumene neyeza theophylline, esetyenziselwa ukuphumla izihlunu kwiindlela zakho zomoya.

Nangona kungekho zifundo zichazwe kutshanje zibonisa ukuba luncedo, uphononongo lwedatha lwango-2010 lubonise ukuba ukusela ikofu kubangele ukuphucuka komoya kwindlela yomoya ukuya kuthi ga kwiiyure ezine.Welsh EJ, et al. (2010). Caffeine yesifuba. INGXELO:

Choline

I-Choline sisondlo esidinga umzimba wakho ukuze usebenze kakuhle, kodwa ukusilela kwe-choline kunqabile. Obunye ubungqina bubonisa ukuba isongezelelo se-choline sinokunciphisa ukudumba kubantu abane-asthma, kodwa ukungenisa i-choline kakhulu kunokuba neziphumo ebezingalindelekanga.Mehta AK, okqhubekayo. (2010). I-Choline ithintela ukudumba komzimba kunye noxinzelelo lwe-oxidative kwizigulana ezinesifuba. INGXELO: 10.1016 / j.imbio.2009.09.004

I-Choline ingathathwa njengepilisi okanye ifunyanwe kukutya okunje ngesibindi senyama yenkukhu, amaqanda, ikhowudi kunye nesalmon, imifuno enjenge-broccoli kunye nekholifulawa kunye neoyile yeembotyi zesoya. Iziphumo ebezingalindelekanga akunakulindeleka ukuba ukutya kwakho kwe-choline kuvela kukutya kuphela.

Ivenkile ye choline.

IPycnogenol

IPycnogenol sisicatshulwa esithathwe kwixolo lomthi wompayina okhula eFrance. Ngokuqhelekileyo ithathwa njenge-capsule okanye ithebhulethi.

Nangona uphando olongezelelweyo lufunekayo, olunye uphando kubantu abangama-76 lufumene ukuba i-pycnogenol inciphise ukuvuswa ebusuku kwi-asthma, kunye nesidingo samayeza e-asthma rhoqo.UBelcaro G, et al. (2011). Ukuphuculwa kwepycnogenol kulawulo lwesifuba.

Ivenkile ye pycnogenol.

Vitamin D

Olunye ukongezwa kwabantu oluhlala lubandakanya ivithamini D. Abaphandi baseLondon bafumanisa ukuba ukuthatha ivithamin D kunye namayeza akho e-asthma kwehlisa umngcipheko wokuya kwigumbi likaxakeka lokuhlaselwa sisifuba ngama-50 epesenti.UJolliffe DA, et al. (2017). Ukongezwa kweVitamin D yokuthintela ukwanda kwesifo sombefu: Ukuphononongwa ngokuchanekileyo kunye nohlalutyo lweemeta lwedatha yomntu ngamnye. INGXELO:

Thenga ivithamini D.

Elundini phaya: Isithembiso sonyango lomntu

Ngokwandayo, oogqirha bajonge ukusebenzisa ezinye i-biomarkers emphefumlweni wakho ukuzama ukwenza unyango lwakho lwesifuba.U-Godar M, et al. (2017). Iyeza elenzelwe umntu kunye ne-biologics yohlobo olubi lwe-2 asthma: Isimo sangoku kunye nethemba elizayo. INGXELO: 10.1080 / 19420862.2017.1392425

Lo mmandla wophando uluncedo kakhulu xa oogqirha bemisela udidi lwamayeza abizwa ngokuba yi-biologics. I-Biologics ziiproteni ezisebenza kumajoni akho omzimba ukuthintela ukudumba.

Imbonakalo

Isifo sombefu sisifo esibangela ukuba umoya wakho unciphe ngenxa yokudumba, ukuqina, okanye ukwanda kwencindi. Nangona kungekho nonyango, kukho iindlela ezininzi zonyango ezinokuthintela i-asthma flare-ups okanye unyango lweempawu xa zivela.

Olunye unyango lwendalo okanye lwasekhaya lunokunceda, kodwa soloko uthetha nogqirha wakho ngaphambi kokuba ungeze nantoni na kwisicwangciso sakho sokusebenza se-asthma.