Ngaba ukhuselekile ukuthatha amayeza okungahambi ngexesha lokukhulelwa?
Kuyaqondakala ukuba ininzi yabasetyhini ayithandi ukuthatha amayeza angadingekile xa ekhulelwe. Akunakuba nomama onokuze afune ukubeka umntwana wakhe engozini yokwanda kokuzalwa okubangelwa ngamachiza. Nangona kunjalo, ukunyamezela kungenza omnye umfazi abe nexakeke gqitha ukuba amayeza angadinga nje ukuze iimpawu zokungabikho kwempilo zingabonakali ubomi babo.
Ngokwe-Food and Drug Administration (FDA), akukho mayeza acingwa ngokukhuselekileyo ngokukhulelwa. Oku kungenxa yokuba akukho mfazi okhulelwe ofuna ukutyikitya ukuze afunde ukukhuselwa kweziyobisi xa ekhulelwe.
Ngoko ke, i-FDA inikezele iindidi ezinobungozi kumachiza asekelwe ekusebenziseni ukukhulelwa:
- Udidi "A" amayeza ayenayo imithi apho kukho izifundo ezilungileyo kubasetyhini abakhulelweyo abonisa ukhuseleko lwamachiza kumntwana kwi-trimester yokuqala. Zimbalwa imishishini elapha kule nqanaba kwaye akukho mishanguzo ye-asthma ekhishwe isigaba A.
- Udidi lwe "B" luye lwafundiswa kwizilwanyana ezikhulelweyo, ezibonisa ukuba zikhuselekileyo, kodwa akukho zifundo zoluntu ezikhoyo.
- Amacandelo "C" amayeza angakhokelela kwimiphumo emibi kwimfuyo xa ifundwa kwizilwanyana ezikhulelweyo, kodwa izibonelelo zala mayeza zingaphaya kweengozi ezinobungozi kubantu.
- Udidi lwe "D" lonyango lubonisa umngcipheko ocacileyo kumntwana, kodwa kukho iziganeko apho inzuzo iphezulu ngaphezu kweengozi ebantwini.
- Udidi lwe "X" mayeza lubonisa ubungqina obucacileyo bokukhubazeka kwezilwanyana kunye / okanye izifundo zabantu kwaye akufanele zisetyenziswe ekukhulelweni.
Antihistamines. Ama- antihistamine amadala, afana ne-chlorpheniramine, iinqununu ezikhethiweyo ukunyanga i-rhinitis ye-allergen ngexesha lokukhulelwa kwaye zombini imithi ye-B. Ama-antihistamine amasha anjenge- over-counter-counter-loratadine (iClaritin, iifom zendalo) kunye ne-cetirizine (i-Zyrtec, iifom zendalo ) nazo zikhulelwe imithi ye-B.
I -antihistamine emitsha ye-anti-stistamine ekhulelwe isigaba B yi-Xyzal (levocetirizine).
Abagqithisileyo . I-Pseudoephedrine (i-Sudafed®, iifom ezininzi ezininzi) yinto ekhethiweyo yokunciphisa umlomo ngexesha lokukhulelwa, nangona kufuneka ikhunjulwe ngexesha le-trimester yokuqala, njengoko idibene ne-infant gastroschisis. Eli nyanga likhulelwe isigaba C.
Iipilisi ezixutywe ngamanzi. I-Cromolyn nasal spray (NasalCrom) iluncedo ekuphatheni i -rhinitis ye-allergen xa isetyenziswe ngaphambi kokuba kuvezwe kwi-allergen nangaphambi kokuqala kweempawu. Eli nyanga likhulelwe isigaba B kwaye lufumaneka kwi-counter. Ukuba le nyeza ayinakunceda, enye ye- nasal steroid , i-budesonide (i-Rhinocort Aqua), ifumene isigaba B sokukhulelwa (zonke ezinye zididi zeC), kwaye ngoko kuya kuba yi-steroid yangasese ekhethiweyo ngexesha lokukhulelwa.
Immunotherapy. Izibhamu ze-Allergy zingagcinwa ngexesha lokukhulelwa, kodwa akukhuthazwa ukuba uqale le nyango xa ukhulelwe. Ngokuqhelekileyo umthamo we-shock allergies ayinyuswanga, kwaye abaninzi be-allergists baya kunciphisa umthamo we-allergies ebetwe ngu-50% ngexesha lokukhulelwa. Abanye abagulisa i-allergists bavakalelwa kukuba ukukhwabanisa kufuneka kukhuliswe ngexesha lokukhulelwa, kunikezelwe umngcipheko we- anaphylaxis kunye nobungozi obunokuba ngumntwana.
Ngaphandle kwe-anaphylaxis, akukho datha ibonisa ukuba ukungabikho komzimba okuzenzekelayo kubangelwa yingozi kumntwana.
Funda kabanzi malunga nokuxilongwa kunye nokunyangwa kweengxaki zokukhulelwa ekukhulelweni , kubandakanywa izimo ezilinganisa i-allergies ngexesha lokukhulelwa.
Imithombo:
> Allergen Immunotherapy Practice Parameters. Ann Annistry Asthma Immunol. 2003; 90: S1-40.
> Dykewicz MS, Fineman S, abahleli. Ukuxilongwa kunye noLawulo lweRhinitis: Izikhokelo ezipheleleyo zeQela eliSebenzi eliSebenzayo kwi-Parameters yokuSebenza, i-Asthma kunye ne-Immunology.