Enye yeephosiso ezinkulu ezithathwa yi-asthmatics ezithintekayo ukuyeka ukusebenzisa imishanguzo ye-asthma xa befumanisa ukuba bakhulelwe. Nangona imithi ingaba yingozi kwi-fetus, ingozi ye-asthma engaphelelwanga idlula kakhulu umngcipheko omncinci wokungabikho kwemfesholo kwiimithi ezininzi ze-asthma. Enye impazamo eqhelekileyo ye-asthmatics ekhulelwe kukuba bayeke ukubona oogqirha babo abahlala bekhulelwe xa bekhulelwe.
Ngokwe-Food and Drug Administration (FDA), ayikho imishanguzo ye-asthma enokuthi ikhuselwe ngokukhuselekileyo ngokukhulelwa. Oku kungenxa yokuba akukho mfazi okhulelweyo ofuna ukutyikitya isifundo sephepha lokhuseleko xa ekhulelwe. Ngoko ke, i-FDA inikezele iindidi ezinobungozi kumachiza ngokusetyenziselwa ukukhulelwa.
Ukukhulelwa kweMithi yamaCandelo
Inqanaba lokukhulelwa "Iyeza" zonyango apho kukho izifundo ezilungileyo kubasetyhini abakhulelweyo abonisa ukhuseleko lwamayeza kwintsuku yokuqala. Kukho amachiza ambalwa kakhulu kule candelo kwaye akukho mishanguzo ye-asthma.
Udidi lwe "B" lwamachiza lubonisa izifundo ezikhuselekileyo zokukhusela kwizilwanyana ezikhulelweyo kodwa akukho zifundo zabantu ezikhoyo.
Udidi lokukhulelwa "C" amayeza lungabangela imiphumo emibi kumntwana xa ifundwa kwizilwanyana ezikhulelweyo, kodwa izibonelelo zala mayeza zingenza isisindo sengozi ebantwini.
Udidi lwe "D" lonyango lubonisa umngcipheko ocacileyo kumntwana, kodwa kukho iziganeko apho inzuzo iphezulu ngaphezu kweengozi ebantwini.
Kwaye ekugqibeleni, inqanaba elithi "X" imishishini ibonisa ubungqina obucacileyo bokukhubazeka kokuzalwa kwizilwanyana kunye / okanye kwizifundo zabantu kwaye akufanele zisetyenziswe ekukhulelweni.
I-Asthma Medication Breakdown
Ukunceda imithi , esetyenziselwa ukuphucula ngokukhawuleza iimpawu ze-asthma, zibandakanya i- bronchodilators engabonakaliyo njenge-albuterol.
Nangona eli gama lisigaba "C", amava ethu ngokusebenzisa la mayeza kumabhinqa akhulelweyo aphezulu kwaye awubonakali ubungqina bemiphumo emibi emntwaneni.
Imithi yokulawula i-asthma eqhubekayo ibandakanya i-steroids e-inhaled, yindlela ekhethiweyo yokulawula ukuvuvukala kwesifo se-asthma. Amanye amayeza kweli qela abandakanya i- Advair (i-fluticasone / salmeterol), i -ophylline, i-cromolyn, ne-Singulair (i-montelukast).
I-steroids ekhethiweyo ekhethiweyo ibandakanya i-Pulmicort (budesonide), yodwa inqaku elithi "B" inhaled steroid, kunye neQVAR (beclomethasone), ekubeni le steroid ehambelanisiweyo iye yajikeleza ixesha elide, kwaye amava ngayo. Nangona kunjalo, kunengqiqo ukuqhubeka nezinye iindidi ze-steroid ngexesha lokukhulelwa xa umama wayelawulwa kakuhle ngokusebenzisa loo mayeza ngaphambi kokukhulelwa.
Imveliso enxulumene ne-Advair okanye i-Symbicort ingafuneka kwizigulane ezine-asthma ezinzima. Ezi zonyango zidibanisa i-steroid inhaled nge-beta-agonist esebenza ixesha elide (imithi efana ne-albuterol), kwaye isetyenziselwa njengonyango lolawulo. Izigulane zisadinga i-albuterol "njengento efunekayo" okanye ukusetyenziswa kokusindisa.
Olunye ulawulo lweemithi ezifana ne-theophylline (uhlobo "C") kunye ne-cromolyn, nedrocromil, kunye ne-Singulair (yonke inqanaba "B") lifanelekileyo ukuqhubeka ngexesha lokukhulelwa xa unina unenzuzo enhle kumayeza ngaphambi kokukhulelwa.
Nangona kunjalo, akukho nanye kula mayeza ayeza kuthathwa ngokuba "ngowokuqala" ukuqala ngexesha lokukhulelwa.
I-Xolair (i-omalizumab), iyeza elinojojo esisetyenziselwa unyango lwe-asthma njengonyango lolawulo. Unalo uhlobo lwebakala "B", nangona kuphuma eli gama lifumaneke kuphela kwiminyaka embalwa, kufuneka lisetyenziswe ngokuqaphela kwi-asthmatics ekhulelwe.
> Imithombo:
> I-NAEPP Ingxelo yePhaneli yeNgcaciso. Ukulawula i-Asthma Ngethuba lokukhulelwa: Iingcebiso kwi-Pharmacologic Treatment - 2004. J Allergy Clin Immunol. 2005; 115: 36-46.
> Blaiss MS. Ulawulo lwe-Asthma Ngethuba lokukhulelwa. I-allergies Asthma Proc. 2004; 25: 375-379.
> I-ACOG / ACAAI. Ukusetyenziswa kwe-Newer Asthma kunye ne-Allergy Medications ngexesha lokukhulelwa. Ann Annistry Asthma Immunol. 2000; 84: 475-480.