Ngaba uyazibuza ukuba yiphi iyeza elincinci kakhulu le-asthma yakho? Kuxhomekeka kwimeko enzima ngayo isifuba somntu. Wonke umntu onesifo se-asthma kufuneka abe neyeza lokuhlangula elitholakalayo, njenge- albuterol , ukwenzela ukuba uncedo olukhawulezayo lweempawu ze-asthma. Nangona kunjalo, uninzi lwabantu abane-asthma nalo ludinga imithi yomlawuli. Amachiza omlawuli asetyenziswa ukukhusela iimpawu ze-asthma kwaye ithathwa imihla ngemihla kungakhathaliseki ukuba i-asthma yomntu yenza ntoni ngaloo mini.
Okokuqala, qaphela ukuba i-asthma yakho ilawulwa; kwaye nokuba ufanele ubone ugqirha wakho ukwenzela ukuba unyango lomlawuli (okanye ulwaphulo olulodwa lomlawuli) lunokumiselwa.
Yiyiphi Imithi Eyona Miphumo Yomzimba?
Amachiza omlawuli yilawo mayeza athathwe imihla ngemihla (ngamanye amaxesha ngamaxesha amaninzi ngosuku) kungakhathaliseki ukuba yimpawu ze-asthma. La mayeza athatyathwa lonke ixesha ukwenzela ukulawula ukuvuvukala nokuvuvukala kwee-airways. Oku kubangela ukucasula okuncinci kunye nokunciphisa imisipha ejikeleze i-airways kwaye ngoko ke iimpawu ze-asthma ezimbalwa. La mayeza ngokuqhelekileyo athabatha iintsuku ezimbalwa kwiiveki ezimbalwa ukuze aqale ukusebenza, kodwa ke umntu onamaziso e-asthma afunekayo.
Abalawuli abaninzi be-Asthma Controllers
Ezi ziquka ii-steroids ezingenayo i-Florent (fluticasone) kunye ne-Pulmicort (budesonide), i- leukotriene blockers efana ne-Singulair (i-montelukast), kunye nonyango oludibeneyo kunye ne-beta-agonists esebenza ixesha elide njenge- Advair (i-fluticasone / salmeterol) kunye ne-Symbicort (budesonide / formoterol) .
Amanye amayeza, afana ne- theophylline kunye ne- Xolair , ayetyenziselwa ukongeza kwi-corticosteroid okanye e-leukotriene blocker ekulawuleni i-asthma. Kuya kuba yinto engavamile ukuba isigulane sithathe kuphela i-theophylline okanye i-Xolair ngaphandle kwesinye iyeza ukuze siphathe isifo se-asthma.
Yiyiphi imithi umntu onokuyithatha rhoqo?
Akunandaba nokuba amayeza asebenza njani ukuba umntu ubalekele ukuba athathe.
Abantu abaninzi bathanda imbono yokuthatha ipilisi yosuku olulodwa, njenge-Singulair, ngokulawula kwexesha elide le-asthma. Ngelishwa, i-Singulair ayilona miphunga ekhethekileyo ye-asthma kubantu abaninzi, nangona isebenza kakuhle kwabanye. Kuya kuba lunengqondo ukuzama imithi efana ne-Singulair, ngokungakhathaliseki ukuba kuhlolwa kwakhona kolawulo lwe-asthma emva kweeveki ezimbalwa. Uninzi lwe-steroids olufakwe kwi-inhaled lubanjwa kabini ngosuku, nangona ezinye zivunyelwe i-FDA ukuba zithathwe kanye ngosuku (njenge-Asmanex).
Yiyiphi Imithi Eyona Ninzi Inokwenzeka Yokulawula Isifo Sobomi?
I-steroid ye-inhaled yiyiphilisi elawulwa ngabalawuli abanabantu abane-asthma ezingalawulekiyo. La mayeza anika ulawulo olungcono lweempawu ze-asthma kunye nokuthintela ukuhlaselwa kwesifo se-asthma esizayo kunokuba i-leukotriene blockers. Kwabo bantu abangenayo i-asthma elawulwa kakuhle kwi-steroid engabonakaliyo okanye abo abane-asthma enamandla, ukudibanisa kwe-steroid engabonakaliyo kunye ne-beta-agonist esebenzayo ende. Olu hlobo lonyango lubonakala luyilona mveliso engcono kakhulu kula bantu, okuphumela ekunciphiseni iimpawu ze-asthma, ukuphuculwa komsebenzi wamaphaphu kunye nokunciphisa ukusetyenziswa kwamachiza okuhlangula.
Yiyiphi i-Asthma Medicine Eyona Ngqineka, Ngoxa iqhubeka ilawula iMpawu ze-Asthma?
Ngokuqhelekileyo, amayeza e-asthma ayilondolozo lwempilo, kwaye ngokubanzi, iinzuzo zala mayeza zigqithise kakhulu ingozi.
Oko kushiwo, kukho imiphumo emibi yokuqwalasela kunye neendlela ezahlukeneyo zolawulo. Nazi ezinye iziqhagamshelana nolwahlu lweziphumo eziqhelekileyo zonyango eziqhelekileyo ezilawulwa yi-asthma:
- I-corticosteroids engabonakaliyo ebangela ukunyuka, ukunyuswa kokukhula kunye nethambo elincinci.
- I-Singulair ebangela ukuziphatha kunye nokuziphatha kweenguqu.
- I-corticosteroids kunye ne-agonists esebenza ixesha elide (njenge-Advair) ebangela ukuba i-asthma ibe yingozi kwiindawo ezithile.
- I-Xolair eyenza i-anaphylaxis ( iimeko ezinzima zokuphendula).
- Theophylline ebangela i-cardiac arrhythmias .
Imithombo:
> Dennis RJ, Solarte I, uRodrigo G. Isifuba kuBantu abadala. BMJ Clin Evid. 2011.13; 2011.
Ingxelo yePhaneli yeeNkcazo 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma. 2007.