Ingozi iphezulu kakhulu kubantu abane-asthma enzima
Izidakamizwa ezingekho-stteroidal anti-inflammatory (NSAIDs) yinkalo yesicatshulwa esisebenza ngayo ukunciphisa intlungu, ukunciphisa umkhuhlane, kwaye, kwizinga eliphezulu, ukunciphisa ukuvutha. I-Aspirin yayiyi-NSAID yokuqala eveliswa ngama-1800s ukusuka kwiikhemikhali ezikude kwi-bark yomthi wemifula.
Kuzo zonke iziphumo zayo eziqinisekisiweyo, i-aspirin iyaziwa ngokubangela ukuphendulwa komzimba kwabanye abantu.
Ngaphezu koko, ukungabikho komzimba ku-aspirin kuvame ukuguqulela ukuya kwezinye iindidi ze-NSAID kuquka ibuprofen (Advil, Motrin) kunye ne- naproxen (Aleve).
I-NSAID ye-allergies iyakholelwa ukuba ifuthe enye ipesenti yoluntu jikelele. Ngaphezu koko, abaninzi abantu abayishumi abane-asthma baya kuhlaselwa kweempawu emva kokuthatha i-NSAID. Kwabo abaphethwe yi-asthma ihamba ne-sinusitis engapheliyo kunye ne-polyps yangasese, umngcipheko unokunyuka ube phezulu kuma-40 ekhulwini.
Ukuqonda i-Aspirin Allergy
I-Aspirin ye-allergies ibonakaliswe ngempendulo ezintathu ezahlukeneyo, ngasinye sinomxholo wezinto ezikhethekileyo. Iimpendulo zingaphinde zithinteke zibangele iimpawu ezivela kubumnandi ukuya kusongela ubomi. Ezi ziquka:
- I-Aspirin-yandisa isifo sokuphefumula (AERD), esibangela iimpawu ezinjenge-rhinitis kunye nesifo se-asthma
- I-aspirin-yandisa i-urticaria / angioedema, ebonisa iimpawu ze-dermatological ezifana nemihlathi kunye nokuvuvukala
- I-urticaria-exacerated urticaria okanye ngaphandle kwe-angioedema, apho ukuvuthwa kunye nokuvuvukala kungaqhubela phambili ekusongeni ubomi, ukusabela komzimba wonke okubizwa ngokuba yi- anaphylaxis
Ngokungaqhelekanga, ii-NSAID ziyaziwa ngokubangela izimo ezinzulu ezifana ne- aseptic meningitis kunye ne-hypersensitivity pneumonitis, nangona iindlela zeempendulo aziqondwa ngokupheleleyo.
Ukuchonga i-Aspirin Allergy
Izilwanyana zokuvota, i-cat dander, kunye nokutya ziyakwazi ukuvavanya igazi ngenxa yezinto ezibizwa ngokuba yi-antibodies. Olu hlobo lwempendulo yokulwa ne-antibody aluqhelekanga nge-NSAID. Ngaloo ndlela, ukunyamezela kwoluhlobo kudla ngokuxilongwa ngokuzenzekelayo ngokusekelwe kwindlela yokubonakala kunye nexesha leempawu.
Kwiimeko ezinzima, uvavanyo lovavanyo lomngeni lomlomo lungasetyenziselwa ukubona ukuba umntu uphendula njani kwi-NSAID ethile. Oku kufuneka kwenziwe kuphela phantsi kweliso lwe-allergenist eqinisekisiweyo.
Ukunyanga i-Aspirin Allergy
Ingqwalasela ephambili yonyango kukugwema nayiphina i-NSAID eyaziwayo okanye eyakholelwa ukuba ibangele ukungabikho komzimba. Oku kuyinyani ngokukhethekileyo kubantu abaneengxowankulu eziphezulu. Oku akubandakanyi kuphela ukuphepha kweepilisi ze-aspirin kunye neepsulules kodwa nayiphi na into equkethe i-aspirin, kuquka uAlva Selzer, Ukutshabalalisa, iPepto-Bismol, Kaopectate, Maalox, Doan's, Sine-Off, kunye nePamprin.
Ngokwahlukileyo, i-acetaminophen (iTylenol) ngokuqhelekileyo ibonwa njengekhuselekile njengoko i- COX-2 inhibitors njenge-celecoxib (Celebrex).
I-Aspirin Desensitization
Kweemeko ezithile, uhlobo olulungelelweyo lweyeza lwe-aspirin lungasetyenziselwa ukunceda umntu ukuba anqobe ukuxhomekeka kwe-hypersensitivity. Omnye umzekelo uquka abantu abane-asthma enamandla abafuna ukuhlinzwa ukuze basuse ama-polyps.
Emva kokuqhuba inkqubo, oogqirha ngamanye amaxesha bayakhuthaza ukukhulelwa kwe-aspirin ekuncedeni abo abane-AERD banokuzonwabisa ngakumbi kwiinspirin.
Injongo ijolise ukunciphisa ubuncwane be-aspirin ngokutyhila umntu kumlinganiselo ophantsi kakhulu we-aspirin kwaye ngokukhawuleza ukwandisa umthamo ade akwazi ukunyamezela i-650 milligram. Oku kufuneka kwenziwe kuphela phantsi kwenkathalo ye-allergenist ofanelekileyo kwaye kuphela kubantu abaxhaswa yi-aspirin.
> Umthombo:
> Lee, R. kunye noStevenson, D. "I-Aspirin-Exacerbated Respiratory Disease: UkuHlola noLawulo." I-allergies Asthma Immunol Res. 2011; 3 (1): 3-10.