Kodi Phumu Imachiritsidwa?

Zamkati

• Kupanga dongosolo lanu la mphumu
• Kodi ndi mankhwala amtundu wanji omwe akukhudzidwa?
• Nanga bwanji zachilengedwe?
• Mbewu yakuda (Chimamanda Ngozi Adichie
• Kafeini
• Choline
• Pycnogenol
• Vitamini D.
• Kumapeto: Lonjezo lakuthandizidwa ndi munthu aliyense
• Maganizo ake

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Palibe mankhwala a mphumu. Komabe, ndi matenda ochiritsika kwambiri. M'malo mwake, madokotala ena amati masiku ano mankhwala a mphumu ndi othandiza kwambiri, anthu ambiri ali ndi chiwongolero chokwanira cha zizindikilo zawo.

Kupanga dongosolo lanu la mphumu

Anthu omwe ali ndi mphumu amakhala ndi zoyambitsa komanso mayankho. Madokotala ena amakhulupirira kuti pali mphumu zambiri, iliyonse ili ndi zoyambitsa zake, zoopsa zake, ndi chithandizo chake.

Ngati muli ndi mphumu, dokotala wanu adzagwira nanu ntchito kuti apange dongosolo la mphumu lomwe limayang'ana kwambiri zizindikiritso zanu ndi zinthu zomwe zikuwoneka kuti zikuwayambitsa.Mphumu. (nd). Dongosololi liphatikizanso kusintha kwachilengedwe ndi zochitika zanu, limodzi ndi mankhwala okuthandizani kuthana ndi zizindikilo zanu.

Kodi ndi mankhwala amtundu wanji omwe akukhudzidwa?

Chithandizo cha mphumu chimakwaniritsa zolinga ziwiri zikuluzikulu: kuwongolera kwakanthawi komanso kupumula kwakanthawi kochepa. Nazi zina mwa mankhwala a mphumu omwe dokotala angaphatikizepo mu dongosolo lanu la mphumu:

Opumira. Zipangizozi zimapereka mankhwala oyambira m'mapapu anu. Mumagwira mapampu ofananidwa ndi J pakamwa panu ndikudina pa bokosi. Pampu imatumiza nkhungu kapena ufa womwe umatulutsa.

Ena mwa inhalers amakhala ndi ma corticosteroids omwe amateteza kutupa ndi kukwiya munjira yanu yampweya. Izi inhalers ndizogwiritsa ntchito tsiku ndi tsiku kapena nyengo.

Ma inhalers ena amakhala ndi mankhwala ochita zinthu mwachangu (monga ma bronchodilators, beta2-agonists, kapena anticholinergics) omwe amatha kutsegula njira zanu zowuluka mwachangu ngati mukukula ndi mphumu.

Ena mwa inhalers amatha kukhala ndi kuphatikiza mankhwala kuti muchepetse momwe mungachitire.

Ma Nebulizers. Zipangizo zaulerezi zimasandutsa mankhwala amadzimadzi kukhala nkhungu yomwe mungapume. Mankhwala omwe amagwiritsidwa ntchito mu nebulizers amachepetsa kutupa ndi kukwiya munjira zapaulendo.

Mankhwala apakamwa. Ndondomeko yanu yayitali ingaphatikizepo mankhwala akumwa. Mankhwala a mphumu apakamwa amaphatikizapo ma leukotriene modulators (omwe amachepetsa kutupa) ndi theophylline (yomwe yasinthidwa ndi mankhwala otetezeka, othandiza kwambiri) omwe amatsegula njira zanu zampweya. Zonsezi zimatengedwa ngati mapiritsi. Nthawi zina amapatsidwa mapiritsi a corticosteroid.

Zamoyo. Mutha kukhala ndi jakisoni wa mankhwala a biologic kamodzi kapena kawiri pamwezi. Mankhwalawa amatchedwanso ma immunomodulators chifukwa amachepetsa maselo ena oyera amwazi m'magazi mwanu kapena amachepetsa chidwi chanu pazomwe zimayambitsa matenda m'dera lanu. Amagwiritsidwa ntchito pamitundu ina ya mphumu yoopsa.

Dokotala wanu akhoza kukupatsani mankhwala amodzi kapena angapo kuti akuthandizeni kuchepetsa mphumu ndi kuchepetsa zizindikiro.

Nthawi yayitali: inhaled corticosteroids

• Beclomethasone (Qvar RediHaler)
• Budesonide (Pulmicort Flexhaler)
• Ciclesonide (Alvesco)
• Fluticasone (Mvula HFA)
• Mometasone (Asmanex Twisthaler)

Kutalika: kusintha kwa leukotriene

• Montelukast (Singulair)
• Zafirlukast (Zolondola)
• Zileuton (Zyflo)

Ngati mukumwa Singulair, muyenera kudziwa kuti, malinga ndi Food and Drug Administration (FDA), nthawi zambiri, mankhwalawa adalumikizidwa ndi kukhumudwa, kupsa mtima, kukwiya, komanso kuyerekezera zinthu m'maganizo.Kalra D, ndi al. (2014). [Montelukast (Singulair)] Kuyeza kwa ana pamsika pamankhwala ogwiritsira ntchito mankhwala osokoneza bongo komanso kugwiritsa ntchito mankhwala osokoneza bongo. https://wayback.archive-it.org/7993/20170113205720/http://www.fda.gov/downloads/AdvisoryCommittee/CommitteeMeetingMaterials/PediatricAdvisoryCommittee/UCM414065.pdf Zimawonjezeranso chiopsezo chazovuta zam'mutu, monga malingaliro ofuna kudzipha komanso zochita.FDA imafuna chenjezo la nkhonya pazovuta zoyipa zamatenda a mphumu ndi mankhwala osokoneza bongo a montelukast (Singulair); limalangiza zoletsa kugwiritsa ntchito matupi awo sagwirizana ndi rhinitis. (2020). Onetsetsani kuti dokotala wanu ali ndi zizindikiro zilizonse zamaganizidwe zomwe inu kapena mwana wanu mukukumana nazo.

Kutha kwanthawi yayitali: beta-agonists (LABAs)

Nthawi zonse mumayenera kutenga ma LABA pamodzi ndi corticosteroids chifukwa akazitenga okha amatha kuyambitsa mphumu.

• Salmeterol (Serevent)
• Formoterol (Perforomist)
• Kutulutsa Arformoterol (Brovana)

Ena mwa inhalers amaphatikiza mankhwala a corticosteroids ndi LABA:

• Fluticasone ndi salmeterol (Advair Diskus, Advair HFA)
• Budesonide ndi formoterol (Symbicort)
• Mometasone ndi formoterol (Dulera)
• Fluticasone ndi vilanterol (Breo Ellipta)

Theophylline ndi bronchodilator yomwe mumamwa mapiritsi. Nthawi zina amagulitsidwa pansi pa dzina la Theo-24, mankhwalawa saperekedwera pano.

Kuchita mwachangu: opulumutsa opumira

• Albuterol (ProAir HFA, Ventolin HFA, ndi ena)
• Levalbuterol (Xopenex HFA)

Ngati mukudwala mphumu yoopsa, dokotala wanu amatha kuwonjezera ma corticosteroids amlomo ngati prednisone ku dongosolo lanu la mphumu.

Ngati zovuta zanu zikuwoneka kuti zimayambitsidwa ndi ma allergen, adotolo angakulimbikitseni ma immunotherapy (kuwombera ziwombankhanga) kapena antihistamines ndi ma decongestant.

Zamoyo

• Xolair® (omalizumab)
• Nucala® (mepolizumab)
• Cinqair® (reslizumab)
• Fasenra® (benralizumab)

Nanga bwanji zachilengedwe?

Pali mankhwala ambiri achilengedwe omwe angaganizidwe.

Mphumu ndi vuto lalikulu, ndipo kuwonongeka kwa mphumu kumatha kupha moyo. Onetsetsani kuti mwalankhula ndi dokotala musanawonjezere njira iliyonse yakunyumba kwa inu kapena zomwe mwana wanu angachite. Osasiya kumwa mankhwala a mphumu musanalankhule ndi dokotala wanu.

Mbewu yakuda (Chimamanda Ngozi Adichie

Nigella sativa Ndi zonunkhira mu banja la chitowe lomwe limagwiritsidwa ntchito ngati mankhwala m'mitundu yambiri, kuphatikiza miyambo ya Ayurvedic. Mbeu zakuda zitha kudyedwa, kumwa ngati piritsi kapena ufa, kapena kugwiritsidwa ntchito popanga mafuta.

Kuwunika kwa 2017 kwamaphunziro okhudza Nigella sativa adapeza kuti mbewu yakuda imatha kusintha magwiridwe am'mapapo ndikuthandizira zizindikiritso za mphumu.Koshak A, ndi al. (2017). Phindu la mankhwala a Nigella sativa mu mphumu ya bronchial: Kuwerengera mabuku DOI: 10.1016 / j.jsps.2017.07.002 Kafukufuku wowonjezereka amafunikira chifukwa maphunziro ambiri anali ochepa komanso oyesedwa mu nyama kapena m'maselo, osati anthu.

Gulani mbewu yakuda (Chimamanda Ngozi Adichie

Kafeini

Caffeine yawerengedwanso ngati mankhwala achilengedwe a mphumu chifukwa ndizokhudzana ndi mankhwala theophylline, omwe amagwiritsidwa ntchito kupumitsa minofu mu njira yanu yampweya.

Ngakhale palibe kafukufuku waposachedwa yemwe akuwonetsa kuti ndiwothandiza, kuwunikiranso kwa 2010 kwa kafukufukuyu kunawonetsa kuti kumwa khofi kunapangitsa kusintha pang'ono panjira yapaulendo mpaka maola anayi.Welsh EJ, et al. (2010). Caffeine ya mphumu. KODI:

Choline

Choline ndi michere yomwe thupi lanu limafunikira kuti igwire bwino ntchito, koma kusowa kwa choline ndikosowa. Umboni wina umawonetsa kuti chowonjezera cha choline chimatha kuchepetsa kutupa kwa anthu omwe ali ndi mphumu, koma kumeza choline wambiri kumatha kukhala ndi zotsatirapo.Mehta AK, ndi al. (2010). Choline amalepheretsa kutupa kwa chitetezo cha mthupi ndipo amaletsa kupsinjika kwa okosijeni mwa odwala mphumu. CHINSINSI: 10.1016 / j.imbio.2009.09.004

Choline atha kumwa ngati mapiritsi kapena kupezeka mu zakudya monga chiwindi cha ng'ombe ndi nkhuku, mazira, cod ndi nsomba, masamba monga broccoli ndi kolifulawa, ndi mafuta a soya. Zotsatira zoyipa sizokayikitsa ngati choline chanu chimachokera ku chakudya chokha.

Gulani choline.

Pycnogenol

Pycnogenol ndichotolera chotengedwa ku khungwa la mtengo wa paini womwe umakula ku France. Nthawi zambiri amatengedwa ngati kapisozi kapena piritsi.

Ngakhale kuti kafukufuku wina amafunika, kafukufuku wina mwa anthu 76 adapeza kuti pycnogenol yachepetsa kuwuka kwausiku kuchokera ku mphumu, komanso kufunika kwa mankhwala amphumu wamba.Belcaro G, ndi al. (2011). Kusintha kwa Pycnogenol pakuwongolera mphumu.

Gulani pycnogenol.

Vitamini D.

Chowonjezera china chomwe anthu amakhala nacho ndi vitamini D. Ofufuza ku London adapeza kuti kumwa vitamini D limodzi ndi mankhwala anu a mphumu kumachepetsa chiopsezo chopita kuchipinda chadzidzidzi kukadwala mphumu ndi 50 peresenti.Jolliffe DA, ndi al. (2017). Vitamini D supplementation kuti muchepetse kuwonjezeka kwa mphumu: Kuwunika mwatsatanetsatane ndikuwunika meta za omwe akutenga nawo mbali. KODI:

Gulani vitamini D.

Kumapeto: Lonjezo lakuthandizidwa ndi munthu aliyense

Mowonjezereka, madotolo akuyang'ana kugwiritsa ntchito zida zina zapweya wanu kuti musinthe momwe mungaperekere mphumu.Mulungu God M, et al. (2017). Mankhwala opangidwa ndi inu nokha ndi biologics yamtundu wa 2 mphumu yoopsa: Udindo wapano ndi ziyembekezo zamtsogolo. CHINENO: 10.1080 / 19420862.2017.1392425

Dera lofufuzirali ndilothandiza kwambiri madokotala akamapereka mankhwala omwe amadziwika kuti biologics. Biologics ndi mapuloteni omwe amagwira ntchito m'thupi lanu popewa kutupa.

Maganizo ake

Mphumu ndi matenda omwe amachititsa kuti mpweya wanu uchepetse chifukwa cha kutupa, kumangika, kapena kuchuluka kwa ntchofu. Ngakhale kulibe mankhwala, pali njira zambiri zamankhwala zomwe zitha kupewa kuphulika kwa mphumu kapena kuchiza zizindikiritso zikachitika.

Mankhwala ena achilengedwe kapena apanyumba atha kuthandiza, koma nthawi zonse lankhulani ndi dokotala musanawonjezere chilichonse panjira yanu ya mphumu.