Asthma kan ngaihtuah hian a tam zawk chuan inhaler kan ngaihtuah thin. Dik tak chuan mi tam tak tan chuan inhaler hi an asthma control nana puitu lian tak a ni. Mahse a chang chuan, a bik takin asthma natna chi khat na zawk nei tan chuan inhaler dik taka hman a harsat hun a awm thin. Thâwk lak a harsa a, a hah bawk. Chuvangin vawiin hian hetiang asthma natna khirh tak dona atana hmanraw thar, hmasawn tak tak lo chhuah tawh chungchang kan sawi dawn a ni. Biologic Therapy tih a ni.
A awlsam zawngin, Biologic Therapy chu eng nge ni?
Hei hi Asthma na tak enkawlna thar a ni. Kan hman tlangpui inhaler hian thawkna kawng vel muscle te chu a ti relax a, thawk a ti awlsam hle. Mahse he biologic treatment hi a danglam deuh hlek a ni.
Kan taksa chhungah hian thil tenawm tak tak, Asthma thlentu, chu chu thawkna kawngah inflammation thlentu a awm tih han ngaihtuah teh. Chûngte chu antibody, cell, a nih loh leh molecule . Biologic therapy hian a bik takin asthma thlentu thilte hnathawh chu a target a, a block bawk. Buaina bul zawn chhuah a, chinfel ang mai a ni.
He enkawlna hian asthma flare-ups a ti tlem a, nunphung a ti tha a, mi thenkhat tan chuan lung hnathawh pawh eng emaw chen a ti tha thei bawk.
Engtin nge he damdawi hi taksaah pek a nih?
Biologic therapy hi pill angin ei theih a ni lo. Kawngpui pahnih hmanga pek a ni:
1. Injection angin: Hei hi vun hnuaia injection a ni. Damdawi lam hawi chuan subcutaneous injection an ti a.
2. Vein-a pek hmangin: Saline pek ang bawkin damdawi hi cannula hmangin taksaah pek a ni. Hei hi intravenous (IV) infusion an ti a .
A pawimawh ber chu biologic therapy hi stand-alone treatment a ni lo. Asthma damdawi dang i ei tawh nen hman dun tur a ni.
Hei hian i doctor-in damdawi a pekte chu i ei chhunzawm zel a ngai dawn tihna a ni a, chungte chu:
- Allergy damdawi: Chung zingah chuan corticosteroids , antihistamines , leh antileukotriene damdawi ( montelukast ang chi) te pawh a tel thei.
- Allergy shots: Immunotherapy tia koh bawk, hengte hian hun kal zelah allergy symptoms a tihziaawm thei.
- Asthma inhaler: I asthma na tak control nana inhaler eng pawh pek tur chu he enkawlna hi chhunzawm zel tur a ni.
He enkawlna hi tute tan nge a inhmeh tak zet?
Asthma vei zawng zawng tan biologic therapy pek vek a ni lo. I doctor chuan he damdawi hi i tan a rawt hmain thil engemaw zat a ngaihtuah hmasa ang. Chûng thilte chu i tawng tawh em tih en rawh.
- I asthma damdawi, a bik takin i inhaler dik taka i hman lai pawha i symptoms control loh chuan .
- I thisenah thil thenkhat level sang tak i neih chuan report , a bik takin eosinophils ( thisen var chi khat, lung chhunga natna thlentu) emaw allergens (immunoglobulin E emaw IgE) level sang tak i neih chuan.
- I asthma tichhuaktu i hriat a, pumpelh tum la, mahse i symptoms chu a la awm reng a nih chuan .
- Zanlai pelh hnua thawk harsatna avanga i harh chuan .
- Kar khatah vawi hnih aia tam i rescue inhaler i hman a ngai a nih chuan.
- I asthma a zual zel laiin kum khatah vawi hnih aia tam thawkna kawng a hring chhuak tihziaawmna tur damdawi corticosteroids ang chi i hman a ngai a nih chuan.
- Asthma symptoms vangin kum khatah vawi hnih aia tam Emergency Department (ETU) pan a ngai a nih chuan.
- Damdawi inah awm reng a ngai tawh a, asthma vangin enkawl i ngai tawh a nih chuan.
Hetiang dinhmun i neih chuan i doctor nen biologic therapy hi i tan a tha em tih sawipui a pawimawh hle.
Asthma natna atana hman tur biologic damdawi chi hrang hrangte chu engte nge ni?
U.S. Food and Drug Administration (FDA) ang agency-te pawmpui biologic damdawi chi hrang hrang a awm a. An hnathawh dan chu a danglam deuh hlek a ni. Eng nge an nih i han thlir teh ang.
| Damdawi hming (brand name) . | Engtin nge a thawh a, tute tan nge a inhmeh? | Engtin nge kan pek ang | Side effect awm fo thin |
|---|---|---|---|
| Omalizumab a ni (Xolair®) tih a ni. | Allergy avanga Asthma natna a enkawl. Allergic response thlentu antibody a block thin. Dust mites, ran vulh, rulhut, mold, etc. allergy nei tan a tha. | Kar 2 atanga kar 4 danah injection 1 emaw 2 emaw pek thin tur a ni. A tirah chuan damdawi lam enkawlna hnuaiah pek a ni a, chutah chuan thenkhat chuan in lamah an dawng thei a ni. | Muscle na, ruh na, hah, injection na hmuna na emaw, a hring emaw. |
| Mepolizumab a ni (Nucala®) tih a ni. | Eosinophilic asthma a enkawl thin. Thisen a eosinophils te chunga hnathawk IL5 an tih chu a block thin. | Kar 4 danah injection vawi khat pek thin a ni. In lamah lak theih a ni. | Lu na, injection na hmuna na emaw, a hring emaw, hnungzang na, chak lohna, hah. |
| Reslizumab a ni (Cinqair®) tih a ni. | Hei hian eosinophilic asthma a tidam bawk. Mepolizumab ang bawkin (IL5) a block bawk. | Kar 4 danah IV infusion angin pek thin a ni. Darkar khat pawh a tling lo. A tir lamah chuan medical supervision neih a ngai a ni. | Thlarau na, taksa ruh na. |
| Benralizumab hmanga enkawl a ni (Fasenra®) tih a ni. | Eosinophilic asthma a enkawl thin. Thisen a eosinophils awm zat a tihtlem. | Dose hmasa 3 hi kar 4 danah pek thin a ni a, chutah chuan kar 8 danah pek thin a ni. | Lu na, ril na. |
| Dupilumab a ni (Dupixent®) tih a ni. | Eosinophilic asthma a enkawl thin. Taksa chhunga inflammation thlentu thil dang a block. | Kar 2 danah injection vawi khat pek thin tur a ni. | Thlarau na, injection na hmuna natna emaw, hring emaw, thisen var cell count a tipung. |
| Tezepelumab a ni (Tezspire®) tih a ni. | Asthma tan biologic drug thar a ni. Asthma na tak chu inflammation tihziaawmin a tidam a ni. | Kar 4 danah injection vawi khat pek thin a ni. | Thlarau na, hnungzang na, ruh na. |
He enkawlna chungchanga zawhna dang i neih theihte
Hetiang damdawi thar chungchang sawiho hian i rilruah zawhna tam tak a lo chhuak thin hi thil pangngai tak a ni. A chhânnate i lo en ang u.
Eng chen nge enkawl a nih?
Tun thleng hian he enkawlna hi eng chen nge hman tur tih hi chiang taka rawtna siam a la ni lo. I asthma symptoms atanga chhanchhuahna a pe em tih hriat nan thla li tal a ngai thei. Chuvang chuan hun rei tak enkawlnaah ngaih a ni.
Biologic drug tha ber chu eng nge ni?
Damdawi pakhat chu a dang aiin a tha zawk tih sawi theih a ni lo. Heng damdawi te hi tehkhin nan zirchianna a awm lo. I doctor chuan eng damdawi nge i tan a tha ber tih a rel ang. Thil tam tak a ngaihtuah ang a, chu chu i thawk dan test te, thisen test te, leh asthma i neih chi hrang hrang te hi a ni.
Inhaler hi hman chhunzawm zel a ngai em?
Awle! Ni chiah e. Hei hi a pawimawh hle. Biologic therapy i tan hnuah pawh i inhaler leh asthma damdawi dangte hman kha bansan ngai suh. I asthma hi i control tha a nih chuan i doctor chuan hun kal zelah i inhaler dose chu a tihtlem thei mai thei. Mahse chu thutlukna chu nangmah thu a ni.
Biologic treatment hian eng hlawkna nge a neih?
He enkawlna hlawkna ber chu thawkna kawng a hring (swelling) tihziaawmna leh asthma symptoms control-na a ni. Chu bakah, hlawkna dang engemaw zat a awm bawk:
- Taksa tihchak leh exercise pangngaiah i tel thei ang .
- Asthma a zual a, ETU-a tlan tamna a tlahniam bawk.
- Allergy damdawi mamawhna emaw, a dose emaw pawh a tlem thei.
- Thâwk harsa ka neih avangin zanah ka harh loh vangin ka muhil tha hle .
- Asthma vanga sikul i kal loh emaw, hna i kal loh ni zat a tlahniam ang.
He enkawlna hmang hian hlauhawmna a awm em?
A tlangpuiin biologic therapy hi a him khawp mai. Mahse, damdawi zawng zawng ang bawkin hlauhawm leh side effect engemaw zat a awm.
- Allergy na tak: A tlem hle a, mi thenkhat chuan he damdawi hi allergy na tak an nei thei. Vun natna, vun hring, hives, leh a châng chuan nunna atana hlauhawm, anaphylaxis , a thlen thei bawk. Mahse, hlauthawng suh. Hei vang hian doctor ten damdawi an pek hnuah darkar hnih vel an lo vil reng ang che.
- Parasitic infection neih theihna a sang: Biologic damdawi, a bik takin thisena eosinophils awm zat tihtlemtu te hian parasitic infection vei theihna a tipung thei a ni. Heng eosinophils te hi kan immune system te hian parasites, a bik takin helminths te dona tura puitu cell an ni.
- Enkawlna tihtawp a nih chuan Asthma a zual zel: Biologic treatment i chawlhsan nghal chuan i asthma symptoms chu a hma aia nasat zawk theihna chance a awm.
Engtikah nge doctor nen inbiakna neih a ngaih?
A hnuaia thil thlengah hian i doctor nen inbia ngei ang che.
- Thla engemaw zat enkawl hnua i asthma symptoms a ṭhat loh emaw, a na zual ang tih emaw a nih chuan .
- Allergy symptom thar (vun rawng, vun natna) a lo lang tan chuan.
- I damdawi ei tur ni i miss emaw, thlak a ngai emaw a nih chuan.
- He enkawlna chungchangah hian zawhna dang emaw rinhlelhna dang emaw i neih chuan.
Khawiah nge he enkawlna hi ka hmuh theih ang? Insurance hian a huam em?
Asthma lama tui doctor chuan biologic therapy hi i tan a tha em tih a rel ang. I natna lan chhuah dan te, tuna i damdawi hman mek te, leh thisen test result te a enfiah ang. He enkawlna hi specialist office-ah emaw, damdawi inah special unit (infusion center)-ah emaw pek a ni tlangpui.
He enkawlna hi a man a to hle thei a, chuvangin i doctor nen inbia la, i insurance hian a cover dawn em tih en rawh. I insurance company nen inbiakna hmangin i hriat chian theih nan a pui thei che a ni. Damdawi siamtu company thenkhat chuan he enkawlna dawngtu te tan sum leh paia tanpuina programme an buatsaih bawk.
Take-Home Thuchah a ni
- Biologic therapy hi asthma na tak enkawlna hmasawn tak a ni a, damdawi pangngai hmanga control harsa tak a ni.
- Hei hi i inhaler thlakna tur a ni ngai lo. I inhaler kha i hmang chhunzawm zel tur a ni.
- Enkawlna result hmuh nan thla engemaw zat a la ngai thei a, chuvangin dawhthei takin awm rawh.
- I specialist chauhvin eng biologic medicine nge i tan a tha ber tih a rel thei ang.
- He enkawlna hi i tan hmain i doctor nen a hlawkna leh a hlauhawm theih dan tur sawipui hmasa phawt ang che.
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