He mate huango tōu? Tērā pea kei te whakamahi koe i tō inhaler e ai ki te whakahaunga, ā, kei te tango koe i ētahi atu rongoā, engari kāore ō tohumate huango e pai ake ana. Mena kei te pāngia koe e te whewhe pinepine, te kikī o te uma, me te maremare, tera pea he mate huango ngawari ki te kino. Ko tēnei tikanga maimoatanga hou, matatau, e kiia nei ko te 'Biologic Therapy', e whakamahia ana mō ēnei āhuatanga huango uaua ki te whakahaere.
He aha te Whakaora Koiora?
He maimoatanga hou tēnei, he maimoatanga arotahi mō te mate huango kino. Ahakoa ka whakawhanuitia ngā ara manawa e ngā inhaler noa, ka māmā ake te manawa, ka hohonu ake te rongoā koiora.
Whakaarohia, ko te tino take e pāngia ai tātou e te mate huango ko te mumura i roto i ngā ara manawa i puta mai i tētahi atu mahi a te pūnaha ārai mate o te tinana. Nō reira, ko te mahi a ēnei rongoā koiora he aro ki ngā paturopi, ngā pūtau, ngā ngota rānei o te tinana e whai wāhi ana ki taua mumura, ā, ka mutu tā rātou mahi. Nā tēnei, ka whakahaeretia te mate huango i te taumata taketake.
E rua ngā huarahi matua mō tēnei maimoatanga. Ko tētahi he werohanga i raro i te kiri (werohanga kiri raro i te kiri) ā, ko tētahi he werohanga ā-uaua (werohanga IV).
Ko te mea nui, ehara tēnei i te rongoā tūkotahi. Me whakamahi tahi me tō inhaler me ētahi atu rongoā mate huango.
Mā wai tēnei maimoatanga e tika?
Ehara te rongoā koiora i te rongoā mō ngā tūroro huango katoa. Ka whakaarohia e tō tākuta ētahi āhuatanga i mua i te tūtohutanga i tēnei rongoā māu. Mā te ripanga i raro nei koe e hoatu he whakaaro pai.
| Ngā āhuatanga ka tukuna pea koe mō te Whakaora Koiora | |
|---|---|
| Kāore e whakahaeretia e te rongoā kua whakaritea | Mena kāore ō tohumate huango e whakahaeretia ahakoa te whakamahinga tika o tō inhaler me ētahi atu rongoā kua tohua. |
| Ngā hua o te whakamātautau toto | Mena he nui rawa ngā taumata o te Eosinophils (he toto ma e puta ai te mumura i roto i ngā pukahukahu) me te IgE rānei (he paturopi e pā ana ki ngā mate pāwera) i roto i tō toto. |
| Ngā take e whakanui ake ai i te mate | Ki te mōhio koe ki ngā mea e whakaoho ana i tō mate huango, ā, karohia atu, engari ka mau tonu ngā tohu. |
| Ngā tohu auau | Ki te ara ake koe i waenganui pō me te maremare, ki te whakamahi rānei koe i tō inhaler whakaora neke atu i te rua ngā wā i te wiki. |
| Ngā whakaekenga maha | Mena me tango e koe ngā pire corticosteroid neke atu i te rua ngā wā i te tau, me haere rānei koe ki te ETU (Emergency Treatment Unit). |
| Te whakaurunga ki te hōhipera | Mena me noho koe ki te hōhipera ki te whiwhi maimoatanga nā te mate huango. |
He aha ngā momo rongoā koiora e wātea ana mō te mate huango?
He maha ngā momo rongoā koiora kua whakaaetia tae noa mai ki tēnei wā. He rerekē te mahi a ia momo rongoā. Mā tō tākuta e whiriwhiri te rongoā tino tika māu i runga i te momo mate huango me ngā hua o te whakamātautau toto.
| Ingoa o te rongoā | Te mahi me te tikanga tuku | Ngā pānga taha noa |
|---|---|---|
| Omalizumab (Xolair®) | He rongoā mō te mate huango i puta mai i ngā mate pāwera. Ka werohia ki raro i te kiri i ia 2-4 wiki. | Mamae uaua, mamae hononga, ngenge rawa, pupuhi/mamae i te wāhi i werohia. |
| Mepolizumab (Nucala®) | He rongoā mō te mate huango eosinophilic. Ka werohia ki raro i te kiri i ia 4 wiki. | Te ānini, te mamae o te tuara, te ngoikore, te ngenge, te pupuhi/mamae i te wāhi i werohia. |
| Reslizumab (Cinqair®) | He rongoā mō te mate huango eosinophilic. Ka hoatu mā roto i te uaua (IV) i ia 4 wiki. | Korokoro mamae, mamae uaua. |
| Benralizumab (Fasenra®) | He rongoā mō te mate huango eosinophilic. Ka hoatu ngā horopeta tuatahi e 3 i ia 4 wiki, kātahi i ia 8 wiki. | Te mamae o te upoko, te mamae o te korokoro. |
| Dupilumab (Dupixent®) | He rongoā mō te mate huango eosinophilic me ētahi atu mate e puta mai ana i te mumura. Ka werohia i ia rua wiki. | Korokoro mamae, pupuhi/mamae i te wāhi i werohia ai, ka nui haere te maha o ngā toto toto mā. |
| Tezepelumab (Tezspire®) | He rongoā hou mō te mate huango kino. Ka whakaiti i te mumura. Ka werohia i ia wiki e 4. | Korokoro mamae, mamae tuara, mamae hononga. |
Kia pēhea te roa o tēnei maimoatanga?
He maimoatanga roa tēnei i te nuinga o te wā. Tērā pea e 4-6 marama pea te roa ka mōhio ai koe mēnā kei te whai hua tēnei rongoā māu. Nō reira, he mea nui kia manawanui koe ki tō maimoatanga.
Me whakamahi tonu ahau i taku inhaler?
Āe, tino.Koinei te mea tino nui. Ahakoa kua tīmata te rongoā koiora, kaua rawa e mutu te tango i ō inhaler me ētahi atu rongoā kua tohua e tō tākuta. I roto i te wā, ki te pai te whakahaere o tō mate huango, ka whakatau pea tō tākuta ki te whakaiti i te horopeta o tō inhaler. Engari me mahi noa tēnei i raro i te tohutohu a te tākuta.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Pērā i tētahi atu maimoatanga, he painga kei tēnei, engari he iti anō hoki ngā mōrearea.
Ngā painga matua:
- Ka whakaiti i te mumura i roto i te ara manawa, ā, ka whakahaere pai i ngā tohumate huango.
- Ka iti haere te maha o ngā makariri me ngā maremare.
- Ka taea e koe te whakakorikori tinana me te whakaoti i ngā mahi o ia rā, me te kore e mahi uaua pērā i mua.
- Ka heke te maha o ngā wā ka ara ake koe i te pō.
- Ka iti ake te hiahia ki te haere ki te ETU (Emergency Treatment Unit) .
- Kei te tino pai haere te kounga o te oranga.
Ngā tūponotanga pea:
- Ngā uruparenga mate pāwera kino: He tino onge, ka pāngia ētahi tāngata e te uruparenga mate pāwera kino (anaphylaxis). Koia te take e hoatu ai ngā horopeta tuatahi i roto i te hōhipera, i te whare hauora rānei i raro i te tirotiro a te rata.
- Te mōrearea o ngā mate pirinoa: Ko ngā rongoā e whakaiti ana i te nui o ngā eosinophil ka whakaiti pea i te kaha o te tinana ki te whawhai ki ngā pirinoa, inā koa ko ngā helminth. Nō reira, ka whakaarohia tēnei e tō tākuta i mua i te tīmatanga o tēnei maimoatanga.
He mea nui: Kaua e mutu ohorere te tango i tēnei rongoā mō tētahi take me te kore he tohutohu a tō tākuta. Mēnā ka pēnā, ka kino ake pea ō tohumate huango.
Āhea te wā e kōrero ai ki tō tākuta
I ngā wā e whai ake nei, me kōrero koe ki tō tākuta me te whakamōhio atu ki a ia.
- Mena kāore ngā tohumate o te huango e pai ake, e kino rānei i muri i ētahi marama o te maimoatanga.
- Mēnā ka puta ake ngā tohu mate pāwera hou (hei tauira, te ponana kiri, te mākati).
- Mena he pātai, he āwangawanga rānei āu e pā ana ki te maimoatanga.
Ka taea te tiki i tēnei maimoatanga i runga i te taunakitanga a te tākuta tohunga, mai i tētahi wāhanga motuhake o te hōhipera (pokapū werohanga) mai rānei i tētahi whare rongoā tākuta tohunga. He iti te utu mō tēnei maimoatanga. Engari ka taea e koe te kōrero ki tō tākuta mō tēnei mea, kia kitea ai ētahi atu kōrero.
Karere Tangohia ki te Kāinga
- Ko te Whakaora Koiora he tikanga maimoatanga matatau e whakamahia ana mō ngā mate huango kino e uaua ana ki te whakahaere me ngā rongoā noa.
- Ehara tēnei i te rongoā mō te mate huango, engari he tino āwhina ki te whakahaere i te mate.
- I a koe e whiwhi ana i tēnei maimoatanga, he mea nui kia whakamahia tonutia tō inhaler me ngā rongoā katoa kua tohua e tō tākuta.
- Ka whakatauhia mēnā he pai tēnei maimoatanga māu i muri i te whakaaro ki ō tohu me ngā pūrongo whakamātautau toto motuhake.
- I te mea ka roa pea ētahi marama ka puta mai ngā hua o te maimoatanga, he mea tino nui kia manawanui me te whai i ngā tohutohu hauora i te wā e maimoatanga ana.
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