Me pēhea te rongoā i te mumura e pā mai ana me tō mate huango? Me kōrero tāua!

Mena he mate huango tōu, tera pea ka uaua ki te manawa i ētahi wā. Ko te ahua o te kikī o tō uma me te wheezing ngā tohu matua o te mate huango. Ko te tino take o tēnei ko te pupuhi i roto i ō ara manawa, e kiia nei e tātou i roto i te rongoā ko te 'mumura' . Mā tēnei mumura ka whaiti haere ō ara manawa, ka kī tonu i te hūpē, ka uaua ai te manawa.

He aha te whanaungatanga i waenga i te mate huango me te mumura?

Ki te mea he mate huango tōu, e mōhio ana pea koe ka pupuhi te arai o ō ara manawa, ka nui ake te hanga hūpē i tēnei mumura. Whakaarohia he rite ki te paipa wai kua purua, e uaua ai te rere o te wai. Ka tino pāngia ō ara manawa e tēnei mumura. Kātahi, ina uru mai ētahi mea (e kiia ana ēnei e mātou he "mea whakaoho") pērā i te puehu, te paoa, me te huruhuru kararehe ki roto i tō tinana, ka tere tonu te puta o te mate huango, arā, ko ngā whakaekenga o te mate huango .

Koia te take he mea nui ngā rongoā ārai-mumura mō te hunga mate huango. Ka aukati i te tukanga e puta ai te huango. He rite ki te maka wai ki runga i te ahi.

He aha ngā maimoatanga mō te mate huango?

He momo rongoā rerekē ka taea te whakamahi hei whakahaere i te mumura e puta ana i te mate huango. Ko ngā mea matua ko:

• Ko ngā corticosteroids e werohia tika ana ki roto i te ara manawa (e kiia ana tēnei he inhaler).
• Ka hoatu ngā corticosteroids pūnaha (ka tangohia hei pire, ka werohia rānei ki roto i te uaua) hei pā ki te tinana katoa.
• Hei tāpiritanga, kei reira ngā rongoā e kiia nei ko ngā "whakaū pūtau mast" me ngā "whakarerekē Leukotriene". Ka āwhina ēnei ki te whakaiti i te mumura i puta mai i ngā "Corticosteroids".
• Ko tētahi atu kōwhiringa maimoatanga hou ko ngā "antibodies monoclonal" me te "rongoā koiora". Ka aro tika ēnei ki ngā pūtau e pā ana ki te mumura (ngā "pūtau eosinophil").

Nā, me kōrero tātou mō ia o ēnei rongoā me ētahi atu taipitopito .

Ngā Corticosteroids e manawahia ana: He hoa pai mō te whakahaere i te mate huango!

Ko ngā corticosteroids e manawahia ana ngā rongoā tino whai hua hei whakaiti i te pupuhi me te whakaputanga hūpē i roto i ō ara manawa . Ko tēnei momo manawa te mea tuatahi ka tohua e te tākuta mō te mate huango.

He aha ngā painga o te whakamahi i ēnei?

He maha ngā painga o te whakamahi tika i tēnei inhaler:

• Ka whakaitihia ngā tohu me ngā putanga o te mate huango.
• Ko ngā beta agonists mahi poto, e kīia nei rānei e tātou ko ngā kaiwhakamarie, ko ngā kaiwhakaora manawa rānei, ka whakamahia i ngā wā ohorere, ā, ka whakaitihia te maha o ngā wā e hiahiatia ana hei whakamahi.
• Ka pai ake te mahi a ō pukahukahu.
• Ka iti iho te hiahia ki te haere ki ngā ruma urupare ohorere me te noho ki te hōhipera.
• I te nuinga, ka taea te whakahaere pai i te mate huango.

He mea nui: Kia maumahara ki ēnei mea i te wā e whakamahia ana!

He mea nui kia mōhio koe ko ēnei steroids manawa ka ārai noa i ngā tohumate huango, kāore e whakaora i ngā tohumate o nāianei . Ko te tikanga o tēnei, ki te tangohia e koe i te wā e pāngia ana koe e te mate huango, e kore koe e whiwhi whakaora tonu. Koinei te mahi a te inhaler whakaora.

Me whakamahi tēnei "whakahaere" inhaler (e kīia ana e mātou) i ia rā, i runga i ngā tohutohu a tō tākuta . Mō ētahi, e rua pea i te rā, mō ētahi atu, kotahi i te rā. Ehara i te mea pai kia whakaitihia, kia mutu rānei te whakamahi i ēnei me te kore e kōrero ki tō tākuta, me te whakaaro kei te pai haere ō tohumate. Mā te mahi pēnā ka kino ake anō tō mate huango.

He aha ēnei rongoā corticosteroid ihu?

He maha ngā momo corticosteroids manawa kei te mākete. Ko ētahi tauira ko:

• ``Beclomethasone dipropionate (Qvar RediHaler®)''
• `Budesonide (Pulmicort®; Symbicort®)`. (Ko tēnei `(Symbicort®)` he ranunga o `(budesonide)` me `(formoterol)`.)
• `Ciclisonide (Alvesco® HFA)`
• `Fluticasone (Flovent® HFA; Advair® HFA me te diskus, Wixela® Inhub, AirDuo®)`. (Kei roto i ēnei ko `(fluticasone)` me `(salmeterol)`.)
• Fluticasone furoate (Arnuity® Ellipta; Breo® Ellipta; Trelegy® Ellipta). (Kei roto i te Breo® te fluticasone furoate me te beta agonist roa-mahi e kiia nei ko te vilanterol. Kei roto hoki i te Trelegy® te umeclidinium hei tāpiri atu ki ēnei e rua.)
• ``Fluticasone propionate (ArmonAir® RespiClick)''
• `Mometasone (Asmanex®, Dulera®)`. (Kei roto i te `(Dulera®)` te `(mometasone)` me te `(formoterol)`.)

Me pēhea te puta mai o ēnei momo inhaler?

E toru ngā āhua matua o ēnei "(corticosteroids i hongihia)":

1. `(Metered Dose Inhaler - MDI)`: Koinei te momo e rite ana ki tētahi kēne iti, ā, ka whakamahia ki runga. Ina whakamahia tēnei, he pai ake te whakamahi me tētahi `(valved holding chamber)` me tētahi `(spacer)` rānei (he mea e kiia nei e mātou ko te 'intermediate chamber' i te reo Sinhala). Ka āwhina tēnei `(spacer)` i te rongoā kia haere tika ki ngā pukahukahu, ā, ka whakaiti i te nui o te rongoā e tāpaetia ana ki roto i te waha me te korokoro. He rite tēnei ki te whakamahi i tētahi ngongo i te wā e rehu ana i te wai mai i tētahi kēne whakainu.

2. `(Mātao Paura Maroke - DPI)`: Kei roto te rongoā i te ahua o te paura maroke. Ka whakamahia mā te manawa hōhonu ki roto.

3. `(Ngā otinga nebulizer)`: Ka puta mai tēnei hei wai. Ka mimitihia, ka manawahia mā te whakamahi i tētahi mīhini iti (`(mīhini nebulizer)`). He maha ngā wā ka whakamahia tēnei tikanga mō ngā tamariki nohinohi me te hunga he mate huango kino.

Me wehi ahau ki te whakamahi i ēnei? He pānga taha kei reira?

He rongoā tino haumaru ngā corticosteroids e manawahia ana mō ngā pakeke me ngā tamariki . He onge ngā pānga taha, inā koa ka whakamahia i ngā horopeta iti.

Heoi, he onge noa iho, ki te whakamahia nuitia, ka puta he mate harore i roto i te waha (thrush) , ā, ka rerekē pea tō reo (ka pāorooro). He tino ngāwari te ārai i tēnei. I muri i ia whakamahinga o te inhaler , horoia rawatia tō waha, whakakōkīhia, ka tuwha i te rongoā . Ki te whakamahi koe i te MDI, ka taea hoki e koe te whakaiti i tēnei mōrearea mā te whakamahi i te mokowā. Ki te pāngia koe e te thrush, ka taea te rongoā ngāwari mā te whakamahi i te horoi waha anti-harore kua tohua e tō tākuta.

Me pēhea te hoatutanga a te tākuta i ēnei?

Ka ngana tonu tō tākuta ki te hoatu i te horopeta iti rawa o tēnei rongoā hei whakahaere i tō mate huango. He tokomaha te hunga e mataku ana ina rongo rātou i te kupu "steroids." Nā te mea kua rongo rātou i ngā steroids anabolic, e whakamahia ana e ngā kaitākaro hei hanga uaua. Engari ehara i te mea pērā ngā steroids mō te mate huango . He rongoā ārai-mumura ēnei. Inaa, mā te tango i ia rā ka āwhina i te whakahaere i tō mate huango.

Ngā Corticosteroids Pūnaha: He āwhina mō te mate huango kino!

Ko ēnei "corticosteroids pūnaha" he rongoā e whakamahia ana hei rongoā i ngā wā mate huango kino. Ka hoatu hei pire, hei wai rānei ("ā-waha"), ka hoatu rānei ki roto i te tinana mā roto i te uaua ("ā-uaua - IV").

He aha te wā e hoatu ana ki ēnei?

Ka whakamahia ngātahitia tēnei rongoā me ētahi atu rongoā hei whakahaere i ngā whakaekenga huango ka tino kino, hei rongoā rānei i ngā huango roa, uaua ki te whakahaere.

Me pēhea te tīmatanga o ēnei mahi?

E toru hāora te roa o te mahi a ngā steroid pūnaha, ā, ka kitea ngā hua pai rawa atu i muri i ngā hāora e ono ki te tekau mā rua. I ētahi wā ka hoatuhia i roto i ngā horopeta teitei mō ētahi rā (e kiia ana he steroid burst), ka whakaitihia mārire rānei te horopeta i roto i te wā (e kiia ana he steroid taper). I ētahi wā, hei whakahaere mō te wā roa, ka taea te hoatu i roto i ngā horopeta iti i ia rā, i ia rā tuarua rānei.

He aha ēnei momo '(Systemic Steroids)'?

He maha ngā momo "steroids pūnaha" e whakamahia whānuitia ana (e wātea ana hoki ēnei hei hua "whānui"):

• 'Cortisone acetate'
• `Dexamethasone`
• `Haidrocortisone (Cortef®)`
• `Methylprednisolone (Medrol®, Solu-Medrol®, Depo-medrol®)`
• `Prednisone (Deltasone®)`
• `Prednisolone (Prelone®, Pediapred®, Orapred®)`

Me mōhio anō hoki tātou ki ngā pānga taha?

Ko ngā pānga taha o ngā steroids pūnaha ka puta i te nuinga o te wā me te whakamahinga roa . Ko ēnei pānga taha ka uru atu ki:

• Pūngāwerewere.
• Te pikinga o te taumaha.
• Ngā panonitanga o te wairua, o te whanonga rānei.
• Te mamae o te puku (hei tauira, te gastritis).
• Te ngoikore o te wheua, te ngaronga o te wheua.
• Ngā panonitanga o te kanohi, hei tauira te glaucoma (te pikinga o te pēhanga kanohi) te katarata rānei (te kapua o te kanohi).
• (Ingoa o ngā tamariki) te whakaroa i te tipu.

Engari kia maumahara, he tino onge ēnei pānga taha ina whakamahia mō te wā poto . Me whakamahi noa koe mō te wā poto ina tino kino tō mate huango. Mena he mate huango kāore e taea te whakahaere, ā, me whakamahi koe i ngā steroids mō te wā roa, me toro atu koe ki tētahi tohunga manawa, ki tētahi tohunga mate pāwera rānei. Ka taea e rātou te āwhina i a koe ki te whakatau i ngā maimoatanga matatau ake, ā, ka tukuna koe ki ētahi atu tohunga mēnā e tika ana.

Ngā Whakarerekētanga Leukotriene: He āwhina anō!

He aha ēnei? Me pēhea tā rātou mahi?

He matū ngā leukotrienes e puta noa ana i roto i ō tātou tinana. Ka whakawhāitihia e rātou ngā uaua o ō tātou ara manawa, ka whakanuia hoki te hanga hūpē. Ka āraihia e ngā whakarerekētanga leukotriene te mahi a ngā leukotrienes. Kua whakaatuhia e ngā rangahau ka taea e ēnei rongoā te āwhina i te whakapai ake i te manawa me te whakaiti i ngā tohumate o te mate huango. Kei te wātea mai i te ahua o ngā papa. Ka tangohia kotahi, e rua rānei i te rā. Tērā pea ka taea e koe te whakaiti i te nui o ētahi atu rongoā mate huango e hiahiatia ana e koe.

He aha ngā momo `(Ngā Whakarerekētanga Leukotriene)`?

Ko ngā rongoā o tēnei kāwai ko:

• `Montelukast (Singulair®)`
• `Zafirlukast (Accolate®)`
• `Zileuton (Zyflo®)`

He pānga taha anō kei reira?

Ko ngā pānga taha tino kitea ko te ānini me te whakapairuaki. Ka taea hoki e ngā Leukotriene modifiers te taunekeneke me ētahi atu rongoā (hei tauira, te rongoā huango theophylline me te warfarin whakangawari toto). Nō reira he mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.

Ngā Paturopi Monoclonal - Te Whakaora Koiora: He tumanako hou mō te mate huango kino!

Ko ngā paturopi monoclonal he momo rongoā koiora e whakamahia ana hei rongoā i te mate huango kino. Ka mahi rātou mā te aukati i te urupare a te tinana ki ngā mea e whakaoho ana i te mumura. Ka aro tika atu rātou ki ngā pūtau e whai wāhi ana ki tā tātou pūnaha ārai mate, pērā i ngā pūtau eosinophil.

He maha ngā momo rongoā nei. Ka tukuna hei werohanga i raro i te kiri i te tari o te tākuta, hei werohanga IV i te whare hauora, i te hōhipera rānei, ko ētahi rānei ka taea te werohanga ki a rātou anō i te kāinga. Ko te hunga e tango ana i ēnei rongoā koiora ka whiwhi maimoatanga i ia 2 ki te 8 wiki (i runga i te momo rongoā). Me noho koe i raro i te tiaki a te tākuta manawa, te tākuta mate pāwera rānei mēnā kei te tango koe i ēnei rongoā.

Ngā Whakapūmau Pūtau Mast: He Rongoā Kāore i te Whakamahia

Ka mahi ngā rongoā whakaū pūtau mast mā te aukati i te tukunga o te histamine me ētahi atu matū mumura mai i ngā pūtau mast. Heoi, he onge te whakamahinga o ēnei hei rongoā i te mate huango.

Ko te mea nui rawa atu me maumahara koe!

He mumura mau tonu (arā, he mumura pumau) o ngā ara manawa o roto i ō pukahukahu te mate huango. Ka rite pea ki te mura iti e noho tonu ana i roto. Nō reira, mā te tango i ngā rongoā kua tohua e tō tākuta māu, ka taea e koe te whakahaere pai i tō mate huango me te pupuri i te hauora o ngā pukahukahu mō te wā roa.

Kia maumahara, he uaua te noho me te mate huango, engari mā te maimoatanga tika, ka taea e koe te noho i tētahi oranga noa, oraora hoki. Kōrero ki tō tākuta, ā, whakawhanakehia he mahere maimoatanga e pai ana mōu. Koinei te huarahi pai ki te manawa hauora!

` Hua mate huango, mumura, manawa manawa, corticosteroids, maimoatanga, mate manawa