Kuthimula nthawi zonse, maso ofiira, oyabwa, mphuno yotuluka madzi... Palibe mapeto a mavuto awa a ziwengo, sichoncho? Kwa ena, amayamba chifukwa cha fumbi, kwa ena, ndi mungu wochokera ku mitengo ina. Ngakhale mutamwa mankhwala a izi, nthawi zina sizimawongoleredwa kwathunthu. Kotero lero, tikulankhula za njira yatsopano yochiritsira yosiyana pang'ono, kuwonjezera pa katemera, kuti tichotse mavuto awa a ziwengo.
Kodi chithandizo cha sublingual therapy (SLIT) n'chiyani?
Sublingual Immunotherapy (SLIT) ndi mankhwala a ziwengo. Zimaphatikizapo kuyika piritsi kapena madzi pansi pa lilime lanu tsiku lililonse. Mwachidule, imapereka kuchuluka kochepa kwambiri kwa ziwengo m'thupi lanu tsiku lililonse. Zili ngati "kuchotsa munga ndi munga."
Tangoganizirani, pamene mankhwala awa asungunuka pansi pa lilime, allergen yomwe ili mkati mwake imadutsa mu nembanemba ya mkamwa mwachindunji kupita m'magazi. Kenako, mtundu wapadera wa selo m'thupi lathu, T-cells, umazindikira. Akalandira chithandizo motere kwa nthawi yayitali, T-cells awa, m'malo moyambitsa vuto la allergy, amatumiza zizindikiro ku maselo ena a chitetezo chamthupi kuti, "Hei, uyu si mdani wathu," ndikukhazikitsa bata la thupi. Pamene mukupitiriza kuchita izi, zizindikiro zanu za allergy, monga kuyetsemula, kuyabwa m'maso, ndi mphuno yotuluka madzi, zimatha pang'onopang'ono.
Madokotala nthawi zambiri amagwiritsa ntchito mankhwalawa pa matenda a rhinitis (omwe amadziwikanso kuti "hay fever"), omwe amayamba chifukwa cha mungu ndi tinthu tina tomwe timauluka. Izi zikuphatikizapo matenda a zinthu monga udzu, udzu, ndi nthata za fumbi. Akuyesedwanso kuti awone ngati ali ndi vuto la zakudya monga mtedza.
Kodi chithandizochi chimachitidwa bwanji?
Mukayamba chithandizo cha SLIT, dokotala wanu (nthawi zambiri amakhala ndi ziwengo) adzakupatsani mlingo woyamba mu ofesi yake. Izi ndizoona ngati muli ndi vuto lililonse komanso kukuwonetsani momwe mungachitire kunyumba. Kenako mudzapatsidwa mapiritsi (kapena madzi) oti mugwiritse ntchito kunyumba ndi malangizo amomwe mungawagwiritsire ntchito.
Chofunika kwambiri, dokotala wanu adzakulemberani jakisoni wa epinephrine, monga EpiPen® , ngati muli ndi vuto lalikulu la ziwengo. Koma musadandaule, izi sizichitika kawirikawiri ndi mankhwalawa.
Pa zinthu zina zomwe zimayambitsa ziwengo, pakhoza kukhala nthawi yowonjezereka kwa mlingo. Izi zikutanthauza kuti kuchuluka kwa ziwengo zomwe mumapatsidwa kumawonjezeka pang'onopang'ono pakatha milungu kapena miyezi ingapo. Muyenera kuonana ndi dokotala nthawi iliyonse yomwe mlingowu ukuwonjezeka.
Pambuyo pake, muyenera kumwa mankhwalawa kunyumba tsiku lililonse. Muyenera kutsatira malangizo a dokotala molondola . Njira yodziwika bwino yomwa mankhwalawa ingakhale motere:
- Ikani piritsi kapena madontho amadzimadzi omwe mwapatsidwa pansi pa lilime lanu.
- Ngati ndi piritsi, lisiyeni lisungunuke kwathunthu.
- Dikirani mphindi imodzi kapena ziwiri musanameze.
- Dikirani mphindi 5-15 (mwina kupitirira apo) musanadye kapena kumwa chilichonse.
Kodi chithandizochi ndi choyenera kwa ndani komanso chosayenerera kwa ndani?
Mankhwalawa si oyenera aliyense. Chifukwa chake, musanayambe chithandizochi, dokotala wanu adzachita mayeso ofunikira a khungu kapena magazi.
| Anthu oyenerana | Anthu osagwirizana |
|---|---|
| Makamaka kwa iwo omwe ali ndi vuto limodzi lokha la allergen (monga fumbi). | Kwa iwo omwe ali ndi mphumu yoopsa yomwe ndi yovuta kuyilamulira. |
| Kwa iwo omwe angadzipereke kumwa mankhwala awo nthawi yomweyo tsiku lililonse. | Kwa anthu omwe ali ndi vuto lotchedwa eosinophilic esophagitis (kutupa kwa m'mero). |
| Kwa iwo omwe sakufuna kapena akuopa kulandira katemera. | Anthu omwe ali ndi vuto la ziwengo ku zosakaniza zosagwira ntchito zomwe zili mu mapiritsi kapena madzi omwe amagwiritsidwa ntchito pochiza. |
| - | Kwa iwo omwe adakumanapo ndi zotsatirapo zoopsa atalandira chithandizo cha SLIT kale. |
Ubwino ndi kuipa kwa chithandizo cha SLIT
Monga njira ina iliyonse yochiritsira, iyi ili ndi zabwino komanso zoyipa zake.
| Ubwino | Zoyipa |
|---|---|
| Kugwira Ntchito: Kungakhale kothandiza kwambiri kuposa mankhwala oletsa antihistamines kapena opopera m'mphuno. Ngati atengedwa moyenera kwa zaka zingapo, mpumulo ungakhalepo kwa zaka zingapo mutasiya kugwiritsa ntchito. | Poyerekeza ndi katemera: Sizingakhale zothandiza ngati jakisoni wa ziwengo. |
| Chitonthozo: Izi ndi mpumulo waukulu kwa iwo omwe amaopa katemera. | Kudzipereka: Kuti mupeze zotsatira, muyenera kumwa mankhwala tsiku lililonse , osaphonya mlingo uliwonse. |
| Zosavuta: Simuyenera kupita kwa dokotala tsiku lililonse, mutha kuchita izi kunyumba. | Zoletsa: Pakadali pano zavomerezedwa pa zinthu zochepa zomwe zimayambitsa ziwengo. Mapiritsiwa amatha kuchiza ziwengo kamodzi kokha. |
| Chitetezo: Pali chiopsezo chochepa cha zotsatirapo zoopsa kuposa jakisoni wa ziwengo. | Zotsatirapo: Zotsatirapo zochepa zingachitike. Nthawi zina zimakhala zoopsa kwambiri. |
| Ubwino kwa odwala mphumu: Zimathandizanso kuchepetsa zizindikiro mwa odwala ena a mphumu. | - |
Kodi zotsatirapo zake zingakhale zotani?
- Kuyabwa mkamwa, pakhosi, kapena m'makutu: Izi ndi zotsatira zoyipa kwambiri. Nthawi zambiri zimatha pakapita nthawi mutamwa mankhwala.
- Kutupa kwa pakamwa kapena pakhosi.
- Anaphylaxis: Ichi ndi vuto losowa kwambiri koma lalikulu lomwe lingayambitse ziwengo zomwe zingawononge moyo, zomwe zimayambitsa kupuma movutikira, kutupa, komanso kutaya chidziwitso. Ngati mukukumana ndi zizindikiro izi, muyenera kupita ku Dipatimenti Yodzidzimutsa ya Chipatala chapafupi (ETU).
- Eosinophilic esophagitis: Ichinso ndi vuto losowa kwambiri. Ndi kutupa kwa m'mero komwe kungachitike mutalandira chithandizo cha nthawi yayitali.
Zimatenga nthawi yayitali bwanji kuti mupeze zotsatira?
Mankhwala awa si othandiza mwachangu ngati kumwa Panadol. Zingatenge miyezi ingapo kuti chitetezo cha mthupi chikhale cholimba ku zinthu zomwe zimayambitsa ziwengo zomwe zimauluka. Kuti mupeze zotsatira zabwino, muyenera kumwa mankhwalawa tsiku lililonse kwa zaka zingapo .
Zinthu monga fumbi ziyenera kuchiritsidwa chaka chonse. Komabe, pa ziwengo za nyengo monga mungu wa udzu, ndi bwino kuyamba chithandizo pafupifupi milungu 12 nyengo ya ziwengo isanayambe.
Kafukufuku wasonyeza kuti ngati mutenga mankhwalawa tsiku lililonse kwa zaka zitatu kapena kuposerapo popanda kulumpha mlingo, zizindikiro zanu za ziwengo zidzathetsedwa kwa zaka zosachepera ziwiri mutasiya kulandira chithandizo.
Uthenga Wopita Nawo Kunyumba
- Sublingual Immunotherapy (SLIT) ndi njira yabwino yogwiritsira ntchito jakisoni wa ziwengo.
- Izi zikutanthauza kupatsa thupi lanu mlingo wochepa, wolamulidwa wa chinthu chomwe muli nacho, kaya ngati piritsi kapena madzi pansi pa lilime, tsiku lililonse.
- Kuti mupeze zotsatira zabwino, chithandizochi chiyenera kuchitika tsiku lililonse kwa zaka zingapo. Chimafuna kudzipereka kwambiri.
- Mankhwalawa si oyenera aliyense, makamaka omwe ali ndi matenda monga mphumu omwe ndi ovuta kuwalamulira.
- Musanasankhe ngati chithandizochi chili choyenera kwa inu, onetsetsani kuti mwalankhula ndi dokotala wanu ndikupempha upangiri.
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