Kodi mumakokanso thupi lanu pafupipafupi? Kodi mumakanda thupi lanu , kukanda khungu lanu ? Kapena mumavutika kupuma mukamadya zakudya zinazake kapena kununkhiza china chake? Izi zitha kukhala zizindikiro za ziwengo . Ngakhale anthu ambiri amaganiza kuti izi ndi zachilendo, nthawi zina zimakhala zovuta pang'ono. Chifukwa chake, lero tikambirana za vutoli lotchedwa ziwengo, momwe tingazizindikire, komanso mankhwala omwe alipo.
Kodi mungadziwe bwanji ngati muli ndi vuto la ziwengo?
Mukapita kukaonana ndi dokotala yemwe ali ndi zizindikirozi, choyamba adzakufunsani mafunso angapo. Izi ndizofunikira kwambiri kuti mudziwe matenda enieni.
- Zomwe mwakumana nazo: Funsani chomwe chimayambitsa zizindikiro zanu. Mwachitsanzo, mukakhudza fumbi, kudya chakudya china chake, kapena mukakumana ndi nyama ngati mphaka.
- Mbiri ya zachipatala: Adzayesanso kufufuza ngati pali aliyense m'mbiri yanu kapena ya m'banja lanu amene wakhalapo ndi ziwengo kapena matenda monga mphumu .
- Kulemba tsiku ndi tsiku: Nthawi zina, dokotala wanu angakuuzeni kuti mulembe tsiku ndi tsiku kwa sabata imodzi kapena ziwiri zokhudza zakudya zomwe mumadya, malo omwe mumapita, ndi zizindikiro zomwe mumakumana nazo. Izi zimatchedwa 'diary yoyambitsa ziwengo'. Izi zingakuthandizeni kuzindikira zomwe zimayambitsa ziwengo.
Dokotala akamaliza kupeza izi, angakulangizeni kuti muyesedwe kangapo kuti atsimikizire kuti pali vuto la ziwengo.
Mayeso akuluakulu a ziwengo
Mayeso ofunikira kwambiri omwe nthawi zambiri amachitidwa ndi mayeso a khungu.
- Kuyesa Kubaya Khungu: Iyi ndi njira yodziwika bwino yodziwira ziwengo za kupuma, chakudya, kuluma kwa tizilombo , ndi mankhwala ena. Mu mayesowa, mumayika madontho ochepa a madzi opangidwa kuchokera ku chinthu chomwe mukuganiza kuti mungakhale nacho pakhungu lanu ndikuchibaya pang'onopang'ono ndi singano yaying'ono. Kenako mumadikira kwa mphindi pafupifupi 15-20 kuti muwone ngati malowo afiira, kutupa, kapena kuyabwa. Musadandaule, iyi si mayeso opweteka kwambiri.
- Kuyezetsa Magazi : Nthawi zina magazi amatengedwa ndikuyesedwa. Izi zimayesa kuchuluka kwa IgE, mtundu wa antibody womwe ndi wapadera kwa allergen, m'magazi mwanu.
Kumbukirani, zotsatira za mayesowa zimatha kusiyana, kotero dokotala wanu yekha ndi amene angakuuzeni mayeso oyenera kwa inu komanso tanthauzo la zotsatira zake.
Kodi mankhwala a ziwengo ndi ati?
Akatsimikizira kuti pali ziwengo, pali njira zingapo zochiritsira.
Chinthu chabwino komanso choyamba ndi kupewa zinthu zomwe zimayambitsa ziwengo momwe mungathere. Koma nthawi zina sikophweka kupewa zinthu monga fumbi ndi mungu , eti? Pamenepo ndi pamene timagwiritsa ntchito mankhwala.
- Mankhwala oletsa kugwidwa ndi histamine: Mtundu wa mapiritsi omwe anthu ambiri amawadziwa bwino ndipo amagwiritsa ntchito nthawi zambiri. Mankhwalawa amagwira ntchito poletsa ntchito ya mankhwala otchedwa histamine, omwe amapangidwa m'thupi lathu tikakhala ndi vuto la ziwengo ndipo amachititsa zinthu monga kuyabwa , ziphuphu , ndi mphuno yotuluka madzi. Zitsanzo ndi Cetirizine, Fexofenadine, ndi Loratadine.
- Mankhwala Oletsa Kupweteka M'mphuno: Awa ndi mankhwala oyamba omwe madokotala amalangiza anthu omwe ali ndi vuto la chifuwa cha m'mphuno (hay fever). Mankhwalawa angagwiritsidwe ntchito kwa nthawi yayitali. Budesonide (Rhinocort) ndi Fluticasone (Flonase) tsopano akupezeka popanda mankhwala a dokotala.
- Mankhwala Oletsa Kutupa: Pakakhala vuto lalikulu la ziwengo, dokotala wanu angakupatseni mankhwala oletsa kutupa, monga Prednisone, kwa kanthawi kochepa.
- Epinephrine: Izi ndi zadzidzidzi zokha. Matenda a ziwengo ku zakudya zina, mankhwala, kapena kulumidwa ndi tizilombo amatha kupha munthu. Matendawa, omwe amayambitsa zizindikiro zoopsa monga kupuma movutikira, kutupa pankhope, komanso kutaya chikumbumtima, amatchedwa anaphylactic shock. Jakisoni wotchedwa epinephrine amapezeka kuti agwiritsidwe ntchito pazidzidzidzi ngati izi. Amabwezeretsa nthawi yomweyo kuthamanga kwa magazi ndikutsegula njira zopumira zomwe zatsekedwa.
- Jakisoni wa ziwengo: Dzina lina la izi ndi immunotherapy. Iyi ndi njira yochizira matenda kwa nthawi yayitali. Izi zimaphatikizapo kukupatsani mankhwala ochepa kwambiri a ziwengo (monga mungu, fumbi) ngati jakisoni kwa nthawi yayitali. Izi zimathandiza thupi lanu kuzolowera pang'onopang'ono ndikuchepetsa zomwe zimachitika. Zingatenge chaka chimodzi kuti muwone zotsatira zake.
Mitundu yosiyanasiyana ya ziwengo ndi mankhwala ake enieni
Chithandizo chomwecho sichigwira ntchito pa ziwengo zonse. Chifukwa chake chithandizocho chimasiyana kutengera mtundu wa ziwengo zomwe muli nazo. Tiyeni tiwone momwe zimagwirira ntchito.
| Mtundu wa ziwengo | Zinthu zoti muchite ndi chithandizo |
|---|---|
| Matenda a khungu (Ziwengo za Khungu) | Mankhwala a steroid amagwiritsidwa ntchito pochiza matenda monga atopic dermatitis ndi contact dermatitis. Mankhwala oletsa kugwidwa ndi histamine nthawi zambiri amakhala okwanira matenda monga hives. Nthawi zina matenda otchedwa angioedema, omwe amayambitsa kutupa kwa nkhope ndi milomo, amatha kukhala oopsa ndipo amafunika chithandizo chamankhwala. |
| Ziwengo za dongosolo la kupuma (Matenda a chifuwa cha kupuma) | Mankhwala opopera a m'mphuno a Corticosteroid kapena antihistamines amagwiritsidwa ntchito pa matenda monga hay fever. Anthu ena amapatsidwanso mapiritsi otchedwa leukotriene receptor antagonists. Majakisoni a ziwengo nawonso ndi othandiza kwambiri pa izi. |
| Ziwengo za chakudya (Ziwengo za Chakudya) | Chinthu chabwino kwambiri choti muchite ndi kupewa chakudya chomwe chikukambidwa. Mankhwala oletsa kutupa amapezeka pakakhala kuyabwa pang'ono monga kuyabwa ndi maso otuluka madzi. Komabe, ngati muli ndi vuto lalikulu la anaphylaxis, nthawi zonse sungani jakisoni awiri a epinephrine omwe dokotala wanu wakupatsani. Ngati mukuganiza kuti muli ndi vuto lalikulu la epinephrine, gwiritsani ntchito jakisoniyo nthawi yomweyo ndikupita ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU) kapena imbani ambulansi ya 1990 mwachangu momwe mungathere. |
| Kusamvana ndi mankhwala (Ziwengo za Mankhwala) | Ngati muli ndi vuto la mankhwala, ndi bwino kuvala khadi kapena chibangili chomwe chili ndi izi. Nthawi zonse uzani dokotala wanu za izi mukatenga mankhwala atsopano. Mankhwala oletsa kugwidwa ndi ma steroids angaperekedwe pa zinthu monga ziphuphu pakhungu. |
| Kusamva bwino kwa kulumidwa ndi tizilombo (Ziwengo Zoluma ndi Tizilombo) | Ngati muli ndi vuto lalikulu la ziwengo chifukwa cha kulumidwa ndi njuchi kapena mavu, jakisoni wa ziwengo angathandize kuchepetsa kuopsa kwa vutoli. Ngati muli ndi vuto lalikulu, nthawi zonse tengani jakisoni awiri a epinephrine omwe dokotala wanu wakupatsani. Ngati muli ndi vuto lalikulu mutalumidwa, gwiritsani ntchito jakisoniyo nthawi yomweyo ndikupita ku chipinda chapafupi chadzidzidzi cha chipatala (ETU) kapena imbani ambulansi ya 1990 mwachangu momwe mungathere. |
Uthenga Wopita Nawo Kunyumba
- Musanyalanyaze zizindikiro za ziwengo (kuyabwa, kuyetsemula, kupuma movutikira). Ngati mukukayika, pitani kwa dokotala.
- Chitetezo chabwino kwambiri ndikudziwa bwino zomwe zili ndi vuto la ziwengo ndikuzipewa momwe mungathere.
- Mankhwala monga antihistamines angagwiritsidwe ntchito pazifukwa zazing'ono zomwe zimayambitsa ziwengo, koma ndi bwino kuchita chilichonse motsatira upangiri wa dokotala.
- Ngati muli ndi vuto lalikulu monga kupuma movutikira, kutupa pakhosi/nkhope, kapena chizungulire, ndi vuto lachipatala. Ngati mwapatsidwa epinephrine, gwiritsani ntchito nthawi yomweyo ndipo pitani ku chipatala mwamsanga.
- Nthawi zonse lankhulani momasuka ndi dokotala wanu za ziwengo zanu kuti mupeze chithandizo chabwino kwambiri.
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