Une mibvunzo here nezve allergies? Ngatitaurei nezve allergies!

Unonzwawo zvisinganzwisisike here kana ukadya zvimwe zvekudya? Kana kuti unonetseka here kufema kana uchifema guruva? Dzimwe nguva zvinhu izvi zvinoita sezvinowanzoitika, asi kune vamwe vanhu zvinogona kuva matambudziko makuru. Ndipo patinoda rubatsiro rwechiremba wezvirwere zveallergy . Nhasi, ngatitaurei nezvekuti uyu 'allergy' ndiani uye zvaanoita.

Ndiani ane allergies?

Zvichitaurwa zviri nyore, chiremba ane allergies chiremba anonyanya kubata zvirwere zvinokanganisa masoja edu emuviri . Funga nezvazvo nenzira iyi: tine uto diki remasoja mumiviri yedu rinonzi masoja emuviri. Izvi ndizvo zvinotidzivirira kubva kuzvirwere. Zvisinei, dzimwe nguva sisitimu iyi inotanga kuita zvinhu zvakawandisa. Ndipo panotanga matambudziko.

Kune zvirwere zvakasiyana-siyana zvemuviri zvinorapwa zvakanyanya navanachiremba ava:

• Kurwara nezvirwere zveallergy: Izvi zvinoitika kana masoja edu emuviri akanyanya kubatwa nechimwe chinhu chatinodya, chatinofema, kana chatinobata. Semuenzaniso, vamwe vanhu vanobatwa nemapundu mushure mekudya shrimp, vamwe vachitanga kuhotsira mushure mekubata katsi.
• Asthma: Apa ndipo panotanga kuzvimba nzira dzekufema mumapapu edu. Vanhu vane asima vanogona kungoerekana vaomerwa nekufema nekuda kwezvimwe zvinhu zvinokonzera, zvakaita seguruva, utsi, kana dzihwa.
• Matambudziko ekutanga ekushomeka kwemuviri mumuviri: Aya akaomarara zvishoma. Aya magene diseases. Izvi zvinoita kuti masoja edu emuviri asashande zvakanaka. Kune marudzi anopfuura mazana maviri ezvirwere izvi.

Ndiani anonzi Pediatric Allergist?

Zvino ungave uchishamisika kana matambudziko aya anogonawo kukanganisa vana vadiki. Ehe, vacheche, vana, nevakuru vechidiki vanogonawo kuva neallergies, asthma, uye zvirwere zveimmune system. Ndipo apo chiremba wevana anoona allergies uye anovarapa. Anenge akaita seallergies kuvanhu vakuru, asi anonyanya kutarisa vana.

Musiyano uripo pakati penyanzvi yezvirwere zvemuviri (allergies) nenyanzvi yezvirwere zvemuviri (immunologist) ndeupi?

Uyu mubvunzo unobvunzwawo nevanhu vazhinji. Tinowanzo shandisa izwi rekuti 'allergist' kureva chiremba anorapa zvinhu zvakaita seallergies neasthma, uye dzimwe nguva anorapawo zvirwere zveimmune system. Zvadaro, 'immunologist' munhu mumwe chete. Zvisinei, dzimwe nguva 'immunologist' anogona kunyanya kutarisa pakurapa zvirwere zveimmune system, kana pakuita tsvakiridzo yezvekurapa paimmune system. Kazhinji, ava vaviri vanhu vari mumunda mumwe chete, kureva kuti, vanhu vane chitupa chekuti 'Allergist/Immunologist' .

Chii chinoitwa nenyanzvi idzi dzezvirwere zveallergy?

Chiremba wezvirwere zvemwoyo anoongorora uye anorapa matambudziko ane chekuita nemasoja emuviri wako. Hezvino zvaangaita:

• Kuongororwa kweAllergy: Izvi zvinoongorora kana uine allergy yezvinhu zvakaita sechikafu, mukume (unobva muuswa, miti, nemasora), dander yezvipfuyo , uye chakuvhuvhu.
• Asthma inoonekwa nekuongorora mashandiro emapapu.
• Mishonga kana zvishandiso zvinonyorerwa kudzivirira, kurapa, kana kuderedza kuoma kweallergies uye asthma. Semuenzaniso, vamwe vanhu vangangoda kushandisa mainhaler.
• Tichakupa mazano ekuchinja kwaunofanira kuita mumararamiro ako kuti udzivise zvinokonzera allergies kana asthma.
• Kurapa nekudzivirira muviri, kwakadai semijekiseni yekurwisa allergy, kunopiwa kuderedza allergy reactions. Izvi zvinosanganisira kuisa muviri panjodzi zvishoma nezvishoma.
• Matambudziko ekudzivirira muviri anowanikwa.
• Kana uchirarama nechirwere cheimmune system, tinokurudzira nzira dzekuzvidzivirira kubva kuzvirwere .
• Mushonga weIntravenous immunoglobulin (IVIG) unopiwa semushonga wezvirwere zvemuviri zvinodzivirira muviri.
• Kana uine allergy kumishonga inokosha, nzira inonzi "Drug desensitizing" inoitwa kuitira kuti ugone kutora mushonga iwoyo zvakachengeteka.

Ndezvipi zvirwere zvinorapwa nevanorwara neallergies?

Aya ndiwo mamwe ematambudziko anowanzo shandiswa navanachiremba ava:

• Kurwara kwemaziso (allergy conjunctivitis)
• Allergic rhinitis/fevha yeuswa, inozivikanwawo se'fevha yeuswa'
• Anaphylaxis, chirwere chinokonzerwa ne allergic reaction
• Angioedema, kuzvimba pasi peganda
• Asima
• Kurwara nemishonga
• Eczema chirwere cheganda.
• Matambudziko eEosinophilic (apo rudzi rwemasero machena eropa runonzi 'eosinophil' runowedzera)
• Kurwara nechikafu
• Kutsamwiswa kweganda, kunozivikanwawo se 'hives/urticaria'
• Kurwara nekurumwa nezvipembenene
• Kurwara neLatex
• Utachiona hwe sinus hunowanzoitika

Sei tichifanira kuona chiremba weallergy?

Ungadawo kuona chiremba akadai nekuda kwezvikonzero zvinotevera:

• Tarisa kana paine allergies kana asthma.
• Wana mushonga weallergies kana asthma.
• Kana uine chirwere chemuviri chinodzivirira zvirwere, chirape.

Tinofanira kuona chiremba wezvirwere zveallergy rini?

Kana uine zviratidzo izvi, edza kuona chiremba wezvirwere zvinotapukira. Kana bvunza chiremba wemhuri yako (Primary Care Physician) kana uchida kuona nyanzvi yakadaro.

"Tinofanira kunetseka nezvezviratidzo izvi here?"

• Kana ukasangana neallergy yakanyanya - senge mapundu, kuzvimba kwechiso kana rurimi, kana kuoma kufema.
• Une allergies, asi hauzive kuti chii chinokonzera izvi. Semuenzaniso, tsvaga kana zvichingoitika chete kana ukadya zvimwe zvekudya kana kuti paunosangana neguruva.
• Kana zvichikuomera kudzora allergies kana asthma, kunyangwe uchishandisa mishonga uye shanduko dzemararamiro.
• Kana allergies kana asthma zvichikutadzisa kuita hupenyu hwako hwemazuva ese, kuenda kubasa, kana kuita zvinhu zvaunoda.
• Kana uchigara uchifema, uchikosora, kana kunzwa kushaya mweya - kunyanya mushure mekurovedza muviri kana husiku.
• Kana uchigara uchirwara, kana kuti chirwere chinowanzoitika senge dzihwa chikatora nguva yakareba kuti chidzoke, izvi zvinogona kureva kuti masoja emuviri wako haana simba.

Kurwara nepfungwa kunoongororwa sei?

Chiremba wezvirwere zveallergy anogona kushandisa nzira dzakasiyana-siyana dzekuyedza kuti aone kuti une allergy yerudzii. Heano mamwe acho:

• Kuongororwa kweganda: Izvi zvinosanganisira kutora huwandu hushoma hwechinhu chinofungidzirwa kuti chinokanganisa ganda wochikwenya neganda rako. Zvadaro, vanotsvaga mhinduro, senge kutsvuka uye kuzvimba. Iyi bvunzo iri nyore kwazvo uye inokurumidza.
• Kuongororwa kweropa:Muizvi, sampuro yeropa rako inotorwa yoongororwa murabhoritari kuti zvionekwe kana uine allergy kune chimwe chinhu.
• Kuongororwa kwedambudziko rechikafu: Iyi bvunzo inoda kungwarira. Muizvi, chiremba achatanga nekutanga chikafu chaunofunga kuti une allergy nacho zvishoma nezvishoma, achinyatsotarisa kuti aone kana uine allergy. Izvi zvinofanirwa kuitwa pasi pekutarisirwa nachiremba.

Kuwedzera kune bvunzo idzi dzekurwara nepfungwa, zvinotevera zvinogona kuitikawo paunoshanyira chiremba:

• Kuongororwa kwebasa remapapu (spirometry, kuyedzwa kwebasa remapapu): Izvi zvinoongorora kuti mapapu ako ari kushanda zvakanaka sei. Kuongororwa uku kunobatsira kuongorora nekurapa asthma.
• Anokudzidzisa mashandisirwo emidziyo yekurapa: Chiremba wako anogona kukudzidzisa mashandisirwo emashandisirwo emashandisirwo emashandisirwo emashandisirwo emajini akadai se epinephrine injectors (dzimwe nguva anonzi 'Epipen') pakurwisa allergies dzakakomba, mainhaler, uye nebulizers yeasthma.

Ungava sei chiremba wezvirwere zveallergies?

Izvi zvinogonawo kuva chimwe chinhu chaungade kuziva. Kuti uve chiremba wezvirwere zveallergy muSri Lanka, unofanira kutanga wawana dhigirii rezvekurapa (MBBS) kubva kuchikoro chekurapa. Mushure meizvozvo, unofanirwa kupedzisa internship uye post-internship sechiremba mukuru. Mushure meizvozvo, unofanirwa kuwana kudzidziswa kwehunyanzvi (MD) muInternal Medicine kana Pediatrics. Mushure mekudzidziswa ikoko, unogona kuwana imwe kudzidziswa kwakakosha (post-MD training/fellowship) mumunda weAllergy and Immunology, kupasa bvunzo dzakakodzera uye kuva chiremba wezvirwere zveallergy. Izvi zvinoreva kuti ichi chinhu chinofanira kuitwa nekuzvipira kukuru nenguva.

Pakupedzisira, zvinhu zvishoma zvekurangarira

Kurwara neallergies, asima, uye zvirwere zvemuviri zvinogona kukanganisa hupenyu hwedu hwezuva nezuva, dzimwe nguva zvichikonzera kusawirirana kwakanyanya. Asi musavhunduke . Chiremba weallergies anogona kukubatsira kuona zvinokonzera allergies kana asthma, kunyora mishonga yekudzora zviratidzo zvako, uye kukupa mazano ekuchinja mararamiro kuti udzivise zvinokonzera izvozvo.

"Zvichitaurwa zviri nyore, vanachiremba ava vanokubatsira kunzwisisa chirwere chako, kurarama nacho zvinobudirira, uye kusachirega chichikanganisa hupenyu hwako."

Saka, kana uchifunga kuti une dambudziko iri, usapedza nguva woenda kuna chiremba. Ipapo unogona kurarama hupenyu hwakanaka uye hwakagadzikana.

Chiremba weAllergy, Allergy, Asthma, Masoja ekudzivirira muviri, Kuongororwa kweAllergy, Chiremba weNyanzvi, Chiremba weAllergy, Allergy, Asthma, Masoja ekudzivirira muviri