Une asthma here? Ungave uchishandisa mushonga wako wekufema sezvakanyorwa uye uchitora mimwe mishonga, asi zviratidzo zvako zveasthma hazvisi kudzikira. Kana uchigara uchifemereka, chipfuva chako chakabatikana, uye uchikosora, ungave uine asthma iri pakati nepakati kusvika yakanyanya. Iyi nzira itsva yekurapa, inonzi 'Biologic Therapy', inoshandiswa pakurapa zvirwere zveasthma zvakaoma kudzora.
Zvichitaurwa zviri nyore, chii chinonzi Biologic Therapy?
Uku kurapa kwemazuva ano, kwakanangana neasthma yakanyanya. Kunyange zvazvo mishonga yenguva dzose yekufema ichikurisa nzira dzekufema kwenguva pfupi uye ichirerutsa kufema, kurapwa kwebiologic kunoshanda zvakadzama.
Fungidzira, chikonzero chikuru chinoita kuti tiwane asthma kuzvimba mumhepo kunokonzerwa nechimwe chiitiko chemuviri wemuviri. Saka zvinoitwa nemishonga iyi ndeyekutarisa ma antibodies chaiwo, masero kana mamorekuru mumuviri anobatsira mukuzvimba ikoko nekumisa kushanda kwawo. Nekuda kweizvi, asthma inodzorwa padanho rekutanga.
Kurapa uku kunoitwa nenzira mbiri huru: Imwe ijekiseni pasi peganda (subcutaneous injection) uye imwe ijekiseni remutsinga (IV infusion).
Chinhu chakakosha ndechekuti iyi haisi nzira yekurapa yega. Inofanira kushandiswa pamwe chete nemishonga yako yekufema nemimwe mishonga yeasthma.
Kurapwa uku kwakakodzera ani?
Kurapa ne biologic hakusi kurapwa kwevarwere vese veasthma. Chiremba wako achafunga nezvezvinhu zvakati wandei asati akurudzire kurapwa uku. Tafura iri pazasi ichakupa zano rakanaka.
| Mamiriro ezvinhu apo ungangotumirwa kuBiologic Therapy | |
|---|---|
| Hazvidzorwi nemishonga yakanyorwa nachiremba | Kana zviratidzo zvako zveasthma zvikasadzorwa kunyangwe uchishandisa mushonga wako wekufema wakanyorerwa pamwe nemimwe mishonga nemazvo. |
| Zvakabuda pakuongororwa ropa | Kana uine huwandu hwakakwira hweEosinophils (sero jena reropa rinokonzera kuzvimba mumapapu) kana IgE (antibody ine chekuita neallergies) muropa rako. |
| Zvikonzero zvinokonzera chirwere ichi | Kana uchiziva chinokonzera asthma yako, wobva wadzivisa, asi zviratidzo zvinoramba zviripo. |
| Zviratidzo zvinowanzoitika | Kana ukamuka pakati pehusiku uine chikosoro, kana kuti ukashandisa mushonga wako wekununura kanopfuura kaviri pasvondo. |
| Kuwedzeredza kwakawanda | Kana uchifanira kunwa mapiritsi e corticosteroid kanopfuura kaviri pagore kana kuti uchifanira kuenda kuETU (Emergency Treatment Unit). |
| Kurapwa muchipatara | Kana uchifanira kugara muchipatara uye kurapwa nekuda kweasthma. |
Ndeapi marudzi emishonga yebhayoloji anowanikwa pakurapa asthma?
Kune mhando dzakasiyana dzemishonga yebhayoloji dzakatenderwa kusvika pari zvino. Imwe neimwe inoshanda nenzira yakasiyana zvishoma. Chiremba wako achasarudza mushonga wakakodzera iwe zvichienderana nerudzi rweasthma yako uye mhedzisiro yekuongororwa kweropa.
| Zita remushonga uyu | Basa uye nzira yekutumira | Migumisiro yakajairika |
|---|---|---|
| Omalizumab (Xolair®) | Inorapa asthma inokonzerwa ne allergies. Inobayiwa pasi peganda mavhiki maviri kusvika mana ega ega. | Kurwadziwa kwetsandanyama, kurwadziwa kwemajoini, kuneta kwakanyanya, kuzvimba/kurwadziwa panzvimbo yekubaiwa jekiseni. |
| Mepolizumab (Nucala®) | Inorapa asthma inouraya eosinophilic. Inobayiwa pasi peganda mavhiki mana ega ega. | Musoro, kurwadziwa kwemusana, kushaya simba, kuneta, kuzvimba/kurwadziwa panzvimbo yekubaiwa jekiseni. |
| Reslizumab (Cinqair®) | Inorapa asthma inouraya eosinophilic. Inopihwa netsinga (IV) mavhiki mana ega ega. | Huro inorwadza, kurwadziwa kwetsandanyama. |
| Benralizumab (Fasenra®) | Inorapa asthma inouraya eosinophilic. Madosi matatu ekutanga anopihwa mavhiki mana ega ega, uye mavhiki masere ega ega. | Musoro, pahuro panorwadza. |
| Dupilumab (Dupixent®) | Inorapa asthma ye eosinophilic nezvimwe zvirwere zvinokonzerwa nekuzvimba. Inobayiwa jekiseni mavhiki maviri ega ega. | Huro inorwadza, kuzvimba/kurwadziwa panzvimbo yekubaiwa jekiseni, kuwedzera kwehuwandu hwemasero machena eropa. |
| Tezepelumab (Tezspire®) | Mushonga mutsva weasthma yakanyanya. Unoderedza kuzvimba. Unobayiwa mavhiki mana ega ega. | Huro inorwadza, musana unorwadza, majoini anorwadziwa. |
Kurapwa uku kunotora nguva yakareba sei?
Iyi inowanzo kuve mishonga yenguva refu. Zvinogona kutora mwedzi mina kusvika mitanhatu kuti uzive zvechokwadi kana mushonga uyu uri kukubatsira. Saka zvakakosha kuti uve nemoyo murefu nekurapwa kwako.
Ndinofanira kuramba ndichishandisa mushonga wangu wekufema here?
Ehe, zvechokwadi.Ichi ndicho chinhu chakakosha. Kunyangwe mushure mekutanga kurapwa ne biologic, usamborega kutora mishonga yako yekufemesa nemimwe mishonga yawakanyorerwa nachiremba wako. Nekufamba kwenguva, kana asthma yako ikadzorwa zvakanaka, chiremba wako anogona kusarudza kuderedza mushonga wako wekufemesa. Asi izvi zvinofanirwa kuitwa chete pasi pezano rachiremba.
Ndezvipi zvakanakira uye njodzi dzekurapa uku?
Kufanana nechero kurapwa, uku kune zvakanakira pamwe nenjodzi diki.
Zvakanakira zvikuru:
- Inoderedza kuzvimba muhuro uye inodzora zviratidzo zveasthma zvinobudirira.
- Kugara uchirwara nedzihwa nekukosora zvichaderera.
- Uchakwanisa kurovedza muviri uye kupedza mabasa ezuva nezuva usingashande nesimba sepakutanga.
- Kuwanda kwenguva dzaunomuka husiku kunoderera.
- Kudiwa kwekuenda kuETU (Emergency Treatment Unit) kazhinji kunoderera.
- Hunhu hwehupenyu huri kuvandudzika zvikuru.
Njodzi dzingangoitika:
- Kurwara kwakanyanya: Kashoma, vamwe vanhu vanogona kusangana nekurwadzwa kwakanyanya (anaphylaxis). Ndosaka mishonga yekutanga ichipihwa muchipatara kana kukiriniki vachitarisirwa nachiremba.
- Njodzi yezvirwere zvepachivande: Mishonga inoderedza eosinophils inogona kuderedza zvishoma kugona kwemuviri kurwisa zvipembenene, kunyanya helminths. Saka chiremba wako achafunga nezvazvo asati atanga kurapwa uku.
Zvakakosha: Usarega kutora mushonga uyu kamwe kamwe pasina chikonzero chipi zvacho usina kurairwa nachiremba wako. Kuita izvi kunogona kuwedzera zviratidzo zveasthma.
Nguva yekutaura nachiremba wako
Muzviitiko zvinotevera, iva nechokwadi chekubvunza chiremba wako uye kumuzivisa.
- Kana zviratidzo zveasthma zvikasavandudzika kana kuipa mushure memwedzi yakati wandei yekurapwa.
- Kana zviratidzo zvitsva zveallergy (semuenzaniso mapundu eganda, kuvaviwa) zvikaonekwa.
- Kana muine mibvunzo kana zvinokunetsai maererano nekurapwa.
Kurapa uku kunogona kuwanikwa kana wakurudzirwa nachiremba ane hunyanzvi, kubva kuchipatara (infusion centre) kana kubva kukiriniki yachiremba ane hunyanzvi. Kurapa uku kunogona kudhura zvishoma. Asi unogona kutaura nachiremba wako nezvazvo wowana rumwe ruzivo.
Mharidzo Yekuenda Nayo Kumba
- Biologic Therapy inzira yepamusoro yekurapa inoshandiswa pakurapa zvirwere zvakakomba zveasthma izvo zvakaoma kudzora nemishonga yenguva dzose.
- Iyi haisi mushonga weasthma, asi inobatsira kudzora chirwere ichi zvakanaka.
- Paunenge uchirapwa nenzira iyi, zvakakosha kuti urambe uchishandisa mushonga wako wekufema pamwe chete nemimwe mishonga yese yawakanyorerwa nachiremba wako.
- Kana mushonga uyu wakakodzera iwe kana kwete zvichaonekwa mushure mekuongorora zviratidzo zvako uye mishumo chaiyo yekuongororwa kweropa.
- Sezvo zvingatora mwedzi yakati wandei kuti mhedzisiro yekurapwa ionekwe, zvakakosha zvikuru kuva nemoyo murefu uye kutevedzera mirairo yechiremba panguva yekurapwa.
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