Une asthma yakanyanya here? Uchiri kurwiswa kakawanda here kunyangwe uchishandisa mushonga wako wekufema uye mimwe mishonga? Waneta here nekusarara zvakanaka husiku uye kusakwanisa kuita kunyange mabasa madiki? Avo chete vanotambura nayo ndivo vanoziva kuti zvakaoma sei kurarama neasthma yakaoma kudaro. Asi usatya, nekufambira mberi kwesainzi yezvekurapa, mishonga mitsva yave kubatsira. Nhasi, tichataura nezveimwe nzira itsva uye yepamusoro yekurapa. Ndiyo Tezspire.
Mushonga uyu unonzi Tezspire unoshanda sei chaizvo?
Zvakanaka, ngatitangei tanzwisisa zviri nyore zvinoitika kumiviri yedu kana tine asthma. Asthma chirwere chinoita kuti nzira dzedu dzekufema, kana kuti mapombi emhepo, azvimbe, azvimbe, uye anzwe kurwara. Kana chimwe chinhu chine allergy (semuenzaniso, guruva, utsi) chikapinda mumuviri, nzira idzi dzekufema dzinova dzakatetepa uye zvinova zvakaoma kufema.
Kazhinji, tinoshandisa mhando mbiri huru dzemishonga kurapa asthma. Imwe mishonga inodzorwa nechirwere ichi . Iyi inoshandiswa zuva nezuva kudzora asthma nekudzivirira kurwiswa. Imwe mishonga inoponesa vanhu . Iyi inoshandiswa kuderedza zviratidzo nekukurumidza kana munhu akabatwa neasthma.
Tezspire mushonga wekuwedzera kune mushonga wekutonga wauri kutotora. Unobatsira kudzivirira kurwiswa neasthma, kwete mushonga we'kununura' wekunwa kana wawana mumwe.
Muchidimbu, Tezspire mushonga unogadzirwa kubva mumhando chaiyo yeprotein. Kutaura chokwadi, uyu unonzi (monoclonal antibody) . Muviri wedu une kemikari inonzi (Thymic Stromal Lymphopoietin - TSLP) . Iyi TSLP ndiyo inonyanya kukonzera kuzvimba (kuzvimba) uye kunzwa kusingakoshi munzira dzemhepo. Mushonga weTezspire unovhara kushanda kwekemikari iyoyo inonzi TSLP. Kana TSLP yavharwa, kuzvimba nekutetepa kwenzira dzemhepo kunodzikira uye zviratidzo zveasthma zvinodzorwa zviri nani.
Wakaziva sei kuti mushonga uyu unoshanda sei?
Mushonga mutsva usati wasvika kumusika, zvidzidzo zvikuru zvekiriniki zvinoitwa kuti zvionekwe kana wakachengeteka kushandiswa muvanhu uye kana uchishanda zvechokwadi. Zvidzidzo zviviri zvikuru zvakaitwa neTezspire.
Vatori vechikamu muchidzidzo ichi vaive vanhu vane makore gumi nemaviri zvichikwira vaive neasthma yakanyanya . Kureva kuti, avo vaive neasthma yaigara ichirwiswa yaida mapiritsi esteroid kana kuti kugara muchipatara.
Tsvakurudzo iyi yainyanya kuyera zvinhu zvakasiyana-siyana:
- Kuwedzerwa kweAsthma: Takatarisa kuti kuwanda kwekurwiswa neasthma kwakadzikira zvakadii mushure mekutora mushonga.
- Basa remapapu : Muedzo wakakosha unoyera huwandu hwemhepo inogona kuburitswa nechisimba musekondi imwe chete. Izvi zvinonzi Forced Expiratory Volume musekondi imwe chete - FEV1 .
- Kudzora zviratidzo: Vachishandisa bvunzurudzo yakakosha (`Asthma Control Questionnaire 6` kana ACQ-6 ), varwere vakaongororwawo kuti vaone kuti zviratidzo zvavo zvaidzorwa sei.
Zvidzidzo izvi zvaisanganisira vanhu vanobva kumarudzi akasiyana-siyana uye mamiriro akasiyana-siyana, asi vanoputa fodya nevaya vane zvimwe zvirwere zvekufema havana kubatanidzwa muzvidzidzo izvi.
Ndeipi mhedzisiro yetsvagurudzo iyi?
Vatori vechikamu muchidzidzo ichi vakaramba vachitora mishonga yavo yemazuva ese yekudzora asthma (semuenzaniso corticosteroids inofemerwa ). Boka rimwe rakapihwa mushonga weTezspire, nepo rimwe boka rakapihwa mushonga weplacebo . Mushonga weplacebo chimwe chinhu chinoita semushonga asi chisina mushonga unoshanda. Unoshandiswa kuyera nemazvo mhedzisiro yemushonga chaiwo.
Mhedzisiro yekupera kwemavhiki makumi mashanu nemaviri, kureva gore, inokurudzira zvechokwadi.
- Zvichienzaniswa neboka re placebo, avo vakagamuchira Tezspire vakaderera ne56% kusvika 72% mukuwedzera kweasthma (kurwiswa).
- Uyewo, kushanda kwemapapu , kureva FEV1, kwakawedzera neanenge marita 0.13 kune avo vakatora Tezspire.
- Sekureva kwemubvunzo weACQ-6, 86% yeavo vakatora Tezspire vakataura kuti zviratidzo zvavo zvakavandudzika, zvichienzaniswa ne77% muboka re placebo.
Mhedzisiro iyi inoratidza zvakajeka kuti Tezspire mushonga unoshanda zvikuru wekudzivirira asthma yakanyanya. Asi yeuka kuti mhedzisiro yekutsvagisa haina kufanana kune wese munhu. Mhedzisiro yako inogona kunge yakasiyana.
Ungawana sei Tezspire? Ungaishandisa sei?
Kana chirwere chako cheasthma chakaoma kudzora uye uchifarira Tezspire, unogona kutaura nachiremba wemhuri yako kana chiremba wemapapu nezvazvo. Kana chiremba wako akasarudza kuti mushonga uyu wakakodzera chirwere chako, iye achakugadzirira zvinodiwa kuti uwane mushonga uyu.
Tezspire ijekiseni rinoiswa pasi peganda rinopihwa mavhiki mana ega ega.Izvi zvinowanzo kupihwa muhofisi yachiremba, kiriniki, kana kuchipatara. Dzimwe nguva, chiremba wako anogona kusarudza kuti zvakachengeteka uye zvakakodzera kuti uzvipe mushonga uyu kumba. Kana zvakadaro, chiremba wako kana mukoti akadzidziswa achakudzidzisa maitiro ekupa mushonga uyu nemazvo.
Zvakakosha: Usamborega kutora chero mushonga weasthma wauri kutora parizvino, kunyanya masteroids, usina kurairwa nachiremba wako. Tezspire mushonga wekuwedzera chete.
Migumisiro nezvinhu zvekuziva
Kufanana nemishonga yese, Tezspire inogona kukonzera migumisiro midiki uye dzimwe nguva yakakomba. Zvakakosha kuziva izvi.
| Mhedzisiro/njodzi | Tsananguro nezviito zvinofanirwa kuitwa |
|---|---|
| Migumisiro yakajairika | Kurwadziwa pahuro, kurwadziwa kwemajoini, uye kurwadziwa kwemusana. Izvi hazviwanzo kuva zvakakomba. Asi kana uchinetseka, udza chiremba wako. |
| Maitiro enzvimbo yekubaiwa jekiseni | Kutsvuka, kuzvimba, kana kurwadziwa zvinogona kuitika panzvimbo yekubaiwa jekiseni. Izvi zvinogona kuderedzwa nekubvisa jekiseni mufiriji awa imwe chete usati wabaya jekiseni woribaya panzvimbo yakasiyana nguva imwe neimwe. |
| Kusawirirana Kwakakomba | Zviratidzo zvakaita sekuoma kufema, kuzvimba kwechiso/miromo, kurova kwemoyo nekukurumidza, uye mapundu zvinogona kuitika. Izvi zvinokonzeresa emergency! Rega kutora mushonga nekukasika woenda kuEmergency Department (ETU) yechipatara chiri pedyo. |
| Mikana yehutachiona | Izvi zvinogona kukanganisa masoja emuviri, zvichiita kuti asakwanise kurwisa mamwe hutachiona, kunyanya hutachiona hwehelminth . Kana uine hutachiona hwakadaro, hunofanira kurapwa usati watanga kushandisa Tezspire. |
| Mishonga | Usapihwe majekiseni ari mupenyu asina simba paunenge uchitora mushonga uyu. Bvunza chiremba wako kuti ndeapi majekiseni aunofanira kugamuchira usati watanga Tezspire. |
| Njodzi yezvirwere zvemwoyo | Mune imwe ongororo, vanhu vaitora Tezspire vaiva nenjodzi yakakura zvishoma yezvirwere zvemwoyo, zvakaita sekurohwa nemoyo uye sitiroko, zvichienzaniswa nevaya vaitora placebo. Taura nachiremba wako nezveizvi kana uri panjodzi yechirwere chemwoyo. |
| Kubata pamuviri nekuyamwisa | Hapana ruzivo rwakakwana parizvino pamusoro pekuchengetedzeka kwekushandisa Tezspire panguva yekuzvitakura kana kuyamwisa. Kana uchironga kuva nepamuviri, une pamuviri, kana kuti uri kuyamwisa, taurira chiremba wako nekukasika. |
Yeuka kuti Tezspire haisi mushonga we "kununura" wekushandisa kana uine chirwere cheasthma. Imushonga unobatsira kudzora asthma yako kwenguva refu.
Panogona kuva nematambudziko nemimwe mishonga here?
Zvichienderana neruzivo rwuripo parizvino, Tezspire haina kutaurwa kuti inokonzera kusangana kwakanyanya nemimwe mishonga. Zvisinei, zvakanaka kuudza chiremba wako nezvemishonga yese, mavhitamini, uye zvimwe zvinovaka muviri zvauri kutora. Gara uchibvunza chiremba wako usati watanga chero mushonga mutsva.
Kana uchifungidzira kuti wakasangana nemigumisiro yemushonga uyu, kunyangwe usina chokwadi che100% chekuti unokonzerwa neTezspire, unogona kuzvizivisa kuNational Poisons Information Centre kuColombo National Hospital . Ruzivo urwu ruchave rwakakosha mukuunganidza rumwe ruzivo nezvemushonga uyu mune ramangwana.
Mharidzo Yekuenda Nayo Kumba
- Tezspire mushonga wekuwedzera weasthma yakanyanya muvanhu vakuru vane makore anopfuura gumi nemaviri ekuberekwa vasingadzorwi nemishonga iripo.
- Uyu mushonga wekudzivirira chirwere unopiwa mavhiki mana ega ega uye unobatsira kudzivirira kurwiswa neasthma, kwete mushonga we'kununura' unoshandiswa panguva yekukurumidzira.
- Usati watanga kurapwa uku, nyatsokurukura zvakanakira nekuipira kwako nachiremba wako.
- Dzivisa kurega chero mishonga yeasthma yauri kutora parizvino usina kupihwa mazano nachiremba.
- Kana ukaona zviratidzo zvakakomba zvekurwara nepfungwa zvakaita sekuoma kufema uye kuzvimba kwechiso, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
- Udza chiremba wako nezve chero migumisiro kana chero matambudziko aunosangana nawo.
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