Uma sicabanga ngezimbangela ze-asthma , ukusetshenziswa kwemithi yezinye izinkinga zezokwelapha ngokuvamile akuveli engqondweni. Ngokuvamile, imithi isiza izimo zempilo zomuntu-ayibabi kakhulu. Kodwa-ke, kuneminye imithi umuntu angayithatha yona engadala izimpawu ze-asthma, noma enze ezinye izimpawu zokuphefumula ezifana nokukhwehlela. Ngakho-ke, kubalulekile ukuthi utshele udokotela ngamunye othinta wena nge-asthma yakho nezinye izinkinga zezokwelapha.
Beta-Blockers
I-Beta-blockers imithi evame ukusetshenziswa ukuphathwa kwengcindezi ephezulu yegazi, izifo zenhliziyo kanye nokuvimbela ikhanda lekhanda elimhlophe. Zibuye zisetshenziswe efomini lokudonsa amehlo ukuze ukwelashwa kwe-glaucoma. Ama-Beta-blockers enza okuthile okutholakele ngezitho ezihlukahlukene kuwo wonke umzimba ngenxa yokunciphisa kwenhliziyo, ukucindezelwa kwegazi, kanye "nomsebenzi wepompo" wenhliziyo. Ngeshwa, i-beta-blockers inomthelela ohlukile emaphashini okuthi i-albuterol yenza, futhi ingabangela ukunciphisa imisipha ehamba emoyeni. Lokhu kuye kwabikwa ngisho nokusetshenziswa kwamaconsi e-beta-blocker.
Ngenkathi abantu abasha be-beta-blockers kuphela okufanele benze okuthile enhliziyweni (okuthiwa "i-cardio-specific"), abakwa-beta-blockers asebekhulile bayaziwa ukuthi badonsa izimpawu ze-asthma. Kwezinye izimo, umuntu onesifo se-asthma unesidingo esibucayi se-beta-blocker. Uma kunjalo, lo muntu kufanele acele udokotela wabo inguqulo ethile ye-cardio ethize ye-beta-blocker.
Uma izimpawu ze-asthma zisalokhu zibi kakhulu, imishanguzo ephazamisekile nemiphumela ye-anticholinergic, efana ne-ipratropium (i-Atrovent HFA) noma i-tiotropium (Spiriva), ingaba usizo ukuxazulula le nkinga.
I-Aspirin ne-Aspirin-Njengemithi
I-Aspirin nemithi ehlobene, okuthiwa imithi engeyona i-steroidal anti-inflammatory (NSAIDs), imithi evame ukusetshenziswa ukuphulukisa ubuhlungu obuhlangene nobunzima kanye nokuvuvukala, ikhanda, umkhuhlane, kanye nemithi ye-antiplatelet yokuvimbela ukuhlaselwa kwenhliziyo nokushaya.
Ama-NSAID atholakale ezinhlotsheni eziningi ngaphesheya kwe-counter and by prescription. Abanye abantu bane- allergenic ukusabela kuma-NSAID , okungabangela ukuwohloka kwesifo sofuzo kanye nesifo se-asthma, noma i-urticaria / angioedema noma ngisho ne-anaphylaxis. Abantu abangaba ngu-10% abane-asthma bangabhekana nokulimazeka kwezimpawu ze-asthma ngenxa yokuthatha ama-NSAID; lokhu kwanda kwabangu-40% abantu abane-asthma lapho kukhona ama-polyp nasal .
Uma okunye okudingekayo ku-NSAID kuyadingeka, abantu abaningi abane-NSAID-ukuphendula bangakwazi ukubekezelela i-acetaminophen (iTylenol). Uma umuthi onamandla onemiphumela eminingi elwa nokuvuvukala iyadingeka, i-celecoxib (i-Celebrex) ibekezelela abantu abaningi (kodwa hhayi bonke) abane-NSAID yokungezwani komzimba.
I-Angiotensin Eguqulela Inhibitors Inhibitors (ACE Inhibitors)
Ama-inhibitors e-ACE ajwayelekile imithi esetshenziselwa ukwelashwa kwengcindezi ephakeme yegazi nokuhluleka kwenhliziyo. Amafomu ajwayelekile ajwayelekile ahlanganisa i-lisinopril, i-ramipril, nezinye izinhlobo eziningi eziphelela ezincwadini "pril." Kodwa-ke, abanye abantu banemiphumela emibi yokuphefumula kusuka kuleli klasi lezokwelapha, cishe cishe u-10% unekhwehlela ephikisayo, eyomile. Lokhu kukhwehlela kungase kube iphutha ngokushubazeka kwe-asthma noma ezinye izimbangela ezivamile zokukhwehlela . Ngokujwayelekile, ukukhwehlela kuzodlula phakathi kwamasonto ambalwa okuvimba i-ACE inhibitor.
Kodwa-ke, uma ukukhwehlela kunzima, noma i-ACE inhibitor ayikwazi ukumiswa, i-cromolyn (i-Intal) noma i-nedocromil (i-Tilade) engakhanjiswa ingase ibe usizo ukuphatha ukukhwehlela okubangelwa i-ACE inhibitor.
Umthombo:
Imithi ejwayelekile ingaba nemiphumela emibi kakhulu. Izinkinga zokungezwani komzimba nezifo ze-Asthma. Ebusika 2009/2010. I-American Academy Yezokwelapha, i-Asthma kanye ne-Immunology Iwebhusayithi.