Umhlahlandlela Wakho Wokuphatha Amagciwane Ngesikhathi Ukukhulelwa
Indlela Yokuphatha Izilonda Ngesikhathi Sokukhulelwa
I- rhinitis ngesikhathi sokukhulelwa ingaba ngenxa ye-rhinitis ye-allergen , i-sinusitis, noma i -rhinitis engelahleki . Uma ngabe lona wesifazane une-rhinitis ye-allergen ngaphambi kokukhulelwa, lokhu kungase kube nzima kakhulu, ukuhlala okufanayo, noma ngisho nokuthuthukisa. Lolu shintsho lwezimpawu lungase luxhomeke ezintweni eziningi, kufaka phakathi ukutholakala kwama-alergeneral yonyaka kanye nokwanda kwama-hormone wokukhulelwa.
I-rhinitis engelahleki ekukhutheni ingase ibe ngenxa yokwanda kwe-hormone yokukhulelwa, okuholela ekungeneni komzimba, impumu egijimayo kanye ne- post drill . Lokhu kubizwa ngokuthi "i-rhinitis yokukhulelwa". Izimpawu zingase zilingane nezifo, kepha njengoba zingenayo imithi, aziphenduli kuma-antiam histamines.
Owesifazane okhulelwe one-rhinitis angase akhathazeke ngokuphepha kwemithi ngesikhathi sokukhulelwa, ngakho-ke ugweme ukuthatha imithi. Uma ukugwema izifo ezithathelwanayo kungenakwenzeka noma kuphumelele, imithi ingadingeka ukulawula izimpawu.
Ukuxilongwa kwe-allergenic Rhinitis Ngesikhathi sokukhulelwa
Ukuhlolwa kokunciphisa umzimba kuhlanganisa ukuhlolwa kwesikhumba noma ukuhlolwa kwegazi, okubizwa ngokuthi i- RAST . Ngokuvamile, ukuhlolwa kokuzikhandla kwengane kungenziwa ngesikhathi sokukhulelwa, kunikezwe ithuba elincane le-anaphylaxis engenzeka. I-Anaphylaxis ngesikhathi sokukhulelwa , uma ikhulile, ingaholela ekunciphiseni kwegazi ne-oksijini esibelethweni, mhlawumbe kulimaza ingane.
Ngakho-ke, ukuvivinywa kokunciphisa umzimba kuvame ukuhlehliswa ngesikhathi sokukhulelwa, nakuba i-RAST ingaba yindlela ephephile uma imiphumela iyadingeka ngesikhathi sokukhulelwa.
Ukuphepha Kwemithi Yokunciphisa Umzimba Phakathi Nokukhulelwa
Ngokwe-Food and Drug Administration (FDA), ayikho imithi ethathwa njengokuphephile ngokuphelele ekukhulelwe.
Lokhu kungukuthi akekho owesifazane okhulelwe ongathanda ukubhalisela isifundo sokuphepha emithi ngenkathi ekhulelwe. Ngakho-ke, i-FDA inikeze imikhakha engozini kwimithi esekelwe ekusetshenzisweni kokukhulelwa.
Isigaba sokukhulelwa "A" imithi imithi lapho kunezifundo ezinhle kubesifazane abakhulelwe abonisa ukuphepha kwemithi ebantwaneni ekuthomeni kokuqala. Kukhona imithi encane kakhulu kule mkhakha, futhi ayikho imithi yokwelapha i-asthma. Imithi "B" imithi ikhombisa izifundo ezinhle zokuphepha ezilwaneni ezikhulelwe kodwa azikho izifundo zomuntu ezitholakalayo. Imithi yokukhulelwa "C" imithi ingabangela imiphumela emibi ebusweni lapho ifundwa ezilwaneni ezikhulelwe, kodwa izinzuzo zalezi zidakamizwa zingenza isisindo sibe yizingozi kubantu. Imithi "D" yemikhiqizo ibonisa ingozi ecacile kumntwana, kodwa kungenzeka kube nezimo lapho izinzuzo zidlula khona izingozi kubantu. Futhi ekugcineni, imithi ethi "X" ibonisa ubufakazi obucacile bokukhubazeka kokuzalwa ezilwaneni kanye / noma izifundo zabantu futhi akufanele zisetshenziswe ekukhupheni.
Ngaphambi kokuba noma yimiphi imithi ethathwa ngesikhathi sokukhulelwa, udokotela nesiguli kumele babe nengxoxo engozini / inzuzo. Lokhu kusho ukuthi izinzuzo zomuthi kufanele zilinganiswe nezingozi - futhi imithi kufanele ithathwe kuphela uma izinzuzo zidlula izingozi.
Ukwelapha I-Rhinitis Phakathi Nesikhathi sokukhulelwa
I-salt saline . I-rhinitis yokukhulelwa ivame ukungaphenduli kuma-anti-histamines noma ama-spray. Lesi simo sibonakala siphendula okwesikhashana emanzini anosawoti (amanzi anosawoti), okuphephile ukusebenzisa ngesikhathi sokukhulelwa (akuyona imithi). I-salal Nasal iyatholakala ngaphezu kwe-counter, ayithengi, futhi ingasetshenziswa kaningi uma kudingeka. Ngokuvamile izipulisi eziyi-3 kuya kwezingu-6 zifakwe ku-nostril ngayinye, zishiya i-saline ekhaleni ngamasekhondi angaba ngu-30, bese ishaya impumulo.
Ama-antihistamine. Ama-antihistamine asekhulile, afana ne-chlorpheniramine ne-tripelennamine, yizinxusa ezikhethiwe ukuphatha i-rhinitis ye-allergen ngesikhathi sokukhulelwa, futhi zombili izidakamizwa zesigaba B.
Ama-antihistamine amasha anjenge-over-the-counter loratadine (ama-Claritin® / Alavert® namafomu ajwayelekile) kanye ne-cetirizine (ama-Zyrtec® namafomu ajwayelekile) nawo anemithi yokwelapha isigaba B.
Ama-decongestants. I-Pseudoephedrine (i-Sudafed®, amafomu amaningi ajwayelekile) yi-decongestant yomlomo oyithandayo yokuphatha i-rhinitis ye-allergen ne-nonergic ngesikhathi sokukhulelwa, nakuba kufanele igwenywe phakathi nonyaka wokuqala wokuqala, njengoba ihlotshaniswa ne-gastroschisis yobusana. Le mithi isigaba sesisu sokukhulelwa C.
Imishini yokwelapha emanzini. I-Cromolyn nasal spray (NasalCrom®, generics) iyasiza ekwelapheni i-rhinitis ye-allergen uma isetshenziselwa ngaphambi kokuvezwa kwe-allergen futhi ngaphambi kokuqala kwezimpawu. Le mithi ukukhulelwa isigaba B futhi iyatholakala phezu kwekhawunt. Uma le mithi ingasizi usizo, i-nasal steroid esisodwa, i-budesonide (i-Rhinocort Aqua®), ithole isigaba sesigaba sokukhulelwa B (bonke abanye bayisigaba C), ngakho-ke kungaba yisifo se-steroid esiswini ngesikhathi sokukhulelwa. I-Rhinocort yatholakala ngaphezu kwe-counter ngaphandle kwemithi ekuqaleni kuka-2016.
Immunotherapy. Ukukhishwa kwesifo sofuzo kungaqhutshwa ngesikhathi sokukhulelwa, kodwa akukhuthazwa ukuba uqale le mithi ngenkathi ukhulelwe. Ngokujwayelekile umthamo we- shorteristic shots awukwenyuka , futhi wonke ama- allerergists azosika umthamo wokungabi nethonya okudubule ngamaphesenti angu-50 ngesikhathi sokukhulelwa. Ezinye izazi ze-allergists zizwa ukuthi ukudubula kokungalingani kufanele kumiswe ngesikhathi sokukhulelwa, kunikezwe ingozi ye-anaphylaxis futhi ingozi engase ibe khona emntwaneni ngenxa yalokho. Ngaphandle kwe-anaphylaxis, ayikho idatha ebonisa ukuthi ukungezwani komzimba ukudubula ngokwabo kuyingozi empilweni.
Imithombo:
I-Allergen Immunotherapy Practice Parameters. Ann Ukuzivocavoca Isifo Somoya Immunol. 2003; 90: S1-40.
Dykewicz MS, Fineman S, abahleli. Ukuxilongwa Nokuphathwa Kwe-Rhinitis: Imihlahlandlela Ephelele Yomsebenzi Ohlangene Ngama-Practice Parameters Inergy, Asthma and Immunology.