Uma Unezifo Ezimbi Ngempela Udinga Ukubona Udokotela
Ingabe ukhathele ukukhipha futhi ukukhenceza entwasahlobo bese uwela ngokukhululeka okukodwa kusuka emithini ye-over-the-counter (OTC) yokungezwani komzimba ? Mhlawumbe leso sizwa esiqinile esifubeni sakho ngesikhathi sokungezwani komzimba sithola uhlobo olwesabekayo, futhi ngezinye izikhathi uzizwa sengathi awukwazi ukuphefumula. Iyini isinyathelo sakho esilandelayo? Kuzwakala sengathi sekuyisikhathi sokubheka ukwelashwa kwemithi yokwelapha .
Ngokusho kwe-American College of Allergy, i-Asthma and Immunology, udinga ukubona udokotela mayelana nokukhululeka kwemithi ngaphansi kwezimo ezilandelayo:
- Unenkinga yokugonywa kwengxube noma izifo zesifo.
- Unayo izimpawu zokungezwani komzimba ezinyangeni ezimbalwa zonyaka.
- Imithi ye-OTC ayisebenzi kahle noma ikunika ukuthi ulale kakhulu.
- Ukuqeda imithi kuphazamisa isimiso sakho futhi kunciphisa izinga lakho lokuphila.
- I-asthma yakho eyenziwa yi-allergies ibangela izimpawu ezifana nokuvunguza nokuphefumula
Amaphilisi Okunciphisa Amagciwane Asemthethweni
Ukusabela okwe-allergen kungabandakanya i- rhinitis (ukuvuvukala kwezingxenye zomlomo, owaziwa nangokuthi "i-hay fever"); i-asthma; izifo zesikhumba; noma okungajwayelekile, i- anaphylaxis , okuyinto engaba yingozi yokwelapha ephuthumayo efuna ukwelashwa okuphuthumayo futhi ingase ivelise ukuhlanza, uhudo, ukuphefumula ubunzima noma ukwehla komfutho wegazi.
Emva kokuthola umlando wakho wezokwelapha nokuqhuba ukuhlolwa okuphelele, udokotela wakho anganquma ukuthi ubunzima bakho buvela ngempela yini emzimbeni; Uma kunjalo, udokotela wakho angakunikeza okukodwa noma okungaphezulu kokukhethwa kukho okulandelayo ukuze unciphise izimpawu zakho:
Ama-anthistamine we-Prescription-Strength nama-Decongestants
Ama-antihistamine namagciwane we-decongestants ngokuvamile ahlala isikhathi eside kunezinhlobo ze-OTC futhi afaka ama-antihistamine, afana ne- Allegra (fexofenadine) no-Clarinex (desloratadine), kanye ne-antihistamine / inhlanganisela ye-decongestant.
Corticosteroids
I-Corticosteroids imithi elwa nokuvuvukala ivela ngezindlela eziningana, kufaka phakathi izipucu zomzimba ezifana ne-Flonase (fluticasone), okungafani ne-OTC eminingi yokuphalaza impumu, ingenzi izimpawu ezimbi nakakhulu ukusetshenziswa kwesikhathi eside.
I-Corticosteroids nayo ifika njengama-inhalers, amaphilisi, kanye namagciwane. Ngokuvamile ama-inhalers anqunyelwe ukuphathwa kwesikhashana isikhathi sokuphefumula kwesifo sofuba. Ama-cream nama-ointments asetshenziselwa ukuphatha izimpawu zokugula ezihlobene nezikhumba.
Anti-Leukotrienes
Imithi efana ne- Singulair (i-montelukast sodium) yi-antileukotrienes, esetshenziselwa ukwelapha i-rhinitis ye-allergen kanye ne-asthma ngokulwa namakhemikhali abizwa ngokuthi ama-leukotrienes, okwandisa ukuvuvukala.
Bronchodilators
Ama-bronchodilators atholakalayo njengama-inhalers, amaphilisi, uketshezi, kanye namagciwane ukuze aphathe isifuba somoya.
Anti-Immunoglobulin (IgE) Antibodies
Abantu abane-asthma eqinile, eqhubekayo ngenxa yezinyosi bangathola inzuzo ye-anti-IgE yokuvikela ama-antibody, okuvimbela ukukhululwa kwe-histamine. Lezi zinselo zomzimba nazo zibangela izimpawu ze-rhinitis, kodwa ukusetshenziswa kwazo kwalesi simo akuvunyelwanga ngenxa yokutholakala kwamanye amakhambi aphansi kakhulu awadingi izijoka.
Udokotela wakho noma udokotela angakunikeza futhi ku-allergen ukuze uthole olunye ulwazi. I-allergenist ingenza ukuvivinya isikhumba noma ukuhlolwa kwegazi futhi unikeze isibhamu sokungabi naso uma kudingeka.
Okuqukethwe kokuqukethwe kwangempela okuhlelwe ngu-Naveed Saleh, MD, MS.
Imithombo:
"Izifo Zonke." they.nlm.nih.gov . 15 Febhuwari 2007. Izikhungo zezempilo zikazwelonke.
" Ukunciphisa Ukubhekela Emzimbeni " aafa.org. 2005. I-Asthma ne-allergies Foundation of America.
"Imibuzo Ebuzwa Ngokuphindaphindiwe Ngokuphathelene Nemithi Yokulwa Nezifo." nationaljewish.org . Feb. 2006. Ezempilo ZamaJuda Zesizwe.
"Isinyathelo 9: Izinhlobo ZeMishanguzo Yezokwelapha." unm.edu . 7 Okthoba 2007. Isikhungo sezokwelapha saseYunivesithi saseMadrid.
"Amathiphu Okumele Uwakhumbule: Isifo Sokuthola Imfuyo Nezokwelapha." aaaai.org . 2007. I-American Academy Yezokwelapha, i-Asthma ne-Immunology.
"Kufanele Ngifinyelele Nini I-allergen?" I-acaai.org. Nov. 2004. Ikhomishana yaseMelika yezokwelapha, i-Asthma & Immunology.