Funda kabanzi mayelana nokudla kokudla komzimba ngaphansi kolimi
I-immunotherapy engezansi, noma i-SLIT, ifomu le-immunotherapy elibandakanya ukubeka amaconsi ama-extragen ayengaphansi kwelimi. Abantu abaningi babhekisela kule nqubo ngokuthi " ukwehla komzimba ," futhi kuyindlela yokwelapha ehlukile yokudonswa kwamagciwane . Leli fomu le-immunotherapy lisetshenziselwe iminyaka eYurophu futhi maduzane seliye landa inzalo e-United States.
Ukugunyazwa kwe-FDA
Amanothoni amaningi okuphuza umzimba awavunyelwe yi-Food and Drug Administration (FDA) e-United States. Kodwa-ke, ngo-Mashi 1, 2017, i-FDA ivunyelwe i-Odactra yokwelapha i-rhinitis ye-allergen kanye ne-conjunctivitis eyabangelwa izidakamizwa zasendlini kubantu abaneminyaka engu-18 kuya kwengu-65 ubudala. Futhi ngo-2014, i-FDA ivume imikhiqizo emithathu ye-SLIT. Le mikhiqizo ibandakanya i-Grazax (yokudla okutshani utshani ), i- Oralair ( yokudla okutshani utshani), no-Ragwitek (for ragweed allerergy).
Ngisho noma iningi lezinkinga zokungezwani komzimba lingavunyelwe i-FDA, abanye odokotela babanika iziguli "ngaphandle-ilebula," okusemthethweni. Kusho nje ukuthi bangakudla ngoba umshuwalense wakho wezempilo awukwazi ukumboza into engeyona i-FDA evunyiwe.
Izifundo eziningi okwamanje zenziwa ngenhloso yokuzama ukuthola i-SLIT FDA-eyamukelwa e-United States, kodwa kungenzeka ukuthi ukuvunyelwa okungenani iminyaka embalwa kude. Qaphela futhi ukhulume ne-allergenist ehloniphekile ngaphambi kokhetho lokwelapha.
Imibuzo esele iphendulwe ngaphambi kokuthi i-SLIT ithole i-FDA imvume:
- Iyini umthamo ophumelelayo, ukulinganisa irejista, kanye nesimo se-SLIT?
- I-allergen ehlukahlukene inganikezwa kanjani ngendlela ephumelelayo, elula futhi ebiza imali?
- Ingabe i-SLIT iphephile kumaqembu aphezulu kakhulu?
- Kuyini ukubaluleka kwemiphumela emibi eyaziwayo?
Indlela Othatha Amaconsi
I-SLIT ivame ukukhululwa ngezindlela ezimbili: amaconsi (noma amaphilisi) okukhishwa kwe-allergen afakwa ngaphansi kolimi, bese evinjelwa noma aphululelwe ngaphandle. Ucwaningo oluningi luye lwabheka ukugwinya ukukhishwa, okubonakala kusebenza kangcono. I-Immunotherapy ngomzila womlomo (ugwinywa futhi ungagcinwa ngaphansi kolimi nganoma yisiphi isikhathi sesikhathi) kubangele imiphumela emibi kakhulu yamathumbu ( isicashu , ukuhlanza, isifo sohudo), ngakho-ke asisetshenzisiwe.
Ngokuvamile, i-SLIT ilawulwa nsuku zonke noma izikhathi eziningi ngesonto esikhathini esiyiminyaka. Iningi leziguli liyakwazi ukuzitholela izinsizakalo ezingezansi zomzimba. Akukaziwa ukuthi yini irejistra yokulungiswa kwe-SLIT.
Indlela ama-Drops asebenza ngayo
Isivikelo somzimba sokuzivikela emathunjini sivame "ukubekezelela" izinto ezingaphandle, okusho ukuthi ayiphenduli ngendlela engasebenzi kakhulu yokugwinya izinto. Lokhu kunengqondo; uma kungenjalo, umzimba uzodabuka kunoma yikuphi okugwinya, kuhlanganise nokudla. Lapho izilinganiso zokungalingani zelungu lokungena komzimba zingena emathanjeni omzimba, isimiso somzimba sokuzivikela sikhuthazelela i-allergen. Lokhu kubangela izimpawu ezimbalwa zokungezwani komzimba lapho umzimba utholakala emthonjeni wokungenwa kwemithwalo yemithi, njenge-pollen evulekile noma i-pet dander.
I-SLIT Isebenza kanjani kahle
I-SLIT ibonakala iyasebenza ekwelapheni i- rhinitis ye-allergen , i- conjunctivitis ye-allergen , futhi, ngokwezinga elincane, i- asthma ye-allergen .
Ngenkathi izifundo eziningi ezithinta izidakamizwa ezingezansi zohlobo lwezitshalo zibonisa inzuzo ekwelapheni isifo sofuba, imiphumela ayifani ncamashi, ngokufinyelela kwesithathu kwezinguquko ezingabonisi inzuzo ngaphezu kokwelashwa kwe-placebo.
Ulwazi lokuphepha
Eminyakeni eyishumi edlule, ukuphepha kwe-SLIT kuye kwabhalwa kahle. Akukho ukuphendula okungathí sina futhi okulimalayo ekubhekaneni nokudonsela phansi kwamagciwane okubikwayo kuze kube manje. Imiphumela emibi, njengomlomo ohlambalazayo, eyenzeka kuningi labantu, nemiphumela emibi engalinganisisiwe ibhalwe phansi (eyodwa cishe ngayinye yezinamba ezingu-12,000), kufaka phakathi:
- Liphu, umlomo, nolimi ukucasuka
- Ukuhlobisa iso, ubomvu nokuvuvukala
- I-nausea, ukuhlanza, ukuchoboza kwesisu, nokuhuda
- Ukuthungula, ukucheka kwamanzi, nokuxubana
- Izimpawu ze-asthma
- I-urticaria ne-Angioedema (imifantu nokuvuvukala)
Ngenxa yokuphepha kwe-SLIT, abantu ngokuvamile baphatha ekhaya futhi balandelwa emtholampilo ngezikhathi eziseduze ukuqapha impendulo yokwelashwa.
Ubani Ongayithola (noma Kufanele) Athole Ukudla Okungezansi Kwegazi?
Abantu abanesifo sofuba esibhalwe phansi (i-rhinitis ye-allergen, i-allergenic conjunctivitis, kanye / noma i-allergenic asthma) ekuhlolweni kokungalingani kungase kubhekwe njenge-SLIT. Izingane ezincane ziye zaboniswa ukuthi zibekezelela futhi zizuze ezinhlakalweni ezingezansi zomzimba, njengoba zinabantu abadala. Abesifazane abakhulelwe bangaqhubeka ne-SLIT ngesikhathi sokukhulelwa kodwa akufanele baqale ukwelapha ngenkathi bekhulelwe. Abantu abane- asthma enzima bangadingeka bahlolwe ngokuseduze ku-SLIT, ngoba izimpawu ze-asthma zingadala kakhulu nge-SLIT.
Ucwaningo oluningi lwezinhlayiya ezingezansi zobulili oluthile luye lwagxila kubantu abanomhlobo owodwa wokungezwani komzimba, njengotshani noma utshwala obuthakathaka. Abantu abanezinambuzane eziningi, ezifana nezibunjwa, i-pollens, i-pet dander kanye nezidakamizwa zothuli kungenzeka ukuthi bangabi abafanelekile be-SLIT, banikezwa ivolumu enkulu yezingqimba ezahlukene ze-allergen ezizodinga ukuthathwa.
I-SLIT iqhathanisa kanjani ne-Traditional Zoergy Shots?
Izidakamizwa zendabuko yemvelo yindlela yokwelashwa ekuboniseni ukwelapha i-rhinitis ye-allergen, i- conjunctivitis ye- allergen, i-allergic asthma, ne-venom allergies cishe eyikhulu leminyaka. Ukukhishwa kwesifo sofuba sekuye kwavunyelwa i-FDA iminyaka eminingi, nakuba kudingeka badonswe ehhovisi likadokotela ngenxa yamandla emibi kakhulu. Ngakho-ke, kungase kube ukuphazamiseka kubantu abaningi.
Izifundo eziqhathaniswa nokusebenza kwezidakamizwa zendabuko zendabuko kanye ne-SLIT zibonisa ukuthi ukudubula kwamagciwane kungcono ekunakekeleni i- rhinitis ye-allergen nezimpawu ze-asthma. Ngaphezu kwalokho, izimpawu ze-immunologic nezinye izivivinyo ezihambisana nokuphendula nge-immunotherapy kubonakala kancane kubantu abathola i-SLIT. Ngakho-ke, ngenkathi izidakamizwa zokungalingani zibonakala ziphakeme ekuphepheni isifo sofuzo, i-SLIT cishe iyoba ukhetho olubalulekile lwezokwelapha kubantu abangafuni noma abangakwazi ukuthola izibhamu ezingezansi.