Ingozi iphezulu kakhulu kubantu abane-asthma enzima
Izidakamizwa ezingekho-steroidal anti-inflammatory (NSAIDs) ziyizigaba zezidakamizwa ezisebenza ukunciphisa ubuhlungu, ukunciphisa umkhuhlane, futhi, ngokulinganisa okuphezulu, kwehlisa ukuvuvukala. I-Aspirin yayiyi-NSAID yokuqala eyenziwa ngama-1800 kusukela kwamakhemikhali ahlukaniswe nesikhunta somuthi wempuphu.
Kuzo zonke iziphumo zayo eziqinisekisiwe, i-aspirin iyaziwa ngokubangela ukusabela okwenziwe kwabanye abantu.
Ngaphezu kwalokho, ukungezwani komzimba ku-aspirin ngokuvamile kuvame ukuguqula ezinye izinhlobo ze-NSAID kuhlanganise ne- ibuprofen (Advil, Motrin) ne- naproxen (Aleve).
I-NSAID yokungezwani komzimba kuthathwa ukuthi ithinte iphesenti elilodwa labantu abaningi. Ngaphezu kwalokho, abaningi kubantu abayishumi abane-asthma bazobhekana nokubuhlungu kwezimpawu ngemuva kokuthatha i-NSAID. Kulabo abane-asthma ehambisana nesinusitis esingapheli kanye nama-polyp nasal, ingozi ingakhuphuka ibe ngaphezu kwamaphesenti angu-40.
Ukuqonda i-Aspirin Ukuzivocavoca
I-aspirin yokungezwani komzimba ibhekene nokuphendula okuthathu okuhlukene, ngayinye enezici zayo ezihlukile. Ukuphendula ngezinye izikhathi kungadlulela kubangelwa izimpawu kusukela ekunene kuya ekusongeni ukuphila. Lokhu kufaka:
- I-aspirin-yandisa isifo sokuphefumula (i-AERD), esibangela izimpawu ezifana ne-rhinitis nesifo se-asthma
- I-urparia-i-urticaria / i-angioedema ekhushukile, ekhombisa izimpawu ze-dermatological ezifana nemihlathi nokuvuvukala
- I-urticaria ene-Aspirin ekhukhumezekile noma ngaphandle kwe-angioedema, lapho imifuba nokuvuvukala kungathuthukela khona ekusongeni ukuphila, ukuphendula komzimba wonke okubizwa ngokuthi i- anaphylaxis
Ngokuvamile, ama-NSAID ayaziwa ngokubangela izimo ezinzima ezifana ne- aseptic meningitis kanye ne-hypersensitivity pneumonitis, nakuba izindlela zalezi zimpendulo aziqondi ngokuphelele.
Ukuqaphela Ukuphefumula Kwe-Aspirin
Amagciwane okuba yi-pollens, i-cat dander, nokudla kungatholakala ngokuhlola igazi nge-antibodies okuthiwa i-allergenic. Lolu hlobo lokuphendulwa kwama-antibody aluvame ukuvela ngama-NSAID. Ngenxa yalokho, ukuguquka kwaloluhlobo kutholakala ukuthi kutholakala ngokuzenzekelayo ngokusekelwe nokubonakala kwesikhathi.
Ezimweni ezimbi, ukuhlola inselele ngomlomo kungasetshenziswa ukubona ukuthi umuntu uphendukela kanjani ku-NSAID ethile. Lokhu kufanele kwenziwe kuphela ngaphansi kokuqondiswa kwe-allergenist eqinisekisiwe.
Ukwelapha i-Aspirin Yokuzivocavoca
Ukugxila okuyinhloko kokwelashwa ukugwema kwanoma yisiphi i-NSAID eyaziwa noma ekholelwa ukuthi ibangele ukungezwani komzimba. Lokhu kuyiqiniso ikakhulu kubantu abane-hypersensitivity eyingozi kakhulu. Lokhu akubandakanyi kuphela ukugwema amaphilisi e-aspirin nama-capsules kodwa noma yikuphi umkhiqizo oqukethe i-aspirin, kuhlanganise no-Alka Selzer, ukunqoba, i-Pepto-Bismol, i-Kaopectate, i-Maalox, i-Doan, i-Sine-Off, ne-Pamprin.
Ngokuphambene nalokho, i-acetaminophen (i-Tylenol) ngokuvamile ibhekwa njengephephile njenge- COX-2 inhibitors njenge-celecoxib (Celebrex).
I-Aspirin Desensitization
Ezimweni ezithile, uhlobo oluthile lwe-aspirin lusetshenziselwa ukusiza umuntu ukuba anqobe hypersensitivity. Esinye isibonelo esinjalo sihilela abantu abane-asthma enamandla abadinga ukuhlinzeka ukususa izimpande ze-polyps.
Ngemuva kokuqhubeka nenqubo, odokotela ngezinye izikhathi bayancoma ukuxoshwa kwe-aspirin ukusiza labo abane-AERD ukuba bajabulele kangcono izinzuzo ze-aspirin.
Le nqubo ihlose ukunciphisa ukuzwela kwe-aspirin ngokumisa umuntu kumalini aphansi kakhulu e-aspirin bese ekhula kancane kancane umthamo aze akwazi ukubekezelela ama-milligram ayi-650. Lokhu kufanele kwenziwe kuphela ngaphansi kokunakekelwa kwe-allergenist efanelekayo kuphela kubantu abafakwe yi-aspirin ekuhlinzekeni ukukhululeka okudinga kakhulu.
> Umthombo:
> Lee, R. kanye noStevenson, D. "I-Aspirin-Exacerbated Respiratory Illness: Ukuhlolwa Nokuphathwa." Ukuphefumula kwesifo sofuba Immunol Res. 2011; 3 (1): 3-10.