Kodi kuwombera ziwengo kumagwira ntchito? Kodi ndizofunika?

Maphunziro a Zaumoyo

Mphuno yothamanga? Fufuzani. Kuyabwa, maso amadzi? Fufuzani. Kupumula nthawi zonse? Fufuzani. Fufuzani. Anthu omwe ali ndi vuto la ziwengo, kapena chaka chonse, amadwala pafupipafupi mankhwala ziwengo , ndipo mpaka pano sakupeza mpumulo angafune kuyang'ana ku allergen immunotherapy, yomwe imadziwika kuti ziwombankhanga. Kodi kuwombera ziwengo kumagwira ntchito? Kodi kuwombera ziwengo kuli koyenera? Gwiritsitsani matishu anu ndikupitiliza kuwerenga.

Kodi ziwombankhanga ndi zotani?

Pafupifupi anthu mamiliyoni 400 amakhala ndi matupi awo sagwirizana ndi rhinitis padziko lonse lapansi malinga ndi World ziwengo Organisation . Akakhala ndi mungu, nkhungu, udzu, fumbi, nthata za fumbi, pet dander, ndi zina zambiri zomwe zimafalikira, amakhala ndi zizindikilo monga kuyetsemula, mphuno, kuthamanga, maso amadzi, kupweteka mutu, kukhosomola, kupweteka kwam'mero, komanso pakamwa , mmero, kapena khungu. Matendawa amatha kupangitsa anthu kukhala achisoni makamaka ngati amapezeka pafupipafupi.

American Academy of Allergy, Phumu ndi Immunology amatanthauzira kuwombera ngati mankhwala kwa nthawi yayitali omwe amatha kuchepetsa zizindikilo za matupi awo sagwirizana (hay fever), chifuwa cha mphumu, conjunctivitis (chifuwa cha m'maso), ndi tizilombo todwalitsa. Ndi jakisoni wa nthawi yayitali wazakhungu zochepa (zomwe anthu sagwirizana nazo), kuwombera kumachepetsa chidwi pakapita nthawi ndikuchepetsa kapena kuthetsa zizindikilo.

Promethazine , diphenhydramine (chogwiritsira ntchito ku Benadryl), ndi hydroxyzine ndi zitsanzo za kuwombera ziwengo.

Ndani ayenera kuganizira kuwombera?

Pali magulu atatu a anthu omwe ali oyenera kuwombera,Malinga ndi Sima Patel, KODI , wotsutsa ku New York Allergy and Sinus Center ku New York City:

1. Anthu amakhudzidwa chaka chonse , kapena m'nyengo ziwiri kapena kupitilira apo
2. Anthu omwe sapeza mpumulo kuchipatala china. Ngati mankhwala sizikugwira ntchito, zomwe zitha kukhala chisonyezo choti anthu ayambe chithandizo ndikuwombera, Dr. Patel akufotokoza.
3. Anthu omwe akufuna mpumulo wosatha, Mwachitsanzo, ngati muli ndi matupi awo sagwirizana ndi chiweto . Mankhwala osokoneza bongo sangathe kuchiritsa zomwe zimachitika, pomwe allergen immunotherapy imatha.

Dr. Patel akuti kutengera ndi kafukufuku yemwe mumanena, kuwombera ziwengo kumatha kuthandizira kuthana ndi zizindikilo za 85% ya odwala.

Kodi kuwombera ziwengo kumagwira ntchito bwanji?

Kuwombera ziwombankhanga ndi mankhwala omwe amaperekedwa ndi wothandizirana ndi matendawa kapena wodwala matendawa ku ofesi. Nthawi zambiri amadziphimba ndi inshuwaransi zambiri ngakhale atha kufunsa kuti copay iyende paofesi iliyonse. M'kupita kwa nthawi, mtengo wa jakisoni ukhoza kukhala wocheperako kuposa kumwa mankhwala tsiku lililonse.

Kutengera kuchuluka kwa ziwengo zomwe munthu ali nazo, zimatha kuwombera kamodzi kapena kanayi pa sabata kutengera kuchuluka kwa ma allergen omwe angagwirizane ndi botolo lililonse. Ndiwo 'kuwombera ana,' osati mfuti yofanana ndi katemera popeza ndi singano yaying'ono kwambiri - imamveka ngati katsinidwe kakang'ono, Dr. Patel akutero.

Ngati anthu ali ndi ma allergen ambiri-mungu, fumbi, zinyama zanyama, nkhungu, ndi ena-mwina akuyang'ana mbale zinayi (zipolopolo) zinayi. Kwa iwo omwe ali ndi fumbi kapena ziwengo za nyama, botolo limodzi lokha ndilofunikira. Chithandizo chili ndi magawo awiri:

1. Gawo lakumanga: Odwala amatenga zipolopolo zawo sabata iliyonse ku ofesi ya adokotala panthawi yakumanga. Munthawi imeneyi, mlingowu umachuluka pang'onopang'ono kupitilira miyezi itatu kapena isanu ndi umodzi.
2. Gawo lokonzanso: Gawo lokonzanso limaphatikizapo kuwombera pafupipafupi, kamodzi kapena kawiri pamwezi.

Wina akangolandira kuwombera kwawo sabata iliyonse ayenera kukhala muofesi ya dokotala kwa mphindi 30 kuti atsimikizire kuti alibe vuto lotchedwa anaphylaxis. Izi zingaphatikizepo kutupa, ming'oma, kupuma movutikira, kapena kutsika kwa magazi - ndipo zitha kupha moyo. Ngakhale ndizosowa, anaphylaxis imatha kuchitika kaya ndikuwombera koyamba kapena jakisoni wa 100. Kudikirira theka la ora ndikofunikira pambuyo pa jakisoni aliyense. Zotsatira zoyipa ndizothekanso, monga tsamba lokhala ndi jakisoni kapena zizolowezi zina. Kupatula apo, kuwomberako kumakhala ndi ma allergen omwewo omwe munthu sagwirizana nawo.

Kodi pali njira zina?

Mapiritsi a ziwengo kapena madontho omwe amatchedwa sublingual immunotherapy (SLIT) ndi njira ina yatsopano ya immunotherapy ndipo imaphatikizapo kuyika piritsi kapena dontho lamadzi ndi allergenyo pansi pa lilime la wina. Izi ndizothandiza mofanana ndi kuwombera ndipo zimatha kutengedwa kunyumba mukangazilandira kuchokera kwa wotsutsa. Ndi njira yabwino kwambiri ngati mukuwopa singano, kapena simungathe kupita kumaulendo apamwezi sabata iliyonse.

Koma, piritsi lililonse kapena dontho limangopatsa mtundu umodzi wokha.Sichipezeka popewa chifuwa cha mungu, koma ndi njira yothandizira udzu, ragweed, ndi chifuwa cha fumbi, atero Dr. Gupta.

Mayina ena a SLIT akuphatikizapo Odactra , Grastek , Zolemba , ndi Ragwitek .

Kodi kuwombera ziwengo kuli koyenera?

Anthu ena amazengereza kuyambitsa ziwombankhanga chifukwa zimafuna kudzipereka kwakanthawi.Kuwombera kwa ziwengo kumaperekedwa kwa zaka zitatu kapena zisanu ndipo kumatha kuthana ndi chifuwa chanu kwa zaka zingapo mukamaliza mankhwala, akuti Ratika Gupta, MD , wotsutsa ku ENT ndi Allergy Associates ku Brooklyn, New York. Komabe, zizindikilo zimatha kubwereranso pakapita nthawi.

Allergists amasankha nthawi yomwe odwala angayimitse kuwombera kutengera zomwe ali nazo. Chaka chachitatu ngati wina wakhala akulandila pafupipafupi osasowa Mlingo ndipo salinso ndi zizindikilo, amatha. Koma kawirikawiri, anthu amakhalabe ndi zizindikiro zochepa, choncho ayenera kupitiliza zaka zisanu zathunthu. Inde, yayitali koma kulipira kumatha kusintha moyo kwa ena. Anthu ambiri amawona kuwomberana ndi ziwengo kuli kofunika kuti akhale ndi moyo wabwino.