Babu magani ga MCAS. Akwai, duk da haka, ingantacciyar hanya ta mataki mai kyau wacce ke kawo alamun bayyanar a ƙarƙashin iko mai ma'ana ga adadi mai yawa na marasa lafiya.
An gina gudanarwa akan ginshiƙai biyu - rage abin da ke tsokanar ƙwayoyin mast, da daidaita yadda suke amsa cikin sauri. Dukansu baya aiki da kyau ba tare da ɗayan ba.
Tsarin tsari
Ka’ida ta biyu ita ce gwaji na bukatar lokaci. Musamman mast cell stabilizers na iya ɗaukar makonni don nuna cikakken tasirin su, kuma barin su da wuri hanya ce ta gama gari don watsar da wani abu da zai yi aiki. Gwajin kusan makonni huɗu zuwa shida a kowane canji shine ƙa'idar babban yatsa da aka ambata akai-akai, kodayake lokacin da ya dace ya bambanta ta hanyar wakili da kuma ta hanyar hukuncin likita.
An gina gudanarwa akan ginshiƙai biyu - rage abin da ke tsokanar ƙwayoyin mast, da daidaita yadda suke amsa cikin sauri. Dukansu baya aiki da kyau ba tare da ɗayan ba.
Ka'idar mulki ita ce haɓaka ta mataki-mataki. Jiyya gabaɗaya yana farawa tare da mafi kyawun kafa kuma mafi ƙarancin zaɓuɓɓukan haɗari, yana riƙe kowane tsayin tsayi don yin hukunci da gaskiya, kuma yana ƙara ƙarin wakilai kawai lokacin da ake buƙata.Fara magunguna da yawa a lokaci guda yana da jaraba lokacin da bayyanar cututtuka suka yi tsanani, amma yana sa sakamakon ya zama wanda ba a iya fassara shi ba - idan abubuwa sun inganta, babu wanda ya san ko wane canji ne ke da alhakin, kuma idan wani abu ya haifar da amsa, babu wanda ya san abin da zai dakatar.
Matakin farko - H1 antihistamines. Masu toshe H1 na ƙarni na biyu sune wurin farawa na yau da kullun, waɗanda aka zaɓa don ingantaccen bayanin martaba mai tasiri. Suna magance alamun cututtukan da ke haifar da histamine yawancin marasa lafiya suna lura da farko: itching, flushing, amya, da rhinitis. Wasu likitocin suna amfani da allurai sama da daidaitattun allurai na alerji a cikin cutar mast cell, wanda shine yanke shawara ga mai rubutawa maimakon batun daidaitawa.
Mataki na biyu - ƙara H2 antihistamines. Histamine yana aiki akan nau'in mai karɓa fiye da ɗaya, kuma masu karɓar H2 suna maida hankali ne a cikin sashin gastrointestinal. Toshe H1 da H2 tare akai-akai yana samar da iko mafi kyau fiye da ko dai shi kaɗai, musamman ga reflux, tashin zuciya, da alamun ciki waɗanda jami'an H1 ke barin ba a taɓa su ba.
Mataki na uku - mast cell stabilizers. Maimakon toshe tasirin masu shiga tsakani da aka saki, waɗannan suna nufin rage sakin tun da farko. Cromolyn sodium da ketotifen sune abubuwan da aka fi amfani da su. Suna da hankali don yin aiki, suna buƙatar makonni na daidaitattun amfani kafin fa'ida ta bayyana, kuma cromolyn a cikin nau'in baka yana aiki galibi akan hanji.
Mataki na hudu - masu hana leukotriene da ƙarin wakilai. Saboda leukotrienes suna ba da gudummawa ga alamun numfashi da na gastrointestinal wanda antihistamines ba su isa ba, ana ƙara masu karɓar mai karɓar leukotriene akai-akai. Bayan wannan batu, gudanarwa yana motsawa zuwa cikin ƙasa wanda ya bambanta da yawa ta haƙuri da ƙwararrun ƙwararru, gami da aspirin don matsananciyar ƙwayar cuta ta prostaglandin a cikin zaɓaɓɓun marasa lafiya, da ilimin ilimin halitta kamar omalizumab a lokuta masu rikitarwa.Waɗannan suna ɗauke da haɗari masu ma'ana da takamaiman contraindications kuma suna da tabbaci tare da ƙwararrun ƙwararru.
Kowane wakili mai suna anan ana ba da shi azaman daidaitacce ga tsarin da aka buga - ba azaman shawara ba. Dogarowa, jeri, hulɗa, da dacewa sun dogara ne akan tarihin mutum ɗaya, kuma tsara shawarwari yana tare da likitan ku.
Kowane wakili mai suna anan ana ba da shi azaman daidaitacce ga tsarin da aka buga - ba azaman shawara ba. Dogarowa, jeri, hulɗa, da dacewa sun dogara ne akan tarihin mutum ɗaya, kuma tsara shawarwari yana tare da likitan ku.
Marasa lafiya akai-akai suna ba da rahoton cewa rage jimlar kayan motsa jiki yana yi musu yawa kamar kowane magani ɗaya. Biyu suna aiki tare - sarrafa magunguna yana ɗaga ƙofa, raguwar faɗakarwa yana kiyaye nauyin yau da kullun a ƙarƙashinsa.
The stacking manufa daga Masu tayar da hankali ya shafi kai tsaye nan. Saboda kunnawa yana nuna tarin nauyi, cire ko da ƴan ingantattun abubuwan tsokana na iya haifar da isasshiyar ɗaki wanda fallasa na yau da kullun ke daina haifar da halayen. Wannan shine sau da yawa inda mafi kyawun ribar farko ta fito daga.
Matakan da suka dace waɗanda ke sake faruwa a cikin asusun majiyyaci sun haɗa da kiyaye yanayin yanayin sanyi, zabar samfuran marasa ƙamshi, fifita abinci mai daɗi fiye da abinci mai tsufa ko dadewa, kare bacci, da gina motsa jiki a hankali a ƙaramin ƙarfi maimakon barinsa. Babu ɗayan waɗannan da ke ban mamaki a kan kansa; tare suka canza asali.
Marasa lafiya akai-akai suna ba da rahoton cewa rage jimlar kayan motsa jiki yana yi musu yawa kamar kowane magani ɗaya. Biyu suna aiki tare - sarrafa magunguna yana ɗaga ƙofa, raguwar faɗakarwa yana kiyaye nauyin yau da kullun a ƙarƙashinsa.
Yana da daraja suna suna tarkon kai tsaye: yana yiwuwa a rage abubuwan da ke haifar da tashin hankali har rayuwa ta yi kwangila zuwa kusan kome ba. Tsarin da ke kawar da martani ta hanyar kawar da aiki, makaranta, abinci iri-iri, da hulɗar zamantakewa ya yi cinikin wata nau'i na cutarwa ga wani. Manufar ita ce mafi faɗin rayuwar da ilimin halittar ku zai goyi bayan, ba ƙaramin rayuwa ba wanda ke guje wa bayyanar cututtuka.
Yana da daraja suna suna tarkon kai tsaye: yana yiwuwa a rage abubuwan da ke haifar da tashin hankali har rayuwa ta yi kwangila zuwa kusan kome ba. Tsarin da ke kawar da martani ta hanyar kawar da aiki, makaranta, abinci iri-iri, da hulɗar zamantakewa ya yi cinikin wata nau'i na cutarwa ga wani. Manufar ita ce mafi faɗin rayuwar da ilimin halittar ku zai goyi bayan, ba ƙaramin rayuwa da ke guje wa bayyanar cututtuka ba.
Tsaro
Tsarin aikin gaggawa da aka rubuta, wanda aka yarda da likitan ku, daidaitaccen aiki ne. Ya kamata ya tsara alamun gargaɗin da za a iya gane su, abin da za a gudanar da lokacin, da lokacin kiran sabis na gaggawa. Kwafi da aka bai wa dangi, abokan aiki, ko ma'aikatan makaranta suna nufin mutanen da ke kusa da ku za su iya yin aiki idan ba za ku iya ba.
Wasu marasa lafiya masu ciwon mast cell suna cikin haɗarin anaphylaxis - gaggawa, mai tsanani, mai yuwuwar amsawar rayuwa. Inda wannan haɗarin ya shafi, tsarawa don ba zaɓi ba ne, kuma tattaunawa ce don yin da likitan ku kafin a buƙata maimakon lokacin.
Marasa lafiya da aka tantance kamar yadda suke cikin haɗari galibi ana ba da umarnin epinephrine auto-injectors kuma an umurce su da ɗaukar su akai-akai. Epinephrine shine jiyya ta farko don anaphylaxis; magungunan antihistamines ba su zama madadinsa ba kuma bai kamata a dogara da shi ba a cikin mummunan hali.
Wannan sashe yana bayyana ayyukan gama-gari kuma ba zai iya musanyawa da tsarin da aka gina a tarihin ku ba. Idan baku tattauna shirin gaggawa tare da likitan ku ba, wannan tattaunawar ta cancanci nema a alƙawarinku na gaba.
Dogon hangen nesa
Ci gaba yana da sauƙin gani idan an auna shi. Bibiyar mitar alamomi da tsanani, kwanakin aiki da aka ɓace, da yadda faɗuwar kewayon juzu'in ku ya zama yana ba da sigina mafi ƙaranci fiye da ƙwaƙwalwar ajiya - kuma ƙwaƙwalwar ajiya ba ta da tabbas a dukkan kwatance yayin tsaka mai wuya.
MCAS yanayi ne na yau da kullun kuma gudanarwa na yanzu yana da alamun bayyanar cututtuka maimakon magani. Tsayar da tsammanin gaskiya a farkon yana sa tsarin ya fi sauƙi don dorewa.
Don cikakken hoton asibiti, gami da alamun bayyanar cututtuka ta tsarin gabobin, yanayin bincike, da maɓuɓɓuka da aka ambata, duba Jagoran Ilimi na MCAS. Domin samun tallafi daga mutanen da ke da irin wannan yanayin, mu wuri ne mai kyau don farawa.