Palibe mankhwala a MCAS. Komabe, pali njira yokhazikitsidwa bwino yomwe imapangitsa kuti zizindikiro zisamayende bwino kwa odwala ambiri.
Kuwongolera kumamangidwa pazipilala ziwiri - kuchepetsa zomwe zimayambitsa mast cell, ndikukhazikika momwe amayankhira mosavuta. Palibe chomwe chimagwira ntchito bwino popanda china.
Chithandizo chimango
Mfundo yachiwiri ndi yakuti mayesero amafunika nthawi. Mast cell stabilizer makamaka amatha kutenga masabata kuti awonetse mphamvu zawo zonse, ndipo kuwasiya koyambirira ndi njira yodziwika bwino yotayira zomwe zikanagwira ntchito. Kuyesa kwa masabata anayi kapena asanu ndi limodzi pakusintha ndi lamulo lomwe limatchulidwa pafupipafupi, ngakhale kuti nthawi yoyenera imasiyana malinga ndi wothandizila komanso kuweruza kwachipatala.
Utsogoleri umamangidwa pazipilala ziwiri - kuchepetsa zomwe zimayambitsa mast cell, ndikukhazikika momwe amayankhira mosavuta. Palibe chomwe chimagwira ntchito bwino popanda china.
Mfundo yolamulira ndiyo kukwera pang'onopang'ono. Chithandizo nthawi zambiri chimayamba ndi njira zodziwika bwino komanso zochepetsera chiopsezo, zimatenga nthawi yayitali kuti ziweruze moona mtima, ndipo zimawonjezera othandizira pokhapokha pakufunika. Kuyamba kumwa mankhwala angapo nthawi imodzi kumayesa ngati zizindikiro zili zovuta, koma zimapangitsa kuti zotsatira zake zisamasulidwe - ngati zinthu zikuyenda bwino, palibe amene akudziwa kuti kusintha kwake kunali kotani, ndipo ngati chinachake chimayambitsa, palibe amene akudziwa choti aleke.
Gawo loyamba - H1 antihistamines. Ma blocker a m'badwo wachiwiri a H1 ndiye poyambira mwachizolowezi, osankhidwa kuti akhale ndi mbiri yabwino. Amathana ndi zizindikiro zoyendetsedwa ndi histamine odwala ambiri amaziwona poyamba: kuyabwa, kuyabwa, ming'oma, ndi rhinitis. Madokotala ena amagwiritsa ntchito Mlingo wopitilira muyeso wa ziwengo pa matenda a mast cell, chomwe ndi chisankho kwa wolembera m'malo mongodzisintha.
Chachiwiri gawo - kuwonjezera H2 antihistamines. Histamine imagwira ntchito pamitundu yopitilira imodzi, ndipo ma H2 receptors amakhazikika m'matumbo am'mimba. Kutsekereza H1 ndi H2 palimodzi nthawi zambiri kumapangitsa kuti pakhale kuwongolera bwino kuposa kukhala nokha, makamaka kwa reflux, nseru, ndi zizindikiro za m'mimba zomwe ma H1 othandizira amasiya osakhudzidwa.
Chachitatu gawo - mlongoti selo stabilizers. M'malo motsekereza zotsatira za oyimira pakati omasulidwa, awa amafuna kuchepetsa kumasulidwa koyamba. Cromolyn sodium ndi ketotifen ndizomwe zimagwiritsidwa ntchito nthawi zambiri. Zimachedwa kuchitapo kanthu, zomwe zimafuna milungu yambiri kuti zigwiritsidwe ntchito mosasinthasintha kuti phindu liwonekere, ndipo cromolyn m'kamwa imagwira ntchito makamaka m'matumbo.
Gawo lachinayi - leukotriene inhibitors ndi othandizira ena. Chifukwa chakuti ma leukotrienes amathandizira kuzizindikiro za kupuma ndi m'mimba zomwe antihistamines safika, ma leukotriene receptor antagonists amawonjezeredwa pafupipafupi. Kupitilira apa, oyang'anira amapita kumadera omwe amasiyana kwambiri ndi odwala komanso akatswiri, kuphatikiza aspirin ya prostaglandin-mediated flushing mwa odwala omwe asankhidwa, komanso biologic therapy monga omalizumab pamilandu yosagwirizana. Izi zimakhala ndi ziwopsezo zazikulu komanso zotsutsana ndipo zimayenderana ndi akatswiri.
Wothandizira aliyense wotchulidwa pano amaperekedwa ngati chiwongolero ku njira yosindikizidwa - osati ngati malingaliro. Kuyeza, kutsatizana, kuyanjana, ndi kuyenerera kumadalira mbiri ya munthu payekha, ndi zosankha zomwe zimaperekedwa ndi dokotala wanu.
Wothandizira aliyense wotchulidwa pano amaperekedwa ngati chiwongolero ku njira yosindikizidwa - osati ngati malingaliro. Kuyeza, kutsatizana, kuyanjana, ndi kuyenerera kumadalira mbiri ya munthu payekha, komanso zosankha zachipatala zimakhala ndi dokotala wanu.
Odwala nthawi zambiri amafotokoza kuti kuchepetsa kuchuluka kwa mankhwala omwe amayambitsa matendawa kumawathandiza kwambiri ngati mankhwala aliwonse. Awiriwa amagwira ntchito limodzi - kuwongolera zamankhwala kumakweza malire, kuchepetsa zoyambitsa kumapangitsa kuti tsiku lililonse likhale pansi pake.
Mfundo stacking kuchokera Zoyambitsa imagwira ntchito pano. Chifukwa kutsegula kumasonyeza kuchulukana, kuchotsa ngakhale zokhumudwitsa zochepa zodalirika zimatha kupanga mutu wokwanira kuti mawonekedwe wamba amasiya kuyambitsa. Apa ndipamene zopeza zowoneka bwino kwambiri zimachokera.
Njira zothandiza zomwe zimachitika m'maakaunti a odwala ndi monga kusunga kutentha kwa chilengedwe, kusankha zinthu zopanda fungo, kuika patsogolo zakudya zatsopano kuposa zakudya zakale kapena zosungidwa kwa nthawi yayitali, kuteteza kugona, ndi kupanga masewera olimbitsa thupi pang'onopang'ono pang'onopang'ono m'malo mongosiya. Palibe chilichonse mwa izi chomwe chili chodabwitsa pachokha; pamodzi amasintha maziko.
Odwala nthawi zambiri amafotokoza kuti kutsitsa kuchuluka kwazomwe zimayambira kumawathandiza kwambiri ngati mankhwala aliwonse. Awiriwa amagwira ntchito limodzi - kuwongolera zamankhwala kumakweza malire, kuchepetsa zoyambitsa kumapangitsa kuti tsiku lililonse likhale pansi pake.
Ndikoyenera kutchula msampha mwachindunji: ndizotheka kuchepetsa zoyambitsa mwamphamvu kwambiri kotero kuti moyo umagwirizanitsa pafupifupi chilichonse. Dongosolo lomwe limathetsa kusamvana mwa kuthetsa ntchito, sukulu, zakudya zosiyanasiyana, ndi kucheza ndi anthu lasintha mtundu wina wovulaza ndi wina. Cholinga chake ndi moyo waukulu kwambiri momwe thupi lanu lingathandizire, osati moyo wawung'ono kwambiri womwe umapewa zizindikiro.
Ndikoyenera kutchula msampha mwachindunji: ndizotheka kuchepetsa zoyambitsa mwamphamvu kwambiri kotero kuti moyo umagwirizanitsa pafupifupi chilichonse. Dongosolo lomwe limathetsa kusamvana mwa kuthetsa ntchito, sukulu, zakudya zosiyanasiyana, ndi kucheza ndi anthu lasintha mtundu wina wovulaza ndi wina. Cholinga chake ndi moyo waukulu kwambiri momwe thupi lanu lingathandizire, osati moyo wawung'ono kwambiri womwe umapewa zizindikiro.
Chitetezo
Dongosolo lolembedwa lazadzidzidzi, logwirizana ndi dokotala wanu, ndilo mchitidwe wokhazikika. Iyenera kukhala ndi zizindikiro zozindikirika zochenjeza, zoyenera kupereka ndi nthawi yake, komanso nthawi yoyimbira chithandizo chadzidzidzi. Makope operekedwa kwa achibale, ogwira nawo ntchito, kapena ogwira ntchito kusukulu amatanthauza kuti anthu omwe akuzungulirani atha kuchita ngati simungathe.
Odwala ena omwe ali ndi matenda a mast cell ali pachiwopsezo cha anaphylaxis - kufulumira, koopsa, komwe kumatha kuyika moyo pachiwopsezo. Kumene ngoziyo ingakhudze, kukonzekera sikuli kosankha, ndipo ndi kukambirana ndi dokotala musanafunikire m'malo mwa nthawi.
Odwala omwe amayesedwa kuti ali pachiwopsezo amapatsidwa epinephrine auto-injection ndikulangizidwa kuti azinyamula nthawi zonse. Epinephrine ndi mankhwala oyamba a anaphylaxis; antihistamines siilowa m'malo mwake ndipo sayenera kudaliridwa muzochitika zoopsa kwambiri.
Gawoli likufotokoza zomwe zimachitika nthawi zonse ndipo silingalowe m'malo mwa pulani yomangidwa mozungulira mbiri yanu. Ngati simunakambirane za kukonzekera mwadzidzidzi ndi dokotala wanu, kukambiranako kuli koyenera kufunsidwa pa nthawi yanu yotsatira.
Kupititsa patsogolo kumakhala pang'onopang'ono komanso kopanda mzere. Kuwotcha kumachitikabe, nthawi zambiri pamatenda, nthawi yakupsinjika, kapena kusintha kwa mahomoni, ndipo kuyaka sikutanthauza kuti chithandizo chalephera. Chofunikira ndi momwe zimakhalira miyezi ingapo kusiyana ndi momwe zimakhalira sabata iliyonse.
Kupita patsogolo kumakhala kosavuta kuwona poyezedwa. Kutsata chizindikiro pafupipafupi komanso kuuma kwake, masiku ochita kutayika, komanso kukula kwake komwe kutha kulekerera kumapereka chizindikiro chomveka bwino kuposa kukumbukira - ndipo kukumbukira sikudalirika mbali zonse ziwiri panthawi yovuta.
MCAS ndi matenda osachiritsika ndipo kasamalidwe kamakono ndi chizindikiro osati kuchiza. Kukhazikitsa zoyembekeza moona mtima poyambira kumapangitsa kuti ntchitoyi ikhale yosavuta kupitilira.
Kuti muwone chithunzi chonse chachipatala, kuphatikiza zizindikiro ndi dongosolo la ziwalo, malo ofufuza, ndi magwero omwe atchulidwa, onani Maphunziro a MCAS. Kuti tipeze thandizo kuchokera kwa anthu omwe ali ndi vuto lomwelo, athu ndi malo abwino kuyamba.