MCAS kurapwa, mast cell activation syndrome manejimendi, H1 antihistamine, H2 blocker, cromolyn sodium, ketotifen, leukotriene inhibitor, chirongwa chekukurumidzira cheMCAS, epinephrine anaphylaxis, mishonga yeMCAS.

Nzira yekufamba-nhanho - H1 neH2 antihistamines, stabilizers, leukotriene inhibitors - pamwe nekuderedza kuderedza, kuronga kwechimbichimbi uye zvinangwa zvinogoneka.

MCAS Kurapa | Tsanangudzo yeMCAS

Zvishandiso - Kurapa
Mupumburu
Uchapupu-hwakavakirwa
Management
Iko hakuna mushonga weMCAS. Pane, zvisinei, yakanyatsogadziriswa nhanho nzira inounza zviratidzo pasi pekutonga zvine musoro kune nhamba yakakura yevarwere.
Tanga Kuverenga Access Resources
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mativi akafara mu
stepwise approach
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histamine receptor marudzi
zvakavharwa pamwechete
0mavhiki
zvakajairika kuedza kureba pamberi
kutonga mushonga

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kuchinja panguva - mutemo
izvo zvinoita kuti miedzo iverengeke

Medical Disclaimer: Peji rino rinodzidzisa uye harisi zano rekurapa. MCAS inopa zvakasiyana mumurwere wese - gara uchishanda nevarapi vanokwanisa vehutano vanoziva nhoroondo yako usati waita pane chero chaunoverenga pano.

Chirongwa chekurapa

Kurapa Sei
Is Svikwa

Kutonga kwakavakirwa pambiru mbiri - kuderedza izvo zvinotsamwisa maseru mast, uye kudzikamisa kuti vanopindura sei zviri nyore. Hapana inoshanda zvakanaka pasina imwe.

Nheyo inotonga ndeyekukwira zvishoma nezvishoma. Kurapa kunowanzotanga nesarudzo dzakanyanya-yakagadziriswa uye dzakaderera-dziviriro, dzinobata imwe neimwe nguva yakakwana yekutonga nekuvimbika, uye inowedzera mamwe maagent chete pazvinenge zvichidikanwa.Kutanga mishonga yakati wandei panguva imwe chete kunoedza kana zviratidzo zvanyanya, asi zvinoita kuti mhedzisiro isatsananguke - kana zvinhu zvikafamba zvakanaka, hapana anoziva kuti ndeipi shanduko yakakonzeresa, uye kana chimwe chinhu chikakonzeresa, hapana anoziva chekumisa.

Chechipiri ndechekuti miedzo inoda nguva. Mast cell stabilizers kunyanya anogona kutora mavhiki kuratidza mhedzisiro yawo, uye kuvasiya nekukurumidza inzira yakajairika yekurasa chimwe chinhu chingave chashanda. Muedzo wemavhiki mana kusvika matanhatu pashanduko inogara ichitaurwa, kunyangwe nguva yakakodzera inosiyana nemumiririri uye nemutongo wechiremba.

Chechitatu ndechekuti isingashande zvinhu zvine basa. Dhayi, mafirita, uye zvinochengetedza mukugadzira zvinogona kutsamwisa kusarudzika kwemushonga unoshanda, saka murwere anogona kushivirira shanduro yemugadziri uye kuita kune yemumwe. Apo izvi zvinofungidzirwa, gadziriro dzakasanganiswa dzimwe nguva dzinoshandiswa.

Pakupedzisira, chinangwa ibasa kwete kukwana. Kubvisa zvachose chiratidzo hachisi chinangwa chechokwadi chevarwere vazhinji. Kuderedza kunoreva kuwanda uye kuomarara - zvakakwana kudzoreredza basa, dzidzo, uye hupenyu hwemagariro - ndizvo.

Nzira ye Stepwise

Mishonga Tiers

Chikamu chekutanga - H1 antihistamines. Chechipiri-chizvarwa H1 blockers ndiyo yakajairwa nzvimbo yekutanga, inosarudzirwa yakanaka divi-effect profile. Ivo vanogadzirisa zviratidzo zvinofambiswa nehistamine varwere vazhinji vanotanga kucherechedza: kukwenya, kuputika, mikoko, uye rhinitis. Vamwe varapi vanoshandisa madosi ari pamusoro peyakajairwa allergy dosing muchirwere chemasero, inova sarudzo kune anonyorerwa kwete nyaya yekuzvigadzirisa.

Chikamu chechipiri - kuwedzera H2 antihistamines. Histamine inoshanda pane inopfuura imwe receptor mhando, uye H2 receptors yakanamirwa mudumbu remukati. Kuvhara H1 neH2 pamwe chete kunowanzo gadzira kudzora kuri nani pane kuve wega, kunyanya kune reflux, kusvotwa, uye zviratidzo zvemudumbu izvo maH1 agents anosiya zvakanyanya asina kubatwa.

Chikamu chechitatu - mast cell stabilizers. Panzvimbo pekuvhara maitiro evayananisi vakaburitswa, ava vanovavarira kudzikisa kusunungurwa kwekutanga. Cromolyn sodium uye ketotifen ndiwo anonyanya kushandiswa. Izvo zvinononoka kuita, zvinoda mavhiki ekushandiswa kwakafanana kusati kwave kuoneka, uye cromolyn mumuromo fomu inoshanda zvakanyanya paura.

Chikamu chechina - leukotriene inhibitors uye mamwe maagent. Nemhaka yokuti leukotrienes inobatsira pakufema uye zviratidzo zvemudumbu izvo antihistamines zvisingasviki, leukotriene receptor antagonists inowanzowedzerwa. Pamusoro peiyi pfungwa, manejimendi anoenda munzvimbo inosiyana zvakanyanya nemurwere uye nyanzvi, kusanganisira aspirin yeprostaglandin-mediated flushing muvarwere vakasarudzwa, uye biologic therapy senge omalizumab mune refractory kesi.Izvi zvinotakura njodzi dzinokosha uye contraindications uye ndezvechokwadi kune nyanzvi.

Wese mumiririri ane zita pano anopihwa seyekumisikidza nzira yakadhindwa - kwete sekurudziro. Dosing, kutevedzana, kudyidzana, nekukodzera kunoenderana nenhoroondo yemunhu, uye sarudzo dzekuraira ndezvenachiremba wako.

  • The logic of stepwise kurapwa
  • Sei Kurongeka
    Matters
  • Tier yega yega inotaura nevayananisi iyo yapfuura inosiya isina kurapwa. Kuwedzera mukutevedzana kunoita kuti mufananidzo urambe uchidudzirwa.
  • H1 antihistamines - ganda nepamusoro pemhepo - itching, flushing, mikoko, rhinitis
  • H2 antihistamines - gastrointestinal histamine mhedzisiro - reflux, kuda kurutsa, cramping
  • Mast cell stabilizers - kuderedza kusunungurwa kwete kuvharidzira maitiro; anononoka kubata
Leukotriene inhibitors - kufema uye GI zviratidzo antihistamines hazvifukidze

Nyanzvi vamiririri - aspirin, biologics nevamwe - nyaya dzakasarudzwa, kutarisirwa kwenyanzvi

Imwe shanduko panguva - mutemo unoita kuti chero chezviri pamusoro chidudzirke

Kurapa kupfuura mushonga

Trigger Reduction
& Daily Management

Varwere vanowanzo taura kuti kudzikisa yakazara trigger mutoro kunovaitira zvakanyanya semushonga mumwe chete. Iwo maviri anoshanda pamwechete - pharmacological control inosimudza chikumbaridzo, trigger kuderedza inochengeta zuva nezuva mutoro pasi payo.

The stacking musimboti kubva Zvikonzero inoshanda zvakananga pano. Nekuti activation inoratidza kuwanda kwemutoro, kubvisa kunyangwe mashoma akavimbika anotsamwisa anogona kugadzira akakwana headroom zvekuti kuratidzwa kwakajairwa kunomira kukonzera maitiro. Apa ndipo panowanzo onekwa kuwana kwekutanga kunobva.

Matanho anoshanda anodzokororwa mumaakaundi evarwere anosanganisira kuchengetedza tembiricha yakagadzikana, kusarudza zvigadzirwa zvisina kunhuhwirira, kukoshesa chikafu chitsva pane chikafu chekare kana chakachengetedzwa kwenguva refu, kuchengetedza kurara, uye kuvaka kurovedza muviri zvishoma nezvishoma pane kuderera. Hapana chimwe cheizvi chinoshamisira chiri choga; pamwe chete vanoshandura nheyo.

Kutarisira kudya kunoda kungwarira. Kudya kwakaderera-histamine kunowanzo kuedzwa, asi humbowo hunotsigira hushoma uye kurambidzwa kwakakosha. Kubvisa kwenguva refu kusingatarisirwe kunotakura njodzi chaiyo yekushaikwa kwekudya uye kudya zvisina tsarukano, uye njodzi iyi yakakura muvachiri kuyaruka. Muedzo wakarongeka, wenguva-mushoma uine kudzoreredzwa kwakarongeka - zvine chekuita nekudya kwekudya - ndiyo nzira yakachengeteka.

Medical Disclaimer: Peji rino rinodzidzisa uye harisi zano rekurapa. MCAS inopa zvakasiyana mumurwere wese - gara uchishanda nevarapi vanokwanisa vehutano vanoziva nhoroondo yako usati waita pane chero chaunoverenga pano.

Zvakakodzera kutumidza musungo zvakananga: zvinokwanisika kuderedza zvinokonzeresa zvine hukasha zvekuti hupenyu hunoita zvibvumirano kune chero chinhu. Chirongwa chinobvisa maitiro nokubvisa basa, chikoro, zvokudya zvakasiyana-siyana, uye kuonana nevamwe chakatsinhanisa imwe nzira yokukuvadza neimwe. Chinangwa ndihwo hupenyu hwakakura kwazvo huchatsigira physiology, kwete hupenyu hudiki hunodzivirira zviratidzo.

Kuchengeteka kwemurwere

Zvekukurumidzira Kuronga

Vamwe varwere vane chirwere che mast cell vari panjodzi yeanaphylaxis - kukurumidza, kwakakomba, kunogona kuisa upenyu panjodzi. Kana njodzi iyoyo ichiitika, kuzvironga hakusi kwekusarudza, uye inhaurirano yekutaurirana nachiremba wako isati yadiwa kwete panguva.

Varwere vanoongororwa sevari panjodzi vanowanzonyorerwa epinephrine auto-injection uye vanorairwa kuti vatakure nguva dzose. Epinephrine ndiyo yekutanga-mutsara kurapwa kweanaphylaxis; antihistamines haisi inotsiva iyo uye haifanirwe kuvimbwa nayo mune yakanyanya kuomarara kuita.

Hurongwa hwechimbichimbi hwakanyorwa, hwakabvumiranwa nachiremba wako, itsika yakajairika. Inofanira kuratidza zviratidzo zvinozivikanwa zvekunyevera, zvekushandisa uye rini, uye nguva yekufonera rubatsiro rwechimbichimbi. Makopi akapihwa mhuri, vaunoshanda navo, kana vashandi vekuchikoro zvinoreva kuti vanhu vakakukomberedza vanogona kuita kana usingakwanise.

Chiziviso chekurapa - bracelet kana kadhi inocherekedza mast cell kuongororwa uye chero inozivikanwa mishonga inokonzeresa - inokurudzirwa zvakanyanya, sezvo vashandi vekukurumidzira vangave vasingazivi nezvemamiriro ezvinhu kana vamiririri vanogona kuwedzera maitiro.

Ichi chikamu chinotsanangura maitiro akajairika uye hachigone kutsiva chirongwa chakavakirwa panhoroondo yako. Kana musati makurukura nezvehurongwa hwechimbichimbi nanachiremba wenyu, nhaurirano iyoyo inofanirwa kukumbirwa pakusangana kwenyu kunotevera.

Maonero enguva refu

Chii Progress
Chaizvoizvo Zvinoita senge

MCAS chirwere chisingaperi uye iko zvino manejimendi ine zviratidzo kwete kurapa. Kuisa zvinotarisirwa nekutendeka pakutanga kunoita kuti hurongwa huve nyore kuchengetedza.

Kuvandudza kunowanzoita zvishoma nezvishoma uye kusiri-mutsara. Kupisa kuchiri kuitika, kazhinji panguva yehutachiona, nguva dzekushushikana, kana kushanduka kwehomoni, uye kupisa hakureve kuti kurapwa kwakundikana. Chinonyanya kukosha maitiro mumwedzi yose kwete mamiriro evhiki chero ipi zvayo.

Iwe Hausi Ndega

Tsanangudzo yeMCAS iripo kuitira kuti murwere wese awane rutsigiro, nharaunda, uye ruzivo rwekuzvimiririra. Joinha network yedu yepasi rose.

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