Hiki ʻole ke Asthma?

Anter

• Ke hoʻokumu nei i kāu hoʻolālā hana hānō
• He aha ke ʻano o ka lāʻau?
• Pehea e pili ana i nā lāʻau kūlohelohe?
• Hua ʻeleʻele (Nigella sativa)
• Kāpena
• Kolina
• Pycnogenol
• Wikamina D
• Ma ka pae: ka ʻōlelo hoʻohiki no ka mālama pilikino ʻana
• ʻO ka nānā aku

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

ʻAʻohe mea ola no ka hānō. Eia nō naʻe, he maʻi hiki loa ke mālama ʻia. ʻO ka ʻoiaʻiʻo, ʻōlelo kekahi mau kauka he maikaʻi loa ka mālama ʻana i ka hānō i kēia lā, he nui ka poʻe i ka hoʻokokoke ʻana i kā lākou mau hōʻailona.

Ke hoʻokumu nei i kāu hoʻolālā hana hānō

Loaʻa i nā poʻe me ka hānō nā mea nui a me nā pane. Manaʻo kekahi mau kauka he nui nā asthmas, kēlā me kēia me kāna mau kumu ponoʻī, nā pilikia, a me nā mālama.

Inā loaʻa ʻoe i ka hānō, e hana pū kāu kauka me ʻoe e hana i kahi hoʻolālā hana hānō e kia ana i kāu mau hōʻailona ponoʻī a me nā mea e hoʻonāukiuki iā lākou.Asthma. (n.d.). E hoʻopili paha ka hoʻolālā i nā hoʻololi i kou kaiapuni a me nā hana, me ka lāʻau e kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli.

He aha ke ʻano o ka lāʻau?

Mālama ka lawelawe ʻana i ka Asthma i nā kumu nui ʻelua: kaohi wā lōʻihi a me ka hoʻomaha manawa lōʻihi. Eia kekahi o nā lāʻau lapaʻau hānō i hiki i kāu kauka ke hoʻopili i kāu papa hana hānō.

Nā Inhalers. Hāʻawi kēia mau hāmeʻa lawe lima i kahi lāʻau i hoʻomaʻemaʻe mua ʻia o ka lāʻau hānō i loko o kāu mau māmā. Mālama ʻoe i nā pauma J e like me kou waha a kaomi i lalo i ka pahu kini. Hoʻouna i ka pauma i kahi noe a pau paha āu i hanu ai.

Loaʻa i kekahi mau inhalers nā corticosteroids e kaohi i ka pehu a me ka huhū i kāu mau ʻāpana ea. ʻO kēia mau inhalers no ka hoʻohana i kēlā me kēia lā a i ʻole ke kau kau.

Loaʻa nā mea inhalers ʻē aʻe i nā lāʻau wikiwiki (e like me nā bronchodilators, beta2-agonists, a i ʻole nā ​​anticholinergics) hiki ke wehe koke i kāu mau kahawai inā loaʻa ʻoe i kahi ahi hānō.

Loaʻa i kekahi o nā inhalers kahi hui o nā lāʻau e kāohi ai i kāu mau kikoʻī kikoʻī.

Nā Nebulizers. Hoʻololi kēia mau mea hana kūʻokoʻa i ka lāʻau lapaʻau i loko i ka noe hiki iā ʻoe ke hanu. ʻO nā lāʻau i hoʻohana ʻia i nā nebulizers e hōʻemi i ka pehu a me ka ukiuki i nā alaloa.

Laau Lapaʻau. Hoʻokomo pū paha kāu papa hana hana wā lōʻihi i nā lāʻau lapaʻau waha. ʻO nā lāʻau hānō waha e komo pū me nā leukotriene modulator (kahi e hoʻēmi ai i ka mumū) a me theophylline (kahi i pana ʻia me ka palekana, ʻoi aku ka maikaʻi o nā lāʻau) e wehe ai i kāu ala kaʻa. Lawe ʻia nā mea ʻelua i ka palapala pila. Hoʻonohonoho ʻia kekahi mau lāʻau corticosteroid oral i kekahi manawa.

ʻO Biologics. Loaʻa paha iā ʻoe kahi ʻoki o kahi lāʻau biologic i hoʻokahi a ʻelua paha manawa o ka mahina. Kapa ʻia kēia mau lāʻau i nā immunomodulator no ka mea hoʻemi lākou i kekahi i ke koko keʻokeʻo i loko o kou koko a hoʻoliʻiliʻi paha i kou ʻike i nā mea āpau i kou wahi. Hoʻohana wale ʻia lākou no kekahi ʻano hānō koʻikoʻi.

Kauoha paha kāu kauka i hoʻokahi a ʻoi paha o kēia mau lāʻau e kōkua i ke kaohi ʻana i kāu hānō a hoʻomaha i nā ʻōuli.

Lōʻihi-manawa: inhal corticosteroids

• Beclomethasone (Qvar RediHaler)
• Budesonide (Pulmicort Flexhaler)
• ʻO Ciclesonide (Alvesco)
• ʻO Fluticasone (Flovent HFA)
• Mometasone (Asmanex Twisthaler)

Ka wā lōʻihi: leukotriene modifiers

• Montelukast (Singulair)
• Zafirlukast (Hoʻohui)
• Zileuton (Zyflo)

Inā ʻoe e lawe ana iā Singulair, pono ʻoe e ʻike ia, e like me ka Food and Drug Administration (FDA), i nā manawa kakaikahi, ua pili ka lāʻau i ke kaumaha, ka huhū, ka hoʻonāukiuki, a me nā hallucination.Kalra D, et al. (2014). [Montelukast (Singulair)] ʻO ka nānā ʻana i ka lāʻau pharmacovigilance a me ka nānā ʻana i ka hoʻohana lāʻau. https://wayback.archive-it.org/7993/20170113205720/http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/PediatricAdvisoryCommite/UCM414065.pdf Hoʻonui pū ia i ka hopena o nā hopena olakino koʻikoʻi, e like me nā manaʻo suicidal a me nā hana.Pono ʻo FDA i ka ʻōlelo aʻoaʻo e pili ana i ka hopena o ke olakino no ka maʻi hānō a me ka montelukast lāʻau lapaʻau maʻi maʻi (Singulair); 'ōlelo aʻoaʻo e kaohi ana i ka hoʻohana no ka rhinitis āpau. (2020). E hoʻomaopopo i kāu kauka i nā hōʻailona psychological āu e ʻike nei a ʻo kāu keiki paha.

Ka wā lōʻihi: beta-agonists hana lōʻihi (LABA)

Lawe mau ʻoe i nā LABA me nā corticosteroids no ka mea ke lawe ʻia i kā lākou iho hiki iā lākou ke hoʻoulu i nā maʻi hānō nui.

• Salmeterol (Serevent)
• Formoterol (Perforomist)
• Arformoterol (Brovana)

Hoʻohui kekahi o nā mea inhalers i nā corticosteroids a me nā lāʻau LABA:

• Fluticasone a me salmeterol (Advair Diskus, Advair HFA)
• Budesonide a me formoterol (Symbicort)
• Mometasone a me formoterol (Dulera)
• ʻO Fluticasone a me vilanterol (Breo Ellipta)

ʻO Theophylline he bronchodilator āu e lawe ai i ka pepa pila. Kūʻai ʻia kekahi manawa ma lalo o ka inoa Theo-24, ʻaʻohe kuhikuhi ʻia kēia lāʻau i kēia manawa.

Hana wikiwiki: hoʻopakele inhalers

• Albuterol (ProAir HFA, Ventolin HFA, a me nā mea ʻē aʻe)
• Levalbuterol (Xopenex HFA)

Inā ʻike ʻoe i ka hānō nui, hiki i kāu kauka ke hoʻohui i nā corticosteroids waha e like me prednisone i kāu hoʻolālā hana hānō.

Inā paha e hoʻonāukiuki ʻia kāu mau ʻālohilohi e nā mea alergen, e ʻōlelo paha kāu kauka i ka immunotherapy (allergy shot) a i ʻole nā ​​antihistamines a me nā decongestants.

ʻO Biologics

• Xolair® (omalizumab)
• Nucala® (mepolizumab)
• Cinqair® (reslizumab)
• Fasenra® (benralizumab)

Pehea e pili ana i nā lāʻau kūlohelohe?

Nui a hewahewa nā lapaʻau hānō e noʻonoʻo ai.

He kūlana koʻikoʻi ʻo Asthma, a hiki ke hoʻoweliweli i ka hānō i ke ola. E kamaʻilio pono i kāu kauka ma mua o kou hoʻohui ʻana i kahi lāʻau home iā ʻoe a i ʻole ka hoʻolālā hana a kāu keiki. Mai hōʻoki i ka lawe ʻana i ka lāʻau hānō me ka ʻole e ʻōlelo mua i kāu kauka.

Hua ʻeleʻele (Nigella sativa)

Nigella sativa he mea ʻala i ka ʻohana cumin i hoʻohana ʻia i lāʻau lapaʻau i loko o nā moʻomeheu, e like me ka moʻomeheu Ayurvedic. ʻAi ʻia paha nā ʻano ʻeleʻele, lawe ʻia ma ke ʻano he pill a he pauka paha, a i ʻole hoʻohana ʻia i loko o ka aila pono.

ʻO kahi loiloi 2017 o nā noiʻi e pili ana Nigella sativa loaʻa i ka hua ʻeleʻele ke hoʻomaikaʻi i ka hana māmā a kōkua me nā ʻōuli hānō.Koshak A, et al. (2017). Nā pono lāʻau o Nigella sativa i ka hānō hānō: He loiloi puke DOI: 10.1016 / j.jsps.2017.07.002 Pono nā noiʻi hou aʻe no ka mea he hapa nui o nā noiʻi i liʻiliʻi a hoʻāʻo ʻia i nā holoholona a i ʻole nā ​​hunaola, ʻaʻole ka poʻe.

Kūʻai no ka hua ʻeleʻele (Nigella sativa)

Kāpena

Ua aʻo ʻia hoʻi ʻo Caffeine ma ke ʻano he lāʻau kūlohelohe no ka hānō no ka mea pili ia i ka theophylline lāʻau, i hoʻohana ʻia e hoʻomaha ai i nā mākala i kou mau ala kai.

ʻOiai ʻaʻole he mau noiʻi i hōʻike hou ʻia e hōʻike ana i kona pono, ua hōʻike ʻia kahi loiloi 2010 o ka ʻike i ka inu ʻana i ka kofe i mea e hoʻomaikaʻi maikaʻi ai ka hana o ke ala ʻehā a ʻehā mau hola.ʻO Welsh EJ, et al. (2010). Caffeine no ka hānō. DOI:

Kolina

ʻO Choline kahi mea momona a kou kino e pono ai e holo pono, akā he kakaikahi ka nele choline. Hōʻike kekahi mau hōʻike e hōʻemi paha ka choline supplement i ka poʻe me ka hānō, akā ʻo ka ʻai nui ʻana i ka choline ka hopena.Mehta AK, et al. (2010). Hoʻopilikia ʻo Choline i ka hoʻowahāwahā a hoʻopau i ke koʻikoʻi oxidative i nā mea maʻi me ka hānō. DOI: 10.1016 / j.imbio.2009.09.004

Lawe ʻia ʻo Choline ma ke ʻano he pill a i ʻole loaʻa i nā meaʻai e like me ka bipi a me ka moa moa, nā hua, ka cod a me ka salemona, nā mea kanu e like me broccoli a me cauliflower, a me ka ʻaila soybean. ʻAʻole paha nā hopena ʻē aʻe inā kāuʻai choline mai ka meaʻai wale nō.

Kūʻai no choline.

Pycnogenol

ʻO ka Pycnogenol kahi unuhi i lawe ʻia mai ka ʻili o kahi lāʻau paina e ulu ana ma Palani. Lawe ʻia ia ma ke ʻano he capsule a i ʻole papa.

ʻOiai ʻoi aku ka nui o ka noiʻi e pono ai, hoʻokahi noiʻi i 76 mau poʻe i ʻike ua hoʻoliʻiliʻi ka pycnogenol i ka ala ʻana o ka pō mai ka hānō maʻi hika, a me ka pono no nā lāʻau lapaʻau hānō maʻamau.Belcaro G, et al. (2011). Pycnogenol hoʻomaikaʻi i ka mālama hānō.

Kūʻai no pycnogenol.

Wikamina D

ʻO kekahi mea hoʻohui ʻē aʻe a ka poʻe i hoʻohui pinepine ʻia he vitamina D. Ua ʻike nā kānaka noiʻi ma Lākana i ka lawe ʻana i ka wikamina D me kāu lāʻau lapaʻau hānō e hoʻoliʻiliʻi ai i ka makaʻu o ka hele ʻana i ke keʻena pilikia no ka hoʻouka hānō e 50 pakeneka.Jolliffe DA, et al. (2017). ʻO ka lāʻau Vitamin D e pale aku ai i nā exacerbations hānō: kahi loiloi ʻōnaehana a me nā meta-analysis o kēlā me kēia ʻikepili i komo. DOI:

Kūʻai no ka wikamina D.

Ma ka pae: ka ʻōlelo hoʻohiki no ka mālama pilikino ʻana

Ke hoʻonui nei, ke nānā nei nā kauka e hoʻohana i kekahi mau biomarkers i kou hanu e hoʻāʻo e hoʻopilikino i kāu mālama hānō.Godar M, et al. (2017). ʻO ka lāʻau lapaʻau pilikino me nā biologics no ka hānō ʻano 2 nui: Ke kūlana o kēia manawa a me nā wā e hiki mai ana. MEI: 10.1080 / 19420862.2017.1392425

ʻOi aku ka maikaʻi o kēia wahi o ka noiʻi ke kuhikuhi nei nā kauka i ka papa o nā lāʻau i ʻike ʻia ma ke ʻano he biologics. ʻO nā biologics nā protein e hana i loko o kāu ʻōnaehana pale pale e pale ai i ka wela.

ʻO ka nānā aku

ʻO ka Asthma kahi maʻi e hoʻohaʻahaʻa i kāu mau ala mokulele ma muli o ka pehu ʻana, ke hoʻopaʻa ʻana, a i ʻole ka hoʻonui ʻia ʻana o ka mucus. ʻOiai ʻaʻohe mea ola, nui nā koho lapaʻau e hiki ke pale aku i ka hānō o ka hānō a i ʻole mālama i nā hōʻailona ke kū lākou.

Hiki ke kōkua i kekahi mau lāʻau kūlohelohe a home paha, akā kamaʻilio mau i kāu kauka ma mua o ka hoʻohui ʻana i kekahi mea i kāu papa hana hānō.