Nā hana no ka Astosma Eosinophilic

Anter

• Hoʻokomo ʻia a me nā huaʻai Corticosteroids
• Nā mea hoʻololi Leukotriene
• ʻO Biologics
• Hoʻopakele i nā inhalers
• Nā Anticholinergics
• ʻO ka lawe lawe ʻana

ʻO ka hānō Eosinophilic kahi subtype o ka hānō e ulu pinepine ma hope i ke ola. ʻO ka makahiki maʻamau o ka hoʻomaka ma waena o 35 a 50 mau makahiki. Hiki iā ia ke hoʻomohala i ka poʻe i hōʻike mua ʻole ʻia me ka hānō.

Hoʻokumu ʻia kēia ʻano hānō e ke komo ʻana o nā hunaola eosinophil. ʻOiai ʻike ʻole ʻia ke kumu kikoʻī, hiki i nā eosinophil ke hāʻawi i ka mumū o ke ala ea a me nā constriction i ʻike ʻia ma nā ʻano maʻamau o ka hānō.

Hiki i nā hānō Eosinophilic ke hōʻike i nā ʻōuli ʻoi loa ma mua o nā ʻano hānō. Hiki paha iā ʻoe ke ʻoi aku pinepine i nā uila. ʻO nā koho lapaʻau e like me ka hānō māmā, akā ʻoi aku ka nui o ka huhū o kāu mau hoʻoponopono pololei.

E kamaʻilio me kāu kauka e pili ana i nā koho i hoʻohana ʻia i ka mālama ʻana i kēia ʻano hānō.

Hoʻokomo ʻia a me nā huaʻai Corticosteroids

ʻO nā corticosteroids i hū ʻia pinepine ka lālani mua o ka lapaʻau no nā ʻano hoʻomau o, me eosinophilic, hānō. Hana lākou ma ka hoʻohaʻahaʻa ʻana i ke ala ea e hāʻawi i ka constriction, i hiki ai iā ʻoe ke hanu maʻalahi.

Pono paha ʻoe i kekahi mana o nā corticosteroids no ka hānō eosinophilic e ka waha inā ʻoi aku ke koʻikoʻi o kāu mau ʻōuli.

Eia nō naʻe, hiki i nā steroid oral ke hōʻike i ka hopena o nā hopena hopena lōʻihi, e like me:

• ʻosteoporosis
• loaʻa kaupaona
• mimikō mellitus

Nā mea hoʻololi Leukotriene

Hoʻonohonoho pinepine ʻia kēia mau lāʻau waha no ka poʻe i loaʻa i ka hānō a me nā maʻi āpau. Hana lākou ma ka hoʻēmi ʻana i nā leukotrienes i ke kino, ka mea e kōkua ai i ka lī.

Kauoha paha kāu kauka i kekahi o kēia:

• ʻo ka montelukast sodium (Singulair)
• zafirlukast (Hoʻohui)
• zileuton (Zyflo)

ʻO Biologics

ʻO Biologics kahi ʻano o ka mālama ʻana i ka hānō nui. Hāʻawi ʻia kēia mau lāʻau lapaʻau ma o ka hoʻopili ʻana, maʻamau e kāu kauka. Hoʻoemi lākou i ka mumū ma ke kau ʻana i nā mole mole, nā hunaola, a me nā mea ʻino.

No kēia kumu, manaʻo ʻia nā biologics e hāʻawi i nā lāʻau lapaʻau "pilikino" hou aʻe ke hoʻohālikelike ʻia me nā lāʻau lapaʻau hānō ʻē aʻe.

He moho paha ʻoe no nā biologics inā hoʻomau ʻoe i ka flare-up i kēlā me kēia manawa me ka lawe ʻana i nā lāʻau hoʻomalu a pale i nā mea hoʻonāukiuki.

Hiki i nā Biologics ke hōʻemi i ka hānō i ka pō, a me ka hoʻemi ʻana i ka helu o nā kipa haukapila mai nā hōʻeha hānō.

Aia i kēia manawa ʻelima mau ʻano biologics i loaʻa no ka mālama ʻana i ka hānō nui:

• benralizumab (Fasenra)
• dupilumab (Dupixent)
• mepolizumab (Nucala)
• omalizumab (Xolair)
• reslizumab (Cinqair)

ʻO kēia mau biologics, Fasenra, Nucala, a me Cinqair i nā eosinophil pahuhopu āpau. Ke hoʻomohala ʻia nei nā meaola hou aku no ka hoʻomaʻamaʻa hou ʻia.

Inā paipai kāu kauka i nā biologics no kāu hānō eosinophilic, manaʻo paha ʻoe e loaʻa i kēia mau injection i kēlā me kēia 2 a 8 mau pule ma kahi o 4 mau mahina.

Hoʻopakele i nā inhalers

ʻOiai ʻaʻole ia he ʻano lōʻihi o ka mālama ʻana, maikaʻi nō naʻe ka loaʻa ʻana o kahi mea hoʻōla hoʻōla ma ka lima inā loaʻa ʻoe i ka hānō eosinophilic.

Ua kapa ʻia he inhaler hōʻoluʻolu wikiwiki, hana kēia mau lāʻau i ka hoʻohaʻahaʻa ʻana i nā ʻōuli o ka lapalapa ʻana a me ka wehe ʻana i kou mau kahawai e kōkua i ka pale ʻana i ka hōʻeha hānō.

ʻO ka pilikia me nā inhalers hoʻopakele, ʻaʻole lākou e pale i nā hōʻailona hānō e like me nā mea hana lōʻihi. Ke hilinaʻi nei i kēia mau ʻano inhalers pinepine paha e hōʻemi iā lākou no ka mea e maʻa mau kāu mau māmā iā lākou.

Kāhea i kāu kauka inā hoʻohana ʻoe i kāu inhaler hoʻopakele ma mua o kekahi mau manawa i kēlā me kēia pule.

Nā Anticholinergics

ʻO nā Anticholinergics nā lāʻau lapaʻau e ālai i kahi neurotransmitter i kapa ʻia acetylcholine. Mālama mau kēia mau lāʻau i ka incontinence a me ka bladder overactive, a me ka maʻi pulmonary obstructive maʻi (COPD).

Hiki paha i kēia mau ʻano lāʻau ke kōkua i ka hānō nui. Hoʻomaha ʻo Anticholinergics i nā mākala o ke ala ākea a kōkua iā ʻoe e hanu maʻalahi.

Lawe paha i ka lawe ʻana i kēia mau lāʻau i mea liʻiliʻi paha e pono ai ʻoe i nā steroid oral no ka wā lōʻihi.

ʻO ka lawe lawe ʻana

ʻO ka hānō Eosinophilic kekahi o nā subtypes paʻakikī loa o ka hānō e mālama ai. E hoʻāʻo nō paha ʻoe i nā ʻano koho like ʻole e ʻike i nā mea e holo pono ana.

Manaʻo ʻia kāu hānō he "kāohi maikaʻi" inā loaʻa nā ʻōuli 2 mau lā i kēlā me kēia pule a ʻoi aku paha.

E kamaʻilio me kāu kauka inā ʻike pinepine ʻoe i nā ʻōuli hānō a inā keakea kou ʻano i nā hana o kēlā me kēia lā. Kauoha paha lākou i nā lāʻau a me nā biologics ʻoi aku ka ikaika e hoʻomaikaʻi i kāu mau ʻōuli a me ke ʻano o ke ola.

ʻO ka mālama ʻana i nā ʻōuli o ka hānō eosinophilic i hiki ke kōkua i ka hōʻemi ʻana i kou makaʻu no ka scarring māmā a me nā pilikia lōʻihi lōʻihi.

Hiki iā ʻoe ke hoʻomaikaʻi i kāu hopena hopena ma ka mālama ʻana i kou olakino holoʻokoʻa i ka hiki, e like me:

• ʻai pono olakino
• hiamoe kūpono
• hoʻokele koʻikoʻi

ʻO ka pale ʻana i nā mea hoʻonāukiuki, e like me ke koʻikoʻi, nā maʻi āpau, a me nā mea hoʻonāukiuki kemika, hiki paha ke hōʻemi i kou makaʻi no ka hoʻā ʻana.