Pherekano le ho Tsamaea ha Hao
Feela joalokaha lefu la pele ho 'mele (PMS) le ka' na la bakela matšoao a mangata a nyahamisang, le uena u ka ba le "pululo ea pele" pele le nakong ea pele ea nako ea hau. Bakuli ba nang le asthma e matla ba nahana hore ba kotsing e kholo. Sena se khetholloa ke ho senyeha ha matšoao a hau a asthma , joalo ka:
Ha e le hantle, basali ba 20% ho isa ho 40% ba tlaleha hore matšoao a asthma a mpefala nakong ea pele ea khoeli. Ho eketseha ha matšoao a asthma ho bakoa ke ho fokotseha ha litekanyetso tsa hormone, bothong ea estrogen le progesterone, empa mabaka a tobileng ha a utloisisoe ka ho feletseng. Liphuputso tse fokolang li bontšitse ho eketseha ha ho e-na le maikutlo a ho pheta-pheta le ho ts'oaetsoa ha selefouno nakong ea ho ea khoeling. Ho phaella moo, lipatlisiso li bontšitse litekanyetso tse phahameng tsa oxide ea nitric, letšoao le tsejoang bakeng sa ho ruruha ha sefofane, ho phahamisa nakong ea nako ea ho ea khoeling. Qetellong, lipatlisiso tse ling li bontšitse hore ho na le ho fokotseha ha boikarabello liseleng (beta adrenergic receptors) tse pholosang li-inhalers hore li sebetse 'me sena se ka' na sa ama matšoao a asthma ho bakuli ba nang le pululo ea pele.
Basali ba bangata bao lithethefatsi tsa bona li etsang hore ho be le pululo ho latela phekolo e tloaelehileng ea pululo.
Haeba o sa kholisehe hore nako ea hau e ama astmma ea hao, u ka 'na ua batla ho hlahloba matšoao a hau haufi le ho boloka diary ea asthma.
Tse latelang ke tse ling tse ka u thusang uena le ngaka ea hau ho ka buisana haeba u na le pululo ea pele ho tlhaho:
- Ho eketsa meriana ea taolo ka beke pele nako ea hau e qala. Ha e le hantle, pele ho nako ea ho ea khoeling ho tšoaroa joaloka ntho e 'ngoe e' ngoe le e 'ngoe' me uena le ngaka ea hau le theha leano la ho sebetsana le lona. Ho na le monahano o mong oa hore ho tlatsetsoa ha beta-Agonist ea nako e telele ea nako ea ho ea khoeling ho ka thusa.
- Phekolo ea Hormone le lipilisi tsa meriana ea thibelo ea bokhachane ho ntlafatsa hantle litekanyetso tsa hau tsa hormone. Litlaleho tse 'maloa tse nyenyane li bontšitse ho ntlafatsa maikutlo a boipheliso ba matšoao a sesepa hammoho le ho ntlafatsa mekhoa ea sepheo e kang li-indice tsa spirometry, ho fokotseha malapeng, le ho fokotseha ha tekanyo ea steroid letsatsi le leng le le leng ka tšebeliso ea lithibela-pele tsa thobalano. Liphuputso tse ling tse nyenyane tsa litokomane li ntlafatsoa ha meriana e lebisang ho felisoa ha lisele e sebelisoa.
- Sebelisa pholoso ea hau ka hohle kamoo ho hlokahalang 'me u be hlokolosi ho qoba lits'ebetso tse ling tsa asthma.
- Leukotriene inhibitors joaloka Singulair kapa Accolate, e ka thibelang matšoao a asthma a amanang le liphetoho maemong a hau a li-hormone.
- Ho qoba li-NSAID bakeng sa ho phekoloa ha matšoao a PMS haeba u ba ela hloko.
> Mehloli:
> Brenner BE, Holmes TM, Mazal B, Camargo CA. Tlhaloso Pakeng tsa Phase ea Matsatsi a ho Ilela khoeli le Litlhahiso tsa Bokhukhuni Lefapheng la Tšohanyetso. Thorax 2005; 60: 806-809.
> Pasaoglu G. Leukotriene Receptor Antagonists: Khetho e Ntle ho Phekolo ea Phere ea Pele? J Pherekano 2008; 45 (2): 95-9.
> Dratva J, Schindler C, Curjuric I, le al. Keketseho ea Palo ea Boipheliso ea Bokhachane ho Basali ba Premenopausal: Liphello tse tsoang ho SAPALDIA 2 Lihlopha tsa Basotho. J Allergy Clin Immunol. 2010; 125: 823-9.
> Mary HH Ensom, Gina Chong, Danyi Zhou, Bev Beaudin, Stephen Shalansky, le Tony R. Bai (2003) Estradiol e le Pherefong ea Bo-Premenstrual: Tlhahlobo e 'Meli ea Bofubelu, e Tšoaroang, e Tšoaroang ka Sebaka, ea Thuto ea Crossover. Pharmacotherapy : Volume 23, Issue, maq. 561-571
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