Nitric oxide ke eng?
Nitric oxide ke khase e hlahisoang ke lisele tse amehang ho ruruha ho amanang le alejiki kapa eosinophilic asthma.
FeNO ke eng?
Teko ea Nitric Oxide (FeNO) e ntšitsoeng ka karoloana ke mokhoa oa ho lekanya bongata ba nitric oxide moeeng o ntšitsoeng ka ntle. Teko ena e ka thusa ho fumana asma ka ho bontša boemo ba ho ruruha matšoafong.
Tšebeliso ea Kliniki ea FeNO
FeNO e ka fana ka thuso e sa hlaseleng bakeng sa tlhahlobo ea pele ea asthma ka ATS le NICE ba e khothaletsa e le karolo ea litataiso tsa bona tsa hajoale le li-algorithms tsa tlhahlobo.
| Batho ba baholo | Bana | |
| ATS (2011) | Holimo: >50 ppb Bohareng: 25-50 ppb Tlase:<25 ppb | Holimo: >35 ppb Bohareng: 20-35 ppb Tlase:<20 ppb |
| GINA (2021) | ≥ 20 ppb | |
| NICE (2017) | ≥ 40 ppb | >35 ppb |
| Tumellano ea Scotland (2019) | Bakuli ba >40 ppb ba sa tsebeng letho ka ICS Bakuli ba >25 ppb ba nkang ICS |
Likhutsufatso: ATS, Mokhatlo oa Amerika oa Thoracic; FeNO, nitric oxide e ntšitsoeng ka karoloana; GINA, Mokhatlo oa Lefatše oa Asthma; ICS, corticosteroid e hemang; NICE, Setsi sa Naha sa Bophelo bo Botle le Tlhokomelo.
Tataiso ea ATS e hlalosa maemo a FeNO a holimo, a mahareng le a tlase ho batho ba baholo e le >50 ppb, 25 ho isa ho 50 ppb, le <25 ppb, ka ho latellana. Ha ho le bana, maemo a FeNO a holimo, a mahareng le a tlase a hlalosoa e le >35 ppb, 20 ho isa ho 35 ppb, le <20 ppb (Tafole ea 1). ATS e khothaletsa tšebeliso ea FeNO ho tšehetsa tlhahlobo ea asma moo ho hlokahalang bopaki bo nepahetseng, haholo-holo tlhahlobong ea ho ruruha ha eosinophilic. ATS e hlalosa hore maemo a phahameng a FeNO (>50 ppb ho batho ba baholo le >35 ppb ho bana), ha a hlalosoa moelelong oa bongaka, a bontša hore ho ruruha ha eosinophilic ho teng ka karabelo ea corticosteroid ho bakuli ba nang le matšoao, ha maemo a tlase (<25 ppb ho batho ba baholo le <20 ppb ho bana) a etsa hore maemo ana a sa tloaelehang le a mahareng a lokela ho hlalosoa ka hloko.
Litaelo tsa hajoale tsa NICE, tse sebelisang maemo a tlase a ho khaola a FeNO ho feta ATS (Tafole ea 1), li khothaletsa tšebeliso ea FeNO e le karolo ea tlhahlobo moo ho hlahlojoang tlhahlobo ea asma ho batho ba baholo kapa moo ho nang le ho se tsitse ha tlhahlobo ho bana. Maemo a FeNO a hlalosoa hape moelelong oa bongaka 'me liteko tse ling, tse kang liteko tsa ho qholotsa bronchial li ka thusa tlhahlobo ka ho bontša karabelo e matla ea moea. Litaelo tsa GINA li ananela karolo ea FeNO ho khetholleng ho ruruha ha eosinophilic ho asma empa hajoale ha li bone karolo ea FeNO ho li-algorithms tsa tlhahlobo ea asma. Tumellano ea Scottish e hlalosa ho khaola ho latela ho pepesehela steroid ka boleng bo botle ba >40 ppb ho bakuli ba sa tsebeng steroid le >25 ppb bakeng sa bakuli ba ICS.
Nako ea poso: Hlakubele-31-2022