Gịnị bụ Nitric Oxide?
Nitric oxide bụ gas nke mkpụrụ ndụ ndị na-etinye aka na mbufụt nke metụtara allergies ma ọ bụ eosinophilic asthma na-emepụta.
Gịnị bụ FeNO?
Nnwale Nitric Oxide (FeNO) nke e tinyere n'ime fractional exhale bụ ụzọ e si atụ ọnụọgụ nitric oxide dị n'ime ume e kupụrụ. Nnwale a nwere ike inyere aka na nchọpụta nke ụkwara ume ọkụ site n'igosi ọkwa mbufụt n'ime ngụgụ.
Uru Ahụike nke FeNO
FeNO nwere ike inye ihe mgbakwunye na-anaghị emerụ ahụ maka nchọpụta mbụ nke ụkwara ume ọkụ site na ATS na NICE na-akwado ya dịka akụkụ nke ntuziaka ha ugbu a na algọridim nchọpụta.
| Ndị okenye | Ụmụaka | |
| ATS (2011) | Elu: >50 ppb Ọkara: 25-50 ppb Ala: <25 ppb | Elu: >35 ppb Ọkara: 20-35 ppb Ala: <20 ppb |
| GINA (2021) | ≥ 20 ppb | |
| NKE DỊ MMA (2017) | ≥ 40 ppb | >35 ppb |
| Nkwekọrịta Ndị Scotland (2019) | >40 ppb ICS-ndị ọrịa na-amaghị ihe Ndị ọrịa karịrị 25 ppb na-aṅụ ICS |
Mkpirisi: ATS, American Thoracic Society; FeNO, nitric oxide e si n'ọkụ gbapụta; GINA, Global Initiative for Asthma; ICS, corticosteroid e kupụrụ ekupụ; NICE, National Institute for Health and Care Excellence.
Ntuziaka ATS na-akọwa ọkwa FeNO dị elu, nke etiti, na nke dị ala n'ime ndị okenye dị ka >50 ppb, 25 ruo 50 ppb, na <25 ppb, n'otu n'otu. Mgbe ụmụaka nọ n'ime ụmụaka, a na-akọwa ọkwa FeNO dị elu, nke etiti, na nke dị ala dị ka >35 ppb, 20 ruo 35 ppb, na <20 ppb (Tebụl 1). ATS na-akwado iji FeNO iji kwado nchọpụta nke ụkwara ume ọkụ ebe achọrọ ihe akaebe doro anya, karịsịa na nchọpụta nke mbufụt eosinophilic. ATS na-akọwa na ọkwa FeNO dị elu (>50 ppb na ndị okenye na >35 ppb na ụmụaka), mgbe a kọwara ya n'ọnọdụ ahụike, na-egosi na mbufụt eosinophilic dị na nzaghachi corticosteroid na ndị ọrịa nwere mgbaàmà, ebe ọkwa dị ala (<25 ppb na ndị okenye na <20 ppb na ụmụaka) na-eme ka nke a ghara ịdị mma ma a ga-akọwa ọkwa dị n'etiti na nlezianya.
Ntuziaka NICE dị ugbu a, nke na-eji obere ọkwa FeNO karịa ATS (Tebụl 1), na-akwado iji FeNO dịka akụkụ nke nyocha nchọpụta ebe a na-atụle nchọpụta nke ụkwara ume ọkụ n'ime ndị okenye ma ọ bụ ebe enwere ejighị n'aka nchọpụta na ụmụaka. A na-akọwa ọkwa FeNO ọzọ n'ọnọdụ ahụike na nnwale ndị ọzọ, dịka nnwale mkpali bronchial nwere ike inyere aka na nchoputa ahụ site n'igosi na ikuku na-aza ngwa ngwa. Ntuziaka GINA na-ekweta ọrụ FeNO n'ịchọpụta mbufụt eosinophilic na ụkwara ume ọkụ mana ha ahụghị ọrụ FeNO ugbu a na algọridim nchọpụta ụkwara ume ọkụ. Scottish Consensus na-akọwa mbelata dịka ikpughe steroid nwere uru dị mma nke >40 ppb na ndị ọrịa steroid na-amaghị ihe na >25 ppb maka ndị ọrịa na ICS.
Oge ozi: Maachị-31-2022