He aha te hauota hauota?
Ko te waikura hauota he hau e hangaia ana e ngā pūtau e uru ana ki te mumura e pā ana ki te mate pāwera, te mate huango eosinophilic rānei.
He aha te FeNO?
Ko te whakamātautau hauota hauota whakapūha (FeNO) he huarahi hei ine i te nui o te hauota hauota i roto i te manawa e whakapūhahia ana. Ka taea e tēnei whakamātautau te āwhina i te tautuhi i te mate huango mā te whakaatu i te taumata o te mumura i roto i ngā pukahukahu.
Te Whaihuatanga Hauora o te FeNO
Ka taea e te FeNO te whakarato i tētahi atu rongoā kore-whakaekenga mō te tautuhi tuatahi i te mate huango, me te tūtohu a te ATS me te NICE i tēnei hei wāhanga o ā rātou aratohu me ngā rauropi tautuhi o nāianei.
| Ngā pakeke | Tamariki | |
| ATS (2011) | Teitei: >50 ppb Waenga: 25-50 ppb Iti:<25 ppb | Teitei: >35 ppb Waenga: 20-35 ppb Iti:<20 ppb |
| GINA (2021) | ≥ 20 ppb | |
| NICE (2017) | ≥ 40 ppb | >35 ppb |
| Te Whakaaetanga Kōtimana (2019) | >40 ppb ngā tūroro kāore anō kia whiwhi i te ICS >25 ngā tūroro ppb e tango ana i te ICS |
Ngā Whakarāpopototanga: ATS, American Thoracic Society; FeNO, hauota hauota wāhanga i tukuna ki waho; GINA, Kaupapa Ao mō te Mate Huango; ICS, corticosteroid manawa; NICE, National Institute for Health and Care Excellence.
E tautuhia ana e ngā aratohu ATS ngā taumata FeNO teitei, waenga, me te iti i roto i ngā pakeke he >50 ppb, 25 ki te 50 ppb, me te <25 ppb. I roto i ngā tamariki, ko ngā taumata FeNO teitei, waenga, me te iti e whakaahuatia ana he >35 ppb, 20 ki te 35 ppb, me te <20 ppb (Ripanga 1). E taunaki ana te ATS i te whakamahinga o te FeNO hei tautoko i te tautuhi i te mate huango ina hiahiatia he taunakitanga tūpono, inā koa i roto i te tautuhi i te mumura eosinophilic. E whakaahua ana te ATS ko ngā taumata FeNO teitei (>50 ppb i roto i ngā pakeke me te >35 ppb i roto i ngā tamariki), ina whakamāramatia i roto i te horopaki haumanu, e tohu ana kei te kitea te mumura eosinophilic me te urupare corticosteroid i roto i ngā tūroro he tohumate, ko ngā taumata iti (<25 ppb i roto i ngā pakeke me te <20 ppb i roto i ngā tamariki) e kore e tino kitea, ā, me tino tupato te whakamaori i ngā taumata waenga.
Ko ngā aratohu NICE o nāianei, e whakamahi ana i ngā taumata tapahi FeNO iti iho i te ATS (Ripanga 1), e taunaki ana kia whakamahia te FeNO hei wāhanga o te mahi tātaritanga ina whakaarohia te tātaritanga o te mate huango i roto i ngā pakeke, ina rānei he koretake te tātaritanga i roto i ngā tamariki. Ka whakamāramahia anō ngā taumata FeNO i roto i te horopaki haumanu, ā, ko ngā whakamātautau atu, pērā i te whakamātautau whakaoho pūkahukahu, ka āwhina pea i te tātaritanga mā te whakaatu i te urupare tere o te manawa. E whakaae ana ngā aratohu GINA ki te tūranga o te FeNO ki te tautuhi i te mumura eosinophilic i roto i te mate huango, engari kāore i te kitea he tūranga mō te FeNO i roto i ngā rauropi tātaritanga mate huango i tēnei wā. Ka tautuhia e te Scottish Consensus ngā tapahi i runga i te whakaaturanga steroid me ngā uara pai o >40 ppb i roto i ngā tūroro kāore anō kia whiwhi steroid me >25 ppb mō ngā tūroro kei runga ICS.
Wā tuku: Maehe-31-2022