Asthma Treatment With Combination Inhaled Steroids Plus LABA
Chii Chikabatanidzwa Zvinhu Zvakaita Advair, Symbicort, Dulera, uye Breo?
Advair, Symbicort, Dulera, uye Breo ndivo mishonga yemirayi inobatanidza mishonga mbiri mune imwe inhaler (mune zvekurapa: inhaled steroids ine nguva refu yakabata beta agonist). Tsvakurudzo dzinoverengeka dzinoratidza zvingave zvikomborero zvekubatanidza mishonga iyi mune imwechete inhaler kusiyana nekuzvinyora zvakasiyana.
Uyezve, zvidzidzo zvishomanana zvakaratidza kuti mukana wekushandisa chinhu chakabatanidzwa semuviri wako wekugadzirisa zvose zvekutonga uye zviratidzo zvakakomba, asi unofanira kufungisisa izvi nechiremba wako wepmma usati waedza izvi.
Makomborero eAdvair, Symbicort, Dulera, uye Breo
- Zvimwe zviri nyore
- Kunowedzera kutenderana nemishonga
- Zvishoma kudhura
- Desi rezasi ye steroid inopinza inogona kuderedza migumisiro yechirwere
Kukanganisa kweAdvair, Symbicort, Dulera, uye Breo
- Kunyoresa kushanduka pakugadzirisa
- Kana ukashandisa mishonga kubvisa zviratidzo zvakakomba, unogona kugamuchira chiremu chakakwirira kwazvo che steroid kupfuura ikozvino inokurudzirwa.
Ko Kusanganiswa Kwezvinhu zvakadai sei Advair, Symbicort, Dulera, uye Breo Work?
Mishonga yakasiyana seAdvair uye Symbicort ine mishonga inoshandiswa 2 inoshandiswa kurapa chirwere chako chakasiyana zvakasiyana:
- Inhaled steroid: Mabasa pamusoro pemhepo yepapu kunoderedza kuputika.
- LABA : Inopa kukanganisa nekuzorodza musimba hwakanaka mumapapu uye kuita kuti kufamba kwemhepo kuwedzere, zvichidaro zvichideredza zviratidzo.
Mienzaniso
- Advair : Iine steroid Fluticasone (Flovent) uye LABA Salmeterol (Serevent)
- Symbicort : Iine steroid, Budesonide (Pulmicort) uye LABA Formoterol (Foradil)
- Dulera: Iine steroid Mometasone uye LABA Formoterol
- Breo: Iine steroid Fluticasone uye iye LABA Vilanterol
Zvichida Zvimwe Zvikamu ZveMiti Yakadai seAdvair, Symbicort, Dulera, uye Breo
Sezvimwe nemamwe mishonga yakawanda, inongova duku yezana yevarwere vanowirwa nemigumisiro. Zvimwe zvinokonzerwa nemigumisiro inowanzofanana neyese ye steroid inoputika uye yeLABAs. Zvose zvinosanganiswa steroid uye LABAs zvinotakura nyevero ye "Black Box" yevamwe vaLABA uye zvinogona kuitika zvinokonzerwa nesteroid inhaled yakafanana.
Nyevero inobva pane imwe nyaya kubva kune imwe yezvidzidzo zvepakutanga kuongororwa neLABAs inonzwika vakafa 13 kubva kune 13,176 varwere vanobatwa neLABA kwemavhiki makumi maviri nemasere zvichienderana nekufa kune varwere vanowana placebo (vasina kugamuchira LABA) 3 kubva 13,179. Kunyange zvazvo nhamba iyi iri duku uye pane nyaya dzakawanda nedzidzo dzinotungamirira kukunyevera, FDA yakanzwa kuchenjera kune varwere kuti vazive.
Muchienzanidzo kuti chirwere chakasimba chiwedzere kuwedzera LABA chinoratidzika kuti chinonyanya kubudirira kudarika kaviri kero ye steroid inoputika uye ndiyo inofanirwa kurapwa nokuda kwechikonzero ichocho. Sezvambotaurwa, kubatana kwave kwakabvumira vamwe varwere kuti vawane kutarisa pamadokisi maduku uye kuderedza dambudziko remigumisiro kubva pamusana wepamusoro. Ikozvino mazano ekutanga kwerapi anobvumira midhi-mizinga inhaled steroid kana pasi-dose steroid pamwe neLABA.
Unogona Kusanganiswa Nemafiro Inhalers Inoshandiswa Seye An Asthmatics Inhaler Only Inhaler?
Chero nguva chero ipi zvayo iwe unongoda mushonga umwe chete, pane imwe nguva mukana wekutora mushonga zvakanaka. Zvisinei, kune zvikonzero zvakawanda nei chikonzero chekuti asthmatics inoshandisa zvinopfuura imwe inhaler.
Zvisinei, chidzidzo chakabudiswa muLancet chinoratidza kuti varwere vane uwandu hunoenderana nehutachiona hwehutachiona vanogona kuita zviri nani nehumwechete inhaler vachienzaniswa nechechina muhutu hwekuchengetedza nekudzikinura. Zvimwe zviitiko zvakakosha zvakagadziridzwa muboka iri sehutachiwana hwehutachiona hunokonzerwa nehutachiona, hutachipatara, kana kudikanwa kwekuchengetedzwa kwakakurumidza. Chidzidzo chechipiri chinoratidzikawo kutsigira chirwere ichi.
Zvichipa kuti vazhinji vevarwere vemafi vanogara vasingashandisi mishonga yavo yekurapa mweya, izvo zvinogona kuva sarudzo munguva yemberi. Zvisinei, kurapwa uku hakusi ikozvino kwakatsigirwa neU.S. Asthma Guidelines saka unoda kuve nechokwadi kuti unokurukura neavo vadzidzisi vemafirimu vasati vasvika.
Summary
Mishonga yekusanganiswa inogona kuva chinhu chakakosha chevatachiona vasingakwanisi kubudirira kudzora masimba avo pamusoro pesteroti inoputika chete. Iwe uye chiremba wako unoda kukurukura nezvingangove zvipingamupinyi uye zvinobatsira zvekubatanidza utachiona uye iva nechokwadi chekuzivisa chiremba wako chekuwedzera kukura kwezviratidzo zvako zvechirwere.
> Sources:
Nelson HS. Kusanganiswa Kwemazuva e Long-acting β agonists uye Inhaled Corticosteroids muHurumende yeHurma yeHurma. Ikozvino Kurwisa uye Nyaya dzeAsafu 2005, 5: 123-129.
National Heart, Lung, uye Blood Institute. Inosvika: March 4, 2016. Gwaro Rejeri Rejeri 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma