Mishonga yeHay Fever
Hay Fever Treatment: Kushandisa Mishonga yeZverwere
Apo kudzivirira zviyero zvinokundikana kana zvisingakwanisi, vanhu vazhinji vachada mishonga yekurapa varwere vavo rhinitis zviratidzo . Kusarudzwa kwemishonga kunoenderana nemibvunzo yakawanda inofanira kupindurwa nemunhu kana chiremba wemunhu:
1. Zvakaoma sei zviratidzo?
2. Ndezvipi zviratidzo?
3. Ndeipi mishonga inogona kuwanikwa nomunhu (pamusoro pekambani, mushonga)?
4. Mishonga ipi iyo munhu wacho achatora?
5. Mishonga inodiwa zuva rega rega here kana kuti inopindirana?
6. Ndeipi migumisiro yechirwere inogona kuitika kumunhu?
Oral antihistamines. Ichi ndicho chikamu chinowanzoshandiswa chemishonga inoshandiswa kuti ishandiswe rhinitis. Chizvarwa chekutanga che antihistamines, chinosanganisira Benadryl®, inowanzotarisirwa kunge ichigadzirirwa kushandiswa. Iyi mishonga yakaratidzwa inoshandisa kushanda kwebasa uye inoshandisa kukwanisa kwemunhu kushanda motokari.
Zvitsva, yechipiri-chizvarwa antihistamines iye zvino yava yerineni yekurapa kwevanhu vane allergenic rhinitis. Mishonga iyi yemishonga inosanganisira cetirizine (Zyrtec®), fexofenadine (Allegra®), uye desloratadine (Clarinex®). Loratadine (Claritin®, Alavert® uye mafomu akawanikwa) ikozvino inowanikwa pamusoro pekambani.
Iyi mishonga ine ruzivo rwekusava nezvinhu zvisingabatsiri, nyore kune vanhu kutora, kutanga kushanda mukati maawa mashomanana, uye naizvozvo inogona kupiwa se "sezvinodiwa" hwaro.
Mishonga inonyanya kukosha pakurapa kunyorera, kumhanya kwemhino, uye kuchenesa kwemhino semugumisiro weergenic rhinitis. Zvimwe zvinokonzera hazvishamisi, uye zvinosanganisira kuderera kwema sedation kana kurara, asi zvishoma kudarika yezera rekutanga antihistamine.
Nyaya dzepamusoro nasal steroids. Iyi kirasi yemishonga yekurapa ndiyo inonyanya kushandiswa pakurapa mishonga yepamusoro, uyewo kwete youtachiona rhinitis .
Kune dzakawanda zvemashoko ezviyoti saliidhi pamusika, uye zvose zvinowanikwa nemishonga. Vamwe vanhu vanocherechedza kuti mumwe anonzwa kana kunonwisa zviri nani kupfuura mumwe, asi vose vanoshanda zvakafanana.
Iri boka remishonga rinosanganisira fluticasone (Flonase®), mometasone (Nasonex®), budesonide (Rhinocort Aqua®), flunisolide (Nasarel®), triamcinolone (Nasacort AQ®) uye beclomethasone (Beconase AQ®).
Nasal steroid inonyanya kuronga zvirwere zveergenitis zviratidzo. Kunyange zvakadaro, mapiritsi anofanira kushandiswa zuva rega rega kuti ave nemigumisiro yakanaka uye saka haashandi zvakanaka sezvinodiwa. Migumisiro yakaipa inonzwisisika uye inogumira kumutsamwisa wepasipo uye mumhino inoputika. Kushandiswa kwezvipukisa izvi zvinomira kunofanira kumira kana kutsamwa kana kubuda ropa kunoramba kuripo.
Mimwe mishonga inoshandiswa nemasiprasi. Kune mamwe maviri maviri emishonga inonzi nasal sprays inowanika, anal antiamistamine uye nasal anti-cholinergic. The anti-histamine, azelastine (Astelin®), inoshanda mukurapa allergen uye kwete-allergenic rhinitis. Inobata zviratidzo zvose zvepasipo zvakafanana neyasal steroids, uye inofanira kushandiswa nguva dzose nekuda kwekanaka. Migumisiro yakaipa inowanzova yakaoma uye inosanganisira kutsamwa kwepanyika munharaunda uye mamwe maitiro ekurara, sezvo iri chizvarwa chekutanga antihistamine.
Nasal ipratropium (Atrovent nasal®) inoshanda kuti inomesa miviri yenyama, uye inoratidzwa mukurapa allergenic rhinitis, isina-allergenic rhinitis uye zviratidzo zvehuwandu hunoti. Inoshanda zvakanaka pakuchengeta "mhuzha yakakonzera", asi haigoni kubata nasal itching kana zviratidzo zvekuputira. Migumisiro yakaipa inowedzera uye inowanzobatanidza kutsamwa kwepanyika nekuoma.
Over-the-counter nasal sprays. Iri boka rinobatanidza cromolyn nasal spray (NasalCrom®) uye maprotongestant emafemikisi akadai se oxymetazoline (Afrin®) uye phenylephrine (Neo-Synephrine®). Cromolyn inoshanda kuburikidza nekudzivirira zvirwere zveergenitis zviratidzo chete kana zvichishandiswa vasati vatarisana nezvinokonzerwa nezvinokonzerwa nemagetsi.
Izvozvo mishonga haigoni kushanda pane zvinodiwa.
Nyaya dzinodonhedzana dzinoputika dzinobatsira pakurapa kusanganiswa kwemanza. Iyi mishonga inofanira kushandiswa kwemazuva mashoma kwemazuva matatu masikati maviri kusvika ku4; kana zvisina kudaro kunogona kuve nekugadzikana / kuwedzera kwekushaya masimba kunonzi rhinitis medicamentosa.
Migumisiro yemigumisiro yeiyo pamusoro apa inowanzonyoroka uye inosanganisira kutsamwisa kweruzhinji uye kubuda ropa, asi mahedheni anonzi decongestants anofanira kushandiswa nekuchenjerera kune varwere vane mwoyo kana zvinetso zveropa.
Zvirevo zvemurairo. Zvinyorwa zvinoputika mumuromo, zvine kana zvisina muromo antihistamines, zvinoshandiswa mishonga inobatsira mukurapwa kwemazamu kusanganisa kune vanhu vane allergenic rhinitis. Iyi kirasi yemishonga inosanganisira pseudoephrine (Sudafed®), phenylephrine, uye yakawanda michina yekubatanidza. Decongestant / antihistamine pamwe nemishonga (yakadai saAllegra-D®, Zyrtec-D®, Clarinex-D® naClaritin-D® inoratidzirwa mukurapa chirwere chinonzi allergic rhinitis muvanhu vane makore gumi nemaviri nekure.
Iyi kirasi yemishonga inoshanda zvakanaka kune dzimwe nguva uye inoda-kushandiswa kushandiswa, asi migumisiro yechirwere neushandiswa kwenguva refu inogona kusanganisira kusuruvara, musoro wepamusoro, kukwidziridzwa kweropa, kukurumidza kwemwoyo uye kutya.
Leukotriene blockers. Montelukast (Singulair®), yakatanga kugadzirwa ne asthma makore 10 akapfuura, uye ikozvino yakagamuchirwa kurapwa kweergenic rhinitis zvakare. Zvidzidzo zvinoratidza kuti mishonga iyi haisi yakanaka pakurapa mishonga yemakemikari sezvinonzi anti anti histamines, asi inogona kunge iri nani pakuchengeta nenyuchi kusanganisa. Mukuwedzera, kusanganiswa kwe montelukast uye muromo antihistamine kunogona kuva nani mukurapa mishonga yepamusoro kupfuura mishonga chete.
Montelukast inogona kuva yakakosha kune vanhu vane mweya wakadzikama uye allergenic rhinitis, sezvo inoratidzirwa mune zvose zvirwere. Mishonga inofanirwa kutorwa zuva rega rega kuti zvive nani, uye inotora mazuva mashomanana isati yatanga kushanda.
Zvinowanzoitika zvinowanzova zvinyoro uye zvinosanganisira misoro, kurwadziwa kwepamuviri uye kuneta.
Unoda kuramba uchidzidza? Tsvaga nzira chete yekurapa kwoutachiona
Kunobva:
Dykewicz MS, Fineman S, vaparidzi. Kuongororwa uye Kutungamirirwa kweRhinitis: Zvose Mirayiridzo ye Joint Task Force pamusoro pekushandisa maParamendi mune zveEergy, Asthma uye Immunology.