Kuenzanisa Nasal Antihistamine uye Nasal Steroid Sprays
Nzira dzomukati ( allergic rhinitis ) dzinogona kunge dzichiwedzera kuva nhamo kune vanhu vane zvirwere zvisingaperi. Zvinogona kukanganisa kukwanisa kwemunhu kuita uye kuderedza zvakanyanya kunaka kwehupenyu. Kunyange zvazvo mishonga yemuromo inogona kuderedza zvizhinji zvezviratidzo izvi, zvinogona kuita kuti zvibatsiro zvisingabatsiri zvichibva pakukwegura kusvika pakuwana kuwanda.
Somugumisiro, vanhu vazhinji vanoita kuti mapiritsi asvike pakusununguka kwemazuva ose.
Mishonga iyi inouya nenzira dzakasiyana-siyana uye nzira dzakasiyana dzekuita, kusanganisira:
- Nyaya dzinorwisa antihistamines dzinodzivisa migumisiro ye histamines , kemikemikari yakabudiswa nemuviri mukurwisa zvinhu zvinokonzera zvirwere (allergenens)
- Nyaya dzepamusoro dzinobuda steroid dzinoderedza kupisa kunokonzerwa nehutachiona uye kwete-allergenic rhinitis (vasomotor rhinitis)
- Nyaya dzepasitori anticholinergics inoshanda kuburikidza nekuomesa ndima dzemumvuri
- Nyaya dzepamusoro mast cell stabilizers dzinogona kudzivirira masero emuviri (anonzi mast cells ) kubva pakusunungura histamines muropa
Pakati pezvi, kirasi itsva ye antihistamine inopa nzira yakasiyana-siyana yekuita Izvo zvinosanganisira mapapiro emvura Astelin (azelastine), Patanase (olopatadine).
Zviratidzo uye Kushandisa
Patanase akatenderwa kurapwa kwergenitis muna 2008, asi Astelin akagamuchira kubvumirwa kwayo kweDWA muna 2001 kune zvose zvinokonzerwa uye zvisingatauriki rhinitis. Zvose izvi zvinowanikwa nemishonga uye inogamuchirwa kuti ishandiswe kune vanhu vakuru nevana kupfuura makumi mashanu.
Iyo mapiritsi haafaniri kushandiswa pamwe chete nemumwe mimwe mishonga ine antihistamine, kusanganisira zviratidzo zvakawanda zvinotonhora uye mishonga yokurapa mishonga.
Maitiro Avanoita
Apo masero emusununguko (akadai semasikisi masero kana kuti basophils ) anonangana ne-allergen, anosunungura histamines muropa.
Aya ma histamines anosungira mapuroteni mumuviri wose anonzi H1 receptors uye, nokuita kudaro, zvinokonzera kutarira kwezviratidzo zvatinoziva sehutachiona. Patanase uye Astelin vanoratidzirwa sevanopikisa H1 uye vanonyatsodzivisa chibatanidzwa ichi. Kusiyana nekukwegura-chizvarwa che antihistamines seBenadryl (diphenhydramine) ,
Patanase uye Astelin havayambuki ropa-brain inopesana. Nemhaka yeizvi, havakwanisi kufanana nemamwe mishonga yakakura yemishonga. Uyezve, sepine spray, Patanase naAselelin vanongobatsira chete pamapapiro matsva panzvimbo pekugoverwa mumuviri wose.
Kubatsirwa
Nasal antihistamine sprays inopa huwandu hunodiwa pane mamwe maitiro :.
- Nasal antihistamine inotanga kushanda mukati maminitsi gumi nemashanu, asi nasal steroid inogona kutora maawa kana mazuva kuti utange kushanda.
- Nasal antihistamine dzine zvishoma zvinokonzera kupfuura nasal steroid , pasina ngozi yakawanda ye glaucoma kana chirwere.
- Astelin inopa chiito chechipiri, ichivhara chibatiso cheH1 apo ichidzivirira mast masero kubva pakusunungura histamines.
- Astelin inopa anti-inflammatory effects iyo inogona kubvisa matambudziko ekufema.
Kungofanana neanal steroids, nasal antihistamines inoita seinobudirira mukuderedza kuora kwemaziso .
Saka, apo nasal antihistamines inogona kunge isiri yakakosha steroids mukurapa zviratidzo zvisingagumi, zvidzidzo zvinoratidza kuti kusanganiswa kwemaviri kungave kwakakosha kupfuura kushandisa mumwe munhu mushonga.
Kukanganisika
Nokuda kwezvose zvadzo zvenguva pfupi, kune mamwe madambudziko anowanzobatanidzwa naPatanase uye Astelin anoshandisa:
- Astelin naPatanase vanogona kukonzera kushungurudzika kwemvura, kusuruvara, uye kunyange nosebleeds. Izvi zvinowanzowanzobatanidzwa nekushandisa zvakanyanya mapiritsi asi dzimwe nguva zvinogona kuitika mukati memutengo unorayirwa.
- Astelin naPatanase vanogona kusiya kuravira kunorwa mumuromo. Izvi zvinogona dzimwe nguva kudzivirirwa nokunyorova zvinyoronyoro mumhino dzako mushure mokuperesa imwe neimwe panzvimbo pane kufema mukati.
- Astelin yave ichizivikanwa kuti inokonzera ucheche kana kurohwa mune vamwe.
Kunyange zvazvo manal antihistamines sprays ari nani pakupa rubatsiro rwekukurumidza kwezviratidzo zvemazuva ose, haasi seanobudirira seanal steroids nokuda kwezviratidzo zvinoramba zvichiramba. Izvo hazvisiwo zvishoma pakushandisa kwete-allergenic rhinitis.
> Sources:
> Berger, W. na E. Meltzer. "Indranasal Spray Medication for Maintenance Therapy yeAllergic Rhinitis." American Journal of Rhinology uye Allergy . 2015. 29 (4): 273-82.