Nasacort Allergy 24 Hour (triamcinolone) yaiva yekutanga intranasal corticosteroid nasal spray inowanika pamusoro-the-counter (OTC) pasina mutemo. Iyo ndiyo mishonga imwecheteyo seyodhidhi yezvinyorwa. Flonase naRhininocort zvakare vakazovapo OTC. Unofanirwa kushandisa mishonga iyi here, kana imwe yeOTC antihistamines itsva, yakadai saZyrtec, Claritin kana Allegra?
Mhinduro yacho inobva mukurudzi uye kuoma kwezviratidzo zvako.
Intranasal Corticosteroids Ita Nguva Yokushanda
Iyo intranasal corticosteroids, Nasacort, Flonase, uye Rhinocort, ndiyo inonyanya kushandiswa kwemishonga yeOTC yekurapa zvirwere zvemanzi zviratidzo. Chinhu chinonyadzisa kwavari ndechokuti havazoshandi pane zvinodiwa. Intranasal corticosteroids inotora nguva yekushanda-inogona kutanga kupa ruzivo rwezvirwere zvemazuva ose mushure maawa anenge matanhatu kusvika ku10, asi zororo rakakwana haringawaniki kwemazuva.
Antihistamines, yakadai saZyrtec (cetirizine), Allegra (fexofenadine) naClaritin (loratadine), kune rumwe rutivi, vanowanzoshanda zvakajeka, kazhinji mukati maawa mashoma (kana kuti pasi) ekutora mishonga. Nokudaro, mishonga iyi inoshanda zvakanaka kana inotorwa pane zvinodiwa.
Antihistamine inoshanda zvakanakisisa pakurapa mhuno, nemeso anocheka uye kunya-uye zvishoma nezviratidzo zvemasanganisvo emasana kana mhutu.
Pakati pemhando mitatu yezvitsva (uye zvisiri pasi) antihistamine, Zyrtec neAllegra basa zvakanyatsonaka pakuchengetedzwa kwemishonga-uye kazhinji mukati meawa. Claritin, kune rumwe rutivi, harushandi zvakare uye anotora anenge maawa matatu kuti aite zvakakwana. Zvose zvitatu zvei antihistamines ndiyo sarudzo yakanaka yekusununguka kwemazuva ose uye inokurudzirwa pamusoro pekutora antiating antihistamine yakadai seBenadryl.
Mamwe mapiritsi emishonga anowanikwa maOTC anowanzobatanidza mahedheni ekudzivirira (zvakadai seAfrin ) uye NasalCrom (cromolyn).
Kupesana Pamusoro peOTC Kuwanikwa kweIntranasal Corticosteroids
Chimwe chinhu chinofanira kufungisisa ndechekuti masangano akawanda emasvomhu eanotherergists, vanachiremba vevana, uye otolaryngologist akanga asingabvumirwi ne intranasal corticosteroids ichiitwa kuwanikwa yeOTC. Vaimbopikisa antihistamine Claritin kuvapo pasina mishonga.
Zvisinei, munguva dzema1990, FDA yakarondedzera chirwere chinonzi rhinitis sechirwere chinogona kuonekwa uye kuporerwa pasina unyanzvi hwehutano. Izvi zvinoreva kuti FDA yainzwa kuti yakachengeteka kuva nehurumende yekuzvidzivirira uye kugadzirisa chirwere chinonzi rhinitis uchishandisa michina yeOTC. Intranasal corticosteroids inogona kunge isiri yakachengeteka seye antihistamines, zvisinei, uye saka njodzi nemafanirwa zvinofanira kuonekwa. Heano mhedziso iyo vashandi vezvoutano vakaita pro na con.
Pros
Nasal corticosteroid sprays ave aripo pamusika nemishonga yemakore anopfuura makumi matatu, uye yakawanda yekuchengetedzwa kwedata yakaunganidzwa munguva iyoyo. Zvipembenene zvinowanzoonekwa zvinosanganisira nzvimbo yakasvibiswa neanal uye nosebleeds, iyo inowanzonyorova.
Izvo zvakanyanya pamusoro pemigumisiro yechipfuva ndeyekwaniso yepasal septal perforation , kunyange izvi zvisingawanzoitiki. Vanhu vazhinji vanogona kukwanisa kutevera mirayiridzo iyo inosanganisira zivo pamusoro pekudzikisa kushandiswa kwe intranasal corticosteroids kana nosebleeds kana kutsamwa kuchiitika.
Kunze kwemagumisiro emunharaunda, intranasal corticosteroids haigoni kuita kuti muviri wose uve nemigumisiro. Studies on intranasal corticosteroids kwemakore maviri haana kuratidza kuwedzera kukuru kwe glaucoma kana kuti cataract maitiro. Zvimwe zvidzidzo zvakakundikana kuratidzira chero uchapupu hwe hypothalamic-pituitary-adrenal (HPA) inoderedza kuderedza , iyo inoratidza kuwanda kweserodi inogadziriswa, inokanganisa cortisol yemuviri.
Pakave nekushushikana pamusoro pekuwedzera kukura kwevana ne intranasal corticosteroids, kunyange izvi zvinokonzera zvishoma uye zvisingaenderani. Kuyera kwekukura neanyanzvi hwehutano hwehutano kunokurudzirwa kuti vana vanoshandisa intranasal kana inhaled corticosteroids.
Iko kunewo hupfumi hwekuwanikwa kwe intranasal corticosteroids OTC. Inishuwarenzi yekurapa ingasave yakavhara mishonga yeOTC iyo yakavharwa kana yakatemwa. Zvisinei, izvi zvingave zvakakosha kune vamwe vanhu, sekubhadhara kwekuenda kune chiremba chigadzirwa zvakanyanya kudarika chechigadzirwa cheOTC. Vanhu vangave vachida kuedza chiito cheOTC nokuda kweavoergic rhinitis zviratidzo, kusiyana nekuenda kuedza yekuwana chiremba. Izvi zvinogona kutungamirira kukutarisana zviri nani kwezviratidzo nekuvandudza hupenyu hwehupenyu.
Cons
Masangano akawanda ezvehutano ehutano anotenda kuti kuva intranasal corticosteroids inowanika OTC isiri pfungwa. Zvikonzero zveizvi kazhinji zvine chokuita nekuchengeteka, sezvo zvidzidzo zvakasiyana-siyana zvaratidza kuti mamwe marudzi emigumisiro inogona kuitika. Izvi zvinosanganisira:
- Zvimwe zvidzidzo zvinoratidza kuitika pakukura kwemashure kwevana, kunyange zvazvo zvimwe zvidzidzo zvakundikana kuratidza chero chinhu chinokosha. Nyanzvi dzinofunga kuti vana vanoshandisa mishonga iyi vanofanira kuwedzera kukura kwavo.
- Mune vanhu vane nhoroondo yemhuri ye glaucoma, kune ngozi yakawedzerwa yekuvandudza glaucoma.
- Vanhu vakwegura vanoita sevari kuwedzera mungozi yekuve nehutachiona kubva kushandiswa kwenguva refu.
- Ikoko kunoratidzika kunge kune chimwe chinhu chinokonzera pfupa remaminera emagetsi kubva kushandiswa kwenguva refu, izvo zvinogona kutungamirira kune osteoporosis .
Vadzvinyiriri veOTC intranasal corticosteroids vanotendawo kuti vatengi havanganzwisisi kuti mishonga iyi inofanira kushandiswa nguva dzose kuti iite basa. Kusiyana nemafungiro emhando dzemazamu, dzinounza zororo mune imwe nyaya yemaminitsi, intranasal corticosteroids inotora maawa nemazuva kushanda. Nokudaro, vanhu vangashandisa zviyero zvakanyanya kupfuura zvakakurudzirwa, izvo zvinogona kutungamirira kune mamwe matambudziko.
Zvakawanda zvemigumisiro uye kusanzwisiswa kwekuti intranasal corticosteroids inoshanda sei inogona kudziviswa nekuita mishonga iyi ichiri pamutemo chete, iyo inobvumira kuongororwa kwepamusoro neyanzvi hwehutano.
Shoko Rinobva
Kunzwisisa kushandiswa kwakakodzera kwemishonga yeOTC yekurapa chirwere chergenitis kunogona kukubatsira kudzivisa zvinogona kuitika. Iwe unogona kuda kukurukura zvisarudzo zvako nachiremba wako, kunyanya kana uchifunga nezvekushandisa kwavana kana vakuru vakwegura.
> Sources:
> Blaiss MS. Over-the-Counter Intranasal Corticosteroids: Sei Nguva Iripo Iye zvino. Ann Allergy Chirwere Immunol . 2013; 111: 316-8.
> Friedlander SL, et al. Dambudziko reMigumisiro Yakaipa, Misdiagnosis, uye Suboptimal Patient Care neKushandiswa kwe Over-the-Counter Triamcinolone. Ann Allergy Chirwere Immunol . 2013; 111: 319-22.