Ivo vakachengeteka here pakuchengetedzwa kwechirwere?
IU.S. Food and Drug Administration (FDA) yakapa nyevero kuvarwere vanotora mishonga yakadai seDulera, Advair, Symbicort, Breo, Foradil, uye Serevent. Chimwe chekudzidza, chirwere che SMART, chakaratidza dambudziko rinowedzera rekufa kubva kuAfm uye mamwe matambudziko ekufema kana achienzaniswa ne placebo kune varwere vanotora Serevent, kunyanya muvarwere veAfrica-America.
Nokuda kwechikonzero ichi, FDA yakapa nyevero yebhokisi-maziso emishonga iyi, iyo yepamusoro yeverayenzi yemishonga iyo FDA inogona kupa.
Serevere neForadil ndezvenguva refu-ari kuita beta-agonists (LABAs) inoshandiswa mukurapa kwemaitiro ekudzivirira uye akaoma. I-LABA haisi yakakwana yekurapa kurapa pachavo pachavo nokuda kwechirwere, uye inogona kukonzera kutyisa upenyu hwekushaya mweya kana yakashandiswa yoga. Munhu ane astmma, saka, anofanira kugara achishandisa corticosteroid inoputika (yakadai seFovent, Pulmicort, QVAR) mukurapa kweAsthma apo LABA inoda. Dulera, Advair, Breo, uye Symbicort vane zvose steroid inoputika uye LABA.
Zvinosuruvarisa, chirwere che SMART hachina kutarisa kana mumwe murwere ainge achitora corticosteroid inhairirwe nokuda kwechirwere ichi - ichi ndicho chakanga chisarudzo chechiremba wechiremba. Vakawanda vevarwere vane chirwere chinonyanya kuoma chakanga chisina kutora corticosteroid inoputika kana yakaiswa paLABA.
Apo chidzidzo chacho chakatarisa kune varwere vakanga vari kutora corticosteroid isina kuvhiringidzika uye iLABA (yakadai seDulera, Advair, Symbicort uye Breo inosanganisira), hakuna kumboonekwa seine ngozi yakawedzerwa yekurwisana nehutachiona zvakanyanya kana kufa kwechirwere.
IA FDA ikozvino inotaura kuti mishonga yeLABA haifaniri kushandiswa kana munhu ane asthma ari kutarirwa nekarticosteroid inoputika chete.
Kana smafu isiri kutarisirwa pane steroid inoputika, mamwe maitiro ekurapwa anosanganisira (a) kuwedzera chiyero chekodticosteroid inoputika (iyo inogona kunge ine ngozi ) kana (b) kuwedzerwa kwemimwe mishonga yakadai seLABA, Singulair , theophylline, mutemo prednisone uye / kana Xolair . Ramba uchitarira kuti kusafirwa kwemafi inobata zvirwere zvayo zvakare, izvo zvinogona kusanganisira zvakanyanya, kutyisa upenyu hwekushaya mweya .
Kune vanhu vazhinji, zvakakosha zvechirwere che corticosteroid nemishonga yeLABA (Dulera, Advair, Breo, uye Symbicort) zvakanyanya kupfuura zvengozi. Zvisinei, zvakakosha kuti iwe uzive njodzi nemigumisiro yemishonga iyi kuitira kuti iwe ugone kuita chisarudzo chakanaka. Kana iwe uri kutotanga kushandisa mushonga weLABA sechikamu chehutano hwako hwechirwere uye unonetseka pamusoro pezivo pamusoro apa, tapota MUSARAMA kurega kutora mishonga yako yakagadzirirwa yehma kusvikira wataura nachiremba wako. Kana ukasarudza kusashandisa LABA sechikamu chepirma yako yekurapa, tapota udza chiremba wako nezvechisarudzo ichi usati warega mishonga yako yephma.
Ona FDA tsamba dzinonyevera pamishonga ine LABAs.
> Sources:
> Aaronson DW. I "Black Box" Yambiro uye Kurwisa Kwezvinodhaka. J Allergy Clin Immunol. 2006; 117: 40-4.Nelson HS, Weiss ST, Bleeker ER, et al. Salmeterol Multicenter Chirwere Chekutsvakurudza Chirwere. Chest. 2006; 129: 15-26.
> Nelson HS. Beta-Kubata kwenguva refu-Agonist muHuru hweHupumu: Uchapupu hwekuti izvi zvinodhaka zvakachengeteka. Primary Respiratory Care Journal. 2006; 15: 271-77.