Kuchiza Zonse Chifukwa ndi Zizindikiro za Zofupa
Pali magulu osiyanasiyana a mankhwala ogwiritsira ntchito mankhwala ochizira matenda . Chofala kwambiri ndi monga antihistamines, nasal steroid sprays, ndi mankhwala a mphumu monga Singulair (montelukast ).
Mankhwalawa ali ndi njira zosiyana. Ena angagwiritsidwe ntchito pochiza zizindikiro zovuta pomwe ena amayesetsa kupeza chithandizo chokhalitsa. Kusankha kumadalira makamaka za mitundu ya zizindikiro zomwe muli nazo komanso kuuma kwawo.
Steroid Nasal Sprays
Ziphuphu zamchere zimathandiza kwambiri pochiza zizindikiro za matenda a rhinitis (hay fever). Izi zimatulutsa mankhwala a corticosteroid kumasuka ndi kutsegula ndime zamkati kuti muthe kupuma mosavuta.
Iwo amathandizanso pochiza anthu omwe sagwiritsidwa ntchito ndi matendawa komanso akhoza kupindulitsa anthu omwe ali ndi zilonda zamaso .
Zina mwazinthu zomwe zimaperekedwa ndi steroid nasal sprays ndi izi:
- Beconase AQ (beclomethasone)
- Flonase (fluticasone)
- Nasacort AQ (triamcinolone)
- Nasarel (flunisolide)
- Nasonex (mometasone)
- Rhinocort Aqua (budesonide)
Zowoneka bwino, mankhwala opweteka amatha kusamalira zovuta koma amachepetsa zizindikiro za m'mimba. Anthu omwe ali ndi matendawa amayamba kupeza yankho labwino ngati amagwiritsa ntchito mankhwalawa tsiku ndi tsiku. Komanso, amafunika kugwiritsa ntchito mankhwalawa kwa milungu iwiri asanakwane.
Zotsatira zoyipa zingakhale monga mutu, pakhosi, chifuwa, kuuma kwa msana, kunyowa, komanso kupweteka kwa minofu.
Izi ndi zina chabe zomwe muyenera kuziganizira musanayambe kumwa mankhwala. Ngati simuli ovomerezeka omwe angagwirizane ndi chithandizo cha tsiku ndi tsiku, mungafunike kufufuza njira zina monga antihistamines.
Oral Antihistamines
Mankhwala a antihistamines ndi njira yabwino yothandizira mitundu yonse ya zovuta zolimbitsa thupi.
M'malo mochiza zizindikirozo, gululi la mankhwala osokoneza bongo la histamine , mankhwala opangidwa ndi matenda a chitetezo cha mthupi omwe amachititsa zizindikiro zowopsa. Mankhwala okalamba monga Benadryl (diphenhydramine) amagwiritsidwa ntchito mocheperapo masiku ano chifukwa cha kuchepa kwawo.
Mankhwala atsopano amapewa makamaka ndikupewa izi:
- Allegra (fexofenadine)
- Claritin ndi Alavert (loratadine)
- Clarinex (desloratadine)
- Zyrtec (cetirizine)
Antihistamines amagwira ntchito mofulumira, kawirikawiri mkati mwa ola limodzi kapena kuposa, ndipo ingagwiritsidwe ntchito pazifukwa zofunikira. Zotsatirapo zingaphatikizepo pakamwa pouma, kugona, chizungulire, kusadziletsa (makamaka mwa ana), kuvutika kukodza, kusokoneza maganizo, kunyoza, kusanza, ndi chisokonezo. Zizindikiro zimakhala zofatsa ndikukhazikitsa mkati mwa ola limodzi kapena awiri.
Ngati mumakhala ndi vuto lopuma kupuma, mungathenso kumwa mankhwala omwe athandizidwa kuti athe kupuma.
Antileukotrienes
Antileukotrienes ndi mawonekedwe a mphumu ya mphumu yomwe imagwira ntchito mofanana ndi antihistamines koma, m'malo motseka histamine, imatulutsa mankhwala otchedwa leukotrienes.
Mankhwala a antitileukotriene omwe amavomerezedwa ku US ndi awa:
- Zolondola (zafirlukast)
- Singulair (montelukast)
- Zyflo CR (zileuton)
Antileukotrienes ingagwiritsidwe ntchito pochiza mphumu ndi zovuta koma sizothandiza kwambiri pakulera okha. Momwemo, iwo amalembedwa mophatikiza ndi mankhwala ena monga antihistamines kapena oral steroids .
Ngakhale kuti antitileukotrienes ikhoza kukhala yothandiza kuthetsa kusokonezeka, zimathandiza kwambiri pochepetsa zizindikiro za m'mimba. Zotsatirapo zingaphatikizepo kupweteka mutu, kupweteka m'mimba, kunyowa, kutsekula m'mimba, dzino la dzino, kutopa, kupweteka, kupweteka, chifuwa, ndi kupweteka pang'ono.
> Zotsatira:
> Scott, P. ndi Peters-Golden, M. "Antileukotriene Agents for Chithandizo cha Matenda Achimuna." Amer J Respir ndi Clin Care Med. 2013; 188 (5): 538-44. DOI: 10.1164 / rccm.201301-0023PP.
> Wheatley, L. ndi Togias, A. "Odwala Rhinitis." N Engl J Med. 2015; 372: 456-63. DOI: 10.1056 / NEJMcp1412282.