Zimakhala zachilendo kwa anthu omwe ali ndi ming'oma ( urticaria ) kapena hay fever (yotchedwa allerergic rhinitis ) kuti adzifunse kuti antihistamine ayenera kutenga chiyani: Claritin (loratadine), Zyrtec (cetirizine), kapena Allegra (fexofenadine)?
Ma antihistamine onsewa akhalapo pa-a-counter popanda mankhwala kwa zaka zingapo. Koma, ngati mukuganiza antihistamines awa ali ofanana, iwo kwenikweni sali.
Malinga ndi vuto lachilendo, mankhwala a msinkhu wa munthu, komanso mavuto ena (monga kutenga mimba), kusankha bwino kwa antihistamine kungakhale kosiyana.
Momwe Antihistamines Amagwira Ntchito
Mukakhala kuti muli ndi mankhwala omwe mumakhala nawo (monga pet dander, fumbi mite, ragweed, kapena mtedza), thupi lanu limapanga mbiri ya histamine , yomwe imakhala ndi mankhwala omwe amamasulidwa ndi maselo a chitetezo cha mthupi kuti adziwitse ena onse chitetezo cha mthupi kupita kudziko lina.
Zolemba zakale zimayambitsa zizindikiro zowononga zowononga, zowopsya ndi mphuno yothamanga, madzi ndi maso okongola, ndi khosi lopweteka limene mumayanjana nalo ndi zovuta zomwe mumamva. Antihistamines amachepetsa chiwerengero cha histamines chikuyenda m'dongosolo lanu, motero kuchepetsa zizindikiro.
Kuyerekeza kwa Claritin, Zyrtec, ndi Allegra
Claritin, Zyrtec, ndi Allegra onse amaonedwa ngati antihistamines m'badwo watsopano.
Antihistamines yoyamba monga Benadryl (diphenhydramine) ndi Atarax ( hydroxyzine ) ingakhale yothandizira kudwala ndi ming'oma, komanso ntchito yawo ndi yoperewera chifukwa cha zotsatirapo monga kutopa ndi kugona (kugona).
Tsono pamene Claritin, Zyrtec, ndi Allegra ndizo zatsopano za antihistamines zomwe zingabweretse chimfine kapena ming'oma, pangakhale phindu lina lililonse pa izi.
Mimba ndi Kuyamwitsa
Claritin ndi Zyrtec ali ndi mimba yokhala ndi mimba "B," kutanthauza kuti iwo amafunidwa pa nthawi yomwe ali ndi pakati pa Allegra. Komabe, Allegra amaonedwa kuti ndi abwino kwa amayi oyamwitsa poyerekeza ndi Zyrtec ndi Claritin.
Zotsatira Zotsatira
Ma antihistamine onse atatu angathe kuwononga zotsatira monga:
- Masomphenya obisika
- Kusokonezeka
- Mlomo wouma
- Kugona
- Chizungulire
- Nsowa ndi kusanza
- Kusintha kwa thupi kumasintha (makamaka kwa ana ena)
- Kuvuta kukodza
Izi zikuti, maonekedwe a mbaliyo amasiyana pang'ono pakati pawo. Mwachitsanzo, Allegra sichitha kukhala pansi (sikuti anthu amagona), pamene Claritin ali ndi minimally sedating (amapangitsa anthu ochepa chabe ogona). Zyrtec, kumbali ina, imayambitsa sedation pafupifupi pafupifupi mmodzi mwa anthu asanu ndi mmodzi amene amamwa mankhwala.
Kusankha
Pamene mukuyenera kufunsa dokotala wanu za njira yabwino kwambiri yothandizira mankhwala aliwonse, pali malingaliro ovomerezeka ambiri ovomerezeka a antihistamines atatuwa. Choyamba ndi choyambirira, aliyense amagwira ntchito bwino pamene amatengedwa tsiku ndi tsiku osati mozungulira.
Ma antihistamines onsewa amawonetsedwa kwa anthu akuluakulu ndi ana a zaka ziwiri kapena kuposerapo, ndipo Zyrtec ndi Claritin amatsitsidwa kamodzi pa tsiku kwa mibadwo yonse. Allegra imapangidwa kawiri pa tsiku kwa ana a zaka zapakati pa 2 mpaka 11, ndipo kamodzi patsiku kwa akuluakulu ndi ana a zaka khumi ndi ziwiri kapena kuposerapo.
Pomaliza, popeza Allegra ikhoza kugwiritsidwa ntchito kwa ana ngati ali ndi miyezi isanu ndi umodzi, nthawi zina ndizofunikira kwa ana ang'onoang'ono.
Zinthu Zina
Kuwonjezera pa kuchepetsa vutoli, pali kusiyana kochepa momwe mankhwalawa amagwirira ntchito mofulumira kapena bwino. Mwachitsanzo, pamene Claritin amatha kuchiza nkhuku ndi ming'oma, antihistamines ena, monga Zyrtec ndi Allegra amagwira ntchito bwino, mofulumira komanso nthawi yaitali. Mwachitsanzo, Zyrtec ndi Allegra zimagwira ntchito mwamsanga kuti azitha kulandira rhinitis ndi ming'oma, makamaka mkati mwa ola limodzi.
Komabe, kafukufuku amasonyeza kuti Claritin amatenga maola ambiri kuti ayambe kugwira ntchito.
Zowonjezerapo, kafukufuku amasonyeza kuti Allegra ndi yabwino kwambiri ngati Zyrtec pochiza msipu, ngakhale kuti Zyrtec ndi chiwombankhanga chake Xyzal (levocetirizine) amawoneka kuti ndi mankhwala abwino ochizira ming'oma .
Palinso maonekedwe osadabwitsa omwe amapezeka ndi antihistamines iliyonse. Mwachitsanzo, ngati mukugwiritsa ntchito Allegra, ndi bwino kupewa kumwa madzi a madzi kwa maola awiri kapena awiri musanayambe kumwa mankhwalawa ndi maola awiri kapena awiri. Madzi monga madzi a lalanje kapena madzi a mphesa amachepetsa kuchepa kwa Allegra pafupifupi theka.
Kuyankhula ndi Dokotala Wanu
Chisankho chabwino kwambiri cha antihistamine kwa munthu mmodzi aliyense chimachokera pa kuchuluka kwa kupuma kwa chizindikiro chomwe mukufuna komanso kuchuluka kwa zotsatira zomwe mumalola.
Malinga ndi zizindikiro zowononga zochepa, Allegra akhoza kukhala mankhwala osokoneza bongo monga Zyrtec popeza mankhwala enawa akugwedezeka kwambiri. Komabe, chifukwa cha zizindikiro zovuta zomwe zikusowa ntchito, sukulu, kapena kusewera, mankhwala monga Zyrtec angafunike.
Kuwonjezera pamenepo, ndi kofunikira kuzindikira kuti munthu aliyense ndi wosiyana. Izi zikutanthauza kuti ngakhale maphunziro omwe akunena, pali anthu ambiri omwe alibe kutopa pa Zyrtec kapena Xyzal. Mofananamo, palinso anthu omwe amamva kutopa pa Allegra.
Komanso, nthawi zina zimayesayesa kuyesa mankhwala osiyanasiyana kuti mudziwe zomwe zimakupindulitsani nokha. Ngati mutayesa izi, kambiranani ndi dokotala poyamba. Zingakhale zothandiza kwambiri kuti musunge magazini kuti mupeze chiyeso chomwe mankhwala amagwira bwino kwambiri. Mwachitsanzo, mukhoza kulemba zizindikiro zanu zowopsya, ndikuziika pa 1 mpaka 10 malingana ndi momwe amachitira ndi mankhwala osiyanasiyana.
Pomalizira, kwa iwo amene amafunikira mankhwala, ndibwino kuti alankhule ndi wotsutsa zokhudzana ndi kuthekera koyezetsa magazi ndi kuyerekezera kwa mankhwala . Ngakhale zizindikiro zowonongeka zimafuna zambiri zotsatila (ndi zina zambiri) nthawi zina zimachiza zowawa (kapena kuchepetsa kwambiri zizindikiro zawo), kotero kuti mankhwala sakufunikanso. Kuonjezera apo, akuganiza kuti zovuta zowonjezera nthawi zina zingathandize kupewa chitukuko chatsopano.
Mawu Ochokera
Pamapeto pake, Claritin, Zyrtec, ndi Allegra ndizo zabwino zotsutsana ndi antihistamine ndipo kawirikawiri amalekerera. Koma pali kusiyana pakati pawo, monga momwe tafotokozera pamwambapa, zomwe zingapangitse umodzi wa antihistamines kukhala wabwino kuposa ena malinga ndi zosowa za umunthu.
> Zotsatira:
> Gonzalez-Estrada, A., ndi S. Geraci. Mankhwala ozunguza Pakati pa Mimba. The American Journal of Medical Sciences . 2016. 352 (3): 326-31.
> Sharma, M., Bennett, C., Cohen, S., ndi B. Carter. H-1 Antihistamines kwa Urticaria Yosasinthasintha. Cochrane Database ya Zowonongeka Mogwirizana . 2014. (11): CD006137.