Nasacort Mafupa 24 Ora (triamcinolone) anali yoyamba yopanda intranasal corticosteroid yamphongo yamphongo yomwe imapezeka pa-----counter (OTC) popanda mankhwala. Ndi mankhwala omwewo monga malemba a mankhwala. Flonase ndi Rhinocort ndiye adakhalanso OTC. Kodi mukuyenera kugwiritsa ntchito mankhwalawa, kapena imodzi mwa OTC antihistamines, monga Zyrtec, Claritin kapena Allegra?
Yankho likudalira mtundu ndi kuuma kwa zizindikiro zanu.
Ma intranasal Corticosteroids Tengani Nthawi Yogwira Ntchito
The corranosteroids intranasal, Nasacort, Flonase, ndi Rhinocort, mwinamwake ndi mankhwala ogwira mtima kwambiri a OTC pofuna kuchiza zizindikiro za mthupi. Cholakwika kwa iwo ndi chakuti iwo sangagwire ntchito pafunikira. Ma intranasal corticosteroids amapeza nthawi yogwira ntchito-angayambe kupereka mpumulo ku zizindikiro za matendawa pambuyo pa maola asanu ndi limodzi kapena khumi, koma mpumulo wathunthu sungapezeke kwa masiku.
Antihistamines, monga Zyrtec (cetirizine), Allegra (fexofenadine) ndi Claritin (loratadine), amachitanso ntchito mofulumira, kawirikawiri amatha kumwa mankhwalawa mofulumira. Choncho, mankhwalawa amagwira ntchito bwino ngati athandizidwa.
Antihistamines amagwira bwino ntchito yothandizira mphuno zowopsya, maso otupa ndi kupopera-komanso zosavuta kuti zizindikiro za mphuno za minofu kapena mphuno.
Mwa mitundu itatu ya antihistamines yatsopano (ndi yosapitirira pansi), Zyrtec ndi Allegra ntchito makamaka makamaka pochiza matenda amtundu-ndipo kawirikawiri mkati mwa ola limodzi. Claritin, ngakhalenso, sagwira ntchito bwino ndipo amatenga pafupifupi maola atatu kuti agwire mokwanira. Antihistamines onse atatuwa ndi abwino kusankha chithandizo chamankhwala kasupe ndipo angalimbikitsidwe pa kutenga antihyistamine monga Benadryl.
Mitundu ina yokhala ndi mankhwala osokoneza bongo yomwe imapezeka ndi OTC imaphatikizapo ziphuphu zam'mimba (monga Afrin ) ndi NasalCrom (cromolyn).
Kutsutsana pa OTC Kupezeka kwa Intranasal Corticosteroids
Chinthu chinanso chofunika kuganizira ndi chakuti mabungwe ambiri azachipatala a aleji, a ana, ndi otolaryngologists anali oletsedwa ndi intranasal corticosteroids pokhala OTC. Poyamba ankatsutsa antihistamine Claritin kukhalapo popanda mankhwala.
Komabe, m'zaka za m'ma 1990, a FDA anadandaula kuti rhinitis ndi matenda omwe angazindikiridwe ndi kuchiritsidwa popanda katswiri wa zamankhwala. Izi zikutanthauza kuti a FDA amamva kuti ndibwino kuti anthu adziwonetsetse kuti ali ndi vutoli komanso amachiza matendawa. Malonda a intranasal corticosteroids sangakhale otetezeka ngati antihistamines, komabe, choncho ngozi ndi zopindulitsa ziyenera kuganiziridwa. Nazi mfundo zomwe akatswiri azachipatala amapanga pro and con.
Zotsatira
Madzi otsekemera a coralosteroid akhala akupezeka pamsika ndi mankhwala kwa zaka zoposa 30, ndi deta yambiri ya chitetezo chosonkhanitsidwa panthawi imeneyo. Zotsatira zoyipa zambiri zimaphatikizapo mkwiyo wa m'mimba wam'madzi ndi nosebleeds, zomwe nthawi zambiri zimakhala zofewa.
Zambiri zokhudzana ndi zotsatira zake ndizotheka kuti nsalu yamphongo ya septal perforation , ngakhale izi sizikupezeka. Anthu ambiri ayenera kutsatira malangizo a phukusi omwe angaphatikizepo zambiri zokhudza kuletsa kugwiritsa ntchito intranasal corticosteroids ngati nosebleeds kapena mkwiyo ukuchitika.
Kunja kwa zowonongeka, malo amtundu wa corticosteroids amachititsa kuti thupi liwonongeke. Kafukufuku wa intranasal corticosteroids kwazaka ziwiri sanasonyeze kukula kwakukulu kwa glaucoma kapena mapangidwe a cataract. Maphunziro ena sanathe kuwonetsa umboni uliwonse wa hypothalamic-pituitary-adrenal (HPA) , omwe amasonyeza kuti kuchuluka kwa steroid kumakhudza, kumakhudza thupi la cortisol.
Zakhala zikudetsa nkhaŵa zokhudzana ndi kukula kwa zowonongeka kwa ana ndi intranasal corticosteroids, ngakhale kuti zotsatirazi ndizochepa komanso zosagwirizana. Kuyeza kwa kukula kwa katswiri wa zaumoyo oyenerera akulimbikitsidwa kuti ana azigwiritsa ntchito corticosteroids kapena intraasal orhaled.
Palinso vuto la zachuma pa kupezeka kwa intranasal corticosteroids OTC. Inshuwaransi ya zamankhwala sungapangitse zinthu za OTC zomwe zinakumbidwa ngati zidalembedwa. Komabe, izi zingakhale zopindulitsa kwa anthu ena, monga mtengo wopita kuchipatala choposa kuposa cha mankhwala OTC. Anthu akhoza kuyesa mankhwala a OTC chifukwa cha zovuta zawo za rhinitis, mosiyana ndi kuyesa kupeza mankhwala. Izi zingachititse kuti zizindikiro ziziyenda bwino ndikukhala ndi moyo wabwino.
Wotsutsa
Mabungwe ambiri azachipatala amakhulupirira kuti kukhala ndi corranosteroids yamakono yotchedwa OTC ndizolakwika. Zifukwa izi zimagwirizana kwambiri ndi chitetezo, monga momwe maphunziro osiyanasiyana adasonyezera kuti mitundu ina ya zotsatira zingayambe. Izi zikuphatikizapo:
- Kafukufuku wina amasonyeza zotsatira pa kukula kwa ana, ngakhale kuti maphunziro ena alephera kusonyeza zotsatira zake. Akatswiri amakhulupirira kuti ana omwe amagwiritsira ntchito mankhwalawa ayenera kuyang'anitsitsa kwambiri.
- Kwa anthu omwe ali ndi mbiri ya banja la glaucoma, pali ngozi yowonjezereka yopanga glaucoma.
- Anthu okalamba amaoneka kuti ali ndi chiopsezo chowonjezereka chokhalira ndi matendawa kuchokera ku ntchito yayitali.
- Zikuwoneka kuti zimakhala ndi zotsatira zowonjezera mitsempha ya mfupa kuchokera ku ntchito yayitali, zomwe zingayambitse matenda otupa mafupa .
Otsutsana ndi corticosteroids OTC omwe sagwiritsa ntchito mankhwalawa amakhulupirira kuti ogula sakudziwa kuti mankhwalawa amafunika kuti azigwiritsidwa ntchito nthawi zonse kuti agwire ntchito. Mosiyana ndi mapulaneti otchuka a mphuno, omwe amabweretsa mpumulo mu mphindi zochepa, intranasal corticosteroids amatenga maola mpaka masiku kuti agwire ntchito. Choncho, anthu angagwiritse ntchito mlingo waukulu kwambiri kusiyana ndi kukonzedwa, zomwe zingachititse zotsatira zina.
Zotsatira zambiri zoyipa komanso kusamvetsetsana kwa momwe corticosteroids imathandizira kupewedwera mwakumwa mankhwalawa ndi mankhwala okhawo, omwe amalola kuti kafukufuku kawirikawiri ndi katswiri wa zaumoyo.
Mawu Ochokera
Kumvetsa kugwiritsa ntchito bwino mankhwala a OTC pochiza matenda a rhinitis kungakuthandizeni kupeŵa zotsatira zowopsa. Mukhonza kukambirana za chisankho chanu ndi dokotala, makamaka ngati mukuzigwiritsa ntchito kwa ana kapena akuluakulu.
> Zotsatira:
> Blaiss MS. Kuchokera Kulimbana ndi Intranasal Corticosteroids: Chifukwa Chake Nthawi Ilipo Tsopano. Ann Zozizira Nthenda Immunol . 2013; 111: 316-8.
> Friedlander SL, ndi al. Kuopsa kwa Zotsatira Zowononga, Kusokoneza Matenda, ndi Kusamalira Wodwala Woperewera ndi Kugwiritsa Ntchito Triamcinolone Yopambana. Ann Zozizira Nthenda Immunol . 2013; 111: 319-22.