Kuchiza Nthendayi Ndi Mgwirizano Wosakaniza Steroids Plus LABA
Kodi Zotsakaniza Zili Ngati Advair, Symbicort, Dulera, ndi Breo?
Advair, Symbicort, Dulera, ndi Breo ndi mankhwala omwe amagwiritsa ntchito mankhwala omwe amaphatikizapo mankhwala awiri mu inhaler imodzi (mwachipatala: osakaniza steroids ndi agonist yayitali yaitali). Kafukufuku wambiri amasonyeza kuti phindu lophatikiza mankhwalawa likhoza kukhala limodzi mwa inhaler imodzi mosiyana ndi kuwafotokozera mosiyana.
Kuonjezera apo, kafukufuku wowerengeka adanena kuti mwina mungagwiritse ntchito mankhwala osakaniza ngati anu okhawo otha kulamulira ndi zizindikiro zovuta, koma muyenera kukambirana izi ndi dokotala wanu wa mphumu musanayese izi.
Ubwino wa Advair, Symbicort, Dulera, ndi Breo
- Zosangalatsa kwambiri
- Kuwonjezereka kutsata mankhwala
- Zosavuta mtengo
- Mlingo wochepa wa mankhwala osakanizidwa otchedwa steroid omwe angathe kuchepetsa zotsatira zake
Kuipa kwa Advair, Symbicort, Dulera, ndi Breo
- Zosasinthasintha pang'ono mu dosing
- Ngati mumagwiritsa ntchito mankhwala pofuna kuthetsa zizindikiro zovuta, mungalandire mlingo wapamwamba kwambiri wa steroid kuposa momwe mukulimbikitsira panopa.
Kodi Zotsakaniza Zili Ngati Advair, Symbicort, Dulera, ndi Breo Work?
Zamagulu monga Advair ndi Symbicort zili ndi mankhwala awiri omwe amagwira ntchito yochizira mphumu mosiyana:
- Shalaid yosakanikirana: Machitidwe pa mpweya wa m'mapapo kuti achepetse kutupa.
- LABA : Amapereka chiwonongeko mwa kutulutsa minofu yofewa m'mapapu ndikupanga maulendo apansi, motero zimachepetsa zizindikiro.
Zitsanzo
- Advair : Ili ndi Froticasone ya Steroid (Flovent) ndi LABA Salmeterol (Serevent)
- Symbicort : Ali ndi steroid, Budesonide (Pulmicort) ndi LABA Formoterol (Foradil)
- Dulera: Ili ndi Mometasone ya steroid ndi LABA Formoterol
- Breo: Ali ndi Fluticasone ya Steroid ndipo LABA Vilanterol
Zomwe Zingatheke Zamtundu Monga Advair, Symbicort, Dulera, ndi Breo
Mofanana ndi mankhwala ena ambiri, ochepa chabe odwala amakhala ndi zotsatirapo. Zotsatira zake zingakhale zofanana ndi za steroid yosakanizidwa komanso ma LABA. Onse osakaniza steroid ndi a LABA amakhala ndi chenjezo la "Black Box" la ma LABA ena ndipo zotsatira zowonjezereka za steroids zosavomerezeka ndizofanana.
Chenjezoli likuchokera pa deta kuchokera ku maphunziro ena oyambirira omwe akuyang'ana ma LABA omwe amamveka 13 imfa pakati pa 13,176 odwala omwe amathandizidwa ndi LABA kwa milungu makumi asanu ndi atatu (28) poyerekeza ndi imfa kwa odwala omwe amalandira malobo (sanalandire LABA) 3 pa 13,179. Ngakhale kuti chiwerengero ichi ndi chaching'ono ndipo pali nkhani zingapo ndi maphunziro omwe amatsogolera kuchenjezo, a FDA anaona kuti ndi ochenjera kwa odwala kuti adziwe.
Pomwe munthu amavutika ndi mphumu yowonjezereka yowonjezera LABA ikuwoneka kuti ndiyothandiza kwambiri kuposa kuwirikiza mlingo wa steroid yosakanizidwa ndipo ndi mankhwala omwe amawakonda pa chifukwa chimenecho. Monga tanenera kale, kuphatikiza kwawathandiza kuti odwala ena apeze mphamvu pazitsulo zochepa ndi kuchepetsa chiopsezo cha zotsatirapo chifukwa cha mlingo wa m'munsi. Zovomerezeka zamakono pa kuyambitsidwa kwa mankhwala zimapangitsa mlingo wamkatikati kutsekemera steroid kapena mlingo wochepa wa steroid kuphatikizapo LABA.
Kodi Kuthana Nthenda Yophulika Yophulika Iyenera Kugwiritsidwa Ntchito Monga Asthmatics Yomwe Inhaleramo?
Nthawi iliyonse mukamasowa mankhwala amodzi, mwinamwake pali mwayi wabwino kuti mutenge mankhwalawa molondola. Komabe, pali zifukwa zingapo zomwe zimachititsa kuti asthmatics izigwiritsa ntchito zambiri kuposa inhaler.
Komabe, kafukufuku wofalitsidwa ku Lancet amasonyeza kuti odwala omwe ali ndi mphumu yovuta kwambiri akhoza kukhala bwino ndi inhaler imodzi poyerekeza ndi olekanitsa osiyana kuti asungidwe ndi kupulumutsidwa. Mipingoyi imakhala yowonjezereka yowonjezereka monga chiopsezo chachikulu cha matenda a mphumu, kuchipatala, kapena kusowa kwachangu. Phunziro lachiwiri likuwoneka kuti likuchirikiza chithandizochi.
Chifukwa chakuti odwala ambiri a mphumu sawagwiritsa ntchito moyenera mankhwala awo a mphumu, izi zingakhale zosankha m'tsogolomu. Komabe, chithandizochi sichikuthandizidwa ndi US Asthma Guidelines kotero muyenera kuonetsetsa kuti mukambirane ndi wopereka mphumu wanu
Chidule
Zogwirizanitsa zingakhale zothandiza kwa odwala omwe sangakwanitse kupeza mphumu yawo pa steroid yosakanizidwa yokha. Inu ndi dokotala wanu muyenera kukambirana za ngozi zomwe zingakhalepo ndi phindu la mankhwala ophatikizana ndipo onetsetsani kuti mumudziwitse dokotala wanu za zizindikiro zonse za mphumu zomwe zikuipiraipira.
> Zotsatira:
Nelson HS. Thandizo la Mgwirizano wa Agonist Long-acting β agonist ndi Wowonongeka Corticosteroids mu Management of Chronic Asthma. Zochitika Zamakono Zamakono ndi Zolemba za Phumu 2005, 5: 123-129.
National Heart, Lung, ndi Blood Institute. Kupezeka: March 4, 2016. Lipoti la Panja la Akatswiri 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalira Nthenda ya Phumu