I-Singulair iyimithi ejwayelekile ye-asthma engase isetshenziselwe imithi
I-Singulair (i-montelukast) imithi yokwelashwa yodwa kanye nansuku zonke eyayisungulwe ukuze ilaphe isifo se-asthma . Kusukela ngaleso sikhathi, kuye kwafunyanwa ukuthi i-Singulair nayo iyindlela yokwelapha ephumelelayo ye- rhinitis ye-allergen (eyaziwa nangokuthi i-hay fever).
Ake sihlolisise i-Singulair, kufaka phakathi izinkomba zayo nemiphumela emibi, nokuthi indlela yayo yesenzo ihlukile kanjani kumithi yendabuko ye-rhinitis ye-allergen.
I-Skinny kuma-Singulair's Indications
I-Singulair iboniswa ukuphathwa kokwelapha nokuvimbela isifuba somoya kanye nokukhululeka kwezibonakaliso ze-rhinitis yokuhlushwa, kokubili ngezikhathi zonyaka kanye nokuphela kwesikhathi.
Ukuze wenze isipele kancane, khumbula, i- rhinitis ye-allergen yenkathi ngokuvamile ibangelwa impova ezivela emithini, utshani nokhula. Ngamanye amazwi, umuntu one-rhinitis ye-allergen yenkathi izokwakhiwa izimpawu ngokubikezela njalo ngonyaka entwasahlobo nasehlobo lapho amazinga e-pollen ephakeme.
Ngakolunye uhlangothi, i-rhinitis ye-allergen isetshenziswa njalo ngonyaka futhi ivame ukubangelwa izifo ezisendlini ezifana nezibungu, uthuli, izinhlamvu zezibunji noma i-dander yezilwane.
Ngokuthakazelisayo, i-Singulair ingasetshenziswa futhi ukuvimbela i -asthma esetshenziselwa ukuvivinya umzimba .
Okokugcina, i-Singulair ngezinye izikhathi isetshenzisiwe ngaphandle kwelebula (okusho ukuthi ayivunyelwe yi-Food and Drug Administration, noma i-FDA) ye- urticaria engapheli (imifuba) noma i- urticaria engenayo izidakamizwa ezingekho ukuvuvukala.
Imiphumela Yecala le-Singulair
Ngokuvamile, i-Singular ibhekwa njengomuthi ophephile, nakuba imiphumela emibi ingenzeka.
Eminye yemiphumela emibi evamile ebikiwe ihlanganisa:
- Ukukhwabanisa isikhumba
- Imodi iyashintsha
- Insizwa noma isizungu
- Ubuhlungu besisu, ukuthukuthela kwenhliziyo, ukunxanxathela, noma ukuguquka kokuhamba kwamathumbu
- Amazinyo noma ukutheleleka
- Ubuhlungu bendlebe noma ukutheleleka
- Ubuthakathaka bemisipha
- I-conjunctivitis ("iso elingu-pink")
- Ukukhathala
- Izimpawu ezifana ne-flu
Uma uthatha i-Singulair futhi uhlangabezana nanoma yiziphi izimpawu ezikukhathazayo, khuluma nodokotela wakho noma u-allerergist. Unganqikazi ukufuna ukunakekelwa okusheshayo nganoma yimiphi imiphumela emibi kakhulu, efana nomphetho wokuvala noma ukuphefumula ubunzima.
I-Treatment of Allergic Rhinitis With Singulair
Izimpawu ze-rhinitis ehlushwa zihlanganisa ukukhipha, ukuphuza impumu, nokuxubana komzimba. Abanye abantu nabo banamahloni, impumu, umphimbo, indlebe yangaphakathi, kanye nokukhathala nokukhwehlela.
Ngaphandle kwalezi zimpawu ezibalulekile zomzimba, i-rhinitis ye-allergen ingathinta ezinye izilinganiso zokuphila komuntu. Ngokwesibonelo, ucwaningo lubonisa ukuthi i-rhinitis ye-allergen ithinta kabi ukulala, ikhwalithi yokuphila, umsebenzi wokuqaphela, nokukhiqiza esikoleni noma emsebenzini.
Yingakho ukugwema i-allergen kanye nemithi kuyisihluthulelo sokulawula i-rhinitis ye-allergen. Ngokusebenzisa imithi, ukusetshenziswa kukadokotela isinyathelo-step, okusho ukuthi izimpawu ziba nzima kakhulu, udokotela uzokunikeza imithi ehlukile.
Isibonelo, izimpawu ezinomzimba we-rhinitis yokugula, udokotela angase ancoma i-antihistamine. Uma izimpawu ziqhubeka futhi / noma zithinta izinga lomuntu lomuntu, udokotela angase "asuse" ukwelashwa kwawo futhi ancoma i- corticosteroid ye-intranasal .
Ukuze uthole izimpawu ezinzima, eziphikelela, udokotela angase abonise kokubili antihistamine kanye corticosteroid intranasal.
Indlela yokusebenza ye-Singulair
Ngokungafani neminye imithi esetshenziselwa ukwelapha i-rhinitis ye-allergen (isibonelo, uClaritin noma i-Allegra), i-Singulair ayiyona i-antihistamine. Khumbula, i-antihistamine imithi eyanciphisa ukukhiqizwa komzimba wakho we-histamine, ukuzivikela kokuqala komzimba wakho ngokumelene nezilonda.
Kunalokho, i-Singulair ivimbela omunye umlamuleli wokuvuvukala, okuthiwa i-leukotrienes.
Ngombono wami, i-Singulair, ngokwayo, akuyona ukwelashwa okukhulu kwe- allergenic rhinitis ne-asthma, nakuba ingabaphatha izifo zombili ngezinga elithile.
Lo mbono uhambisana neziqondiso ze-American Academy of Otolaryngology-iqembu elisebenzayo elincoma odokotela abangaqapheli i-Singulair njengendlela yokwelashwa kokuqala yokuphatha i-rhinitis ye-allergen ngaphandle kokuba lowo muntu une-asthma.
Lokho kusho ukuthi abanye abantu basabela kahle ku-Singulair, futhi kungenzeka ukuthi yiwo kuphela imithi edingekayo yokwelapha isifo sofuba noma i-asthma.
Amanye ama-Plus and Minuses kuya ku-Singulair
Ngomkhuba wami, ngitholile ukuthi i-Singulair ayisebenzi kanye namanye ama-antihistamine uma kuziwa ekuphatheni amehlo anamehlo , impumu enomlomo, ukuthunga kanye nekhala eligijima . Ngaphezu kwalokho, ngokungafani nama-antihistamine, i-Singulair ayikwazi ukuthathwa njengokudingekayo, futhi ngokuvamile idinga izinsuku ezintathu kuya kweziyisikhombisa ukuqala ukusebenza.
Lokho i-Singulair kubonakala sengathi ihamba kahle kakhulu ekuphatheni ukucinana komzimba . Ngaphezu kwalokho, ucwaningo oluthile luye lwabonisa ukuthi inhlanganisela ye-Singulair kanye ne-antihistamine cishe iphumelela njengama- sprays we- nasal ukuze aphulukise i-rhinitis ye-allergen.
Izwi elivela
Uma une-allergies, kubalulekile ukukhumbula ukuthi i-Singulair akuyona inketho yakho kuphela. Njengoba kushiwo ngaphambili, ungase uthathe i-antihistamine.
Okunye okukhethwa kukho imithi kubandakanya ukuphalaza kwe-steroid nasal, ukuphambanisa okungaphezulu kwe-counter-the-counter, ama-decongestants omlomo, ama-antihistamine anama-decongestant amaningi, nama-anticholinergic ne-antihistamine imisipha.
Qinisekisa ukuthi ukhuluma nodokotela wakho wokunakekela oyinhloko noma u-allergen mayelana nesiphakamiso sakho sokwelashwa uma izimpawu zakho zingaphumeleli futhi / noma zithinta izinga lakho lokuphila. Kunezinhlobo zokwelashwa eziningana eziseduze, ngakho-ke qiniseka ukuthi ungase uzizwe ungcono, kodwa kungase kube inqubo yesilingo nesiphambeko.
> Imithombo:
> deShazo RD, Kemp SF. I-rhinitis ye-allergen: Ukubonakaliswa kwemitholampilo, i-epidemiology, nokuxilongwa. U-Corren J, u-ed. UpToDate, Waltham, MA: UpToDate Inc.
> Meltzer EO et al. Ukulala, ikhwalithi yokuphila, nomphumela wokukhiqiza wezimpawu zangasese e-United States: okutholwe yi-Burden of Rhinitis eMelika. Isifo sofuzo Isimiso se-Ps. 2009 Meyi-Jun; 30 (3): 244-54.
> Seidman et al. Umhlahlandlela womkhuba wokwelapha: I-rhinitis ye-allergen. Otolaryngol Head Neck Surg . 2015 Feb; 152 (1 > Suppl): S1-43
Sur DKC, Plesa ML. Ukwelashwa kwe-rhinitis ye-allergen. Am Fam Physician . 2015 Dec 1; 92 (11): 985-92.
> Wallace DV, Dykewicz MS, abahleli. Ukuxilongwa Nokuphathwa Kwe-Rhinitis: I-Parameter Yokusebenza Yokubuyekeza. J Allergy Clin Immunol. > 2008; 122: S1-84.