Kuvamile kubantu abane-hives (ebizwa ngokuthi i- urticaria ) noma i-hay fever (ebizwa ngokuthi i- allergenic rhinitis ) ukuba bazibuze ukuthi iyiphi i- antihistamine engaphezu kwe-counter okufanele ayithathe: I-Claritin (loratadine), iZyrtec (cetirizine), noma i-Allegra (fexofenadine)?
Zonke lezi antihistamine zitholakale ngaphezu kwe-counter ngaphandle kwemithi iminyaka eminingi. Kodwa, uma ucabanga ukuthi lezi antihistamine zifana, empeleni azikho.
Kuye ngesimo sofuzo esiphathwayo, ubudala bomuntu, kanye nezinye izinkinga ezisemqoka (njengokukhulelwa), ukhetho olungcono lwe-antihistamine lungase luhluke.
Ama-antihistamine asebenza kanjani
Uma usuke uvezwe yinto oyilungeleyo (njenge-pet dander, uthuli, ama-ragweed, noma amantongomane), umzimba wakho ukhiqiza i- histamine , okuyisithunywa sekhemikhali esakhululwa ngamaseli esivivinya somzimba sokuzivikela ukuze uqaphele ezinye isimiso somzimba sokuvikela omzimba kummangali wangaphandle.
Imilando ibangela izimpawu ezijwayelekile zokungezwani komzimba zokukhipha, ukuphuza, nokuphuza impumu, amehlo enamanzi namakhaza, kanye nomphimbo ohlosileyo ohlangana nawo ngokuchayeka kunoma yiziphi izilonda ozizwayo. Ama-antihistamines anciphisa inani le-histamines elijikelezayo ohlelweni lwakho, ngaleyo ndlela unciphise izimpawu.
Ukuqhathaniswa kukaClaritin, iZyrtec, no-Allegra
UClaritin, u-Zyrtec, no-Allegra babhekwa njengama-antihistamine asanda kuzalwa.
Ama-antihistamine wesizukulwane sokuqala afana ne-Benadryl (diphenhydramine) ne-Atarax (i- hydroxyzine ) ingaba usizo emithonjeni nemifantu, kodwa ukusetshenziswa kwabo kunciphise ngenxa yemiphumela emibi njengokukhathala nokudangala (ukulala).
Ngakho-ke ngenkathi uClaritin, iZyrtec, ne-Allegra yizo zonke izizukulwane ezishaya i-antihistamines ezingaphatha isifo somkhuhlane noma imifantu, kungase kube nezinzuzo ezithile kulowo nalowo kulaba abanye.
Ukukhulelwa nokubeletha
UClaritin noZyrtec bayisigaba sokukhulelwa "B," okusho ukuthi bayathanda ngesikhathi sokukhulelwa phezu kwe-Allegra. Kodwa-ke, i-Allegra ibhekwa njengendlela ephephile kubomama okuncelisa ukondla uma kuqhathaniswa noZyrtec noClaritin.
Okuqhamuka uma udla imishanguzo
Wonke ama-antihistamine amathathu angabangela imiphumela emibi njengale:
- Umbono ophundlekile
- Ukudideka
- Umlomo omile
- Ukulala
- Isizungu
- I-nausea nokuhlanza
- Imodi iyashintsha (iningi lilinganiselwe kwezinye izingane)
- Kunzima ukuchama
Lokho kusho ukuthi iphrofayili yempembelelo yecala ingahluka kancane phakathi kwabo. Isibonelo, i-Allegra ayinakulinganiswa ngokuphelele (ayenzi abantu balele), kuyilapho uClaritin ehlezi kancane (yenza inani elincane labantu abalele). Ngakolunye uhlangothi, i-Zyrtec, ibangela ukuguguzwa cishe cishe kubantu abayisithupha abayithatha imithi.
Ukuzikhohlisa
Ngenkathi kufanele uxhumane nodokotela wakho mayelana nendlela engcono kakhulu yokuthatha noma yimiphi imithi, kunezincomo eziningi zokuvuma ukulandelwa kwazo zonke ezintathu zalezi antihistamines. Okokuqala futhi okuphambili, ngayinye isebenza kangcono uma kuthathwa nsuku zonke kunokuba ilandelane.
Zonke lezi antihistamine zikhonjisiwe kubantu abadala kanye nezingane ezineminyaka emibili nangaphezulu, kanti uZyrtec noClaritin bahlelwa kanye ngosuku ngeminyaka yonke. I-Allegra idayiswa kabili ngosuku kubantwana abaneminyaka engu-2 kuya ku-11, kanye kanye ngosuku kubantu abadala nabantwana abaneminyaka engu-12 nangaphezulu.
Okokugcina, njengoba i-Allegra ingasetshenziswa ezinganeni ezincane ezinyangeni eziyisithupha ubudala, ngezinye izikhathi kungcono ukukhetha izingane ezincane.
Ezinye Izinto
Ngaphandle kokulandelana, kunemibono emincane yokuthi izidakamizwa zisebenza kanjani ngokushesha noma zihamba kahle. Isibonelo, ngenkathi uClaritin ephumelela ekwelapheni umkhuhlane we-hay nemifantu, amanye ama-antihistamine, afana ne- Zyrtec ne-Allegra asebenza kangcono, masinyane, futhi ahlala isikhathi eside. Isibonelo, i-Zyrtec ne-Allegra basebenze masinyane ekwelapheni i-rhinitis ye-allergen nemifantu, ngokuvamile engaphansi kwehora.
Ngakolunye uhlangothi, izifundo zibonisa ukuthi uClaritin uthatha amahora amaningi ukuze aqale ukusebenza.
Ngaphezulu kwalokho, ucwaningo lubonisa ukuthi i-Allegra ihle kakhulu njengeZyrtec ekwelapheni i-hayfever, nakuba i-Zyrtec nomsunguli wayo Xyzal (levocetirizine) ibonakala imilenze engcono yokwelashwa kwemihlathi .
Kukhona nokunye okungaqondakali okushiwo yi-antihistamine ngayinye. Isibonelo, uma uthatha i-Allegra, kubalulekile ukugwema ukuphuza ijusi yezithelo isikhathi esingamahora amabili ngaphambi kokuba uthathe imithi kanye namahora amabili emva kwalokho. Amajamu afana nejusi le-orange noma ijusi lamagilebhisi anganciphisa ukungena kwe-Allegra cishe cishe isigamu.
Ukukhuluma Nodokotela Wakho
Okukhethwa yi-antihistamine engcono kakhulu kunoma yimuphi umuntu oyedwa kuncike ekungenikeni kwesifo sokudinga okufunayo kanye nezinga lemiphumela emibi ozimisele ukuyibekezelela.
Ukuze uthole izimpawu ezibangelwa ukungezwani, u-Allegra angase akhethe izidakamizwa ezinjengeZyrtec njengoba leminye imithi idlula kakhulu. Kodwa ngenxa yezibonakaliso ezinzima eziphazamisa umsebenzi, isikole, noma ukudlala, imithi efana neZyrtec ingadingeka.
Ngaphezu kwalokho, kubalulekile ukuqaphela ukuthi wonke umuntu uhlukile. Lokhu kusho ukuthi naphezu kwalokho okushiwo ucwaningo, kunabantu abaningi abangaboni ukukhathala kuZyrtec noma ku-Xyzal. Ngokufanayo, kunabantu ababhekana nokukhathala ku-Allegra.
Ngaphezu kwalokho, ngezinye izikhathi kuyasiza ukuzama imithi ehlukile ukuze ubone ukuthi yini ehamba kahle kuwe. Uma uzama lokhu, noma kunjalo, khuluma nodokotela wakho kuqala. Kungaba usizo kakhulu ukugcina iphephandaba ukuthola isilinganiso somgomo wukuthi iyiphi imithi esebenza kahle kakhulu. Ngokwesibonelo, ungabhala phansi izimpawu zakho ezidabukisayo, futhi uzibeke ohlwini kusuka ku-1 ukuya ku-10 ngokusekelwe kahle ukuthi zilawulwa kanjani ngemithi ehlukile.
Okokugcina, kulabo abadinga imishanguzo, kungumqondo omuhle ukukhuluma nomuntu ongenayo imithi mayelana nokuhlolwa kokunciphisa ukungezwani komzimba kanye nokudonswa kwamagciwane . Ngesikhathi izidakamizwa zokudonswa kwamagciwane zidinga ukulandelwa okuningi (nokunye okuningi) ngezinye izikhathi bangaphulukisa imithi (noma okungenani banciphise izimpawu zabo), ukuze imithi ingasadingeki. Ngaphezu kwalokho, kucatshangwa ukuthi ukungezwani komzimba kungasiza ekuvimbeleni ukuthuthukiswa kwezifo ezintsha.
Izwi elivela
Ekugcineni, uClaritin, iZyrtec, ne-Allegra yizo zonke izinketho ezinhle zokulwa ne-antihistamine futhi ngokuvamile zibekezelela. Kodwa kukhona ukungafani phakathi kwabo, njengoba kuchazwe ngenhla, okungenza elinye lama-antihistamine libe ngcono kunezinye kuye kuye ngezidingo zomuntu nezici.
> Imithombo:
> Gonzalez-Estrada, A., no-S. Geraci. Imishanguzo Yezokwelapha ngesikhathi sokukhulelwa. I-American Journal ye-Medical Sciences . 2016. 352 (3): 326-31.
> Sharma, M., uBennett, C., Cohen, S., noB. Carter. H-1 Antihistamines ye-Urticaria Engapheli Engajwayelekile. I-Cochrane Database Yezobuchwepheshe Ezihleliwe . 2014. (11): CD006137.