Ukuqhathanisa i-Nasal Antihistamine ne-Nasal Steroid Sprays
I-allergies yamanzi (i- rhinitis ye-allergen ) ingase ibe ngaphezu kwesisulu kubantu abanezifo ezigulayo. Zingathinta ikhono lomuntu lokusebenza nokunciphisa kakhulu izinga lokuphila. Nakuba imithi yomlomo inganciphisa eziningi zalezi zimpawu, zingase zidale imiphumela emibi engadingekile kusukela ekuguleni kuya ekuzuzeni isisindo.
Ngenxa yalokho, abantu abaningi baphendulela izimpumputhe zemisipha yokuphumula.
Lezi zidakamizwa zivela ngendlela ehlukahlukene ngezindlela ezihlukile zesenzo, kubandakanya:
- Ama-antihistamine angama-topical avimbela imiphumela ye- histamines , ikhemikhali ekhishwe umzimba ngokuphendula izinto ezibangelwa ukungezwani (izifo)
- I-steroid yama-nasal yomsindo eyanciphisa ukuvuvukala okubangelwa i -rhinitis ye-allergen ne- non-allergen (i-vasomotor rhinitis)
- I-anticholinergics yama-topical esebenza ngokumisa amavesi aso
- Ama-static anti-mast cell stabilizers angavimbela amangqamuzana omzimba omzimba (okuthiwa ama- mast cells ) ekukhululeni i-histamines egazini
Kulezi zigaba, iklasi elisha le-antihistamine linikeza indlela ehlukile yokwenza isenzo. Zihlanganisa ukuphalaza kwesikhumba Astelin (azelastine), i-Patanase (olopatadine).
Izinkomba nokusetshenziswa
UPatanase wavunyelwa ukwelashwa kwe-rhinitis e-allergen ngo-2008, kanti u-Astelin wathola imvume yakhe ye-FDA ngonyaka ka-2001 kokubili i-rhinitis ye-allergen ne-non-allergenic. Zombili zitholakala ngogunyaziwe futhi zivunyelwe ukusetshenziswa kubantu abadala kanye nezingane ezingaphezu kwayisihlanu.
Ama-sprays akufanele asetshenziswe ngokuhambisana nanoma imuphi omunye umuthi one-antihistamine, kuhlanganise nemithi eminingi yokushisa ebandayo kanye neyomzimba.
Indlela Abasebenza ngayo
Uma amaseli omzimba (njengama-mast cells noma ama- basophil ) ahlangana no-allergen, akhulula i-histamines egazini.
Lezi zinamlando zibopha amaprotheni kuwo wonke umzimba obizwa nge-H1 receptors futhi, ngokwenza kanjalo, kubangela ukubonakala kwezimpawu esizibheka njengezifo ezingezansi. U-Patanase no-Astelin bahlukaniswa njengabaphikisi be-H1 futhi bavimbela ngokuqinile lokhu okunamathiselwe. Ngokungafani ne-antihistamine yesizukulwane esidala njenge- Benadryl (diphenhydramine) ,
U-Patanase no-Astelin abayinqamuli ukuvinjelwa kwegazi. Ngenxa yalokhu, abanalo umphumela ofanayo wokubhukuda njengeminye yemithi yokwelashwa emdala. Ngaphezu kwalokho, njenge-spray yangasese, uPatanase no-Astelin bathinta kuphela amavesi omlomo kunokuba basakazwe kuwo wonke umzimba.
Izinzuzo
I-Nasal antihistamine sprays inikeza izinzuzo ezimbalwa ngaphezu kwamanye amafomu :.
- Ama-antihistamine ase-Nasal aqala ukusebenza ngaphakathi kwemizuzu engu-15, kuyilapho i-nasal steroids ingathatha amahora noma izinsuku ukuqala ukusebenza.
- Ama-antihistamine e-nasal anemiphumela emibi kakhulu kune- nasal steroids , engenakho ingozi enkulu ye-glaucoma noma i-cataracts.
- I-Astelin inikeza isenzo esibili, ivimbela okunamathiselwe kwe-H1 ngenkathi ivimbela amangqamuzana amancane ekukhululeni i-histamines.
- I-Astelin inikeza imiphumela elwa nokuvuvukala engase ikhulule izinkinga zokuphefumula.
Njengama-steroid yama-nasal, ama-anti-anti -istamine emiswini nawo avela ephumelelayo ekunciphiseni imilenze ye-iso .
Ngakho-ke, kuyilapho ama-antihistamine emisipha engase aphumelele njengama-steroids ekwelapheni izimpawu ezingapheli, ucwaningo lubonisa ukuthi ukuhlanganiswa kwalaba ababili kungase kuphumelele kakhulu kunokusebenzisa umuthi ngamunye.
Ukungalungi
Kuzo zonke izinzuzo zabo zesikhashana, kuneminye imiphumela emibi ehlotshaniswa noPatanase no-Astelin:
- I-Astelin nePatanase ingabangela ukucasuka komzimba, ubuhlungu, ngisho ne-nosebleeds. Lezi zivame ukuhambisana nokusetshenziswa kabi kwezipuni kodwa kungase kwenzeke ngezinye izikhathi ngaphakathi kwesilinganiso esinconywayo.
- U-Astelin noPatanase bangashiya ukunambitheka okubabayo emlonyeni. Lokhu ngezinye izikhathi kungagwenywa ngokuchofoza ngobumnene emakhaleni akho emva kokufiphaza ngakunye kunokuba uphefumule ngokujulile.
- I-Astelin iye yaziwa ngokubangela ukuzondeka noma ukulala kwesinye.
Ngenkathi ama-antihistamine ama-sprays asemanzini enhle ekuhlinzekeni ukukhululeka okusheshayo kwezibonakaliso zokungezwani komkhathi, azikwazi ukusebenza njenge-steroids yama-nasal for signs or persistence symptoms. Abuye asebenze kangcono ekunakekeleni i-rhinitis engelahleki.
> Imithombo:
> Berger, W. no E. Meltzer. "Imishanguzo ye-Intranasal Spray for the Maintenance Therapy of Counter Rhinitis." I-American Journal of Rhinology kanye Nokuzivocavoca . 2015. 29 (4): 273-82.