Ukwelapha Kokubili Isizathu Nezimpawu Zokungezwani Komzimba
Kunezigaba eziningi ezahlukene zezidakamizwa ezisetshenziselwa ukwelapha izimpawu zokungezwani komzimba . Okuvame kakhulu kuhlanganisa ama-antihistamines, ama-nasal steroid sprays, kanye nemithi ye-asthma njenge- Singulair (i-montelukast ).
Ngamunye wale mithi unendlela ehlukile yokusebenza. Amanye angase asetshenziselwe ukuphatha izimpawu ezibucayi kanti abanye bahlose ukuzuza ukusizwa okuhlala isikhathi eside. Ukuzikhethela kuxhomeke kakhulu ezinhlobonhlobo zezimpawu onakho kanye nokuqina kwazo.
I-Steroid Nasal Sprays
I-sprays ye-Nasal iyasebenza kakhulu ekunakekeleni izimpawu ze- rhinitis ye-allergen (hay fever). Lezi zidakamizwa ze- corticosteroid ziphumule futhi zivule amavesi omzimba ukuze ukwazi ukuphefumula lula.
Zibuye zisebenze ekunakekeleni i -rhinitis engeyona i-allergen futhi zingase zizuzise nabantu abanezifo zeso .
Ezinye ze-sprays ezivame kakhulu ezibekiwe zakwa-steroid zihlanganisa:
- I-Beconase AQ (beclomethasone)
- I-Flonase (i-fluticasone)
- I-Nasacort AQ (triamcinolone)
- I-Nasarel (flunisolide)
- I-Nasonex (i-mometasone)
- I-Rhinocort i-Aqua (i-budesonide)
Ama-sprays asemhlophe asebenza kahle, angaphatheli ukungezwani komzimba kodwa kunalokho anciphisa izimpawu zomzimba. Abantu abane-rhinitis ye-allergen bavame ukuthola impendulo engcono uma basebenzisa i-spray nsuku zonke. Ngaphezu kwalokho, kuzodingeka basebenzise i-spray cishe amasonto amabili ngaphambi kokuba bafinyelele umphumela ogcwele.
Imiphumela emibi ingase ihlanganise ikhanda, umkhuhlane, ukukhwehlela, ukoma komzimba, isicanucanu, nobuhlungu bomzimba noma ubuhlungu.
Lezi ezinye zezinto ozodinga ukuzicabangela ngaphambi kokuqala ukwelashwa. Uma ungewona uhlobo olungabambelela ekwelashweni nsuku zonke, kungase kudingeke uhlole ezinye izinketho ezifana nama-antihistamine.
I-Oral Antihistamines
Ama- antihistamine omlomo yindlela ephumelelayo yokwelapha zonke izinhlobo zokunciphisa ukunciphisa umzimba.
Kunokuba nje ukwelapha izimpawu, leli klasi lezidakamizwa zokucindezela i- histamine , ikhemikhali elikhiqizwa yisifo sokuzivikela emzimbeni esibangela izimpawu zokungezwani. Izidakamizwa ezidala ezinjengeBenadryl (diphenhydramine) zisetshenziselwa kancane kakhulu namuhla ngenxa yomphumela wokuguqula.
Izidakamizwa eziseduze kakhulu zigwema lokhu futhi zihlanganisa:
- I-Allegra (i-fexofenadine)
- UClaritin no-Alavert (i-loratadine)
- I-Clarinex (desloratadine)
- I-Zyrtec (cetirizine)
Ama-antihistamine asebenza ngokushesha, ngokuvamile ngaphakathi kwehora noma ngaphezulu, futhi angasetshenziswa ngesisekelo esidingekayo. Imiphumela emibi ingabandakanya umlomo owomile, ukulala, isizungu, ukungabi nokuzithoba (ikakhulukazi ezinganeni), ubunzima bokuchama, umbono obonakele, ukuhlukumeza, ukuhlanza nokudideka. Izimpawu zivame ukuba mnene futhi zixazululwe ngaphakathi kwehora noma ezimbili.
Uma ujwayele ukubhekana nezinkinga zokuphefumula ngesikhathi sokuhlasela kwezilwane, ungase udinge imithi eyenzelwe ukuphumula ukuphefumula.
Antileukotrienes
I-Antileukotrienes yindlela yokwelapha ngomlomo nge- asthma osebenza ngokufanayo nama-antihistamines kodwa, kunokuvimbela i-histamine, ivimba ama-inflammatory compounds abizwa ngokuthi ama-leukotrienes.
Izidakamizwa ze-antileukotriene okwamanje ezivunyelwe e-US ziyi:
- I-Accolate (zafirlukast)
- I-Singulair (i-montelukast)
- I-Zyflo CR (zileuton)
I-Antileukotrienes ingasetshenziselwa ukwelapha kokubili i-asthma ne-allergies kodwa ayinhle kakhulu ekuphatheni eyedwa. Njengalokhu, ngokuvamile bajwayele ukuhlanganiswa nezinye izidakamizwa ezifana nama-antihistamine noma i- oral steroids .
Nakuba i-antileukotrienes ingase iphumelele ekunciphiseni ukuxubana, ayinakusiza kakhulu ekunciphiseni izimpawu zomzimba. Imiphumela emibi ingabandakanya izinwele zekhanda, ubuhlungu besisu, isicanucanu, isifo sohudo, amazinyo, ukukhathala, umphimbo, ubuhlungu, ukukhwehlela nokukhwabanisa okuncane.
> Imithombo:
> Scott, P. noPeters-Golden, M. "Ama-Antileukotriene Agents for the Treatment of Lung Disease." I-Amer J Respir kanye ne-Clin Care Med. 2013; 188 (5): 538-44. I-DOI: 10.1164 / rccm.201301-0023PP.
> Wheatley, L. noTogias, A. "I-allergenic Rhinitis." N Engl J Med. 2015; 372: 456-63. I-DOI: 10.1056 / NEJMcp1412282.