I-Nasacort I-Hourry 24 I-Hour (i-triamcinolone) yayiyi- corticosteroid yokuqala ye- intranasal ye-nasal spray etholakalayo ngaphezu kwe-counter (i-OTC) ngaphandle kwemvume. Liyodwa imishanguzo njengenguqu yegciwane. I-Flonase kunye neRhincocort kwakhona yafumaneka i-OTC. Ngaba kufuneka usebenzise la mayeza, okanye enye ye-OTC antihistamines, njengeZyrtec, Claritin okanye i-Allegra?
Impendulo ixhomekeke kuluhlu kunye nobukhulu beempawu zakho.
I-intranasal Corticosteroids Thatha ixesha lokusebenza
I-corticosteroids ye-intranasal, i-Nasacort, i-Flonase, kunye ne-Rhinocort, mhlawumbi iyona miyeza enempumelelo kakhulu ye-OTC yokunyanga kweempawu zentsholongwane. I-downside kubo kukuba abayi kusebenza kwisiseko esifanelekileyo. I-corranosteroids ye-Intranasal ithatha ixesha lokusebenza-ingaqala ukunika imiphumo yezifo zokungabikho komzimba emva kweeyure ezintandathu ukuya kwi-10, kodwa ukukhulula okupheleleyo akufumaneki iintsuku.
I-Antihistamines, njenge-Zyrtec (cetirizine), i-Allegra (i-fexofenadine) kunye neClaritin (i-loratadine), ngakolunye uhlangothi, ithambekele ekusebenzeni ngokukhawuleza, ngokuqhelekileyo kwisithuba seeyure ezimbalwa (okanye ngaphantsi) kokuthatha amayeza. Ngoko ke, la mayeza asebenza kakuhle xa athatyathwa kwisiseko esifanelekileyo.
I-Antihistamines isebenza ngokusemgangathweni kunyango lweempumlo ezinobumba, amehlo anamehlo kunye nokukrazula-kwaye kungaphantsi kweempawu zokuxinwa kwamanzi okanye impumlo.
Kuzo zintathu iintlobo ze-antihistamines ezitsha (kunye ne-less-sedating) antihistamines, umsebenzi we-Zyrtec kunye ne-Allegra ngokukodwa ukunyanga kwe-nasal-and often within an hour. UClaritin, ngakolunye uhlangothi, alusebenzi kwaye uthatha malunga neeyure ezintathu ukuba asebenze ngokupheleleyo. Zonke ezi zintathu zala ma antihistamine zikhethiweyo ezilungileyo zokuphucula izifo zentsholongwane kwaye ziya kunconywa malunga nokuthatha i-antihistamine yokuhlala efana ne-Benadryl.
Olunye uhlobo oluthile oluxutywe ngamanzi olunezixhobo ezikhoyo olufumaneka kwi-OTC lubandakanya i-decongestants yama-nasal ( nasese-Afrin ) kunye ne-NasalCrom (cromolyn).
Ingxabano Ngaphezu kwe-OTC Ukufumaneka kwe-Intranasal Corticosteroids
Enye into ekufuneka iqwalaselwe kukuba imibutho eninzi yobungcali be-allergists, izazi zezilwanyana kunye ne-otolaryngologists zinxamnye ne-corticosteroids ye-intranasal eyenziwa i-OTC. Baye baphikisana no-antihistamine uClaritin ukuba abe khona ngaphandle kwemithi.
Nangona kunjalo, ngexesha lama-1990, i-FDA ibhala i -rhinitis ye-allergen njengesifo esingaqatshelwa kwaye siphathwe ngaphandle kwengcali yezempilo. Oku kuthetha ukuba i-FDA ivakalelwa kukuba ikhuselekile ukuba i-public self-diagnosis iphinde iphathe i-rhinitis ye-allergen isebenzisa iimveliso ze-OTC. I-corranosteroids ye-Intranasal ayinakukhuseleka njenge-antihistamines, nangona kunjalo, ngoko ke ingozi kunye nezibonelelo maziqwalaselwe. Nazi iziphakamiso ezenziwa ngabagqirha bezobugqirha.
Iinkonzo
I-nasal corticosteroid sprays sele ifumaneka kwiimarike ngemithi engaphezu kweminyaka engama-30, kunye nexabiso elikhulu lokhuseleko oluqokelelwa ngelo xesha. Iimiphumo eziqhelekileyo ezichaphazelekayo zibandakanya ukucaphukiswa komnxeba wendawo kunye neengxaki ze-nosebleeds, eziqhelekileyo zinyameko.
Into ebalulekileyo malunga nefuthe lesecaleni yinto enokwenzeka ngayo i- nasal septal perforation , nangona le nto inqabile. Uninzi lwabantu kufuneka lukwazi ukulandela imiyalelo yepakethi eya kubandakanya ulwazi malunga nokuyeka ukusebenzisa i-corticosteroids ye-intranasal ukuba i-nosebleeds okanye i-irritation ivele.
Ngaphandle kwemiphumo emibi yendawo, i-corranosteroids ye-intranasal ayikho nto ibangela iziphumo zomzimba wonke. Izifundo kwi-corticosteroids ye-intranasal ngaphezu kweminyaka engama-2 azibonanga ukwanda okwenziwe kwi-glaucoma okanye kwi-cataract. Ezinye izifundo zahluleka ukubonisa naluphi na ubungqina bokuxothwa kwe-hypothalamic-pituitary-adrenal (HPA) , ebonisa ukuba inani le-steroid lithathwe, elichaphazela ukubunjwa kwe-cortisol yomzimba.
Kukho iinkxalabo malunga nokunciphisa ukukhula kokukhula kubantwana nge-corticosteroids ye-intranasal, nangona le miphumo ibancinci kwaye ayihambisani. Ukulinganiswa kokukhula ngumqeqeshi ojongene nophando lwempilo kunconywa kubantwana abasebenzisa i-corranosteroids okanye i-intranasal.
Kukho ukhathalelo lwezoqoqosho ngokufumaneka kwe-corticosteroids ye-intranasal OTC. Inshshurensi yonyango ayinakugubungela iimveliso ze-OTC ezifakwe xa zichazwe. Nangona kunjalo, le nto inokuba yinzuzo kwabanye abantu, njengoko iindleko zokuya kuqeshwa ngugqirha zigqithise ngaphezu kweemveliso ze-OTC. Abantu banokuthi bazame umkhiqizo we-OTC ngenxa yeempawu zabo ze-rhinitis, ezichasene nokuya kumzamo wokufumana umyalelo. Oku kungakhokelela ekulawuleni okungcono iimpawu kunye nokuphucula umgangatho wobomi.
Umxhasi
Iinkampani ezininzi zezobugcisa zonyango zikholelwa ukuba i-corranosteroids ye-intranasal ikhona i-OTC yinto engalunganga. Izizathu zezi zinto zihambelana nokukhuseleko, njengoko uphando oluthile lubonise ukuba ezinye iintlobo zeziphumo ezibi zingenzeka. Ezi ziquka:
- Ezinye izifundo zibonisa impembelelo ekukhuleni okubonakalayo kubantwana, nangona ezinye iingcaphephe ziye zahluleka ukubonisa nayiphi na impembelelo ebalulekileyo. Iingcali zikholelwa ukuba abantwana abasebenzisa la mayeza kufuneka babe nokuhlolwa ngokukhawuleza.
- Kubantu abanembali yentsapho ye-glaucoma, kukho ingozi eyongeziweyo yokuphuhlisa i-glaucoma.
- Abantu abalupheleyo kubonakala bengoo mngcipheko okhulayo wokuphuhlisa i-cataract ukususela ekusebenziseni ixesha elide.
- Kubonakala kubakho umphumo kwi-bone mineral power ukususela ekusebenziseni ixesha elide, ezinokubangela ukuba i- osteoporosis .
Abachasene ne-OTC i-corticosteroids ye-intranasal bayakholelwa ukuba abathengi abayiyiqonda ukuba le myeza kufuneka isetyenziswe rhoqo ukuba isebenze. Ngokungafani nama-decongestants angama-postical, azisa ukukhululeka kumcimbi wemizuzu, i-corranosteroids engena-intranasal ithatha iiyure ukuya kwiintsuku ukusebenza. Ngenxa yoko, abantu bangasebenzisa amanani aphezulu kakhulu kunokuba batyunyiwe, oku kungakhokelela kwimiphumo engaphezulu.
Uninzi lweempembelelo kunye nokungaqondani kwindlela i-corranosteroids engena-intranasal yokusebenza ingakuphepha ngayo ukuba le myeza ihlale yimiyalelo yonyango kuphela, evumela ukuba kubekwe iliso rhoqo kwiinkonzo zonyango.
ILizwi
Ukuqonda ukusetyenziswa ngendlela eyiyo ye- OTC imishanguzo yokunyanga i-rhinitis ye-allergen kunokukunceda ukuba ugweme iziphumo ezimbi. Unokufuna ukuxubusha izigqibo zakho kunye nogqirha wakho, ingakumbi xa ucinga ukuwasebenzisa kubantwana okanye abadala abadala.
> Imithombo:
> Blaiss MS. I-Corticosteroids ye-intranasal ye-Intranasal: Kutheni ixesha likhoyo ngoku. Ann Annistry Asthma Immunol . 2013; 111: 316-8.
> Friedlander SL, et al. Umngcipheko weempembelelo ezimbi, ukuchithwa kwe-Misdiagnosis, kunye nokuNakekelwa koMonde osisigxina kunye nokusetyenziswa kwe-Over-the-Counter Triamcinolone. Ann Annistry Asthma Immunol . 2013; 111: 319-22.