Ngaba zikhuselekile ekunyangeni i-asthma?
I-US Food Management and Drug Administration (FDA) inike isixwayiso kwizigulana ezithatha imishanguzo efana neDulera, Advair, Symbicort, Breo, Foradil, kunye ne-Serevent. Uphononongo olulodwa, isilingo se-SMART, sabonisa ingozi yokufa kwesifo se-asthma kunye nezinye iingxaki zokuphefumula xa kuthelekiswa ne-placebo kwizigulane ezithatha i-Serevent, ngakumbi kwizigulane zase-Afrika.
Ngenxa yeso sizathu, i-FDA ibonelele ngetyala le-bhokisi emnyama ngala mayeza, inqanaba eliphezulu lesilumkiso samachiza ama-FDA angakunika.
I-Serevent ne-Foradil i-beta-agonists esebenza ixesha elide (i-LABAs) esetyenziswe kunyango lwe-asthma ephakathi. I-LABA ayinayo eyaneleyo yokwelapha ngokwasemthethweni ngokwazo ngokwase-asthma, kwaye ingakhokelela ekuhlaselweni kwe-asthma xa isetyenziswe yodwa. Umntu onesifo se-asthma, ngoko ke, kufuneka ahlale esebenzisa i- corticosteroid enganyanzelwanga (njenge-Flovent, Pulmicort, QVAR) kunyango lwe-asthma xa kufuneka i-LABA. I-Dulera, i-Advair, i-Breo, kunye ne-Symbicort iqulethe i-steroid ene-inhaled kunye ne-LABA.
Ngelishwa, ilingo le-SMART alizange lijongane nokuba isigulane esithile sithatha i-corticosteroid enganyanzelwangayo nge-asthma yabo-le nto yayisigqibo isigqirha sesigulane. Uninzi lwezigulane ezine-asthma ezibi kakhulu azizange zithathe i-corticosteroid enganyanzelwanga xa ifakwa kwi-LABA.
Xa uhlolisiso lujonge izigulane ezithatha i-corticosteroid enganyangekiyo kunye ne-LABA (njengeDulera, Advair, Symbicort kunye neBreo iqulethe), akuzange kubonakale ingozi eyongezelelweyo yokuhlaselwa kwesifo se-asthma okanye ukufa kwe-asthma.
I-FDA ngoku ichaza ukuba iyeza le-LABA ayifanele lisetyenziswe ukuba umntu onesifo se-asthma ulawulwa yi-corticosteroid yodwa.
Ukuba isifo se-asthma asilawulwa kwi-steroid enganyangekiyo, ukhetho olongezelelweyo lwezokwelapha luquka (a) ukwandisa umthamo we-corticosteroid engenayo (okanye leyo ingenakho ingozi ) okanye (b) ukongezwa kwamanye amayeza afana neLABA, Singulair , theophylline, i-prednisone yomlomo kunye / okanye i- Xolair . Gcina ukhumbule ukuba i-asthma engaphelelwanga nayo inobungozi bayo, okungaquka ukuhlaselwa, ukuhlaselwa kwe-asthma .
Kwabaninzi abantu, iinzuzo ze-corticosteroid kunye neLABA (i-Dulera, i-Advair, i-Breo, ne-Symbicort) inokugqithisa kakhulu ingozi. Nangona kunjalo, kubalulekile kuwe ukwazi izingozi kunye neenzuzo zala mayeza ukuze wenze ukhetho olunolwazi. Ukuba sele usebenzisa iyeza le-LABA njengenxalenye yesifo sakho se-asthma kwaye uxhalabele malunga nolwazi olungentla, nceda ungayeki ukuthabatha imishanguzo yakho ye-asthma phambi kokuba uthethe nodokotela wakho. Ukuba ukhetha ukungasebenzisi i-LABA njengenxalenye yonyango lwakho lwesifo se-asthma, nceda uxelele ugqirha wakho kwesi sigqibo ngaphambi kokuyeka imithi yakho ye-asthma.
Jonga ii-letters zezilumkiso ze-FDA ezinamayeza ane-LABAs.
> Imithombo:
> Aaronson DW. I-"Ibhokisi leMnyama" isilumkiso kunye nezidakamizwa zokuLawula izifo. J Allergy Clin Immunol. 2006; 117: 40-4.Nelson HS, Weiss ST, uBleeker ER, et al. I-Salmeterol Multicenter Uvavanyo loPhando lwe-Asthma. Esifubeni. 2006: 129: 15-26.
> Nelson HS. I-Beta edala-i-Agonists kwi-Asthma yabantu abadala: Ubungqina bokuthi ezi Ziyobisi zikhuselekile. I-Primary Primary Respiratory Care Journal. 2006; 15: 271-77.