I-Singulair iyimichiza efana nesifo se-asthma esingasetyenziselwa ukunyamezela
I-Singulair (i-montelukast) yimihla ngemihla yonyango imithi eyayiqulunqiwe ekuqaleni ukuphatha i- asthma . Ukususela ngoko, ke, kuye kwafumanisa ukuba i-Singulair nayo yonyango ephumelelayo ye -rhinitis ye-allergen (eyaziwa ngokuba yi-hay fever).
Masiqwalasele ngokuthe ngqo kwi-Singulair, kubandakanywa nezibonakaliso kunye nemiphumo emibi, kwaye indlela yokusebenza kwayo iyingqayizivele kwimithi yendabuko ye-rhinitis ye-allergen.
I-Skinny kwiImbonakaliso ye-Singulair
I-Singulair iboniswa ukukhusela kunye nokunyanga okungapheliyo kwe-asthma kunye nokukhululeka kweempawu ze-rhinitis eziqhekezayo, zombini kunye nexesha elingapheliyo.
Ukuze uphinde ukhumbule, khumbula, i -rhinitis yexesha elivakalayo iqhutyelwa yimpeni kwimithi, utshani kunye nokhula. Ngamanye amazwi, umntu onenkqubela ye-rhinitis yexesha elizayo uya kuvelisa iimpawu ngokukhawuleza minyaka yonke entwasahlobo nakusihlobo xa amazinga empova ephakamileyo.
Ngakolunye uhlangothi, i-rhinitis ye-endemic iphela ijikeleza unyaka wonke kwaye iqhutyelwa yizilwanyana zangaphakathi ezifana nezilwanyana ezinothuli, iindiza, i-spores mold, okanye i-dander yezilwanyana.
Okuthakazelisayo, i-Singulair ingasetyenziselwa ukukhusela isifuba sokuphefumula .
Ekugqibeleni, i-Singulair ngamanye amaxesha isetyenzisiwe ngaphandle kwelebuli (oku kuthetha ukuba ayigunyazisiweyo yi-Food and Drug Administration, okanye i-FDA) ye- urticaria engapheliyo (imingxube) okanye i- urticaria engenakucholwa yi-nonsteroidal anti-inflammatory.
Iimpawu eziPhakathi ze-Singulair
Ngokubanzi, iNgqungquthela ithathwa njengemichiza ekhuselekileyo, nangona iziphumo zempembelelo zingenzeka.
Ezinye zeempembelelo eziqhelekileyo ezichaphazelekayo zibandakanya:
- Ukugqithisa isikhumba
- Umoya utshintsha
- Intloko okanye utywala
- Intlungu yesisu, ukutshukunyiswa kwentlungu, ukukhwabanisa, okanye utshintsho kwintlungu
- Iintlanzi okanye intsholongwane
- Intlungu yentlungu okanye intsholongwane
- Ubuthakathaka obuthathaka
- I-Conjunctivitis ("iso lesinki")
- Ukukhathala
- Izimpawu ezinjenge-Flu
Ukuba uthatha i-Singulair kwaye ufumane nayiphi na iimpawu ezikukhathazayo, thetha nodokotela wakho okanye u-allergenist. Unganqikazi ukufuna unonophelo olukhawuleza kuyo nayiphina imiphumo emibi, njengokuba ukuvala umqala okanye ukuphefumula.
Ukwelashwa kwe-Rhinitis ye-allergen ne-Singulair
Iimpawu ze-rhinitis eziqhekezayo zibandakanya ukukrazula, impumlo ye-runny, kunye nokuxinwa kwe-nasal. Abanye abantu banamava anamehlo, impumlo, umqala, kunye nendlebe, kunye nokukhathala nokukhwehlela.
Ukongezelela kule miqondiso yemithwalo yemithwalo yempilo, i-rhinitis ye-allergen ingathintela ezinye izilinganiso zobomi bomntu. Ngokomzekelo, uphando lubonisa ukuba i-rhinitis ye-allergen ichaphazela kakubi ubuthongo, umgangatho wobomi, umsebenzi wokuqonda, kunye nemveliso esikolweni okanye emsebenzini.
Yingakho i-allergen igweme kwaye unyango lubalulekile ekulawuleni i-rhinitis ye-allergen. Ngamachiza, ukusetyenziswa kwegqirha kwindlela yokunyathela, oku kuthetha ukuba iimpawu zibuhlungu, ugqirha uya kumisela amachiza ahlukeneyo.
Ngokomzekelo, ngenxa yempawu ezinobungozi be-rhinitis, ugqirha unokuncoma i-antihistamine. Ukuba iimpawu ziqhubeka kunye / okanye zichaphazela umgangatho wobomi bomntu, ugqirha unokuthi "unyuke" unyango lwawo kwaye uncoma i- corticosteroid intranasal .
Kwiimpawu ezinzima, eziqhubekayo, ugqirha unokumisela zombini i-antihistamine kunye ne-corticosteroid ye-intranasal.
Mechanism Action Action
Ngokungafani namanye amayeza asetyenziswa ukunyanga i-rhinitis ye-allergen (umzekelo, uClaritin okanye i-Allegra), i-Singulair ayiyi-antihistamine. Khumbula, i-antihistamine yinyango eyanciphisa imveliso yomzimba wakho we-histamine, ukukhusela komzimba wakho wokuqala kwiimpawu ezivakalayo.
Kunoko, i-Singulair ibhalela omnye umlamli we-inflammation, ebizwa ngokuba yi-leukotrienes.
Ngokombono wam, i-Singulair, ngokwayo, ayilona unyango olukhulu lwe -rhinitis ye-allergen ne-asthma, nangona iyakwazi ukuphatha izifo zombini kwinqanaba elithile.
Le ngcamango ihambelana nezikhokelo ze-American Academy ye-Otolaryngology-iqela elinobuchule elicebisa oogqirha abangabonisi i-Singulair njengonyango lokuqala lokunyanga i-rhinitis ngaphandle kokuba lowo mntu une-asthma.
Oko kwathiwa, abanye abantu basabela kakuhle kwi-Singulair, yaye mhlawumbi kungaba yipilisi kuphela efunekayo ukunyanga i-allergies okanye i-asthma.
Ezinye iiPlato kunye neMaminisi kwi-Singulair
Ngokomsebenzi wam, ndifumene ukuba i-Singulair ayisebenzi kunye namanye ama-antihistamine xa kufikelele ekuphatheni amehlo anamehlo, impumlo ephosa, ukukrazula, kunye neempumlo . Ukongezelela, ngokungafani nama-antihistamines, i-Singulair ayikwazi ukuthathwa njengento efunekayo, kwaye idinga ngokumalunga neentsuku ezintathu ukuya kwezixhenxe ukuqala ukusebenza.
Yiyiphi i-Singulair ibonakala iyona nto ibhetele ekuphatheni ukuxinana kwendoda . Ngaphezu koko, uphando oluninzi luye lwabonisa ukuba ukudibanisa kwe-Singulair kunye ne-antihistamine iphantse ibe yimpumelelo njengendlela ye- nasal steroid sprays yokunyangwa kwe-rhinitis.
ILizwi
Ukuba unobungozi, kubalulekile ukukhumbula ukuba i-Singulair ayilona khetho kuphela. Njengoko kushiwo ngaphambili, unokuthatha i-antihistamine.
Ezinye iindlela zonyango ziquka i-steroid nasal sprays, i-sprays e-nasal, i-decongestants yomlomo, i-antihistamines engama-decongestant kunye ne-anticholinergic kunye ne-antihistamine.
Qiniseka ukuba uthetha ugqirha wakho oyintloko okanye ugqirha malunga nesicwangciso sakho sonyango ukuba iimpawu zakho aziphuculanga kwaye / okanye zichaphazela umgangatho wobomi. Kukho uninzi lweyeza lusetyenziswa, ngoko qi ni sekise ukuba ungaziva ungcono, kodwa inokuba yinkqubo yokulinga-kunye nephutha.
> Imithombo:
> deShazo RD, iKemp SF. I-rhinitis ye-allergen: Ukubonakaliswa kwezonyango, izifo ze-epidemiology kunye nokuxilongwa. Corren J, uhleli. UpToDate, Waltham, MA: UpToDate Inc.
> Meltzer EO et al. Ukulala, umgangatho wobomi, kunye nempembelelo yemveliso yeminwe yaseMelika: iziphumo ezivela kwi-Arden of Rhinitis eMelika. I-allergies Asthma Proc. 2009 Meyi-Juni; 30 (3): 244-54.
> Seidman et al. Isikhokelo sokwenziwa kwezonyango: I-rhinitis ye-allergen. Otolaryngol Head Neck Surg . 2015 Feb; 152 (1 > I-Suppl): S1-43
Sur DKC, Plesa ML. Unyango lwe-rhinitis ye-allergen. I-Phys Physician . Ngomhla ka-1 ku-Dec 1; 92 (11): 985-92.
> Wallace DV, Dykewicz MS, abahleli. Ukuxilongwa kunye noLawulo lweRhinitis: I-Parameter yokuSebenza yokuHlaziya. J Allergy Clin Immunol. > 2008; 122: S1-84.