Uphulo lwe-Asthma Ukwelashwa kunye ne-Combination Inhaled Steroids Plus LABA
Ziziphi iiMveliso eziNxulumene ne-Advair, i-Symbicort, i-Dulera ne-Breo?
I-Advair, i-Symbicort, i-Dulera, ne-Breo yimiyeza yolawulo edibanisa neyeza ezimbini kwi-inhaler (kwimiqathango yonyango: i-steroid inhaled nge-agaist ye-beta ende ende. Izifundo ezininzi zibonisa iingeniso ezinokwenzeka zokudibanisa la mayeza kwi-inhaler enye ngokuchasene nokuyibeka ngokwahlukileyo.
Ukongezelela, izifundo ezimbalwa zicebise ukuba kusetyenziswe umdibaniso weemveliso njengendlela yakho yokugcina inhaler kokubili kokulawula kunye neempawu eziqatha, kodwa kufuneka uxoxe ngale ngcali nodokotela wakho we-asthma ngaphambi kokuzama oku.
Izinzuzo ze-Advair, i-Symbicort, i-Dulera ne-Breo
- Elula ngakumbi
- Ukwandisa ukuthotyelwa kweziyobisi
- Ixabiso elincinci
- Amanqanaba amancinci e-steroid engabonakaliyo anokunciphisa iziphumo zecala
Iingxaki ze-Advair, i-Symbicort, i-Dulera ne-Breo
- Ukunciphisa ubuncinane kwi-dosing
- Ukuba usebenzisa amayeza ukukhupha iimpawu ezinzima, unako ukufumana umthamo ophezulu kakhulu we-steroid kunokuba ukhuthazwa njengamanje.
Iimveliso ezidibeneyo ezifana ne-Advair, i-Symbicort, i-Dulera ne-Breo Work?
Imveliso yokudibanisa efana ne-Advair kunye ne-Symbicort iqulethe imishanguzo e-2 esebenzayo eyenza ukuphatha i-asthma yakho ngokuhlukileyo:
- I-steroid ye-inhaled: Izenzo kwi-airways yomphunga ukuze unciphise ukuvutha.
- I-LABA : Inikeza ukuxhatshazwa komzimba ngokuzihlaziya i-muscle ephosakeleyo kwimiphunga kunye nokwenza i-airways ibanzi ngokubanzi, ngaloo ndlela iyanciphisa iimpawu.
U mzekelo
- I-Advair : Iqukethe i-steroid Fluticasone (i-Flovent) kunye ne-LABA Salmeterol (i-Serevent)
- Symbicort : Iqukethe i-steroid, i- Budesonide (i-Pulmicort) ne-LABA Formoterol (iForadil)
- I-Dulera: Iqukethe iMetetasone ye-steroid kunye ne-LABA Formoterol
- Breo: Iqukethe i-steroid Fluticasone kwaye iLABA Vilanterol
Iimpembelelo ezingeNdawo zeMveliso ezifana ne-Advair, i-Symbicort, i-Dulera ne-Breo
Nje ngezinye ezininzi iziyobisi, kuphela ipesenteji encinci yezigulane zineempembelelo zecala. Iziphumo ezinobungozi ezinokuthi zifana nezo zombini ze-steroid kunye ne-LABAs. Yonke inhlanganisela ye-steroid kunye ne-LABA ithwala isilumkiso se "Black Box" sezinye i-LABA kunye nemiphumo emibi yecandelo le-steroid.
Isilumkiso sisekelwe kwidatha evela kwezinye zezifundo zokuqala ezihlola ii-LABA ezivakalayo ezi-13 ezifayo eziphuma kwizigulane ezingama-13,176 eziphathwe nge-LABA kwiiveki ezingama-28 ngokuchasene nokufa kwizigulane ezifumana indawo ye-placebo (ayizange ifumane i-LABA) 3 kwe-13,179. Nangona eli nani lincinci kwaye kwakukho imiba emininzi kunye nezifundo ezikhokelela kwisilumkiso, i-FDA yabona ilumkile kwizigulana ukuba zaziswe.
Kwimodareyitha ukuya kwi-asthma enzima yongeza i-LABA ibonakala ukuba isebenze ngakumbi kunokuphindaphindiweyo kwidayiti ye-steroid enganyangekanga kwaye yonyango olukhethiweyo ngenxa yesizathu. Njengoko kukhankanywe ngaphambili, ukudibanisa kuye kwavumela ezinye izigulane ukuba ziphumelele ukulawulwa kumanani aphantsi kunye nokunciphisa ingozi yemiphumo emibi ngenxa yesazi esezantsi. Iingcebiso zangoku ekuqaliseni unyango zivumela ukuba i-steroid okanye i-dose ephantsi ye-steroid ifakwe kwi-dose ephakathi.
Ingaba I-Combination Asthma Inhalers Ingasetyenziselwa Njenge-Asthmatics Kuphela Inhaler?
Naliphi na ixesha xa ufuna kuphela imithi enye, mhlawumbi unethuba elingcono lokuthabatha iyeza ngokuchanekileyo. Nangona kunjalo, kukho izizathu zokuba i-asthmatics ivame ukusebenzisa i-inhaler ngaphezulu.
Nangona kunjalo, uphando olupapashwe kwiLancet lubonisa ukuba izigulane ezinokulinganisela kwisifo se-asthma ezinzima zingenza ngcono nge-inhaler enye xa kuthelekiswa ne-inhalers eyahlukeneyo yokugcina nokulondolozwa. Amanyathelo amaninzi ebalulekileyo aphuculwe kweli qela njengengozi yokuhlaselwa kwesifo se-asthma, ukulaliswa esibhedlele, okanye imfuneko yokunyamekela ngokukhawuleza. Uphando lwesibini lubonakala luxhasa le nkatho.
Ngenxa yokuba ipesenti enkulu yezigulane ze-asthma azizisebenzisi ngokuthe ngqo imithi yokulawula isifo se-asthma ngokufanelekileyo, oku kunokukhethwa kwithuba elizayo. Nangona kunjalo, olu unyango aluxhaswa yi-US Asthma Guidelines ngoko ke kufuneka uqinisekise ukuba uxoxisana nomboneleli wakho we-asthma phambi
Isishwankathelo
Imveliso yokudibanisa ingaba ithuluzi eluncedo kwizigulane ezingenakukwazi ukuphumeza ukulawula isifo se-asthma kwi-steroid engenakululwa yodwa. Wena kunye nodokotela wakho kufuneka uxoxe ngemingcipheko kunye neenzuzo zonyango oludibeneyo kwaye qinisekisa ukuba uyazisa ugqirha wakho kwanoma yimuphi umonakalo weempawu zakho ze-asthma.
> Imithombo:
UNelson HS. Ulwaphulo lweeNzululwazi ze-β agonists ezinde ixesha elide kunye ne-Coralosteroids engenayo i-Inhaled Corticosteroids kuLawulo lwe-Asthma engapheliyo. Iingxelo zeNtsholongwane zoNyaka kunye ne-Asthma Reports 2005, 5: 123-129.
I-Heart Heart, i-Lung, ne-Blood Institute. Kufikeleleka: Matshi 4, 2016. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye nolawulo lwe-Asthma