Ukuthelekisa i-Nasal Antihistamine kunye ne-Nasal Steroid Sprays
I-alleral allergies (i -rhinitis ye-allergen ) ingaba yinto engathintekiyo kubantu abanezifo ezigulayo. Ziyakuchukumisa amandla omntu okusebenza kunye nokunciphisa kakhulu umgangatho wobomi. Nangona iilwimi zomlomo zinganciphisa ezininzi zezi mpawu, zinokubangela ukuba iziphumo zecala ezingafunekiyo zivela ekugqweleni ukuya kwindleko yesisindo.
Ngenxa yoko, abaninzi abantu baphendulela i- nasal sprays for relief relief.
Amachiza aya kwiifom ehlukahlukeneyo kunye neendlela ezahlukeneyo zokwenza, kuquka:
- Ama-antihistamines angamahloko atyhola imiphumo ye- histamines , ikhemikhali ekhishwe ngumzimba ngokuphendula izidalwa ezibangelwa yi-allergies (allergens)
- I-nasal steroids ye-headical eyanciphisa ukuvuvukala okubangelwa i -rhinitis ye-allergen ne-nonergic (i-vasomotor rhinitis)
- I-anticholinergics yesicatshulwa esisebenza ngokumisa iindinyana zomlomo
- Iimpawu zesigxina se-mast stabilizers ezinokuthi zikhusele iiseli ze-immune (ezibizwa ngokuba yi- mast cells ) ekukhululeni i-histamines kwigazi
Kule ndlela, iklasi elitsha le-antihistamine linika indlela ekhethekileyo yokuthatha isenzo. Ziquka i-nasal i-spelys i-Astelin (azelastine), i-Patanase (elopatadine).
Iinkcazo kunye nokuSebenza
I-Patanase yavunywa ukuba yonyango lwe-rhinitis ngo-2008, ngelixa i-Astelin yamkela imvume yayo ye-FDA ngonyaka ka-2001 ngenxa ye-allergen and non-allergenic rhinitis. Zomibini zifumaneka ngomyalelo kwaye zivunyiwe ukuba zisetyenziswe kubantu abadala kunye nabantwana abangaphezu kwamahlanu.
Iiprafu akufanele zisetyenziswe kunye naluphina esinye isilwanyana esine-antihistamine, kubandakanywa amaninzi empawu ezibandayo kunye neyeza zokuncedisa izifo.
Indlela Abasebenza ngayo
Xa amaseli omzimba (njengama-mast cells okanye i- basophil ) adibanisa ne-allergen, akhulula i-histamines kwigazi.
Ezi zembali zibophelele kwiiprotheni kuwo wonke umzimba obizwa ngokuba yi-H1 receptors kwaye, ngokwenza njalo, kubangela ukuba luphawu lweempawu esizibona njengezifo. I-Patanase kunye ne-Astelin bahlelwa njenge-H1 antagonists kwaye banqande ngokufanelekileyo le nxu lumano. Ngokungafani ne-antihistamines yesizukulwane esidala njenge- Benadryl (diphenhydramine) ,
U-Patanase no-Astelin abawela i-blood-brain-barrier. Kungenxa yoko, abanalo umgangatho ofanayo wokuhlalisa iminye njengamanye amachiza amaninzi. Ukongezelela, njengento yokucoca emzimbeni, uPatanase no-Astelin bachaphazela kuphela amavesi angaphantsi kunokuba basasazwe kuwo wonke umzimba.
Inzuzo
I-antialistamine ye-Nasal inikeza iintlobo ezininzi ngaphezu kweminye ifom.
- I-antihistamines ye-Nasal iqalisa ukusebenza phakathi kwemizuzu engama-15, ngelixa i-nasal steroids ingathatha iiyure okanye iintsuku ukuqala ukusebenza.
- I-antihistamines ye- nasal ineempembelelo ezincinci kunezasal steroids , kungekho mngcipheko we-glaucoma okanye i-cataracts.
- I-Astelin inikezela inyathelo elibini, ukuvimba isiqhotyoshelo se-H1 ngelixa uthintela amangqamuzana omgca ukuba akhulule i-histamines.
- I-Astelin inikeza iziphumo ezichasayo ezinokukhupha iingxaki zokuphefumla.
Njengama-nasal steroids, i-anti-anti -istamine yamanzi ibonakala iphumelelayo ekunciphiseni ukunyamezela kwamehlo .
Ngoko ke, nangona i-anti-anti-stistam e-nasal isenokungasebenzi kakuhle njenge-steroids ekuphatheni iimpawu ezingapheliyo, uphando lubonisa ukuba ukudibanisa kwababini kunokusebenza ngakumbi kunokuba kusetyenziswe iziyobisi.
Iingxaki
Kuzo zonke iinzuzo zabo ezifutshane, zikhona iziphumo ezinxulumene noPatanase no-Astelin:
- I-Astelin kunye nePatanase kunokubangela ukucasuka komzimba, ukukhathazeka, kunye neengxaki ze-nosebleeds. Ezi zinto zidla ngokudityaniswa nokusetyenziswa kakubi kweprayi kodwa ngamanye amaxesha zenzeke kwi-dosage ephakanyisiweyo.
- U-Astelin noPatanase bangashiya intlungu enomlomo. Oku ngamanye amaxesha kunokuthinteka ngokucwenga ngobumnene ngeempumlo emva kokuba uphefle kunokuba uphefumle ngokujulile.
- I-Astelin iye yaziwa ngokubangela ukuzondla okanye ukulala.
Nangona i-antihistamines yama-sprays ayimfuneko ekuncediseni ngokukhawuleza iimpawu zokungabikho kwempilo, azisebenzi ngendlela efanelekileyo njengeminaliti ye-nasal yeempawu eziqhubekayo okanye ezingapheliyo. Basebenziseka kangangoko ekunakekeleni i-rhinitis engeyona ingxaki.
> Imithombo:
> Berger, W. kunye noEltzer. "I-Intranasal Spray Medication ye-Maintenance Therapy ye-Rhinitis ye-allergen." I-American Journal ye-Rhinology ne-Allergy . 2015. 29 (4): 273-82.