Nasacort Allergy 24 Saacadood (Triamcinolone) wuxuu ahaa corticosteroid-ka ugu dambeeyay ee daawada sanka laga helo ee sanka (OTC) oo bilaa warqad dhakhtar la'aan ah. Waa daawo la mid ah sida daawada rijeetada. Flonase iyo Rhinocort ka dibna waxay noqdeen kuwo la heli karo OTC. Haddii aad isticmaasho daawooyinkan, ama mid ka mid ah antihistaminada cusub ee OTC, sida Zyrtec, Claritin ama Allegra?
Jawaabta waxay ku xiran tahay nooca iyo darnaanta calaamadahaaga.
Corticosteroids Intranasal (Corticosteroids Intranasal Cannabixisada) Wakhti Wakhti Leh
Corticosteroids intranasal, Nasacort, Flonase, iyo Rhinocort, waxay u badan tahay daawooyinka OTC ugu waxtarka badan ee daaweynta xasaasiyadda sanka. Dhibaatadu waxay tahay in aanay ka shaqayn doonin saldhig u baahan. Corticosteroids intranasal waxay qaadataa wakhti ay shaqeyn karto - waxay bilaabi karaan inay calaamadaha xasaasiyadda ka qabtaan qiyaastii lix illaa 10 saacadood, laakiin gargaarka dheeriga ah lama heli karo maalmo.
Antihistamines, sida Zyrtec (cetirizine), Allegra (fexofenadine) iyo Claritin (loratadine), ayaa u muuqda, inay si dhakhso ah u shaqeeyaan, badanaa dhowr saacadood (ama ka yar) ee qaadashada daawada. Sidaa daraadeed, daawooyinkani waxay si fiican u shaqeeyaan marka loo eego baahida loo qabo.
Antihistamines waxay u shaqeeyaan sida ugu wanaagsan ee loo daweeyo sanka cuncunka, indhaha cuncunka iyo hindhisada - iyo si ka yar calaamadaha cirridka sanka ama sanka oo duufsan.
Saddexda nooc ee cusub ee cusub (iyo seddexda hoose) antihistamines, Zyrtec iyo Allegra waxay si gaar ah ugu fiicanyihiin daaweynta xasaasiyadda sanka - iyo inta badan gudaha illaa hal saac. Claritin, dhanka kale, ma shaqeynayo isla markaana qaadataa ilaa seddex saacadood si aad waxtarkeeda u fuliso. Dhammaan saddexda nooc ee antihistamines-ka ah ayaa ah doorasho fiican oo loogu talagalay xasaasiyadda beedka, waxaana lagula talinayaa inay qaataan antihistamiinka seddexda ah sida Benadryl.
Noocyada kale ee daawada sanka ah ee daawada ee OTC waxaa ka mid ah daroogada sanka (sida Afrin ) iyo NasalCom (Cromolyn).
Isku Khilaafsan OTC La Helitaanka Corticosteroids Intranasal
Arrin kale oo la tixgeliyo ayaa ah in ururo badan oo xirfadlayaal ah oo ka mid ah kuwa xasaasiyadda, dhakhaatiirta caruurta, iyo dhakhaatiirta otolarynigu ay ka soo horjeedaan corticosteroids intranasal ah oo la heli karo OTC. Waxay horay uga soo horjeedeen antihistamine Claritin inay noqdaan kuwo aan haysan warqad rijeeto ah.
Si kastaba ha noqotee, inta lagu jiro sanadihii 1990-yadii, FDA waxay calaamad u tahay rhinitis-ta alerjiga ah sida cudur loo aqoonsan karo laguna daaweyn karo xirfadle caafimaad. Tani macnaheedu waxa weeye in FDA ay dareensantahay in ay tahay mid badbaado leh si loo helo baaritaanka dadweynaha iyo daaweynta rhinitis ee alerjiga leh adoo isticmaalaya alaabta OTC. Si kastaba ha ahaatee, corticosteroids intranasal maaha mid ammaan ah sida antihistamines, si kastaba ha ahaatee, sidaa daraadeed, halista iyo faa'iidooyinka waa in la tixgeliyaa. Halkan waxaa ah doodda ay xirfadlayaasha caafimaadku sameeyeen pro and con.
Faa'iido
Noocyada corticosteroid Nasal ayaa laga heli karaa suuqa iyagoo adeegsanaya rijeeto in ka badan 30 sano, oo leh tiro badan oo xog xog ah oo la ururiyey wakhtigaas. Saameynaha ugu caansan waxaa ka mid ah dhuunta sanka iyo sankuubyada, kuwaas oo inta badan khafiif ah.
Waxyeellada ugu badan ee la xiriirta daawadu waa suurtogalnimada sanka ee septic perforation , inkastoo tani ay dhif tahay. Dadka intooda badan waa inay awoodaan inay raacaan tilmaamaha loogu talagalay oo ay ku jiraan macluumaadka ku saabsan joojinta isticmaalka corticosteroids intranasal haddii cirbadaha ama cuncunku ay dhacaan.
Marka laga reebo saameynaha soo jireenka ah, corticosteroids nuucyada ayaa marar dhif ah keenaya saameynta jirka oo dhan. Daraasado ku saabsan corticosteroids intranasal ah mudo 2 sano ah ma muujin korodh weyn oo lagu sameeyo glaucoma ama cataract formation. Daraasado kale ayaa ku fashilmay in ay muujiyaan caddaynta xakamaynta farsamada 'hypothalamic-pituitary-adrenal' (HPA) , taas oo muujinaysa qadarka steroid ee la nuugo, taas oo saameeysay qaabka cortisol ee jirka.
Waxaa jira welwelo ku saabsan ciribtirka koritaanka tooska ah ee carruurta ee corticosteroids intranasal, inkasta oo saameyntani ay yar yihiin oo aan khilaafsaneyn. Cabbiraadda kobaca ee xirfadlaha daryeelka caafimaadka ayaa lagula talinayaa carruurta isticmaala corticosteroids-ka gudaha ama kuwa la neefsado.
Waxaa sidoo kale jira dareen dhaqaale oo ku saabsan helitaanka corticosteroids intranasal OTC. Caymiska caafimaadku ma dabooli karo alaabta OTC ee la daboolay markii loo qoray. Hase yeeshee, tani waxay faa'iido u tahay dadka qaarkood, kharashka u tagitaanka ballanta takhtar faro badan oo ka ah alaabta OTC. Dadku waxay u badan tahay inay tijaabiyaan badeecada OTC si ay u yeeshaan calaamadaha xasaasiyadda xasaasiyadda, marka laga reebo inay tagaan dadaalka helitaanka daawo. Tani waxay keeni kartaa in si wanaagsan loo xakameeyo calaamadaha iyo tayada nololeed ee hagaagtay.
Ogolaansho
Haya'daha caafimaadka ee xirfadleyda ah ayaa rumaysan in qabashada corticosteroids intranasal ah oo la heli karo OTC waa fikrad xun. Sababta arrintaani waxay inta badan la xiriirtaa amniga, maadaama daraasado kala duwan ay muujiyeen in noocyada qaarkood ee saameynaha qaarkood ay dhici karto. Kuwaas waxaa ka mid ah:
- Daraasadaha qaarkood waxay muujinayaan saamaynta tooska ah ee carruurta, inkasta oo daraasado kale ay ku fashilmeen inay muujiyaan saameyn weyn. Khubarada ayaa aaminsan in carruurta isticmaala dawooyinkan ay tahay in ay koraan kobcitaankooda si dhow.
- Dadka qaba taariikhda qoyska ee glaucoma, waxaa jira halis dheeraad ah oo lagu kobcin karo glaucoma.
- Dadka waayeelka ah waxay u muuqdaan inay halis dheeraad ah ugu jiraan in ay qaadaan kiriimka isticmaalka dheeraadka ah.
- Waxay u muuqataa inay saameyn ku yeelato maadada macdanta lafaha laga soo bilaabo isticmaalka dheeraadka ah, taas oo keeni karta osteoporosis .
Dadka ka soo horjeeda OTC corticosteroids waxay sidoo kale aaminsan yihiin in macaamiisha aysan fahmin in daawadani u baahan tahay in si joogto ah loo isticmaalo si ay u shaqeyso. Si ka duwan sida adag ee sanka ka soo baxa, oo keena gargaar daqiiqado ah, corticosteroids intranasal waxay qaadaneysaa saacado si ay u shaqeeyaan. Sidaa darteed, dadku waxay isticmaali karaan qiyaaso badan oo ka badan intii lagula taliyey, taas oo keeni karta saameyno kale oo badan.
Qaar badan oo ka mid ah saameynada iyo isfaham la'aanta sida loo shaqeeyo corticosteroids ka hortag ah ayaa laga yaabaa in laga fogaado iyadoo daawooyinkaasi ay weli yihiin daawada kaliya, taas oo u ogolaaneysa in si joogta ah loo ilaaliyo xirfadlaha daryeelka caafimaadka.
Ereyga
Fahmidda isticmaalka saxda ah ee dawooyinka OTC ee daaweynta xasaasiyadda alerjiga waxay kaa caawin kartaa inaad ka fogaato saameynta ay keeni karto. Waxaa laga yaabaa inaad rabto inaad kala hadasho xulashooyinkaaga dhakhtarkaaga, gaar ahaan haddii aad tixgelisid inaad u isticmaashid carruurta ama dadka waaweyn.
> Ilo:
> Blaiss MS. Cudurka Korticostero-ka ee ka hortagga ah: Sababtoo ah Waqti Hadda. Ann Allergy Asthma Immunol . 2013; 111: 316-8.
> Friedlander SL, et al. Khatarta Dhibaatooyinka Daroogada, Misdiagnosis, iyo Daryeelka bukaan-socodka ee Isticmaalida Isticmaalidda Triamcinolone-ka-Qeyb-galka. Ann Allergy Asthma Immunol . 2013; 111: 319-22.