Ziwengo Rx 101: Mafunso anu azakumwa munyengo yayitali ayankhidwa

Katswiri Wazamankhwala Ophunzitsa Zaumoyo Amadziwa Bwino

Anthu opitilira 50 miliyoni ku US amadwala chifuwa chaka chilichonse, malinga ndi American College of ziwengo, mphumu & Immunology . Mwanjira ina, ngati ziwengo za nyengo zina mukuyetsemula, kutsokomola, ndi kupuma mphuno-simuli nokha. Mwamwayi, pali njira zambiri zochotsera zodandaulitsa ngati mukugonana ndi china chake mlengalenga?

Monga akatswiri azamankhwala, taziwona zonse ndipo tikudziwa zosankha zonse zomwe mungakhale nazo pazakumwa za ziwengo za nyengo. Nawa mayankho amafunso wamba pazomwe mungachite:

1. Kodi pali kusiyana kotani pakati pa ziwengo za nyengo ndi zosatha?

Zovuta za nyengo zimachitika nthawi yofananira chaka chilichonse, nthawi zambiri pakati pa Januware ndi Epulo, kapena mpaka koyambirira kwa chilimwe. Matenda omwe amabwera chifukwa cha nyengo zambiri amakhala ndi mungu wochokera ku mitengo, udzu, ndi / kapena namsongole.

Matenda osatha zimatha kukukhudzani chaka chonse, kapena kumachitika nthawi ndi nthawi nthawi zosiyanasiyana. Zomwe zimayambitsa kufooka kosatha zimaphatikizapo: nkhungu, nthata zafumbi, tizilombo, ndi pet dander.

Mosasamala mtundu wa ziwengo , thupi lanu likamayesa kulimbana ndi zomwe zimachitika, mutha kukhala ndi zina mwazizindikiro izi:

• Kutsokomola
• Kutentha
• Kuswetsa
• Mphuno yothamanga
• Mphuno kapena chifuwa cha chifuwa
• Pakhosi pakhosi
• Kupweteka mutu
• Kutopa
• Maso amadzi kapena oyabwa

Mankhwala a ziwengo, onse OTC ndi mankhwala angathandize kuwachepetsera.

2. Kodi mankhwala abwino kwambiri a ziwengo zanyengo ndi ati?

Yankho lalifupi ndikuti zimadalira matenda anu.

Ngati mukumva kuyabwa komanso muli ndi mphuno kapena maso , mungapindule ndi antihistamine, makamaka yopanda tulo monga Claritin . Mutha kuwonjezera nasal steroid monga Flonase Kuthandiza kuthana ndi ziwopsezo zamatenda amphuno. Mchere wamchere ndi njira yabwino yosungira kuti mphuno zisamaume. OTC ziwengo diso madontho angathandize kuthetsa kuyabwa.

Ngati muli ndi mphuno yothinana , mungafune kuwonjezera chotsitsa. Mitundu yambiri yosagona tulo imaphatikizaponso mankhwala osokoneza bongo, monga Allegra-D . Koma ngati muli ndi kuthamanga kwa magazi, muyenera kupewa mankhwalawa, chifukwa amatha kukweza kuthamanga magazi kwanu. Komanso, ma antihistamine ena siabwino kwa anthu omwe ali ndi vuto la glaucoma kapena prostate. Wosunga mankhwala anu akhoza kukuthandizani kusankha chinthu chabwino kwambiri pazizindikiro zanu, poganizira zaumoyo womwe muli nawo ndi mankhwala ena omwe mumamwa.

3. Kodi ndibwino kumwa mankhwala ozunguza bongo a OTC?

Mankhwala opatsirana amathandizira kuti ziweto ziziyenda bwino ngati mankhwala odziwika ndi dzina, komanso pamtengo pang'ono. Funsani wamankhwala wanu ngati mukufuna thandizo kuti mupeze mankhwala achibadwa. Matendawa amatha kukhala ovuta kwambiri.

Ndipo monga FYI, mutha kulandira kuchotsera ndi SingleCare pa mankhwala a ziwengo a OTC, koma muyenera kutero tsatirani izi .

4. Ngati mankhwala a OTC sagwira ntchito, kodi pali njira zina zamankhwala zomwe zingapezeke?

Mankhwala ambiri opatsirana tsopano amapezeka pa kauntala (OTC). Komabe, opopera amphuno angapo amapezeka mwa mankhwala okhaokha. Izi zikuphatikiza Astepro ( azelastine ), Wachinyamata (azelastine / fluticasone), ndi Nasonex (mometasone). Flonase imapezeka mu mphamvu zamankhwala ndi mphamvu za OTC.

Mankhwala a OTC nthawi zambiri amakhala okwanira kuthana ndi ziwengo, koma ngati zisonyezo zanu sizimasulidwa ndimankhwala a OTC, funsani omwe akukuthandizani kuti muwone ngati mankhwala akuchipatala angakhale oyenera.

Ngati muli ndi mphumu ndi chifuwa, pali mankhwala osiyanasiyana omwe amapezeka ndi mankhwala kuti muchepetse zonsezi, kuphatikizapo inhalers kapena mankhwala am'kamwa monga Singulair ( alireza ).

5. Kodi mumachepetsa bwanji kusinza?

Ma antihistamines akale, monga Benadryl (diphenhydramine), imatha kuyambitsa tulo. Ma antihistamines atsopano, monga Claritin (loratadine), Allegra (fexofenadine), Zyrtec (cetirizine), ndi Xyzal ( levocetirizine ), ali sizingayambitse kugona , koma odwala ambiri amafotokoza za tulo.

Samalani posankha chilichonse chophatikiza (monga NyQuil ) chifuwa kapena chifuwa ndi kuzizira chifukwa zambiri zimakhala ndi mankhwala osokoneza bongo. Funsani wamankhwala wanu kuti akuthandizeni kusankha chinthu chomwe sichikugonetsani nthawi yomweyo.

6. Kodi ndi mankhwala ati omwe mungawasakanize?

Kutengera ndi zizindikiritso zanu, mankhwala ena opatsirana amatha kukhala otetezeka kuti mugwiritse ntchito kuphatikiza . Nthawi zambiri, mutha kugwiritsa ntchito antihistamine ndi decongestant (ngati mulibe zotsutsana).

Komabe, simukufuna kuwirikiza kawiri mankhwala opatsirana. Mwachitsanzo, nthawi zambiri simukufuna kutenga Claritin m'mawa ndi Zyrtec madzulo (kupatula nthawi zina monga adalangizidwa ndi dokotala wanu).

7. Kodi ndingamwe mowa ndikumwa mankhwala ogwetsa ulesi?

Nthawi zambiri, ndi osalangiza Kuphatikiza mankhwala osokoneza bongo ndi mowa. Kuphatikiza ma antihistamines okhala ndi mowa kungakhale kowopsa, kukulitsa chiwopsezo cha zotsatirapo ndi kufooka. Kuphatikiza ma antihistamines atsopano ndi mowa sikowopsa, komabe kuyenera kupewedwabe.

8. Kodi ndizotetezeka kumwa mankhwala osokoneza bongo a OTC tsiku lililonse?

Nthawi zambiri inde, ngakhale mumayenera kufunsa omwe amakuthandizani kuti akuthandizeni. Nasal steroids imatha kutenga milungu ingapo kuti igwire bwino ntchito. Ngati muli ndi zizindikilo zina, ndibwino kumwa ma antihistamine ngati mukufunikira, kutsatira malangizo a phukusi.

9. Ndani sayenera kumwa mankhwala a ziwengo?

Ma antihistamine osakhala pansi amakhala otetezeka kwa odwala ambiri, koma simuyenera kumwa ma antihistamines akale (monga Benadryl) ngati muli ndi vuto la prostate kapena glaucoma. Simukuyenera kumwa mankhwala opangira mankhwala opatsirana pogonana ngati muli ndi kuthamanga kwa magazi. Ngati muli woyembekezera kapena woyamwitsa , funsani akatswiri azaumoyo musanagwiritse ntchito mankhwala osokoneza bongo (kapena mankhwala aliwonse).

10. Ndasokonezeka kwambiri-msewu wotsutsana ndiwopweteka kwambiri. Kodi mutha kuthyola mankhwala aliwonse?

Zovuta zowopsa zitha kukhala zazikulu kwambiri zosokoneza . Mutha kuganiza kuti mukalowa m'bokosi la Claritin, kenako muwone mitundu 24 ya Claritin: mtundu, generic, mitundu yosiyanasiyana, ndi mawonekedwe.

Mankhwala osokoneza bongo nthawi zambiri amakhala mgulu lotsatira:

• Antihistamines: Ma medswa amatseka histamine ndipo amatha kuthandizira zizindikilo za kuyetsemula, kuyabwa kapena madzi, komanso kukapanda kuleka m'mphuno . Benadryl (diphenhydramine) ndi wakale, m'badwo woyamba antihistamine, womwe ungayambitse kugona. Antihistamines atsopano, monga Claritin (loratadine), Allegra (fexofenadine), Zyrtec (cetirizine), ndi Xyzal (levocetirizine), samakonda kuyambitsa tulo.
• Odzichotsera: Izi zimathandiza kuchotsa mphuno yodzaza. Chithandizo chofala kwambiri ndi Atasokonezeka (pseudoephedrine kapena phenylephrine). Ma decongestant amagulitsidwa okha komanso kuphatikiza ma antihistamines (Allegra-D, Zyrtec-D , Claritin-D ). Ngati muli ndi kuthamanga kwa magazi, muyenera kupewa mankhwala osokoneza bongo, chifukwa amatha kuwonjezera kuthamanga kwa magazi.
• Nasal steroids: Izi zimathandiza kuchepetsa kutupa m'mphuno mwanu, kuti muchepetse mphuno. Amatha kutenga milungu iwiri kuti agwire ntchito. Zitsanzo zina ndi izi: Flonase (fluticasone), Nasacort dzina loyamba (triamcinolone), ndi Chipembere (budesonide). Mukamagwiritsa ntchito ma nasal steroids, mutha kugwiritsanso ntchito madontho amchere amchere kapena mapiritsi kuti mapena anu asamaume.
• Maso akutsikira: Matupi a ziwengo amathanso kuthana ndi vuto lakuthwa, maso ofiira. Zitsanzo zina ndi izi Wotsogolera (ketotifen) ndi Pataday (olopatadine), yomwe yavomerezedwa ndi FDA ndipo iyenera kupezeka OTC posachedwa.

Nthawi zonse funsani ndi wamankhwala wanu ngati mukufuna thandizo kuti musankhe mankhwala oyenera a OTC. Ngati mukulimbana ndi zizindikiro zosafunikira, muyenera kupanga msonkhano ndi wotsutsana naye kuti mukakambirane za kuyesa zomwe zingayambitse, kupewetsa matendawa, komanso kufunikira kwa EpiPen (mwadzidzidzi epinephrine ).