Yin jiyya da ƙwayoyin sanyi tare da LABA
Mene ne Hadayyun Kasuwancen kamar Rashin Haɗari, Alamar Ƙira, Dulera, da Tsarra?
Shawarar, Symbicort, Dulera, da Breo sune magungunan maganin da suka hada da kwayoyi guda biyu a cikin wanda ke cikin jiki (a cikin maganin kiwon lafiya: steroid din da ke hade tare da mai aikin beta mai tsayi). Dubban karatu sun nuna yiwuwar amfani da waɗannan magungunan a cikin guda ɗaya daga cikin wadanda basu dace ba don tsara su.
Bugu da ƙari, ƙananan bincike sun nuna yiwuwar yin amfani da samfurin haɗuwa kamar yadda kawai kake yin amfani da shi don sarrafawa da kuma bayyanar cututtuka, amma ya kamata ka tattauna wannan tare da likitan ƙwararrun fuka kafin yin ƙoƙari.
Abubuwan da ake amfani da shi na Advair, Symbicort, Dulera, da Breo
- Ƙarin dace
- Ƙara yarda da miyagun ƙwayoyi
- Kadan tsada
- Ƙananan ƙwayar maganin steroid wanda zai iya rage girman sakamakon
Abubuwan da ba kome ba ne na Advair, Symbicort, Dulera, da Breo
- Kadan sassauci a dosing
- Idan kayi amfani da magani don taimakawa bayyanar cututtuka, zaku iya karɓar kashi mafi girma daga steroid fiye da yadda aka bada shawarar yanzu.
Ta Yaya Hanyoyin Kasuwanci Kamar Rashin Haɗari, Alamar Ƙira, Dulera, da Ƙarƙashin Ƙarƙwarar Ƙira?
Haɗuwa da samfurori kamar Advair da Symbicort sun ƙunshi 2 magunguna masu aiki da ke aiki don magance fuka dinka daban:
- Steroid inhaled: Ayyukan Manzanni a kan hanyoyi na huhu don rage ƙonewa.
- LABA : Yana samar da hankulan jiki ta hanyar kwantar da ƙwayar tsoka a cikin huhu da kuma samar da hanyoyi sama, saboda haka rage yawan bayyanar cututtuka.
Misalai
- Haɗuwa : Yana dauke da steroid Fluticasone (Flovent) da kuma LABA Salmeterol (Sake)
- Symbicort : Mai dauke da steroid, Budesonide (Pulmicort) da LABA Formoterol (Foradil)
- Dulera: Tsaya da steroid Mometasone da LABA Formoterol
- Breo: Yana dauke da steroid Fluticasone kuma shi LABA Vilanterol
Hanyoyi na Yanayi na Kamfanin Kamar Matattu, Symbicort, Dulera, da Breo
Kamar yadda mafi yawan sauran kwayoyi, kawai ƙananan yawan marasa lafiya suna fama da illa masu lahani. Abubuwa masu illa masu tasiri na yau da kullum suna kama da wadanda ke cikin steroid da kuma LABAs. Duk haɗin steroid da LABAs suna ɗaukar gargaɗin "Black Box" na sauran LABA da kuma tasirin tasirin da ke cikin cututtukan steroid.
Wannan gargadi ya dogara ne akan bayanan da aka samu daga ɗayan nazarin da aka auna na LABA wanda ya mutu 13 daga cikin marasa lafiya 13,176 da aka yi da LABA na makonni 28 tare da mutuwar marasa lafiya da ke karɓar wuribo (basu sami LABA) 3 na 13,179 ba. Duk da yake wannan lamari yana da ƙananan ƙwayar kuma akwai wasu batutuwa masu yawa tare da nazarin da ke jagorantar gargadi, FDA ta ji yana da kyau ga marasa lafiya su sanar da su.
A cikin ƙananan fuka mai tsanani wanda ya ƙara LABA ya nuna cewa yana da tasiri fiye da zubar da kashi na steroid wanda yake da inhaled kuma shine magani mafi kyau saboda wannan dalili. Kamar yadda aka ambata a baya, haɗin haɓaka ya ƙyale marasa lafiya su sami nasara a cikin ƙananan ƙwayoyin cuta kuma rage haɗarin illa mai lalacewa saboda mummunan kashi. Wadannan shawarwari na yau da kullum da aka gabatar da maganin farfadowa sun ba da izinin maganin steroid din da ke dauke da matsakaici ko magungunan marasa ƙarfi da LABA.
Za a iya amfani da masu amfani da ƙwararriyoyin fuka-fuka a matsayin mai amfani da fuka-fuka?
Duk lokacin da kake buƙatar magani ɗaya kawai, akwai yiwuwar samun damar shan magani daidai. Duk da haka, akwai dalilai da dama da yasa asthmatics sukan yi amfani da fiye da ɗaya daga cikin masu haɗari.
Duk da haka, binciken da aka wallafa a Lancet ya nuna cewa marasa lafiya tare da matsananciyar fuka mai tsanani zai iya yin kyau tare da mai kwance guda ɗaya idan aka kwatanta da masu rarrabawa don kiyayewa da ceto. Yawancin matakan da aka inganta a cikin wannan rukuni kamar haɗarin haɗari mai tarin fuka mai tsanani, asibiti, ko kuma bukatun gaggawa. Binciken na biyu yana nuna goyon bayan wannan magani.
Ganin cewa yawancin marasa lafiya na asibiti ba su yin amfani da magunguna masu amfani da ƙwayoyin asiri a kai a kai, wannan zai iya zama wani zaɓi a nan gaba. Duk da haka, wannan maganin ba a tallafa shi a halin yanzu ta Yarjejeniyar Harkokin Tsira ta Amurka don haka kana buƙatar tabbatar da tattaunawar da mai bada sabis na asibiti
Takaitaccen
Abubuwan haɗuwa zasu iya zama kayan aiki masu amfani ga marasa lafiya wadanda ba su iya samun nasarar kula da fuka ba a kan sittin steroid kadai. Dole da likitanka suyi magana game da halayen da suka dace da haɗin haɗakarwa kuma ka tabbata ka sanar da likitanka game da wani mummunan ƙwayar cututtukan fuka.
> Sources:
Nelson HS. Haɗar Haɗakar β-agonists mai tsanani da kuma Inhaled Corticosteroids a cikin Gudanar da Tarihin Asthma. Rahoton Allergy and Asthma Reports 2005, 5: 123-129.
Cibiyar Zuciya ta Duniya, Lung, da Ciwon jini. Samun shiga: Maris 4, 2016. Sakamakon Sakamakon Kasuwanci 3 (EPR3): Sharuɗɗa don Bincike da Gudanarwa na Tsira