Jigilar Jigilar Jima'i 24 Sa'a (triamcinolone) shi ne na farko da ke cikin jiki wanda ke cikin jiki wanda ba shi da takardun magani. Yana da magani guda ɗaya a matsayin takardar sanarwa. Flonase da Rhinocort sa'an nan kuma ya zama available OTC. Ya kamata kayi amfani da waɗannan magunguna, ko daya daga cikin sababbin maganin anti-maganin OTC, irin su Zyrtec, Claritin ko Allegra?
Amsar ya dogara da nau'in da kuma rashin lafiyar alamar bayyanarku.
Corticosteroids Intranasal Ɗauki Lokacin yin aiki
Corticosteroids na intranasal, Nasacort, Flonase, da Rhinocort, sune mafi mahimmanci magungunan OTC don maganin alamun rashin lafiya na jiki. Abinda ya ragu a gare su shi ne cewa ba za su yi aiki a kan asali ba. Corticosteroids na intranasal suna daukar lokaci don aiki-suna iya fara taimaka wa bayyanar cututtuka bayan kimanin sa'o'i 6 zuwa 10, amma ba za a iya samun cikakken taimako ba don kwanaki.
Kwayoyin antihistamines, irin su Zyrtec (cetirizine), Allegra (fexofenadine) da Claritin (loratadine), a gefe guda, suna yin aiki da sauri, yawanci cikin sa'o'i (ko žasa) na shan magani. Sabili da haka, waɗannan magunguna suna aiki da kyau idan an dauki su a kan asali.
Anthistamines sunyi aiki mafi kyau don kula da hanci mai tsattsauran ido, idanu masu tsitsa da sneezing-da kasa da kyau don bayyanar cututtukan ƙwayar hanci ko hanci.
Daga cikin nau'o'in sababbin nau'o'in sababbin (anti-sedating), aikin Zyrtec da Allegra musamman don magance ƙwayoyin ƙwayoyin jiki-kuma yawanci cikin kimanin awa daya. Claritin, a gefe guda, ba ya aiki kuma ya dauki kimanin sa'o'i uku don ɗauka sosai. Dukkanin wadannan maganin antihistamines ne mai kyau zabi don jin dadi na rashin jin dadi kuma za'a bada shawarar akan shan antihistamine mai laushi irin su Benadryl.
Abubuwan da sauran ƙwararrun ƙwararrun ƙwayoyin da aka samu a cikin OTC sun hada da wadanda suka yanke hukunci (kamar Afrin ) da NasalCrom (cromolyn).
Rikici Game da Kamfanin CTCicosteroids Intranasal
Wani abu kuma da za a yi la'akari shi ne cewa kungiyoyin masu sana'a masu yawa, masu ilimin yara, da kuma 'yan jarida sunyi amfani da Corticosteroids a cikin jiki. A baya sun yi tsayayya da antihistamine Claritin zama ba tare da takardar sayan magani ba.
Duk da haka, a cikin shekarun 1990s, FDA ta kira alamar rashin lafiyar rhinitis a matsayin cuta wadda za a iya ganewa da kuma bi da ita ba tare da masu sana'a ba. Wannan yana nufin cewa FDA ta ji cewa yana da lafiya don samun kwakwalwa na jama'a da kuma magance rhinitis mai rashin lafiyan amfani da kayayyakin OTC. Corticosteroids intranasal bazai zama lafiya kamar maganin antihistamines, duk da haka, sabili da haka dole ne a yi la'akari da hadarin da wadata. A nan ne muhawarar da masana harkokin kiwon lafiya suka sanya pro da con.
Gwani
An yi amfani da takardun cedicsteroid na Nasal a kan kasuwa ta hanyar takardar sayan magani fiye da shekaru 30, tare da cikakkiyar bayanai da aka tattara a wannan lokaci. Abubuwa mafi rinjaye na yau da kullum sun hada da halayyar hanci da ƙananan hanci, wanda yawanci sauƙi ne.
Mafi mahimmanci game da sakamako na gefe shine yiwuwar ƙirar ƙwararrun ƙwararrun ƙila , ko da yake wannan abu ne mai wuya. Mafi yawancin mutane zasu iya bin umarnin kunshin da zai hada da bayani game da dakatar da yin amfani da corticosteroids na intranasal idan ƙananan hankula ko haushi ya faru.
Baya ga farfadowa na illa, abubuwan corticosteroids intranasal suna da wuya su haifar da sakamako na jiki gaba daya. Nazarin kan corticosteroids a cikin intranasal a tsawon shekaru 2 bai nuna karuwa mai girma a glaucoma ko cataract formation. Sauran karatu ba su nuna alamar cututtuka na hypothalamic-pituitary-adrenal (HPA) , wanda shine alamar yawan steroid shayewa, wanda ya shafi aikin cortisol kansa.
Akwai damuwa akan ci gaba da girma a cikin yara ta hanyar corticosteroids intranasal, kodayake wadannan cututtuka sune ƙananan kuma basu dace ba. Girman girma ta hanyar likita mai kiwon lafiya mai kyau ya bada shawara ga yara ta amfani da ƙwayoyin intranasal ko inhaled coroids.
Har ila yau, akwai damuwa na tattalin arziki game da samuwa na OTC na corticosteroids. Kuɗi na asibiti bazai rufe kayayyakin OTC da aka rufe lokacin da aka umarce su ba. Duk da haka, wannan zai iya zama wani amfani ga wasu mutane, saboda kudin da za a je wurin likita a yanzu ya wuce abin da aka samo daga kamfanin OTC. Mutane na iya gwada wani samfurin OTC don rashin lafiyar cututtukan rhinitis, kamar yadda ya saba da yin ƙoƙarin samun takardar sayan magani. Wannan zai iya haifar da kyakkyawan kula da bayyanar cututtuka da ingantaccen rayuwar rayuwa.
Cons
Ƙwararrun likitocin likita sunyi imanin cewa ciwon corticosteroids samuwa OTC ne mummunan ra'ayi. Dalilin da ya sa wannan ya fi dacewa da aminci, kamar yadda binciken da yawa ya nuna cewa wasu nau'i na illa na iya faruwa. Wadannan sun haɗa da:
- Wasu nazarin suna nuna tasiri akan girma a cikin yara, ko da yake wasu binciken ba su iya nuna wani tasiri ba. Masana sunyi imanin cewa yara da suke yin amfani da wadannan magunguna ya kamata su kula da ci gaban su sosai.
- A cikin mutane da tarihin iyali na glaucoma, akwai haɗarin ƙari na bunkasa glaucoma.
- Abokan tsofaffi sun kasance suna fuskantar haɗari na haɓaka ƙididdigar da ake amfani dasu daga amfani da tsawo.
- Akwai alama akan tasirin ma'adinai na nama daga amfani mai tsawo, wanda zai haifar da osteoporosis .
Masu adawa ga magungunan ƙwayoyin cuta na OTC sunyi imani cewa masu amfani ba za su fahimci cewa wannan magani ya kamata a yi amfani dashi ba don aiki. Ba kamar ƙwararrun ƙwararrun ƙwararrun ƙwararru ba, waɗanda suke kawo sauƙi a cikin wani al'amari na mintuna, intortasal corticosteroids suna daukar sa'o'i zuwa kwanaki don aiki. Saboda haka, mutane za su iya amfani da asarar da yawa fiye da shawarar, wanda zai haifar da ƙarin illa.
Yawancin lahani da rashin fahimtar yadda za a iya kaucewa aikin corticosteroids ta hanyar samun wadannan magunguna ne kawai ta hanyar takardar izini kawai, wanda ya ba da dama don kulawa da hankali ta hanyar likita.
Kalma Daga
Ƙarin fahimtar yin amfani da magunguna na OTC don maganin rashin lafiyar rhinitis zai iya taimaka maka ka guje wa illa masu tasiri. Kuna iya magana da likitanku game da zaɓinku, musamman ma idan kuna la'akari da yin amfani da su ga yara ko tsofaffi.
> Sources:
> Blaiss MS. Abubuwan Corticosteroids Intranasal Cire-Counter-Counter-Counter: Me yasa lokaci yake yanzu. Ann Allergy Asthma Immunol . 2013; 111: 316-8.
> Friedlander SL, et al. Rashin Hanyoyin Hanyoyin Cutar, Misalai, da Tsarin Gudanar da Ƙarƙashin Ƙarƙashin Ƙari Tare da Amfani da Triamcinolone Tsaya-ƙari. Ann Allergy Asthma Immunol . 2013; 111: 319-22.