Tsira da Fassara Basira
Shawarar ta ƙunshi magunguna guda biyu, steroid, da kuma mai kwakwalwa mai tsayi, kuma ana dauka sau biyu a rana, a kowace rana, don taimakawa wajen magance tarin fuka da kuma inganta aikin sutura.
Haɓaka ga yara tare da ƙari
An yi amfani da amfani don amfani da maganin ƙwaƙwalwa don yara da kuma manya da asma. An kuma amfani da ita ga tsofaffi tare da cututtuka na ƙwayar cuta mai ƙyama (COPD) wanda ke hade da cutar mashako.
Idan yaronka yana da ciwo na fuka-fuka, haɗarin fuka, da / ko yana amfani da magungunan ƙwaƙwalwa ko kuma ceto magungunan, kamar Albuterol ko Xopenex, to yana iya buƙatar magani kamar Advair.
Dogaro ba za a yi amfani da ita ba don jin daɗi na ƙananan bronchospasm, wanda ke nufin cewa kada ku yi amfani da shi a matsayin magani na ceto lokacin da yaronku yana fama da ciwon hauka ko rashin ƙarfi na numfashi. Wani ɗan gajeren beta2-agonist, kamar Albuterol, ya kamata a yi amfani dashi a yayin da yaro yana fama da ciwon asma.
Mene ne Gina Ruwa?
- Haɗuwa yana dauke da Flovent ko propotate fluticasone, corticosteroid da rage ƙananan iska, da kuma Serevent ko salmeterol, mai tayar da hanzari wanda yake taimakawa yantar da tsokoki da ke kewaye da hanyoyi
- Dole ne a yi amfani da hanzari idan mai cinyewa kawai, kamar Flovent, Pulmicort, ko Asmanex, ba ya kula da asirin yaronka ko kuma lokacin da yake da sauki don sarrafawa ta hanyar amfani da Albuterol ko Xopenex kawai.
- Masu haɗarin asthma da suke kama da Advair sun hada da Dulera da Symbicort
Nau'o'i biyu na Masu tayar da fuka-fuka na asibiti suna samuwa, tare da kowannensu akwai a ƙarfin ƙarfin:
- Advair Diskus 100/50
- Advair Diskus 250/50
- Advair Diskus 500/50 (mafi karfi)
- Shawara HFA 45/21
- HAUSA 115/21
- Hanyar HFA 230/21 (mafi karfi)
Yayin da '50' da '21' na nufin ƙarfin Salmeterol kuma suna kasancewa a kowane nau'i na Advair, ƙarfin steroid ya bambanta.
Hanyoyin Haɗaka da Gargaɗi
Yara da yara sukan shawo kan rashin lafiya. Abubuwa masu rinjaye na yau da kullum sun hada da cututtuka na numfashi na sama, ƙuƙwarar fuska, kunne, hanci, da kuma bakin gwiwoyi, epistaxis (nosebleeds), pharyngitis (ciwon gwiwoyi), alamun kunne da bayyanar cututtuka, sinusitis, ciwon kai, rashin jin daɗin ciwon ciki da ciwo, tashin hankali da ciwo , koyaswa na bakin ko bakin jini, zazzabi, da kuma alamar alamomin.
FDA ta bayar da sanarwar cewa masu yin beta-agonists mai tsawo, ciki har da salmeterol, na iya ƙãra 'dama na hadarin fuka-fuka mai tsanani, da kuma mutuwa lokacin da waɗannan lokuta ke faruwa.' Ka tuna cewa waɗannan al'amuran sun kasance da wuya kuma ya kamata ku yi la'akari da hadarin rashin ciwo ko ɓarke-fuka marar kyau kuma kada kuyi Shawara idan ba'a kula da asirin yaro ba tare da corticosteroid wanda yake da shi.
Har ila yau, akwai gargadi game da hypercorticism da maye gurbi, cytochrome P450 3A4 magungunan maganin miyagun ƙwayoyi, rashin lafiyar halayen yara masu fama da rashin lafiyar mai tsanani, ragewa a ƙananan ma'adinai, ragewa cikin yawan ci gaba, da glaucoma da cataracts, da dai sauransu.
Bayani mai mahimmanci game da matsala don yara
Kodayake an yarda da yara fiye da shekaru 4, wasu yara a ƙarƙashin shekara 5 ko 6 suna da wuyar amfani ta amfani da ƙwararriyar Advair Diskus.
Ƙwararrun ƙwayoyin magungunan ƙwayar ƙwayar cuta zasu iya haɗa da Pulmicort Respules, wanda za'a iya ba tare da nebulizer, ko yin amfani da MDI mai steroid tare da sakawa da masoya.
Wasu muhimman bayanai:
- Yaro ya kamata ya tashi sama ko ƙasa a cikin kashi na Advair dangane da yadda ake kula da asibirinsa
- Ba abin mamaki ba ne ga wasu yara su ce ba za su iya dandana ko kuma jin nauyin Advair Diskus ba idan sun dauki shi
- Kada ku wuce yawan shawarar da aka yi na daya inhalation sau biyu a rana
- Ya kamata yara su wanke bakinsu bayan amfani da Advair da sauran masu ƙwaƙwalwa da ƙwayoyin ƙwayar ƙwayar ƙwayar cuta wadanda suka ƙunshi steroid
- Koda yara mazan ya kamata su yi amfani da wani wuri mai amfani yayin amfani da Farin HAU ko mai maganin steroid
Kodayake ba a yarda da su ba bisa ga al'ada ga yara a cikin shekaru 12, Hakan da aka ba da izini ga yara masu yawa da ƙwayoyin ƙwayar ƙwayar fuka.
Sources:
FDA. Binciken Bayani: Tsare-gyaren Tsare-tsare na Tsare-tsaren Da FDA Cibiyar Nazarin Drug da Bincike (CDER) - Afrilu 2008
NIH. Ka'idojin Harkokin Gudanar da Harkokin Gizon Asthma. Sharuɗɗa don ganewar asali da Gudanar da ƙari. 2007
Ƙungiyar Harkokin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Kasuwanci: Gabatarwa da Bayani. Maris 2009, NASHIYA 123 / SASHE NA 3.