Ke ua māmā, ke hoʻopā ʻoe i kahi lepo liʻiliʻi, a i ʻole ke ʻai ʻoe i kahi mea, hoʻomaka ʻoe e kihe mau, a puka mai ka wai mai kou ihu e like me ka hose? ʻUlaʻula a maneʻo kou mau maka? Ua paʻa kou ihu a paʻakikī ke hanu? ʻO kēia nā hōʻailona hoʻonāukiuki o nā 'allergies' a mākou a pau i ʻike ai. I nā manawa e like me kēia, ua maʻa ka nui o mākou i ka hele ʻana i kahi hale kūʻai lāʻau a noi i ka lāʻau. Akā, ʻaʻole ʻike ka nui o mākou he nui nā ʻano lāʻau lapaʻau no kēia allergy. ʻAʻole like ka hana o lākou a pau. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia mau lāʻau allergy , nā ʻokoʻa ma waena o lākou, a pehea e koho ai i ka lāʻau lapaʻau e kūpono loa i kāu mau hōʻailona.
ʻO nā ʻano nui ʻelua o nā lāʻau lapaʻau allergy
I ka ʻōlelo maʻalahi, ʻelua o nā lāʻau lapaʻau i hoʻohana pinepine ʻia no nā maʻi allergies he antihistamines a me decongestants . ʻAʻole paha e ho'ōla loa kēia mau lāʻau i kāu mau maʻi allergies. Eia nō naʻe, hiki iā lākou ke hāʻawi i ka hōʻoluʻolu wikiwiki mai nā hōʻailona hoʻonāukiuki e like me ka ihu wai a me ka ihu paʻa. Loaʻa kēia mau lāʻau lapaʻau i nā ʻano like ʻole.
- Nā pila
- Nā wai
- Nā pīpī ihu
- Nā kulu maka
- Nā mea hoʻoheheʻe
- Nā kirīmi ʻili
- Nā inikini
I kēia manawa, e nānā kākou i kēia mau ʻano lāʻau lapaʻau ʻelua ma ke kaʻawale.
He aha nā lāʻau "antihistamine"?
E noʻonoʻo, i ka wā e komo ai kahi mea a mākou e makemake ʻole ai, e like me ka lepo a i ʻole ka pollen, i loko o ko mākou kino (allergen), huhū ko mākou ʻōnaehana pale a hoʻokuʻu i kahi ʻelele kemika i kapa ʻia ʻo "histamine." ʻO kēia histamine ke kumu o nā maka ʻāʻī, ka ihu wai, ka ʻūhā, a me nā ʻulaʻula ʻili.
ʻO ka hana a ka antihistamine, ʻo ia ke ālai i ka messenger histamine mai ka hoʻopili ʻana i nā cell i loko o ko kākou kino. Ua like ia me ka pani ʻana i ka puka. A laila e emi ana kēlā mau hōʻailona allergy hoʻonāukiuki.
ʻOi aku ka maikaʻi o kēia mau lāʻau lapaʻau inā lawe ʻia ma mua o ka hoʻomaka ʻana o nā hōʻailona allergy, no ka mea, ʻoi aku ka maʻalahi o ka kaohi ʻana i ka nui o ka histamine i loko o ke kino. Inā loaʻa iā ʻoe nā maʻi allergy pinepine, e kamaʻilio me kāu kauka e pili ana i ia mea a nīnau inā he manaʻo maikaʻi e hoʻomaka e lawe i ka lāʻau lapaʻau ma kahi o ʻelua pule ma mua o ka hoʻomaka ʻana o kāu mau hōʻailona allergy.
Ua māhele ʻia hoʻi nā antihistamines i ʻelua mau ʻāpana.
| ʻAno antihistamine | Kūikawā | Nā laʻana i hoʻohana pinepine ʻia |
|---|---|---|
| Hanauna Mua | Hiki i kēia ke hoʻoulu i ka hiamoe nui no ka mea e hele maʻalahi lākou mai ke koko a i ka lolo. E pale i ka lawe ʻana i kēia mau mea inā ʻoe e hoʻokele ana a hoʻohana paha i nā mīkini. | ʻO Chlorpheniramine (Piriton), Diphenhydramine (Benadryl), Clemastine (Tavist) |
| Hanauna ʻElua | ʻAʻole hiki i kēia ke hoʻoulu i ka hiamoe no ka mea ʻaʻole lākou e hele nui i ka lolo, e maʻalahi ai ka hoʻohana ʻana i ke ao. | ʻO Cetirizine (Zyrtec), Loratadine (Claritin), Fexofenadine (Allegra), Desloratadine (Clarinex) |
He aha nā "decongestants"?
ʻO ke ʻano o ka huaʻōlelo decongestant ʻo ia hoʻi 'ka hoʻēmi ʻana i ke kūpikipikiʻō.' Ke loaʻa iā mākou nā maʻi allergies a i ʻole ke anu, pehu nā kīʻaha koko liʻiliʻi i loko o ko mākou ihu. ʻO ia ka manawa e paʻa ai ko mākou ihu.
Hana nā lāʻau lapaʻau decongestant ma ka hoʻēmi ʻana i kēia mau kīʻaha koko pehu. Hoʻokuʻu kēia i kahi ākea i loko o ka ihu, hoʻomaha i ke kūpikipikiʻana, a hoʻomaʻalahi i ka hanu ʻana. Loaʻa kēia mau mea ma ke ʻano he mau pila, wai, a me nā pīpī ihu.
He mea nui loa: ʻAʻole kūpono nā lāʻau lapaʻau decongestant no nā kānaka a pau. ʻAʻole paha lākou e kūpono no ka poʻe me nā maʻi e like me ke koko kiʻekiʻe, ka maʻi puʻuwai, ka glaucoma, a i ʻole ka hyperthyroidism . No laila, e ʻoluʻolu e nīnau i kāu kauka ma mua o ka lawe ʻana i kēia mau lāʻau.
He mea kūikawā e pili ana i nā ʻūpā ihu decongestant
Pono ʻoe e makaʻala loa i ka wā e hoʻohana ai i nā mea hoʻoheheʻe ihu. ʻOiai hiki iā lākou ke hāʻawi i ka hōʻoluʻolu wikiwiki, ʻaʻole pono e hoʻohana ʻia no nā lā ʻoi aku ma mua o 3 i ka manawa.
Inā ʻoe e hoʻomau i ka hoʻohana ʻana, hiki iā ʻoe ke loaʻa i kahi kūlana i kapa ʻia ʻo "rebound reaction." ʻO ke ʻano kēia ma hope o kou hoʻōki ʻana i ka hoʻohana ʻana i ka lāʻau lapaʻau, e hoʻomaka ana kou ihu e ʻoi aku ka paʻa ma mua o ka wā ma mua. No laila e hoʻomanaʻo e hoʻohana wale i kahi pīpī e like me kēia no 3 mau lā.
Nā lāʻau lapaʻau a me nā lāʻau lapaʻau ikaika aʻe
I kekahi manawa, hiki ke paʻakikī ke kāohi i nā maʻi ʻaleka me nā antihistamines maʻamau a i ʻole nā decongestants. I kēlā mau hihia, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe.
ʻO nā Corticosteroids (nā ʻano steroid)
He mau lāʻau lapaʻau ikaika kēia e hōʻemi pololei i ka mumū i hoʻokumu ʻia e nā maʻi allergies. He kōkua nui lākou no ka poʻe i loaʻa pinepine i nā maʻi allergies a me ka ihu paʻa. Loaʻa lākou i nā ʻano like ʻole, me nā ʻōpala ihu (e.g., Fluticasone, Mometasone), nā mea hoʻoheheʻe, a me nā papa. Inā ʻoe e hoʻohana i ka ʻōpala ihu steroid, hiki ke hala i kekahi mau lā a i ʻole hoʻokahi pule e ʻike i nā hopena piha. No laila he mea nui e hoʻomanawanui a hoʻomau i ka hoʻohana ʻana.
Nā lāʻau lapaʻau ʻē aʻe
- Nā Pana Allergy (Allergen Immunotherapy): Hiki i kēia ke lilo i hopena maikaʻi no ka poʻe i loaʻa i nā allergies i ka makahiki holoʻokoʻa a ʻaʻole i loaʻa ka hōʻoluʻolu nui mai nā lāʻau lapaʻau. ʻO kāu hana, ʻo ia ke hāʻawi iā lākou i kahi moʻo o nā pana o nā liʻiliʻi liʻiliʻi o ka allergen ma luna o kekahi mau makahiki. I ka hala ʻana o ka manawa, e maʻa kou kino iā ia a nalowale ka hopena allergies.
- Nā Mea Hoʻopaʻa Kelepona Mast: Hoʻōki kēia i ka hana o nā kelepona mast, kahi e hoʻokuʻu ai i ka histamine.
- Nā mea pale Leukotriene: ʻO Leukotrienes kekahi ʻano kemika e hoʻoulu ai i nā maʻi allergies, e like me ka histamine. Hana kēia mau lāʻau lapaʻau ma ke ālai ʻana i kā lākou hana. ʻO Montelukast (Singulair) kahi laʻana i hoʻohana pinepine ʻia.
- Nā Pana Epinephrine Pōpilikia: Hoʻohana ʻia kēia mau mea no ka poʻe i loaʻa i kahi hopena alerika koʻikoʻi i kapa ʻia ʻo anaphylaxis , hiki ke hoʻoweliweli i ke ola. Inā loaʻa iā ʻoe kahi alerika koʻikoʻi, hiki i kāu kauka ke ʻōlelo aku e lawe ʻoe i kahi auto-injector e like me kēia me ʻoe.
E kamaʻilio me kāu kauka ma mua o ke koho ʻana i kahi lāʻau lapaʻau.
ʻOiai hiki ke kūʻai ʻia kekahi o kēia mau lāʻau lapaʻau ma ka hale kūʻai lāʻau me ka ʻole o ke kauoha a ke kauka, he mea nui loa ke koho ʻana i ka lāʻau lapaʻau kūpono no kāu mau hōʻailona.
ʻOi loa aku inā he mau maʻi ʻē aʻe kou e like me ke koko kiʻekiʻe, ka maʻi puʻuwai, ka maʻi diabetes, a i ʻole nā pilikia prostate , pono ʻoe e kūkākūkā me kāu kauka ma mua o ka lawe ʻana i nā lāʻau lapaʻau e like me nā decongestants.E kamaʻilio me kāu kauka ʻohana. E paipai ʻo ia i ka lāʻau lapaʻau palekana a kūpono hoʻi no kou kūlana olakino.
Leka Lawe-Home
- ʻO nā antihistamines kahi ʻano lāʻau lapaʻau e ālai ana i kahi kemika i kapa ʻia ʻo histamine a hōʻoluʻolu i nā hōʻailona e like me ka ʻū ʻana, ka ihu wai, a me ka maneʻo.
- ʻO nā decongestants kahi ʻano lāʻau lapaʻau e kōkua ai i ka hoʻēmi ʻana i nā kīʻaha koko pehu i loko o ka ihu, e hōʻoluʻolu ana i ka ʻōpū o ka ihu.
- Hiki i nā antihistamines kahiko (hanauna mua) ke hoʻoulu i ka hiamoe nui. ʻOi aku ka liʻiliʻi o ka hiki ke hoʻoulu i ka hiamoe ʻana o nā ʻano hou (hanauna ʻelua).
- E hōʻole i ka hoʻohana ʻana i nā decongestant nasal sprays no nā lā ʻoi aku ma mua o 3 i ka lālani.
- Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai, e ʻoluʻolu e nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau allergy.
- Inā ʻaʻole i kāohi ʻia kāu mau maʻi allergies me nā lāʻau lapaʻau maʻamau, e ʻike i kāu kauka no nā corticosteroids a i ʻole nā lāʻau lapaʻau kikoʻī ʻē aʻe.
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