Yini i-Nedocromil (Indlela ye-Ophthalmic): Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

Amathonsi eso e-Nedocromil ayimithi emnene, engeyona i-steroidal eyenzelwe ukuvimbela nokwelapha ukusabela kwamehlo okungokomzimba. Le mithi isebenza ngokuvimbela amasosha akho omzimba ukuthi akhulule amakhemikhali abangela ukubomvu, ukuluma, nokuvuvukala emehlweni akho uma uveziwe kuma-allergen afana nothuli lwezimpova, izimucu zothuli, noma izinwele zezilwane.

Cabanga nge-nedocromil njengendlela yokuvikela amehlo akho ngesikhathi sonyaka wokungezwani komzimba. Ilusizo ikakhulu kubantu abanezinkinga ze-conjunctivitis yokungezwani komzimba noma ukungezwani komzimba kwamehlo unyaka wonke okwenza imisebenzi yansuku zonke ingakhululeki.

Yini i-Nedocromil?

I-Nedocromil iyisithuthukisi seseli le-mast esivimbela ukusabela komzimba emehlweni akho ngaphambi kokuthi kuqale. Ngokungafani neminye imithi yokungezwani komzimba, i-nedocromil ayinawo ama-steroid, okwenza kube yindlela ephephe kakhulu yesikhathi eside kubantu abaningi.

Le mithi ingeyodwa yeqembu lezidakamizwa elibizwa ngokuthi ama-cromones, asebenza ngokuvimba ukukhululwa kwe-histamine nezinye izinto ezivuthayo ezivela kumaseli akhethekile ezicutshini zamehlo akho. Lapho ama-allergen ezama ukubangela ukusabela, i-nedocromil empeleni itshela amasosha akho omzimba ukuthi ahlale ezolile futhi angasabeli ngokweqile.

Umuthi uza njengesixazululo esicacile, esingenazinzwa samathonsi eso owawusebenzisa ngqo emehlweni akho. Isetshenziswe ngokuphepha amashumi eminyaka futhi ithathwa njengenye yezindlela ezimnene zokuphatha ukungezwani komzimba kwamehlo.

Yini i-Nedocromil Esetshenziselwa Yona?

Amathonsi eso e-Nedocromil asetshenziswa ikakhulukazi ukuvimbela nokwelapha i-conjunctivitis yokungezwani komzimba, okuyigama lezokwelapha lokuvuvukala kwamehlo okubangelwa ama-allergen. Lesi simo sithinta izigidi zabantu futhi singenza amehlo akho azizwe engathokomele ngezikhathi ezithile zonyaka.

Umuthi usebenza kahle kakhulu ku-seasonal allergic conjunctivitis, evame ukuqubuka entwasahlobo nasekwindla lapho izibalo zempova ziphezulu. Ungase uqaphele amehlo akho ebomvu, eluma, futhi enamanzi uma useduze nezihlahla eziqhakazayo, utshani, noma i-ragweed.

I-Nedocromil ingasiza futhi nge-perennial allergic conjunctivitis, okusho ukuthi izifo zamehlo zonyaka wonke. Lezi zivame ukubangelwa ama-allergen angaphakathi endlini njengama-dust mites, izinwele zezilwane ezifuywayo, noma ama-mold spores akhona unyaka wonke.

Abanye odokotela baphinda banikeze i-nedocromil ye-vernal keratoconjunctivitis, uhlobo olunzima kakhulu lwesifo samehlo esibangelwa yi-allergy esivame ukuthinta izingane nentsha. Lesi simo singabangela izimpawu ezingathi sína futhi singadinga izikhathi zokwelashwa ezinde.

Isebenza Kanjani I-Nedocromil?

I-Nedocromil ithathwa njengomuthi olula kuya olinganiselwe oqeda ukusabela kwe-allergy kunokuzelapha ngemuva kokwenzeka. Lokhu kuyenza ihluke emaconsini amehlo e-antihistamine asebenza ngemuva kokuthi izimpawu zakho seziqale.

Umuthi uqondise amaseli akhethekile abizwa ngamaseli e-mast ahlala ezicutshini zamehlo akho. Uma uveziwe kuma-allergen, la maseli ngokuvamile akhipha amakhemikhali afana ne-histamine abangela ukuvuvukala, ububomvu, nokuluma. I-Nedocromil izinzisa la maseli, ivimbele ukuthi angakhiphi lawa makhemikhali ayingxaki.

Le ndlela yokuvimbela isho ukuthi i-nedocromil isebenza kahle kakhulu uma uqala ukuyisebenzisa ngaphambi kokuthi isizini yakho ye-allergy iqale noma uma wazi ukuthi uzovezwa kuma-allergen. Ngokuvamile kuthatha izinsuku ezimbalwa kuya evikini lokusetshenziswa njalo ngaphambi kokuthi uqaphele imiphumela ephelele yokuvikela.

Ngenxa yokuthi i-nedocromil ivimbela kunokwelapha ukuvuvukala okusebenzayo, ngokuvamile ithathwa njengenketho enobumnene kunezithako zamehlo ze-steroid. Kodwa-ke, lokhu futhi kusho ukuthi kungenzeka ukuthi akunikezi ukukhululeka ngokushesha uma amehlo akho esevuvukale kakhulu.

Kufanele Ngiyithathe Kanjani I-Nedocromil?

Amathonsi e-Nedocromil emehlweni avame ukusetshenziswa izikhathi ezi-2 kuya kwezi-4 ngosuku, kuye ngokuthi udokotela wakho uthini kanye nobukhulu bezimpawu zakho. Umthamo ovamile ngamathonsi elilodwa noma amabili esweni ngalinye elithintekile, kodwa ngaso sonke isikhathi landela imiyalelo ethile evela kumhlinzeki wakho wezempilo.

Ngaphambi kokusebenzisa amathonsi, geza izandla zakho kahle ngensipho namanzi. Thambisa ikhanda lakho kancane futhi donsa phansi isembozo seso sakho esingezansi ukuze wakhe iphokhethi elincane. Bheka phezulu bese ucindezela inani lamathonsi elibekiwe kuleli phokhethi, uqaphele ukuthi ungathinti umkhawulo webhodlela esweni lakho noma esembozweni seso.

Ngemva kokusebenzisa amathonsi, vala amehlo akho ngobumnene bese ucindezela kancane ekhoneni langaphakathi leso lakho eduze nekhala lakho cishe iminithi elilodwa. Lokhu kusiza ekuvikeleni ukuthi imithi ingagelezi ngokushesha kakhulu futhi kunciphisa ithuba lokuthi ingangena egazini lakho.

Ungasebenzisa i-nedocromil ngaphandle noma ngaphandle kokudla ngoba isetshenziswa ngqo emehlweni akho. Kodwa-ke, uma ugqoka amalensi okuxhumana, kufanele uwakhiphe ngaphambi kokusebenzisa amathonsi bese ulinda okungenani imizuzu eyi-15 ngaphambi kokuwabuyisela.

Zama ukusebenzisa amathonsi ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo omuthi ezicutshini zamehlo akho. Uma usebenzisa eminye imithi yamehlo, linda okungenani imizuzu emi-5 phakathi kwezinhlobo ezahlukene zamathonsi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nedocromil?

Ubude bokwelashwa nge-nedocromil buxhomeke esimweni sakho esithile nokuthi usabela kahle kangakanani emuthini. Ezintweni ezibangela ukungezwani komzimba ngesikhathi esithile, ungase uyisebenzise amasonto amaningana kuya ezinyangeni ngesikhathi sakho sokungezwani komzimba.

Odokotela abaningi batusa ukuqala i-nedocromil cishe isonto elilodwa kuya kwamabili ngaphambi kokuthi isizini yakho yokungezwani komzimba iqale. Lokhu kunika umuthi isikhathi sokwakha amazinga okuvikela ezicutshini zamehlo akho ngaphambi kokuthi uvele ezingeni eliphezulu lezinto ezibangela ukungezwani komzimba.

Ngezifo zonyaka wonke, kungadingeka ukuthi usebenzise i-nedocromil ngokuqhubekayo izinyanga eziningana. Abanye abantu bathola ukuthi banganciphisa ukuvama kokusebenzisa uma izimpawu zabo zilawulwa kahle, kodwa lokhu kufanele kwenziwe ngaphansi kokuqondiswa kwezokwelapha.

Uma usebenzisa i-nedocromil nge-vernal keratoconjunctivitis, ukwelashwa kungadingeka kuqhubeke izinyanga eziningana noma iminyaka, njengoba lesi simo sivame ukuba siqhubeke futhi sibe sibi kunezifo ezivamile zonyaka.

Yiziphi Imiphumela Eceleni ye-Nedocromil?

I-Nedocromil ivame ukubekezelelwa kahle, kodwa njengayo yonke imithi, ingabangela imiphumela eceleni kwabanye abantu. Imiphumela eminingi eceleni imnene futhi yesikhashana, ithinta amehlo lapho imithi isetshenziswa khona.

Nawa amanye imiphumela eceleni ejwayelekile ongase uyithole:

• Ukusha okuncane noma ukuzwa okubabayo ngemuva nje kokusebenzisa amaconsi
• Ukubona okungacacile okwesikhashana okuvame ukucaca ngemizuzu embalwa
• Ukuvuvukala kwamehlo noma ububomvu obuhlukile ezimpawini zakho zokungezwani komzimba
• Ukukhalisa okwengeziwe noma amehlo amanzi
• Ukuzwa sengathi kukhona okuthile esweni lakho (ukuzwa komzimba wangaphandle)
• Amehlo omile noma ukuzwa okunesihlabathi

Le miphumela ejwayelekile eceleni ivame ukuthuthuka njengoba amehlo akho ezivumela emithini ezinsukwini zokuqala zokusebenzisa. Uma ziqhubeka noma ziba zimbi, kufanelekile ukuxoxa nomhlinzeki wakho wezempilo.

Imiphumela eceleni engavamile kodwa ekhathazayo ihlanganisa ubuhlungu obukhulu emehlweni, izinguquko ezinkulu ekuboneni, noma izimpawu zokungezwani komzimba emithini ngokwayo. Nakuba kungavamile, abanye abantu bangase babe nezinhlungu zekhanda, ukukhathala okungajwayelekile, noma ukunambitheka okubabayo emlonyeni wabo.

Ngokungavamile kakhulu, i-nedocromil ingabangela izinkinga ezingathi sína zamehlo njengokwanda kwengcindezi yamehlo noma ukulimala kwe-corneal. Lezi zinkinga azivamile kakhulu kodwa zidinga ukunakekelwa kwezokwelapha ngokushesha uma zenzeka.

Ubani Ongafanele Athathwe I-Nedocromil?

I-Nedocromil ayinconywa kubantu abazi ukuthi banokungezwani komzimba ne-nedocromil sodium noma yiziphi izithako ezingasebenzi emanzini amehlo. Uma uke waba nokusabela komzimba emithini efanayo esikhathini esidlule, qiniseka ukuthi utshela udokotela wakho.

Abantu abanezimo ezithile zamehlo kufanele basebenzise i-nedocromil ngokucophelela okwengeziwe. Uma une-cornea elimele, isifo samehlo esisebenzayo, noma ukuhlinzwa kwamehlo kwakamuva, udokotela wakho uzodinga ukuhlola ukuthi i-nedocromil iphephile yini ukuthi uyisebenzise.

Izingane ezingaphansi kweminyaka emi-3 ubudala ngokuvamile akufanele zisebenzise i-nedocromil ngaphandle uma zibhalwe ngqo ngudokotela wezingane. Ukuphepha nokusebenza ezinganeni ezincane kakhulu akukahlolisiswa kabanzi.

Uma ukhulelwe noma uncelisa, xoxa ngezingozi nezinzuzo nomhlinzeki wakho wezempilo. Nakuba i-nedocromil ngokuvamile ithathwa njengephephile ngesikhathi sokukhulelwa, ngaso sonke isikhathi kungcono ukusebenzisa imithi kuphela uma kudingekile futhi ngaphansi kokuqondiswa kwezokwelapha.

Abantu abanezifo ezinzima zezinso noma zesibindi bangase badinge ukulungiswa komthamo noma ukuqapha njalo, nakuba lokhu kungakhathazi kangako ngamaconsi amehlo njengoba imithi encane kakhulu ingena egazini.

Amagama Omkhiqizo we-Nedocromil

Isixazululo se-Nedocromil ophthalmic ekuqaleni sathengiswa ngaphansi kwegama lomkhiqizo elithi Alocril e-United States. Leli kwakuyigama eliyinhloko lomkhiqizo elalijwayelekile kubantu abaningi kanye nabahlinzeki bezempilo iminyaka eminingi.

Nokho, i-Alocril yayekwa ngumenzi eminyakeni yamuva, okwenza kube nzima ukuyithola emakhemisi. Lokhu kuholele ekudidekeni phakathi kweziguli ezazisebenzisa ngempumelelo lo muthi ngenxa yokungezwani kwamehlo.

Njengamanje, amaconsi amehlo e-nedocromil angase atholakale njengamafomula ajwayelekile avela ezinkampanini ezihlukahlukene zemithi, nakuba ukutholakala kungahluka ngokuya ngendawo kanye nekhemisi. Amanye amakhemisi okuhlanganisa angase akwazi ukulungisa amaconsi amehlo e-nedocromil ngemiyalelo.

Uma ngabe uke wasebenzisa i-Alocril futhi awusatholi, khuluma nodokotela wakho mayelana nezinketho ezingezinye noma ukuthi ikhemisi elenza imithi endaweni yakini lingakwazi yini ukukulungisela amaconsi e-nedocromil.

Ezinye Izindlela Zokwelapha Nge-Nedocromil

Uma i-nedocromil ingatholakali noma ingasebenzi kahle kuwe, eminye imithi eminingi ingasiza ekuphatheni izimpawu zamehlo ezinzwa. Ukukhetha okunye ukwelapha kuncike ezimpawini zakho ezithile kanye nomlando wakho wezokwelapha.

Amaconsi esodium cromolyn emehlo asebenza ngendlela efana ne-nedocromil futhi avame ukuthathwa njengenye indlela eseduze. Njenge-nedocromil, i-cromolyn iyisithuthisi samaseli e-mast esivimbela ukusabela okungalungile kunokuba sikwelaphe ngemuva kokwenzeka.

Amaconsi emehlo e-antihistamine afana ne-ketotifen, olopatadine, noma i-epinastine anganikeza ukukhululeka okusheshayo kwezimpawu kodwa asebenza ngendlela ehlukile kune-nedocromil. Le mithi ivimba ama-histamine receptors futhi ingase futhi ibe nezakhiwo ezithile zokuzinzisa amaseli e-mast.

Ngezimpawu ezinzima kakhulu, udokotela wakho angase ancome imithi ehlanganisiwe ehlanganisa kokubili ama-antihistamines kanye nezithuthisi zamaseli e-mast, noma kwezinye izimo, amaconsi emehlo e-steroid alula okusetshenziswa ngesikhathi esifushane.

Ama-antihistamines omlomo angasiza futhi ngezimpawu zokungezwani komzimba emehlweni, nakuba engase angabi ngokuqondile njengamaconsi emehlo futhi angabangela imiphumela eminingi eseceleni efana nobuthongo.

Ingabe i-Nedocromil Ingcono Kune-Cromolyn?

I-Nedocromil ne-cromolyn sodium zombili ziyizithuthisi zamaseli e-mast ezisebenza ngezindlela ezifanayo kakhulu ukuvimbela ukusabela okungalungile kwamehlo. Akukho emithini ethile 'engcono' kunenye, njengoba zombili zisebenza kahle futhi zivame ukubekezelelwa kahle.

Ezinye izifundo zikhomba ukuthi i-nedocromil ingase ibe namandla kancane kune-cromolyn, okusho ukuthi inganikeza ukulawulwa okungcono kwezimpawu kwabanye abantu. I-Nedocromil ingase futhi ibe nesikhathi eside sokusebenza, okungenzeka idinga imithamo embalwa yansuku zonke.

Noma kunjalo, i-cromolyn isitholakala isikhathi eside futhi ngokuvamile ayibizi kakhulu kune-nedocromil. I-Cromolyn iyatholakala kabanzi, ikakhulukazi njengoba i-nedocromil iba nzima ukuyithola eminyakeni yamuva.

Ukukhetha phakathi kwale mithi kuvame ukuncika ekuphenduleni komuntu ngamunye, ukutholakala, kanye nezindleko. Abanye abantu bathola ukuthi enye isebenza kangcono ngezimpawu zabo ezithile, kanti abanye benza kahle ngokulinganayo nganoma iyiphi inketho.

Udokotela wakho angakusiza ukuthi unqume ukuthi iyiphi imithi engaba yindawo engcono yokuqala ngokuya ngobukhulu bezimpawu zakho, ukuthi udinga ukwelashwa kaningi kangakanani, kanye nolwazi lwakho lwangaphambilini ngemithi yokungezwani komzimba emehlweni.

Imibuzo Evame Ukubuzwa Mayelana ne-Nedocromil

Q1. Ingabe i-Nedocromil iphephile ku-Diabetes?

Yebo, amathonsi e-nedocromil emehlweni ngokuvamile aphephile kubantu abanesifo sikashukela. Njengoba imithi isetshenziswa ngqo emehlweni futhi okuncane kakhulu kungena egazini, akunakwenzeka ukuthi kuthinte amazinga kashukela egazini noma kusebenzisane nemithi yesifo sikashukela.

Noma kunjalo, abantu abanesifo sikashukela kufanele baqaphele kakhulu ngempilo yamehlo ngokujwayelekile, njengoba isifo sikashukela singakhuphula ingozi yezinkinga ezihlukahlukene zamehlo. Qiniseka ukuthi utshela udokotela wakho wamehlo ngesifo sakho sikashukela ukuze bakwazi ukuqapha impilo yamehlo akho ngendlela efanele ngenkathi usebenzisa i-nedocromil.

Q2. Kufanele ngenzeni uma ngisebenzisa i-Nedocromil eningi ngengozi?

Uma ngengozi ufaka amathonsi amaningi emehlweni akho, ungangeni ekuvaleni. Geza amehlo akho ngobumnene ngamanzi ahlanzekile noma isixazululo se-saline ukuze ususe imithi eningi. Ungase uhlangabezane nokusha noma ukugwaza okukhulu kunokujwayelekile, kodwa lokhu kufanele kuphele ngokushesha.

Ukusebenzisa i-nedocromil eningi emehlweni akho akunakwenzeka ukuthi kubangele ukulimala okukhulu, kodwa uma uhlangabezana nobuhlungu obukhulu emehlweni, izinguquko zombono, noma ezinye izimpawu ezikhathazayo, xhumana nomhlinzeki wakho wezempilo. Ukuze uthole imithamo yesikhathi esizayo, buyela esimisweni sakho esijwayelekile futhi uqaphele kakhulu nge-dropper.

Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Nedocromil?

Uma uphuthelwa umthamo we-nedocromil, uwusebenzise ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungaphindi kabili imithamo ukuze ulungise okushodayo, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Ukungaguquguquki kubalulekile nge-nedocromil ngoba isebenza ngokugcina amazinga aqhubekayo ezicutshini zamehlo akho, ngakho zama ukusetha izikhumbuzi zokukusiza ukuthi ukhumbule imithamo yakho.

Q4. Ngingayeka nini ukuthatha i-Nedocromil?

Ngokuvamile ungaqeda ukusebenzisa i-nedocromil lapho isizini yakho yokungezwani komzimba iphela noma lapho izimpawu zakho zilawulwa kahle futhi ungasathintwa ama-allergen. Kodwa-ke, kungcono ukuxoxa ngalokhu nodokotela wakho kunokuyeka ngokuzumayo wedwa.

Abanye abantu bathola ukuthi izimpawu zabo zibuyela ngokushesha ngemva kokuyeka i-nedocromil, ikakhulukazi uma besathintwa ama-allergen. Udokotela wakho angase ancome ukunciphisa kancane kancane imvamisa yokusebenzisa kunokuyeka kungazelelwe, ikakhulukazi uma ubususebenzisa isikhathi eside.

Q5. Ngingayisebenzisa i-Nedocromil ngamalensi okuxhumana?

Kufanele ususe amalensi akho okuxhumana ngaphambi kokusebenzisa amaconsi e-nedocromil emehlweni bese ulinda okungenani imizuzu eyi-15 ngaphambi kokuwabuyisela. Izinto ezigcina izinto zihlanzekile emaconsini emehlweni zingangenwa ngamalensi okuxhumana athambile futhi zingase zibangele ukucasuka.

Uma ugqoka amalensi okuxhumana njalo, khuluma nodokotela wakho ngendlela engcono kakhulu yokuphatha ukungezwani kwamehlo akho. Ngezinye izikhathi ukushintshela kumalensi alahlwayo nsuku zonke ngesikhathi sesizini yokungezwani komzimba kungasiza ukunciphisa ukwakheka kwama-allergen kumalensi akho futhi kuthuthukise induduzo yakho ngenkathi usebenzisa i-nedocromil.