討論專區
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寶貝媽 留話於:2010/3/31 |
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輔舒酮 |
孩子咳嗽和鼻過敏半年吃藥都不見改善
醫生開輔舒同給予治療一天2次(4歲)
為期3個月
不知長期使用是否會造成發育不良或其他副作用? |
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孫齊醫師 回應於:2010/4/1 |
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寶貝媽 妳好:
輔舒酮維吸入性類固醇,目前的研究在兒童可以長期使用,副作用常見的為鵝口瘡、聲音沙啞,對於生長發育的研究短時間追蹤時有些人生長得速度較慢,但長期追蹤下來與正常小朋友的身高體重發展無異,不須過度擔心。記得噴完藥要清洗口腔。 |
寶貝媽 回應於:2010/4/1 |
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吸完輔舒酮要涑口? |
謝謝醫生的回答
吸完要如何清洗口腔呢?
因醫生沒有告訴我ㄋㄟ |
張佑豪醫師 回應於:2010/4/4 |
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用清水漱口,或者是用棉棒沾清水擦口腔都可以。 |
姚媽媽 回應於:2010/4/8 |
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單獨使用輔舒同除了效果不佳外,會使正在發炎的氣管更加惡化嗎? |
醫師您好:
小孩目前2.5歲,日前確診為氣喘
早晚咳嗽有痰聲,尤其是晚上要睡覺了,咳的更頻繁
但睡著了便不會咳嗽
醫師有開
長效型氣管擴張劑
長效型茶鹼
吸入型類固醇(輔舒酮)
都是早晚一次
孩子服藥後因對氣管擴張劑十分敏感
晚上無法入睡 哭鬧不休 睡著後有手腳顫抖情形
但咳嗽情形立即消失
醫師要我們減半劑量,孩子夜晚仍是哭鬧無法入睡
之後醫師要我們停藥但吸入型類固醇同樣持續
果然停藥後,晚上能入睡了但夜咳又來了
還好睡著不會咳嗽不致影響睡眠品質
醫師告訴我們單獨使用吸入型類固醇效果不佳
咳嗽情形痊癒的較慢
我擔心的是,這段只單獨使用吸入型類固醇
而持續咳嗽是否會讓氣管(氣喘)更加惡化?
謝謝醫師回答
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張佑豪醫師 回應於:2010/4/9 |
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如果使用氣管擴張劑就會興奮睡不著, 還可以有其他藥物選擇。單用吸入性類固醇的情況下, 如果小朋友一直有夜咳或喘鳴的症狀, 代表控制的不是很好。
可以考慮(1)增加吸入性類固醇的量(2)維持原先吸入性類固醇的量, 另外加上一種新的藥物(例如欣流)。
不過還是建議帶給門診醫師評估, 再決定最後的用藥。 |
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