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大宅

積分: 2947


181#
發表於 07-1-18 22:40 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

annayee 寫道:
我個仔今年三歲五個月大,由上年十一月開始流鼻水同咳,睇過四個醫生,都醫唔好D咳,初初朝早一起身就咳,平時就間唔中咳下,睇左醫生,醫生話鼻水倒流,但食左D消炎藥,收鼻水藥,鼻敏感藥,但係醫唔好D咳,但就無流鼻水,有次天氣比較凍,夜晚咳到嘔哂D奶出黎,跟住第日看第二個醫生,話他氣管敏感,但食左九日藥都唔得,朝早起身都係咳,但夜晚無咳,跟住
另外有個醫生給我個仔食5個gm善古寧兩星期
Ans.: I think U'r talking 5 mg ( not 5 gram)

,都無改善,跟住我試下看政府街症,個醫生話我個仔係氣管敏感,佢開左以下的藥:
(1)Diphenhydramine Compound Linctus
(2)Chlorpheniramine Maleate Elixir
(3)Beclomethasone Dipropionate Inhaler(吸服每日兩次要吸一個月)
醫生話吸左第(3)果隻藥(類固純),如果有反應就即係哮喘,我好擔心,唔知好唔好比佢吸,因為我驚類固純有副作用,對小朋友唔好,而醫生又無確定佢係咪哮喘,而我個仔現在朝早有咳,咳時好多痰,但無喘氣,有小小鼻水,平時間唔中咳下,夜晚無咳,照過X光,醫生話無明顯既肺病,跑步有時都會咳!
請問我現在應該點做好呢?我個仔有買住院保險,請問入院檢查有無帮助呢?
Ans.: No. Lab test can be done in the lab.. Reason for admission to hospital is either 1) Professional close observation or 2) Treatment can only be carried out in the hospital, or 3) To decrease the severe stress/disharmony in the family.

請問第(3)果隻藥(類固純)係咪吸開就要長期吸既呢?
Ans.: No. It is used in a longer period to see the effect. It is not a "soft drug" that cause dependence(吸開就要吸).

Additional word:
1) In HK, about 40% of kids 3~4 years have wheezy bronchitis. The symptoms, signs and severity can be same as that in asthma! Some of them require frequent consultation, puffs and admissions. However, only about 15% will turn out later to be real Asthma at the age of 9~10. Meaning that most of them can grow out of it! Get cure at their growth spur when their cortisol secretion from the adrenals are increased to suppress the allergic response.

2) Singulair can be tried 4~8 weeks. U may find it effective. ( 4mg before bed is suitable for you boy)

3) Do believe your family doctor for the use of becotide/seritide puffs. The steroid content absorbed is usually not a problem. Do follow-up in the clinic and give doctor progress feedback. Good communication and rapport is the key to success.
(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)


複式洋房

積分: 292


182#
發表於 07-1-19 01:56 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

Dr Yonex,

My daughter is 3 yrs and 2 mths now, she nearly taken Singulair for 9 continuous month. 請問"善古寧"可否長期食咁耐? (係佢睇開嗰位兒科Dr.介紹)
佢係05年12月開始咳and have runny nose for 4 months and this Dr. said she is 氣管炎 and 有少少哮喘 and 鼻敏感,so after finish 抗生素, she start Singulair till now and didn't has 鼻敏感.
But last Dec, she start to have runny nose again with 痰聲, 咳 when she sleep. After taking 2 weeks of
鼻水and 抗敏感藥,only runny nose stop, the other 2 symptons still happen. Now, no medicine is serving except Singulair. I really don't know whether Singulair is worked? whether i should still giving her Singulair?
Her 兒科Dr. just said her nose is 非常敏感 and suggest us to see 耳鼻喉專科but when we send her to the specialist, her symptons become less (may be due to weather change to warmer). Now it seems that her runny nose is coming back again?

I really don't know what should i do? should I send her to doctor again?

請指教?


大宅

積分: 2947


183#
發表於 07-1-19 07:45 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

yy_baby 寫道:
My daughter is 3 yrs and 2 mths now, she nearly taken Singulair for 9 continuous month. 請問"善古寧"可否長期食咁耐? (係佢睇開嗰位兒科Dr.介紹).佢係05年12月開始咳and have runny nose for 4 months and this Dr. said she is 氣管炎 and 有少少哮喘 and 鼻敏感,so after finish 抗生素, she start Singulair till now and didn't has 鼻敏感. But last Dec, she start to have runny nose again with 痰聲, 咳 when she sleep. After taking 2 weeks of 鼻水and 抗敏感藥,only runny nose stop, the other 2 symptons still happen. Now, no medicine is serving except Singulair.

I really don't know whether Singulair is worked? whether i should still giving her Singulair?
Ans.: I think U may stop Singulair for one month or so. 9 months is not a short period. If wheezy bronchitis relapse, start her on Zaditen 5ml before bed for 2~4 weeks. And U may give him half or one tablet of Ipradol 0.5mg before bed for 4~5 days when he has cough in bed.

Her 兒科Dr. just said her nose is 非常敏感 and suggest us to see 耳鼻喉專科
Ans.: Check up by ENT surgeon to see her thoroughly the passage in nostril, pharynx and larynx is harmless and may give u some more information.

but when we send her to the specialist,
her symptons become less (may be due to weather change to warmer). Now it seems that her runny nose is coming back again?
Ans.: Think about house dust mite allergy. This is an important possible elisiting factor of allergic rhinitis. I did post it here in the past in the topic of 塵蟎. I shall PM U the document I wrote last year, please check.

I really don't know what should i do? should I send her to doctor again?
Ans.: Do see your family doctor if u feel incompetent to handle. We are just someone offering help when u are in need. An reassurance like " not severe" is equally important to allay parents' anxiety and concern.

YY Yonex
(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)


別墅

積分: 614


184#
發表於 07-1-19 11:01 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

我MAMA是個長期哮喘病患者..大概5年前係浸會睇醫生就轉左食呢隻藥.醫生話呢隻藥要長期每晚食一粒.冇類固醇.SIDE EFFECT小D...咁食到而家都OK...
但我覺得如果唔係哮喘就唔好食呢類藥...而且仲係小朋友添.最好唔好倚賴D藥性咁強既藥..希望你小朋友快D好番.


男爵府

積分: 8049


185#
發表於 07-1-19 11:06 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

Dr. Yonex,
想請教 我囡囡現在兩歲半, 之前有咳睇醫生, 有比"善古靈"囡囡食和叫要食一個月, 但我有上黎問過你, 你提議我如果囡囡沒有咳, 就唔好比!但前幾日轉天氣, 囡囡又咳(半夜咳), 第二天睡前比囡囡食, 甘就無咳 但我想問下囡囡會否依賴了這隻藥?是否已經証明囡囡係有"氣管敏感"?
謝謝!
Don't worry!Be happy!


水晶宮

積分: 56314

畀面勳章 醒目開學勳章 BK Milk勳章


186#
發表於 07-1-19 14:52 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

Dr. Yonex, 可否介紹觀塘區好醫生俾我, thank you

另我仔仔係QM睇哮喘專科睇咗成年半, 我記得曾問過醫生意見, 可否吃singular,佢話唔好, 有副作用. 但是睇完呢到所有頁, 我又想自行配返 :cry: 下周抄返仔仔現時的QM開的葯再來請教你, thank you in advance .
生日月, 開心過


大宅

積分: 2947


187#
發表於 07-1-19 16:32 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

雪文 寫道:
可否介紹觀塘區好醫生俾我,
Ans.: Dr. Chan Chi Tak in Po Lam Estate of Tsang Kwun-O. Is it accessable to you?

另我仔仔係QM睇哮喘專科睇咗成年半, 我記得曾問過醫生意見, 可否吃singular,佢話唔好, 有副作用. 但是睇完呢到所有頁, 我又想自行配返 :cry: 下周抄返仔仔現時的QM開的葯再來請教你,
Ans. : IC. How old is he?
(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)
Shirley117 該用戶已被刪除

188#
發表於 07-1-19 16:44 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

提示: 作者被禁止或刪除 內容自動屏蔽


大宅

積分: 2947


189#
發表於 07-1-19 16:50 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

chingbb 寫道:
我囡囡現在兩歲半, 之前有咳睇醫生, 有比"善古靈"囡囡食和叫要食一個月, 但我有上黎問過你, 你提議我如果囡囡沒有咳, 就唔好比!但前幾日轉天氣, 囡囡又咳(半夜咳), 第二天睡前比囡囡食, 甘就無咳
Ans.:Keep on 4 weeks to see the effect La~
但我想問下囡囡會否依賴了這隻藥?是否已經証明囡囡係有"氣管敏感"?
Ans.: Not proven by the use of Singulair for 2 days. But the Answer is "Yes" from the history; Wheezy bronchitis.
(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)
Shirley117 該用戶已被刪除

190#
發表於 07-1-19 16:51 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

提示: 作者被禁止或刪除 內容自動屏蔽


大宅

積分: 2947


191#
發表於 07-1-19 17:02 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

Shirley117 寫道:
請問正在食緊咳藥水,可唔可以食"善古靈"呢?
Ans.:可以.
如果好番冇咳需唔需食呢?
Ans.:唔需要, 除非番發得密啦.
食幾耐呢(1or3 months)
Ans.: Try 4 weeks( 1 box=28')
係咪食(1or3 months)完就唔需要再食架呢?
Ans.:After 4 weeks, if effective and well >> stop.
if not well, not effective, >>also stop.
幾時才需要再食呢?
Ans. Effective and stop, however relapse, re-start.
(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)


大宅

積分: 2947


192#
發表於 07-1-19 17:13 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

Shirley117 寫道:
可否介紹過好醫生比我呢? 我係住 ma on shan架 but anywhere is ok and not too expensive!
Ans.: Dr. Leung Wai Kei in Tai Wai, near KCR station.
PM U if need detail
(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)


大宅

積分: 4897

好媽媽勳章


193#
發表於 07-1-19 18:01 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

咁大人食唔食得?
份量有無唔同?
Shirley117 該用戶已被刪除

194#
發表於 07-1-19 18:04 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

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大宅

積分: 2947


195#
發表於 07-1-19 18:32 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

[quote]
ho528man 寫道:
咁大人食唔食得?
份量有無唔同?

Yes, 10mg before bed.
(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)


禁止訪問

積分: 35771

好媽媽勳章 畀面勳章


196#
發表於 07-1-19 18:39 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

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提示: 作者被禁止或刪除 內容自動屏蔽


大宅

積分: 2947


197#
發表於 07-1-19 18:40 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的


Shirley117 寫道:

非常多謝你既回覆呀! pls pm me for about doctor!!
真係好開心在此網上遇到你! 比左我同各位媽咪好多專業意見,又咁有愛心同耐性一一去解答! 真係好多謝呢!!

My Pleasure. Check PM. 仲要睇症ar~ 有啲Sleepy tim~

我個仔既鼻敏感,哮喘真係困擾&擔心左好耐啦,見到佢要吸氣食藥真係心都痛! :cry: 周圍問人,上網搵幫助資料,中醫西醫咩都試過.........唉! 最想就係搵能夠治本既方法! (應該好多媽咪都有同感!) 希望食過呢隻(善古靈)真係可以有幫助啦!

Ans.: Apart from Singulair, we still have many methods. Don't worry~
(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)


別墅

積分: 917


198#
發表於 07-1-20 13:08 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

Dr.Yonex,

我帶


大宅

積分: 2947


199#
發表於 07-1-20 18:52 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

dianachau 寫道:
我帶
(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)


別墅

積分: 854


200#
發表於 07-1-20 19:59 |只看該作者

Re: 有冇食過 "善古靈" 呢隻藥呀, 醫生話對於"哮喘" 氣管敏感好的

del

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