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!)