如何更好的治疗过敏性鼻炎//

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俊慕若窗绅0v
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问题描述:

我想知道如何治疗过敏性鼻炎/ 在什么季节治疗较好?

解析:

(前面都是我瞎啰嗦,没兴趣的直接看后面的译文,其中新药“butterbur提取物”部分我认为您应该看看)我也是个过敏性鼻炎患者!我相信我个人的过敏性鼻炎不会比你们的轻些,(大四刚开学的时候平均每 天打n个喷嚏,鼻子下边和人中的皮都被我擦掉了!)但我在求医的道路上没上过当,也是比较顺利的, 因为我知道如果有人说他可以根治,那是在撒谎!严格的说我就没求过医,只是自己到网上看了看有关过敏和鼻炎的文档(包括一些英文的,也就是说即使是国外最先进的技术也不能根治这个病,所以就不要轻易相信国内那些非官方的、不正式的宣传:xxxx可以根治过敏性鼻炎)。

个人认为过敏性鼻炎可以这样理解:“过敏性鼻炎=过敏+鼻炎”,所以治疗的时候不仅仅只是治鼻炎,关键还要治过敏!否则再治也没用!在网上得知opc对过敏有仰制作用(注:opc即不是治疗过敏最好的也不是最先进的药,请参考官方文档,或看下面我翻译的部分英文官方文档),就买了些opc(葡萄籽提取物),吃了几天(同时喷了些鼻喷雾剂)就见效了(不过到底是不是opc起的作用我自己也搞不清,但是我可以肯定的是opc的确是对身体挺好的),连皮肤都特别的细滑(我可是男的,皮肤细滑是opc带来的副作用,呵呵),药不贵,我是在淘宝上买的!鼻炎我就没怎么治过,现在就是老有一个不怎么通气,但影响不大!(今晚上就是想看看有什么好药治鼻炎才找到这来的!)

我在论坛里经常看到有人在“求医”的时候都上了当!下边我想谈谈大家在选择治疗方案和选购药品时应该注意的一些事项!首先:自己要对过敏和鼻炎有一定的了解,读一些官方资料,大概了解一下目前这方面国外的先进技术(一定是官方的,不是商家宣传的。)这样在你求医的时候通过交谈你就能知道你所面对的这位“专家 ”或“医师”是不是在骗你钱!另外:在购买药品的时候也要十分小心(我妈今年暑假就买了“假药”了 ,说是进口的治鼻炎的药,结果在网上一查是进口的治肝炎的药,还是在职工医院开的,[我是油田的], 当时医生开药就没敢给我母亲包装盒)!买药的时候并不一定是贵就好,而且贵的里面很大的可能性是假药,或者即使药是真的,但它本身并不值那些钱,也就是说可能有些其他正规的药,疗效比它还好,价格比他还便宜的多!(今年暑假还有一件事就是,我的一个朋友花了150多买了瓶治过敏性鼻炎的药,说是澳大利亚进 口的,结果我在澳大利亚登记企业的官方网站上找不到它所写的厂商!)所以大家在打算购买某个自称是 xxx进口药的时候一定要小心,因为这些药往往会比较贵(个人感觉那些贵的离谱的药往往都是不地道的药[即假药或胡乱要价的药]!)国家对药品的进口有严格的控制,进口药品都有个进口批号之类的东西,这些进口药品都可以从“食品药品监督局”查到!如果在“食品药品监督局”查不到你要买的药,那应该就是假药了!如果“食品药品监督局”拒绝服务的话,就只能走些弯路了。(“食品药品监督局”的数据库查询系统好像就一直不能用,我打过一次电话,态度也不好,啥也没告诉我,就说让我去查数据库,shit!数据库能用我给他打电话!!)!那些西方发达国家都有官方网站登记了本国所有的注册企业,同样也有官方的医药健康网站,你可以从那查到有用的信息(从这一点也能 看出中西方的差距)!

下面我翻译了一些自己认为对各位病友有用的部分官方资料!为了方便对照,我是分段翻译的。(我还是个环境艺术类在校生,这个医学文档里会牵扯到很多专业医学术语,我能力有限不能准确地翻译的,直接用英文表示了,而且我从小语文就极差,尤其是作文,文章可能写的很乱,所以还请大家谅解!

下面的文档连接:healthlibrary.ep/GetContentx?token=e0498803-7f62-4563-8d47-5fe33da65dd4&chunkiid=21414) (推荐各位病友大概看看,相信对您会有些帮助的!)

Allergies, Respiratory

Related Terms

• Hay Fever; Pollen Allergy; Seasonal Allergy

Principal Proposed Natural Treatments

• Butterbur

Other Proposed Natural Treatments

• Acupuncture; Adrenal Extract; Ayurvedic Medicine; Bacopa Monniera (brahmi); barberry; Bee Pollen; Betaine Hydrochloride; Cat's Claw; Coleus forskohlii; Enzyme Potentiated Desensitization (EPD); Fish Oil; GLA (Gamma-linolenic Acid); Hypnosis; MSM; Nettle Leaf; OPCs; Other Flavonoids, including Citrus Bioflavonoids; Probiotics; Quercetin; Ro *** arinic Acid / Perilla Frutescens; Soy Sauce Extract (Shoyu Polysaccharides); Spirulina; Sublingual Immunotherapy (SLIT); Tinospora Cordifolia; Topical Capsaicin; Traditional Chinese Medicine; Vitamin B 6; Vitamin B 12; Vitamin C; Vitamin E

过敏症,呼吸的

相关术语

花粉热;花粉过敏;季节过敏

主要提案的自然疗法

Butterbur(一种植物,后面会有详细解释的)

其他提案的自然疗法

针灸;肾上腺提取物;Ayurvedic Medicine;Bacopa Monniera (brahmi);伏牛花;Bee Pollen;Betaine Hydrochloride;猫爪; Coleus forskohlii;Enzyme Potentiated Desensitization (EPD);鱼油;GLA (Gamma-linolenic Acid);Hypnosis; MSM; 荨麻叶; OPCs(葡萄籽提取物); Other Flavonoids, including Citrus Bioflavonoids; Probiotics; Quercetin; Ro *** arinic Acid / Perilla Frutescens; Soy Sauce Extract (Shoyu Polysaccharides); Spirulina; Sublingual Immunotherapy (SLIT); Tinospora Cordifolia; 局部辣椒素; 中国传统中医; 维生素 B 6; 维生素 B 12; 维生素 C; 维生素 E

For other types of allergies, see Asthma and Eczema.

About 7% of all Americans suffer from hay fever, an allergic condition that can cause runny nose, sneezing, and teary eyes. It is known officially as allergic rhinitis, allergic sinusitis, or allergic conjunctivitis, depending on whether symptoms manifest mainly in the nose, sinuses, or eyes, respectively. Hay fever usually peaks when particular plants are pollinating or when molds are flourishing. People who suffer from year-round hay fever (perennial rhinitis) may be allergic to persistent allergens in the environment ing from such sources as dust mites, mice, and cockroaches.

Here's how hay fever works. In response to the triggers noted above, an individual prone to allergies develops an exaggerated immune response. Substances known as IgEs flood the nasal passages, white blood cells called eosinophils arrive by the millions and billions, and inflammatory substances such as histamine, prostaglandins, and leukotrienes are released in massive amounts. The overall effect is the familiar one of swelling, dripping, itching, and aching.

The mechani *** of allergic response is fairly well understood. Why allergic people react so excessively to innocent bits of pollen, however, remains a plete mystery.

Conventional treatment for hay fever primarily involves non-sedating antihistamines and nasal steroids, and is usually quite effective.

其他类型的过敏症请查看哮喘和湿疹。

大概7%的美国人在遭受着过敏之苦,过敏病可以引起流鼻涕,打喷嚏和流眼泪。根据其症状主要表现在鼻子,鼻窦,和眼睛上,其正式的叫法分别叫做过敏性鼻炎,过敏性鼻窦炎或过敏性结膜炎。过敏症通常在当某种特定的植物开始授粉或处于茂盛期的时候最为严重。那些常年经历着过敏的人其过敏源可能是来自环境中的粉尘,老鼠,和蟑螂。

以下是过敏的工作原理。通过对以上所提物质的反应,过敏患者的免疫系统会作出过激的反应。当一种被叫做IgEs的物质流通鼻道时白血细胞就会唤醒数亿的eosinophils,从而释放出大量的具有 *** 性的物质例如histamine, prostaglandins, 和 leukotrienes。其后果就是我们熟悉的肿,流鼻涕,痒,和疼。

过敏反应的机械原理是相当容易理解的,然而为什么过敏患者会对那些非常小的花粉有如此大的反映,这始终还是完全未知的。

治疗过敏的常规方法主要有:non-sedating antihistamines(不含镇静剂的抗组胺剂) 和 nasal steroids(鼻用类固醇),并且通常很有效。

Principal Proposed Natural Treatments

Butterbur

The herb butterbur is best known as a promising new treatment for migraine headaches. However, butterbur may also be helpful for allergic rhinitis.

In a 2-week, double-blind, placebo-controlled study of 186 people with intermittent allergic rhinitis, use of butterbur at a dose of three standardized tablets daily, or one tablet daily, reduced allergy symptoms as pared to placebo.34 Significantly greater benefits were seen in the higher dose group. Such "dose dependency" is taken as a confirming sign that a treatment really works.

In another double-blind study, 330 people were given either butterbur extract (one tablet three times daily), the antihistamine fexofenadine (Allegra), or placebo. 44 The results showed that butterbur and fexofenadine were equally effective, and both were more effective than placebo.

A previous 2-week, double-blind study of 125 individuals with hay fever (technically, seasonal allergic rhinitis) pared a standardized butterbur extract against the antihistamine drug certizine.18 According to ratings by both doctors and patients, the o treatments proved about equally effective. Unfortunately, this study did not use a placebo group.

Two much *** aller studies produced inconsistent results.27,35

For more information, including dosage and safety issues, see the full butterbur article.

主要提案的自然疗法(不要小看自然疗法哦!)

Butterbur

中草药Butterbur因为是被认为是一种很有前途的治疗偏头痛的方法而出名。然而Butterbur也许对过敏性鼻炎也有很好的帮助。

在为期2周的,对186名患有间歇性过敏性鼻炎患者进行安慰剂控制的双盲研究中,分别给患者服用每天3片和每天1片的剂量,将结果与安慰剂试验进行比较,高剂量能明显减轻过敏症状,2个剂量的不同肯定了这种治疗是有效的。

在另外一项双盲研究中,330名患者每天给服用Butterbur提取物(每天3次,一次一片)和antihistamine fexofenadine (Allegra), 或安慰剂,其结果显示Butterbur和fexofenadine都同样有效,并且同时使用效果比安慰剂更好。

在先前的2周,另一次对125名过敏患者(科学的说,季节性过敏患者)的双盲研究中,使患者分别服用Butterbur提取物和服用抗组胺剂certizine并进行了比较,根据医生和患者的共同评选,认为这两种疗法都一样有效,遗憾的是这次研究没有涉及到安慰剂。

两次研究产生了不一致的结果。(参照27,35。以后不再翻译)

需要更多的信息,包括剂量和安全事项,请查看完全的Butterbur文档。

Other Proposed Natural Treatments

......

其他提案的自然疗法

。。。。。(这部分就不译了,有兴趣的可以自己到网上看看)

下面再说说Butterbur

Butterbur

Petasites hybridus

Principal Proposed Uses

• Allergies; Migraine Headaches (Prevention)

Other Proposed Uses

• Asthma; Musculoskeletal Pain; Ulcer Protection

Butterbur(款冬,我也不确定)

Petasites hybridus(可能是一种成分)

主要提案的功效

过敏;预防偏头痛

其他提案的功效

哮喘;Musculoskeletal Pain;溃疡保护物

Butterbur can be found growing along rivers, ditches, and marshy areas in northern Asia, Europe, and parts of North America. It sends up stalks of reddish flowers very early in spring, before producing very large heart-shaped leaves with a furry gray underside. Once the leaves appear, butterbur somewhat resembles rhubarb—one of its mon names is bog rhubarb. It is also sometimes referred to as "umbrella leaves" due to the size of its foliage. Other more or less descriptive mon names abound, including blatterdock, bogshorns, butter-dock, butterly dock, capdockin, flapperdock, and langwort.

Butterbur is often described as possessing an unpleasant *** ell, but being malodorous hasn't protected it from harvesting by humans. The plant has a long history of use as an anti-spa *** odic, thought to be effective for such conditions as stomach cramps, whooping cough, and asthma.

Externally, butterbur has been applied as a poultice over wounds or skin ulcerations.

可以在亚洲的北部,欧洲,包括美洲的北部的部分地区的河边,水沟边和潮湿的地方能找到Butterbur。在早春从它的茎部长出红色的花,晚些会长出非常大的心型的叶子,叶子下面有灰色的茸毛。一旦它长出叶子Butterbur看起来有些像rhubarb--他的另一个名字是bog rhubarb。因为它的大小,有时也被叫做"umbrella leaves" 。还有一些能或多或少反映出他形象的名字,比如blatterdock, bogshorns, butter-dock, butterly dock, capdockin, flapperdock, and langwort.(其实你自己到google上输入Butterbur,搜索图片就能找到好多关于Butterbur的照片)

Butterbur通常有股很难闻的味道,但是即使是这臭味也不能避免它被人们收割。这个植物对治疗痉挛有很长的历史,认为对胃部抽搐,百日咳和哮喘有很好的疗效。

另外,Butterbur也经常被作为药膏涂抹于伤口和溃烂处。

What Is Butterbur Used for Today?

A special toxin-free butterbur extract has been investigated for the treatment of a variety of illnesses. Two double-blind trials suggest that this butterbur extract may be useful for preventing migraine headaches.1,16 In addition, meaningful evidence indicates that this extract is helpful for hay fever.14,17,18,23,24

There is some evidence that butterbur has anti-inflammatory and anti-spa *** odic effects,2,3 and on this basis it has been proposed as a treatment for a variety of musculoskeletal pain conditions; however, meaningful clinical trials have not been reported.4,5,6 Butterbur has also undergone highly preliminary investigation for treatment of asthma7,8 and for protecting the stomach lining from injury, thereby helping to prevent ulcers.9,10

Preliminary evidence suggests that butterbur is not likely to be particularly effective for allergic skin diseases, such as eczema.19

今天Butterbur主要被用来做什么?

没有毒素的Butterbur提取物已经被调查用于治疗多种疾病。在两次双盲实验中显示Butterbur提取物对预防偏头痛就有很好的疗效,另外明显的证据表明Butterbur提取物对过敏也有很好的疗效。

也有一些证据表明Butterbur反 *** 性和反痉挛的效果,在这个基础之上Butterbur被用于治疗多种肌肉及骨骼疼痛的病症,然而临床试验却没有记载过。Butterbur同时被进行初步的调查用于治疗哮喘和保护胃部损伤,因此能有效地防止溃疡。

Hay Fever (Allergic Rhinitis)

Butterbur appears to affect the immune system in ways that suggest it should be helpful for hay fever (technically, "seasonal allergic rhinitis").15,20 On this basis, it has been tested as an allergy treatment, with postive results in substantial studies.

In a 2-week, double-blind, placebo-controlled study of 186 people with intermittent allergic rhinitis, use of butterbur at a dose of three standardized tablets daily, or one tablet daily, reduced allergy symptoms as pared to placebo.23 Significantly greater benefits were seen in the higher-dose group. Such "dose dependency" is generally taken as a confirming sign that a treatment really works.

In another double-blind study, 330 people were given either butterbur extract (one tablet three times daily), the antihistamine fexofenadine (Allegra), or placebo.25 The results showed that butterbur and fexofenadine were equally effective, and both were more effective than placebo.

A previous 2-week, double-blind study of 125 individuals with hay fever pared a standardized butterbur extract against the antihistamine drug certizine.14 According to ratings by both doctors and patients, the o treatments proved about equally effective. Unfortunately, this study did not use a placebo group.

Two much *** aller studies produced inconsistent results.21,22

It's not clear how butterbur might work. Unlike standard antihistamines, it does not appear to reduce reactions on allergy skin tests.27

过敏(过敏性鼻炎)

Butterbur能明显的影响免疫系统从而显示出它对治疗过敏很有用(科学的说:“季节性过敏性鼻炎”)。在此基础上在用于治疗过敏的实验中,得到了大量的满意的研究结果。

在为期2周的,对186名患有间歇性过敏性鼻炎患者进行安慰剂控制的双盲研究中,分别给患者服用每天3片和每天1片的剂量,将结果与安慰剂试验进行比较,高剂量能明显减轻过敏症状,2个剂量的不同肯定了这种治疗是有效的。

在另外一项双盲研究中,330名患者每天给服用Butterbur提取物(每天3次,一次一片)和antihistamine fexofenadine (Allegra), 或安慰剂,其结果显示Butterbur和fexofenadine都同样有效,并且同时使用效果比安慰剂更好。

在先前的2周,另一次对125名过敏患者(科学的说,季节性过敏患者)的双盲研究中,使患者分别服用Butterbur提取物和服用抗组胺剂certizine并进行了比较,根据医生和患者的共同评选,认为这两种疗法都一样有效,遗憾的是这次研究没有涉及到安慰剂。

两次研究产生了不一致的结果

它是如何工作的至今仍不清楚,它并不像抗组胺剂,它在皮肤过敏试验中没有显示出很好的疗效。

Dosage

The usual dosage of butterbur is 50-75 mg ice daily of a standardized extract that has been processed to remove potentially dangerous chemicals called pyrrolizidine alkaloids (see Safety Issues below).

Warning: Use of any butterbur product that contains pyrrolizidine alkaloids is definitely not remended.

用量

Butterbur的通常用量为:经过移除一种叫做pyrrolizidine alkaloids的危险物质、标准的Butterbur提取物一次50~75毫克,一天两次(查看下面的安全事项)

注意:服用任何含有pyrrolizidine alkaloids的Butterbur提取物的产品是绝对不推荐的。

In studies and postmarketing surveillance involving *** s and children, burping and other mild gastrointestinal plaints have been the main side effect of butterbur extract.16, 26,28

Butterbur contains liver-toxic and possibly carcinogenic ponents called pyrrolizidine alkaloids.12 Fortunately, it is possible to remove these pounds from butterbur products.13 In Germany, the maximum allowable content of pyrrolizidine alkaloids in butterbur products has been set at 1 microgram per daily remended dose.

Butterbur should not be used by pregnant or nursing women, young children, or people with severe kidney or liver disease, until further safety testing has been performed.

通过对涉及到包括成人和儿童的研究和市场监督,Butterbur提取物的主要副作用是打嗝和轻微的肠胃不适。

Butterbur含有肝毒和可致癌成分叫做pyrrolizidine alkaloids。幸运的是这些混合物是可以从Butterbur产品中移除的。在德国,所允许的pyrrolizidine alkaloids在butterbur产品中的最大含量是:每天的剂量中不能大于1毫克。

直到进一步更加安全的测试成功之前,Butterbur不能用于孕妇或腐乳期的妇女,幼儿,以及有严重的肝、肾疾病的人。

我在国内没找到有卖butterbur提取物的,不过在国外的易趣(ebay)上有卖的,(在上面搜索“butterbur extract”就能找到)价钱在12$~49$之间!另外google上也能找到不少相关信息。在连接:iherb/store/ProductsListx?c=Herbs&cid=allergies中有卖多种治过敏的药,其中也有butterbur提取物(国外的,不知道怎么买!)。我没买过也没吃过butterbur提取物,其实我很想买,但没有海外购物的经验!谁有这方面的经验或能从国内买到类似的产品,烦请告知!我的联系方式,邮箱:woolf719@yahoo QQ:***********

网址:medlineplus.gov/ 是美国医药和健康研究院的国家数据库!其中有一条2006年10月4号公布的新闻题目是“6个星期的短期注射可以有效地抑制过敏数年”内容大概就是说现在又发明了一种新药,每个星期打两针,连续打6个星期就可以至少在两年里不会再过敏,(而且这只是目前的情况,在药正式上市时持续时间可能会更长),而且这个药和现在其他过敏药不同的是它是从根本上改变了人体的免疫系统(即从根本上治疗过敏),而不仅仅只是消除过敏的症状!专家预计这个药将会在2009年或2010年上市!新闻连接:nlm.nih.gov/medlineplus/news/fullstory_39523

现在网上卖opc(葡萄籽提取物 或 法国海岸松树皮提取物)的挺多,有关它的文档也挺多,(几乎所有文档都说它对过敏有很好的疗效)不过这些文档大部分都不是很准确,就是光拣好的说(不过好处也的确挺多)!本来还想大概再译一下有关opc的,不过太累了,不译了,大概说一下就算了!关于opc抗过敏,官方的说法是:opc常常被推荐用于治疗过敏,但对49名过敏患者进行了为期8周的双盲实验中却没有找到opc对治疗过敏有什么好处!至于副作用就几乎没有,副作用是可能偶尔加重消化负担,然后就是有一次意外的实验结果,是把opc和维生素c混合使用导致血压轻微升高,研究者表示这可能是次意外,别的好像就没什么了!然后就是用量:研究表示如果每天的用量少于50毫克,对身体起不到什么作用,正常用量是150~300毫克每天!(文档连接:healthlibrary.ep/GetContentx?token=e0498803-7f62-4563-8d47-5fe33da65dd4&chunkiid=21765)

另外顺便说句国内最有实力的(植物)opc提取公司是天津的尖峰!淘宝上好像是25块一瓶,100克!我在网上看到好多人说吃了opc没效,有的甚至是花了几百块买来美容的,结果没有效果,还有的甚至吃了晚上睡不着觉(官方文档上没有记载有这样的副作用),而我身边的人现在好多都在吃,没人说吃了没效的,而且只用吃3~5天就能感觉出效果(皮肤有反映),所以我觉得那些吃了没效的人可能是买了假药!!(买药的时候不要以为贵就好,关键是要正规,往往那些自称多么多么牛的药都是奸商吹出来的,买那些由正规的厂商生产的,来自正规的渠道的,这样的药[任何东西都一样]质量好,价钱也合理!!)我一直吃的是澳帝力这个牌子的葡萄籽,因为上面有电话防伪,不过最近想换药,因为它每粒的opc含量才25毫克,太低了!想买天津尖峰公司生产的纯粉,不过还没开始买!(注意:各位病友我不能确定opc对过敏鼻炎到底有没有疗效,我只是觉得吃了对身体挺好的!)

祝身体健康
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