He aha ka Theophylline (Alaʻi Intravenous): Nā Hoʻohana, Dosage, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

ʻO ka Theophylline i hāʻawi ʻia ma o ka IV he lāʻau bronchodilator e kōkua ana i ka wehe ʻana i kou mau ala ea ke loaʻa iā ʻoe nā pilikia hanu nui. Hoʻohana maʻamau ʻia i nā haukapila ke pono ʻoe i ke kōkua koke mai nā hōʻeha asthma koʻikoʻi a i ʻole nā ​​maʻi māmā koʻikoʻi ʻaʻole i pane maikaʻi i nā lāʻau lapaʻau ʻē aʻe.

Hana kēia lāʻau lapaʻau ma ka hoʻomaha ʻana i nā ʻiʻo a puni kou mau ala ea, e maʻalahi ai ka hanu ʻana. ʻOiai he lāʻau lapaʻau hilinaʻi no nā makahiki he nui, mālama nā kauka i kēia manawa i ka IV theophylline no nā hihia paʻakikī kahi i hāʻawi ʻole ai nā lāʻau lapaʻau ʻē aʻe i ka lawa.

He aha ka Theophylline?

ʻO ka Theophylline kahi lāʻau lapaʻau e pili ana i kahi hui i kapa ʻia ʻo methylxanthines, ʻo ia nā mea e kōkua ai i ka hoʻomaha ʻana i ka ʻiʻo maʻemaʻe i loko o kou kino. Ke hāʻawi ʻia intravenously, hele pololei ia i loko o kou kahe koko no ka hana wikiwiki ʻana i ka hoʻohālikelike ʻana i nā pila a i ʻole nā ​​ʻano waha.

Pili kēia lāʻau lapaʻau i ka caffeine, ʻo ia ke kumu e ʻike ai kekahi o kāna mau hopena inā ʻoe e ʻike i ke kofe a i ʻole ke kī. Hāʻawi ka ʻano IV i nā kauka e kāohi i ka mahele pololei loa a nānā pono i ka pane o kou kino, he mea nui loa ia no ka mea pono ka theophylline e noho i loko o kahi pae kikoʻī i loko o kou koko e hana palekana.

E loaʻa iā ʻoe kēia lāʻau lapaʻau i loko o kahi haukapila kahi e hiki ai i nā poʻe loea mālama ola ke nānā i nā hopena ʻaoʻao a hoʻoponopono i kāu mahele e like me ka mea e pono ai. Hōʻoia ka ala IV i ka lāʻau lapaʻau i kou mau māmā i ka wā e pilikia ai ʻoe i ka hanu.

No ke aha e hoʻohana ʻia ai ka Theophylline?

Hoʻohana nui ʻia ka IV theophylline e mālama i nā hōʻeha asthma koʻikoʻi a me nā maʻi pulmonary obstructive maʻi (COPD) flare-ups ke hana ʻole nā ​​lāʻau lapaʻau ʻē aʻe. Manaʻo ʻia he lāʻau lapaʻau laina lua, ʻo ia hoʻi, hoʻāʻo mua nā kauka i nā lāʻau lapaʻau ʻē aʻe.

Eia nā maʻi nui e ʻōlelo ai kāu kauka i ka theophylline IV:

• Nā hōʻeha hānō koʻikoʻi ʻaʻole e pane i nā bronchodilators maʻamau e like me albuterol
• Nā hōʻeha COPD (ka hōʻino koke ʻana o nā hōʻailona) i nā maʻi i ka haukapila
• Status asthmaticus, he hōʻeha hānō weliweli i ke ola ʻaʻole e hoʻomaikaʻi me nā lāʻau maʻamau
• Apnea o ka prematurity i nā pēpē hānau hou, kahi e kū ai nā pēpē i ka hanu no nā manawa pōkole
• I kekahi manawa no nā maʻi puʻuwai puʻuwai i loaʻa pū i ka wai i loko o ko lākou māmā

I nā hihia liʻiliʻi, hiki i nā kauka ke hoʻohana i ka theophylline no nā maʻi e pili ana i ka hanu, akā ʻaʻole maʻamau kēia mau kūlana. E loiloi pono kāu hui mālama ola i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa ma mua o ka ʻōlelo ʻana i kēia lapaʻau no kāu kūlana kikoʻī.

Pehea e hana ai ka Theophylline?

Hana ka theophylline ma ka pale ʻana i kekahi mau enzymes i loko o kou kino i kapa ʻia ʻo phosphodiesterases, e ʻae ana i kou mau ʻiʻo ea e hoʻomaha maʻalahi. E noʻonoʻo e like me ka wehe ʻana i nā kaʻa e mālama ai i kou mau ea, e ʻae ana iā lākou e wehe i hiki ke kahe ka ea me ka manuahi.

Loaʻa i ka lāʻau lapaʻau nā hopena anti-inflammatory māmā, hiki ke kōkua i ka hōʻemi ʻana i kekahi o ka pehu ʻana i kou mau ea e paʻakikī ai ka hanu. Eia kekahi, hiki iā ia ke hoʻoikaika i kou ʻiʻo diaphragm, ʻo ia ka ʻiʻo nui āu e hoʻohana ai no ka hanu.

Ma ke ʻano he bronchodilator, ua manaʻo ʻia ka theophylline he ikaika iki akā pono ka nānā pono ʻana no ka mea ʻo ka ʻokoʻa ma waena o kahi mahele maikaʻi a me kahi mahele pōʻino he liʻiliʻi. ʻO kēia ke kumu e pono ai ʻoe i nā hoʻokolohua koko maʻamau e nānā i nā pae theophylline i ka wā e loaʻa ana iā ʻoe.

Pehea wau e lawe ai i ka Theophylline?

Mai ka mea he lāʻau lapaʻau intravenous kēia, ʻaʻole ʻoe e lawe iā ʻoe iho - e hāʻawi nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia ma o kahi laina IV i kou lima a i ʻole kou lima. Hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano he infusion lohi a mau loa, ma mua o ka injection wikiwiki.

E hoʻomaka kāu kahu hānai me kahi mahele hoʻouka, ʻo ia ka nui mua e kiʻi i ka pae lāʻau i loko o kou koko kahi e pono ai e wikiwiki. Ma hope o kēlā, e loaʻa iā ʻoe kahi nui paʻa a liʻiliʻi ma o ka IV e mālama i ka pae kūpono i loko o kāu ʻōnaehana.

ʻAʻole pono ʻoe e hopohopo e pili ana i ka lawe ʻana i kēia lāʻau me ka meaʻai a i ʻole ka wai no ka mea e hele pololei ana i loko o kou kahe koko. Eia naʻe, e haʻi i kāu hui mālama ola e pili ana i kekahi caffeine āu i loaʻa ai i kēia manawa, no ka mea hiki ke hoʻopilikia i ka hana ʻana o ka theophylline i kou kino.

E nānā pono ʻia ka IV, a e nānā mau kāu hui mālama ola i ka pūnaewele hoʻokomo e hōʻoia ʻaʻohe huhū a pehu paha. Inā ʻike ʻoe i kekahi ʻoluʻolu ma ka pūnaewele IV, e haʻi koke i kāu kahu hānai.

Pehea ka lōʻihi e lawe ai au i ka Theophylline?

Aia ka lōʻihi o ka mālama ʻana i ka theophylline IV i ke koʻikoʻi o kou pilikia hanu a me ka maikaʻi o kāu pane ʻana i ka lāʻau. Loaʻa ka hapa nui o nā kānaka i kekahi mau lā wale nō i ko lākou ma ka haukapila.

E nānā kāu kauka i kou hanu, nā pae oxygen, a me nā hoʻokolohua koko e hoʻoholo ai i ka wā e mākaukau ai ʻoe e hooki i ka lāʻau a i ʻole e hoʻololi i kahi lapaʻau ʻē aʻe. Hiki i kekahi poʻe maʻi ke hoʻololi i ka theophylline waha a i ʻole nā ​​bronchodilators ʻē aʻe ma mua o ka hoʻopau ʻia ʻana o ka IV.

I ka hapanui o nā hihia, e hoʻomau ʻoe i ka loaʻa ʻana o ka theophylline IV a hiki i ka hoʻomaikaʻi nui ʻana o kou hanu a manaʻo kou kauka e hiki iā ʻoe ke mālama i ka hanu paʻa me nā lāʻau lapaʻau ʻē aʻe. He hana mālie kēia a nānā pono ʻia e pale i nā pilikia.

He aha nā hopena ʻaoʻao o ka Theophylline?

E like me nā lāʻau lapaʻau ʻē aʻe, hiki i ka theophylline IV ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole e loaʻa nā mea a pau iā lākou. ʻO nā hopena ʻaoʻao maʻamau e pili pinepine ana i ka like o ka lāʻau lapaʻau me ka caffeine.

Eia nā hopena ʻaoʻao maʻamau e hiki ke loaʻa iā ʻoe:

• Nausea a me ka luaʻi
• Poʻo
• ʻO ka hopohopo a i ʻole ka manaʻo jittery
• Puʻuwai wikiwiki
• Paʻakikī e hiamoe
• Hoʻopilikia ʻōpū a i ʻole ka puʻuwai
• Tremors a i ʻole nā lima haʻalulu

Hiki ke mālama ʻia kēia mau hopena ʻaoʻao a hiki ke hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau. E nānā pono kāu hui mālama ola iā ʻoe a hiki ke hoʻoponopono i kāu mahele inā pono.

Hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi, ʻoi aku ka nui inā piʻi loa nā pae theophylline i kou koko. Pono kēia mau mea i ka lāʻau lapaʻau koke a me ka nausea a me ka luaʻi nui, ka huikau, ka puʻuwai ʻole, nā hopu ʻana, a i ʻole nā poʻo nui.

I nā hihia kakaikahi, hiki i kekahi poʻe ke loaʻa nā hopena maʻi, ka maʻi maʻi mau, a i ʻole nā loli maʻamau i ke ʻano a i ʻole ke ʻano. Ua aʻo ʻia kāu hui mālama ola e nānā i kēia mau hōʻailona a e hana i nā hana kūpono inā loaʻa lākou.

ʻO wai ka mea pono ʻole e lawe i ka Theophylline?

Aia kekahi mau kūlana kahi i hiki ʻole ai ka theophylline IV ke koho kūpono iā ʻoe. E nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i kēia lapaʻau.

ʻO ka poʻe e pale aku i ka theophylline, ʻo ia ka poʻe me:

• ʻIke ʻia ka maʻi i ka theophylline a i ʻole nā mea pili
• Nā pilikia puʻuwai koʻikoʻi
• Maʻi ʻeha peptic ikaika
• Nā maʻi hopu ʻole
• Maʻi ate koʻikoʻi
• Hyperthyroidism ʻaʻole i mālama maikaʻi ʻia

E mālama nui nō hoʻi kāu kauka inā he maʻi puʻuwai kou, ke koko kiʻekiʻe, nā pilikia o ka puʻupaʻa, a i ʻole inā he ʻelemakule ʻoe. ʻAʻole pono kēia mau kūlana e pale iā ʻoe mai ka loaʻa ʻana o ka theophylline, akā pono lākou i ka nānā ʻana a me ka hoʻohana ʻana i nā mea like ʻole.

Hiki i nā wāhine hāpai a me nā wāhine e hānai ana i ka waiū ke loaʻa i ka theophylline ke pono, akā pono e ana pono ʻia nā pōmaikaʻi a me nā pilikia. E kūkākūkā kāu hui mālama ola i kēia me ʻoe inā pili ia i kou kūlana.

Nā inoa inoa o Theophylline

Loaʻa ka theophylline IV ma lalo o nā inoa inoa like ʻole, ʻoiai he nui nā halemai e hoʻohana i ka mana generic. ʻO nā inoa inoa maʻamau e komo pū ana me Aminophylline, he ʻano paʻakai ia o ka theophylline i hoʻohana pinepine ʻia no ka lawelawe ʻana i ka IV.

Hiki nō hoʻi iā ʻoe ke lohe i nā mea mālama ola e kuhikuhi ana iā ia he

ʻAʻole pono ka theophylline i ʻoi aku ka maikaʻi a i ʻole ka ʻino ma mua o nā bronchodilators ʻē aʻe - he ʻokoʻa ia, a ʻo ke koho maikaʻi loa e hilinaʻi ana i kou kūlana pilikino. Hoʻomaikaʻi ka lāʻau lapaʻau hou i nā bronchodilators hou e like me ka albuterol a i ʻole ipratropium ma ke ʻano he lapaʻau mua no ka mea he maʻalahi lākou e hoʻohana a he liʻiliʻi nā hopena ʻaoʻao.

Eia naʻe, hiki i ka theophylline ke kōkua nui i ka wā i hāʻawi ʻole ai nā lāʻau lapaʻau ʻē aʻe i ka hōʻoluʻolu lawa. Hana ia ma o kahi ʻano hana ʻokoʻa ma mua o ka hapa nui o nā bronchodilators ʻē aʻe, ʻo ia hoʻi, hiki ke kōkua i ka wā i hiki ai nā lāʻau lapaʻau ʻē aʻe i ko lākou palena.

ʻO ka pōmaikaʻi nui o ka theophylline ʻo ia ka hiki ke hāʻawi i ka bronchodilation mau a loaʻa kekahi mau hopena anti-inflammatory. ʻO ka pōʻino nui ʻo ia ka mea e pono ai ka nānā pono ʻana a he nui nā hopena ʻaoʻao i hoʻohālikelike ʻia me nā bronchodilators inhaled.

E noʻonoʻo kāu kauka i kou kūlana hanu kikoʻī, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me kou olakino holoʻokoʻa i ka wā e hoʻoholo ai inā ʻo ka theophylline ke koho kūpono iā ʻoe.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Theophylline

He Palekana ka Theophylline no ka poʻe me ka maʻi puʻuwai?

Hiki ke hoʻohana ʻia ka Theophylline i ka poʻe me ka maʻi puʻuwai, akā pono ia i ka mālama hou a me ka nānā ʻana. Hiki i ka lāʻau lapaʻau ke hoʻonui i ka helu o ka puʻuwai a hiki ke hoʻopilikia i ka puʻi puʻuwai, no laila e pono i kāu kauka ke kaupaona i nā pōmaikaʻi no kou hanu ʻana i nā pilikia e hiki mai ana i kou puʻuwai.

Inā loaʻa iā ʻoe ka maʻi puʻuwai, e hoʻomaka paha kāu hui mālama ola me kahi haʻahaʻa haʻahaʻa a nānā pono i kou puʻi puʻuwai i ka wā e loaʻa ana iā ʻoe ka lāʻau lapaʻau. Hiki iā lākou ke nānā pinepine i kāu hana puʻuwai ma mua o ka maʻamau.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Theophylline?

Mai ka mea e loaʻa ana iā ʻoe ka theophylline ma o ka IV ma kahi haukapila, mālama kāu hui mālama ola i ka hoʻohana ʻana a nānā i nā hōʻailona o ka lāʻau nui loa. Eia naʻe, inā ʻike ʻoe i nā hōʻailona e like me ka nausea nui, ka luaʻi, ka puʻuwai wikiwiki, ka huikau, a i ʻole nā ​​hopu ʻana, e hoʻomaopopo koke i kāu kahu.

He pilikia olakino koʻikoʻi ka overdose theophylline e koi ana i ka mālama koke. Hiki i kāu hui mālama ola ke hoʻōki koke i ka infusion a hāʻawi i ka mālama kākoʻo inā pono. ʻO kēia kekahi o nā kumu e hāʻawi ʻia ai ka theophylline i nā hoʻonohonoho haukapila i mālama pono ʻia.

He aha ka mea e hana ai inā e hemo kaʻu IV?

Inā e hemo a pau paha kāu theophylline IV, e hoʻomaopopo koke i kāu kahu. Mai ho'āʻo e hoʻopili hou iā ʻoe iho. ʻO ka nalo ʻana i nā lāʻau theophylline hiki ke hoʻihoʻi i kou pilikia hanu, no laila he mea nui e hoʻihoʻi i ka lāʻau lapaʻau i ka wikiwiki e like me ka hiki.

E hoʻopili hou kāu hui mālama ola i kāu IV i kēia manawa a i ʻole e hoʻomaka i kahi mea hou inā pono. E nānā pū lākou iā ʻoe e hōʻoia i ka paʻa ʻana o kou hanu i ka wā o ka hoʻopau ʻana i ka mālama ʻana.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Theophylline?

Hiki iā ʻoe ke hooki i ka lawe ʻana i ka theophylline IV ke hoʻoholo kāu kauka ua lawa kou hanu ʻana ʻaʻole pono hou ʻoe. Hoʻokumu ʻia kēia hoʻoholo ma nā mea he nui me kāu mau pae oxygen, pehea ka maʻalahi o kou hanu ʻana, a me nā hopena mai nā hoʻokolohua hana māmā.

Hiki i kāu kauka ke hōʻemi mālie i ka lāʻau ma mua o ka hoʻōki ʻana i ka piha, a i ʻole e hoʻololi lākou iā ʻoe i nā lāʻau lapaʻau waha a i ʻole nā ​​lāʻau inhaled. ʻOkoʻa ka manawa no kēlā me kēia kanaka ma muli o kā lākou pane pilikino i ka mālama ʻana a me ke kūlana ma lalo o ka mālama ʻana.

Hiki iaʻu ke loaʻa i ka caffeine i ka wā e loaʻa ana ka Theophylline?

He mea maikaʻi e pale a i ʻole e kaupalena i ka caffeine i ka wā e loaʻa ana ka theophylline no ka mea he hopena like nā mea ʻelua i kou kino. ʻO ka nui loa o ka caffeine hiki ke hoʻonui i ka pilikia o nā hopena ʻaoʻao e like me ka ʻūlū, ka puʻuwai wikiwiki, a me ka pilikia o ka hiamoe.

Inā inu mau ʻoe i ke kofe, ke kī, a i ʻole nā mea inu caffeinated ʻē aʻe, e hōʻike i kāu hui mālama ola. Hiki iā lākou ke aʻo iā ʻoe inā maikaʻi nā mea liʻiliʻi a i ʻole inā pono ʻoe e pale loa i ka caffeine i ka wā o kāu mālama ʻana.