He aha te Beta-2 Adrenergic Agonist: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko ngā beta-2 adrenergic agonists he rongoā hei āwhina i te whakatuwhera i ō rātou ara rererangi ina uaua ana te manawa. E mahi ana ēnei rongoā mā te whakangāwari i ngā uaua huri noa i ō ara rererangi, e māmā ake ai te rere o te hau ki roto, ki waho hoki o ō pūkahukahu. Ka mōhio pea koe ki a rātou i ngā ingoa noa pēnei i te albuterol, i te salmeterol rānei, ā, he maha ngā wā ko rātou te rārangi tuatahi o te rongoā mō ngā āhuatanga pēnei i te huango me te COPD.

He aha te Beta-2 Adrenergic Agonist?

Ko ngā beta-2 adrenergic agonists he momo rongoā e whai ana i ngā kaiwhiwhi beta-2 i ō pūkahukahu. Whakaarohia ēnei kaiwhiwhi hei huri iti, ina whakahohehia, ka kī atu ki ngā uaua maeneene huri noa i ō ara rererangi kia whakangāwari me te whakatuwhera.

Ka tae mai ēnei rongoā i ngā momo rerekē i runga i ō hiahia. E mahi ana ngā putanga poto-whakaari i te tere mō ngā raruraru manawa ohorere, i te wā e whakarato ana ngā mea roa-whakaari i te āwhina pumau puta noa i te rā. Ka whiriwhiria e tō tākuta te momo tika i runga i te hiahia ki te āwhina ohorere tonu, ki te whakahaere tonu rānei i ō tohumate.

Ko te wāhanga

• Ngā whakaeke huangō me te whakahaere huangō tonu
• Ngā pōkae COPD me te whakahaere tohumate ia rā
• Ngā raruraru manawa i puta mai i te whakakori tinana
• Ngā tohumate bronchitis tawhito
• Ngā uaua manawa e pā ana ki te emphysema

I ētahi wā, ka tohua pea e ngā tākuta ēnei rongoā mō ngā āhuatanga kāore i te mōhiotia, pērā i ētahi momo raruraru ngākau, hei aukati rānei i te whānautanga o mua i ngā wāhine hapū. Heoi anō, he mea motuhake ēnei whakamahinga, me te tino tirotiro hauora.

Me pēhea te mahi a te Beta-2 Adrenergic Agonist?

Ka mahi ngā beta-2 agonists mā te whai i tētahi matū māori i tō tinana e kīia nei ko te epinephrine, engari i hangaia kia aro noa ki ngā kaiwhiwhi beta-2 i ō pūkahukahu. Ka tae te rongoā ki ēnei kaiwhiwhi, ka whakaoho i te urupare whakangā i roto i ngā uaua maeneene e karapoti ana i ō ara rererangi.

Na tēnei whakangā ka whānui ō ara rererangi, he tukanga e kīia nei ko te bronchodilation. I te wā kotahi, ka āwhina te rongoā ki te whakaiti i te mumura me te hanga hūpē, ka māmā ake te rere o te hau mā tō pūnaha manawa.

He rerekē te kaha o ēnei rongoā i runga i te rongoā motuhake me te pēhea te tukunga. Ko ngā beta-2 agonists e mahi ana i te wā poto, he rongoā kaha ngawari e tere ana te mahi engari kāore e roa. He kaha ake ngā putanga e mahi ana i te wā roa i te wā roa, engari he roa ake te wā ki te tīmata ki te mahi.

Ko te tikanga ka tīmata ngā pānga i roto i ngā meneti mō ngā putanga e mahi ana i te wā poto, ā, ka roa pea te 4-6 haora. Ka roa pea te 15-30 meneti ki te tīmata te mahi a ngā putanga e mahi ana i te wā roa, engari ka taea te whakangāwari mō te 12-24 haora.

Me pēhea taku tango i te Beta-2 Adrenergic Agonist?

Ko te huarahi e tango ai koe i tō beta-2 agonist ka whakawhirinaki ki te rongoā motuhake me te tikanga tuku e tohua ana e tō tākuta. Ko te nuinga, ka tae mai ēnei rongoā hei inhalers, otinga nebulizer, papa waha rānei.

Mēnā kei te whakamahi koe i tētahi inhaler, ko te mea nui ko te hangarau tika. Ruia pai te inhaler, whakaputaina katoatia te hau, ka pēhi i te wā e tango ana i tētahi manawa puhoi, hōhonu. Puritia tō manawa mō te 10 hēkona ki te taea, ka whakaputa i te hau puhoi.

Mō ngā rongoā waha, ka whai pānga te wā ki te kai. Ko ētahi beta-2 agonists e pai ake ana te mahi i te wā e tangohia ana i runga i te puku kau, i te wā e tika ana kia tangohia me te kai hei whakaiti i te puku. Ka hoatu e tō kai rongoā ngā tohutohu motuhake ki a koe i runga i tō rongoā.

Anei ngā mea me mōhio koe mō te tango tika i tō rongoā:

• Me whai tonu i ngā tohutohu horopeta tika a tō tākuta
• Whakamahia tētahi pūrere spacer me tō inhaler mēnā ka tūtohutia
• Horoi i tō waha i muri i te whakamahi i ngā rongoā e whakauruhia ana
• Tangohia ngā rongoā waha me te karaihe wai ki tonu
• Aroturukihia te maha o ngā horopeta i whakamahia e koe mai i tō inhaler

Mēnā kei te whakamahi koe i tētahi nebulizer, ka tae mai te rongoā hei wai ka huri hei kohu pai. He māmā ake tēnei tikanga mō ngā tamariki, mō ngā tāngata rānei e uaua ana ki te whakamahi tika i ngā inhalers.

Kia Pēhea Te Roa E Tango Ai Au i te Beta-2 Adrenergic Agonist?

He rerekē te roa o te maimoatanga me ngā beta-2 agonists i runga i tō āhuatanga motuhake me te momo rongoā i whakaritea. Ko ngā putanga poto-mahi e whakamahia ana i te wā e hiahiatia ana mō ngā raruraru manawa ohorere, i te wā e tangohia ana ngā putanga roa-mahi i ia rā mō te whakahaere tonu.

Mō te whakahaere i te huangō, ka whakamahi pea koe i tētahi beta-2 agonist poto-mahi i te wā e rongo ana koe i ngā tohu e haere mai ana, engari ko te mea pai kia kaua e nui ake i te torutoru ngā wā i te wiki. Mēnā ka kite koe e hiahia ana koe ki te rongoā whakaora i te nuinga o te wā, ko te tikanga tēnei me whakatika tō whakahaere huangō.

Ka tohua ngā kaiwhakawhiwhi beta-2 roa mō te whakamahi tonu, he maha ngā marama, tau rānei. He pai ake te mahi o ēnei rongoā ina tangohia tonutia, ahakoa kei te pai koe. Ka arotakehia e tō tākuta i ngā wā katoa mēnā kei te hiahia tonu koe i tēnei taumata maimoatanga.

Ka hiahia tō kaiwhakarato hauora ki te kite i a koe i ngā wā katoa ki te aromatawai i te pai o te mahi o te rongoā. Ka whakatika pea rātou i tō horopeta, ka huri rānei i ngā rongoā i runga i te urupare o ō tohumate me te mēnā ka pā ki a koe ētahi pānga taha.

He aha ngā pānga taha o te Beta-2 Adrenergic Agonist?

Pērā i ngā rongoā katoa, ka taea e ngā kaiwhakawhiwhi beta-2 te pānga taha, ahakoa he maha ngā tāngata e pai ana ki a rātou. Ko ngā pānga taha tino noa e pā ana ki ngā pānga whakahihiri o te rongoā ki tō pūnaha io.

Ka kite pea koe i ētahi o ēnei pānga taha noa, ina tīmata koe ki te tango i te rongoā:

• Te wiri, te rūrū rānei i ō ringa
• Te piki o te tere o te ngākau, te pōkaia rānei
• Te pōuri, te noho rānei
• Ngā mamae o te upoko
• Ngā kōpiko uaua, ina koa i ō waewae
• Te riri o te korokoro me ngā momo whakauru

He ngawari noa ēnei pānga, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā. Heoi, me whakapā atu koe ki tō tākuta mēnā ka pōuri rātou, kāore rānei e pai ake i te wā.

Ko ngā pānga taha kāore i te noa engari he nui ake te kino e hiahia ana kia aro mai i te taha hauora. Kei roto pea i ēnei ko te mamae nui o te uma, te ngākau kōaro, te whanoke nui, ngā tohu rānei o te urupare pānga, pērā i te pūwha, te pūpū, te uaua rānei ki te horo.

Ka pā pea ki ētahi tāngata ngā pānga taha onge pērā i ngā huringa o ngā taumata huka toto, ngā raruraru moe, ngā huringa rānei o te wairua. Ahakoa kāore i te noa ēnei, he mea nui ki te kōrero i ngā tohumate e pā ana ki tō kaiwhakarato hauora.

Ko wai kāore e tango i te Beta-2 Adrenergic Agonist?

Ahakoa te nuinga o te wā he haumaru ngā beta-2 agonists mō te nuinga o te tāngata, ētahi āhuatanga, tikanga rānei ka kore e tika, ka hiahiatia rānei ētahi whakatūpato motuhake. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i ēnei rongoā.

Ko ngā tāngata e pā ana ki ētahi āhuatanga o te ngākau me mātua tūpato anō, nā te mea ka pā te beta-2 agonists ki te tere me te manawataki o te ngākau. Kei roto i tēnei ko te hunga he manawataki kōaro, he mate ngākau nui, he toto tiketike kāore i te whakahaerehia.

Anei ētahi āhuatanga ka kore pea e tūtohutia te beta-2 agonists, ka hiahiatia rānei te aroturuki motuhake:

• He mōhio ki te mate pāwera ki te beta-2 agonists, ki ō rātou kai rānei
• Ngā raruraru manawataki ngākau nui
• Ngā raruraru thyroid kāore i te whakahaerehia
• Te mate huka nui me te whakahaere huka toto kāore i te pai
• Hītori o te hopu, o te epilepsy rānei
• Te hapū, te whāngai ū rānei (he haumaru ētahi momo i ētahi atu)

He mea nui anō te pakeke i roto i te inenga me te haumaru. Ka nui ake pea te tairongo o ngā pakeke ki ngā pānga taha, i te wā e hiahia ana ngā tamariki ki te whakatikatika i te inenga i runga i tō rātou taumaha me tō rātou pakeke.

I te kī atu i tērā, ahakoa kei a koe tētahi o ēnei āhuatanga, ka whakahau pea tō tākuta i te beta-2 agonist mēnā ka nui ake ngā painga i ngā tūponotanga. Ka aroturuki noa rātou i a koe, ā, ka tīmata pea ki te inenga iti.

Ngā Ingoa Waitohu o te Beta-2 Adrenergic Agonist

E wātea ana te beta-2 agonists i raro i ngā momo ingoa waitohu rerekē, ā, ka mōhio pea koe ki ētahi o rātou. Ko te mea rongonui ko ProAir, Ventolin, Proventil rānei, kei roto katoa te whakauru kaha albuterol.

Mō ngā putanga roa, ka kite pea koe i ngā ingoa pēnei i a Serevent (salmeterol) rānei, Foradil (formoterol). Ko ēnei te nuinga e whakamahia ana mō te whakahaere i ia rā, kaua mō te āwhina tere.

Ko ētahi ingoa waitohu noa ka tūtaki pea koe ko:

• ProAir HFA, Ventolin HFA, Proventil HFA (nga whakakaha albuterol)
• Serevent Diskus (salmeterol)
• Foradil Aerolizer (formoterol)
• Xopenex (levalbuterol)
• Brovana (arformoterol mō te nebulizer)

He maha o ēnei rongoā e wātea ana i roto i ngā momo rongoā whānui, he iti ake te utu. Kei roto i ngā momo whānui ngā whakauru kaha kotahi, ā, he rite tonu te whai hua ki ngā momo ingoa waitohu.

Ngā Whakakapinga Beta-2 Adrenergic Agonist

Mēnā kāore te beta-2 agonists e tika ana mōu, kāore rānei e whai hua ana, he maha ngā rongoā kē atu ka āwhina i te whakahaere i ngā raruraru manawa. Ka taea e tō tākuta te kōrero i ēnei kōwhiringa i runga i tō āhuatanga motuhake me te urupare ki te rongoā.

Ko ngā rongoā anticholinergic pēnei i te ipratropium (Atrovent) e mahi ana i te rerekē mā te aukati i ngā tohu io e pā ana ki te whāiti i ngā uaua o te ara rererangi. He tino whai hua ēnei mō te hunga e mate ana i te COPD.

Ko ētahi atu kōwhiringa ka whakaarohia e tō tākuta ko:

• Ngā corticosteroids i roto i te manawa mō te whakahaere mumura wā-roa
• Ngā whakarerekē leukotriene pēnei i te montelukast (Singulair)
• Theophylline mō ngā keehi kino
• Ngā rongoā whakakotahi e whakauru ana i ngā momo rongoā maha
• Ngā rongoā koiora hou mō te huangō kino

Ko te kōwhiringa o te whakakapinga e whakawhirinaki ana ki te maha o ngā āhuatanga, tae atu ki te kaha o tō āhuatanga, ētahi atu rongoā e tango ana koe, me tō urupare takitahi ki te rongoā. Ka mahi tō tākuta ki a koe ki te kimi i te huarahi whai hua rawa atu.

He Pai Ake Ngā Beta-2 Adrenergic Agonists i Ngā Anticholinergics?

He whai hua ngā beta-2 agonists me ngā anticholinergics i te whānui i te ara rererangi, engari e mahi ana mā ngā tikanga rerekē, ā, he pai ake pea mō ngā tāngata rerekē, ngā āhuatanga rānei. Ko te kōwhiringa i waenga i a rāua e whakawhirinaki ana ki tō āhuatanga motuhake.

He tere ake te mahi a ngā kaiwhakaoho Beta-2, ā, he maha ngā wā e pai ana mō ngā raruraru manawa koi pērā i ngā whakaeke huango. He tino whai hua rātou mō ngā tohumate i puta mai i te whakakori tinana, ā, ka whai hua tere i te wā e tino hiahia ana koe.

He pai ake pea ngā anticholinergics pērā i te ipratropium mō ngā tāngata e mate ana i te COPD, inā koa te hunga kāore i te pai te urupare ki ngā kaiwhakaoho beta-2. He pai hoki pea rātou mō te hunga e pā ana ki ngā pānga taha nui mai i ngā kaiwhakaoho beta-2.

He maha ngā tākuta e whakahau ana i ngā rongoā whakakotahi i tēnei wā, e whakauru ana i ngā momo rongoā e rua. Mā tēnei huarahi ka taea te mahi tere o ngā kaiwhakaoho beta-2 me te whakawātea tonu o ngā anticholinergics.

Ngā Pātai Auau mō ngā Kaiwhakaoho Adrenergic Beta-2

He Haumaru te Kaiwhakaoho Adrenergic Beta-2 mō te Mate Ngākau?

Ka taea te whakamahi i ngā kaiwhakaoho beta-2 mō te hunga e mate ana i te mate ngākau, engari me mātakitaki āta, ā, me whakatika pea te horopeta. Ka taea e ēnei rongoā te whakanui i te tere o te ngākau me te pā pea ki te manawataki o te ngākau, nō reira ka whakataurite tō tākuta i ngā painga ki ngā tūponotanga.

Mēnā he mate ngākau tōu, ka tīmata pea tō tākuta ki te horopeta iti ake, ka kōwhiri rānei i tētahi momo kaiwhakaoho beta-2 e kore e pā ki tō ngākau. Ka mātakitaki hoki rātou i a koe mō ngā huringa i roto i ō tohumate ngākau.

Me Pēhea Taku Mahi Mēnā Ka Whakamahi Ahau i te Nui Rawa o te Kaiwhakaoho Adrenergic Beta-2?

Mēnā ka tango koe i te nui rawa o tō kaiwhakaoho beta-2, kaua e mataku, engari kia aro ki te āhua o tō tū. Ko ngā tohu noa o te tango i te nui rawa ko te wiri nui, te tere o te ngākau, te mamae o te uma, te tino wiri rānei.

Whakapā atu ki tō tākuta, ki te kaimuku rongoā rānei i te wā tonu mēnā kua nui rawa atu tō tango i te rongoā i te mea i whakahaua. Mēnā kei te pā koe i ngā tohumate nui pērā i te mamae o te uma, te uaua ki te manawa, te manawataki rerekē rānei, rapua te tiaki hauora ohorere tonu.

Me Pēhea Taku Mahi Mēnā Ka Ngaro Ahau i tētahi Horopeta o te Kaiwhakaoho Adrenergic Beta-2?

He aha te mahi mō tētahi horopeta kua ngaro, kei runga i tō tango i tētahi beta-2 agonist poto-wa, roa-wa rānei. Mō ngā rongoā whakaora poto-wa, ka tango noa koe i a rātou i te wā e hiahia ana koe mō ngā tohu.

Mō ngā rongoā rā-rā katoa roa-wa, tangohia te horopeta kua ngaro i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. Kaua rawa e rua ngā horopeta hei utu mō tētahi kua ngaro, nā te mea ka piki ake tō tūponotanga ki ngā pānga taha.

Āhea Āhei Ai Au te Kati te Tango i te Beta-2 Adrenergic Agonist?

Kaua rawa koe e kati te tango i tō beta-2 agonist me te kore e kōrero ki tō tākuta i te tuatahi, ina koa he rongoā roa-wa e whakamahia ana mō te whakahaere i ia rā. Ko te kati ohorere ka arahi ki te kino haere o ngā tohu me ngā raruraru manawa kino pea.

Ka āwhina tō tākuta i a koe ki te whakatau i te wā e haumaru ana ki te whakaiti, ki te kati rānei i tō rongoā i runga i te pai o te whakahaere i tō āhuatanga me te whakamahi rānei i ētahi atu maimoatanga. Ko te tikanga nei he pōturi, he āta tirotiro.

Āhei Ai Au te Whakamahi i te Beta-2 Adrenergic Agonist i te Wā e Hapū Ana?

Ko ētahi beta-2 agonists e whakaarohia ana he haumaru i te wā e hapū ana, i te wā e hiahia ana ētahi atu kia nui ake te tūpato. Ko te Albuterol, hei tauira, e whakaarohia ana he haumaru, ā, he maha ngā wā ko te kōwhiringa pai mō ngā wahine hapū e mate hāwhea ana.

He mea nui ki te haere tonu ki te rongoā i ngā raruraru manawa i te wā e hapū ana, nā te mea ko te hāwhea kāore i rongoā ka nui ake te kino ki te whaea me te pēpi i te rongoā ake. Ka kōwhiria e tō tākuta te kōwhiringa haumaru me te whai hua mō tō āhuatanga motuhake.