Icyo Acetylcysteine (inzira yo guhumeka) ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Acetylcysteine yo guhumeka ni umuti ufasha gucisha no koroshya ururenda ruzitse kandi ruzingiye mu nzira yawe y'ubuhumekero. Ikoreshwa cyane iyo ufite indwara zituma bigoye gukorora ururenda mu buryo busanzwe, bigaha ibihaha byawe inkunga bikeneye kugira ngo bikuremo ibintu byoroshye.

Ubu buvuzi bworoheje ariko bufite akamaro bukora binyuze mu gusenya poroteyine zituma ururenda ruzitana kandi rugoye. Tekereza nk'umufasha ufasha sisitemu yawe y'ubuhumekero, bigatuma birushaho koroha guhumeka no kumva umeze neza iyo uhuye n'ibibazo byo guhumeka bifitanye isano n'ururenda.

Acetylcysteine ni iki?

Acetylcysteine ni umuti usenya ururenda, bivuze ko yibanda cyane ku gusenya ururenda. Iyo uhumeka uyu muti, ujya mu nzira yawe y'ubuhumekero aho ibintu byinshi bizitse biteza ibibazo.

Uyu muti uza mu iseswa uhumeka ukoresheje nebulizer cyangwa ikindi gikoresho cyo guhumeka. Bimaze imyaka myinshi bikoreshwa mu buryo bwizewe mu gufasha abantu bafite indwara zitandukanye zo mu myanya y'ubuhumekero gucunga ibimenyetso byabo neza.

Umuvuzi wawe ashobora kandi kumenya uyu muti ukurikije imikorere yawo ya shimi - ukora binyuze mu gusenya imikoranire iri hagati ya poroteyine zituma ururenda ruzitana kandi rugoye kurukuramo mu bihaha byawe.

Acetylcysteine ikoreshwa mu iki?

Acetylcysteine yo guhumeka ifasha mu ndwara nyinshi zo mu myanya y'ubuhumekero aho ururenda ruzitse ruba ikibazo. Muganga wawe akenshi azagusaba kuyikoresha igihe umubiri wawe ukeneye ubufasha bwihariye bwo gukuramo ibintu mu nzira yawe y'ubuhumekero.

Indwara zisanzwe zungukirwa n'ubu buvuzi zirimo bronchitis ihoraho, aho inzira yawe y'ubuhumekero ikora ururenda rwinshi ruzitse buri gihe. Bifasha kandi abantu bafite cystic fibrosis, indwara ya genetike ituma ururenda ruzitse cyane kandi ruzingiye rwiyongera mu bihaha.

Byongeyeho, acetylcysteine ishobora gufasha mu zindi ndwara zo mu myanya y'ubuhumekero nka bronchiectasis, aho inzira zangiritse zo mu myanya y'ubuhumekero zigirwa ingorane zo gukuraho imyuka neza. Abantu bamwe bafite asima ikomeye cyangwa indwara y'ubuhumekero ihoraho (COPD) nabo bashobora kungukira muri ubu buvuzi iyo ibintu bikomeye bibaye ingorane.

Mu bindi bihe, abaganga bakoresha acetylcysteine kugira ngo bafashe gukuraho imyuka yiziba cyangwa ibintu bikomeye bibaho nyuma yo kubagwa cyangwa mu gihe cy'indwara zikomeye zo mu myanya y'ubuhumekero. Uyu muti utanga ubufasha bwihariye aho ukenewe cyane.

Acetylcysteine ikora ite?

Acetylcysteine ikora isenya imikoranire y'imiti ihuriza hamwe imyuka. Uyu ni umuti ufite imbaraga ziringaniye utanga ibisubizo byizewe atagize urugomo rwinshi ku myanya yawe y'ubuhumekero.

Iyo uhumeka uyu muti, wibanda ku proteyine zihariye zifite izina rya mucoproteins zituma imyuka yawe iba ikomeye kandi igakama. Mu gusenya iyi mikoranire, uyu muti uhindura imyuka ikomeye, igoranye gukurwa mo ibintu byoroshye umubiri wawe ushobora gukorora byoroshye.

Ubu buryo bubaho vuba iyo uyu muti ugeze mu nzira zawe z'ubuhumekero. Mu minota mike yo guhumeka, ushobora kubona ko gukorora birushaho gutanga umusaruro kandi guhumeka bikumvikana ko bidakomeye uko inzira zawe z'ubuhumekero zitangira gusukura.

Uyu muti ukora ahantu hihariye mu muhaha wawe aho kugira ingaruka ku mubiri wawe wose, bivuze ko ushobora gutanga ubufasha bwihariye hamwe n'ingaruka nke z'umubiri kurusha izindi mvura zimwe.

Nkwiriye gufata Acetylcysteine nte?

Ubusanzwe uzahabwa acetylcysteine ukoresheje nebulizer, ihindura umuti w'amazi mo umwuka mwiza uhumeka buhoro buhoro kandi cyane. Umuganga wawe azakwereka neza uburyo bwo gukoresha neza igikoresho cyawe cyihariye.

Mbere yo kuvurwa, ni ngombwa kunywa amazi kugira ngo afashe mu kugumisha umuhogo wawe ukunda, kandi bitume imiti yoroha guhumeka. Gufata umuti ntibisaba igihe cyihariye cyo gufatana n'ifunguro, nubwo abantu bamwe babona ko bifasha kwirinda kurya amafunguro menshi mbere yo kuvurwa.

Mugihe cyo kuvurwa, icara neza mu mwanya mwiza uhumeke bisanzwe unyuze mu kanwa ka nebulizer. Ubusanzwe, iki gikorwa cyose gifata iminota 10-15, kandi ugomba gukomeza kugeza igihe imiti yose yahindutse urubura.

Nyuma yo kuvurwa, oza umunwa wawe n'amazi ucanire kugira ngo wirinde uburyohe bw'umuti busigaye. Ibi bifasha kandi kwirinda uburakari bushobora kubaho mu kanwa kawe no mu muhogo wawe.

Nzamara Igihe Kingana Gite Ndafatwa Acetylcysteine?

Igihe cyo kuvurwa na acetylcysteine gitandukanye cyane bitewe n'uburwayi bwawe bwihariye n'uburyo witwara ku muti. Muganga wawe azakora gahunda yo kuvura yagenewe ibyo ukeneye.

Kuburwayi bukaze nk'indwara zo mu myanya y'ubuhumekero zirimo ibizimba byinshi, ushobora gukoresha acetylcysteine iminsi mike cyangwa icyumweru. Ariko, niba ufite uburwayi burambye nk'icyo bita cystic fibrosis cyangwa bronchitis idakira, ushobora gukenera kuvurwa buri gihe mu gihe cy'amezi cyangwa gukoresha igihe kirekire.

Umuvuzi wawe azagenzura buri gihe uburyo ubuvuzi bugenda neza kuri wowe. Bazareba ibintu nk'uburyo woroheje ushobora gukorora ibizimba, uburyo uhumeka neza, n'impinduka zose ziri mu mikorere y'ubuhumekero bwawe.

Ni ngombwa kutareka umuti ako kanya utabanje kubiganiraho na muganga wawe, cyane cyane niba umaze kuwukoresha kenshi. Bashobora gushaka kugabanya buhoro buhoro uburyo uvurwa cyangwa bakagufasha guhindukira ku zindi terapiya.

Ni Iyihe Miterere Ibaho Itera Acetylcysteine?

Abantu benshi boroherwa no guhumeka acetylcysteine, ariko nk'imiti yose, irashobora gutera ingaruka zimwe. Kumenya ibyo witegura bishobora kugufasha kumva witeguye kandi ufite icyizere ku buvuzi bwawe.

Ingaruka zikunze kugaragara zikunda kuba nto kandi zifitanye isano no guhura kw'umuti n'ubuhumekero bwawe:

• Gukorora ako kanya nyuma yo guhumeka (ibi akenshi bifasha kuko bifasha gusukura ururenda)
• Kuribwa mu muhogo cyangwa kumva urushije
• Uburyohe butaryoshye mu kanwa kawe
• Izuru riva cyangwa gufungana kw'amazuru
• Isesemi rito, cyane cyane niba umira umuti

Izi ngaruka zisanzwe zikunda kugabanuka uko umubiri wawe wimenyereza ubuvuzi, kandi akenshi ntizisaba guhagarika umuti.

Ingaruka zitagaragara cyane ariko zikomeye zirimo bronchospasm (gufungana kw'inzira z'umwuka), bishobora gutera guhumeka, kubabara mu gituza, cyangwa guhumeka bigoye. Abantu bamwe bashobora kugira kuribwa mu muhogo cyane cyangwa gukorora bikomeza bibuza ibikorwa bya buri munsi.

Ibikorwa bidasanzwe ariko bikomeye birimo ibisubizo bikomeye bya allergique hamwe n'ibimenyetso nk'uruhu, kubyimba, cyangwa guhumeka bigoye cyane. Mu buryo butazwi cyane, abantu bamwe bashobora kugira umutima utagenda neza cyangwa impinduka zikomeye mu mitsi y'amaraso.

Niba ubonye ingorane zo guhumeka, kubabara mu gituza, cyangwa ibimenyetso bya allergique, vugana n'umuganga wawe ako kanya. Ibi bihe bisaba ubufasha bwihuse kugira ngo umutekano wawe wizerwe.

Ninde utagomba gufata Acetylcysteine?

Mugihe acetylcysteine ​​ikunda kugirira abantu benshi, abantu bamwe bagomba kwirinda uyu muti cyangwa bakawukoresha bafite ubwitonzi bwinshi. Muganga wawe azasuzuma neza amateka yawe mbere yo kuwandikira.

Abantu bafite allergie izwi kuri acetylcysteine cyangwa ibice byose bigize umuti wo guhumeka ntibagomba gukoresha uyu muti. Niba warigeze kugira ibimenyetso byo kutamererwa neza ku miti isa n'iyi, gerageza kubibwira umuganga wawe.

Abafite asima ikomeye cyangwa amateka ya bronchospasm bashobora gukenera gukurikiranwa byihariye, kuko umuti rimwe na rimwe ushobora gutera imitsi yo mu nzira y'ubuhumekero kwegera. Muganga wawe ashobora kwifuza kuguha bronchodilator mbere yo kuvurwa na acetylcysteine niba uri muri iyi kategori.

Abantu bafite ibibazo bya peptic ulcers bakwiye gukoresha acetylcysteine bafite ubwitonzi, kuko umuti ushobora gutera ibibazo byo mu gifu kurushaho niba umuntu ayimije atabishaka. Byongeye kandi, niba ufite indwara ikomeye y'impyiko cyangwa umwijima, muganga wawe ashobora gukenera guhindura gahunda yawe yo kuvurwa.

Abagore batwite cyangwa bonsa bakwiye kuganira ku byago n'inyungu n'umuganga wabo, nubwo acetylcysteine muri rusange ifatwa nk'umuti utagira ingaruka zikomeye mu gihe cyo gutwita iyo inyungu ziruta ibyago bishobora kubaho.

Amazina y'ubwoko bwa Acetylcysteine

Umuti wa acetylcysteine wo guhumeka uboneka mu mazina menshi y'ubwoko, aho Mucomyst ari rimwe mu ryamenyekanye cyane. Ushobora kandi kubona yitwa Acetadote, nubwo ubwo bwoko bwihariye bukoreshwa cyane mu bindi bintu by'ubuvuzi.

Amavuriro menshi kandi afite ubwoko bwa acetylcysteine yo guhumeka, bukora neza nk'ubwoko bw'amazina. Uburyo bwa generic akenshi buragura kandi butanga inyungu zimwe za therapeutic.

Umuganga wawe cyangwa umufarumasiti ashobora kugufasha gusobanukirwa ubwoko bwihariye cyangwa verisiyo ya generic ikwiriye neza imiterere yawe n'ubwishingizi. Ubwoko bwose bwemewe buhura n'ubuziranenge bumwe n'amabwiriza y'umutekano.

Uburyo bwa Acetylcysteine

Imiti indi myinshi ishobora gufasha mu bibazo byo guhumeka bifitanye isano n'ururenda, nubwo ikora ikoresheje uburyo butandukanye na acetylcysteine. Muganga wawe ashobora gutekereza izi nzira niba acetylcysteine itagukwiriye.

Dornase alfa (Pulmozyme) ni undi muti uhumekwa usenya ururenda, cyane cyane ukora neza ku bantu bafite cystic fibrosis. Ikora yibanda kuri DNA iri mu rurenda aho kwibanda kuri poroteyine, itanga uburyo butandukanye bwo gukemura ikibazo kimwe.

Saline ya hypertonique (amazi y'umunyu yibumbiye hamwe) nayo ashobora gufasha gucisha ururenda kandi akenshi ikoreshwa hamwe na cyangwa mu cyimbo cya acetylcysteine. Ubu buvuzi bukura amazi mu nzira z'umwuka, bikagabanya ururenda mu buryo bwa kamere kandi bigatuma byoroha gusohoka.

Izindi nzira zirimo imiti yo kunywa nka guaifenesin (umuti usohora ururenda) cyangwa bronchodilateurs zitandukanye zifasha gufungura inzira z'umwuka. Abantu bamwe kandi bungukirwa na physiothérapie y'igituza cyangwa ibikoresho byo gusukura inzira z'umwuka bifasha mu buryo bwa mekaniki gukuramo ururenda mu muhaha.

Ese Acetylcysteine iruta Guaifenesin?

Acetylcysteine na guaifenesin bikora mu buryo butandukanye kandi bikora ibintu bitandukanye, bityo kubigereranya mu buryo butaziguye ntibiba byoroshye buri gihe. Imiti yombi ifasha mu bibazo by'ururenda, ariko ikoresheje uburyo butandukanye n'inzira zo kuyitanga.

Acetylcysteine ijya mu muhaha wawe mu buryo butaziguye binyuze mu guhumeka kandi ikora isenya imiti ya poroteyine y'ururenda. Ubu buryo butaziguye bushobora gukora neza ku rurenda ruzitiranye, rukomeye rutagira uko rukurwa mu buryo bwa kamere.

Guaifenesin, ku rundi ruhande, ifatwa mu kanwa kandi ikora mu mubiri wawe wose kugira ngo ifashe gucisha ururenda. Akenshi biroroshye ku bibazo by'ururenda byoroheje kugeza hagati kandi bishobora gufasha ku bimenyetso byo mu myanya yo hejuru yo guhumeka.

Kubera indwara zikomeye cyangwa zihoraho zifite ururenda rwinshi cyane, acetylcysteine akenshi irakora neza kuko itanga imiti ahantu hakenewe cyane. Ariko, kubera ibimenyetso bya buri munsi by'ibicurane cyangwa ibibazo byoroheje byo mu myanya y'ubuhumekero, guaifenesin irashobora kuba ihagije kandi yoroshye.

Muganga wawe azagufasha kumenya umuti ukwiriye kubera uko urwaye, uko ururenda rwawe rumeze, n'ubuzima bwawe muri rusange.

Ibikunze Kubazwa Kuri Acetylcysteine

Ese Acetylcysteine irakwiriye ku bantu barwaye indwara z'umutima?

Guhumeka acetylcysteine muri rusange bifatwa nk'ibishobora gukoreshwa ku bantu barwaye indwara z'umutima, kuko ikora ahantu honyine mu muhogo aho kugira ingaruka zikomeye ku mikorere y'imitsi yawe. Ariko, ugomba buri gihe kumenyesha muganga wawe ibijyanye n'indwara z'umutima mbere yo gutangira kuvurwa.

Mu bihe bidasanzwe, abantu bamwe bashobora guhura n'imihindukire y'umuvuduko w'umutima cyangwa umuvuduko w'amaraso, cyane cyane niba bafite indwara zikomeye z'umutima. Umuganga wawe azagukurikiranira hafi niba ufite ibibazo bikomeye by'imitsi y'umutima kandi ashobora gutangira n'imiti mike cyangwa akagusura kenshi.

Igikorwa cy'ingenzi cy'uyu muti kiri mu myanya yawe y'ubuhumekero, bityo ntigikunda kwivanga n'imiti y'umutima cyangwa ngo gishyire umutwaro wiyongereye ku mutima wawe. Nyamara, kuganira neza n'ikipe yawe y'ubuzima bituma ubuzima bwawe burushaho kuba bwiza.

Nigira iki niba nkoresheje acetylcysteine nyinshi bitunguranye?

Niba ukoresheje acetylcysteine nyinshi kuruta uko byategetswe, ntugahagarike umutima, ariko ubifate nk'ibintu bikomeye. Ingaruka zisanzwe z'imiti myinshi zirimo gukorora cyane, kuribwa mu muhogo, cyangwa isesemi.

Vugana n'umuganga wawe cyangwa farumasi ako kanya kugira ngo ubabwire iby'iyo miti myinshi kandi ubone ubuyobozi bw'icyo wakora. Bazashaka kumenya umuti wiyongereye wakoresheje n'igihe wawufatiye.

Igenzure niba hari ibimenyetso bidasanzwe nk'inkorora ikabije, guhumeka bigoye, guhagarara mu gituza, cyangwa isesemi ihoraho. Niba uhuye n'ingorane zikomeye zo guhumeka cyangwa ibimenyetso byo kwibasirwa n'umubiri, shakisha ubufasha bwihutirwa bw'ubuvuzi ako kanya.

Ku bijyanye n'imiti y'ahazaza, ongera urebe neza amabwiriza yawe yo gupima kandi uzirikane gushyiraho ibyibutsa kugira ngo wirinde kwiyongera ku buryo butunguranye. Abantu benshi bakira neza kuva ku kwiyongera kwa acetylcysteine ​​hamwe n'ubuyobozi bw'ubuvuzi bukwiye.

Nigomba gukora iki niba nciwe urugero rwa Acetylcysteine?

Niba ucikanwe urugero rwa acetylcysteine, rwongere ufate ako kanya wibuka, keretse igihe kigeze cyo gufata urugero rwawe ruteganyijwe. Muriyo manza, rekera urugero rwakuzwe kandi ukomeze gahunda yawe isanzwe.

Ntuzigere wongera imiti kugirango usubize imiti yatakaye, kuko ibi bishobora kongera ibyago byo kugira ingaruka mbi hatabayeho inyungu zinyongera. Guhora ni ingirakamaro, ariko urugero rwakuzwe rimwe na rimwe ntiruzagira ingaruka zikomeye ku miti yawe yose.

Niba wibona ukunda gucikanwa n'imiti, ganira n'umuganga wawe ku bijyanye n'ingamba zo kugufasha kwibuka. Bashobora gutanga ibyibutsa kuri terefone, gukoresha porogaramu yibutsa imiti, cyangwa guhindura gahunda yawe yo kuvura kugirango ihure neza n'imikorere yawe ya buri munsi.

Nshobora guhagarika ryari gufata Acetylcysteine?

Umwanzuro wo guhagarika acetylcysteine ​​buri gihe ugomba gufatwa mu biganiro n'umuganga wawe, kuko guhagarika kare bishobora gutuma ibimenyetso byawe bisubira. Muganga wawe azasuzuma iterambere ryawe kandi amenye igihe gikwiye cyo guhagarika imiti.

Kubijyanye n'indwara zikomeye, ushobora guhagarara igihe ibimenyetso byawe byongereka kandi ushobora gukuramo imyanda ku giti cyawe. Kubijyanye n'indwara zidakira, muganga wawe ashobora kugabanya buhoro buhoro inshuro zo kuvura aho guhagarara ako kanya.

Ibimenyetso byerekana ko ushobora kuba witeguye guhagarika imiti birimo guhumeka byoroshye, gukora ururenda ruto, no gushobora gukorora ibintu bisohoka mu buryo bwa kamere. Ariko, abantu bamwe bafite indwara zidakira bashobora gukenera kuvurwa buri gihe kugira ngo bagumane ubuzima bwabo bwo mu myanya y'ubuhumekero.

Umuvuzi wawe azagufasha gukora gahunda yo gukurikirana ibimenyetso byawe nyuma yo guhagarika umuti kandi azatanga amabwiriza asobanutse neza yerekeye igihe cyo gusubukura kuvurwa niba bibaye ngombwa.

Nshobora gukoresha Acetylcysteine hamwe n'indi miti yo mu myanya y'ubuhumekero?

Yego, acetylcysteine akenshi irashobora gukoreshwa neza hamwe n'indi miti yo mu myanya y'ubuhumekero, kandi abantu benshi bungukira mu kuvurwa guhuza imiti. Muganga wawe azahuza imiti yawe kugira ngo yemeze ko ikora neza.

Ubusanzwe guhuza imiti birimo acetylcysteine hamwe na bronchodilators (nka albuterol) cyangwa n'indi miti ituma ururenda ruto. Rimwe na rimwe muganga wawe ashobora kugusaba gufata bronchodilator mbere ya acetylcysteine kugira ngo ifashe gufungura inzira zawe z'ubuhumekero no kunoza itangwa ry'imiti.

Ariko, ni ngombwa kumenyesha umuvuzi wawe ku bijyanye n'imiti yose urimo gufata, harimo imiti itangwa nta cyangombwa cy'umuganga n'ibyongerera imiti. Guhuza imiti imwe na rimwe bishobora gusaba guhindura igihe cyangwa gukurikiranwa byihariye kugira ngo umutekano n'imikorere byizewe.

Umunyamavuriro wawe ashobora kandi gufasha guhuza imiti yawe yo mu myanya y'ubuhumekero no gutanga ubuyobozi ku gihe cyiza n'uburyo bwo gukoresha imiti myinshi.