Icyo Budesonide na Formoterol Inhalation ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Budesonide na formoterol inhalation ni umuti uvanga ibintu byinshi ufasha kugenzura asima na indwara y'umwuka mubi (COPD). Iyi inhaler ikubiyemo imiti ibiri ikorera hamwe - budesonide, igabanya umubyimbirwe mu nzira z'umwuka wawe, na formoterol, irekura imitsi ikikije inzira z'umwuka wawe kugirango ifashe guhumeka neza. Tekereza nk'inzira ebyiri-muri-imwe yose ikumira ibibazo byo guhumeka kandi itanga ubufasha igihe bibayeho.

Budesonide na Formoterol ni iki?

Uyu muti uvanga ubwoko bubiri butandukanye bw'imiti muri inhaler imwe yoroshye. Budesonide ni iy'itsinda ryitwa corticosteroids, rikora nk'imisemburo karemano umubiri wawe ukora kugirango urwanye umubyimbirwe. Formoterol ni beta-agonist ikora igihe kirekire (LABA) ifasha gufungura inzira z'umwuka wawe irekura imitsi ikikije.

Ubu buryo bukorera neza kurusha umuti umwe kuko bukemura ibibazo byo guhumeka kuva impande ebyiri. Mugihe budesonide ikumira umubyimbirwe utera inzira z'umwuka kubyimba no kugabanuka, formoterol ikomeza inzira z'umwuka zifunguye kugeza ku masaha 12. Iki gikorwa cyombi kigufasha guhumeka neza umunsi wose n'ijoro.

Budesonide na Formoterol bikoreshwa kubera iki?

Iyi inhaler ivura indwara ebyiri z'ingenzi zo guhumeka: asima na COPD. Kubera asima, ifasha gukumira ibimenyetso nko guhuma, guhagarara mu gituza, no guhumeka bigoranye. Kubera COPD, irimo emphysema na bronchitis ihoraho, ifasha gucunga ingorane zo guhumeka zikomeje kandi igabanya ibibazo.

Muganga wawe ashobora kugutera uyu muti niba ukeneye kugenzura buri munsi ibimenyetso byo guhumeka. Bifasha cyane abantu asima yabo itagenzurwa neza n'indi miti cyangwa bafite COPD yo hagati cyangwa ikomeye. Ubu buryo buvanga bisobanura ko ubona ubufasha bwihuse n'uburinzi burambye muri inhaler imwe.

Uyu muti ukoreshwa kandi mu gukumira ibimenyetso bya asima iterwa no gukora imyitozo ngororamubiri. Niba wumva uhumeka nabi igihe ukora imyitozo ngororamubiri, iyi inhaler irashobora kugufasha gufungura inzira z'umwuka wawe no kugabanya umubyimbire ushobora gutera ibibazo byo guhumeka igihe ukora imyitozo.

Budesonide na Formoterol bikora gute?

Uyu muti ukora ukoresheje uburyo bubiri bufatanya kugirango buteze imbere guhumeka kwawe. Budesonide ikora nk'igikorwa kirwanya umubyimbire, igabanya umubyimbire n'uburakari mu nzira z'umwuka wawe bishobora gutuma guhumeka bigorana. Ifatwa nk'umuti ukomeye wo hagati wa corticosteroid ukora mu muhogo wawe aho gukora mu mubiri wawe wose.

Formoterol ikora nka bronchodilator, bivuze ko ifungura inzira z'umwuka wawe irekura imitsi yoroshye iyizengurutse. Iyo iyi mitsi ifashe, inzira z'umwuka wawe ziragabanuka kandi guhumeka bigahinduka bigoye. Formoterol ifasha kugumisha iyi mitsi yoroshye kugeza ku masaha 12, ikaguha ubufasha burambye.

Hamwe, iyi miti itanga uruvange rukomeye rukumira ibibazo byo guhumeka kandi ikabivura iyo bibaye. Budesonide ikora buhoro buhoro uko igihe kigenda gihita kugirango igabanye umubyimbire, mugihe formoterol itanga ubufasha bwihuse ifungura inzira z'umwuka wawe. Ubu buryo bubiri bufasha kugumisha guhumeka neza umunsi wose.

Nkwiriye gufata Budesonide na Formoterol nte?

Fata uyu muti nkuko muganga wawe abitegeka, akenshi kabiri ku munsi - rimwe mu gitondo n'irindi nimugoroba. Igihe cyo gufata imiti kigomba kuba amasaha 12 kugirango ugumane urwego rwo hejuru mu mubiri wawe. Urashobora kuyifata hamwe cyangwa udafite ibiryo, ariko gufata imiti ku gihe ni ingenzi kurusha icyo urya.

Mbere yo gukoresha inhaler yawe, karaba umunwa wawe n'amazi niba bishoboka. Ibi bifasha gukumira thrush, indwara iterwa na fungus ishobora kwaduka mu kanwa kawe iturutse kuri corticosteroid. Nyuma yo guhumeka doze yawe, karaba umunwa wawe wongere ushire amazi hanze - ntuyamire.

Uko wakoresha neza umuti wawe wo guhumeka:

1. Kura umupfundikizo unyeganyeje neza umuti mu gihe cy'amasegonda 5
2. Humeka umwuka mwinshi hanze, utareba umuti
3. Shyira iminwa yawe ku kanwa k'umuti kandi ukore ikimenyetso gikomeye
4. Kanda ku muti uhumeka buhoro buhoro kandi cyane
5. Fata umwuka mu gihe cy'amasegonda 10 cyangwa igihe kirekire gishoboka
6. Humeka buhoro buhoro wongereho umupfundikizo

Niba muganga wawe yagutegetse gufata imiti ibiri, tegera iminota 30 hagati yayo. Ibi bituma urugero rwa mbere rufungura inzira z'umwuka wawe, bigatuma urugero rwa kabiri rugira akamaro kurushaho. Buri gihe ukurikize umubare w'imiti wakoresheje kugirango umenye igihe cyo gusubiza.

Nzagenda nte Budesonide na Formoterol?

Uyu muti akenshi utangwa kugirango ukoreshwe igihe kirekire, bivuze ko ushobora kuwufata mu mezi cyangwa imyaka. Bitandukanye n'imiti yo gutabara ukoresha gusa iyo ibimenyetso bigaragara, uyu muti uvanga ukora neza iyo ukoreshwa buri munsi, kabone niyo wumva umeze neza.

Muganga wawe azasuzuma iterambere ryawe buri gihe, akenshi buri mezi 3-6, kugirango arebe uko umuti ukora neza. Ashobora guhindura urugero rwawe cyangwa agatekereza guhindura imiti bitewe n'uko ibimenyetso byawe bigenzurwa. Abantu bamwe bashobora gukora intambwe bakagera ku rugero ruto, mu gihe abandi bashobora gukenera gukomeza urugero rumwe igihe kirekire.

Ntuzigere uhagarika gufata uyu muti ako kanya, kabone niyo wumva umeze neza. Ibimenyetso byo guhumeka birashobora kugaruka cyangwa bikiyongera niba ubihagaritse ako kanya. Niba ushaka guhagarika cyangwa guhindura umuti wawe, korana na muganga wawe kugirango ukore gahunda igabanya buhoro urugero rwawe mugihe ukurikirana ibimenyetso byawe.

Ni izihe ngaruka ziterwa na Budesonide na Formoterol?

Abantu benshi bakira neza uyu muti, ariko nk'imiti yose, ushobora gutera ingaruka zidakunda. Inkuru nziza ni uko ingaruka zikomeye zitabaho cyane iyo umuti ukoreshwa uko wategetswe. Kumva icyo witegura bishobora kugufasha kumva ufite icyizere cyinshi ku buvuzi bwawe.

Ingaruka zisanzwe abantu benshi bahura nazo zirimo:

• Umutwe no kuribwa umutwe gake
• Uburibwe mu muhogo cyangwa ijwi ryumvikana nabi
• Inkorora cyangwa umunwa wumye
• Isesemi cyangwa kuribwa mu nda
• Umubiri utera cyangwa guhinda umushyitsi gake mu ntoki
• Umutima utera cyane

Ibi bimenyetso mubisanzwe ntibigira ubukana kandi akenshi biragenda bikira uko umubiri wawe wimenyereza umuti. Kwoza umunwa wawe nyuma yo gukoresha buri gihe bishobora gufasha kwirinda kuribwa mu muhogo no kugabanya ibyago byo kurwara indwara y'umunwa.

Ingaruka zitabaho cyane ariko zikomeye zisaba ubufasha bw'abaganga:

• Kuribwa mu gituza cyangwa umutima utera nabi
• Umutwe ukabije cyangwa impinduka mu mbono
• Ibimenyetso by'ubwandu nk'umuriro cyangwa inkorora idahagarara
• Impinduka zidasanzwe mu myifatire cyangwa guhangayika
• Kugorwa no gusinzira cyangwa kutagira umutuzo
• Ubugwari bw'imitsi cyangwa kuribwa mu magufa

Ingaruka zitabaho ariko zikomeye zisaba ubufasha bw'ubuvuzi bwihuse zirimo ibimenyetso bikabije by'uburwayi bw'umubiri, bishobora gutera kubyimba mu maso, iminwa, ururimi, cyangwa umuhogo, hamwe no kugorwa no guhumeka cyangwa kumira. Abantu bamwe bashobora guhura no kwiyongera cyane kw'umuvuduko w'amaraso cyangwa urugero rw'isukari mu maraso, cyane cyane iyo bikoreshejwe igihe kirekire.

Gahoro cyane, gukoresha imiti ikoreshwa mu kuvura indwara zifata imitsi igihe kirekire bishobora kugira ingaruka ku gukomera kw'amagufa cyangwa gutuma abana batagira imikurire myiza. Muganga wawe azagenzura izi ngaruka mu gihe cyo kugenzura buri gihe kandi ashobora kugusaba gukoresha imiti yongera kalisiyumu na vitamine D niba bibaye ngombwa.

Ninde utagomba gufata Budesonide na Formoterol?

Uyu muti ntukwiriye buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuwugushyiriraho. Abantu bafite allergie zimwe na zimwe, cyane cyane kuri budesonide, formoterol, cyangwa ibindi bintu byose biri muri inhaler, ntibagomba gukoresha uyu muti.

Ugomba kubwira muganga wawe ibijyanye n'uburwayi bwawe bwose, cyane cyane niba ufite:

• Ibibazo by'umutima, harimo umutima utera nabi cyangwa umuvuduko ukabije w'amaraso
• Indwara ya diyabete cyangwa isukari nyinshi mu maraso
• Indwara z'imitsi ya thyroïde
• Indwara zo gufatwa n'ibicurane cyangwa epilepsi
• Indwara y'umwijima
• Osteoporose cyangwa ubucucike buke bw'amagufa
• Ibibazo by'amaso nk'ijisho ry'icyuma cyangwa ibicurane by'amaso
• Uburwayi buriho cyangwa bwo hambere, harimo igituntu

Abagore batwite kandi bonka bagomba kwitabwaho by'umwihariko. Nubwo uyu muti ushobora kuba ngombwa kuri asima ikomeye mugihe cyo gutwita, muganga wawe azagereranya inyungu n'ibishobora guteza. Uyu muti ushobora kujya mu mata y'ibere, bityo ababyeyi bonka bagomba kuganira ku zindi nzira n'abaganga babo.

Abana n'abantu bakuze bashobora gukenera guhindura urugero rw'umuti cyangwa gukurikiranwa hafi. Abana bakoresha imiti ya corticosteroid igihe kirekire bashobora kugira imikurire itinda, mugihe abantu bakuze bashobora kwumva cyane ingaruka ziterwa n'imiti nk'umuvuduko w'amaraso wiyongera cyangwa impinduka z'isukari mu maraso.

Amazina y'ubwoko bwa Budesonide na Formoterol

Uyu muti uvanga uboneka mu mazina menshi y'ubwoko, Symbicort ikaba ariyo izwi cyane. Andi mazina y'ubwoko arimo Dulera, ikubiyemo uburyo butandukanye gato, n'uburyo butandukanye bwa generic butanga ibintu bimwe bikora ku giciro gito.

Buri bwoko bushobora kugira ibikoresho bitandukanye bya inhaler, bityo ni ngombwa kumenya uko ukoresha inhaler yawe neza. Umufarumasiti wawe ashobora kukwereka uburyo bukwiye kandi akaguha ibikoresho byo kwigiraho. Niba uhinduye hagati y'ubwoko, menya neza ko usobanukiwe itandukaniro iryo ariryo ryose ryo gukoresha inhaler nshya.

Imiti isanzwe ikunze kugura make ugereranije n'imiti izwi ku mazina yayo, ariko ikaba irimo ibintu bikora kimwe. Ubuvuzi bwawe bushobora gushaka ubwoko bumwe kurusha ubundi, bityo reba n'ubwishingizi bwawe ku bijyanye n'uburyo bwo kwishyura niba ikiguzi kibangamiye.

Uburyo bwo gusimbuza Budesonide na Formoterol

Izindi mvange nyinshi zikora kimwe na budesonide na formoterol, buri imwe ifite ibintu bitandukanye cyangwa uburyo bwo gutanga. Advair ivanga fluticasone na salmeterol, naho Breo Ellipta ikubiyemo fluticasone na vilanterol. Ubu buryo bwo gusimbuza bushobora gukora neza kuri bamwe cyangwa gutera ingaruka nke.

Imiti ikubiyemo ikintu kimwe ni ubundi buryo, aho ushobora gukoresha ibikoresho bitandukanye byo guhumeka kuri corticosteroid na bronchodilator. Ubu buryo butuma habaho gupima neza ariko bisaba gukoresha ibikoresho bibiri bitandukanye byo guhumeka, abantu bamwe basanga bitaboroheye.

Imiti mishya ivanze nka Trelegy Ellipta yongeraho ikintu cya gatatu (anticholinergic) ku bantu bafite COPD ikomeye. Muganga wawe ashobora gutekereza kuri izi mvange eshatu zikoreshwa mu guhumeka niba ibimenyetso byawe bitagenzurwa neza n'imiti ibiri.

Uburyo butari imiti burimo imyitozo yo guhumeka, gahunda zo kuvura ibihaha, n'imibereho ihinduka nko kwirinda ibitera ibibazo no kugumana ubuzima bwiza. Ubu buryo bukora neza hamwe n'imiti aho kuba isimbura.

Ese Budesonide na Formoterol biruta Albuterol?

Iyi miti ikora ibintu bitandukanye kandi ntigereranywa mu buryo butaziguye. Budesonide na formoterol ni umuti ukoreshwa buri munsi kugira ngo wirinde ibibazo byo guhumeka, naho albuterol ni umuti wo gutabara ukoresha iyo ibimenyetso bibayeho. Abantu benshi bafite asima cyangwa COPD bakeneye ubwoko bwombi bw'imiti.

Albuterol ikora vuba kugira ngo ihumurize ako kanya - mu minota mike - ariko ingaruka zayo zimara amasaha 4-6 gusa. Budesonide na formoterol bitwara igihe kirekire kugira ngo bigaragaze ingaruka zose ariko bitanga umutekano w'amasaha 12 kandi bigabanya umuvumo uko igihe kigenda. Tekereza albuterol nk'igikoresho cyawe cy'ubutabazi na budesonide-formoterol nk'umutekano wawe wa buri munsi.

Muganga wawe ashobora kukwandikira imiti yombi, hamwe na inhaler ihuriweho yo gukoresha buri munsi na albuterol yo gukoresha iyo ubonye ibimenyetso. Ubu buryo butanga ubufasha bwuzuye - gukumira buri munsi hamwe no guhumuriza vuba iyo bikwiye. Abantu bamwe basanga bakeneye inhaler yabo yo gutabara gake iyo batangira gukoresha umuti wo kubungabunga ubuzima buri gihe.

Ibikunze Kubazwa Kuri Budesonide na Formoterol

Ese Budesonide na Formoterol birakwiriye indwara z'umutima?

Abantu bafite indwara z'umutima akenshi bashobora gukoresha uyu muti, ariko bakeneye gukurikiranwa hafi. Igice cya formoterol gishobora kongera umuvuduko w'umutima n'umuvuduko w'amaraso, ibyo bishobora kuba bibangamiye abafite ibibazo by'umutima. Muganga wawe azasuzuma neza uko umutima wawe umeze kandi ashobora gutangira n'urugero ruto.

Niba ufite indwara z'umutima, muganga wawe ashobora gushaka gupima umuvuduko w'amaraso yawe n'umuvuduko w'umutima kenshi iyo utangiye uyu muti. Bashobora kandi gushimangira electrocardiogram (EKG) kugira ngo bakurikirane umuvuduko w'umutima wawe. Abantu benshi bafite indwara z'umutima zidakuka bashobora gukoresha uyu muti neza bayobowe na muganga.

Nigira nte niba nkoresheje budesonide na formoterol nyinshi ku buryo butunguranye?

Niba uteyeho umuti mwinshi ku buryo butunguranye, ntugahagarike - ibimenyetso bikomeye byo kurenza urugero ntibisanzwe hamwe n'imiti yo guhumeka. Ariko, ushobora guhura n'umuvuduko w'umutima wiyongereye, gutegera, kubabara umutwe, cyangwa kumva uhungabanye. Ibi bimenyetso mubisanzwe bikemuka byonyine mu masaha make.

Vugana na muganga wawe cyangwa umufarumasiti kugira ngo bagufashe, cyane cyane niba urimo kumva ububabare mu gituza, kubabara umutwe cyane, cyangwa impinduka zikomeye mu mutima wawe. Niba urimo guhura n'ingorane zo guhumeka cyangwa ibindi bimenyetso bikomeye, shakisha ubufasha bwihutirwa. Guma ukurikiranira hafi umubare w'imiti yongereye wafashe n'igihe wayifatiye, kuko aya makuru afasha abaganga gusuzuma uko umeze.

Nkwiriye gukora iki niba nciwe urugero rwa Budesonide na Formoterol?

Niba ubonye ko waciwe urugero mu masaha make nyuma y'igihe wagombaga kuyifata, jya uyifata. Ariko, niba igihe cyo gufata urugero rukurikira rwegereje, reka urugero waciwe ukomeze gahunda yawe isanzwe. Ntukafate urugero ebyiri icyarimwe kugira ngo wuzuze urugero waciwe.

Gerageza gushyiraho gahunda igufasha kwibuka imiti yawe, nko kuyifata mu gihe kimwe buri munsi cyangwa gushyiraho ibyibutsa kuri terefone. Abantu bamwe basanga bifasha kubika inhaler yabo ahagaragara cyangwa gukoresha umuteguro w'imiti ufite ibyibutsa.

Nshobora kureka gufata Budesonide na Formoterol ryari?

Umwanzuro wo guhagarika iyi miti ugomba gufatwa na muganga wawe, kabone niyo wumva umeze neza cyane. Kuyihagarika ako kanya bishobora gutuma ibimenyetso byawe bisubira cyangwa bikiyongera, bishobora gutera ibibazo bikomeye byo guhumeka. Muganga wawe azatekereza ku bintu nk'igihe umaze udafite ibimenyetso n'icyateye ko ukeneye imiti.

Niba wowe na muganga wawe mwafata umwanzuro wo kugabanya cyangwa guhagarika imiti, mubisanzwe muzabikora buhoro buhoro mu byumweru cyangwa amezi. Ibi bishobora gushoboka mugabanya urugero cyangwa inshuro buhoro buhoro mugihe ukurikirana ibimenyetso byawe. Abantu bamwe bashobora gukora nyuma yo guhagarika imiti, mugihe abandi bakeneye kuvurwa igihe kirekire kugira ngo bagumane kugenzura neza guhumeka.

Nshobora gukoresha Budesonide na Formoterol mugihe ntwise inda?

Gusama inda bisaba kwitondera cyane inyungu ziva ku miti n'ibibazo bishobora kuvukamo. Asima itavurwa neza mu gihe cyo gutwita irushijeho kuba akaga ku mubyeyi no ku mwana kurusha umuti ubwawo. Muganga wawe azagereranya ibi bintu kandi ashobora kugusaba gukomeza gufata umuti niba asima yawe ikaze.

Niba uteganya gusama inda cyangwa ukaba waramenye ko utwite ukoresha uyu muti, ganira na muganga wawe ako kanya. Ashobora guhindura urugero rw'umuti ukoresha, akaguha undi muti, cyangwa akagusaba gukurikiranwa by'umwihariko. Ntuzahagarike gufata umuti utabanje kubisobanurira muganga, kuko ibyo bishobora gutuma guhumeka kwawe kuzamba kandi bikagira ingaruka mbi kuri wowe no ku mwana wawe.