Budesonide yo guhumeka ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Budesonide yo guhumeka ni umuti wa corticosteroid uhumeka mu buryo butaziguye mu muhaha wawe kugira ngo ugabanye umubyimbirwe no kubyimba mu nzira zawe z'umwuka. Ubu buvuzi bworoheje ariko bugira akamaro bufasha abantu babarirwa muri za miliyoni gucunga indwara nka asima na COPD binyuze mu kwibanda ku kubyimbirwa aho bikenerwa cyane. Bitandukanye na steroid yo kunywa igira ingaruka ku mubiri wawe wose, budesonide ikora ahantu honyine mu muhaha wawe, bivuze ingaruka nke ziterwa n'iyo miti mugihe igitanga ubufasha bukomeye.

Budesonide yo guhumeka ni iki?

Budesonide yo guhumeka ni corticosteroid ikorwa mu buryo bwa sintetike yigana cortisol, imisemburo kamere umubiri wawe ukora kugira ngo urwanye umubyimbirwe. Iyo uhumeka uyu muti, ujya mu bice by'umuhaha wawe aho utuza igisubizo cy'umubiri gitera kubyimba kw'inzira z'umwuka no gukora ururenda.

Uyu muti uza mu buryo butandukanye burimo ibikoresho byo guhumeka bifite ifu y'umuti, ibisubizo bya nebulizer, n'ibikoresho byo guhumeka bifite umuti upimwa. Uburyo bwose bwo gutanga umuti butuma umuti ugera kure mu muhaha wawe aho umubyimbirwe ukunze kubera. Ubu buryo bwibanda butuma budesonide ikora neza mugihe igabanya ingaruka ziterwa n'iyo miti ushobora guhura nazo hamwe na steroid yo kunywa.

Tekereza budesonide nk'umuhuza woroheje ariko ukomeye ubwira sisitemu yawe y'umubiri ikora cyane gutuza mu nzira zawe z'umwuka. Ntabwo ivura indwara yawe yihishe, ariko ifasha kugenzura ibimenyetso bituma guhumeka bigorana kandi bitanezeza.

Budesonide yo guhumeka ikoreshwa kubera iki?

Budesonide yo guhumeka ikoreshwa cyane mu kuvura asima n'indwara y'umwuka ihoraho (COPD) mugihe igabanya umubyimbirwe ukomeje mu nzira zawe z'umwuka. Muganga wawe ashobora kuyandika nk'ubuvuzi bwo kubungabunga kugirango birinde ibimenyetso aho kuvura ibibazo bya hato na hato.

Ku bijyanye na asima, budesonide ifasha kwirinda guhumeka cyane, gufatwa mu gituza, no guhumeka bigoranye bishobora kubangamira imirimo yawe ya buri munsi. Ifitiye akamaro kanini abantu bafite asima ihoraho bakeneye kuvurwa buri gihe kugira ngo bagumane ibimenyetso byabo mu buryo bwiza.

Ku barwayi ba COPD, uyu muti ushobora gufasha kugabanya kenshi n'uburemere bw'ibibazo byiyongera mu gihe wongera imikorere y'umwijima. Abaganga bamwe kandi bandikira budesonide kubindi bibazo byo mu muhogo bifite ubushyuhe, nubwo izi nshingano zitamenyerewe.

Umuti ukora neza iyo ukoreshwa buri gihe nkuko byategetswe, kabone niyo wumva umeze neza. Yagenewe gukumira ibibazo aho gutanga ubufasha bwihuse mugihe cy'ibibazo byo guhumeka.

Budesonide Inhalation ikora ite?

Budesonide ifatwa nk'umuti w'imbaraga ziringaniye wa corticosteroid ukora muguhuza n'uturemangingo twihariye two mu mwijima wawe no kugabanya umubare w'ibintu bitera ubushyuhe. Iyo uhumeka uyu muti, wicara ku murongo w'inzira zawe zo guhumeka kandi ugatangira gukora mu masaha make, nubwo ushobora kutumva ingaruka zose muminsi mike.

Umuti ubuza irekurwa ry'imiti itera ubushyuhe, kubyimba, no gukora ururenda mu nzira zawe zo guhumeka. Ibi bifasha kugumana inzira zawe zo guhumeka zifunguye kandi bigabanya ubushobozi butuma usubiza cyane ibintu bitera ibibazo nk'ibintu bitera allergie cyangwa ibishuko.

Bitandukanye na inhalers zitanga ubufasha bwihuse, budesonide yubaka ingaruka zirinda uko igihe kigenda. Abantu benshi bamenya iterambere rigenda buhoro buhoro mu guhumeka kwabo muminsi mike ya mbere yo gukoresha buri gihe, hamwe n'inyungu nyinshi zigaragara nyuma y'ibyumweru 1-2 byo kuvurwa buri gihe.

Nkwiriye gufata gute budesonide inhalation?

Fata budesonide inhalation nkuko umuganga wawe yabitegetse, akenshi rimwe cyangwa kabiri ku munsi mu gihe kimwe buri munsi. Igihe ntigomba guhura n'amafunguro, ariko kuyifata mu bihe bihoraho bifasha kugumana urwego ruzigama mu mwijima wawe.

Mbere yo gukoresha umuti wawe wo guhumeka, banza ukarabe mu kanwa kawe amazi uyasuke hanze kugira ngo ukuremo umuti wose ushobora kuguma mu kanwa kawe cyangwa mu muhogo wawe. Iyi ntambwe yoroshye ifasha kwirinda indwara ya thrush yo mu kanwa, ingaruka zisanzwe ariko zishobora kuvurwa. Nyuma yo guhumeka umuti wawe, ongera ukarabe mu kanwa kawe hanyuma usuke amazi hanze.

Niba ukoresha umuti wo guhumeka wumye, menya neza ko intoki zawe zumye neza mbere yo gufata igikoresho. Ubuhehere bushobora gukora ibibumbe mu ifu kandi bugatuma umuti muto ugera mu bihaha byawe. Bika umuti wawe wo guhumeka ahantu humye kandi ukurikirane umubare w'imiti umaze gukoresha.

Ku miti ya nebulizer, kurikiza amabwiriza y'umuganga wawe mu kuvanga no gutegura umuti. Ubuvuzi busanzwe bufata iminota 10-15, kandi ugomba kwicara wicaye neza kandi ugahumeka neza unyuze mu kanwa cyangwa mu gipfuko.

Nzamara igihe kingana iki nkoresha Budesonide yo guhumeka?

Abantu benshi bakeneye gufata budesonide yo guhumeka mu mezi cyangwa mu myaka nk'ubuvuzi burambye. Muganga wawe azagena igihe gikwiye bitewe n'uburwayi bwawe bwihariye, uburyo wumva neza ubuvuzi, n'niba ibimenyetso byawe bikomeza kugenzurwa.

Kubera asima, ushobora gukenera ubuvuzi buhoraho kugira ngo wirinde ibimenyetso kandi ugumane imikorere myiza y'ibihaha. Abantu bamwe bashobora kugabanya urugero rwabo uko igihe kigenda gihita niba asima yabo igenda igenzurwa neza, ariko guhagarara ako kanya ntibisabwa hatabayeho ubuyobozi bw'abaganga.

Abarwayi ba COPD basanzwe bakeneye ubuvuzi buriho kuko iyi ndwara ikunda kugenda itera imbere. Muganga wawe ashobora guhindura urugero rwawe bitewe n'uburyo ukunda guhura n'ibibazo byiyongera n'uburyo ibimenyetso byawe bigenzurwa neza.

Ntuzigere uhagarika gufata budesonide ako kanya, kabone niyo wumva umeze neza. Muganga wawe azakora gahunda yo kugabanya buhoro buhoro urugero rwawe niba guhagarika bikwiye. Guhagarara ako kanya bishobora gutuma umubyimbuko ugaruka n'ibimenyetso bikiyongera.

Ni izihe ngaruka ziterwa na Budesonide yo guhumeka?

Abantu benshi boroherwa no guhumeka budesonide neza, ariko nk'imiti yose, irashobora gutera ingaruka zidakunda. Inkuru nziza ni uko kubera ko uhumeka umuti mu buryo butaziguye mu muhaha wawe, biragoye ko wagira ingaruka zose ziterwa na steroid zinyobwa.

Ingaruka zisanzwe abantu benshi bahura nazo zirimo kuribwa mu muhogo, ijwi riranguruye, no gukorora nyuma yo gukoresha umuti wo guhumeka. Ibi bimenyetso mubisanzwe birakosoka uko umubiri wawe ukimenyereza umuti kandi akenshi bishobora kugabanuka no gukaraba umunwa wawe neza nyuma ya buri dose.

Dore ingaruka zikunze kugaragara ushobora kubona:

• Kuribwa mu muhogo cyangwa umunwa wumye
• Ijwi riranguruye cyangwa impinduka z'ijwi
• Gukorora ako kanya nyuma yo guhumeka
• Umutwe cyangwa isereri
• Isesemi cyangwa kuribwa mu nda
• Izuru riva amazi cyangwa ryazibye

Izi ngaruka mubisanzwe zoroheje kandi ntizihamye. Abantu benshi basanga zigabanuka uko bakomeza gukoresha umuti uko umubiri wabo ukimenyereza umuti.

Ingaruka zikomeye ntizikunze kubaho ariko zisaba ubufasha bw'abaganga. Reba ibimenyetso bya thrush yo mu kanwa, igaragara nk'udupande twera mu kanwa kawe cyangwa mu muhogo, hamwe no kuribwa cyangwa kugorwa no kumira. Iyi ndwara iterwa n'imvubura iterwa n'imiti ishobora kugabanya ubwirinzi bw'umubiri wawe ku mivumo.

Ingaruka zidakunze kubaho ariko z'ingenzi zisaba ubufasha bw'abaganga ako kanya zirimo:

• Ibimenyetso byo kwibasirwa n'umubiri nk'uruhu rurya, kuribwa, cyangwa kubyimba
• Kuribwa cyane mu muhogo cyangwa kugorwa no kumira
• Gukorora bidahagarara hamwe n'amaraso cyangwa ibicurane bidasanzwe
• Urubavu rubabaza cyangwa umutima utera vuba
• Impinduka mu iyerekwa cyangwa ibibazo by'amaso
• Impinduka zidasanzwe mu myitwarire cyangwa agahinda gakabije

Gukoresha steroid zo guhumeka igihe kirekire rimwe na rimwe bishobora kugira ingaruka ku mikorere y'amagufa cyangwa imikurire ku bana, ariko ibi byago ni bike cyane ugereranije na steroid zinyobwa. Muganga wawe azakugenzura kuri izi ngaruka mu gihe cyo kugenzura buri gihe.

Ninde Utagomba Gukoresha Budesonide yo guhumeka?

Budesonide yo guhumeka ntibereye buri wese, kandi ibibazo by'ubuzima cyangwa ibihe runaka bisaba kwitonderwa by'umwihariko. Muganga wawe azasuzuma amateka yawe y'ubuzima kugira ngo amenye niba uyu muti ari mwiza kuri wowe.

Ntugomba gukoresha budesonide niba urimo guhura n'igitero gikomeye cya asima cyangwa ibibazo byo guhumeka bikomeye. Uyu muti ni uwo gukumira no gukomeza, ntabwo ari uwo kuvura ibimenyetso bitunguranye, bikomeye bisaba ubufasha bwihuse.

Abantu bafite indwara zandura zo mu myanya y'ubuhumekero, harimo igituntu cyangwa indwara ziterwa na fungi mu bihaha, bagomba kwirinda budesonide kugeza izi ndwara zivuwe. Uyu muti ushobora gukumira imikorere y'umubiri wawe kandi ushobora gutuma indwara zirushaho kuba mbi.

Ukwitonda by'umwihariko birakenewe niba ufite kimwe muri ibi bibazo:

• Indwara zandura zo mu myanya y'ubuhumekero zirimo cyangwa ziheruka
• Amateka y'igituntu cyangwa igisubizo cyiza cya TB
• Indwara y'umwijima cyangwa imikorere y'umwijima yagabanutse
• Osteoporose cyangwa ubucucike bw'amagufa buke
• Glaucoma cyangwa cataracts
• Diyabete cyangwa isukari nyinshi mu maraso
• Kuba uherutse guhura na chickenpox cyangwa rubella

Ibi bibazo ntibisobanura ko bigukumira gukoresha budesonide, ariko bisaba gukurikiranwa cyane kandi birashoboka ko imiti ihindurwa. Muganga wawe azagereranya inyungu n'ibishobora guteza akaga mu bihe byawe byihariye.

Abagore batwite kandi bonka bashobora gukoresha budesonide yo guhumeka neza, kuko ifatwa nk'imwe muri steroids zo guhumeka zifite umutekano kurusha izindi mu gihe cyo gutwita. Ariko, muganga wawe azashaka kugukurikirana wowe n'umwana wawe cyane kandi ashobora guhindura gahunda yawe yo kuvurwa.

Amazina y'ubwoko bwa Budesonide yo guhumeka

Budesonide yo guhumeka iboneka munsi y'amazina menshi y'ubwoko, buri kimwe gitanga uburyo butandukanye bwo gutanga cyangwa ibipimo. Amazina y'ubwoko asanzwe arimo Pulmicort, iza nk'ifumbire y'ifu y'umwuka n'igisubizo cya nebulizer.

Pulmicort Turbuhaler ni igikoresho gihumeka gifite ifu yumye itanga imiti ipimwe iyo uhumeka cyane ukoresheje icyo gikoresho. Pulmicort Respules ni amacupa akoreshwa rimwe gusa yagenewe gukoreshwa hamwe na mashini ya nebulizer, cyane cyane bifasha abana bato cyangwa abantu bagorwa gukoresha ibikoresho bisanzwe byo guhumeka.

Izindi nyito zirimo Symbicort, ihuriza hamwe budesonide na formoterol (umuti w'igihe kirekire wo gufungura imiyoboro y'ubuhumekero), n'ubwoko butandukanye bwa generic burimo ibintu bikora kimwe ariko bishobora kugira imiterere itandukanye y'ibikoresho byo guhumeka.

Umunyamakemist wanyu ashobora kugufasha gusobanukirwa uko wakoresha igikoresho cyawe cyihariye cyo guhumeka, hatitawe ku izina ry'ubwoko. Buri bwoko busaba uburyo butandukanye gato kugira ngo imiti itangwe neza.

Izindi nzira zo guhumeka budesonide

Izindi steroids zihumekwa zirashobora gukora nk'izindi nzira za budesonide niba ufite ingaruka cyangwa niba utitabira neza imiti. Muganga wawe ashobora gutekereza kuguherereza fluticasone, beclomethasone, cyangwa mometasone, bikora kimwe ariko bifite imbaraga zitandukanye gato n'ingaruka.

Ku bantu bakeneye imiti ihuriweho, imiti nka Advair (fluticasone plus salmeterol) cyangwa Symbicort (budesonide plus formoterol) ihuriza hamwe steroid ihumekwa hamwe n'umuti w'igihe kirekire wo gufungura imiyoboro y'ubuhumekero. Izi mpuzankano zirashobora koroha kandi zigatanga umusaruro ku bantu bamwe.

Izindi nzira zitari za steroid zirimo abahindura leukotriene nka montelukast (Singulair) cyangwa ibintu bishya bya biologics bya asima ikaze. Ariko, iyi miti ikora mu buryo butandukanye kandi ntishobora gukora neza kuri buri wese uungukira kuri steroids zihumekwa.

Muganga wawe azatekereza ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uko witabiriye neza imiti yakoreshejwe mbere muguhitamo izindi nzira. Rimwe na rimwe kugerageza igikoresho gitandukanye cyo guhumeka hamwe n'umuti umwe birashobora gukemura ibibazo byo kwihanganira cyangwa umusaruro.

Ese budesonide yo guhumeka iruta fluticasone?

Bose budesonide na fluticasone ni imiti ikoreshwa mu guhumeka ifite ubushobozi bwo kugabanya ububyimbirwe, ariko bitandukanyeho utuntu duto dushobora gutuma imwe ikwira kurusha iyindi. Nta n'imwe ifite ubushobozi bwo kuba "nziza" muri rusange - guhitamo biterwa n'uburyo umubiri wawe uyakira, ingaruka zayo, n'ibyo umubiri wawe ukeneye.

Budesonide muri rusange ifatwa nk'ifite ibyago bike byo kwinjira mu maraso, bivuze ko imiti mike cyane yinjira mu maraso yawe. Ibi bishobora kuba akarusho niba ufite impungenge z'ingaruka zirambye ku mikorere y'amagufa cyangwa imikurire ku bana.

Fluticasone akenshi ifite imbaraga nyinshi, bivuze ko ushobora gukenera doze ntoya kugirango ugere ku ngaruka zimwe zo kugabanya ububyimbirwe. Abantu bamwe basanga fluticasone ifite akamaro kanini ku bimenyetso bikomeye, mu gihe abandi bakunda budesonide kubera ingaruka zayo zoroheje.

Guahitamo hagati y'iyi miti akenshi biterwa n'uburyo uyihanganira neza n'uburyo igenzura neza ibimenyetso byawe. Muganga wawe ashobora kugerageza byombi kugirango arebe iyagukorera neza mu bihe byawe byihariye.

Ibibazo bikunze kubazwa kuri Budesonide yo guhumeka

Ese Budesonide yo guhumeka iratekanye ku bantu barwaye indwara z'umutima?

Budesonide yo guhumeka muri rusange iratekanye ku bantu barwaye indwara z'umutima kuko imiti mike cyane yinjira mu maraso yawe iyo ikoreshejwe nkuko byategetswe. Bitandukanye na steroid yo kunywa, ishobora kugira ingaruka ku mitsi y'amaraso n'umuvuduko w'umutima, budesonide yo guhumeka ikunda kuguma mu muhogo wawe aho ikenewe.

Ariko, ugomba kubwira muganga wawe ibyerekeye indwara iyo ari yo yose y'umutima mbere yo gutangira kuvurwa. Bashobora gushaka kugukurikiranira hafi, cyane cyane niba ufite indwara ikomeye y'umutima cyangwa ufata imiti myinshi y'umutima. Abantu bamwe barwaye umutima bashobora gukenera doze ihinduka cyangwa gukurikiranwa byiyongereye.

Ninkora iki niba nifashishije Budesonide yo guhumeka ku buryo butunganye?

Niba wanyoye budesonide nyinshi kuruta uko wabisabwe, ntugahagarike umutima – ingaruka zikomeye zo kunywa imiti myinshi ntizikunze kubaho ku miti y’ibihumeka. Ushobora guhura no kuribwa mu muhogo, ijwi ryumvikana nabi, cyangwa inkorora, ariko ibyo bimenyetso bikunze gukira byonyine.

Kora mu kanwa neza n'amazi maze uyacire kugira ngo ukureho umuti wose usagutse. Vugana na muganga wawe cyangwa umufarumasiti kugira ngo bagufashe, cyane cyane niba wanyoye umuti mwinshi cyane kuruta urugero rwakwandikiwe cyangwa niba ugize ibimenyetso bidasanzwe. Bashobora kugusaba kujya kwa muganga cyangwa guhindura urugero rwawe rukurikira.

Nkwiriye gukora iki niba nciwe urugero rwa budesonide yo guhumeka?

Niba waciwe urugero rwa budesonide, uyifate uko wibuka, keretse igihe cyegereye urugero rwawe rukurikira. Muri icyo gihe, reka urugero waciwe ukomeze gahunda yawe isanzwe – ntukongere kugira ngo usubize urugero waciwe.

Kutafata urugero rimwe na rimwe ntizitera ibibazo byihuse, ariko gerageza kugira gahunda kugira ngo ugire ibisubizo byiza. Tekereza gushyiraho ibyibutsa kuri terefone cyangwa kubika igikoresho cyawe cyo guhumeka ahantu hagaragara kugira ngo bikugiremo urwibutso. Niba ukunda kwibagirwa urugero, vugana na muganga wawe ku bijyanye n'uburyo bwo kunoza imikorere.

Nshobora guhagarika ryari gufata budesonide yo guhumeka?

Ugomba guhagarika gufata budesonide yo guhumeka gusa ukurikije ubuyobozi bwa muganga wawe, n'iyo wumva umeze neza cyane. Guhagarika ako kanya bishobora gutuma umubiri wongera kubyimba no kurwara cyane, rimwe na rimwe bita ingaruka ya

Budesonide yo guhumeka muri rusange ifatwa nk'umutekano ku bagore batwite kandi akenshi ni yo steroid ikoreshwa cyane ku bagore batwite bafite asima. Kugenzura asima yawe mugihe utwite ni ngombwa ku buzima bwawe n'iterambere ry'umwana wawe, kandi inyungu zikunda kurenga ingaruka zishobora kubaho.

Umuvuzi wawe azagukurikiranira hafi mugihe utwite kandi ashobora guhindura urugero rw'imiti ukurikije uko bikwiye. Abagore bamwe basanga ibimenyetso bya asima yabo bihinduka mugihe batwite, bigasaba guhindura imiti. Buri gihe ganira ku mpungenge zose zijyanye no gukoresha imiti mugihe utwite n'umuganga wawe.