Ni iki cyitwa Cromolyn Inhalation: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zabyo n'ibindi

Cromolyn inhalation ni umuti woroshye, urinda, ufasha mu kugumisha inzira z'umwuka zituje kandi ugabanya ububyimbirwe mu muhogo wawe. Tekereza nk'ingabo ikingira inzira zo guhumeka, ikora ituje inyuma kugira ngo yirinde ibitero bya asima n'imyitwarire ya allergique mbere yuko bitangira.

Uyu muti ubarirwa mu cyiciro cyitwa mast cell stabilizers, bivuze ko ihagarika uturemangingo tumwe na tumwe two mu muhogo wawe kuva gushyira ibintu bitera ububyimbirwe n'ibibazo byo guhumeka. Nubwo atari inhaler yo gufasha vuba mu gihe cy'uburwayi bwihutirwa, cromolyn ikora buri gihe uko igihe kigenda gihita kugira ngo imitima yawe itagira icyo ikora ku bintu bitera nka allergènes, imyitozo, cyangwa ibirakaza.

Cromolyn Inhalation ikoreshwa mu iki?

Cromolyn inhalation ahanini irinda ibimenyetso bya asima n'imyitwarire ya allergique mu muhogo wawe. Muganga wawe ashobora kukwandikira niba ufite asima yoroheje kugeza hagati, cyane cyane niba iterwa na allergie, imyitozo, cyangwa ibintu by'ibidukikije.

Uyu muti ukora neza cyane ku bantu asima yabo ifitanye isano n'ibintu byihariye bitera. Abaganga bamwe barayisaba ku bantu bafite asima iterwa n'imyitozo, aho imirimo ya fisik yiganje itera guhumeka, gukorora, cyangwa guhumeka bigoranye. Ishobora kandi gufasha kuri asima yo mu kazi, aho gukora mu kazi bitera ibibazo byo guhumeka.

Mu bindi bihe, cromolyn ifasha mu gucunga imyitwarire ya allergique mu muhogo iterwa n'ibintu nk'imisatsi y'amatungo, pollen, cyangwa imitungo y'umukungugu. Umuganga wawe ashobora kuyisaba nk'igice cy'umugambi wo gucunga asima, akenshi hamwe n'indi miti.

Cromolyn Inhalation ikora ite?

Cromolyn ikora mu guhagarika mast cells, ari uturemangingo twihariye tw'ubudahangarwa mu muhogo wawe dusohora ibintu bitera ububyimbirwe iyo bitewe. Iyo utwo turemangingo duhuye na allergènes cyangwa ibirakaza, bisanzwe bisohora imiti nka histamine itera kubyimba, gukora mucus, no gufunga inzira z'umwuka.

Mugufasha izi ngingo zihamye, cromolyn irinda irekurwa ry'ibi bintu byangiza mbere y'uko bishobora guteza ibibazo. Ibi bituma iba umuti wo gukumira aho kuba uburyo bwo kuvura bwihuse. Uyu muti wigisha inzira z'umwuka wawe kugabanya imikorere ku bintu bitera ibibazo uko igihe kigenda.

Ni ngombwa gusobanukirwa ko cromolyn ifatwa nk'umuti woroshye ugereranije na corticosteroids cyangwa bronchodilators. Nubwo yoroshye kandi ifite ingaruka nke, birashobora gufata ibyumweru byinshi byo kuyikoresha buri gihe kugira ngo igere ku mikorere yayo yuzuye. Ubu buryo buhoro buhoro butuma ikwiriye cyane gukoreshwa igihe kirekire mu kuvura asima.

Nkwiriye Gufata Gute Cromolyn Inhalation?

Fata cromolyn inhalation nk'uko umuganga wawe abitegeka, akenshi inshuro 3-4 ku munsi mu gihe gihagije. Uyu muti uza mu buryo butandukanye burimo metered-dose inhalers, nebulizer solutions, na dry powder inhalers, bityo uburyo bwawe buzaterwa n'ubwoko ukoresha.

Kubijyanye na metered-dose inhalers, nyeganyeza inhaler neza mbere yo gukoresha, humeka neza, shyira iminwa yawe ku kanwa, hanyuma uhumeke buhoro kandi cyane ukanda kuri kanisiteri. Fata umwuka wawe iminota 10 niba bishoboka, hanyuma uhumeke buhoro. Tegereza nibura umunota umwe hagati y'ibihumeka niba umuganga wawe yaragutegetse guhumeka inshuro nyinshi.

Niba ukoresha nebulizer, pima umubare nyawo w'umuti umuganga wawe yagutegetse mu gikombe cya nebulizer. Icara wicaye neza uhumeka bisanzwe unyuze mu kanwa kugeza igihe umuti wose ushize, ibyo bikunda gufata iminota 10-15. Sukuza ibikoresho byawe bya nebulizer nyuma yo gukoresha buri gihe ukurikije amabwiriza y'umukora.

Urashobora gufata cromolyn hamwe cyangwa utaranye n'ibiryo, kandi ntigira icyo itwara ku biryo byinshi cyangwa ibinyobwa. Ariko, oza umunwa wawe n'amazi nyuma yo guhumeka kugira ngo wirinde kuribwa mu muhogo no kugabanya ibyago byo kurwara oral thrush, cyane cyane niba ukoresha indi miti ihumekwa.

Nkwiriye Gufata Cromolyn Inhalation Igihe Kingana Gite?

Ubusanzwe, cromolyn yo guhumeka ikoreshwa nk'umuti ukoreshwa igihe kirekire, bivuze ko ushobora kuwufata mu mezi cyangwa imyaka bitewe n'uko asthma yawe igenda. Bitandukanye n'imiti yihutisha imikorere ukoresha gusa iyo ibimenyetso bigaragara, cromolyn ikora neza iyo ifashwe buri munsi.

Abantu benshi bakeneye gukoresha cromolyn byibuze mu byumweru 2-4 mbere yo kubona impinduka zigaragara ku bimenyetso byabo. Uyu muti wiyongera mu mubiri wawe buhoro buhoro, bityo kwihangana ni ingenzi mu byumweru bya mbere by'ubuvuzi. Abantu bamwe bashobora kubona inyungu mbere, mu gihe abandi bashobora gukenera ibyumweru 6-8 kugira ngo bumve ingaruka zose.

Muganga wawe azagenzura buri gihe uko umuti ukora neza kandi ashobora guhindura gahunda yawe yo kuvura bitewe n'ibimenyetso byawe, ibizamini by'imikorere y'ibihaha, n'imikorere ya asthma muri rusange. Niba asthma yawe ikomeza kugenzurwa neza igihe kirekire, muganga wawe ashobora kuganira ku kugabanya buhoro buhoro inshuro cyangwa guhagarika cromolyn, ariko ibi ntibigomba gukorwa hatabayeho ubugenzuzi bwa muganga.

Ni izihe ngaruka ziterwa na cromolyn yo guhumeka?

Cromolyn yo guhumeka muri rusange irihanganirwa, hamwe n'ingaruka nyinshi zoroheje kandi z'agateganyo. Ingaruka zisanzwe zikora mu muhogo no mu kanwa kuko umuti uhura n'ibi bice mu gihe cyo guhumeka.

Dore ingaruka ushobora guhura nazo, wibuke ko abantu benshi bafata cromolyn neza cyane:

• Umuhogo uruma cyangwa ukuma
• Inkorora, cyane cyane nyuma yo guhumeka
• Uburyohe butaryoshye mu kanwa kawe
• Ijwi ryoroheje cyangwa impinduka z'ijwi
• Umutwe
• Isesemi cyangwa kuribwa mu nda
• Izuru ritemba cyangwa ryuzuye

Izi ngaruka zisanzwe akenshi zikora neza uko umubiri wawe wimenyereza umuti mu byumweru bya mbere by'ubuvuzi. Gukaraba akanwa kawe n'amazi nyuma yo gukoresha buri gihe bishobora gufasha kugabanya umuhogo uruma n'ibibazo by'uburyohe.

Ingaruka zikomeye zibaho gake ariko zishobora kwerekanwa no kwibasirwa n'umubiri bikabije, kugorwa kumeza, cyangwa kurushaho kwiyongera kw'ibimenyetso bya asima. Mu bihe bidasanzwe cyane, abantu bamwe bashobora kugira ububabare mu gituza, guhinda umushyitsi cyane, cyangwa kugorwa no guhumeka nyuma yo gukoresha cromolyn. Niba ubonye kimwe muri ibi bimenyetso, reka gukoresha umuti kandi uhamagara umuganga wawe ako kanya.

Ninde Utagomba Gukoresha Cromolyn Inhalation?

Abantu benshi bashobora gukoresha cromolyn inhalation neza, ariko hariho ibihe bimwe na bimwe aho muganga wawe ashobora guhitamo undi muti. Niba waragize kwibasirwa n'umubiri kuri cromolyn cyangwa ibintu byayo byose, ugomba kwirinda uyu muti rwose.

Abantu bafite asima ikomeye, itagenzurwa neza bashobora gukenera imiti ikomeye kurusha iyo cromolyn ishobora gutanga. Kubera ko cromolyn ikora buhoro buhoro kandi neza, ntishobora guhagije mu gucunga ibitero bikomeye bya asima cyangwa ibibazo bikomeye byo guhumeka bisaba ubufasha bwihuse kandi bukomeye.

Muganga wawe azakoresha ubushishozi bwihariye niba ufite ibibazo bimwe na bimwe. Niba ufite ibibazo by'impyiko cyangwa umwijima, umubiri wawe ushobora gutunganya umuti mu buryo butandukanye, nubwo ibi bikunda kuba bidafite akamaro kanini kuri cromolyn. Abagore batwite kandi bonka bashobora gukoresha cromolyn neza, kuko ifatwa nk'imwe mu miti ya asima ifite umutekano kurusha iyindi mugihe cyo gutwita, ariko ugomba buri gihe kubiganiraho n'umuganga wawe.

Abana mubisanzwe bashobora gukoresha cromolyn, ariko bakeneye inyigisho zikwiye ku ikoranabuhanga rya inhaler kandi bashobora gukenera ubufasha bw'abantu bakuru kugirango barebe ko bakoresha umuti neza. Abana bato cyane bashobora gukenera verisiyo ya nebulizer aho gukoresha inhaler ikorerwa mu ntoki.

Amazina y'ubwoko bwa Cromolyn Inhalation

Cromolyn inhalation iboneka munsi y'amazina menshi y'ubwoko, Intal ikaba imwe mu izwi cyane. Ushobora kandi kuyisanga yaramamazwa nka Gastrocrom mumashusho amwe, nubwo ibi bikoreshwa cyane kubibazo bitandukanye.

Ubundi bwoko bwa cromolyn sodium yo guhumeka buraboneka kandi bukora kimwe neza nk'ubwoko bw'amazina y'ubucuruzi. Ibikoresho bikora ni kimwe na kimwe bitewe n'umukora, bityo ushobora kwitega ingaruka zimwe zo kuvura kuva kuri cromolyn rusange nk'uko byaba bimeze ku bicuruzwa by'amazina y'ubucuruzi.

Abakora batandukanye bashobora gukoresha ibikoresho bitandukanye bitagira akamaro cyangwa ibikoresho byo gutanga, bityo niba wimuriwe kuva ku bwoko bumwe ujya ku bundi, witondere impinduka zose z'uburyohe, kurakara mu muhogo, cyangwa imikorere. Niba ubonye itandukaniro rikomeye, biganire na farumasiye cyangwa muganga wawe.

Izindi nzira zo guhumeka za Cromolyn

Hariho izindi nzira nyinshi niba cromolyn itagukundiye cyangwa niba ukeneye kugenzura asima ikomeye. Ibiyobyabwenge byo guhumeka nka fluticasone (Flovent) cyangwa budesonide (Pulmicort) ni imiti ikomeye irwanya ububyimbirwe abaganga benshi bakunda kuri asima ihoraho.

Abahindura leukotriene nka montelukast (Singulair) bakora mu buryo butandukanye na cromolyn ariko kandi bafasha kwirinda ibimenyetso bya asima. Ibi biza nk'ibinini aho kuba inhalers, abantu bamwe basanga byoroshye. Bifasha cyane abantu asima yabo iterwa n'allergies cyangwa imyitozo.

Kubantu bakeneye kwirinda bikomeye, inhalers zifatanya zirimo steroid yo guhumeka na bronchodilator ikora igihe kirekire birashobora gukora neza. Urugero rurimo fluticasone / salmeterol (Advair) cyangwa budesonide / formoterol (Symbicort).

Imiti mishya nka omalizumab (Xolair) iraboneka kubantu bafite asima ikomeye ya allergique, nubwo ibi bisanzwe bigenewe ibibazo aho izindi nshuti zitari zihagije. Muganga wawe azagufasha kumenya uburyo bushobora gukora neza hashingiwe ku buryo bwawe bwa asima n'uburemere bwayo.

Ese Cromolyn yo guhumeka iruta Albuterol?

Kwinjiza cromolyn na albuterol bikora ibintu bitandukanye rwose, bityo kubigereranya mu buryo butaziguye ntibiba bikwiye. Cromolyn ni umuti wo gukumira ufata buri gihe kugira ngo ugabanye umubyimbirwe kandi wirinde ibimenyetso bya asima, mu gihe albuterol ari umuti utanga ubufasha bwihuse ukoresha mugihe cyo gufatwa na asima kugira ngo ufungure inzira zawe z'umwuka vuba.

Tekereza cromolyn nk'ivitamine ya buri munsi y'ibihaha byawe, ikora mu buryo butuje kugira ngo igumane umubyimbirwe muke. Ku rundi ruhande, albuterol ni nk'igikoresho cyihutirwa gitanga ubufasha bwihuse mugihe umaze kugira ibibazo byo guhumeka. Abantu benshi bafite asima bakeneye ubwo bwoko bwombi bw'imiti kugira ngo babashe kwivuza neza.

Cromolyn iroroshye kandi ifite ingaruka nke kurusha albuterol, ariko bitwara ibyumweru kugira ngo igere ku mikorere yuzuye kandi ntizafasha mugihe cyo gufatwa na asima. Albuterol ikora mumunota ariko ntikora ku mubyimbirwe wihishe utera ibimenyetso bya asima kwigaragaza.

Muganga wawe ashobora gutegeka imiti yombi niba ufite asima ihoraho, akoresha cromolyn kugirango akumire buri munsi kandi agumane albuterol kugirango akoreshwe mugihe cy'ibimenyetso bidasanzwe cyangwa ibihe byihutirwa.

Ibikunze Kubazwa Kubijyanye no Kwinjiza Cromolyn

Ese Kwinjiza Cromolyn birinzwe kubafite indwara z'umutima?

Kwinjiza cromolyn muri rusange bifatwa nkibiringirwa kubantu bafite indwara z'umutima. Bitandukanye na bimwe mubikoresho byongera umwuka bishobora kugira ingaruka kumuvuduko w'umutima n'umuvuduko w'amaraso, cromolyn ikora ahantu honyine mu bihaha kandi ifite ingaruka nke kumikorere y'umubiri wawe.

Uwo muti ntusanzwe utera umuvuduko w'umutima wihuse, umuvuduko mwinshi, cyangwa impinduka zumuvuduko w'amaraso zimwe mumuntu bahura nazo hamwe na albuterol cyangwa izindi miti ya beta-agonist. Ibi bituma cromolyn iba uburyo bwiza kubantu bafite asima n'indwara z'umutima.

Ariko, ugomba kubwira muganga wawe ibibazo byose by'umutima mbere yo gutangira gukoresha cromolyn. Nubwo imikoranire idakunze kubaho, umuganga wawe akeneye amakuru yuzuye y'ubuzima bwawe kugira ngo afate icyemezo cyiza cyo kuvura no kugukurikirana neza.

Nkwiriye gukora iki niba nkoresheje cyane cromolyn inhalation ku buryo butunguranye?

Gufata cyane cromolyn inhalation ku buryo butunguranye ntibishoboka ko byateza ingaruka zikomeye, kuko uyu muti ufite umutekano mwiza cyane. Abantu benshi bakoresha doze zinyongera bashobora guhura no kuribwa mu muhogo, gukorora, cyangwa uburyohe butari bwiza, ariko izi ngaruka zikunze kuba nto kandi zikagera igihe.

Niba ubonye ko wafashe byinshi kuruta uko byategetswe, ntugire ubwoba. Kora mu kanwa neza n'amazi hanyuma wigenzure niba hari ibimenyetso bidasanzwe. Ikibazo gikunze kubaho ni ukuribwa mu muhogo, bikwiriye gukira byonyine mu masaha make.

Vugana na muganga wawe cyangwa umufarumasiti niba ufite impungenge ku kintu wafashe cyangwa niba uhuye n'ibimenyetso bidasanzwe. Nubwo gukoresha cromolyn byinshi bidakunze kubaho kandi ntibigira akaga, buri gihe ni byiza kubona inama z'umwuga iyo utazi neza umutekano w'imiti.

Nkwiriye gukora iki niba ntasubiyemo doze ya cromolyn inhalation?

Niba utasubiyemo doze ya cromolyn inhalation, yifate uko wibuka, keretse igihe cyegereye doze yawe itaha. Muri icyo gihe, reka doze wataye hanyuma ukomeze gahunda yawe isanzwe. Ntukongere doze kugira ngo usubize iyo wataye.

Kutagira doze imwe rimwe na rimwe ntizagira ingaruka zikomeye ku kugenzura asima yawe, ariko gerageza kugira ubwizerane kugira ngo ubone ibisubizo byiza. Kubera ko cromolyn ikora yubaka mu mubiri wawe uko igihe kigenda, gukoresha buri munsi ni ingenzi kugira ngo ugumane ingaruka zayo zirinda.

Niba ukunda kwibagirwa imiti, gerageza gushyiraho ibyibutsa kuri terefone yawe cyangwa ugashyira inhaler yawe ahantu ubona kugira ngo wibuke kuyikoresha. Abantu bamwe babona ko bifasha guhuza gukoresha cromolyn n'ibikorwa bya buri munsi nk'ukoza amenyo cyangwa gufata amafunguro.

Ni ryari nshobora kureka gufata Cromolyn Inhalation?

Ntuzigere uhagarika gufata cromolyn inhalation ako kanya utabanje kubiganiraho na muganga wawe. Nubwo ari umuti woroshye, guhagarika ako kanya bishobora gutuma ibimenyetso bya asima bisubira kandi bikaba byatuma guhumeka kwawe kuzamba uko iminsi igenda.

Muganga wawe azagena igihe bikwiye kugabanya cyangwa guhagarika cromolyn bitewe n'uko asima yawe igenda, ibizamini by'imikorere y'ibihaha, n'ubuzima bwawe muri rusange. Iyi myanzuro ikunze gufatwa nyuma y'uko asima yawe imaze igihe kirekire igenzurwa neza, akenshi amezi menshi kugeza ku mwaka.

Niba wowe na muganga wawe mwafata icyemezo cyo guhagarika cromolyn, akenshi bikorwa buhoro buhoro aho gukorwa icyarimwe. Ibi bishobora kuba bikubiyemo kugabanya inshuro yo gufata imiti cyangwa guhindurira ku gahunda yo gufata imiti iyo bibaye ngombwa mbere yo guhagarika burundu. Muri iki gihe cyose, uzakenera gukurikiranwa hafi kugira ngo wemeze ko asima yawe ikomeza kugenzurwa neza.

Nshobora gukoresha Cromolyn Inhalation mu gihe ntwise inda?

Cromolyn inhalation muri rusange ifatwa nk'umutekano mu gihe cyo gutwita kandi akenshi ikundwa kurusha indi miti ya asima ku bagore batwite. Uyu muti ukora ahantu h'ibihaha kandi gake cyane winjira mu maraso yawe, bivuze ko umwana wawe uri mu iterambere ahura n'ibibazo bike.

Gukomeza kugenzura neza asima mu gihe cyo gutwita ni ngombwa ku buzima bwawe no ku iterambere ry'umwana wawe. Asima idagenzurwa neza ishobora gutera ibibazo nk'umwana uvutse afite uburemere buke, kuvuka mbere y'igihe, cyangwa kugabanyirizwa umwuka wa oxygène ku mwana, ibyo bikaba bifite impungenge kurusha ibibazo bike bifitanye isano no gukoresha cromolyn.

Ariko, ugomba buri gihe kuganira ku ikoreshwa ry'imiti yose n'abaganga bakurikirana inda yawe n'abaganga b'indwara z'ubuhumekero cyangwa abaganga b'ibibazo by'uburwayi. Bashobora gufatanya gukora gahunda yo kuvura asima ifite umutekano mwinshi kandi ifite akamaro gakomeye ku miterere yawe yihariye mugihe utwite kandi wonka.