Icyo Cromolyn (inzira yo kunywa) aricyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'ibindi

Umuti wa cromolyn unyobwa ni umuti woroshye urwanya ububyimbirwe ufasha kwirinda ibimenyetso by'uburwayi bwo mu gifu. Ukora mu guhagarika uturemangingo tw'umubiri twitwa mast cells, dusohora imisemburo itera ibimenyetso by'uburwayi iyo urya ibiryo umubiri wawe utabasha kwihanganira.

Uyu muti ufasha cyane abantu bafite allergie ziterwa n'ibiryo cyangwa indwara yitwa mastocytosis, aho umubiri wawe ukora uturemangingo twinshi twa mast cells. Bitandukanye n'imiti ikomeye irwanya allergie, cromolyn ifatwa nk'umuti woroshye kandi utagira ingaruka ku buzima igihe ukoreshejwe igihe kirekire, bigatuma uhabwa agaciro mu kuvura allergie zidakira zo mu gifu.

Cromolyn ikoreshwa mu kuvura iki?

Umuti wa cromolyn unyobwa cyane cyane uvura mastocytosis, indwara aho umubiri wawe ukora uturemangingo twinshi twa mast cells dushobora gutera ibimenyetso by'uburwayi bitari byiza. Ifasha kugabanya ibimenyetso nk'ububabare bwo mu gifu, impiswi, isesemi, no gutukura kw'uruhu bibaho iyo utwo turemangingo dusohoye imisemburo myinshi itera ububyimbirwe.

Muganga wawe ashobora no kugutera cromolyn ku bijyanye na allergie ziterwa n'ibiryo, cyane cyane iyo ubona ibimenyetso byo mu gifu nyuma yo kurya ibiryo runaka. Uyu muti ukora nk'umuti urinda, bivuze ko ufasha guhagarika ibimenyetso by'uburwayi mbere y'uko bitangira aho kubivura nyuma y'uko bibaye.

Abaganga bamwe bakoresha cromolyn mu buryo butemewe ku bindi bibazo nk'ibimenyetso by'uburwayi bwo mu gifu cyangwa ubwoko runaka bw'impiswi zidakira. Ariko, izi nshingano ntizikunze gukoreshwa kandi zigomba gukoreshwa gusa hakurikijwe ubugenzuzi bw'abaganga.

Cromolyn ikora ite?

Cromolyn ikora mu guhagarika mast cells mu gifu cyawe, ikababuza gusohora imisemburo itera ububyimbirwe nka histamine. Tekereza mast cells nk'ibikoresho bito by'umuzunguruko bishobora gukora byoroshye iyo urya ibiryo runaka cyangwa iyo ufite byinshi mu mubiri wawe.

Uyu muti ufatwa nk'uvura gahoro, ukoroheje ugereranije n'imiti ikomeye irwanya ububyimbirwe nka steroid. Ntiwica urwego rwawe rwose rw'ubudahangarwa, ahubwo wibanda by'umwihariko ku ngirangingo zitera allergie mu mara yawe.

Uyu muti ufata igihe kugira ngo wubake mu mubiri wawe kandi utangire gukora neza. Ubusanzwe ntuzumva ko uruhutse ako kanya nk'uko byagenda kuri antihistamines, ariko mu byumweru byinshi, ugomba kubona ibimenyetso bya allergie bike kandi bidakomeye.

Nkwiriye Gufata Cromolyn Nte?

Fata cromolyn nk'uko umuganga wawe abitegeka, akenshi iminota 30 mbere yo kurya no mbere yo kuryama. Uyu muti uza mu ifu uvanga n'amazi kugira ngo ukore umuti ushobora kunywa.

Vanga buri dose n'igice cy'ikirahure cy'amazi hanyuma unywe ako kanya umaze kuvanga. Ntukitegure doze mbere y'igihe, kuko uyu muti ukora neza iyo uvanzwe vuba. Urashobora kuwufata hamwe cyangwa utaranye n'ibiryo, ariko kuwufata mbere yo kurya akenshi bifasha mu kurwanya allergie ziterwa n'ibiryo.

Niba ubona uburyohe butaryoshye, urashobora kuvanga ifu n'umutobe w'imbuto muto aho kuvanga n'amazi. Ariko, irinde ibinyobwa bishyushye kuko ubushyuhe bushobora kugabanya imikorere y'uyu muti.

Bika ifu ahantu hashyushye ku rugero, ahantu humutse, kandi uyirinde ubushyuhe n'izuba. Ntukabike ifu muri firigo, ariko urashobora gukonjesha umuti uvanzwe niba ubishaka ukonje.

Mvuga Kandi Ndafata Cromolyn Igihe Kingana Gite?

Abantu benshi bakeneye gufata cromolyn byibuze mu byumweru 2 kugeza kuri 3 mbere yo kubona impinduka zigaragara mu bimenyetso byabo. Uyu muti wubaka buhoro buhoro mu mubiri wawe, bityo kwihangana ni ngombwa mu byumweru bya mbere by'ubuvuzi.

Kubera mastocytosis, birashoboka ko uzakeneye gufata cromolyn igihe kirekire, bishoboka ko ari amezi cyangwa imyaka, bitewe n'uburemere bw'indwara yawe. Umuganga wawe azakurikiza uko urimo utera imbere kandi ahindure gahunda y'ubuvuzi uko bikwiye.

Niba ukoresha cromolyn kubera allergie z'ibiryo, igihe bizamara biterwa niba wirinda ibiryo bikubera ikibazo cyangwa urimo gukora ku buryo ubasha kubyihanganira. Abantu bamwe barayifata by'agateganyo mu gihe barimo kumenya ibiryo bibatera ibibazo, mu gihe abandi bayikoresha nk'uburyo bwo kwirinda buri gihe.

Ntuzigere uhagarika gufata cromolyn mu buryo butunguranye utabanje kuvugana na muganga wawe. Ibimenyetso byawe bishobora kugaruka, kandi akenshi biruta kugabanya urugero rwawe buhoro buhoro kuruta guhagarara mu buryo butunguranye.

Ni Ibihe Bikorwa Bigaragara Byatewe na Cromolyn?

Cromolyn muri rusange irihanganirwa neza, kandi abantu benshi ntibagira ibikorwa bigaragara byinshi. Iyo ibikorwa bigaragara bibayeho, akenshi biba byoroheje kandi by'agateganyo uko umubiri wawe wimenyereza umuti.

Dore ibikorwa bigaragara bisanzwe ushobora guhura nabyo mu byumweru bike bya mbere by'imiti:

• Uburibwe mu nda cyangwa isesemi ryoroheje
• Umutwe
• Urugero
• Uruhare rw'uruhu cyangwa kuribwa
• Uburibwe mu ngingo cyangwa imitsi
• Impiswi cyangwa impinduka mu myitwarire y'amara

Ibi bimenyetso akenshi biragenda bikemuka uko umubiri wawe umenyera umuti. Niba bikomeje cyangwa bikiyongera nyuma y'ibyumweru bike, vugana na muganga wawe kugira ngo akugire inama.

Ibikorwa bigaragara bidasanzwe ariko bikomeye birimo allergie zikomeye, kugorwa no kumira, cyangwa uburibwe budahoraho mu nda. Nubwo ibi bidasanzwe, bisaba ubufasha bwihuse bwa muganga nibiba.

Abantu bamwe bashobora guhura n'impinduka z'amarangamutima cyangwa kugorwa no gusinzira, nubwo ibi bidasanzwe cyane kuri cromolyn yo kunywa ugereranije n'ubundi buryo bw'uyu muti.

Ni Bande Batagomba Gufata Cromolyn?

Ntugomba gufata cromolyn niba ufite allergie kuri cromolyn sodium cyangwa ibindi bintu byose biri mu muti. Abantu bafite indwara zikomeye z'impyiko cyangwa umwijima bashobora gukenera guhindura urugero rw'imiti cyangwa ubundi buryo bwo kuvurwa.

Abagore batwite n'abonsa bagomba kuganira n'abaganga babo ku bijyanye no gukoresha cromolyn, nubwo umuti muri rusange ufatwa nk'umutekano mu gihe cyo gutwita iyo inyungu ziruta ibyago. Uyu muti wimukira mu mata mu bwinshi buto, ariko ingaruka zikomeye ku bana bonswa ni gake.

Abana barashobora gufata cromolyn mu buryo butekanye, ariko urugero rugomba kubarwa neza hashingiwe ku gipimo cy'uburemere bwabo n'imyaka yabo. Muganga wawe w'abana azagena urugero rukwiye ku mwana wawe.

Niba ufite amateka y'uburwayi bukomeye bwo kwibasirwa n'imiti, bimenyeshe muganga wawe mbere yo gutangira cromolyn. Nubwo bidasanzwe, abantu bamwe barashobora guteza allergie nshya ku miti kabone niyo batigeze bagira ibibazo mbere.

Amazina ya Cromolyn

Izina risanzwe rya cromolyn yo kunywa ni Gastrocrom, iboneka cyane muri Leta Zunze Ubumwe. Iri zina riza mu dusanduku twa powder wivanga n'amazi mbere yo gufata.

Amwe mu mavuriro avura ashobora gutegura cromolyn mu buryo butandukanye cyangwa ubwinshi niba muganga wawe yanditse urugero rwahinduwe. Ubwoko bwa cromolyn sodium na bwo buraboneka kandi bukora neza nk'ubwoko bw'amazina.

Buri gihe jya ureba umufarimasi wanyu niba ufite ibibazo ku bijyanye n'ubwoko butandukanye cyangwa uburyo bwo gutegura. Barashobora gufasha kumenya neza ko urimo kubona umuti ukwiye mu mbaraga zikwiye.

Uburyo bwo gusimbuza Cromolyn

Niba cromolyn itagukorera neza cyangwa itera ingaruka ziteye isoni, muganga wawe ashobora gutekereza izindi stabilizatori za selile ya mast nk'uko ketotifen, nubwo ibi bikoreshwa gake ku bimenyetso byo mu gifu.

Kubera mastocytosis, ibindi bishobora kuba antihistamines nka loratadine cyangwa cetirizine, cyane cyane mu kugenzura gukururuka n'ibimenyetso byo ku ruhu. Abantu bamwe bungukira mu guhuza cromolyn na antihistamines kugirango bagire imiyoborere myiza y'ibimenyetso.

Ku bijyanye n'uburwayi bwo kurya ibiryo, kwirinda cyane ibiryo biteza ibibazo biracyari uburyo bwiza cyane. Muganga wawe ashobora no kugusaba gufata imiti ya antihistamine mbere yo kurya niba byaguteye kurya ibiryo bigutera ibibazo utabizi.

Mu gihe cy'uburwayi bukomeye, muganga wawe ashobora kugusaba imiti ikomeye nka omalizumab (umuti uterwa mu nshinge) cyangwa aspirine ku gipimo gito, nubwo ibi biza n'ingaruka zishobora kubaho kandi bisaba gukurikiranwa cyane.

Ese Cromolyn iruta Antihistamines?

Cromolyn na antihistamines bikora mu buryo butandukanye, bityo kubigereranya mu buryo butaziguye ntibyoroshye. Cromolyn irinda selile za mast kurekura imiti itera umubiri kubyimbirwa, mugihe antihistamines zihagarika ingaruka za histamine nyuma yuko imaze kurekurwa.

Mugukingira ibimenyetso byo kurwara ibiryo, cromolyn akenshi irakora neza kuko ihagarika igikorwa ku isoko ryacyo. Antihistamines zikora vuba kugirango zitange ubufasha bwihuse ariko ntizibuza uburyo bwo kubyimbirwa buri hasi.

Abantu benshi basanga guhuza iyi miti yombi bibaha uburyo bwiza bwo kugenzura ibimenyetso. Cromolyn itanga uburinzi bwibanze, mugihe antihistamines itanga ubufasha bwunganira kubimenyetso byagaragaye.

Gu hitamo hagati yabyo biterwa n'uburwayi bwawe bwihariye, uburyo ibimenyetso bigaragara, n'uburyo wihanganira buri muti. Muganga wawe azagufasha kumenya uburyo bwiza bwo guhangana n'ikibazo cyawe.

Ibikunze Kubazwa Kuri Cromolyn

Ese Cromolyn irakoreshwa igihe kirekire?

Yego, cromolyn ifatwa nkumuti utekanye cyane gukoreshwa igihe kirekire, ndetse no mumyaka myinshi. Bitandukanye na steroids cyangwa indi miti ikomeye irwanya kubyimbirwa, cromolyn ntihagarika urwego rw'ubwirinzi bw'umubiri wawe cyangwa itera ingaruka zikomeye igihe kirekire.

Muganga wawe azashaka gukurikirana iterambere ryawe buri gihe, ariko abantu benshi barashobora gufata cromolyn mu buryo butekanye igihe kirekire nta ngaruka zikomeye ku buzima.

Nigute nzakora niba mfashe cromolyn nyinshi utabizi?

Niba wanyoye cromolyn nyinshi kurusha uko wagombaga, ntugahungabane. Kwiyongera kw'umuti ni gake kandi akenshi bitera ibimenyetso byoroheje gusa nk'igifu cyenda cyangwa isesemi.

Nywa amazi menshi kandi uvugishe muganga wawe cyangwa umufarimasi kugira ngo bagufashe. Niba ubonye ibimenyetso bikomeye nk'ingorane zo guhumeka, isereri, cyangwa kuruka bidahagarara, shaka ubufasha bw'ubuvuzi bwihuse.

Nkwiriye gukora iki niba nciwe urugero rwa Cromolyn?

Niba waciwe urugero, ruyinywe ako kanya wibukiraho, keretse igihe cyegereje cyo gufata urugero rwawe ruteganyijwe. Ntukongereho imiti kugira ngo ushyire mu mwanya urugero rwaciwe.

Niba ukunda kwibagirwa imiti, gerageza gushyiraho ibyibutso kuri terefone cyangwa gufata imiti yawe mu gihe kimwe buri munsi. Gufata imiti buri gihe bifasha kugumana urwego ruzigama mu mubiri wawe kugira ngo urusheho kugenzura ibimenyetso.

Nshobora guhagarika ryari gufata Cromolyn?

Hagarika gusa gufata cromolyn umaze kubiganiraho na muganga wawe. Igihe biterwa n'uburwayi bwawe n'uko wumva neza ku miti.

Kubera mastocytosis, ushobora gukenera imiti y'igihe kirekire. Kubera allergie z'ibiryo, ushobora guhagarika umaze kumenya no gukuraho ibiryo bitera allergie cyangwa niba ibimenyetso byawe byaragenzurwa neza igihe kirekire.

Nshobora gufata Cromolyn hamwe n'indi miti?

Cromolyn ifite imiti mike cyane ihura, bituma bifatika gufata hamwe n'indi miti myinshi. Ariko, buri gihe menyesha muganga wawe n'umufarimasi ku miti yose, ibyongerwaho, n'ibicuruzwa by'ibyatsi urimo gufata.

Abantu bamwe bafata cromolyn hamwe na antihistamines, proton pump inhibitors, cyangwa indi miti ya allergie nta ngorane. Itsinda ryawe ryita ku buzima rishobora gufasha kumenya neza ko imiti yawe yose ikora neza hamwe.