Racepinephrine ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Racepinephrine ni umuti ugura imiyoboro y'ubuhumekero ufasha gufungura imiyoboro yawe y'ubuhumekero igihe ufite ingorane zo guhumeka. Ikoreshwa cyane nk'umuti wo guhumeka utagomba uruhushya wo kuvura indwara zo mu myanya y'ubuhumekero yoroheje nka croup, bronchitis, n'ibimenyetso bya asima.

Uyu muti ukora ureka imitsi ikikije imiyoboro yawe y'ubuhumekero, bigatuma umwuka winjira no gusohoka mu muhaha wawe byoroshye. Ushobora kuwumenya ku mazina y'ubucuruzi nka Asthmanefrin cyangwa S2, kandi akenshi ni umuti ababyeyi bageraho mbere na mbere iyo umwana wabo agize uwo mukorora wihariye wa croup.

Racepinephrine ni iki?

Racepinephrine ni verisiyo ya sintetike ya epinephrine yagenewe guhumeka. Igenewe mu cyiciro cy'imiti yitwa sympathomimetics, yigana ingaruka za hormone z'umubiri wawe z'umuvuduko.

Bitandukanye n'ibikoresho byo kwisukira bya epinephrine byandikiwe gukoreshwa mu gihe cy'uburwayi bukomeye bwo kwivanga, racepinephrine iroroshye kandi iboneka nta uruhushya. Iteguye nk'igisubizo cy'amazi uhumeka ukoresheje nebulizer cyangwa inhaler ikoreshwa mu ntoki, ikemerera umuti gukora mu buryo butaziguye mu myanya yawe y'ubuhumekero.

Ijambo

Ikoreshwa cyane ni ugufasha abana bafite indwara ya croup, iyo ndwara iterwa na virusi itera inkorora isa n'iyo ikinyamaswa cyitwa 'seal' gikora ndetse n'ingorane zo guhumeka. Ababyeyi benshi babona ko bitanga ubufasha bwihuse iyo umwana wabo abyutse hagati mu ijoro agorwa no guhumeka.

Dore indwara zikomeye aho racepinephrine ishobora gufasha gutanga ubufasha:

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• Croup (laryngotracheobronchitis) ku bana n'abantu bakuru
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• Ibimenyetso byoroheje bya asima na bronchospasm
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• Bronchitis ikaze hamwe no guhuma
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• Urugero rworoshye rw'uburwayi bw'umubiri bugira ingaruka ku nzira z'umwuka
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• Stridor nyuma yo gukuraho imiyoboro yo guhumeka (ukabyimba kw'inzira y'umwuka nyuma yo gukuraho imiyoboro yo guhumeka)
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Nubwo bikora neza kuri izo ndwara, racepinephrine ntibikwiriye gukoreshwa mu gihe cyo kurwara asima ikaze cyangwa ibibazo byo guhumeka biteye ubuzima bw'umuntu akaga. Ibyo bihe bisaba ubufasha bwihuse bw'abaganga n'imiti ikomeye yandikwa na muganga.

Racepinephrine ikora ite?

Racepinephrine ikora iteza imbere imikorere y'uturemangingo twihariye mu mitsi y'inzira yawe y'umwuka yitwa beta-2 adrenergic receptors. Iyo utwo turemangingo dukoreshejwe, bituma imitsi yoroshye ikikije inzira zawe z'umwuka iruhuka kandi ikaguka.

Tekereza inzira zawe z'umwuka nk'imiyoboro y'ubusitani ishobora kwegera cyangwa ikaruhuka igafunguka. Iyo ugize ingorane zo guhumeka, kubyimba cyangwa imitsi y'umubiri ituma iyo

Nka bronchodilator, racepinephrine ifatwa nk'ikomeye ku rugero ruringaniye. Irusha imbaraga izindi zishobora kuboneka utagombye uruhushya rwa muganga ariko iroroshye kurusha imiti yandikwa na muganga nka albuterol. Ibi bituma iba uburyo bwiza bwo hagati bwo kuvura ibimenyetso byoroheje kugeza ku bikomeye bikorerwa mu rugo.

Nkwiriye gufata nte Racepinephrine?

Racepinephrine ifatwa binyuze mu guhumeka ukoresheje imashini ya nebulizer cyangwa igikoresho cyo guhumeka gifatwa mu ntoki. Uyu muti uza mu iseswa rimeze nk'amazi rihindurwa umwuka mwiza kugirango uhumeke cyane.

Mugihe ukoresha nebulizer, mubisanzwe uzavanga umuti wa racepinephrine hamwe na saline yoroshye nkuko byategetswe kuri paki. Urutonde rusanzwe rw'abantu bakuru ni 0.5 mL ya racepinephrine ivanze na 2.5 mL ya saline, ihumekwa mu gihe cy'iminota 10-15.

Uku nicyo wakora kugirango ukoreshe racepinephrine neza kandi neza:

1. Komesha intoki zawe neza mbere yo gukoresha umuti
2. Pima urugero rukwiye ukoresheje igikoresho cyo gupima cyatanzwe
3. Ongera umuti mu gikombe cyawe cya nebulizer cyangwa inhaler nkuko byategetswe
4. Ubicare wicaye neza uhumeka bisanzwe unyuze mu kanwa
5. Komeza kugeza igihe umuti wose ushize (mubisanzwe iminota 10-15)
6. Karanura umunwa wawe n'amazi nyuma yo kuvurwa

Ntabwo ukeneye gufata uyu muti hamwe n'ibiryo, ariko kugira ifunguro rito mbere bishobora gufasha kwirinda kuribwa mu nda niba wumva ibimenyetso byawo. Irinde kurya amafunguro manini mbere yo kuvurwa, kuko ibi bishobora gutuma wumva uruka mugihe uhumeka.

Mbonye kumara igihe kingana iki mfata Racepinephrine?

Racepinephrine yagenewe gukoreshwa igihe gito mugihe cyo guhumeka, ntabwo ari umuti ukoreshwa buri munsi igihe kirekire. Abantu benshi bakoresha muminsi mike kugeza igihe ibimenyetso byabo bikize.

Kubera croup, ushobora kuyikoresha inshuro 2-3 mumasaha 24-48 mugihe ibimenyetso byiyongera. Kubera bronchitis cyangwa ibimenyetso byoroheje bya asima, kuvurwa mubisanzwe bifata iminsi 3-5 ntarengwa. Ingaruka za buri dose mubisanzwe zimara amasaha 1-3.

Niba ubona ukeneye racepinephrine mu gihe kirenga icyumweru, cyangwa niba uyikoresha inshuro zirenga 3-4 ku munsi, ni ngombwa ko ubonana n'umuganga. Gukoresha iyi miti igihe kirekire udafashwa n'abaganga ntibishobora gukorwa kandi bishobora kugaragaza ko ukeneye uburyo bwo kuvurwa butandukanye.

Buri gihe ukurikize amabwiriza yihariye yanditse ku ipaki yawe, kuko ubwoko butandukanye bushobora kugira inama zo gukoresha zitandukanye. Mu gihe ushidikanya, gukoresha bike akenshi biruta byinshi ku miti ikoreshwa mu gufungura inzira z'ubuhumekero.

Ni izihe ngaruka ziterwa na Racepinephrine?

Abantu benshi bafata racepinephrine neza, cyane cyane iyo ikoreshwa nk'uko byategetswe mu gihe gito. Ingaruka ziterwa na yo muri rusange ni nto kandi z'igihe gito, akenshi zimara igihe gito nk'uko umuti ukora mu mubiri wawe.

Ingaruka zisanzwe ushobora guhura na zo zijyanye n'ingaruka zisa n'izitera imbaraga ku mikorere y'imitsi yawe. Ibi bibaho kuko racepinephrine igira ingaruka ku bice byose by'umubiri wawe, atari mu muhaha gusa.

Dore ingaruka ushobora kubona, dutangiriye ku zisanzwe:

• Umutima utera cyane cyangwa utajegajega (umutima wihuta)
• Guhinda umushyitsi gake cyangwa guhinda umushyitsi mu ntoki zawe
• Kumva uhungabanye, ufite impungenge, cyangwa utuje
• Kuzamuka gake kw'umuvuduko w'amaraso
• Umutwe cyangwa isereri rito
• Isesemi cyangwa kurwara inda
• Kugorwa no gusinzira niba ikoreshejwe hafi y'igihe cyo kuryama

Izi ngaruka zisanzwe akenshi zigabanuka mu minota 30-60 nyuma yo kurangiza kuvurwa kwawe. Ni uburyo umubiri wawe usanzwe witwara ku muti kandi akenshi ntibitera impungenge keretse zikomeye cyangwa zikomeza.

Nubwo bidasanzwe, abantu bamwe bashobora guhura n'ingaruka zikomeye zisaba ubufasha bwihuse bw'abaganga. Izi zikubiyemo kuribwa cyane mu gituza, umutima utera cyane cyane (kurenza imikorere 120 ku munota mu gihe uruhutse), isereri rikomeye cyangwa kugwa, cyangwa ibimenyetso byo kwibasirwa n'umubiri nk'uruhu, kubyimba, cyangwa kugorwa no kumira.

Niba ufite ibibazo by'umutima, umuvuduko ukabije w'amaraso, cyangwa diyabete, ushobora kwiyumva cyane ibi. Buri gihe ganira amateka yawe y'ubuvuzi na farumasi cyangwa muganga mbere yo gutangira umuti mushya uwo ari wo wose, ndetse n'iyo utangwa nta tegeko.

Ninde utagomba gufata Racepinephrine?

Mugihe racepinephrine iboneka nta tegeko, ntibikwiriye kuri buri wese. Indwara zimwe na zimwe n'imiti birashobora kubigira ibitagenda neza cyangwa bidatanga umusaruro.

Ugomba kwirinda racepinephrine niba ufite indwara zimwe na zimwe z'umutima, cyane cyane umutima utagenda neza, indwara ikomeye y'imitsi y'umutima, cyangwa niba umaze gukora infarisiyo y'umutima. Uyu muti ushobora kongera umuvuduko ku mikorere y'umubiri wawe.

Dore ibintu by'ingenzi aho racepinephrine igomba kwirindwa cyangwa gukoreshwa witonze cyane:

• Kumenya allergie kuri epinephrine cyangwa imiti isa nayo
• Indwara ikomeye y'umutima cyangwa infarisiyo y'umutima iheruka
• Umuvuduko ukabije w'amaraso utagenzurwa
• Hyperthyroidism (thyroid ikora cyane)
• Glaucoma ifite urugero ruto
• Diyabete ikomeye hamwe no guhindagurika kenshi k'isukari mu maraso
• Gufata imiti imwe na rimwe yo kurwanya depression (MAOIs cyangwa tricyclics)

Abagore batwite kandi bonka bagomba kubaza umuganga wabo mbere yo gukoresha racepinephrine, nubwo muri rusange bifatwa nk'ibifite umutekano kurusha izindi nyinshi mugihe cyo gutwita. Uyu muti ushobora kwinjira mu mata mu bwinshi buto.

Kubana bari munsi yimyaka 4, kugenzurwa na muganga birasabwa cyane. Mugihe racepinephrine ishobora kugira akamaro kuri croup y'abana, abana bato bashobora kwiyumva cyane ingaruka ziterwa n'imiti kandi bagasaba gukurikiranwa neza.

Amazina y'ubwoko bwa Racepinephrine

Racepinephrine iboneka munsi yamazina menshi yubwoko, Asthmanefrin ikaba ariyo izwi cyane. Uzayisanga mugice cyo guhumeka cya farumasi nyinshi, akenshi hafi yindi miti yo gukorora no gufata ibicurane.

Asthmanefrin ni izina ry'ibanze kandi risanzwe, riboneka nk'umuti ukoreshwa mu byuma byo guhumeka no mu buryo bumwe bwo guhumeka bukoreshwa mu ntoki. Rimaze imyaka myinshi ku isoko kandi rifite amateka akomeye yo kuvura ibimenyetso byoroheje byo mu myanya y'ubuhumekero.

S2 ni irindi zina rishobora kukugaragaraho, nubwo ridakunze kugaragara nka Asthmanefrin. Hariho n'uburyo bwa rusange, busanzwe bwitwa gusa "umuti wo guhumeka wa racepinephrine."

Ibi bicuruzwa byose bikubiyemo ibikoresho bimwe bikora kimwe. Itandukaniro rikuru riri mu gupakira, umubare, n'igiciro. Uburyo bwa rusange akenshi buragurwa kandi butanga umusaruro ungana.

Uburyo bwo gusimbuza Racepinephrine

Niba racepinephrine itaboneka cyangwa itagukwiriye, hari ubundi buryo bushobora gufasha mu bibazo byo guhumeka bisa. Guhitamo neza biterwa n'uburwayi bwawe bwihariye n'uburemere bw'ibimenyetso.

Kubera croup yoroheje na bronchitis, ibikoresho byo gutuma umwuka uba mutose n'ubuvuzi bwa steam bishobora gutanga ubufasha karemano. Ababyeyi benshi basanga kwicara mu bwiherero burimo umwuka cyangwa kujyana umwana wabo hanze mu kirere gikonjesha nijoro bifasha hafi kimwe n'imiti.

Dore uburyo nyamukuru bwo gutekereza, kuva ku buryo bworoshye kugeza ku buryo bukomeye:

• Umwuka utose n'ubuvuzi bwa steam (karemano, nta ngaruka)
• Ubuvuzi bwa saline nebulizer (bugufi, bufasha gusukura ururenda)
• Albuterol inhaler (umuti wanditswe, bronchodilator ikomeye)
• Levalbuterol (umuti wanditswe, uburyo bunoze bwa albuterol)
• Corticosteroids yo mu kanwa nka prednisolone (umuti wanditswe, kubera ibibazo bikomeye)

Kubera imicungire ikomeza ya asima, muganga wawe ashobora gushishikariza imiti ikoreshwa buri munsi nka corticosteroids ihumekwa aho kwishingikiriza kuri bronchodilators yo gutabara. Ibi bikora mu buryo butandukanye no gukumira umubyimbirwe aho kuvura gusa ibimenyetso nyuma yuko bibaye.

Uburyo bw'umwimerere nk'imyitozo yo guhumeka, kwirinda ibitera ikibazo, no kugira ubuzima bwiza muri rusange, birashobora kugabanya uko ukeneye imiti yose yo gufungura imiyoboro y'ubuhumekero uko igihe kigenda.

Ese Racepinephrine iruta Albuterol?

Racepinephrine na albuterol zombi ni imiti ifungura imiyoboro y'ubuhumekero ikora neza, ariko zagenewe ibihe bitandukanye. Nta na rimwe riruta irindi muri rusange - biterwa n'ibyo ukeneye byihariye n'uko ubuzima bwawe bumeze.

Racepinephrine iroroshye kandi iboneka ku isoko, bituma byoroha kuvura ibimenyetso byoroheje uri mu rugo. Ni nziza cyane ku ndwara ya croup kuko ikora neza ku guhumbuka kw'imiyoboro yo hejuru y'ubuhumekero. Ibyo ikora biroroshye ariko kandi biramara igihe gito ugereranyije na albuterol.

Albuterol irakomeye kandi imara igihe kirekire, bituma iba nziza ku bimenyetso bya asima byoroheje kugeza ku bikomeye. Ni umuti wandikirwa na muganga utanga imbaraga nyinshi zo gufungura imiyoboro y'ubuhumekero kandi akenshi imara amasaha 4-6 ugereranyije n'amasaha 1-3 ya racepinephrine.

Mu bihe by'ubutabazi cyangwa ingorane zikomeye zo guhumeka, albuterol ikunze gukoreshwa kuko ifite imbaraga nyinshi. Ariko, kuri croup yoroheje ku bana cyangwa ibimenyetso bya bronchitis rimwe na rimwe, racepinephrine irashobora kuba ikwiriye rwose kandi itera ingaruka nke.

Abantu benshi bafite asima ihoraho bakoresha albuterol nk'umuti wabo w'ibanze wo gutabara ariko bashobora kwitabaza racepinephrine ku bo mu muryango bafite ibimenyetso byoroheje rimwe na rimwe. Guhitamo akenshi biterwa n'uburemere bw'ibimenyetso, uburyo bikoreshwa, niba ukeneye kuvurwa n'imiti yandikirwa na muganga.

Ibikunze Kubazwa Kuri Racepinephrine

Ese Racepinephrine irakwiriye ku ndwara z'umutima?

Racepinephrine ikwiriye gukoreshwa witonze niba ufite indwara y'umutima, kandi ugomba kubaza muganga wawe mbere yo kuyikoresha. Uwo muti ushobora kongera umuvuduko w'umutima n'umuvuduko w'amaraso, bishobora gushyira igihunga ku mutima wamaze gukomereka.

Niba ufite indwara y'umutima idakomeye kandi ihagaze neza kandi muganga wawe abyemeye, racepinephrine irashobora kuba ikwiriye gukoreshwa rimwe na rimwe. Ariko, abantu bafite indwara y'umutima ikomeye, abafite ibibazo by'umutima vuba aha, cyangwa abafite ibibazo by'umutima bikomeye bagomba kubyirinda rwose.

Umuvuzi w'umutima wawe ashobora kugufasha kumenya niba inyungu zo guhumeka zirenze ibyago by'umutima mu miterere yawe. Bashobora kugusaba gukurikiranwa kw'umutima cyangwa bagatanga izindi nzira zitunganye zo gukemura ibibazo byo mu guhumeka.

Nkwiriye gukora iki niba nkoresheje racepinephrine nyinshi mu buryo butunganye?

Niba wakoresheje racepinephrine nyinshi kuruta uko byategetswe, ntugahungabane, ariko wigenzure neza mu masaha make akurikira. Ibimenyetso byo kurenza urugero bikunze kugaragaza umutima utera cyane, guhinda umushyitsi bikabije, kubabara mu gituza, cyangwa kumva ufite impungenge nyinshi.

Mbere na mbere, icara hanyuma ugerageze gutuza. Nywa amazi make kandi wirinde caffeine cyangwa ibindi bishishikariza. Abantu benshi bakira kurenza urugero ruto mu masaha 2-4 igihe umuti ugenda ushiramo mu buryo busanzwe.

Shaka ubufasha bwihutirwa bw'ubuvuzi niba ubonye kubabara bikabije mu gituza, umutima utera inshuro zirenga 120 ku munota, guhumeka bigoye kuruta mbere yo kuvurwa, cyangwa ibimenyetso by'impungenge zikabije cyangwa ubwoba. Ibyumba by'ubutabazi bifite ibikoresho byiza byo gukemura kurenza urugero rwa bronchodilator.

Kubera icyerekezo kizaza, buri gihe pima imiti neza hanyuma utegereze byibuze amasaha 3-4 hagati yo kuvurwa keretse niba byategetswe mu buryo bwihariye n'umuganga.

Nkwiriye gukora iki niba nciwe urugero rwa racepinephrine?

Bitandukanye n'imiti ikoreshwa buri munsi, racepinephrine ikoreshwa uko bikwiye kubera ibimenyetso, bityo nta gahunda isanzwe yo gukurikiza. Niba ufite ingorane zo guhumeka, urashobora kuyikoresha igihe cyose ibimenyetso bibayeho, ukurikiza amabwiriza yo ku ipaki.

Ntugerageze "gufata" ukoresha imiti yinyongera niba wumva warabuze amahirwe yo kuyikoresha mbere. Ahubwo, fata urugero rwawe rutaha igihe ukeneye rwose kubera ibibazo byo guhumeka.

Niba ukoresha racepinephrine buri gihe mu minsi myinshi ukibagirwa urugero rwawo rwashyizweho, ongera ukoreshe uko bisanzwe iyo ibimenyetso bigarutse. Uyu muti ukora neza iyo ukoreshejwe mu gusubiza ibibazo byo guhumeka aho gukoreshwa ku buryo buhoraho.

Ni ryari nshobora kureka gufata Racepinephrine?

Ushobora kureka gufata racepinephrine igihe ibimenyetso byo guhumeka byawe byongereye kandi utakigomba ubufasha. Bitandukanye na imiti imwe, ntibisaba kugabanya cyangwa kugabanya urugero rwawo buhoro buhoro.

Abantu benshi bahagarika gukoresha uyu muti iyo indwara zabo zo mu muhogo, bronchitis, cyangwa izindi ndwara zo mu myanya y'ubuhumekero zikize. Ibi bikunda kuba mu minsi 3-7 ku ndwara zikomeye.

Niba umaze gukoresha racepinephrine buri gihe mu gihe kirenga icyumweru, cyangwa niba ibimenyetso byawe bikomeza kugaruka, ni igihe cyo kubonana n'umuganga. Ushobora gukenera uburyo bwo kuvura butandukanye cyangwa isuzuma ry'indwara zishingiye ku bindi bintu bisaba imiti yanditswe.

Nshobora gukoresha Racepinephrine hamwe n'indi miti?

Racepinephrine ishobora gukurura ibibazo hamwe n'indi miti, cyane cyane iyo igira ingaruka ku mutima wawe cyangwa imitsi. Buri gihe banuza umufarimasi cyangwa umuganga mbere yo kuyihuza n'izindi nshuti.

Witondere cyane niba ufata imiti y'umutima, imiti igabanya umuvuduko w'amaraso, imiti igabanya ubwoba, cyangwa indi miti ya asima. Imvange zimwe zirashobora kongera ingaruka ziterwa cyangwa zigatuma itagira akamaro.

Imiti itangwa itagombye uruhushya rwa muganga nka decongestants, ibinini bya cafeine, cyangwa ibyongera imbaraga zishobora no kongera ingaruka z'ubushyuhe bwa racepinephrine. Mu gihe ushidikanya, baza umufarimasi wawe ku bijyanye n'ingaruka zishobora kubaho - ni intiti mu kumenya imvange ziteza ibibazo.