Ni iki Terbutaline (Uburyo bwo kuyitera munsi y'uruhu): Ibyo ikoreshwa, urugero rwo kuyifata, ingaruka zayo n'ibindi

Umuti wa Terbutaline uterwa munsi y'uruhu ni umuti ufasha mu kwagura inzira z'ubuhumekero ufasha mu gufungura inzira z'ubuhumekero igihe ufite ingorane zikomeye zo guhumeka. Ubusanzwe ukoreshwa nk'umuti w'ubutabazi iyo indi miti itatanze ubufasha buhagije, cyane cyane mu gihe cyo gufatwa n'umwuka mubi cyangwa ibindi bibazo by'ubuhumekero byihutirwa.

Uyu muti ukora vuba kuko uterwa mu ruhu, ukemerera kwinjira mu maraso yawe vuba kurusha imiti yo kunywa. Umuzamu wawe w'ubuzima akenshi azatekereza kuri iyi nzira iyo ukeneye ubufasha bwihuse kandi izindi nshuti zitagikora neza.

Terbutaline ni iki?

Terbutaline ni umwe mu miti yitwa beta-2 adrenergic agonists, bivuze ko yibanda by'umwihariko ku bareceptor mu muhaha wawe kugira ngo ubafashe kuruhuka no gufunguka. Tekereza nk'urufunguzo rufungura inzira z'ubuhumekero zifunze, rukemerera umwuka gutembera neza mu muhaha wawe no hanze yawo.

Uburyo bwo kuyitera munsi y'uruhu bisobanura ko umuti uterwa munsi y'uruhu, akenshi mu kuboko kwawe cyangwa mu itako. Ubu buryo bwo gutanga umuti butuma ukora mu minota mike, bigatuma ugirira akamaro kanini mu gihe cy'ibibazo by'ubuhumekero byihutirwa igihe igihe ari ingenzi.

Bitandukanye n'indi miti imwe yo kurwanya asima ufata buri munsi kugira ngo uyirinde, terbutaline iterwa munsi y'uruhu akenshi ikoreshwa gusa iyo ukeneye ubufasha bwihuse. Ifatwa nk'umuti w'ubutabazi aho kuba uburyo bwo kuvura buri gihe.

Terbutaline ikoreshwa mu iki?

Terbutaline iterwa munsi y'uruhu ikoreshwa cyane cyane mu kuvura bronchospasm ikomeye, ni igihe imitsi ikikije inzira z'ubuhumekero ifunga kandi bigatuma guhumeka bigorana cyane. Ibi bishobora kubaho mu gihe cyo gufatwa n'umwuka mubi ukomeye, ibimenyetso bimwe byo kwibasirwa n'ibintu bitera allergie, cyangwa izindi ngorane zituma inzira zawe z'ubuhumekero zigabanuka mu buryo butunguranye.

Abaganga bakunda gukoresha uyu muti iyo imiti y'umwuka nk'albuterol itanga umuti uhagije, cyangwa iyo umuntu afite ingorane zo guhumeka ku buryo adashobora gukoresha neza inhaler. Bifasha cyane mu bihe by'ubutabazi aho hakenerwa gukora vuba.

Mu bindi bihe, abaganga bashobora gukoresha inshinge ya terbutaline subcutaneous ku ndwara zikomeye zo mu muhogo (COPD) zikomeye, nubwo ibyo bidakunze gukorwa. Uyu muti ushobora no gukoreshwa mu bihe bimwe na bimwe bifitanye isano no gutwita kugira ngo ufashe guhagarika kubyara mbere y'igihe, nubwo ibi bisaba kugenzurwa na muganga witonze cyane.

Bitakunze gukorwa, terbutaline ishobora gukoreshwa ku zindi ndwara zitera guhagarika inzira y'umwuka, nk'umwuka mubi ukomeye cyangwa ubwoko bumwe na bumwe bwa pneumoni aho guhumeka bigenda birushaho kuba bibi. Muganga wawe azemeza niba ubu buvuzi bukwiye kuri wowe.

Terbutaline ikora ite?

Terbutaline ikora mugihe yegereye reseptori zihariye zifite izina rya beta-2 adrenergic receptors, ziboneka mu ngingo zoroheje zizenguruka inzira yawe y'umwuka. Iyo uyu muti wifatanye kuri izi reseptori, yohereza ikimenyetso kibwira imitsi kuruhuka no gufungura inzira y'umwuka.

Ibi bifatwa nk'umuti ukomeye wo gufungura inzira y'umwuka, bivuze ko ikomeye kurusha inhalers zimwe na zimwe ariko ntabwo ikaze nk'indi miti y'ubutabazi. Inshinge ya subcutaneous ituma uyu muti ukora vuba kurusha uwo unywa mu kanwa, akenshi itanga umuti mu minota 5 kugeza ku 15.

Uyu muti kandi ugira ingaruka ku mutima wawe no ku bindi bice by'umubiri wawe, niyo mpamvu ushobora kubona umuvuduko w'umutima wawe wiyongera cyangwa ukumva utekereza nyuma yo guhabwa inshinge. Izi ngaruka mubisanzwe ni iz'igihe gito kandi ni kimwe mu buryo uyu muti ukora mu mubiri wawe.

Terbutaline ikomeza gukora mu mubiri wawe amasaha menshi, akenshi itanga bronchodilation mu masaha 3 kugeza kuri 6. Iki gihe kirekire cyo gukora ugereranije n'imiti imwe yo gutabara irashobora gufasha mu gukumira ibimenyetso byo kugaruka vuba.

Nkwiriye Gufata Terbutaline Nte?

Umuti wa terbutaline uterwa mu ruhu utangwa n'umuganga, akenshi mu bitaro, mu ivuriro, cyangwa mu cyumba cy'ubutabazi. Ntabwo uzishyira iyi nshinge wenyine mu rugo, kuko bisaba kugenzurwa n'abaganga n'uburyo bukwiye.

Inshinge akenshi zitangwa mu gice cy'ibinure munsi y'uruhu rwawe, akenshi mu kaboko kawe k'igice cyo hejuru cyangwa mu itako. Umuganga azahanagura ahantu inshinge ziterwa akoresheje alcool hanyuma akoreshe urushinge ruto kugirango atange umuti munsi y'uruhu.

Ntabwo ukeneye guhangayika no gufata uyu muti hamwe n'ibiryo cyangwa ku gifu cyambaye ubusa kuko uterwa aho kumira. Ariko, birafasha kumenyesha umuganga wawe igihe wariye bwa nyuma, kuko aya makuru ashobora kuba y'ingenzi ku kwitabwaho kwawe muri rusange.

Nyuma yo guhabwa inshinge, birashoboka ko uzagenzurwa igihe runaka kugirango wemeze ko umuti ukora neza no kureba niba hari ibimenyetso bibi. Itsinda ryawe ry'ubuzima rizagenzura guhumeka kwawe, umuvuduko w'umutima, n'uburyo muri rusange wakiriye ubuvuzi.

Nkwiriye Gufata Terbutaline Igihe Kingana Gite?

Inshinge ya terbutaline iterwa munsi y'uruhu akenshi ni ubuvuzi bumwe bukoreshwa mugihe cy'ibibazo byo guhumeka aho kuba umuti ukomeza. Abantu benshi bahabwa inshinge imwe gusa mugihe cyo guhagarika cyane bronchospasm cyangwa ingorane zo guhumeka.

Mu bihe bimwe na bimwe, umuganga wawe ashobora kuguha inshinge ya kabiri niba iya mbere itatanga ubufasha buhagije nyuma y'iminota 15 kugeza kuri 30. Ariko, doze zisubirwamo zisaba gusuzuma neza inyungu zigereranije n'ibishobora kuba byangiza.

Ingaruka ziterwa n'urushinge rumwe akenshi zimara amasaha 3 kugeza kuri 6, muri icyo gihe ikipe y'abaganga izakurikiranira hafi uko ubuzima bwawe buhagaze kandi igaragaze uburyo bwo kuvura bwongereweho bushobora gukenerwa. Ushobora kwimurirwa ku miti ihumekwa cyangwa izindi nshuti uko guhumeka kwawe kugenda kurushaho.

Bitandukanye n'imiti ya asima ya buri munsi ufata mu byumweru cyangwa amezi, urushinge rwa terbutaline rwo munsi y'uruhu rukoreshwa gusa mu bihe byihutirwa. Muganga wawe azakorana nawe kugira ngo ategure gahunda y'ubuvuzi bw'igihe kirekire yizeye ko izakumira ibihe bizaza bisaba ubufasha bwihutirwa.

Ni izihe ngaruka ziterwa na Terbutaline?

Urushinge rwa terbutaline rwo munsi y'uruhu rushobora gutera ingaruka nyinshi, nubwo abantu benshi barwihanganira neza iyo rukoreshejwe neza. Kumenya icyo witegura bishobora kugufasha kumva witeguye kurushaho kandi utagira impungenge nyinshi ku buvuzi.

Ingaruka zisanzwe ushobora guhura nazo zirimo umutima utera cyane cyangwa utajegajega, guhinda cyangwa kunyeganyega mu ntoki zawe, guhangayika cyangwa ubwoba, no kuribwa n'umutwe. Izi ngaruka zikunda kubaho kuko umuti utagira ingaruka ku muhaha wawe gusa ahubwo no ku mutima wawe ndetse n'imitsi yawe.

Dore ingaruka zisanzwe abantu benshi bahura nazo:

• Umutima utera cyane cyangwa umutima wihuta
• Guhinda cyangwa kunyeganyega, cyane cyane mu ntoki zawe
• Kumva uhangayitse, utaruhuka, cyangwa ufite ubwoba
• Kuribwa n'umutwe cyangwa isereri
• Isesemi cyangwa kurwara inda
• Kuribwa kw'imitsi cyangwa kunanuka
• Kugorwa no gusinzira niba urushinge rutanzwe nyuma y'umunsi

Izi ngaruka zisanzwe zikunda gushira uko umuti ugenda ushiramo mu masaha make akurikira. Ikipe y'abaganga bazagukurikiranira hafi kugira ngo barebe ko izi ngaruka ziguma zigenzurwa kandi zitaba ibibazo.

Abantu bamwe bashobora kugira ingaruka zikomeye zikeneye ubufasha bwihuse bw'abaganga, nubwo ibyo bidakunze kubaho. Izo zishobora kuba zirimo kuribwa cyane mu gituza, umutima utera cyane cyangwa utajegajega, isereri rikomeye cyangwa guta ubwenge, cyangwa ibimenyetso byo kwibasirwa n'umubiri.

Dore ingaruka zikomeye zikeneye ubufasha bwihuse bw'abaganga:

• Kuribwa cyane mu gituza cyangwa umuvumo
• Umutima utera hejuru ya 120 ku munota cyangwa umuvuduko utajegajega cyane
• Isereri rikomeye, guta ubwenge, cyangwa urujijo
• Ibimenyetso byo kwibasirwa n'umubiri nk'uruhu rurya, kubyimba, cyangwa kugorana kumeza
• Umunaniro ukomeye w'imitsi cyangwa kwikurura
• Guhema bikomeza kuba bibi aho kuba byiza
• Ubwoba bukomeye cyangwa ibitero by'ubwoba

Kubera ko uzaba wakira uyu muti ahantu havurirwa, ikipe yawe y'ubuzima izaba ireba ibi bintu bikomeye kandi ishobora gusubiza vuba niba bibaye. Abantu benshi bagira ingaruka zoroheje kugeza ku ziciriritse zikemuka igihe imiti igenda igabanuka.

Ninde utagomba gufata Terbutaline?

Abantu bamwe bagomba kwirinda guterwa urushinge rwa terbutaline cyangwa bakayikoresha bafite ubwitonzi bukabije kubera ibyago byiyongera by'ibibazo bikomeye. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo gutekereza kuri ubu buvuzi.

Abantu bafite indwara zimwe na zimwe z'umutima ntibashobora kuba abakandida beza ba terbutaline, kuko uyu muti ushobora kongera umuvuduko w'umutima kandi ushobora gutera umuvuduko w'umutima uteye akaga. Ibi birimo abafite indwara zikomeye z'umutima, umutima wa vuba, cyangwa ubwoko bumwe na bumwe bw'umuvuduko w'umutima utajegajega.

Dore indwara z'ingenzi zishobora gutuma terbutaline itakugirira akamaro:

• Indwara ikomeye y'umutima cyangwa umutima watewe vuba
• Uburwayi bukomeye bwo mu mutima butuma umutima utera nabi
• Umubyazo mwinshi udakontroliwe
• Ibibazo bikomeye bya tiroyide (hyperthyroidism)
• Allergie izwi kuri terbutaline cyangwa imiti isa nayo
• Ubwoko bumwe bwa diyabete butagenzurwa neza
• Ubwoba bukomeye cyangwa indwara yo guhangayika

Umuvuzi wawe azagereranya neza ibyago n'inyungu, cyane cyane niba ufite kimwe muri ibi bibazo. Mu gihe cy'uburwayi bukabije butuma umuntu ahumeka nabi, inyungu z'umuti ziruta ibyago, ariko iki cyemezo gisaba ubumenyi bw'ubuvuzi buhagije.

Kugira inda no konsa nabyo bisaba kwitonderwa by'umwihariko, nubwo terbutaline rimwe na rimwe ikoreshwa mu gihe cyo gutwita kubera impamvu z'ubuvuzi zihariye. Umuvuzi wawe azaganira nawe kuri ibi bintu niba bifitanye isano n'uko ubuzima bwawe bumeze.

Imyaka nayo ishobora kuba impamvu, kuko abantu bakuze bashobora kwitaba cyane ingaruka z'umutima ziterwa na terbutaline. Itsinda ry'ubuvuzi rizagena ubuzima bwawe muri rusange n'imyaka yawe mugihe cyo kumenya niba ubu buvuzi bukwiye kuri wowe.

Amazina y'ubwoko bwa Terbutaline

Umuti wa terbutaline uterwa mu nshinge uboneka munsi y'amazina menshi y'ubwoko, nubwo kandi akenshi uboneka nk'umuti rusange. Izina rizwi cyane ni Brethine, nubwo ubu bwoko bwihariye bushobora kutaboneka buri gihe.

Mu buryo bwinshi bw'ubuvuzi, uzahabwa terbutaline rusange, irimo ibintu bikora kimwe kandi bikora neza nk'ubwoko bw'amazina. Imiti rusange icamo ibizamini by'umutekano n'ubushobozi kimwe n'imiti y'amazina.

Andi mazina y'ubwoko yakoreshejwe kuri terbutaline harimo Bricanyl, nubwo kuboneka bishobora gutandukana bitewe n'ahantu n'ibigo by'ubuvuzi. Umuvuzi wawe azakoresha ubwoko ubwo aribwo bwose buboneka kandi bukwiye kubera uko ubuzima bwawe bumeze.

Ikintu cy'ingenzi cyo kwibuka ni uko hatitawe ku izina ry'ubucuruzi cyangwa ubwoko bwa rusange bukoreshwa, umuti ukora kimwe mu gufungura inzira z'umwuka mu gihe cy'ibibazo byo guhumeka. Itsinda ryawe ry'ubuzima rizagufasha kubona umuti ukwiriye ukurikije ibyo ukeneye.

Izindi nzira zishobora gukoreshwa aho gukoresha Terbutaline

Imiti myinshi ishobora gukoreshwa mu mwanya wa terbutaline subcutaneous injection, bitewe n'icyo ukeneye n'ubuzima bwawe. Umuganga wawe azahitamo uburyo bwiza bwo kuvura bushingiye ku bukana bw'ibibazo byo guhumeka no ku buzima bwawe muri rusange.

Epinephrine (adrenaline) injection akoreshwa kenshi mu gihe cy'uburwayi bukomeye butera ingorane zo guhumeka. Uyu muti ukora vuba kurusha terbutaline kandi akenshi ni wo wa mbere ukoreshwa mu gihe cy'uburwayi bukomeye bw'umubiri, nubwo bishobora kugira ingaruka zikomeye.

Dore izindi nzira nyamukuru umuganga wawe ashobora gutekereza:

• Albuterol ikoreshwa mu buryo bwinshi binyuze muri nebulizer
• Epinephrine injection mu gihe cy'uburwayi bukomeye bw'umubiri
• Methylprednisolone yo mu maraso mu gihe cy'uburwayi bukomeye
• Ipratropium bromide inhaler mu bwoko bumwe na bumwe bwa bronchospasm
• Magnesium sulfate yo mu maraso mu gihe cy'ibitero bikomeye bya asima
• Aminophylline yo mu maraso mu bitaro

Gu hitamo izindi nzira biterwa n'icyateye ibibazo byo guhumeka n'uburyo bikomeye. Urugero, niba urwaye urugero rw'umubiri, epinephrine ishobora gukoreshwa, mu gihe asima ikomeye ishobora kuvurwa neza n'imiti ikoreshwa mu buryo bwinshi ihujwe na steroids.

Umuganga wawe azatekereza kandi ku mateka yawe y'ubuzima, imiti ukoresha ubu, n'uburwayi bwose ufite mu gihe uhitamo uburyo bwiza bwo kuvura. Intego ni ukugufasha buri gihe mu buryo bwiza kandi ugabanya ingaruka zose.

Ese Terbutaline iruta Albuterol?

Terbutaline na albuterol zombi ni imiti ifungura inzira z'ubuhumekero zikora kimwe, ariko zifite itandukaniro rikomeye rituma buri imwe ikwiriye mu bihe bitandukanye. Nta n'imwe iruta iyindi rwose – biterwa n'ibyo ukeneye n'uko ubuzima bwawe bumeze.

Albuterol akenshi ni umuti wa mbere ukoreshwa mu gihe cy'ubuhumekero bwihutirwa kuko iboneka mu buryo bworoshye bwo gukoresha mu buryo bwo guhumeka kandi ikora vuba cyane. Ikindi kandi, izwi cyane n'abavuzi benshi kandi yigishijwe cyane ku bibazo bitandukanye by'ubuhumekero.

Umuti wa terbutaline uterwa mu nshinge ukoreshwa iyo albuterol ihumekwa itatanga ubufasha buhagije cyangwa iyo umuntu adashobora gukoresha neza igikoresho cyo guhumeka kubera ubuhumekero bukomeye. Uburyo bwo guterwa mu nshinge butuma umuti winjira mu mubiri wawe kabone n'iyo guhumeka bigoye cyane.

Inyungu imwe ya terbutaline ni uko ingaruka zayo zishobora kumara igihe kirekire kurusha albuterol, bishobora gutanga ubufasha mu masaha 4 kugeza kuri 6 ugereranije n'amasaha 2 kugeza kuri 4 ya albuterol. Iki gihe kirekire gishobora gufasha mu gukumira ibimenyetso byo kugaruka vuba cyane.

Ariko, albuterol akenshi ikunda gukoreshwa mu buryo busanzwe kuko iboneka mu buryo bworoshye, ifite ingaruka nke ku mubiri iyo ihumekwa, kandi abantu benshi basanzwe bazi uko bayikoresha. Umuganga wawe azahitamo hashingiwe ku kintu gikwiriye cyane ku buzima bwawe.

Ibikunze Kubazwa Kuri Terbutaline

Ese Terbutaline irakwiriye ku barwayi b'indwara z'umutima?

Terbutaline isaba kwitonderwa cyane ku bantu barwaye indwara z'umutima kuko ishobora kongera umuvuduko w'umutima kandi ikaba yateza imirimo idasanzwe y'umutima. Ariko, mu gihe cy'ubuhumekero bwihutirwa buteye ubuzima bw'umuntu akaga, inyungu ziruta ibyago kabone n'iyo ku bantu bafite indwara z'umutima.

Umuvuzi wawe w’ubuzima azakurikirana umutima wawe neza niba ufite indwara y’umutima kandi wakira terbutaline. Bazakoresha urugero ruto rukora neza kandi barebe ibimenyetso byose by’ibibazo by’umutima mu gihe cyo kuvurwa no nyuma yaho.

Niba ufite indwara y’umutima idakomeye, terbutaline irashobora kuba ikiri nziza hamwe no gukurikiranwa neza. Ariko, niba ufite indwara y’umutima ikomeye, umutima wawe umaze gukora akazi gake, cyangwa ibibazo by’umutima biteye akaga, muganga wawe ashobora guhitamo uburyo bwo kuvura butandukanye niba bishoboka.

Nkwiriye gukora iki niba nkoresheje terbutaline nyinshi mu buryo butunganye?

Kubera ko inshinge za terbutaline zitangwa n’abavuzi b’ubuzima mu bigo by’ubuvuzi, gukoresha doze nyinshi mu buryo butunganye ntibishoboka. Ariko, niba hatanzwe nyinshi, urashobora guhura n’ingaruka zikomeye nk’umutima utera cyane, guhinda umushyitsi bikabije, cyangwa guhangayika cyane.

Niba ucyeka ko doze nyinshi zabayeho, bimenyeshe ikipe yawe y’ubuzima ako kanya. Barashobora gutanga ubufasha no kukurikiranira hafi kugeza igihe imiti izashirira.

Ibimenyetso bya terbutaline nyinshi birimo umuvuduko w’umutima urenze 120 ku munota, guhinda umushyitsi bikabije, ubwoba bwinshi, kuribwa mu gituza, cyangwa guhumeka bigenda birushaho kuba bibi aho kuba byiza. Ikipe yawe y’ubuzima yatojwe kumenya no gucunga ibi bihe.

Nkwiriye gukora iki niba nciwe doze ya terbutaline?

Iki kibazo ntigisanzwe gikorwa ku nshinge za terbutaline kuko zitangwa nk’ubuvuzi bumwe mu gihe cy’ibibazo byo guhumeka aho kuba nk’umuti usanzwe. Ntabwo uzajya ufata uyu muti mu rugo cyangwa buri gihe.

Niba utekereza ku binini bya terbutaline ufata mu rugo, ugomba gukurikiza amabwiriza ya muganga wawe yerekeye doze zaciwe. Muri rusange, wafata doze yaciwe ako kanya wibuka, keretse igihe cyo gufata doze yawe ikurikira kigeze.

Ku bijyanye no guterwa urushinge munsi y'uruhu, umuganga wawe azagena niba ukeneye doze zindi bitewe n'uko witwara ku rushinge rwa mbere. Iyi myanzuro izafatwa mu rwego rw'ubuvuzi aho uri kwitabwaho.

Nshobora Kureka Gufata Terbutaline Ryari?

Urushinge rwa terbutaline munsi y'uruhu akenshi rurekeraho gukora nyuma y'amasaha 3 kugeza kuri 6, bityo ntibisaba ko "ureka" kuyifata. Umuti usohoka mu mubiri wawe uko umubiri wawe uwukoresha.

Umuganga wawe azakugenzura muri iki gihe kugira ngo arebe ko guhumeka kwawe kuguma guhamye uko umuti ugenda ushiramo imbaraga. Bashobora gutangira kugutera izindi nshinge kugira ngo bagumane imikorere yawe yo guhumeka.

Niba kandi ufata terbutaline yo kunywa uri mu rugo, muganga wawe azaguha amabwiriza yihariye yerekeye igihe n'uburyo wareka uwo muti. Ntukigere ureka umuti uwo ari wo wose wandikiwe utabanje kubisaba umuganga wawe.

Nshobora Gutwara Imodoka Nyuma yo Guterwa Urushinge rwa Terbutaline?

Ntugomba gutwara imodoka ako kanya nyuma yo guterwa urushinge rwa terbutaline munsi y'uruhu kuko uwo muti ushobora gutera isereri, umunaniro, n'umutima wihuta bishobora kugutera kutabasha gutwara neza. Ibi bikorwa akenshi bimara amasaha menshi.

Abantu benshi baterwa uru rushinge baba bari mu rwego rw'ubuvuzi kubera ibibazo byo guhumeka, bityo gutwara imodoka ntibiba ari ikibazo cyihutirwa. Itsinda ryawe ry'ubuvuzi rizagusaba igihe cyiza cyo gusubukura ibikorwa bisanzwe.

Tegereza kugeza igihe umunaniro, isereri, n'umutima wihuta byose bishiriye burundu mbere yo gutekereza gutwara imodoka. Ibi akenshi bifata byibuze amasaha 4 kugeza kuri 6, ariko buri wese yitwara mu buryo butandukanye ku muti.