Theophylline ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Theophylline ni umuti ugura imiyoboro y'ubuhumekero ufasha gufungura imiyoboro yawe kugira ngo byoroshye guhumeka. Akenshi wandikirwa abantu bafite asima, indwara y'ubuhumekero ihoraho (COPD), n'izindi ndwara z'ubuhumekero zituma imiyoboro yawe igabanuka cyangwa igashya.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa methylxanthines, ikora mugukurura imitsi ikikije imiyoboro yawe. Tekereza nk'ifasha kwagura inzira umwuka unyuramo kugira ngo ugerere mu muhogo wawe, bituma buri guhumeka kumva koroshye kandi byoroshye.

Theophylline ikoreshwa mu iki?

Theophylline ikoreshwa cyane cyane mu kuvura no gukumira ibimenyetso bya asima na COPD. Muganga wawe ashobora kuyandika iyo ufite guhuma, guhumeka bigoranye, gufatwa mu gituza, cyangwa gukorora bikomeza bikabangamira imirimo yawe ya buri munsi.

Uyu muti ni ingirakamaro cyane cyane kubantu bafite ibibazo by'ubuhumekero bihoraho bikeneye gucungwa buri gihe. Irashobora kandi gukoreshwa mu gukumira ingorane zo guhumeka mugihe cyo gusinzira, cyane cyane mubibazo nka sleep apnea aho imiyoboro yawe ishobora guhagarara.

Mu bihe bimwe na bimwe, abaganga bandika theophylline kuri emphysema, bronchitis ihoraho, cyangwa izindi ndwara z'ibihaha aho gukomeza gufungura imiyoboro ari ngombwa kugirango guhumeka byoroshye. Umuganga wawe azemeza niba uyu muti ukwiriye kubibazo byawe byihariye.

Theophylline ikora ite?

Theophylline ikora mugukurura imitsi yoroshye ikikije imiyoboro yawe, ibi bifasha kuyabuza gufatana. Ifatwa nk'umuti ugura imiyoboro y'ubuhumekero ufite imbaraga ziringaniye utanga ubufasha buhoraho, burambye aho gukora vuba.

Uyu muti kandi ufite ubushobozi buke bwo kurwanya umubyimbirwe, bivuze ko ushobora gufasha kugabanya ububyimbirwe n'uburakari mu nzira yawe y'ubuhumekero. Iki gikorwa cyombi gituma bikoreshwa cyane cyane ku bantu bakeneye ubufasha buhoraho bw'inzira y'ubuhumekero umunsi wose.

Bitandukanye n'ibikoresho byo guhumeka bikora vuba, theophylline yiyongera mu mubiri wawe uko igihe kigenda gihita kugira ngo itange uburinzi buhoraho. Ibi bivuze ko uzakeneye kuyifata buri gihe nk'uko byategetswe, kabone n'iyo wumva umeze neza, kugira ngo ugumane ingaruka zayo zirinda.

Nkwiriye Kufata Theophylline Nte?

Fata theophylline neza nk'uko muganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi hamwe n'ikirahure cyuzuye cy'amazi. Ibinini bifata igihe kirekire bigomba kumirwa byose bitavunitse, bitavunitse, cyangwa kubica, kuko ibi bishobora kugira ingaruka ku buryo umuti winjizwa.

Urashobora gufata theophylline hamwe cyangwa utarimo kurya, ariko gerageza kugira gahunda ihamye. Niba wumva umubiri wawe utameze neza, kuyifata hamwe n'ibiryo cyangwa amata birashobora gufasha kugabanya uburakari. Irinde kurya caffeine nyinshi mugihe ufata uyu muti, kuko ibintu byombi bishobora kongera umuvuduko w'umutima wawe.

Gabanura imiti yawe mu gihe cyose cy'umunsi kugira ngo ugumane urwego ruzigama mu maraso yawe. Niba uyifata kabiri ku munsi, gerageza gufata imiti hafi yamasaha 12. Gushyiraho umwanya wo kwibutsa buri munsi birashobora kugufasha kugumana iyi gahunda ihamye.

Muganga wawe ashobora gutangira kukugaburira urugero ruto hanyuma akaruzamura buhoro buhoro bitewe n'uko witwara n'urwego rw'amaraso yawe. Ubu buryo bwitondewe bufasha kumenya neza ko ubona umubare ukwiye w'umubiri wawe mugihe ugabanya ingaruka ziterwa.

Mbwiriza Kufata Theophylline Igihe Kingana Gite?

Igihe uzakeneye gufata theophylline biterwa n'uburwayi bwawe bwihariye n'uburyo witwara neza ku buvuzi. Kuburwayi burambye nka asima cyangwa COPD, birashobora kuba ngombwa ko uyifata igihe kirekire nk'igice cy'umugambi wawe wo gucunga.

Muganga wawe azajya akurikirana uko urimo witwara kandi ashobora guhindura imiti yawe bitewe n'uko wumva umeze n'ibisubizo by'ibizamini byo guhumeka. Abantu bamwe bafata theophylline mu mezi cyangwa imyaka, mu gihe abandi bashobora kuyikoresha mu gihe gito cyo kwiyongera kw'uburwayi bwabo.

Ntuzigere uhagarika gufata theophylline ako kanya utabanje kuvugana na muganga wawe, kabone n'iyo wumva umeze neza. Kuyihagarika ako kanya bishobora gutuma ibimenyetso byawe bisubira cyangwa bikiyongera. Umuganga wawe azakuyobora mu mpinduka zose z'imiti yawe mu buryo bwizewe.

Ni Ibihe Bikorwa Bigaragara bya Theophylline?

Kimwe n'imiti yose, theophylline ishobora gutera ibikorwa bigaragara, nubwo atari buri wese ubyumva. Ibikorwa bigaragara byinshi ni bike kandi bikunda gukira uko umubiri wawe wimenyereza imiti mu byumweru bike bya mbere by'imiti.

Dore ibikorwa bigaragara bisanzwe ushobora guhura nabyo uko umubiri wawe umenyera theophylline:

• Urugimbu cyangwa kurwara mu nda
• Umutwe
• Kugorwa no gusinzira cyangwa kumva utuje
• Umubare w'umutima wiyongereye
• Urugero cyangwa kumva uhungabanye
• Kubura ubushake bwo kurya
• Impiswi

Ibi bimenyetso akenshi biragabanuka uko ukomeza gufata imiti. Gufata theophylline hamwe n'ibiryo bishobora gufasha kugabanya ibikorwa bigaragara bifitanye isano n'inda.

Nubwo bitagaragara cyane, abantu bamwe bashobora guhura n'ibikorwa bigaragara bikomeye bisaba ubufasha bwa muganga. Ibi birimo urugimbu rukomeye hamwe no kuruka, umutima wihuta cyangwa utajegajega, kuribwa mu gituza, gufatwa n'indwara, cyangwa ibimenyetso byo kwibasirwa n'umubiri nk'uruhu cyangwa kugorwa no guhumeka.

Gahoro, theophylline ishobora gutera ibibazo bikomeye, cyane cyane niba urugero rw'amaraso ruri hejuru cyane. Ibi bishobora kwirimo kuruka guhoraho, urujijo, umutwe ukomeye, cyangwa gutenguka. Muganga wawe azajya akurikirana urugero rw'amaraso yawe buri gihe kugirango abuze ibi kuba.

Ni Bande Batagomba Gufata Theophylline?

Theophylline ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyandika. Indwara zimwe na zimwe cyangwa imiti irashobora gutuma theophylline idatekanye cyangwa idakora neza kuri wowe.

Ugomba kubwira muganga wawe niba ufite izi ndwara mbere yo gutangira theophylline:

• Ibibazo by'umutima, harimo umutima utera nabi cyangwa umuvuduko ukabije w'amaraso
• Indwara y'umwijima cyangwa imikorere micye y'umwijima
• Ibibazo by'impyiko
• Indwara zifata ubwonko cyangwa igituntu
• Urugero rw'igifu cyangwa indwara ya gastroesophageal reflux (GERD)
• Hyperthyroidism cyangwa thyroid ikora cyane
• Infesiyo zikora cyangwa umuriro

Izi ndwara zirashobora kugira ingaruka ku buryo umubiri wawe ukoresha theophylline, bishobora gutuma urugero rw'amaraso ruzamuka kandi rugatera ibibazo byinshi.

Imiti imwe na imwe irashobora no gukorana na theophylline, ihindura uburyo ikora mu mubiri wawe. Wibuke kubwira muganga wawe imiti yose urimo gufata, harimo imiti itagurishwa ku gasoko, ibiyobyabwenge, n'imiti y'ibyatsi.

Kutwita no konsa bisaba kwitonderwa byihariye, kuko theophylline ishobora kwambuka placenta ikinjira mu mata. Muganga wawe azagereranya neza inyungu n'ibibazo niba utwite cyangwa ufite gahunda yo gutwita.

Amazina ya Theophylline

Theophylline iboneka munsi y'amazina menshi y'ubwoko, ayo akaba ari Theo-24 na Theochron. Ibi ni uburyo bwo kurekura igihe kirekire bituma bishoboka gufata rimwe cyangwa kabiri ku munsi, bikaba byoroshye gukoresha igihe kirekire.

Andi mazina y'ubwoko arimo Elixophyllin, Quibron-T, na Uniphyl, nubwo kuboneka bishobora gutandukana bitewe n'aho uherereye na farumasi. Uburyo rusange bwa theophylline buraboneka kandi bukora neza nkuko ubwoko bw'amazina bukora.

Muganga wawe azagena urugero rukwiriye kuri wowe bitewe n'uko ukeneye imiti n'uko umubiri wawe wakira umuti. Ubwoko bwose burimo ikintu kimwe gikora, ariko uburyo umuti usohokamo bushobora gutandukana gato.

Izindi miti isimbura Theophylline

Niba theophylline itagukwiriye cyangwa idatanga ubufasha buhagije, imiti myinshi isimbura irashobora kugufasha gucunga uburwayi bwawe bwo guhumeka. Muganga wawe ashobora gutekereza ku bindi byongera ubushobozi bwo guhumeka cyangwa imiti irwanya ububyimbirwe bitewe n'ibyo ukeneye.

Imiti ikora igihe kirekire ya beta-agonists nka salmeterol cyangwa formoterol itanga ingaruka zisa zo gufungura inzira y'ubuhumekero hamwe n'amashami atandukanye yo gutanga imiti. Iyi miti akenshi ivangwa na corticosteroids ihumekwa kugirango icunge neza asima cyangwa COPD.

Corticosteroids ihumekwa nka fluticasone cyangwa budesonide yibanda cyane ku kugabanya ububyimbirwe mu nzira yawe y'ubuhumekero. Kubantu bamwe, ibi bitanga uburinzi burambye hamwe n'ingaruka nke ziterwa n'imiti yo kunywa.

Imiti mishya nka leukotriene modifiers (montelukast) cyangwa phosphodiesterase-4 inhibitors (roflumilast) ikora hakoreshejwe uburyo butandukanye kandi ishobora kuba izindi miti zikwiriye bitewe n'uburwayi bwawe. Muganga wawe azagufasha gushakisha izi nzira niba bikenewe.

Ese Theophylline iruta Albuterol?

Theophylline na albuterol bikora ibintu bitandukanye mugihe cyo kwita kubijyanye n'ubuhumekero, bityo kubigereranya biterwa n'ubwoko bw'ubufasha ukeneye. Albuterol ni umuti ukora vuba utanga ubufasha bwihuse mugihe cy'ibibazo byo guhumeka, mugihe theophylline itanga ubufasha burambye, burambye bw'inzira y'ubuhumekero.

Niba urimo kugira igitero cya asima cyangwa ugahura n'ingorane zo guhumeka, albuterol ikora mumunota muke kugirango ifungure inzira yawe y'ubuhumekero. Theophylline, ku rundi ruhande, ifata igihe kugirango yubake mumubiri wawe kandi igenewe gukumira ibibazo byo guhumeka mbere na mbere.

Abantu benshi bafite indwara zo guhumeka zidakira bakoresha imiti yombi nk'igice cy'uburyo bwo kuvurwa. Inhaler yawe yo gutabarwa ikoresha albuterol ikemura ibimenyetso byihuse, mugihe theophylline itanga uburinzi bw'inyuma bufasha kwirinda ibyo bihe byihutirwa.

Muganga wawe azagena umuti cyangwa uruvange rw'imiti ikora neza kubera uburwayi bwawe bwihariye, ubukana bw'ibimenyetso, n'ubuzima bwawe. Guhitamo

Ntugerageze kwivugisha cyangwa gufata indi miti iyo ari yo yose yo "kurwanya" theophylline yiyongereye. Abaganga bafite imiti yihariye yo kuvura iyo umuntu yarengeje urugero rwa theophylline, kandi bazamenya uburyo bwiza bwo kugufasha mu buryo bwizewe.

Nkwiriye gukora iki niba nirengagije urugero rwa theophylline?

Niba wirengagije urugero rwa theophylline, uyifate uko wibukije, keretse igihe cyegereje cyo gufata urugero rukurikira. Muri icyo gihe, reka urugero wirengagije kandi ukomeze gahunda yawe isanzwe yo gufata imiti.

Ntuzigere ufata urugero rurenzeho kugira ngo usimbure urwo wirengagije, kuko ibyo bishobora gutuma urugero rwa theophylline mu maraso yawe ruzamuka cyane kandi bikongera ibyago byo kugira ingaruka zidakurikira. Biruta kurengagiza urugero rumwe kuruta gushyira ubuzima mu kaga bwo gufata nyinshi icyarimwe.

Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha agasanduku k'imiti kugira ngo bigufashe kuguma ku murongo. Guhora ufata imiti ni ingenzi kugira ngo urugero rwa theophylline mu mubiri wawe rugume rutajegajega.

Nshobora guhagarika ryari gufata theophylline?

Ukwiye guhagarika gufata theophylline gusa uyobowe na muganga wawe, kuko guhagarika ako kanya bishobora gutuma ibimenyetso byo guhumeka bisubira cyangwa bikarushaho. Umuganga wawe azakora gahunda yo guhagarika imiti mu buryo bwizewe igihe bikwiye.

Umutuzo wo guhagarika akenshi biterwa n'uko uburwayi bwawe bugenda neza, niba waragize ibibazo vuba aha, n'indi miti ufata. Muganga wawe ashobora kugabanya buhoro buhoro urugero rwawe mu byumweru byinshi kuruta guhagarika byose icyarimwe.

Abantu bamwe bashobora guhagarika neza theophylline mu gihe uburwayi bwabo bugenda neza, mu gihe abandi bakeneye kuyikomeza igihe kirekire. Uburyo wabyakiriye ku miti n'ubuzima bwawe muri rusange bizayobora icyemezo.

Nshobora kunywa ikawa niba mfata theophylline?

Ushobora kunywa kafeini ukoresha teyofilini, ariko ni byiza kugabanya urugero rwawe kuko ibyo bintu byombi bishobora kongera umuvuduko w'umutima wawe no gutera umunaniro. Kafeini nyinshi ivanze na teyofilini ishobora gutuma wumva urushye cyane cyangwa ufite impungenge.

Gerageza kugumana urugero rwa kafeini yawe buri munsi, kuko impinduka zitunguranye zishobora kugira ingaruka ku buryo wumva. Niba usanzwe unywa ikawa, ntugomba guhagarara rwose, ariko tekereza kugabanya urugero rwawe rusanzwe cyangwa guhindukirira ibintu bitagira kafeini.

Witondere uko wumva nyuma yo kunywa kafeini ukoresha teyofilini. Niba ubonye umuvuduko w'umutima wiyongera, guhinda umushyitsi, cyangwa kutabona ibitotsi, birashoboka ko ugomba kugabanya kafeini yawe cyangwa kuyikoresha mu gihe kitandukanye n'imiti yawe.