Ingaruka nyinshi z’umuti wa albuterol inhaler ziteganijwe kandi ntizikaba zihambaye. Kujezajezwa, guhagarara, n’umutima utera vuba byagize uruhare kuri 7% by’abantu bakuru mu bushakashatsi bwa FDA, bigatangira mu minota mike, bikarangira mu masaha atatu kugeza kuri make. Kubabara mu gituza, umutima utatera neza, cyangwa guhumeka bikabya ako kanya nyuma yo guhweka ni ibindi, kandi bisaba kwitabwaho ubu.

ICYO WAKWIBUKWA MU BYIHUTURWA: Ibikomeye

  • Amaboko ajegajega n’umutima utera vuba biva ku isinzi rya beta-2 ribumburura inzira zawe zo guhumeka, bityo bikaba ikimenyetso cy’uko umuti wagugezeho, aho kuba ikimenyetso cy’akaga.
  • Ubusanzwe gujajama bihera mu gihe cy’iminota 30 kugeza 60 kandi bikarangira mu masaha 1 kugeza 2; ingaruka ku mutima zishira mu gihe cy’amasaha 2 kugeza 6.
  • Ingaruka zisa n’izibababaza kuruta uko byahoze bisobanura ko uri gukoresha ibisabwa byinshi, ibyo bikaba ari ikibazo cy’umuti ugenzura, aho kuba ikibazo cyo kwihanganira umuti.
  • Ikoreshwa rya spacer, guhumeka buhoro cyane, no kunyoza mu kanwa buri gihe bigabanya ingaruka ku muhogo n’umubiri hose.
  • Guhweka bigenda bibi ako kanya nyuma yo guhweka, kubabara mu gituza, umutima utera nabi, cyangwa kuzana imitsi mu maso bisobanura guhagarara no gushaka ubutabazi bwihutirwa.

Inshi mu ngaruka za Albuterol ziteganijwe, ni umuti ukora, ntabwo ari ikimenyetso cyo kwirinda

Ingaruka zikunze kugaragara cyane kuri albuterol inhaler ku bantu bakuru ni uguhagareka, guhangayika cyangwa guhagarara, umutima utera vuba, umutwe, n’irakara ry’umuhamagaro. Muri amakuru ya FDA yo gutanga albuterol sulfate inhalation aerosol, guhagarara, guhangayika, na tachycardia byagize uruhare kuri 7% by’abarwayi bakuru n’abangavu. Hafi ya zose muri izi ngaruka zishingiye ku dose kandi ni ngufi, zigenda zigabanuka mu gihe cy’amasaha make nyuma yo guhweka bisanzwe bibiri.

Uburyo bwihariye bwisobanura uko bikora. Albuterol ikora ishinze kuri receptors za beta-2 kugirango ikemure imitsi idafite ijosi iruzengurutse inzira zawe zo guhumeka, ariko izo receptors zose ziri ku mitsi y’umubiri kandi zigafasha umutima, bityo guhagarara n’umutima utera vuba bikomoka ku isinzi rimwe rigumburura guhumeka kwawe.

Guhuriza hamwe ibyabaye ku bibazo byagaragaye kuri produits za albuterol biruta cyane imibare iri ku rupapuro, aho guhagarara bigaragajwe kuri 24% na gahangayika kuri 15%. Iyo mibare ivuga ku dose n’uburyo byakozwe, aho kuba ko kimwe mu bicuruzwa ari cyo kibyihindurirwa cyane kuruta ibindi. Izina ry’umukorerabihano nt irimo akamaro nkuko abantu babyitega: Ventolin, ProAir, na Proventil ni zimwe, kandi ingaruka za Ventolin ni imiterere y’ingaruka za albuterol.

Ubushakashatsi bumwe kandi bwagaragaje kugugama kuri 10% by’abarwayi, ibimenyetso by’indwara yo mu muhogo kuri 21%, na rhinitis kuri 16%. Soma ibyo muburyo bwihariye. Buri wese muri ubwo bushakashatsi yarafite indwara yo mu muhogo, bityo izuru ryuzuye n’ibicururizwa ni ibintu byabayeho mugihe cyo kwivuza, aho kuba ko inhaler ari yo yabiteye.

Kwihutira kwegera inhaler kenshi ni ikibazo gikomeye kuruta ingaruka

Ingaruka z’ikoreshwa rya albuterol inhaler zirushijeho kwiyongera cyangwa kugaruka kenshi ni ikimenyetso cy’akarengane aho kuba ikibazo cyo kwihanganira umuti. Bisabwa byinshi bivuze ko umuti mwinshi ugera ku mitsi y’umubiri n’umutima, kandi guhagarara biratera imbere. Iki ni igice gikwiye kwitabwaho: “ingaruka zanjye zirushijeho kwiyongera” na “ndimo nshingira inhaler yanjye kenshi” bisanzwe bifatwa nk’ikintu kimwe cyavuzwe mu buryo bubiri butandukanye.

Iyo mibare irashobora kumenyekana. Inyigisho za MedlinePlus ku miti ivanira umwuka zishyira umupaka ku kabiri mu cyumweru: kwifuza inhaler yo kwihutira gutabara kenshi, hanze yo gukora imyitozo ngororamubiri, bisobanura ko asima idafashijwe neza kandi umuti ugenzura wa buri munsi ukeneye guhindurwa. Dose yemererwa na FDA ku bantu bakuru ni guhweka bibiri buri amasaha 4 kugeza 6, kandi bamwe bakenera guhweka imwe buri amasaha 4. Kwifuza byinshi buri gihe bikwiye gusubirwamo.

Kugirango tubigire bisobanutse: ntugabanye dose yawe yo kwihutira gutabara wenyine. Guhinduka gufasha ibimenyetso n’ingaruka bisanzwe bishingiye ku gupanga kwawe kugenzura, kandi ni ikemezo cy’umuganga. Byinshi ku guhanganira ibimenyetso bya asima no kubona ibisabwa kuri inhaler online.

Niba ibikoresho byawe birangira vuba kuruta mbere, kureba umuganga online kuri $39 na August ni ahantu heza ho gusubiramo gahunda cyangwa kubona ibisabwa. Umuganga wemewe muri Amerika ni we uhitamo niba ibisabwa ari ngombwa. Icyo ubuvuzi bwo kuri telefone budashobora gukora ni ugusuzuma cyangwa kuvura asima iriho ubu, ni ikibazo gikomeye.

Kugira umutima utera vuba nyuma ya Albuterol byitezwe, ariko kubabara mu gituza hamwe nabyo sibyo

Umutima utera vuba wa Albuterol ni kimwe mu bintu bibazwa cyane ku mpamvu: birumvikana kandi biraza vuba. Tachycardia yagize uruhare kuri 7% by’abakuru n’abangavu mu makuru ya FDA. Ibyasanzwe ni umutima wiyongera mu minota mike nyuma yo guhweka, ukagera ku gasongero ku munota 30, hanyuma ugatangira kugabanuka mu gihe cy’amasaha make.

Hari ibimenyetso bikomeye by’akaga. MedlinePlus inama yo kwivuza ako kanya ku mutima wihuta, utera cyane, cyangwa utera nabi, cyangwa ku kubabara mu gituza, mugihe ukoresheje albuterol. Uru rupapuro rwa FDA rutanga umukanguro usimbuye ko beta-agonists ishobora gutera ingaruka zikomeye ku mutima, harimo impinduka mu iterambere ry’umutima, igitutu cy’amaraso, n’ECG.

Dore icyo abantu benshi batazakubwira: nta mupaka wa siyansi wawo uhuza ‘birimo neza’ na ‘ikibazo gikomeye’ nyuma yo gufata dose. Ibi bikurikira ni umurongo ngenderwaho, aho kuba ishingiro ryo kugenzura.

  • Umutima wihuta cyane wa 100 kugeza 120 bpm ugabanuka mu gihe cy’isaha: ni byiza kubwira muganga wawe mugihe gikurikiyeho.
  • Umutima utagishira ku mpeta ya 120 bpm, cyangwa ugihuta cyane nyuma y’amasaha 2 nyuma yo gufata dose isanzwe: hamagara uwo munsi.
  • Kwiruka hamwe no kubabara mu gituza, kwipfira, kwipfira hafi, cyangwa gusubira inyuma mu buryo bidasanzwe: ni ikibazo gikomeye, uko ibarwa yaba imeze kose.

Amaboko ajegajega biva ku mitsi yawe, aho kuba ku misemburo yawe, kandi abantu bakuru babibona cyane

Guhagareka kwa Albuterol, kwitwa kliniki albuterol tremor, byagize uruhare kuri 7% by’abakuru n’abangavu mu bushakashatsi bwa FDA, hamwe n’imibare yihanganirwa igaragaza kugeza kuri 24% ku byo byakoreshejwe byinshi. Ni guhagarara gutamba kw’amaboko kubera receptors za beta-2 ku mitsi y’umubiri. Ibyo bihindura byinshi kuruta uko bigaragara: ni ingaruka ku mitsi, aho kuba ingaruka z’imitsi, kandi ntibivuga ko umuti wangiza sisitemu yawe y’imitsi.

Abakuru babibona cyane kuruta abana. Mu mibare y’ibibazo byagaragaye, tremor na gahangayika byagaragajwe kenshi ku bakuru n’abangavu kuruta ku barwayi b’abana, niyo mpamvu umubyeyi ashobora kureba umwana afata umuti wa mazi utagira ingaruka zigaragara hanyuma akumva amaboko ye arugaga.

Tremor kandi itangira kugabanuka mugihe gikoreshwa buri gihe, niyo mpamvu abakoresha igihe kirekire bakunze kuvuga ko bafite tremor nke kuruta abatangira. Niba ushaka ubuhanga bwuzuye, reba impamvu albuterol igutera guhagarara.

Igihe ingaruka za Albuterol zimara biterwa n’ingaruka ugereranya

Igihe ingaruka za Albuterol zimara gitandukanye ku bimenyetso, niyo mpamvu igisubizo kimwe cy’“amasaha make” kidafite akamaro. Ibisanzwe byo guhweka bibiri mu gukoresha metered-dose inhaler:

  • Guhagareka: bitangira ku minota 15 kugeza 30, bigera ku gasongero ku minota 30 kugeza 60, bikarangira mu gihe cy’isaha 1 kugeza 2.
  • Umutima: bigera ku gasongero mu gihe cy’iminota 30, ingaruka ku mutima zigabanyuka mu gihe cy’amasaha 2 kugeza 6.
  • Umutwe n’ihangayika: bisanzwe birangira mu gihe cy’amasaha make.
  • Irakara ry’umuhamagaro, akanwa kavutse, impinduka mu buryohe: birangira mu minota mike nyuma yo kunyoza.

Uburyo bwo gutuma umwuka uhita busanzwe bugira akamaro kumasaha 4 kugeza 6, niyo mpamvu FDA isanzwe ibitega buri masaha 4 kugeza 6. Ivura ya nebulizer n’imiti yakoreshejwe inshuro nyinshi mugihe cyo kurwara bikomeye biramara igihe kinini kandi bikaba bikomeye kuruta ibi bipimo.

Ikemezo kimwe kibafasha gusobanukirwa: ingaruka zose zikiriho mugihe dose yawe ikurikiyeho yari kuboneka, cyangwa zimara kugeza bukeye, ni byiza guhamagara kuruta guhweka bundi.

Urashobora kugabanya guhagarara n’umutima utera vuba utahinduye dose yawe

Ingaruka za Albuterol inhaler ku bantu bakuru zishubijwe n’uburyo bwo kwirinda kuruta uko abantu benshi babyumva, kuko igice kimwe cy’ikibanza kigwa mu muhogo wawe kandi kiguruka ni cyo gikunze gutera ibibazo bidafasha ibihaha byawe.

Impinduka ikomeye ni spacer cyangwa chamber yo gufata amashusho. Igaragaza aerosol, ituma umuti mwinshi winjira mu nzira zo guhumeka, kandi usigaye mu kanwa no mu muhogo.

  • Kunyuzamo amazi mu kanwa no kwitsindagira nyuma yo gukoresha kugirango ugabanye irakara ry’umuhamagaro, ijwi ry’amagambo, n’impinduka mu buryohe.
  • Tekereza iminota icumi hagati y’ibishushanyo bibiri, uhumeke buhoro kandi cyane, kandi ufate umwuka wawe igihe cy’iminota icumi.
  • Genda utegereze iminota mike nyuma yo gufata dose aho kugenda utangira ako kanya.
  • Irinde guhuza kafeine, ibinyobwa by’ingufu, cyangwa ibisabwa mu muhogo mugihe cyo gufata dose.
  • Shakira umuganga cyangwa umuvuzi kureba ukuntu ukoresha inhaler byibuze rimwe.

Iki cyanyuma nticyavuguruwe. Uburyo bubi butanga umuti muke mu bihaha, utuma abantu bashaka guhweka byinshi, bikongera ingaruka. Gukosora uburyo busanzwe bugabanya byombi. Icyo bitagomba gukora ni uguhindura wenyine: ibice bibiri buri amasaha 4 kugeza 6 ni gahunda ya FDA y’abakuru, kandi kuyihindura ni ikemezo cy’umuganga.

Imyitwarire ibiri isobanura ko uhagarika inhaler aho kwihanganira

Paradoxical bronchospasm itewe na albuterol ni imyitwarire ihindura ibiri hejuru. Uru rupapuro rwa FDA ruvuga ko rushobora guhitana, rusaba ko inhaler ihagarara ako kanya kandi hagatangizwa uburyo bwo kwivuza bunoze. Uzamenya ko ihinduka: guhweka, gufata mu gituza, cyangwa guhumeka bikabya ako kanya nyuma yo guhweka aho kugabanya.

Icya kabiri ni albuterol potassium nkeya. Uru rupapuro rwa FDA rugaragaza ko albuterol ishobora gutera kugabanuka kw’amaraso potassium, akenshi bikaba by’akanya. Mu magambo asanzwe, ibi bigaragazwa n’imitsi irushye, intege nke zidanzwe, kurya nabi, n’imitsi itera cyane cyangwa itera nabi. Akaga karushaho mu bihe bimwe: albuterol nyinshi cyangwa ya nebulizer, kwakira inshuro nyinshi mugihe cyo kurwara bikomeye, n’ibinyobwa bya thiazide cyangwa loop diuretics.

Cyane cyane, MedlinePlus ivuga kuzana imitsi mu muhogo, ururimi, iminwa, cyangwa mu maso, n’ubushye nk’ibimenyetso by’uburwayi bwa allergique bisaba kwitabwaho ako kanya.

Igihe ingaruka za Albuterol zibasaba umuganga, kandi kuki kwihuta

Hamagara 911 cyangwa jya mu cyumba cy’ibitaro byihutirwa ubu niba:

  • Guhweka cyangwa guhumeka bikabya ako kanya nyuma yo gukoresha inhaler.
  • Ufite umutima wihuta, utera cyane, cyangwa utera nabi, cyangwa kubabara mu gituza.
  • Imihogo yawe, ururimi, iminwa, cyangwa mu maso bibyimba, cyangwa ugahinduka ibishushanyo.
  • Ufite guhumeka bikomeye, iminwa cyangwa intoki zibaho umukara, cyangwa utashobora kuvuga amagambo ajyanye.
  • Guhamagara kwawe ntikuviramo nyuma yo gukoresha inhaler yo kwihutira gutabara nk’uko byateganijwe.

Baza umuganga ko gusura mu cyumweru gitaha niba:

  • Ukeneye inhaler yo kwihutira gutabara kenshi kabiri cyangwa kurushaho hanze yo gukora imyitozo ngororamubiri.
  • Ingaruka zirushijeho kwiyongera cyangwa kugaruka kenshi kuruta mbere.
  • Guhagareka cyangwa gutera gutera kumara amasaha menshi nyuma yo gufata dose isanzwe.
  • Urazinduka nijoro ukeneye inhaler.
  • Uri kurangiza ibikoresho byawe byihuta kuruta mbere.

Vugana n’umuganga mbere yo gutangira niba:

  • Ufite indwara y’umutima cyangwa imitsi itera nabi, igitutu cy’amaraso gikomeye, umuhogo wawe wihuta, diyabete, indwara yo guhuma, cyangwa potassium nkeya wamenye.
  • Ufata ibinyobwa bya diuretiye, beta-blockers, abanywanyi ba MAO, cyangwa abanywanyi ba tricyclic antidepressa.

Niba utuye hamwe n’izo ndwara, ikizamini gikoreshwa ni uguhuzwa kuruta kwihanganira. Uzi uko umuti wawe uhuye nyuma ya inhaler. Ibimenyetso bishya, byiyongera cyane kuruta uko byahoze, cyangwa byongeweho kubabara mu gituza, guhungabana, cyangwa umutima utera nabi bikwiye kwitabwaho uwo munsi aho kwihanganira gutegereza. Niba udashidikanya rwose ni ikihe gihe gikwiye, umuganga wa AI wa August washobora kugufasha kumenya uwihutirwa mbere yo guhitamo aho ugomba kujya.

Ikibazo gikunzwe kubazwa

Albuterol ishobora gutera impungenge cyangwa gutera gutera gutera gutera gutera ibyaha?

Rimwe na rimwe. Gahangayika byagaragaye kuri 7% by’abakuru mu bushakashatsi bwa FDA, kandi ibimenyetso by’umubiri albuterol itera (umutima utera vuba, amaboko ajegajega, guhagarara) bigerwa ku kwipfira, ibyo bikaba byateza impungenge nyazo ku bantu bafite iryo sanganya. Icyerekana ni igihe: ibimenyetso by’umuti bikurikira dose, bigera mu minota mike kandi bigacika mu gihe cy’amasaha make.

Nshobora kunywa ikawa cyangwa ibinyobwa by’ingufu mugihe nkoresha albuterol inhaler?

Yego, ariko igihe ni ingenzi. Nta mwashingano ruherekanwa uhari, nubwo kafeine ari umuti wiyongera ku bihangayika byawe n’umutima wiyongera ku bya albuterol. Niba utemera guhagarara, ikintu cyoroshye ni uguhagarika: irinde ikawa nini cyangwa ikinyobwa cy’ingufu mu gihe cy’isaha imbere ya dose aho kuvuga ko uhagarika kafeine burundu.

Ingaruka za nebulizer ziruta ingaruka za inhaler?

Mubisanzwe, yego. Ivura ya nebulizer isanzwe itanga dose nyinshi mu gihe cy’iminota myinshi kuruta ibisabwa bibiri mu gukoresha metered-dose inhaler, bityo tremor n’ingaruka z’umutima zishobora kuba zikomeye kandi zirambye. Ibyo byitezwe, ntabwo ari ikimenyetso ko hari ikibazo.

Biba bite iyo nfashe ibisabwa byinshi bya albuterol?

Tegereza ko ibimenyetso byavuguruye by’ibisanzwe: tremor, umutima utera cyane, umutwe, kugugama, n’ibibazo by’umutima rimwe na rimwe. Ibyakoreshejwe cyane rimwe na rimwe biracika mu gihe cy’amasaha make. Hamagara Poison Control cyangwa shaka kwivuza niba ufite ikibazo mu gituza, umutima utera nabi, kwipfira, cyangwa guhuma. Kwakira inshuro nyinshi ni ikibazo cyihariye gisaba gusubiramo umuti ugenzura.

Guhindura kuri levalbuterol (Xopenex) bitera tremor nke?

Ntabwo byizewe. Levalbuterol yatewe gute mu gihe kwirinda albuterol imwe byagabanya tremor n’ingaruka ku mutima, ariko ibimenyetso bigomba guhurwa hamwe mu dose zisa n’ubushobozi bwo gutuma umwuka uhita ni bibi kandi impinduka, aho zihari, ni nke. Ni byiza kuganira niba ingaruka zifite uburemere bwo kugufasha mu kwivuza kwawe, nubwo bihenze cyane.

Albuterol ni byiza gukoresha igihe cyo gutwita?

Mubisanzwe yego, kandi asima idafashijwe neza ni akaga gakomeye. Asima idafashijwe neza igabanya okisigeni ihurwa ku mwana, ibyo abaganga benshi babyumva ko ari birenze akaga kuruta albuterol y’umwuka, ingaruka zayo zishobora kuba nke. Ntugahagarike inhaler yawe yo kwihutira gutabara kubera ko utwite. Bwira umuganga wawe w’umubyeyi ko uyikoresha kugirango gahunda yawe yo kugenzura ibone gusubirwamo mugihe cyo gutwita.

Albuterol ishobora kuntuma njya gusinzira nijoro?

Yego. Dose yo kwegeza ishobora kugutuma ugira gahunda amasaha make kubera ko ingaruka z’umuti w’umuti ziteza ihangayika ku manywa. Ikibazo gikomeye ni impamvu wari ukeneye ko nijoro. Kuzinduka n’ibimenyetso bisaba umuti wo kwihutira gutabara ni ikimenyetso cy’asima idafashijwe neza kandi gikwiye kwitabwaho na muganga.

Umwanzuro

Ingaruka nyinshi za albuterol inhaler ku bantu bakuru ni igiciro cy’umuti ukora ibyo wagombaga: kirenga 7% by’abantu bagira tremor, gahangayika, cyangwa umutima utera vuba, kandi izo ngaruka zikurikira inzira izwi igera ku gasongero ku munota 30 kandi ikarangira mu gihe cy’amasaha make. Uburyo bwiza no gukoresha spacer bizagabanya izo ngaruka. Icyo gikwiye kwitabwaho ni tremor ubwayo ariko kwiyongera kwacyo. Ingaruka ziri kwiyongera hafi buri gihe bisobanura ko uri kugera kuri inhaler kenshi, kandi ko ari ikimenyetso cyo gusubiramo gahunda yo kugenzura aho kwihanganira. Guhumeka bikabya nyuma yo guhweka, kubabara mu gituza, umutima utera nabi, cyangwa kuzana imitsi mu maso ni ibindi bintu bikomeye, kandi bikwiye kujya mu cyumba cy’ibitaro.

Urugero: Ingingo iyi ni iy’amakuru gusa kandi ntibisobanura ko ari inama y’ubuvuzi. Buri gihe shaka umuhanga mu by’ubuzima kugirango uhitemo uburyo bwo gusuzuma n’ubuvuzi. Niba uri kugira ikibazo gikomeye, hamagara 911 cyangwa jya mu bitaro byihutirwa byegereye ako kanya.