Created at:1/13/2025
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Racepinephrine mushonga webronchodilator unobatsira kuvhura nzira dzako dzekufema kana uine matambudziko ekufema. Inowanzo shandiswa semushonga unofemwa wekudzivirira zvirwere zvekufema zvishoma zvakaita secroup, bronchitis, uye zviratidzo zveasthma.
Mushonga uyu unoshanda nekuzorodza tsandanyama dzakatenderedza nzira dzako dzekufema, zvichiita kuti mhepo iyerere mukati nekunze kwemapapu ako zviri nyore. Unogona kuiziva nemazita emhando dzakaita seAsthmanefrin kana S2, uye inowanzoita mushonga wekutanga vabereki vanosvika kana mwana wavo achikura kukosora kunorira kwecroup.
Racepinephrine ishanduro yekugadzirwa ye epinephrine yakagadzirirwa kufemwa. Iyo ndeyeboka remishonga inonzi sympathomimetics, iyo inotevedzera mhedzisiro yemahomoni ako echisikigo ekushushikana.
Kusiyana ne prescription epinephrine auto-injectors inoshandiswa kune akakomba allergic reactions, racepinephrine yakapfava uye inowanikwa pasina prescription. Inogadzirwa semhinduro yemvura yaunofema kuburikidza ne nebulizer kana handheld inhaler, ichibvumira mushonga kushanda zvakananga muhurongwa hwako hwekufema.
Iyo
Nzira inonyanya kushandiswa ndeye croup muvana, iyo hutachiona hunokonzera kukosora kunoita semhute uye matambudziko ekufema. Vabereki vazhinji vanoona kuti inopa rubatsiro rwekukurumidza kana mwana wavo amuka pakati pehusiku achinetseka kufema.
Heano mamiriro makuru uko racepinephrine inogona kubatsira kupa rubatsiro:
Kunyange zvichishanda kune mamiriro aya, racepinephrine haina kukodzera kurwisa kwakanyanya kweasthma kana njodzi dzekufema dzinotyisa upenyu. Izvo zviitiko zvinoda kutarisirwa kwekurapa nekukurumidza uye mishonga yakasimba yekuraira.
Racepinephrine inoshanda nekukurudzira ma receptors chaiwo mumhasuru dzako dzemhepo dzinonzi beta-2 adrenergic receptors. Kana ma receptors aya akashandiswa, anoita kuti mhasuru dzakatsetseka dzakatenderedza nzira dzako dzemhepo dzizorore uye dzivhurike.
Funga nezvenzira dzako dzemhepo semahosi emubindu anogona kusungirira zvakasimba kana kuzorora zvakavhurika. Paunenge uine matambudziko ekufema, kuzvimba kana spasms dzemhasuru dzinoita kuti aya
Semushonga webronchodilator, racepinephrine inoonekwa seyakati simba. Iyo ine simba kupfuura dzimwe sarudzo dzekutengesa asi inononoka kupfuura mishonga yekurapa yakaita se albuterol. Izvi zvinoita kuti ive sarudzo yakanaka yepakati-pakati yekugadzirisa zviratidzo zvishoma kusvika pakati-kati kumba.
Racepinephrine inotorwa nekufema uchishandisa muchina we nebulizer kana mudziyo we inhaler unobatwa nemaoko. Mushonga uyu unouya semhinduro yemvura inoshandurwa kuita mhute yakanaka kuti iwe uifeme zvakadzama.
Kushandiswa kwe nebulizer, iwe unowanzo shandisa mhinduro ye racepinephrine nemvura yemunyu yakachena sezvakarairwa papakeji. Iyo yakajairika yakakura yevakuru inowanzoita 0.5 mL ye racepinephrine yakavhenganiswa ne 2.5 mL yemvura yemunyu, inofemwa kwemaminitsi gumi-15.
Heano maitiro ekushandisa racepinephrine zvakachengeteka uye zvinobudirira:
Haufaniri kutora mushonga uyu nechikafu, asi kuva nechikafu chidiki pamberi kunogona kubatsira kudzivirira dumbu kana iwe uchinzwa kune mishonga. Dzivisa kudya zvikafu zvikuru usati warapwa, sezvo izvi zvingakonzera kuti unzwe kusvotwa panguva yekufema.
Racepinephrine yakagadzirirwa kushandiswa kwenguva pfupi panguva yezviitiko zvekufema zvakanyanya, kwete semushonga wezuva nezuva wenguva refu. Vanhu vazhinji vanoiita kwemazuva mashoma chete kusvikira zviratidzo zvavo zvichivandudzika.
Kune croup, unogona kuishandisa ka2-3 panguva yeawa makumi maviri nemana-48 sezvo zviratidzo zvichikwira. Kune bronchitis kana zviratidzo zvishoma zveasthma, kurapwa kunowanzoita mazuva matatu-5. Mhedzisiro yedose yega yega inowanzoita awa 1-3.
Kana ukaona uchida racepinephrine kwevhiki rinopfuura rimwe, kana ukuri kushandisa kanopfuura ka3-4 pazuva, inguva yekubvunza chiremba. Kushandisa kwenguva refu pasina kutarisirwa nachiremba hakukurudzirwi uye kungaratidza kuti unoda imwe nzira yekurapa.
Nguva dzose tevera mirairo chaiyo iri pamapaketi ako echigadzirwa, sezvo mhando dzakasiyana dzingave nemazano akasiyana ekushandisa. Kana usina chokwadi, zvishoma zvinowanzova zvakawanda nemishonga yebronchodilator.
Vanhu vazhinji vanotsungirira racepinephrine zvakanaka, kunyanya kana ichishandiswa sezvakarairwa kwenguva pfupi. Zvakaipa zvinowanzoita zvinyoro uye zvenguva pfupi, zvinowanzoita kwenguva yakareba sekuti mushonga unoshanda mumuviri wako.
Zvakanyanya kuwanda zvaungasangana nazvo zvine chekuita nemhedzisiro yemushonga yakaita se stimulant pane yako tsinga. Izvi zvinoitika nekuti racepinephrine inokanganisa zvinogamuchira mumuviri wako wese, kwete mumapapu ako chete.
Heano mativi aunogona kucherechedza, kutanga neakajairika:
Izvi zvinowanzoitika zvinowanzoenda mukati memaminitsi makumi matatu kusvika makumi matanhatu mushure mekunge kurapwa kwako kwapera. Izvi ndizvo zvinowanzoitika mumuviri wako kumushonga uye hazviwanzoita chikonzero chekunetseka kunze kwekunge zvakanyanya kana zvichiramba.
Kunyange zvichishoma, vamwe vanhu vanogona kusangana nemhedzisiro yakakomba inoda kutarisirwa nachiremba nekukurumidza. Izvi zvinosanganisira kurwadziwa kwakanyanya muchipfuva, kurova kwemoyo nekukurumidza (kupfuura 120 beats paminiti pakuzorora), dzungu rakanyanya kana kufenda, kana zviratidzo zvekuita allergic senge rash, kuzvimba, kana kuoma kumedza.
Kana uine matambudziko emoyo, ropa rakakwira, kana chirwere cheshuga, unogona kunge uchinyanya kunzwa kune izvi zvinokonzeresa. Nguva dzose kurukura nhoroondo yako yekurapa nemupharmacist kana chiremba usati watanga chero mushonga mutsva, kunyangwe iwo anowanikwa pasina chiremba.
Nepo racepinephrine ichiwanika pasina chiremba, haina kukodzera munhu wese. Mamwe mamiriro ekurapa nemishonga zvinogona kuiita isina kuchengeteka kana kushanda zvishoma.
Unofanira kudzivisa racepinephrine kana uine mamwe mamiriro emoyo, kunyanya kusaenzana kwemoyo, chirwere chakakomba chemitsipa yeropa, kana kana uchangobva kurwara nemoyo. Mushonga uyu unogona kuisa kumwe kushushikana pahutano hwako hwemoyo.
Heano mamiriro makuru apo racepinephrine inofanira kudziviswa kana kushandiswa nekuchenjerera kukuru:
Vakadzi vane pamuviri uye vanoyamwisa vanofanira kubvunza vanachiremba vavo vasati vashandisa racepinephrine, kunyangwe ichiwanzoonekwa seyakachengeteka pane dzimwe nzira dzakawanda panguva yekuzvitakura. Mushonga uyu unogona kuyambuka mumukaka wemazamu mumari shoma.
Kune vana vari pasi pemakore mana, kutariswa kwekurapa kunokurudzirwa zvakasimba. Nepo racepinephrine inogona kushanda kune pediatric croup, vana vadiki vanogona kunge vachinyanya kunzwa kune mhedzisiro uye vanoda kutarisa zvakanyanya.
Racepinephrine inowanikwa pasi pemazita akati wandei emhando, neAsthmanefrin ndiyo inonyanya kuzivikanwa. Uchaiona muchikamu chekufema chemamwe mapharmacy, kazhinji padyo nemimwe mishonga yekukosora nekutonhora.
Asthmanefrin ndiyo mhando yekutanga uye inowanzozivikanwa, inowanikwa semhinduro ye nebulizer uye mune mamwe mafomati e inhaler anobata nemaoko. Yave pamusika kwemakumi emakore uye ine rekodhi rakasimba rekurapa zviratidzo zvekufema zvishoma.
S2 ndiyo imwe zita remhando yaungasangana nayo, kunyangwe isingawanzoitika seAsthmanefrin. Dzimwe shanduro dzakajairika dziripo zvakare, dzinowanzozivikanwa se "racepinephrine inhalation solution."
Zvese zvigadzirwa izvi zvine chinhu chimwe chete chinoshanda uye zvinoshanda nenzira imwechete. Misiyano mikuru iri mukupakata, kuwanda, uye mutengo. Shanduro dzakajairika dzinowanzoita dzakachipa uku vachipa kushanda zvakaenzana.
Kana racepinephrine isingawanikwi kana isina kukodzera kwauri, dzimwe nzira dzinogona kubatsira nematambudziko akafanana ekufema. Sarudzo yakanakisa inoenderana nemamiriro ako chaiwo uye kuoma kwezviratidzo.
Kune mild croup uye bronchitis, humidifiers inotonhorera uye steam therapy inogona kupa zororo rechisikigo. Vabereki vazhinji vanowana kuti kugara mumba ine utsi kana kutora mwana wavo kunze mumhepo inotonhorera yeusiku kunobatsira zvakanyanya semushonga.
Heano mamwe maitiro makuru ekufunga, kubva pakunyorova kusvika pakusimba:
Kuti urambe uchidzora asthma, chiremba wako angakurudzira mishonga yekudzora yezuva nezuva senge inhaled corticosteroids panzvimbo yekuvimba ne rescue bronchodilators. Izvi zvinoshanda zvakasiyana nekudzivirira kuzvimba panzvimbo yekungorapa zviratidzo kana zvaitika.
Nzira dzechisikigo dzakadai sekudzidzira kufema, kudzivisa zvinokonzera, uye kuchengetedza hutano hwakanaka hwese zvinogonawo kuderedza kudiwa kwako chero mushonga webronchodilator nekufamba kwenguva.
Racepinephrine ne albuterol zvose zvinoshanda zvakanaka bronchodilators, asi zvakagadzirirwa mamiriro akasiyana. Hapana kana imwe iri nani pane imwe - zvinoenderana nezvido zvako zvakananga uye mamiriro ako ekurapa.
Racepinephrine yakapfava uye inowanikwa pamusoro-pe-counter, zvichiita kuti zvive nyore kurapa zviratidzo zvakapfava kumba. Zvakanaka zvikuru ku croup nokuti inoshanda zvakanaka pakuzvimba kwemhepo yepamusoro. Mhedzisiro yacho inononoka asiwo inogara kwenguva pfupi pane albuterol.
Albuterol yakasimba uye inogara kwenguva refu, zvichiita kuti ive nani kune zviratidzo zveasthma zvine mwero kusvika zvakanyanya. Imushonga unopiwa nemishonga unopa bronchodilation yakasimba uye inowanzo gara maawa 4-6 ichienzaniswa neawa 1-3 ye racepinephrine.
Mumamiriro ezvinhu ekukurumidzira kana matambudziko ekufema akakomba, albuterol inowanzo sarudzwa nekuda kwesimba rayo guru. Zvisinei, nokuda kwe croup yakapfava muvana kana zviratidzo zvebronchitis dzimwe nguva, racepinephrine inogona kukwana zvakakwana uye inokonzera mhedzisiro shoma.
Vanhu vazhinji vane asthma yechronic vanoshandisa albuterol se inhaler yavo yekutanga yekununura asi vanogona kutendeukira ku racepinephrine kumitezo yemhuri ine zviratidzo zvakapfava dzimwe nguva. Sarudzo inowanzobva pakukomba kwezviratidzo, kakawanda kwekushandisa, uye kana iwe uchida kurapwa kwesimba remishonga.
Racepinephrine inofanira kushandiswa nekuchenjerera kana uine chirwere chemwoyo, uye unofanira kubvunza chiremba wako usati waishandisa. Mushonga unogona kuwedzera kurova kwemwoyo uye kuwedzera ropa, izvo zvingaita kuti sisitimu yemwoyo yakatowanikwa itambudzike.
Kana uine zvirwere zvemtima zvakapfava, zvakagadzikana uye chiremba wako akabvumira, racepinephrine inogona kunge yakachengeteka kushandiswa dzimwe nguva. Zvisinei, vanhu vane chirwere chemoyo chakakomba, kurwisa kwemoyo kwemazuva ano, kana arrhythmias inotyisa vanofanira kuideredza zvachose.
Chiremba wako wemoyo anogona kubatsira kuona kana mabhenefiti ekufema achikunda njodzi dzemoyo mumamiriro ako chaiwo. Vanogona kukurudzira kuongororwa kwemoyo kana kupa dzimwe nzira dzakachengeteka dzekugadzirisa zviratidzo zvako zvekufema.
Kana wakashandisa racepinephrine yakawanda kupfuura yakakurudzirwa, usavhunduka, asi zviise pasi pekutariswa kwakanyatsonaka kwemaawa mashoma anotevera. Zviratidzo zve overdose zvinowanzo sanganisira kurova kwemoyo nekukurumidza, kuzununguka zvakanyanya, kurwadziwa muchipfuva, kana kunzwa kushushikana zvakanyanya.
Kutanga, gara pasi uye edza kugara wakadzikama. Inwa mvura uye dzivisa caffeine kana zvimwe zvinokurudzira. Vanhu vazhinji vanopora kubva ku overdose yakapfava mukati me2-4 maawa sezvo mushonga uchipera zvakasikwa.
Tsvaga rubatsiro rwekurapa nekukurumidza kana uine kurwadziwa kwakanyanya muchipfuva, kurova kwemoyo kunodarika 120 beats paminiti, kuoma kufema kwakanyanya kupfuura kare kurapwa, kana zviratidzo zvekushushikana kwakanyanya kana kutya. Makamuri eEmergency akashongedzerwa zvakanaka kugadzirisa bronchodilator overdoses.
Kuti uzive ramangwana, gara uchiyera zviyero zvakanyatsonaka uye mirira angangoita 3-4 maawa pakati pekurapa kunze kwekunge wakanangidzirwa zvakasiyana neanopa hutano.
Kusiyana nemishonga yezuva nezuva, racepinephrine inoshandiswa sezvinodiwa nezviratidzo, saka hapana hurongwa hwenguva dzose hwekuchengetedza. Kana uine matambudziko ekufema, unogona kuishandisa chero zviratidzo zvikaitika, uchitevera mirairo yepaketi.
Usaedze
Kana uchishandisa racepinephrine nguva dzose kwemazuva akati wandei uye ukakanganwa mushonga wakarongwa, ingoenderera mberi nemaitiro ako akajairika kana zviratidzo zvichidzoka. Mushonga unoshanda zvakanyanya kana uchishandiswa mukupindura matambudziko ekufema chaiwo pane kuronga kwakasimba.
Unogona kumira kutora racepinephrine pakarepo kana zviratidzo zvako zvekufema zvichivandudza uye usisade rubatsiro. Kusiyana nemimwe mishonga, hapana chikonzero chekudzikisa kana kuderedza zvishoma nezvishoma muyero.
Vanhu vazhinji vanomira kushandisa mushonga uyu kana croup yavo, bronchitis, kana imwe mamiriro ekufema achipora. Izvi zvinowanzoitika mukati me3-7 mazuva emamiriro akakomba.
Kana wanga uchishandisa racepinephrine nguva dzose kweanopfuura vhiki, kana zviratidzo zvako zvichidzoka, inguva yekunoona chiremba. Ungangoda nzira yakasiyana yekurapa kana kuongororwa kwemamiriro ezvinhu ari pasi ayo anoda manejimendi ekurapa.
Racepinephrine inogona kuita pamwe chete nemimwe mishonga, kunyanya iyo inokanganisa moyo wako kana tsinga dzako. Nguva dzose tarisa nemupharmacist kana chiremba usati wasanganisa nemimwe mishonga.
Chenjerera zvakanyanya kana uchitora mishonga yemoyo, mishonga yekudzikisa ropa, antidepressants, kana mimwe mishonga yeasthma. Dzimwe nzira dzinogona kuwedzera mhedzisiro kana kuderedza kushanda.
Mishonga isingatengwi nemishonga yakaita sedecongestants, mapiritsi ecaffeine, kana zvekudya zvinogonawo kuwedzera mhedzisiro ye stimulant ye racepinephrine. Kana usina chokwadi, bvunza mupharmacist wako nezvekuita pamwe chete - ivo nyanzvi pakuona misanganiswa ine matambudziko.