Zvakawanda zvezvinokonzeresa zvealbuterol inhaler hazvishungurudzi, hazvisi pangozi. Kudedera, kunetseka, uye kurova kwemoyo kunokurumidza kwakawira vanhu vangangosvika 7% vevanhu vakuru mumiedzo yeFDA, zvinotanga mukati memaminitsi, uye zvinopera mumaminitsi mashoma kusvika maawa mashoma. Kurwadziwa nechikwangwani, kurova kwemoyo kusina kujairika, kana kufema kunoipisisa pakarepo mushure mekusveta kunosiyana, uye kunoda kutarisirwa nekukurumidza.
TL;DR: Zvinhu Zvinokosha
- Mawoko anodedera uye kurova kwemoyo kunokurumidza kunobva pashoko rimwe chete rebeta-2 rinovhura nzira dzako dzekufema, saka zviratidzo kuti mushonga wasvika kwauri, kwete chiratidzo chekukuvadzwa.
- Kudedera kunowanzoita kakawanda mushure memaminitsi 30 kusvika 60 uye kunodzikama mukati memaawa 1 kusvika 2; zvinokonzeresa pamoyo zvinowanzopera mukati memaawa 2 kusvika 6.
- Zvinokonzeresa zvinonzwa zvakaipisisa kupfuura zvazvaive zvinoreva kuti uri kushandisa masvete akawanda, izvo zviri dambudziko rekurapa kwenguva refu, kwete dambudziko rekusawirirana nemushonga.
- Spacer, kusveta kwakadzama kwemhepo, uye kuruka-wuka muromo kunoderedza zvose zvinokonzeresa pahuro nezvinokonzeresa mumuviri.
- Kuridza muridzo kunoipisisa pakarepo mushure mesvete, kurwadziwa nechikwangwani, kurova kwemoyo kusina kujairika, kana kuzvimba kwes face kunoreva kumira uye kuwana rubatsiro rwezvinomira.
Zvizhinji Zvezvinokonzeresa zveAlbuterol Ndiwo Mushonga Unoshanda, Kwete Chiratidzo Chekuyambira
Zvinokonzeresa zvealbuterol inhaler zvakajairika muvanhu vakuru kudedera, kunetseka kana kunetseka, kurova kwemoyo kunokurumidza, kurwadziwa nemusoro, uye kutsamwa pahuro. Mu FDA prescribing information for albuterol sulfate inhalation aerosol, kudedera, kunetseka, uye tachycardia zvakawira vanenge 7% yevarwere vakuru nevaneyegore. Zvizhinji zvezvi zvinokonzeresa zvine chekuita nehutano hwedose uye zvine nguva pfupi, zvinopera mukati memaawa mashoma kubva padosi yakajairika yesvete mbiri.
Nzira inotsanangura maitiro aya. Albuterol inoshanda nekusimbisa ma beta-2 receptors kuti adzorere tsandanyama yakatsetseka yakakomberedza nzira dzako dzekufema, asi ma receptors iwayo anowanikwa pama tsandanyama dze skeletal uye anoshandisa moyo, saka kudedera uye kurova kwakashamisa kunobva pashoko rimwe chete rinovhura kufema kwako.
Kuunganidzwa kwezvinokonzeresa kunoitwa pamwe chete pamarudzi ose ealbuterol kunobuda kunze kwenhamba dzakanyorwa pane label, nekudedera kunonzi kunowanikwa kusvika kuma 24% uye kunetseka kusvika kuma 15%. Kugarisana uku kunowanzova nekuda kwehutano hwedose uye kuumbwa, kwete nekuda kwemumwe mushonga uri wechepfu kupfuura mumwe. Zita racho harisi chinhu chinonyanya kukosha sezvavanotarisira: Ventolin, ProAir, uye Proventil zvese zviri molecule imwe chete, uye iyo Ventolin side effects profile ndiyo albuterol side effect profile.
Miedzo imwe chete yakayerawo kuda kunwa muvanhu vangangosvika 10%, zviratidzo zvekuvhiya kwepamusoro kwezvikamu zvepamusoro muvanhu vangangosvika 21%, uye rhinitis muvanhu vangangosvika 16%. Verenga izvi zvakanyatsofungwa. Munhu wose mumiedzo iyi aine chirwere chekufema chepasi, saka mhuno yakazara uye chirwere chekufema zvaive zvinhu zvakaitika panguva yekurapa, kwete zvinhu zvawakapedzerwa nekugara.
Kuda Inhaler Kazhinji Ndiwo Dambudziko Rakakura Kupfuura Zvinokonzeresa
Zvinokonzeresa zvealbuterol inhaler zviri kuwedzera kana kuwanda kunenge kuri nguva dzose chiratidzo chekushandisa kupfuura dambudziko rekushaya simba kwemushonga. Masvete akawanda anotorei mushonga wakawanda unosvika kune tsandanyama dze skeletal nemoyo, uye kudedera kunowedzera nekuda kweizvozvo. Ndiwo chikamu chakakodzera kugara nacho: "zvinokonzeresa zviri kuwedzera" uye "ndiri kushandisa inhaler yangu kazhinji" zvinowanzova zvakafanana nechinhu chakatsanangurwa nenzira mbiri dzakasiyana.
Kuwanda uku kunogona kuyerwa. MedlinePlus guidance on quick-relief asthma drugs inoshandisa muganho kaviri pavhiki: kuda inhaler yekununura kakawanda kudaro, kunze kwekuita maekisesaizi, zvinoreva kuti asthma haisati yadzorwa zvakanaka uye kurapa kwezuva nezuva kunofanira kugadziriswa. Iyo FDA-labeled adult dose ndiyo masvete maviri paawa 4 kusvika 6 maawa, uye vamwe vanhu vanoda svete imwe chete paawa 4 maawa. Kuda zvakawanda nguva dzose kunoda kuongorora.
Kuti zvive pachena nezve lever: usacheke dosi rako rekununura wega. Kugadzirisa kunogadzirisa zvese zviratidzo nezvinokonzeresa kunowanzova kune regimen yekudzora, uye izvo zviri sarudzo yachiremba. Zvimwe nezve kugadzirisa zviratidzo zveasthma nekugashira inhaler refills online.
Kana ma canister ako achipinda nekukurumidza kupfuura kare, $39 online urgent care visit with August inzvimbo yakakodzera yekuti regimen igadziriswe kana refill igadziriswe. Chiremba ane rezinesi reUS anoona kana mushonga uri wakakodzera. Zvisinei, kushanya kwe telehealth hakugoni kuongorora kana kurapa kurwisa kwe asthma kuri kuitika izvozvi, izvo zviri dambudziko rekurapa.
Kurova Kwemoyo Kunokurumidza Mushure meAlbuterol Kunotarisirwa, Asi Kurwadziwa nechikwangwani Pamwe Nayo Hakusi
Kurova kwemoyo kunokurumidza kweAlbuterol ndeimwe chezvinhu zviviri zvakanyanya kutsvagwa nekuda kwechikonzero: zvinonzwa zvinotyisa uye zvinouya nekukurumidza. Tachycardia yakawanikwa muvanhu vangangosvika 7% vevanhu vakuru nevaneyegore muFDA trial data. Maitiro akajairika kurova kwemoyo kunokwira mukati memaminitsi mushure mesvete, kunosvika padanho rekukwirira mushure memaminitsi makumi matatu, ozodzokera pasi mumawa mashoma anotevera.
Zvimwe zviratidzo hazvisi zvekusarudza. MedlinePlus advises immediate medical attention kune kurova kwemoyo kunokurumidza, kurova, kana kusina kujairika, kana kurwadziwa nechikwangwani, uchishandisa albuterol. Iyo FDA label inotakura yambiro inofananidza kuti beta-agonists inogona kugadzira zvinokonzeresa zve cardiovascular zvinokosha, kusanganisira kuchinja kwekurova kwemoyo, BP, uye ECG.
Heino izvo mapeji mazhinji haazokutiudze: hapana muganho wekurova kwemoyo unosiyanisa "zvakanaka" kubva pa "emergency" mushure medosi. Zvinotevera ipfungwa yakajairika, kwete muganho wekugadzirisa.
- Kurova kwemoyo kwechinguva pfupi kwechinenge 100 kusvika 120 bpm kunodzikama mukati meawa: zvinokodzera kutaura pashanya yako inotevera.
- Kurova kwemoyo kwakagara kwakakwirira kupfuura angangoita 120 bpm, kana kukurumidza kunonoka kwemaawa anopfuura 2 mushure medosi yakajairika: daidza pazuva rimwe chetero.
- Kukurumidza pamwe nekurwadziwa nechikwangwani, kuvhiringidzika, kudedera kwepedyo, kana kurova kwemoyo kusina kujairika: emergency, zvisinei nehuwandu.
Mawoko Anodedera Kubva Kumamasscles Ako, Kwete Masero Ako, Uye Vanhu Vakuru Vanonzwa Zviri Kuwedzera
Kudedera kweAlbuterol, kunozivikanwa nenyanzvi sealbuterol tremor, kwakawira vanhu vangangoita 7% vevanhu vakuru nevaneyegore muFDA trials, nemari yekuunganidzwa ichitaura huwandu hunosvika 24% padosi yakakwirira. Ichi ndicho kudedera kwemaoko kwakatsetseka kunogadzirwa ne beta-2 receptors pane tsandanyama dze skeletal. Musiyano iwoyo unokosha kupfuura zvazvinonzwika: ichi ndicho chinokonzeresa pamasscles, kwete pamasero, uye hazvireve kuti mushonga uri kukuvadza system yako yemasero.
Vanhu vakuru vanoona zviri zvakanyanya kupfuura vana. Mu data yekuonekwa, kudedera nekunetseka kunonzi kunowanikwa kakawanda muvanhu vakuru nevaneyegore kupfuura muvarwere vevana, ndicho chikonzero nei mubereki achigona kutarisa mwana achitora mushonga mumwe chete pasina chiratidzo chinooneka uye ozonzwa maoko avo achibwaira.
Kudedera kunowanzo kunetsekana nekushandisa kwenguva refu, ndicho chikonzero nei vanoshandisa nguva refu vachiuya vachishuma kudedera kushoma kupfuura vashandisi vekutanga. Kana uchida physiology yakazara, ona why albuterol makes you shaky.
Nguva Yekupedzisira Zvinokonzeresa zveAlbuterol Zvinogara Zvinoenderana Nezvazvinokonzeresa Zvaunoreva
Nguva yekupedzisira zvinokonzeresa zvealbuterol zvinogara zvakasiyana nesimptom, ndicho chikonzero nei mhinduro imwechete ye"awa mashoma" isingabatsiri. Nguva dzakajairika dzesvete mbiri kubva kune metered-dose inhaler:
- Kudedera: kunotanga panguva ye15 kusvika 30 minutes, kunosvika padanho rekukwirira mushure memaminitsi 30 kusvika 60, kunopera mukati memaawa 1 kusvika 2.
- Kurova kwemoyo: kunosvika padanho rekukwirira mukati memaminitsi 30, nezvinokonzeresa pamoyo zvichidzikama mukati memaawa 2 kusvika 6.
- Kurwadziwa nemusoro nekunetseka: zvinowanzopera mukati memaawa mashoma.
- Kutsamwa pahuro, muromo wakaoma, kuravira kwakashanduka: zvinopera mukati memaminitsi ekuruka-wuka.
Bhonchodilator effect pachayo inogara maawa 4 kusvika 6, izvo ndizvo chaizvo nei FDA dosing iri maawa 4 kusvika 6. Kurapa kwepipeline uye dosi rakaderera panguva yekumhanya kunogara kwenguva refu uye kusimba kupfuura nenyika idzi.
Chisarudzo chimwe chete chinokwirira zvimwe zvose: chero zvinokonzeresa zvichiri kuoneka kana dosi rako rinotevera raine, kana kugara kusvika kuzuva rinotevera, zvinokodzera daidza panharembo foni pane chimwe svete.
Unogona Kuderedza Kudedera Nekurova Kwemoyo Kunokurumidza Pasina Kuchinja Dosi Rako
Zvinokonzeresa zvealbuterol inhaler muvanhu vakuru zvinoteerera kune hunyanzvi kune zvakawanda kupfuura zvavanotarisira, nekuti chikamu chesvete yega yega chinogara pahuro yako uye chichamedzwa ndicho chikamu chinonyanya kukonzera dambudziko pasina kubatsira mapapu ako.
Shanduko yepamusoro-yekubatsira ndeye spacer kana valved holding chamber. Inoderedza aerosol, inotumira mushonga wakawanda kunzira dzekufema, uye inosiya zvishoma zvakadyarwa mumuromo ne pahuro. Kunze kwezvo:
- Ruka-wuka muromo wako uye usaregedze mushure mekushandisa kuderedza kutsamwa pahuro, kuchema, nekuchinja kwemavara.
- Mirira angangoita mineti pakati pesvete mbiri, sveta nekudzikama uye nekudzika, uye bata mweya wako kwechinenge 10 seconds.
- Gara pasi kweawa mashoma mushure medosi pane kungofamba uchienda kune zviitiko.
- Dzivisa kusanganisa caffeine, zvinwiwa zvinopa simba, kana zvinoderedza muromo padhuze nenguva yekushandisa.
- Ndinzwa nezvemumwe mushonga kana chiremba achitarisa uchishandisa inhaler kanenge kamwe chete.
Ichikwana chekupedzisira chakaderera. Hunhu hwakashata hunopa mushonga wakaderera kumapapu, izvo zvinoita kuti vanhu vatsvake masvete akawedzerwa, izvo zvinoita kuti zvinokonzeresa zviwedzere. Kugadzirisa kubatana kunowanzo kuderedza zvese. Zvisinei, hazvireve kuzvidzora: masvete maviri paawa 4 kusvika 6 maawa ndiyo FDA-labeled adult regimen, uye kuichinja ndiyo sarudzo yachiremba.
Mhinduro Mbiri Dzinoreva Kuti Iwe Pamira Inhaler Pane Kutsigira
Paradoxical bronchospasm kubva albuterol ndiyo mhinduro inodzokorora zvose zviri pamusoro. Iyo FDA label inotsanangura izvi se "potentially life-threatening", ichisimbisa kuti inhaler inofanira kuregedzwa nekukurumidza uye kurapwa kwakasiyana kutangwa. Iwe unozviziva nekuda kwekuvhurika kwekuvhurika: kuridza muridzo, kuoma kwechipfuva, kana kuremara kufema kunoipisisa pakarepo mushure mesvete pane kudzikama.
Yechipiri ndiyo albuterol yakaderera potassium. Iyo FDA label inocherekedza kuti albuterol inogona kukonzera kuderedzwa kwakakosha, kazhinji kwechinguva, potassium yeserum. Mumashoko akareruka, izvo zvinoratidzwa sekuzvimba kwemasscles, kushaya simba kusingajairike, kuvimbiswa, uye kurova kwemoyo kana kurova kwemoyo kusina kujairika. Njodzi inoungana muzvinhu zvishoma: dosi repamusoro kana albuterol yakacheneswa, kuderedzwa kwakaderera panguva yekurwisa kwakanyanya, uye diuretics kana loop diuretics.
Zvakasiyana, MedlinePlus lists swelling of the throat, tongue, lips, or face, and hives semazviratidzo zvekurapa kwechirwere zvinoda rubatsiro nekukurumidza.
Nguva Yekupedzisira Zvinokonzeresa zveAlbuterol Zvinoda Chiremba, Uye Kuti Zvinoda Kuzotora Nguva Yakadii
Daidza 911 kana Enda KuEmergency Room Zvino Kana:
- Kuridza muridzo kana kuremara kufema kunoipisisa pakarepo mushure mekushandisa inhaler.
- Une kurova kwemoyo kunokurumidza, kunopenga, kana kusina kujairika, kana kurwadziwa nechikwangwani.
- Huro yako, rurimi, miromo, kana chiso zvinozvimba, kana ukaonekwa nezvinyavada.
- Une kuremara kukuru kufema, miromo kana zvigunwe zvine ruvara rwebhuruu, kana usingakwanise kutaura nemitsara yakazara.
- Kufema kwako hakusi kunobatsira mushure mekushandisa inhaler yekununura sezvakakurudzirwa.
Buka Shanya Mukati Mevhiki Inotevera Kana:
- Unoda inhaler yekununura kaviri pavhiki kana kupfuura kunze kwekuita maekisesaizi.
- Zvinokonzeresa zviri kuwedzera kana kuwanda kupfuura zvazvaive kare.
- Kudedera kana kurova kwemoyo kunonoka kwemaawa anopfuura maviri mushure medosi yakajairika.
- Unomuka usiku uchida inhaler.
- Unopedza ma canister nekukurumidza kupfuura kare.
Taura NeChiremba Usati Watanga Kana:
- Une chirwere chemoyo chakazivikanwa kana arrhythmia, BP yakakwirira, thyroid isina simba, chirwere cheshuga, chirwere chekugwadzika, kana potassium yakaderera yakazivikanwa.
- Unotora diuretics, beta-blockers, MAO inhibitors, kana tricyclic antidepressants.
Kana uchigara une chimwe chezvinhu izvozvo, kuzviongorora kunoshanda ndiko kuenzanisa pane kusawirirana. Iwe unoziva maitiro ako ekushandisa inhaler mushure mekushandisa. Zviratidzo zvitsva, zvakanyanya kupfuura zvawanga uine, kana zvakabatana nekurwadziwa nechikwangwani, dzungu, kana kurova kwemoyo kusina kujairika zvinoda kutarisirwa pazuva rimwe chetero pane kumirira nekutarisira. Kana usina chokwadi kuti unosvika kupi, mahara August AI Symptom Checker anogona kukubatsira kushandura kukosha usati wasarudza kwaunoenda.
Mibvunzo Inowanzobvunzwa
Albuterol Inogona Kukonzera Kushushikana Kana Kuti Kuda Kuda Kuda Kutambudzika?
Dzimwe nguva. Kunetseka kwakaonekwa muvanhu vangangosvika 7% vevanhu vakuru muFDA trials, uye zvinhu zviri mumuviri albuterol zvinogadzira (kurova kwemoyo kunokurumidza, mawoko achidedera, kusagadzikana) zvinofananidza ne panic attack, izvo zvinogona kukonzera kushushikana chaiyo kune vanhu vanozviziva. Chinhu chinotsausa ndeye nguva: zvinokonzeresa zvinokonzeresa zvinogadziriswa nemafomati, zvinouya mukati memaminitsi uye zvinodzikama mukati memaawa mashoma.
Ndinogona Kunwa Kofi Kana Zvinwiwa Zvinopa Simba Ndichishandisa Albuterol Inhaler?
Ehe, asi nguva inoita basa. Hapana chinodikanwa chinotyisa chakanyorwa, kunyangwe caffeine iri stimulant inowedzera yayo yakakurumbira nekurova kwepulisi pamusoro pealbuterol. Kana iwe uchitove uchinzwa kudedera kusagadziriswa, kugadziriswa kuri nyore ndiko kugarisana nazvo: dzivisa kofi yakakura kana chinwiwa chinopa simba mumaawa anotenderera dosi pane kurega caffeine zvachose.
Zvinokonzeresa zveNebulizer Zvakaipisisa Kupfuura Zvinokonzeresa zveInhaler?
Kazhinji, hongu. Kurapa kwepipeline kunowanzopa dosi yakakura kwazvo mumaminitsi mashoma kupfuura masvete maviri kubva kune metered-dose inhaler, saka kudedera uye kurova kwemoyo kunowanzoita kusimba uye kugara kwenguva refu. Izvo zviri kutarisirwa, kwete chiratidzo chekuti chimwe chinhu chakashata. Zvakare, ndicho chikonzero nei nebulized uye stacked dosing zvichibata njodzi yakawanda ye hypokalemia.
Zvinoti Chii Kana Ndikatora Masvete Akawanda EAlbuterol?
Tarisa zvinokonzeresa zvakajairika: kudedera kwakanyanya, kurova kwemoyo kunopenga, kurwadziwa nemusoro, kuda kunwa, uye dzimwe nguva kusagadzikana kwechipfuva. Zvizhinji zvekurapa kwakawanda zvinodzikama mukati memaawa mashoma. Daidza Poison Control kana tsotsi rubatsiro kana uine kurwadziwa nechikwangwani, kurova kwemoyo kusina kujairika, kuvhiringidzika, kana kugwadzisa. Kurapa kwakawanda kunodzokororwa idambudziko rakasiyana rinoda kuongorora kwekurapa kwenguva refu.
Kutendeukira kuLevualbuterol (Xopenex) Kunokonzeresa Kudedera Kushoma?
Kwete zvinodikanwa. Levalbuterol yakagadzirwa pane pfungwa yekuti kudzora albuterol imwe isomer yaizoderedza kudedera nezvinokonzeresa zvepasi, asi humbowo hwakaparadzaniswa padosi dzekufema dzakafanana hwakavhenganiswa uye kusiyana, kana kune kune, kunononoka. Zvinokodzera kukurukura kana zvinokonzeresa zvisiri kudzora kurapa kwako, kunyangwe zvichidhura zvakanyanya.
Albuterol Yakachengeteka Kushandisa Kuchengeta Pamuviri?
Kazhinji hongu, uye asthma isingadzorwi ndiyo njodzi yakakura. Asthma isingadzorwi inoderedza kupa oxygen kune fetus, iyo mazhinji evanyanzvi anoiona seiri nengozi kudarika inhaled albuterol, iyo system absorption yayo yakaderera. Usamire inhaler yako yekununura nekuti uri nepamuviri. Taura kune yako obstetric clinician kuti uri kushandisa saka regimen yekudzora yako inogadziriswa panguva yekuvata.
Albuterol Inogona Kundichengeta Usiku?
Ehe. Dosi rekupera kweusiku rinogona kukusiya uchichinjika kweawa mbiri nekuda kwezvinokonzeresa zvakafanana ne stimulant zvinokonzera kusagadzikana kwezuva. Mubvunzo wakanyanya kukosha ndewekuti nei waida panguva yekunonoka. Kumuka nezviratidzo zvinoda mushonga wekununura ndicho chiratidzo chekastyle che asthma isingadzorwi zvakakwana uye chinoda kuongorora kwechiremba.
Chikamu Chepasi
Zvizhinji zvezvinokonzeresa zvealbuterol inhaler muvanhu vakuru ndizvo zvinotarisirwa panguva yekushandisa mushonga unoita basa rake: vanhu vangangoita 7% vanowana kudedera, kunetseka, kana kurova kwemoyo kunokurumidza, uye izvo zvinokonzeresa zvinotevedzera nzira inozivikanwa inosvika padanho rekukwirira mushure memaminitsi makumi matatu uye inopera mukati memaawa mashoma. Hunhu hwehunyanzvi uye spacer zvichavadzora. Zvinokosha kwauri ndizvo zvinokonzera kudedera pachako asi kufambira mberi kwazvo. Zvinokonzeresa zviri kuwedzera zvinenge zvichireva kuti uri kusvika kune inhaler kazhinji, uye izvo chiratidzo chekuti regimen yekudzora igadziriswe pane chimwe chinhu chekutsungirira. Kufema kunoipisisa mushure mesvete, kurwadziwa nechikwangwani, kurova kwemoyo kusina kujairika, kana kuzvimba kwes face ndicho chikamu chakasiyana chose, uye chinofanira kuendeswa kuchipatara.
Disclaimer: Chinyorwa ichi chekuzivisa chete uye hachisi kurapa kwekurapa. Nguva dzose taura nachiremba ane hunyanzvi kuti uwane ruzivo uye sarudzo dzekurapa. Kana uri kusangana nedambudziko rekurapa, daidza 911 kana endei kuchipatara chepedyo nekukurumidza.