Yini i-Acetylcysteine (Indlela yokuphefumula): Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

Ukuphefumula nge-Acetylcysteine kuyimithi esiza ukunciphisa nokuxegisa amafinyila aqinile, anamathelayo emoyeni wakho. Ivame ukusetshenziswa uma unezimo ezenza kube nzima ukukhwehlela amafinyila ngokwemvelo, inikeze amaphaphu akho ukwesekwa okudingayo ukuze akwazi ukususa izinto ezikhiphayo kalula.

Lokhu kwelashwa okunobumnene kodwa okuphumelelayo kusebenza ngokwehlisa amaprotheni enza amafinyila abe makhulu futhi aqinile. Cabanga ngakho njengomsizi olusizo ohlelweni lwakho lokuphefumula, okwenza kube lula ukuthi uphefumule futhi uzizwe ukhululekile lapho ubhekene nezinselelo zokuphefumula ezihlobene namafinyila.

Yini i-Acetylcysteine?

I-Acetylcysteine iyisithako se-mucolytic, okusho ukuthi iqondise futhi yehlise amafinyila ngqo. Uma uphefumula lo muthi, uqondiswe ngqo emoyeni wakho lapho izinto ezikhiphayo eziqinile zibangela izinkinga.

Umuthi uza njengesixazululo osiphefumulayo nge-nebulizer noma enye idivayisi yokuphefumula. Isetshenziswe ngokuphepha amashumi eminyaka ukusiza abantu abanezimo ezihlukahlukene zokuphefumula ukuthi balawule izimpawu zabo ngempumelelo.

Umhlinzeki wakho wezempilo angase futhi azi lo muthi ngesenzo sawo samakhemikhali - usebenza ngokwehlisa izibopho phakathi kwamaprotheni enza amafinyila abe makhulu futhi kube nzima ukuwakhipha emaphashini akho.

Isetshenziselwani i-Acetylcysteine?

Ukuphefumula nge-Acetylcysteine kusiza ngezimo eziningana zokuphefumula lapho amafinyila aqinile eba yinkinga. Udokotela wakho ngokuvamile uzokuncoma uma umzimba wakho udinga usizo olwengeziwe lokususa izinto ezikhiphayo emoyeni wakho.

Izimo ezivame kakhulu ezizuzayo kulokhu kwelashwa zihlanganisa i-chronic bronchitis, lapho imigudu yakho yomoya ikhiqiza amafinyila amaningi aqinile njalo. Kuyasiza futhi kubantu abane-cystic fibrosis, isimo sezakhi zofuzo esibangela ukuthi amafinyila aqinile, anamathelayo akheke emaphashini.

Ngaphezu kwalokho, i-acetylcysteine ingasiza ngezinye izimo zokuphefumula njenge-bronchiectasis, lapho imigudu yomoya elimele ilwela ukususa amafinyila ngempumelelo. Abanye abantu abanesifuba esikhulu noma isifo sokuvinjelwa komoya esingamahlalakhona (COPD) bangazuza futhi kulokhu kwelashwa lapho izimfihlo eziqatha ziba yinkinga.

Kwezinye izimo, odokotela basebenzisa i-acetylcysteine ukusiza ukususa ama-mucus plugs noma izimfihlo eziqatha eziqhamuka ngemva kokuhlinzwa noma ngesikhathi sokutheleleka okukhulu kokuphefumula. Umuthi unikeza usizo oluqondiswe ngqo lapho uludinga kakhulu.

Isebenza Kanjani I-Acetylcysteine?

I-Acetylcysteine isebenza ngokwephula izibopho zamakhemikhali ezibamba amafinyila ndawonye. Lona umuthi onamandla aphakathi nendawo onikeza imiphumela ethembekile ngaphandle kokuba nolaka ngokweqile ohlelweni lwakho lokuphefumula.

Uma uphefumula umuthi, uqondisa amaprotheni athile abizwa ngokuthi ama-mucoprotein enza amafinyila akho abe makhulu futhi anamathele. Ngokuphula lezi zibopho, umuthi uguqula amafinyila aqatha, okunzima ukuwahambisa abe izimfihlo ezincane ezingakhwehlelelwa kalula umzimba wakho.

Le nqubo yenzeka ngokushesha ngemva kokuba umuthi ufike emoyeni wakho. Ngemizuzu embalwa yokuphefumula, ungase uqaphele ukuthi ukukhwehlela kuba nemiphumela emihle futhi ukuphefumula kuzizwa kulula njengoba imigudu yakho yomoya iqala ukucaca.

Lo muthi usebenza endaweni emaphapheni akho kunokuthinta wonke umzimba wakho, okusho ukuthi unganikeza usizo oluqondiswe ngqo olunemiphumela emincane yohlelo kunokwelashwa okuthile.

Kufanele Ngiyithathe Kanjani I-Acetylcysteine?

Ngokuvamile uzothola i-acetylcysteine nge-nebulizer, eguqula umuthi oluketshezi ube inkungu enhle oyiphefumulayo kancane futhi ngokujulile. Umhlinzeki wakho wezempilo uzokukhombisa ngqo ukuthi ungayisebenzisa kanjani kahle idivayisi yakho ethile.

Ngaphambi kokwelashwa ngakunye, kubalulekile ukuphuza amanzi ukuze asize ukugcina umphimbo wakho unomswakama futhi kwenze imithi ikhululeke kakhulu ukuyiphefumula. Ukuthatha imithi akudingi isikhathi esikhethekile sokudla, nakuba abanye abantu bekuthola kuwusizo ukugwema ukudla ukudla okukhulu ngaphambi kokwelashwa.

Ngesikhathi sokwelashwa, hlala uqonde endaweni enethezekile futhi uphefumule ngendlela ejwayelekile ngomlomo we-nebulizer. Inqubo yonke ngokuvamile ithatha imizuzu engaba ngu-10-15, futhi kufanele uqhubeke kuze kube yilapho yonke imithi isiguqulwe yaba yinkungu.

Ngemva kokwelashwa ngakunye, hlambulula umlomo wakho ngamanzi bese uwakhipha ukuze uvimbele noma yikuphi ukunambitheka kwemithi okusasele. Lokhu futhi kusiza ekuvikeleni ukucasuka okungenzeka emlonyeni nasemphinjeni wakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Acetylcysteine?

Ubude bokwelashwa nge-acetylcysteine buhlukahluka kakhulu kuye ngesimo sakho esithile nokuthi usabela kanjani emithini. Udokotela wakho uzokwenza uhlelo lokwelashwa olwenzelwe izidingo zakho.

Ezimweni eziphuthumayo njengezifo zokuphefumula ezinomkhuhlane oqinile, ungasebenzisa i-acetylcysteine izinsuku ezimbalwa nje kuya evikini. Kodwa-ke, uma unesimo esingamahlalakhona njenge-cystic fibrosis noma i-chronic bronchitis, ungase udinge ukwelashwa okuqhubekayo izinyanga noma ngisho nokusetshenziswa kwesikhathi eside.

Umhlinzeki wakho wezempilo uzohlola njalo ukuthi ukwelashwa kusebenza kahle kangakanani kuwe. Bazobheka izinto ezinjengokuthi ukwazi ukukhwehlela umkhuhlane kalula kangakanani, induduzo yakho yokuphefumula, nanoma yiziphi izinguquko ekusebenzeni kwakho konke kokuphefumula.

Kubalulekile ukungayeki imithi ngokuzumayo ngaphandle kokuxoxa ngayo nodokotela wakho kuqala, ikakhulukazi uma ubusuyisebenzisa njalo. Bangase bafune ukunciphisa kancane kancane imvamisa yakho yokwelashwa noma bakusize ukuthi ushintshele kwezinye izindlela zokwelapha.

Yiziphi Imiphumela Eceleni ye-Acetylcysteine?

Abantu abaningi bayakwazi ukumelana nokuphefumula kwe-acetylcysteine kahle, kodwa njenganoma imuphi umuthi, kungabangela imiphumela emibi ethile. Ukuqonda okungase kulindelwe kungakusiza ukuthi uzizwe ulungile futhi uqiniseka ngemithi yakho.

Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ihlobene nokuthintana okuqondile komuthi nesimiso sakho sokuphefumula:

• Ukukhwehlela ngokushesha ngemva kokuphefumula (lokhu ngokuvamile kuyasiza ngoba kusiza ukususa amafinyila)
• Ukuqubuka komphimbo noma ukuzwa ukuluma
• Ukunambitheka okungathandeki emlonyeni wakho
• Ukuphuma kwamakhala noma ukuminyana kwamakhala
• Isicanucanu esincane, ikakhulukazi uma ugwinya eminye imithi

Le miphumela evamile ngokuvamile iba ngaphansi uma umzimba wakho ujwayela ukwelashwa, futhi ngokuvamile akudingeki ukuthi uyeke imithi.

Imiphumela emibi engavamile kodwa ekhathazayo ihlanganisa i-bronchospasm (ukuqina okungazelelwe kwemigudu yomoya), okungabangela ukukhwehlela, ukuqina kwesifuba, noma ubunzima bokuphefumula. Abanye abantu bangase babe nokucasuka komphimbo okukhulu noma ukukhwehlela okuqhubekayo okuphazamisa imisebenzi yansuku zonke.

Izimpawu ezingavamile kodwa ezingathi sína zingahlanganisa ukusabela okukhulu komzimba okune-rash, ukuvuvukala, noma ubunzima obukhulu bokuphefumula. Ngokungavamile, abanye abantu bangase babe nokushaya kwenhliziyo okungajwayelekile noma izinguquko ezinkulu emfutheni wegazi.

Uma uqaphela noma yiziphi izinkinga zokuphefumula, ubuhlungu besifuba, noma izimpawu zokungezwani komzimba, xhumana nodokotela wakho ngokushesha. Lezi zimo zidinga ukunakekelwa kwezokwelapha ngokushesha ukuze kuqinisekiswe ukuphepha kwakho.

Ubani Ongafanele Athathwe I-Acetylcysteine?

Ngenkathi i-acetylcysteine ngokuvamile iphephile kubantu abaningi, abanye abantu kufanele bagweme lo muthi noma bawuse ngokucophelela okwengeziwe. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwubhala.

Abantu abaziwa ukuthi banomzimba wokungezwani nezinto ezithile ku-acetylcysteine noma ezinye izinto eziqukethwe yisixazululo sokuphefumula akufanele basebenzise lo muthi. Uma uke waba nokusabela ngaphambilini emithini efanayo, qiniseka ukuthi wazisa umhlinzeki wakho wezempilo.

Labo abane-asthma ebucayi noma umlando we-bronchospasm bangase badinge ukuqashwa okukhethekile, njengoba umuthi ngezinye izikhathi ungenza ukuthi imigudu yomoya iqine. Udokotela wakho angase afune ukukunika i-bronchodilator ngaphambi kokwelashwa nge-acetylcysteine uma ungena kulolu hlobo.

Abantu abanezibazi eziqhubekayo zesisu kufanele basebenzise i-acetylcysteine ngokucophelela, njengoba umuthi ungenza izinkinga zesisu zibe zimbi uma zigwinywe ngengozi. Ngaphezu kwalokho, uma unezifo ezinzima zezinso noma zesibindi, udokotela wakho angase adinge ukulungisa uhlelo lwakho lokwelashwa.

Abesifazane abakhulelwe noma abancelisa ngamabele kufanele baxoxe ngezingozi nezinzuzo nomhlinzeki wabo wezempilo, nakuba i-acetylcysteine ngokuvamile ithathwa njengephephile ngesikhathi sokukhulelwa uma izinzuzo zidlula izingozi ezingaba khona.

Amagama e-Brand e-Acetylcysteine

Isixazululo sokuphefumula se-Acetylcysteine sitholakala ngaphansi kwamagama amaningi e-brand, i-Mucomyst ingelinye elaziwa kakhulu. Ungase futhi ukubone kuthengiswa njenge-Acetadote, nakuba le brand ethile ivame ukusetshenziselwa ezinye izinjongo zezokwelapha.

Amakhemisi amaningi nawo anezinhlobo ze-generic ze-acetylcysteine inhalation solution, ezisebenza ngempumelelo njengezinhlobo ze-brand-name. Izinketho ze-generic zivame ukuba ngentengo ephansi ngenkathi zinikeza izinzuzo ezifanayo zokwelapha.

Umhlinzeki wakho wezempilo noma usokhemisi angakusiza ukuthi uqonde ukuthi iyiphi i-brand ethile noma inguqulo ye-generic engcono kakhulu esimweni sakho kanye nomshwalense wakho. Zonke izinhlobo ezivunyelwe zihlangabezana namazinga afanayo ekhwalithi nokuphepha.

Ezinye izindlela ze-Acetylcysteine

Eminye imithi eminingi ingasiza ngezinkinga zokuphefumula ezihlobene nelayimuzi, nakuba isebenza ngezindlela ezihlukene kune-acetylcysteine. Udokotela wakho angase acabange lezi ezinye izindlela uma i-acetylcysteine ingakulungele.

I-Dornase alfa (Pulmozyme) ngomunye umuthi ohogelwayo oqeda ilayimuzi, osebenza kahle ikakhulukazi kubantu abane-cystic fibrosis. Isebenza ngokugxila ku-DNA elayimuzini kunamaprotheni, inikeza indlela ehlukile enkingeni efanayo.

I-Hypertonic saline (amanzi anosawoti agxilile) nayo ingasiza ukunciphisa ilayimuzi futhi ivame ukusetshenziswa kanye noma esikhundleni se-acetylcysteine. Lokhu kwelashwa kudonsa amanzi emoyeni, ngokwemvelo kunciphisa uketshezi futhi kwenze kube lula ukulucacisa.

Ezinye izinketho zihlanganisa imithi yomlomo efana ne-guaifenesin (i-expectorant) noma ama-bronchodilators ahlukahlukene asiza ukuvula imigudu yomoya. Abanye abantu futhi bayazuza ku-physiotherapy yesifuba noma kumadivayisi okucacisa imigudu yomoya asiza ngomshini ukukhipha ilayimuzi emaphashini.

Ingabe i-Acetylcysteine ​​ingcono kune-Guaifenesin?

I-Acetylcysteine ​​ne-guaifenesin zisebenza ngendlela ehlukile futhi zisebenzela izinjongo ezihlukene, ngakho-ke ukuziqhathanisa ngokuqondile akuhlali kuqondile. Yomibili imithi isiza ngezinkinga zelayimuzi, kodwa ngezindlela ezihlukene nezindlela zokuphatha.

I-Acetylcysteine ​​iya ngqo emaphashini akho ngokuhogela futhi isebenza ngokweqile ngamakhemikhali amaprotheni elayimuzi. Le ndlela eqondile ingasebenza kahle kakhulu eketshezini eliwugqinsi, elinenkani okunzima ukulicacisa ngokwemvelo.

I-Guaifenesin, ngakolunye uhlangothi, ithathwa ngomlomo futhi isebenza emzimbeni wakho wonke ukusiza ukunciphisa uketshezi lwelayimuzi. Ivame ukuba lula ezinkingeni zelayimuzi eziphakathi nendawo futhi ingasiza ngezimpawu ezingaphezulu zokuphefumula.

Ezimweni ezinzima noma ezingapheli ezinomkhuhlane oqine kakhulu, i-acetylcysteine ivame ukusebenza kahle kakhulu ngoba iletha imithi ngqo lapho idingeka khona kakhulu. Kodwa-ke, ngezimpawu zomkhuhlane wansuku zonke noma izinkinga zokuphefumula ezilula, i-guaifenesin ingase yanele futhi ilunge.

Udkt wakho uzosiza ekunqumeni ukuthi iyiphi imithi engcono esimweni sakho esithile ngokusekelwe ekuqineni kwesimo sakho, ukujiya komkhuhlane wakho, kanye nesimo sakho sempilo esiphelele.

Imibuzo Evame Ukubuzwa Mayelana ne-Acetylcysteine

Ingabe i-Acetylcysteine Iphephile Ezigulini Zezifo Zenhliziyo?

Ukuphefumula nge-Acetylcysteine ngokuvamile kubhekwa njengokuphephile kubantu abanezifo zenhliziyo, njengoba isebenza endaweni yamaphaphu kunokuthi ithinte kakhulu uhlelo lwakho lwe-cardiovascular. Kodwa-ke, kufanele ngaso sonke isikhathi wazise udkt wakho nganoma yiziphi izimo zenhliziyo ngaphambi kokuqala ukwelashwa.

Ezimweni ezingavamile, abanye abantu bangase babe nokuguquka kwesilinganiso senhliziyo noma umfutho wegazi, ikakhulukazi uma benesifo senhliziyo esibi. Umhlinzeki wakho wezempilo uzokuqapha ngokucophelela uma unezinkinga ezinkulu ze-cardiovascular futhi angase aqale ngemithamo ephansi noma ukuhlolwa okuvame kakhulu.

Isenzo esiyinhloko somuthi sise-system yakho yokuphefumula, ngakho ngokuvamile asiphazamisi imithi yenhliziyo noma sibeke ingcindezi eyengeziwe enhliziyweni yakho. Noma kunjalo, ukuxhumana okuvulekile nethimba lakho lezempilo kuqinisekisa ulwazi lokwelashwa oluphephile kakhulu.

Ngingenzani Uma Ngisebenzisa Ngengozi I-Acetylcysteine Eningi Kakhulu?

Uma ngengozi usebenzisa i-acetylcysteine eningi kakhulu kunaleyo ebekiwe, ungapheli amandla, kodwa kuyithathe ngokungathi sína. Imiphumela evame kakhulu yemithi eningi kakhulu ihlanganisa ukukhwehlela okwandayo, ukucasuka komphimbo, noma isicanucanu.

Xhumana nomhlinzeki wakho wezempilo noma ikhemisi ngokushesha ukuze ubike ukweqisa futhi uthole isiqondiso sokuthi wenzeni ngokulandelayo. Bazofuna ukwazi ukuthi ungakanani umuthi owengeziwe owusebenzisile nokuthi uwuthathaphi.

Ziqaphelele noma yiziphi izimpawu ezingavamile njengokukhwehlela okukhulu, ubunzima bokuphefumula, ukuqina kwesifuba, noma isicanucanu esiqhubekayo. Uma uhlangabezana nobunzima obukhulu bokuphefumula noma izimpawu zokungezwani komzimba, funa ukunakekelwa kwezempilo okuphuthumayo ngokushesha.

Ukuze uthole ukwelashwa okuzayo, hlola kabili imiyalelo yakho yokulinganisa futhi ucabangele ukusetha izikhumbuzi zokusiza ukuvimbela ukweqisa ngengozi. Abantu abaningi bayalulama kahle ekweqiseni kwe-acetylcysteine ​​ngesiqondiso esifanele sezokwelapha.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Acetylcysteine?

Uma uphuthelwa umthamo we-acetylcysteine, yithathe ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uphinde imithamo ukuze ubuyisele ukwelashwa okuphuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi ngaphandle kokuhlinzeka ngezinzuzo ezengeziwe. Ukuqina kuyasiza, kodwa imithamo ephuthelwe ngezikhathi ezithile ngeke ibe nomthelela omkhulu ekwelashweni kwakho okuphelele.

Uma uzithola uvame ukuphuthelwa imithamo, khuluma nomhlinzeki wakho wezempilo mayelana namaqhinga okukusiza ukuthi ukhumbule. Bangase batusa ukusetha ama-alamu ocingo, ukusebenzisa uhlelo lokusebenza lwesikhumbuzi semithi, noma ukulungisa uhlelo lwakho lokwelashwa ukuze lilingane kangcono nomsebenzi wakho wansuku zonke.

Ngingayeka nini ukuthatha i-Acetylcysteine?

Isinqumo sokuyeka i-acetylcysteine ​​kufanele senziwe ngaso sonke isikhathi ngokubonisana nomhlinzeki wakho wezempilo, njengoba ukuyeka ngokushesha kungavumela izimpawu zakho ukuthi zibuye. Udokotela wakho uzohlola inqubekela phambili yakho futhi anqume isikhathi esifanele sokuyeka ukwelashwa.

Ezimweni eziphuthumayo, ungase uyeke uma izimpawu zakho zithuthuka futhi ukwazi ukususa kalula amafinyila ngokwakho. Ezimweni ezingapheli, udokotela wakho angase anciphise kancane kancane imvamisa yokwelashwa kunokuyeka kungazelelwe.

Izimpawu zokuthi ungase ukulungele ukuyeka zihlanganisa ukuphefumula okulula, ukukhiqizwa kwe-mucus okuncane okukhulu, kanye nokuthuthukiswa kwekhono lokukhwehlela izimfihlo ngokwemvelo. Kodwa-ke, abanye abantu abanezimo ezingapheli bangase badinge ukwelashwa okuqhubekayo ukuze bagcine impilo yabo yokuphefumula.

Umhlinzeki wakho wezempilo uzokusiza ukuthi udale uhlelo lokuqapha izimpawu zakho ngemva kokuyeka umuthi futhi uzohlinzeka ngemiyalelo ecacile mayelana nokuthi ungaluqala nini futhi ukwelashwa uma kudingeka.

Ngingasebenzisa i-Acetylcysteine ​​Neminye Imithi Yokuphefumula?

Yebo, i-acetylcysteine ​​ingasetshenziswa ngokuphepha kanye neminye imithi yokuphefumula, futhi abantu abaningi bayazuza ekwelashweni okuhlanganisiwe. Udokotela wakho uzoxhumanisa imithi yakho ukuze aqinisekise ukuthi isebenza kahle ndawonye.

Izinhlanganisela ezivamile zihlanganisa i-acetylcysteine ​​ene-bronchodilators (njenge-albuterol) noma neminye imithi yokunciphisa ama-mucus. Ngezinye izikhathi udokotela wakho angase ancome ukuthatha i-bronchodilator ngaphambi kwe-acetylcysteine ​​ukuze asize ukuvula imigudu yakho yomoya futhi athuthukise ukulethwa komuthi.

Kodwa-ke, kubalulekile ukwazisa umhlinzeki wakho wezempilo ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwekhawunta kanye nezithasiselo. Ezinye izinhlanganisela zingase zidinge ukulungiswa kwesikhathi noma ukuqapha okukhethekile ukuze kuqinisekiswe ukuphepha nokusebenza kahle.

Umthwebuli wakho wemithi angasiza futhi ukuxhumanisa imithi yakho yokuphefumula futhi anikeze isiqondiso ngesikhathi esifanele kanye namasu okuphatha okwelashwa okuningi.