Yini i-Albuterol kanye ne-Budesonide Inhalation: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Albuterol kanye ne-budesonide inhalation kuyinhlanganisela yemithi esiza abantu abanesifuba somoya kanye nesifo sokuvinjelwa kwamaphaphu esingapheli (COPD) baphefumule kalula. Le inhaler esebenza kabili iqukethe imithi emibili ehlukene esebenza ndawonye ukuvula imigudu yakho yomoya nokunciphisa ukuvuvukala emaphashini akho. Abantu abaningi bathola ukuthi le nhlanganisela ilula kakhulu kunokusebenzisa ama-inhaler amabili ahlukene, futhi inganikeza ukulawula okungcono kwezinkinga zokuphefumula uma isetshenziswa njengoba kuchazwe udokotela wakho.

Yini i-Albuterol kanye ne-Budesonide?

Le mithi ihlanganisa ukwelashwa okubili okufakazelwe ku-inhaler eyodwa ukuze kube nempilo engcono yokuphefumula. I-Albuterol iyi-bronchodilator, okusho ukuthi iphumuza imisipha ezungeze imigudu yakho yomoya ukuyisiza ivuleke ngokushesha. I-Budesonide iyi-corticosteroid enciphisa ukuvuvukala nokuvuvukala emgudwini wakho wokuphefumula.

Cabanga nge-albuterol njengengxenye ethi "ukuhlenga" enikeza ukukhululeka okusheshayo lapho imigudu yakho yomoya iqina. I-Budesonide isebenza njengengxenye ethi "ukuvimbela" egcina ukuvuvukala kulawulwa ngokuhamba kwesikhathi. Ngokuhlangene, babhekana nezimpawu eziphuthumayo kanye nokuvuvukala okuyisisekelo okwenza ukuphefumula kube nzima.

Le nhlanganisela iyatholakala njenge-metered-dose inhaler (MDI) eletha inani eliqondile lemithi yomibili ngokuphuma ngakunye. I-inhaler isebenzisa i-propellant ukusiza umuthi ukuthi ufinyelele ekujuleni emaphashini akho lapho ungasebenza ngempumelelo khona.

Yini i-Albuterol kanye ne-Budesonide Esetshenziselwa Yona?

Odokotela babhala le nhlanganisela ye-inhaler ikakhulukazi ukuze kulawulwe isifuba somoya kanye ne-COPD. Isiza ukuvimbela nokwelapha izinkinga zokuphefumula ngokugcina imigudu yakho yomoya ivulekile futhi inciphise ukuvuvukala okungabangela izimpawu.

Nge-asthma, lo muthi ungasiza ukulawula izimpawu zansuku zonke njengokuphefumula, ukuphefumula kanzima, ukuqina kwesifuba, nokukhwehlela. Isebenza kahle ikakhulukazi kubantu abadinga kokubili ukukhululeka okusheshayo nokulawulwa kwesikhathi eside kwezimpawu zabo. Udokotela wakho angase akuncomela lokhu uma une-asthma emaphakathi kuya kakhulu edinga ukwelashwa njalo.

Ezimweni ze-COPD, le nhlanganisela ingasiza ekuphatheni izimpawu ze-chronic bronchitis kanye ne-emphysema. Kunganciphisa ukuqubuka futhi kwenze imisebenzi yansuku zonke ibe lula ngokuthuthukisa ukugeleza komoya emaphashini akho. Abanye abantu abane-COPD bathola ukuthi bangakwazi ukuzivocavoca ngokunethezeka futhi balale kangcono uma besebenzisa lo muthi njalo.

Ngokuvamile, odokotela bangase babhale le nhlanganisela kwezinye izimo zokuphefumula ezihilela kokubili ukuvinjelwa komoya kanye nokuvuvukala. Kodwa-ke, umhlinzeki wakho wezempilo uzonquma ukuthi le nhlanganisela ethile ilungile yini esimweni sakho esithile.

Isebenza Kanjani I-Albuterol ne-Budesonide?

Lo muthi usebenza ngezindlela ezimbili ezihlukene kodwa ezigcwalisanayo zokuthuthukisa ukuphefumula kwakho. Ingxenye ye-albuterol isebenza njenge-bronchodilator enamandla aphakathi nendawo eqala ukusebenza ngemizuzu yokuphefumula.

I-Albuterol iqondisa izamukeli ezithile emisipheni yakho yomoya ebizwa ngokuthi ama-beta-2 receptors. Uma ibopha kula ma-receptors, itshela imisipha ukuthi iphumule futhi imigudu yomoya yande. Lokhu kunikeza ukukhululeka okusheshayo ezimpawini ezinjengokuphefumula nokuphefumula kanzima, nakuba kungase kungabi namandla njengeminye imithi yokutakula.

I-Budesonide isebenza ngendlela ehlukile ngokunciphisa ukuvuvukala emoyeni wakho ngokuhamba kwesikhathi. Ingowodwa ohlwini lwemithi ebizwa ngokuthi ama-corticosteroids aphefumulwayo, athathwa njengemithi elwa nokuvuvukala enamandla aphakathi nendawo. Ngokungafani nama-steroid omlomo, i-budesonide yakhelwe ukusebenza ikakhulukazi emaphashini akho enemiphumela emincane emzimbeni wakho wonke.

Isenzo sokulwa nokuvuvukala se-budesonide sisiza ukuvimbela imigudu yakho yomoya ekubeni ivuvuke futhi ithukuthele. Lokhu kwenza kungabi maningi amathuba okuthi isabele ngamandla ezintweni ezibangela ukungezwani komzimba, umoya obandayo, noma ukuzivivinya. Inhlanganisela yazo zombili lezi zenzo isho ukuthi uthola ukukhululeka ngokushesha nokuvikeleka kwesikhathi eside.

Kufanele Ngiyithathe Kanjani I-Albuterol ne-Budesonide?

Thatha lo muthi ngendlela eqondile udokotela wakho ayala ngayo, ngokuvamile ukufutha kabili kabili ngosuku cishe ngamahora ayi-12 ngaphandle. Ungayithatha ngaphandle noma ngaphandle kokudla, kodwa ukuqina ngesikhathi kusiza ukugcina amazinga aqinile ohlelweni lwakho.

Ngaphambi kokusebenzisa i-inhaler yakho, iyinyakazise kahle okungenani imizuzwana emi-5 ukuze uhlanganise imithi kahle. Susa ikepisi bese uphefumula ngokugcwele, bese ubeka izindebe zakho ngomlomo bese udala uphawu oluqinile. Cindezela ku-inhaler ngenkathi uphefumula kancane futhi ujule, bese ubamba umoya wakho cishe imizuzwana eyi-10 ngaphambi kokukhipha umoya.

Linda okungenani umzuzu owodwa phakathi kokufutha uma udokotela wakho eku-odelele ukufutha okungaphezu kokukodwa ngomthamo ngamunye. Lokhu kuvumela ukufutha kokuqala ukuthi kusize ukuvula imigudu yakho yomoya ukuze ukufutha kwesibili kungenelele ngaphakathi emaphashini akho. Ngemuva kokusebenzisa i-inhaler, geza umlomo wakho ngamanzi bese ukukhipha ukuze uvimbele ukucasuka komphimbo kanye ne-oral thrush.

Hlanza i-inhaler yakho masonto onke ngokususa ithini lensimbi bese ugeza i-actuator yepulasitiki ngamanzi afudumele. Vumela ukuthi yome ngokuphelele ngaphambi kokuhlanganisa kabusha. Gcina umkhondo wokuthi mangaki ama-puffs owasebenzisile ukuze uthole ukugcwaliswa ngaphambi kokuphelelwa.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Albuterol ne-Budesonide?

Abantu abaningi badinga ukusebenzisa lo muthi isikhathi eside ukuze bagcine ukulawula okuhle kwezimpawu zabo ze-asthma noma ze-COPD. Udokotela wakho uzoqoka ubude obufanele ngokuya ngesimo sakho esithile nokuthi usabela kahle kangakanani ekwelashweni.

Ukuze kulawulwe isifuba, kungase kudingeke usebenzise le inhaler izinyanga noma iminyaka ukuze ugcine imigudu yakho yomoya izinzile. Abanye abantu bangagcina behlehlela emithini engashubile uma izimpawu zabo zithuthuka kakhulu. Nokho, ukuyeka ngaphambi kwesikhathi kuvame ukuholela ekubuyeni kwezimpawu, ngakho landela isiqondiso sikadokotela wakho ngokucophelela.

Nge-COPD, lo muthi ngokuvamile uba yingxenye yesikhathi eside yohlelo lwakho lokwelapha. Njengoba i-COPD iyisimo esiqhubekayo, ukusetshenziswa okuqhubekayo kusiza ukunciphisa ukwehla komsebenzi wamaphaphu futhi kunciphisa imvamisa yokuqubuka. Udokotela wakho uzoqapha intuthuko yakho futhi alungise uhlelo lokwelapha njengoba kudingeka.

Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokukhuluma nomhlinzeki wakho wezempilo kuqala. Ukuyeka kungazelelwe kungaholela ekubhebhethekeni kwezimpawu noma ngisho nezinkinga ezinkulu zokuphefumula. Uma ufuna ukuyeka noma ukushintsha ukwelashwa kwakho, udokotela wakho angakusiza ukuthi wenze kanjalo ngokuphepha.

Ziyini Imiphumela Eceleni ye-Albuterol ne-Budesonide?

Njengayo yonke imithi, le nhlanganisela ye-inhaler ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ukucasuka komphimbo, ukuminyana, nokukhwehlela ngemva kokusebenzisa i-inhaler. Lezi zimpawu zivame ukuthuthuka ngendlela efanele ye-inhaler kanye nokugeza umlomo ngemva kokusetshenziswa ngakunye. Abanye abantu baphawula nokwanda okuncane kwesilinganiso senhliziyo noma ukuthuthumela okuncane, ikakhulukazi uma beqala ukuthatha umuthi.

Nansi imiphumela emibi ebikwa kaningi evame ukungadingi ukunakekelwa kwezempilo ngokushesha:

• Ukucasuka komphimbo noma ukoma
• Izwi eliphansi noma izinguquko zezwi
• Ukukhwehlela noma ukusula umphimbo
• Ukuthuthumela okuncane noma ukuthuthumela
• Ukwanda okuncane kwesilinganiso senhliziyo
• Ikhanda
• Ukungazinzi noma ukungakhathali

Lezi zinto ezivamile ngokuvamile ziba ngaphansi uma uqhubeka nokwelashwa, futhi indlela efanele yokusebenzisa i-inhaler inganciphisa eziningi zazo.

Imiphumela emibi kakhulu ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Xhumana nodokotela wakho uma uhlangabezana ne-thrush yomlomo eqhubekayo (izindawo ezimhlophe emlonyeni wakho), izinguquko ezingavamile zemizwa, noma izinkinga zombono. Lokhu kungabonisa ukuthi umuthi uthinta ezinye izingxenye zomzimba wakho.

Nawa ama-side effects angavamile kodwa angaba yingozi adinga ukuhlolwa kwezokwelapha ngokushesha:

• Ukuphendula okukhulu komzimba okune-rash, ukuvuvukala, noma ubunzima bokuphefumula
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Isiyezi esikhulu noma ukuquleka
• I-thrush yomlomo eqhubekayo noma izifo zomlomo
• Ushintsho olungavamile lwemizwa noma ukucindezeleka
• Ushintsho lombono noma izinkinga zamehlo
• Izimpawu zokucindezelwa kwe-adrenal (ukukhathala okukhulu, ubuthakathaka, isicanucanu)

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezinzima, funa usizo lwezokwelapha ngokushesha, njengoba zingase zibonise isidingo sokulungisa uhlelo lwakho lokwelashwa.

Ubani Ongafanele Athathe i-Albuterol ne-Budesonide?

Lo muthi awulungele wonke umuntu, futhi izimo ezithile zempilo noma izimo zingase zikwenze kungaphephile ukuthi uwusebenzise. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokukuchazela le nhlanganisela.

Akufanele usebenzise le inhaler uma wazi ukuthi unokungezwani komzimba ne-albuterol, budesonide, noma ezinye izithako eziqukethwe. Abantu abanezimo ezithile zenhliziyo, njengezinkinga ezinkulu zesigqi senhliziyo noma umfutho wegazi ophezulu ongagadiwe, bangase badinge ukwelashwa okuhlukile noma ukuqapha okukhethekile.

Izimo eziningana zezokwelapha zidinga ukuqapha okwengeziwe uma usebenzisa lo muthi. Udokotela wakho uzolinganisela izinzuzo ngokumelene nezingozi ezingaba khona uma unanoma yiziphi zalezi zimo:

• Ukutheleleka ngamathambo okusebenza noma okwenzeke muva nje
• Isifo senhliziyo esibi noma ukushaya kwenhliziyo okungajwayelekile
• Umfutho wegazi ophezulu ongagadiwe
• Isifo sikashukela (ukugadwa kukashukela egazini kungadingeka)
• Izifo ze-thyroid
• Izifo zokuthuthumela
• I-Glaucoma noma i-cataracts
• Isifo sesibindi
• I-Osteoporosis noma izinkinga zokuminyana kwamathambo

Izinto ezikhethekile zisebenza kubantu besifazane abakhulelwe nabancelisayo, njengoba imiphumela ezinganeni ingaqondakali ngokugcwele. Udokotela wakho uzosiza ekunqumeni ukuthi izinzuzo zidlula yini izingozi ezingaba khona kulezi zimo.

Izingane kanye nabantu abadala bangase bazwe kalula imiphumela yalo muthi futhi bangase badinge imithamo elungisiwe noma ukuqapha okuningi. Njalo xoxa ngomlando wakho wezokwelapha ophelele nomhlinzeki wakho wezempilo ukuze uqinisekise ukuthi lokhu kwelashwa kuphephile kuwe.

Amagama e-Brand ka-Albuterol kanye ne-Budesonide

Lo muthi ohlanganisiwe uyatholakala ngaphansi kwegama lomkhiqizo elithi Symbicort emazweni amaningi. I-Symbicort iyona enguqulo eyaziwa kakhulu futhi ebekwe ngayo le nhlanganisela ye-albuterol kanye ne-budesonide.

Umuthi uza ngamandla ahlukene, ngokuvamile alinganiswa ngama-micrograms nge-puff. Amafomula avamile afaka i-80/4.5 mcg kanye ne-160/4.5 mcg, lapho inombolo yokuqala imele i-budesonide futhi eyesibili imele i-albuterol nge-puff.

Izinhlobo ze-generic zale nhlanganisela zingase zitholakale kwezinye izifunda, nakuba kufanele zihlangabezane namazinga afanayo okuphepha nokusebenza njengenguqulo yegama lomkhiqizo. Umuthi wakho wemithi angakutshela ukuthi ngabe inketho ye-generic iyatholakala futhi ifanele imiyalelo yakho.

Ezinye izindlela ze-Albuterol kanye ne-Budesonide

Ezinye izinketho zokwelapha eziningana ziyatholakala uma le nhlanganisela ingasebenzi kahle kuwe noma uma uhlangabezana nemiphumela emibi ekhathazayo. Udokotela wakho angakusiza ukuthi uthole enye indlela efanele kakhulu ngokusekelwe ezidingweni zakho ezithile kanye nomlando wezokwelapha.

Ezinye iziphefumulisi ezihlanganisiwe zihlanganisa ama-bronchodilators ahlukene nama-corticosteroids, njenge-formoterol ne-budesonide noma i-salmeterol ne-fluticasone. Lezi ezinye izindlela zisebenza ngendlela efanayo kodwa zingase zibe nezikhathi ezihlukene zokuqala, ubude besikhathi sokusebenza, noma amaphrofayili emiphumela engase ikufanele kangcono.

Abanye abantu benza kangcono ngezisiphefumulisi ezihlukene kunemikhiqizo ehlanganisiwe. Le ndlela ivumela ukulinganisa okuguquguqukayo futhi ikuvumela ukuthi ulungise imithi ngayinye ngokuzimela ngokusekelwe ezimpawini zakho nezidingo zakho.

Kulabo abangakwazi ukubekezelela ama-steroid aphefumulwayo, ezinye izindlela zokwelapha ezilwa nokuvuvukala zihlanganisa ama-leukotriene modifiers, ama-mast cell stabilizers, noma imithi emisha ye-biologic ye-asthma ebucayi. Udokotela wakho uzocabangela ubunzima bezimpawu zakho kanye nomlando wokwelashwa lapho ehlola lezi zinketho.

Ingabe i-Albuterol ne-Budesonide Ingcono Kunezinye Imithi Ye-Asthma?

Le nhlanganisela inikeza izinzuzo eziyingqayizivele kubantu abadinga kokubili ukukhululeka okusheshayo nokulawula isikhathi eside ngesiphefumulisi esisodwa. Uma kuqhathaniswa nokusebenzisa imithi ehlukene, kungathuthukisa ukunamathela futhi kunikeze ukulawula izimpawu okuqhubekayo usuku lonke.

Uma kuqhathaniswa neziphefumulisi ezinomkhiqizo owodwa, le nhlanganisela ivame ukunikeza ukulawula okungcono kwe-asthma ngoba ibhekana nokuncipha komoya nokuvuvukala ngesikhathi esisodwa. Abantu abaningi bathola ukuthi izimpawu zabo zizinzile futhi badinga imithi yokuhlenga kaningi.

Nokho,

Ingabe i-Albuterol ne-Budesonide Kuphephile Ezigulini Zezinhliziyo?

Abantu abanezimo zenhliziyo badinga ukuhlolwa ngokucophelela ngaphambi kokusebenzisa lo muthi, njengoba i-albuterol ingathinta izinga nenhliziyo. Udokotela wakho uzohlola isimo sakho senhliziyo esithile futhi anqume ukuthi izinzuzo zidlula izingozi.

Uma unesifo senhliziyo esingesibi kakhulu, udokotela wakho angase akwazi ukukuyala le nhlanganisela nokuqapha okuseduze ukusebenza kwenhliziyo yakho. Kodwa-ke, abantu abanezinkinga ezinkulu zokushaya kwenhliziyo noma umfutho wegazi ophezulu ongagadiwe bangase badinge ezinye izindlela zokwelapha ezinobungani ohlelweni lwe-cardiovascular.

Kufanele Ngenzeni Uma Ngisebenzisa Ngengozi I-Albuterol ne-Budesonide Eningi Kakhulu?

Uma ngengozi uthatha ama-puff amaningi kunalawo abekiwe, ziqaphele izimpawu ezinjengokushaya kwenhliziyo okusheshayo, ukuthuthumela, ukukhathazeka, noma ubuhlungu besifuba. Ukweqisa okuncane kakhulu kulungiswa ngokwako njengoba umuthi usuphela.

Xhumana nodokotela wakho noma funa ukwelashwa uma uba nezimpawu ezinzima njengobuhlungu besifuba, isiyezi esikhulu, noma ubunzima bokuphefumula ngemuva kokuthatha umuthi omningi kakhulu. Gcina umkhondo wokuthi uthathe okungakanani nokuthi nini, njengoba lolu lwazi luzosiza abahlinzeki bezempilo ukuthi banqume inkambo engcono kakhulu yesenzo.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Albuterol ne-Budesonide?

Thatha umthamo wakho owuphuthelwe ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Uma sekuseduze nesikhathi somthamo wakho olandelayo, weqa umthamo owuphuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe umthamo ophindwe kabili ukuze ulungise okushiwo, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, cabanga ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale emkhondweni wokwelashwa kwakho.

Ngingayeka Nini Ukuthatha I-Albuterol ne-Budesonide?

Yeka kuphela ukuthatha lo muthi lapho udokotela wakho ekweluleka ukuthi wenze njalo. Noma ngabe uzizwa ungcono, ukuyeka ngaphambi kwesikhathi kungaholela ekubuyeni kwezimpawu futhi kubangele izinkinga zokuphefumula ezingathi sína.

Udktela wakho uzokwehlisa kancane kancane umthamo wakho noma akuqwise emuthini ohlukile uma kufanele ukuyeka ukwelashwa. Le nqubo ivumela umzimba wakho ukuthi ujwayele futhi isiza ekuvikeleni ukuqubuka kwezimpawu ezingase zenzeke uma uyeka ngokushesha.

Ngingawusebenzisa Lo Mpompi Ngesikhathi Ngikhulelwe?

Xoxa ngezinhlelo zokukhulelwa nodokotela wakho, njengoba isifuba esingalawuleki ngesikhathi sokukhulelwa singaba yingozi enkulu kunezinto ezingaba yingozi zemithi. Udokotela wakho uzohlola ngokucophelela izinzuzo zokuqhubeka nokwelashwa uma kuqhathaniswa nanoma yiziphi izingozi ezingase zibe khona kumntwana wakho.

Abesifazane abaningi basebenzisa ngokuphepha imithi ephefumulwayo ngesikhathi sokukhulelwa ngaphansi kokuqondiswa okufanele kwezokwelapha. Udokotela wakho angase alungise uhlelo lwakho lokwelashwa noma ancome ukuqapha okwengeziwe ukuqinisekisa ukuthi wena nomntwana wakho nihlala ninempilo ngesikhathi sokukhulelwa.