Yini i-Aminophylline: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Aminophylline iyimithi ye-bronchodilator esiza ukuvula imigudu yakho yomoya uma unenkinga yokuphefumula. Kuyinhlanganisela ye-theophylline ne-ethylenediamine esetshenziswa odokotela ikakhulukazi ezindaweni zezibhedlela ukwelapha ukuhlaselwa okukhulu kwesifuba somoya nezinye izinkinga zokuphefumula ezinzima.

Le mithi isebenza ngokukhulula imisipha ezungeze imigudu yakho yomoya, okwenza kube lula ukuthi umoya ungene futhi uphume emaphashini akho. Ngokuvamile uzothola i-aminophylline nge-IV lapho ezinye izindlela zokwelapha zingazange zinikeze ukukhululeka okwanele ngesikhathi esiphuthumayo sokuphefumula.

Yini i-Aminophylline?

I-Aminophylline iyimithi kadokotela eyisigaba semithi ebizwa ngokuthi ama-xanthines. Empeleni iyindlela eguquliwe ye-theophylline encibilika kangcono emanzini, okuyenza ifanele ukusetshenziswa ngemithambo.

Le mithi ihlanganisa i-theophylline ne-ethylenediamine ukudala inhlanganisela ezinzile yokujova. Le nhlanganisela ivumela odokotela ukuthi balethe isithako esisebenzayo ngqo egazini lakho uma udinga ukukhululeka ngokushesha ezinkingeni ezinzima zokuphefumula.

Ngokungafani nemithi yomlomo ethatha isikhathi ukusebenza, i-aminophylline ngemithambo ingaqala ukusiza ngemizuzu. Lokhu kuyenza ibaluleke ikakhulukazi ezimweni eziphuthumayo lapho konke ukuphefumula kubalulekile.

Isetshenziselwani i-Aminophylline?

Odokotela ngokuyinhloko basebenzisa i-aminophylline ukwelapha ukuhlaselwa okukhulu kwesifuba somoya okungazange kuphendule eminye imithi. Iphinde isize ekwelapheni ukuqubuka kwesifo esingamahlalakhona sokuvinjelwa kwamaphaphu (COPD) nezinye izimo eziphuthumayo zokuphefumula ezinzima.

Ithimba lakho lezempilo lingase licabangele i-aminophylline uma uhlangabezana nobunzima bokuphefumula obusongela impilo obudinga ukungenelela ngokushesha. Izimo ezivamile lapho le mithi ibaluleke khona zihlanganisa ukwanda okukhulu kwesifuba somoya, isimo se-asthmaticus (ukuhlaselwa kwesifuba somoya okude), neziqephu eziqinile ze-COPD.

Kwezinye izimo, odokotela basebenzisa i-aminophylline ukusiza nge-apnea ezinganeni ezingakazalwa, nakuba lokhu kusetshenziswa kungavamile. Umuthi ungashukumisa ukuphefumula ezinganeni ezisanda kuzalwa ezinhlelo zokuphefumula zazo ezingakavuthwa ngokugcwele.

Isebenza Kanjani I-Aminophylline?

I-Aminophylline isebenza ngokuvimba ama-enzyme athile emzimbeni wakho abangela ukuthi imisipha yomoya iqine. Lesi senzo sisiza ukuphumuza imisipha ebushelelezi ezungeze ama-bronchi nama-bronchioles akho, amashubhu amancane athwala umoya emaphashini akho.

Umuthi futhi unomphumela omncane wokulwa nokuvuvukala futhi ungasiza ukunciphisa ukuvuvukala emoyeni wakho. Ngaphezu kwalokho, ushukumisa ukushayela kwakho ukuphefumula, ukhuthaza umzimba wakho ukuthi uphefumule ngempumelelo ngesikhathi seziqephu ezinzima.

Cabanga nge-aminophylline njengomuthi onamandla ngokulinganisela ogcinelwe izimo ezinzima. Ayinamandla njengokwelashwa kokuphefumula okuphuthumayo, kodwa inamandla kuneziningi zemithi yomlomo ongayithatha nsuku zonke ye-asthma noma i-COPD.

Kufanele Ngiyithathe Kanjani I-Aminophylline?

Ngeke uzithathele wena i-aminophylline - ngaso sonke isikhathi inikezwa ochwepheshe bezempilo esibhedlela noma endaweni yomtholampilo. Umuthi uza njengoketshezi olucacile olujovwa ngqo emthanjeni wakho ngomugqa we-IV.

Ithimba lakho lezokwelapha lizolawula ngokucophelela umthamo nesivinini sokuphatha ngokusekelwe esisindweni sakho, ubudala, nobukhulu besimo sakho. Bazokuqapha ngokucophelela ngesikhathi sokufakwa ukuze baqinisekise ukuthi uphendula kahle futhi awutholi imiphumela emibi.

Njengoba i-aminophylline ithinta izinga lokushaya kwenhliziyo yakho futhi ingasebenzisana nezinto eziningi, ngeke kudingeke ukhathazeke ngemikhawulo yokudla. Nokho, tshela ithimba lakho lezempilo nganoma iyiphi i-caffeine oyisebenzise muva nje, njengoba zombili lezi zinto zingaba nemiphumela efanayo emzimbeni wakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Aminophylline?

Isikhathi sokwelashwa nge-aminophylline sincike ngokuphelele ekutheni ukuphefumula kwakho kuthuthuka ngokushesha kangakanani nokuthi isimo sakho sibi kangakanani. Abantu abaningi bathola lo muthi amahora ambalwa nje kuya ezinsukwini ezimbalwa ngesikhathi sokuhlaselwa okukhulu.

Odokotela bakho bazogada ukuphefumula kwakho, izinga lokushaya kwenhliziyo, kanye namazinga egazi omuthi ukuze banqume ukuthi kuphephile nini ukuyeka. Uma ukuphefumula kwakho kuzinzile futhi uphendula kahle kwezinye izindlela zokwelapha, bazokwehlisa kancane kancane umthamo we-aminophylline.

Ezimweni eziningi, i-aminophylline isebenza njengomuthi wokuxhumanisa - ikusiza ngesikhathi senkinga kuze kube yilapho imithi yakho ejwayelekile ingathatha indawo futhi. Cishe uzobuyela emithini yakho ejwayelekile ye-asthma noma i-COPD uma isimo esiphuthumayo sesidlulile.

Yiziphi Imiphumela Eceleni ye-Aminophylline?

Njengayo yonke imithi, i-aminophylline ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi evame kakhulu ongase uyibone ihlanganisa isicanucanu, ikhanda, nokuzizwa unovalo noma ungaphumuli.

Uma uthola i-aminophylline, ungase uthole le miphumela emibi ejwayelekile evame ukuxazululwa njengoba umzimba wakho ujwayela umuthi:

• Isicanucanu nokucasuka kwesisu
• Ikhanda nesiyezi
• Ukuzizwa unovalo noma ukhathazekile
• Ukushaya kwenhliziyo okusheshayo
• Ubunzima bokulala
• Ukuthuthumela noma ukuzamazama

Le miphumela ngokuvamile iyaphathwa futhi ivame ukuthuthuka njengoba umuthi usiza ukuphefumula kwakho. Ithimba lakho lezempilo lizokugada nganoma yiziphi izimpawu ezikhathazayo.

Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezempilo ngokushesha. Lokhu kungabandakanya izinkinga ezinzima zesigqi senhliziyo, ukuquleka, noma izimpawu zobuthi njengokuhlanza okuqhubekayo noma ukudideka.

Eminye imiphumela emibi engavamile kodwa engathi sína ithimba lakho lezokwelapha eliyibukayo ihlanganisa:

• Ukushaya kwenhliziyo okungajwayelekile okukhulu noma ubuhlungu besifuba
• Ukushaywa yisithuthwane noma ukuquleka
• Ukuphalaza okukhulu okungami
• Ukuphathwa yikhanda okukhulu noma ukucasuka
• Izimpawu zokungezwani komzimba nezinto ezithile njengokuqubuka noma ubunzima bokugwinya

Izindaba ezinhle ukuthi uzobe usesikhungweni sezokwelapha lapho ochwepheshe abaqeqeshiwe bengabhekana ngokushesha nanoma yimaphi imiphumela engase ivele. Bazolungisa ukwelashwa kwakho njengoba kudingeka ukuze bakugcine uphephile futhi ukhululekile.

Ubani Ongafanele Athole I-Aminophylline?

Abantu abathile akufanele bathole i-aminophylline ngenxa yobungozi obandayo bezinkinga. Ithimba lakho lezokwelapha lizobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuthi linikeze lo muthi.

Ngeke ube ngumuntu ofanelekayo ukuthola i-aminophylline uma unesifo senhliziyo esibi, izilonda eziqhubekayo ze-peptic, noma umlando wokushaywa yisithuthwane. Abantu abanezifo zesibindi nabo badinga ukucatshangelwa okukhethekile ngoba umuthi ucutshungulwa esibindini.

Ithimba lakho lezempilo lizoba nokuqapha okukhethekile uma ungena kunoma iyiphi yalezi zigaba:

• Ukuphazamiseka okukhulu kwesigqi senhliziyo
• Izilonda zesisu noma zamathumbu ezisebenzayo
• Umlando wokushaywa yisithuthwane noma isifo sokuwa
• Isifo sesibindi esibi
• I-Hyperthyroidism (i-thyroid esebenza ngokweqile)
• Ukungezwani okwaziwayo ne-theophylline noma i-ethylenediamine

Noma ngabe unesinye salezi zimo, odokotela bakho bangase basebenzise i-aminophylline uma izinzuzo zidlula izingozi. Bazokugada nje ngokucophelela futhi bangase balungise umthamo ngokufanele.

Amagama Omkhiqizo we-Aminophylline

I-Aminophylline itholakala ngaphansi kwamagama amaningi omkhiqizo, yize ivame ukubizwa ngegama layo elivamile ezindaweni zasemtholampilo. Amanye amagama omkhiqizo ajwayelekile afaka i-Phyllocontin ne-Truphylline.

Ezimweni eziphuthumayo, ungase uzwe abahlinzeki bezempilo bebhekisa kuyo ngamagama ahlukene kuye ngokuthi yiluphi uhlobo abalusebenzisayo. Okubalulekile ukuthi zonke izinhlobo ziqukethe isithako esifanayo esisebenzayo esisiza ukuvula imigudu yakho yomoya.

Ezinye Izindlela Zokwelapha Zase-Aminophylline

Eminye imithi eminingi ingasebenza njengezinye izindlela zokwelapha i-aminophylline ekwelapheni izinkinga ezinkulu zokuphefumula. Odokotela bakho bangase bakhethe ezinye izinketho ngokusekelwe esimweni sakho esithile kanye nomlando wakho wezokwelapha.

Ezinye izindlela ezivamile zihlanganisa ezinye izinto ezithuthukisa ukuhamba komoya njenge-albuterol, i-ipratropium, noma ama-corticosteroids afana ne-methylprednisolone. Ngokuhlaselwa okukhulu kwe-asthma, odokotela bangase futhi basebenzise i-magnesium sulfate noma i-epinephrine.

Ukukhethwa komuthi kuncike ezintweni ezifana nokuthi udinga ukukhululeka ngokushesha kangakanani, ezinye izimo zakho zempilo, nokuthi usabele kanjani ekwelashweni esikhathini esidlule. Ithimba lakho lezokwelapha lizokhetha inketho engcono kakhulu esimweni sakho esithile.

Ingabe i-Aminophylline Ingcono Kune-Theophylline?

I-Aminophylline ne-theophylline yimithi ehlobene eduze, i-aminophylline iyindlela eguquliwe efaneleka kangcono ukusetshenziswa ngomthambo. Akukho ngisho eyodwa

I-Aminophylline idinga ukuqapha okukhethekile kubantu abanezifo zenhliziyo, kodwa ingasetshenziswa uma kunesidingo. Umuthi ungase uthinte izinga lokushaya kwenhliziyo yakho kanye nesigqi, ngakho odokotela baqapha iziguli zenhliziyo eduze kakhulu ngesikhathi sokwelashwa.

Ithimba lakho lezokwelapha lizohlola izinzuzo zokuphefumula okuthuthukisiwe ngokumelene nezingozi ezingaba khona enhliziyweni yakho. Bangase basebenzise imithamo ephansi noma ukuqapha kaningi ukuze baqinisekise ukuphepha kwakho ngesikhathi sokwelashwa.

Kufanele Ngenzeni Uma Ngithola Imiphumela Eceleni evela ku-Aminophylline?

Njengoba i-aminophylline inikezwa endaweni yezokwelapha, kufanele utshele ngokushesha umhlengikazi wakho noma udokotela mayelana nanoma yimiphumela eceleni oyitholayo. Ungalindi noma uzame ukuyibekezelela - ngisho nezimpawu ezincane kubalulekile ukuzibika.

Ithimba lakho lezempilo lingashintsha ngokushesha ukwelashwa kwakho uma kudingeka. Bangase banciphise izinga lokufakwa, bakunikeze eminye imithi yokulwa nemiphumela eceleni, noma bashintshele kokunye ukwelashwa ngokuphelele.

Ngingaba ne-Caffeine Ngesikhathi Ngithola i-Aminophylline?

Kungcono ukugwema i-caffeine ngenkathi uthola i-aminophylline, njengoba zombili lezi zinto zinomphumela ofanayo emzimbeni wakho. Ukuba nakho kokubili kungakhuphula ingozi yakho yemiphumela eceleni efana nokuthuthumela, ukushaya kwenhliziyo okusheshayo, nobunzima bokulala.

Vumela ithimba lakho lezempilo ukuthi lazi uma uke wathola i-caffeine muva nje, okuhlanganisa ikhofi, itiye, iziphuzo zamandla, noma ushokoledi. Bangakwazi ukufaka lolu lwazi ohlelweni lwakho lokwelashwa ukuze bakugcine uphephile futhi uzizwe ukhululekile.

Isebenza Ngokushesha Kangakanani i-Aminophylline?

I-Aminophylline ngokuvamile iqala ukusebenza ngaphakathi kwemizuzu engu-15-30 uma inikezwa ngomthambo. Ungase uqaphele ukuphefumula kwakho kulula ngokushesha, nakuba imiphumela egcwele ingathatha isikhathi esingafika ehora ukuthi ithuthuke.

Ithimba lakho lezokwelapha lizokwazi ukulandela impendulo yakho ngokuqhubekayo futhi lilungise ukwelashwa njengoba kudingeka. Uma ungazizwa uthuthuka ngesikhathi esifanele, bangase bakhulise umthamo noma bazame eminye imithi.

Ngizodinga Ukunakekelwa Okulandelayo Ngemva Kokwelashwa Nge-Aminophylline?

Abantu abaningi bazodinga ukunakekelwa okulandelayo ngemva kokuthola i-aminophylline, ikakhulukazi uma inikezwe ngesikhathi sokuhlaselwa okukhulu kwe-asthma noma ukuqubuka kwe-COPD. Ithimba lakho lokunakekelwa kwezempilo lizofuna ukuqinisekisa ukuthi ukuphefumula kwakho kuhlala kuzinzile futhi lilungise imithi yakho yesikhathi eside uma kunesidingo.

Ungase udinge ukubona udokotela wakho ovamile noma i-pulmonologist phakathi nezinsuku ezimbalwa ukuze ubuyekeze okwenza kube nesimo esiphuthumayo nokuthi ungazivimbela kanjani izigameko zesikhathi esizayo. Bangase futhi balungise imithi yakho yansuku zonke ukuze banikeze ukulawula okungcono kwesimo sakho.