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

I-Aminophylline iyimithi ye-bronchodilator esiza ukuvula imigudu yakho yomoya uma unzima ukuphefumula. Ivame ukunikezwa abantu abanesifuba somoya, isifo esingamahlalakhona sokuvinjelwa kwamaphaphu (COPD), nezinye izimo zamaphaphu ezibangela ukukhwehlela noma ukuphefumula kanzima. Le mithi isebenza ngokukhulula imisipha ezungeze imigudu yakho yomoya, okwenza kube lula ukuthi umoya ungene futhi uphume emaphashini akho.

Yini i-Aminophylline?

I-Aminophylline iyinhlanganisela ye-theophylline kanye ne-ethylenediamine esiza ukwelapha izinkinga zokuphefumula. Ingaphansi kohlobo lwemithi ebizwa ngokuthi ama-methylxanthines, asebenza ngokuvula imigudu emincane yomoya emaphashini akho. Ungase ucabange ngayo njengokhiye ovula izindima zokuphefumula eziqinile, ezivinjelwe.

Le mithi isetshenziswe amashumi eminyaka ukusiza abantu baphefumule kalula. Itholakala kokubili ekukhishweni okusheshayo kanye namafomula okukhishwa isikhathi eside, okuvumela udokotela wakho ukuthi akhethe inketho engcono kakhulu yezidingo zakho ezithile. Inguqulo yokukhishwa isikhathi eside inikeza ukukhululeka okuhlala isikhathi eside, kuyilapho ifomu lokukhishwa ngokushesha lisebenza ngokushesha kodwa lidinga ukuthathwa kaningi.

Yini i-Aminophylline Esetshenziselwa Yona?

I-Aminophylline isetshenziswa ikakhulukazi ukwelapha nokuvimbela ubunzima bokuphefumula obubangelwa izimo ezahlukene zamaphaphu. Udokotela wakho angase akubhalele uma unesifuba somoya, i-COPD, i-emphysema, noma i-bronchitis engamahlalakhona. Kungasiza futhi ngezinkinga zokuphefumula ezenzeka ngesikhathi sokulala, njenge-sleep apnea kwezinye izimo.

Le mithi iyasiza ikakhulukazi kubantu abahlangabezana nezinkinga zokuphefumula ebusuku noma izimpawu zasekuseni. Iziguli eziningi zikuthola kuwusizo ikakhulukazi ekuvikeleni ukuhlaselwa kwesifuba somoya okubangelwa ukuzivocavoca. Ngezinye izikhathi odokotela baphinda babhale i-aminophylline ezinsaneni ezisanda kuzalwa ezinobunzima bokuphefumula, nakuba lokhu kudinga ukuqapha okucophelelayo.

Ngaphandle kwemibandela yokuphefumula, i-aminophylline ingase isetshenziswe ngezikhathi ezithile ngezinye izinjongo, njengokwelapha izinkinga ezithile zesigqi senhliziyo noma ukusiza ukugcinwa kwamanzi. Kodwa-ke, lezi zinto ezisetshenziswayo azivamile futhi zidinga ukugadwa kwezokwelapha okukhethekile.

Isebenza Kanjani I-Aminophylline?

I-Aminophylline isebenza ngokuvimba ama-enzyme athile emzimbeni wakho abangela ukuthi imisipha yomoya iqine. Ngokuqondile, ivimbela i-phosphodiesterase, okuholela ekuphumuleni kwemisipha ebushelelezi ezungeze imigudu yakho yomoya. Lesi senzo sisiza ukuvula izindima zokuphefumula eziqiniwe futhi sinciphisa ukuvuvukala emaphashini akho.

Umuthi uthathwa njengonamandla ngokulinganisela uma uqhathaniswa namanye ama-bronchodilators. Akusebenzi ngokushesha njengama-inhalers okuhlenga afana ne-albuterol, kodwa inikeza ukukhululeka okuhlala isikhathi eside. Cabanga ngayo njengomsizi ozinzile, oqhubekayo kunokulungiswa okusheshayo kwezinkinga zokuphefumula ezingazelelwe.

I-Aminophylline nayo inemiphumela emincane yokulwa nokuvuvukala futhi ingasiza ukunciphisa ukukhiqizwa kwama-mucus emoyeni wakho. Lesi senzo esiphindwe kabili senza ukuthi sibe usizo ikakhulukazi kubantu abanezimo ezingamahlalakhona zamaphaphu abadinga ukuphathwa okuqhubekayo, kwesikhathi eside kwezimpawu zabo.

Kufanele Ngiyithathe Kanjani I-Aminophylline?

Thatha i-aminophylline ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile esiswini esingenalutho ngengilazi yamanzi egcwele. Isikhathi sibalulekile ngoba ukudla kungathinta indlela umzimba wakho oyamukela ngayo umuthi. Uma uhlangabezana nesisu esibuhlungu, ungasithatha ngemali encane yokudla, kodwa zama ukuzinza ngohlelo lwakho.

Kumathebulethi akhishwa ngokushesha, ngokuvamile uzowathatha njalo emahoreni angu-6 kuya kwangu-8. Amafomulashini akhishwa isikhathi eside ngokuvamile athathwa njalo emahoreni angu-12 noma angu-24. Gwinya amathebulethi akhishwa isikhathi eside wonke ngaphandle kokuwachoboza, ukuwahlafuna, noma ukuwaqhekeza, ngoba lokhu kungabangela ukuthi umuthi omningi ukhishwe ngesikhathi esisodwa.

Zama ukuthatha imithamo yakho ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo egazini lakho. Uma uthatha umuthi kabili ngosuku, hlukanisa imithamo ngamahora acishe abe ngu-12. Udokotela wakho angase akuqale ngomthamo ophansi bese ewunyusa kancane kancane ngokuya ngokuthi usabela kanjani kanye namazinga egazi lakho.

Gwema ukusebenzisa inani elikhulu le-caffeine ngenkathi uthatha i-aminophylline, njengoba zombili lezi zinto zinomphumela ofanayo futhi zingandisa imiphumela emibi. Lokhu kuhlanganisa ikhofi, itiye, ushokoledi, neziphuzo ezinamandla. Futhi, yazisa udokotela wakho uma ubhema, njengoba ukubhema kungathinta ukuthi umzimba wakho uyawucubungula ngokushesha kangakanani umuthi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Aminophylline?

Ubude bokwelashwa nge-aminophylline buhluka kakhulu ngokuya ngesimo sakho esithile nokusabela emuthini. Ezimweni ezingapheli njenge-asthma noma i-COPD, ungase udinge ukuyithatha isikhathi eside njengokwelashwa kokugcinwa. Abanye abantu bayayisebenzisa izinyanga noma iminyaka ukuze bagcine izimpawu zabo zilawulwa kahle.

Udokotela wakho uzohlola njalo inqubekela phambili yakho futhi angase alungise uhlelo lwakho lokwelashwa ngokusekelwe ekutheni wenza kanjani. Ukuhlolwa kwegazi kuvame ukudingeka ukuze kuhlolwe amazinga e-aminophylline futhi kuqinisekiswe ukuthi uthola inani elifanele. Lokhu kuhlolwa kusiza ekuvikeleni kokubili ukwelashwa okungaphansi kanye nemiphumela emibi engaba khona evela emuthini omningi kakhulu.

Ungayeki ukuthatha i-aminophylline ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela ukuthi izinkinga zakho zokuphefumula zibuye noma zibe zimbi. Uma udinga ukuyeka umuthi, udokotela wakho cishe uzokwenza ukuthi unciphise umthamo kancane kancane ngokuhamba kwesikhathi.

Abanye abantu bangase badinge i-aminophylline ngezinkathi ezithile kuphela lapho izimpawu zabo ziba zimbi kakhulu, njengenkathi yokungezwani komzimba noma isimo sezulu esibandayo. Udokotela wakho uzosebenza nawe ukunquma uhlelo olungcono kakhulu lwesimo sakho ngasinye.

Yini Imiphumela Emiqoka Ye-Aminophylline?

Njengazo zonke izidakamizwa, i-aminophylline ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle uma ithathwa njengoba kunqunywe. Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Nansi imiphumela emibi ongase uyithole, iqala ngaleyo evame kakhulu:

• Isicanucanu nokungakhululeki kwesisu
• Ukucindezeleka kwekhanda
• Ubunzima bokulala noma ukungakhululeki
• Ukushaya kwenhliziyo okwandisiwe
• Ukukhathazeka noma ukuthuthumela
• Ukulahlekelwa isifiso sokudla
• Ukuqunjelwa
• Isiyezi

Le miphumela emibi ejwayelekile ivamise ukulawuleka futhi ingancipha njengoba umzimba wakho ujwayela umuthi. Ukuthatha i-aminophylline nokudla kungasiza ekunciphiseni imiphumela emibi ehlobene nesisu.

Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lezi zimpawu zokuxwayisa akufanele zinganakwa:

• Isicanucanu esibi nokuhlanza
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ubuhlungu besifuba
• Ukucindezeleka kwekhanda okukhulu
• Ukudideka noma ukucasuka
• Ukushaywa yisithuthwane
• Ubunzima bokuphefumula noma ukwanda kwezinkinga zokuphefumula

Uma uhlangabezana nanoma iyiphi yale miphumela emibi engathi sína, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Lezi zimpawu zingase zibonise ukuthi amazinga akho e-aminophylline aphezulu kakhulu noma ukuthi unokuphendula okungalungile.

Imiphumela emibi engavamile kodwa engathi sína ingabandakanya izinkinga zesibindi, ukusabela okukhulu komzimba, noma ukuphazamiseka kwesigqi senhliziyo. Udokotela wakho uzokuqapha ngalezi zinkinga ngokuhlolwa okuvamile kanye nokuhlolwa kwegazi.

Ubani Ongafanele Athathwe I-Aminophylline?

Abantu abathile kufanele bagweme i-aminophylline noma bayisebenzise ngokuqapha okukhulu ngaphansi kokuqashwa kwezokwelapha okuseduze. Udokotela wakho uzohlola ngokucophelela ukuthi lo muthi uphephile yini kuwe ngokusekelwe emlandweni wakho wezokwelapha kanye nesimo sakho sempilo samanje.

Akufanele uthathe i-aminophylline uma wazi ukuthi unokungezwani komzimba ne-theophylline, i-ethylenediamine, noma ezinye izithako emuthini. Abantu abanezimo ezithile zenhliziyo, njengokuhlaselwa yinhliziyo kwakamuva noma izinkinga ezinzima zesigqi senhliziyo, kungenzeka bangabi ngabantu abafanelekayo kulo muthi.

Izimo eziningana zezokwelapha zidinga ukucatshangelwa okukhethekile ngaphambi kokuqala i-aminophylline:

• Isifo sesibindi noma izinkinga zesibindi
• Isifo sezinso
• Isifo senhliziyo noma iziyaluyalu zesigqi senhliziyo
• Umfutho wegazi ophezulu
• I-Hyperthyroidism (ithoyiro elisebenza ngokweqile)
• Izilonda zesisu noma i-acid reflux enzima
• Izifo zokuthimula
• Ukukhathazeka noma iziyaluyalu zokwethuka

Lezi zimo akudingeki zikuvimbele ukuthi uthathe i-aminophylline, kodwa zidinga ukuqapha ngokucophelela futhi mhlawumbe ukulungiswa kwemithamo ukuze kuqinisekiswe ukuphepha kwakho.

Ubudala bungaba yisici ekunqumeni ukuthi i-aminophylline ifanele yini. Iziguli ezigugile zingase zizwe imiphumela emibi kakhulu futhi zingase zidinge imithamo ephansi noma ukuqapha njalo. Izingane zidinga izibalo ezikhethekile zemithamo ngokusekelwe esisindweni sabo nobudala babo.

Ukukhulelwa nokuncelisa nazo zidinga ukucatshangelwa okukhethekile. Ngenkathi i-aminophylline ingasetshenziswa ngesikhathi sokukhulelwa lapho izinzuzo zidlula izingozi, idlulela obisini futhi ingase ithinte ingane encelisayo.

Amagama Omkhiqizo we-Aminophylline

I-Aminophylline iyatholakala ngaphansi kwamagama amaningana omkhiqizo, nakuba ivame ukunqunywa njengomuthi ojwayelekile. Inguqulo ejwayelekile isebenza kahle njengezinketho zegama lomkhiqizo futhi ivame ukuba ngentengo ephansi.

Amanye amagama omkhiqizo ongahlangana nawo afaka i-Phyllocontin, i-Truphylline, kanye namafomula ahlukahlukene athile esibhedlela. Ikhemisi lakho lingase lithwale amagama omkhiqizo ahlukene noma izinguqulo ezijwayelekile kuye ngokutholakala kanye nomshwalense wakho.

Noma ngabe uthola uhlobo olune-brand noma olujwayelekile, akuthinti ukusebenza kahle komuthi. Nokho, kubalulekile ukunamathela kumkhiqizi ofanayo uma kungenzeka, njengoba amafomula ahlukene angase amuncwe ngendlela ehlukile ngumzimba wakho. Uma ikhemisi lakho lishintsha amabhrendi, yazisa udokotela wakho ukuze akwazi ukuqapha ukusabela kwakho.

Ezinye izindlela zokwelapha i-Aminophylline

Eminye imithi eminingi ingasetshenziswa esikhundleni se-aminophylline noma kanye nayo ekwelapheni izinkinga zokuphefumula. Udokotela wakho angase acabange lezi ezinye izindlela uma i-aminophylline ingakulungele noma uma uhlangabezana nemiphumela emibi.

Ezinye izinto ezivula imigudu yomoya zihlanganisa ama-albuterol inhalers ukuze kutholakale usizo olusheshayo, ama-beta-agonists asebenza isikhathi eside njenge-salmeterol, kanye nemithi ye-anticholinergic efana ne-tiotropium. Lezi zisebenza ngezindlela ezihlukene kodwa zifeza imigomo efanayo yokuvula imigudu yakho yomoya.

Kubantu abanesifuba somoya, ama-corticosteroids aphefumulwayo njenge-fluticasone noma i-budesonide angase akhethwe ukuze kulawulwe isikhathi eside. Le mithi inciphisa ukuvuvukala emoyeni kunokuba nje iphumulele imisipha. Ama-inhalers ahlanganisiwe aqukethe kokubili i-bronchodilator kanye ne-corticosteroid nawo ayatholakala.

Iziguquli ze-Leukotriene ezifana ne-montelukast zinikeza enye inketho, ikakhulukazi kubantu abanokungezwani komzimba. Le mithi isebenza ngokuvimba izinto ezivuvukalayo ezinomthelela ekunciphiseni imigudu yomoya kanye nokukhiqizwa kwama-mucus.

Udokotela wakho uzokusiza ukuthi unqume ukuthi iyiphi enye indlela engasebenza kahle kakhulu ngokusekelwe esimweni sakho esithile, izimpawu, nokuthi usabele kanjani kwezinye izindlela zokwelapha. Ngezinye izikhathi inhlanganisela yemithi ehlukene inikeza imiphumela engcono kakhulu.

Ingabe i-Aminophylline ingcono kune-Theophylline?

I-Aminophylline ne-theophylline yimithi ehlobene kakhulu esebenza ngezindlela ezifanayo kakhulu. I-Aminophylline empeleni iyinhlanganisela ye-theophylline ne-ethylenediamine, okwenza incibilike kalula futhi kube lula ukuba umzimba wakho uyithathe uma ithathwa ngomlomo.

Ngokuqondene nokusebenza kahle, yomibili imithi inikeza izinzuzo ezifanayo ngezinkinga zokuphefumula. Umehluko omkhulu ukuthi i-aminophylline ingase ithathwe ngendlela efanayo futhi elindelekile kune-theophylline elula. Lokhu kungenza kube lula ukuthi udokotela wakho afinyelele emazingeni afanele egazi futhi anciphise ingozi yemiphumela emibi.

Abanye abantu bayayibekezelela kahle enye kunenye, nakuba amaphrofayili emiphumela emibi efana kakhulu. Udokotela wakho angase azame zombili ukuze abone ukuthi iyiphi esebenza kangcono esimweni sakho esithile. Ukukhetha kuvame ukuncika ekuphenduleni komuntu ngamunye, ukutholakala, kanye nokucatshangelwa kwezindleko.

Yomibili imithi idinga ukuqapha okufanayo ngokuhlolwa kwegazi ukuze kuqinisekiswe amazinga aphephile nasebenzayo. Akukho ngisho neyodwa

Uma unesifo senhliziyo futhi unikezwe i-aminophylline, qiniseka ukuthi ubika noma yikuphi ukuzwa ubuhlungu esifubeni, ukushaya kwenhliziyo okusheshayo, noma izimpawu ezingavamile kudokotela wakho ngokushesha. Ukuqokwa okuvamile kokulandela ngemuva kubalulekile ukuqinisekisa ukuthi imithi ihlala iphephile futhi isebenza kahle kuwe.

Kufanele Ngenzeni Uma Ngithatha I-Aminophylline Eningi Ngengozi?

Uma ngengozi uthatha i-aminophylline eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukweqisa kungaba kubi futhi kungenzeka kungabangeli izimpawu ngokushesha.

Izimpawu ze-aminophylline eningi zihlanganisa isicanucanu esibi kakhulu nokuhlanza, ukushaya kwenhliziyo okusheshayo, ukudideka, ukuquleka, noma ikhanda elibuhlungu kakhulu. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa ukunakekelwa kwezempilo eziphuthumayo ngokushesha. Ungalindi ukubona ukuthi izimpawu ziyathuthuka yini zodwa.

Uma ushayela ucingo ukuze uthole usizo, lungisa ibhodlela lakho lemithi ukuze ukwazi ukubatshela kahle ukuthi uthathe malini nokuthi nini. Uma kungenzeka, cela othile ahlale nawe kuze kufike usizo lwezempilo. Ungazami ukuzenza uhlanze ngaphandle uma utshelwe ngokuqondile ukuthi wenze kanjalo ochwepheshe bezokwelapha.

Kufanele Ngenzeni Uma Ngeqa Umthamo We-Aminophylline?

Uma weqa umthamo we-aminophylline, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo oweqiwe bese uqhubeka neshejuli yakho ejwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise okweqiwe.

Ngezindlela zokukhishwa okweluliwe, isikhathi sibaluleke kakhulu. Uma weqa umthamo futhi sekudlule amahora angaphezu kwangu-4-6 kusukela lapho obufanele uwuthathe khona, ngokuvamile kungcono ukulinda umthamo wakho olandelayo ohleliwe kunokubeka engozini yokuthatha imithamo eseduze kakhulu.

Zama ukusungula inqubo ekusiza ukuthi ukhumbule imithamo yakho, njengokuyithatha ngezikhathi ezifanayo nsuku zonke noma usebenzisa umhleli wamaphilisi. Uma uvame ukukhohlwa imithamo, khuluma nodokotela wakho ngamasu okukusiza ukuthi uhlale emkhondweni noma ukuthi ngabe ishejuli yokulinganisa ehlukile ingasebenza kangcono kuwe.

Ngingayeka nini ukuthatha i-Aminophylline?

Kufanele uyeke ukuthatha i-aminophylline ngaphansi kwesiqondiso sikadokotela wakho kuphela. Noma ngabe uzizwa ungcono kakhulu, ukuyeka kungazelelwe kungadala ukuthi izinkinga zakho zokuphefumula zibuye noma zibe zimbi. Udokotela wakho uzokusiza ukuthi unqume isikhathi esifanele sokuyeka umuthi ngokususelwa ezimpawini zakho nempilo yakho yonke.

Uma wena nodokotela wakho ninquma ukuthi sekuyisikhathi sokuyeka i-aminophylline, cishe uzodinga ukunciphisa umthamo kancane kancane ezinsukwini eziningana noma emasontweni ambalwa. Lokhu kuncishiswa kancane kancane kusiza ekuvikeleni izimpawu zokuhoxiswa futhi kuvumela umzimba wakho ukuthi ujwayele ukungabi nomuthi.

Ngaphambi kokuyeka, udokotela wakho angase afune ukuqinisekisa ukuthi isimo sakho esingaphansi kolawulwa kahle ngeminye imithi noma ukuthi izici zesizini ezabangela izimpawu zakho zidlulile. Bazofuna futhi ukuba nohlelo lokubheka izimpawu zakho ngemuva kokuyeka.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Aminophylline?

Ngokuvamile kungcono ukukhawulela ukusetshenziswa kotshwala ngenkathi uthatha i-aminophylline, njengoba utshwala bungathinta indlela umzimba wakho oqhubula ngayo umuthi. Utshwala bungandisa ingozi yemiphumela emibi efana nesicanucanu, isiyezi, kanye nezinguquko zesigqi senhliziyo.

Uma ukhetha ukuphuza utshwala ngezikhathi ezithile, yenza kanjalo ngokulinganisela futhi unake indlela ozizwa ngayo. Abanye abantu bathola ukuthi ngisho namanani amancane otshwala enza imiphumela emibi ye-aminophylline ibe mibi. Qaphela ikakhulukazi uma usanda kuqala umuthi noma uma umthamo wakho ushintshwe muva nje.

Njalo xoxa ngokusebenzisa kwakho utshwala ngobuqotho nodokotela wakho. Bangakunikeza iseluleko esiqondene nawe ngokususelwa esimweni sakho esithile, eminye imithi oyithathayo, kanye nesimo sakho sempilo yonke. Ukuphepha kwakho kuyinto eza kuqala, futhi udokotela wakho udinga imininingwane ephelele ukuze akuqede ukugula.