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

I-Terbutaline iyimithi ye-bronchodilator esiza ukuvula imigudu yakho yomoya uma iminyene noma ivalekile. Cabanga ngayo njengomsizi omuhle okhulula imisipha ezungeze izindima zakho zokuphefumula, okwenza kube lula ukuthi umoya ungene futhi uphume emaphashini akho.

Le mithi ingeyeqembu lemithi ebizwa ngokuthi ama-beta-2 agonists, asebenza ngokuqondile emisipheni ohlelweni lwakho lokuphefumula. Abantu abaningi bathola ukuthi i-terbutaline iyasiza ekuphatheni ubunzima bokuphefumula, futhi isetshenziswe ngokuphepha amashumi eminyaka ngaphansi kokuqondiswa okufanele kwezokwelapha.

Yini i-Terbutaline Esetshenziselwa Yona?

I-Terbutaline ikakhulukazi inikezwa ukwelapha isifuba somoya nezinye izimo zokuphefumula ezenza imigudu yakho yomoya inciphe. Uma unesifuba somoya, imisipha ezungeze amashubhu akho okuphefumula ingaqina, okwenza kube nzima ukuphefumula ngokujwayelekile.

Le mithi iphinde isetshenziselwe isifo esingamahlalakhona sokuvinjwa kwamaphaphu (COPD), esihlanganisa izimo ezinjenge-emphysema ne-chronic bronchitis. Ngezinye izikhathi odokotela bayinikeza ezinye izimo zokuphefumula lapho ukuvula imigudu yomoya kungahlinzeka ngokuphumula.

Kwezinye izimo, i-terbutaline ingasetshenziswa ngaphandle kwetheyibuli yomsebenzi ngaphambi kwesikhathi, nakuba lokhu kudinga ukuqapha okucophelelayo kwezokwelapha. Udokotela wakho uzokuchazela kahle ukuthi kungani bencoma le mithi esimweni sakho esithile.

Isebenza Kanjani i-Terbutaline?

I-Terbutaline isebenza ngokugxila kuma-receptors akhethekile emisipheni yakho yamaphaphu abizwa ngokuthi ama-beta-2 receptors. Lapho imithi ifinyelela kula ma-receptors, ithumela isignali etshela imisipha ukuthi iphumule futhi ikhululeke.

Lo mphumela wokuphumula ngokuvamile uqala phakathi kwemizuzu eyi-15 kuya kwengama-30 ngemva kokuthatha ifomu lomlomo. Imithi ithathwa njengeqinile ngokulinganisela - ayisheshi njengama-inhalers okuhlenga, kodwa iqhubeka kakhulu emiphumeleni yayo.

Ukusiza kungahlala noma yikuphi kusuka emahoreni angu-4 kuya kwangu-6, yingakho odokotela bevame ukuyala ukuthi kuthathwe izikhathi eziningi ngosuku. Lesi senzo esiqhubekayo sisiza ukugcina imigudu yakho yomoya ivulekile isikhathi eside.

Kufanele Ngiyithathe Kanjani I-Terbutaline?

Thatha i-terbutaline ngendlela enembile udokotela wakho ayiyalayo, ngokuvamile ngengilazi yamanzi egcwele. Ungayithatha nokudla noma ngaphandle kokudla, nakuba ukuyithatha nesnakhi esincane kungasiza ekuvikeleni isisu esibuhlungu uma uzwela.

Abantu abaningi bathatha amaphilisi e-terbutaline kathathu ngosuku, ehlukaniswe ngokulinganayo. Zama ukuyithatha ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqinile ohlelweni lwakho futhi akusize ukhumbule imithamo yakho.

Uma uthatha eminye imithi, yihlukanise okungenani ngemizuzu engama-30 ngaphandle uma udokotela wakho ekutshela ngenye indlela. Lokhu kusiza ekuvikeleni noma yikuphi ukusebenzisana okungenzeka futhi kuqinisekisa ukuthi imithi ngayinye isebenza njengoba ihloswe.

Kufanele Ngiyithathe Isikhathi Eside Kangakanani I-Terbutaline?

Ubude bokwelashwa nge-terbutaline buhluka kakhulu kuye ngesimo sakho nokuthi usabela kanjani emuthini. Abanye abantu bayayidinga amasonto ambalwa nje ngesikhathi sokugqashuka, kanti abanye bangayithatha isikhathi eside ngezimo ezingapheli.

Udokotela wakho uzohlola njalo ukuthi umuthi usebenza kahle kangakanani kuwe nokuthi usawudinga yini. Bazobheka izimpawu zakho, izivivinyo zomsebenzi wamaphaphu, kanye nekhwalithi yempilo iyonke ukuze benze lesi sinqumo.

Ungayeki ukuthatha i-terbutaline ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala, ikakhulukazi uma ube uyithatha isikhashana. Udokotela wakho angase afune ukunciphisa kancane kancane umthamo wakho ukuze avimbele noma yiziphi izimpawu zokubuyela emuva.

Yiziphi Imiphumela Eceleni Ye-Terbutaline?

Njengayo yonke imithi, i-terbutaline ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda okulindelekile kungakusiza ukuthi uzizwe uqiniseka kakhulu ngemithi yakho.

Imiphumela emibi evame kakhulu ivame ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumela emuthini:

• Ukuthuthumela noma ukuzamazama, ikakhulukazi ezandleni zakho
• Ukuzizwa unovalo noma uqhaqhazela
• Ukuba nobuhlungu bekhanda
• Isiyezi
• Ukushaya kwenhliziyo okwandayo
• Ukuhluleka ukulala
• Ukuminyana kwemisipha
• Ukucasuka kwesisu noma isicanucanu

Le miphumela ivamise ukuba yesikhashana futhi ithambekele ekuncipheni njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma ziba yinkinga, udokotela wakho uvame ukulungisa umthamo wakho noma isikhathi.

Imiphumela engavamile kodwa ebucayi edinga ukunakekelwa kwezempilo ngokushesha, nakuba ingavamile:

• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Isiyezi esikhulu noma ukuquleka
• Ukuphefumula okunzima okuba kubi kakhulu
• Ukuthuthumela okukhulu okuphazamisa imisebenzi yansuku zonke
• Izimpawu ze-potassium ephansi njengobuthakathaka bemisipha noma ukuminyana

Uma uhlangabezana nanoma iyiphi yale miphumela ebucayi, xhumana nomhlinzeki wakho wezempilo ngokushesha. Bangasiza ekunqumeni ukuthi umuthi udinga ukulungiswa noma ukumiswa.

Ubani Ongafanele Athathe I-Terbutaline?

I-Terbutaline ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Izimo ezithile zingenza lo muthi ube yingozi noma ungasebenzi kahle.

Akufanele uthathe i-terbutaline uma unokungezwani nayo noma imithi efanayo ebizwa ngokuthi ama-beta-agonists. Xhumana nodokotela wakho nganoma yiziphi izindlela oziphendule ngaphambilini emithini yesifuba somoya noma ekwelashweni kokuphefumula.

Abantu abanezimo ezithile zenhliziyo badinga ukucatshangelwa okukhethekile ngaphambi kokusebenzisa i-terbutaline:

• Ukushaya kwenhliziyo okungajwayelekile (arrhythmias)
• Ukuhlaselwa yinhliziyo kwakamuva
• Isifo senhliziyo esibi kakhulu
• Umfutho wegazi ophezulu ongagadiwe

Udokotela wakho uzohlola izinzuzo ngokumelene nezingozi uma unezinye zalezi zimo, futhi angase ancome ezinye izindlela zokwelapha esikhundleni salokho.

Ezinye izimo ezidinga ukuqashwa ngokucophelela zihlanganisa:

• Isifo sikashukela (i-terbutaline ingathinta amazinga kashukela egazini)
• Ukwanda kwegilo (i-hyperthyroidism)
• Izifo zokuthuthumela
• Isifo sezinso
• Amazinga aphansi e-potassium

Ukukhulelwa nokuncelisa nazo zidinga ukucatshangelwa okukhethekile, ngakho qiniseka ukuthi uxoxa ngezinhlelo zakho nodokotela wakho uma ungumuntu wesifazane ozelayo.

Amagama Omkhiqizo we-Terbutaline

I-Terbutaline itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba inguqulo ejwayelekile isebenza kahle. Igama lomkhiqizo elivamile yi-Brethine, esetshenziswe iminyaka eminingi.

Amanye amagama omkhiqizo afaka i-Bricanyl, nakuba ukutholakala kungahluka ngokuya ngezwe kanye nekhemisi. Umuthi wakho ungakusiza ukuthi ubone ukuthi iyiphi inguqulo oyitholayo futhi uphendule noma yimiphi imibuzo mayelana nokwakheka okuhlukene.

Noma ngabe uthola igama lomkhiqizo noma inguqulo ejwayelekile, isithako esisebenzayo nokusebenza kahle kuhlala kufana. Izinguqulo ezijwayelekile zivame ukuba ngentengo ephansi futhi zithembeke ngokulinganayo.

Ezinye izindlela ze-Terbutaline

Uma i-terbutaline ingasebenzi kahle kuwe noma idala imiphumela engathandeki, ezinye izindlela ziyatholakala. Udokotela wakho angakusiza ukuthi uhlole ezinye izinketho ezingase zikufanele kangcono.

Ezinye izithuthukisi ze-bronchodilators zomlomo zifaka amaphilisi e-albuterol (salbutamol), asebenza ngendlela efanayo ne-terbutaline kodwa angase abe namaphrofayili ahlukene emiphumeleni. Abanye abantu basabela kangcono komunye kunomunye.

Imithi ephefumulwayo ivame ukukhethwa ngoba i-asthma ngoba isebenza ngqo emaphashini enemiphumela embalwa yomzimba wonke:

• Ama-inhaler asesebenza ngokushesha njenge-albuterol ukuze athole usizo olusheshayo
• Ama-inhaler asebenza isikhathi eside ukuze alawule nsuku zonke
• Ama-inhaler ahlanganisiwe afaka imithi elwa nokuvuvukala

Ezimweni ezingamahlalakhona, udokotela wakho angase ancome imithi yokulawula efana nama-corticosteroids aphefumulwayo noma ama-bronchodilators asebenza isikhathi eside owasebenzisa njalo ukuvimbela izimpawu.

Ingabe i-Terbutaline ingcono kune-Albuterol?

Kokubili i-terbutaline ne-albuterol ziyizidakamizwa ezisebenzayo zokuvula imigudu yomoya, kodwa ngasinye sinenzuzo eyingqayizivele ngokuya ngezidingo zakho ezithile. Akukho noyedwa othi "ungcono" ngokujwayelekile - kuncike ekuphenduleni kwakho komuntu ngamunye kanye nezimo.

I-Terbutaline ivame ukusebenza isikhathi eside kune-albuterol, nemiphumela ehlala amahora angu-4-6 uma iqhathaniswa nama-2-4 amahora e-albuterol. Lokhu kusho ukuthi ungase udinge imithamo embalwa usuku lonke, okuthile abanye abantu bakuthola kulula.

I-Albuterol ivame ukunqunywa futhi iza ngezindlela eziningi, okuhlanganisa ama-inhaler asheshayo okusiza. Ivame ukuba yinto yokuqala yokukhetha ekuhlaselweni komoya okukhulu ngoba i-albuterol ephefumulwayo isebenza ngemizuzu.

Amaphrofayili emiphumela emibi afana, kodwa abanye abantu bayakwazi ukubekezelela eyodwa kangcono kunenye. Udokotela wakho angakusiza ukuthi unqume ukuthi yimuphi umuthi osebenza kangcono esimweni sakho esithile nendlela yokuphila.

Imibuzo Evame Ukubuzwa Mayelana ne-Terbutaline

Q1. Ingabe i-Terbutaline iphephile ezigulini zenhliziyo?

I-Terbutaline idinga ukucatshangelwa ngokucophelela uma unesifo senhliziyo, njengoba singathinta izinga lokushaya kwenhliziyo yakho nesigqi. Udokotela wakho uzohlola isimo sakho senhliziyo esithile nempilo yonke ngaphambi kokuyinika.

Uma unesifo senhliziyo esingesibi kakhulu, esizinzile, udokotela wakho angase akwazi ukukunika i-terbutaline ngokuqapha eduze. Cishe bazoqala ngomthamo ophansi futhi babuke ukuthi inhliziyo yakho isabela kanjani emuthini.

Abantu abanezifo zenhliziyo ezinzima, ukuhlaselwa yinhliziyo kwakamuva, noma izinkinga eziyingozi zesigqi ngokuvamile badinga ukwelashwa okunye. Udokotela wakho uzosebenza nawe ukuthola imithi yokuphefumula ephephe kakhulu enhliziyweni yakho.

Q2. Kufanele ngenzeni uma ngiphuthelwa ngisebenzisa i-Terbutaline eningi kakhulu?

Uma ngengozi uthatha i-terbutaline eningi kakhulu, ungesabi kodwa thatha isinyathelo ngokushesha. Xhumana nodokotela wakho, usokhemisi, noma isikhungo sokulawula ubuthi ngokushesha ukuze uthole isiqondiso sokuthi wenzeni ngokulandelayo.

Izimpawu zokuthatha okuningi zihlanganisa ukuthuthumela okukhulu, ukushaya kwenhliziyo okusheshayo kakhulu, ubuhlungu besifuba, ikhanda elibuhlungu kakhulu, noma ukuzizwa ukhathazeke kakhulu. Lezi zimpawu zisho ukuthi udinga ukunakekelwa kwezokwelapha ngokushesha.

Ungalokothi uzame "ukulungisa" umthamo ongekho ngokuthatha imithi eyengeziwe. Lokhu kwandisa ingozi yakho yemiphumela emibi ngaphandle kokuhlinzeka ngenzuzo eyengeziwe yokuphefumula kwakho.

Q3. Kufanele Ngenzeni Uma Ngedlula Umthamo We-Terbutaline?

Uma udlula umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo ongekho bese uqhubeka neshejuli yakho ejwayelekile.

Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise lowo ongekho, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Kunalokho, buyela nje emgwaqeni ngeshejuli yakho yokulinganisa ejwayelekile.

Uma uvame ukukhohlwa imithamo, zama ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi. Ukulinganisa okuqhubekayo kusiza ukugcina amazinga aqinile emithi ohlelweni lwakho ukuze kulawulwe kangcono izimpawu.

Q4. Ngingayeka Nini Ukuthatha I-Terbutaline?

Yeka kuphela ukuthatha i-terbutaline lapho udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Noma ngabe uzizwa ungcono, ukuyeka kungazelelwe kungase kubangele ukuthi izimpawu zakho zibuye noma zibe zimbi kakhulu.

Udokotela wakho ngokuvamile uzonciphisa umthamo wakho kancane kancane kunokuthi awuyeke ngesikhathi esisodwa. Lokhu kusiza ukuvimbela noma yiziphi izimpawu zokubuyela emuva futhi kubavumela ukuthi baqaphele ukuthi usabela kanjani kushintsho.

Isikhathi sincike esimweni sakho esiyisisekelo - abanye abantu badinga i-terbutaline kuphela ngesikhathi sokuqubuka, kanti abanye badinga ukwelashwa kwesikhathi eside. Udokotela wakho uzohlola kabusha isidingo sakho somuthi njalo.

Q5. Ngingayithatha I-Terbutaline Ngeminye Imithi?

I-Terbutaline ingasebenzisana neminye imithi eminingi, ngakho kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo, okuhlanganisa imithi etholakala ngaphandle kwekhawunta kanye nezithasiselo.

Ezinye izidakamizwa ezingase zihlangane zihlanganisa imithi ethile yokucindezela, imithi yokwehlisa umfutho wegazi, kanye neminye imithi yohlobo oluvuselelayo. Lokhu kuxhumana kungase kwandise imiphumela emibi noma kunciphise ukusebenza kwemithi yakho.

Udokotela wakho nomuthi wakho womuthi bangahlola ukuxhumana okungenzeka futhi bakusize ukuthi uhlele imithi yakho ngesikhathi esifanele. Bangase balungise imithamo noma batusa ezinye izindlela zokwelapha uma kutholakala ukuxhumana okukhulu.