LABA Bronchodilator ikuphatikizana ndi Steroids Yopangidwira Kuti Zilimbitse Zizindikiro Zophulika
LABA ndi mtundu wa bronchodilator omwe zotsatira zake zimatha kwa maola 12 kapena kuposerapo. LABA imayimira agonist otalikitsa zaka zambiri ndipo mayina a mayina awiri ndi Serevent ndi Foradil. Amagwiritsidwa ntchito pofuna kulandira mankhwala kuti athe kupewa zizindikiro monga:
Ngakhale LABA bronchodilator sayenera kugwiritsidwa ntchito pa zizindikiro zoopsa za asthma , LABA imagwirizanitsidwa ndi zotsatira zotsatirazi zikawonjezeredwa kwa odwala omwe sagwiritsidwa ntchito moyenera pa corticosteroid yosakanizidwa:
- Kupititsa patsogolo mapapu kumagwira ntchito
- Kuchepetsa zizindikiro za mphumu
- Kuwonjezeka kwa masiku osapatsidwa chizindikiro
- Kuchepetsa chiwerengero cha ziphuphu za mphumu
- Kuchepetsa ntchito yopulumutsira ntchito
Kuonjezera apo, LABA ikhoza kugwiritsidwa ntchito popewera mphumu ya mphumu .
Kodi LABA Ikugwira Ntchito Bwanji?
A LABA amachepetsa zizindikiro zanu za mphumu poonjezera mpweya wa mpweya kudzera m'mapapu anu monga momwe mwawonetsera kanema wa bronchodilator. A LABA amachititsa kuti minofu ikhale yopanda mpweya m'mapapo anu ndipo imayambitsa mpweya wanu. Zotsatira zake, mumayamba kuona zizindikiro zochepa. Zotsatira za LABA zimatha maola 5 kapena 12 malingana ndi momwe mumagwiritsa ntchito inhaler. Chofunika kwambiri, ndi LABA sichichepetsanso chifuwa chilichonse chokhudzana ndi mphumu.
LABA Side Effects
Zotsatira zakuthupi za LABA ndizofanana kwambiri ndi zomwe zafotokozedwa kwa SABA . Odwala ambiri sakhala ndi zotsatirapo zilizonse pogwiritsa ntchito albuterol ndi ma LABA ena. Ngati mukumva zotsatira zina zazing'ono, madokotala ena akhoza kukuthandizani ku LABA yosiyana.
Ngati zina mwazovuta zimachitika, onetsetsani kuti mukumana ndi wothandizira zaumoyo mwamsanga.
LABA Controversy
Pali vuto linalake lokhudza kuti mankhwala a LABA amachulukitsa kuchuluka kwa zovuta za mphumu ndipo mwinamwake kumawonjezera pangozi ya mphumu yakufa . Zokhudzidwa izi zachititsa kuchenjeza bokosi lakuda kuchokera ku FDA.
Ngakhale kuti LABA ingachepetse kuchuluka kwa zizindikiro za mphumu ndi kuopsa kwa zizindikiro, LABA ikhoza kupangitsa mphumu zowopsa kwambiri zikachitika. Ngakhale mutachenjezedwa, ngati mankhwala osakanizidwa opatsirana saloledwa kulamulira bwino matenda anu a mphumu, mungathe:
- Lonjezerani mlingo wa steroid yanu yosakanizidwa
- Onjezani LABA
Komabe, simuyenera kutenga LABA ngati simunatenge steroid yosakanizidwa. Muyenera kukambirana za zoopsazi ndi wopereka mphumu wanu kuti muwone zomwe mungakonzekere.
Zitsanzo za mankhwala a LABA
- Serevent® (salmeterol)
- Foradil® (formoterol)
Palinso kuphatikiza kwa LABAs ndi ICS monga Advair, Symbicort, ndi Dulera. Zonse zimasonyezedwa kuti azisamalidwa bwino ndi mphumu. Nyuzipepala ya National Institute for Heath ndi Clinical Excellence (NICE) pazokambirana zawo za ICS imatsiriza "ngati chipangizo chosakanikirana chimasankhidwa ndiye chipangizo chosawonongeka kwambiri chomwe chili choyenera kwa munthuyo chilimbikitsidwa /
Chidule
Ma LABA angakhale mbali yofunikira ya dongosolo lanu la chifuwa cha mphumu pamene zizindikiro zanu siziyendetsedwa mokwanira pa steroid yosakanizidwa. Ndikofunika kufufuza zizindikiro zanu kuti musasowe chithandizo chowonjezera. Kuwonjezera pamenepo, ndikofunika kuti mumvetse mavuto omwe angakhalepo ndi zomwe mungachite ngati zikuchitika.
Zotsatira:
1. National Heart, Lung, ndi Blood Institute. Report of Panel Panel 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu
2. Ma Institutes of Health and Clinical Excellence (NICE). Mankhwala a corticosteroids amathandizira kuchiza matenda a asthma akuluakulu ndi ana omwe ali ndi zaka 12 kapena kupitirira. March 2008 https://www.nice.org.uk/guidance/TA138