I-LABA Bronchodilator idibanisa ne-Steroids engabonakaliyo ekuphuculeni iimpawu ze-Asthma
I-LABA ngumhlobo we-bronchodilator ochaphazelayo ukuphela kweeyure eziyi-12 okanye ngaphezulu. I-LABA imele i-agonist ye-beta ende yexesha elide kwaye amagama amabini e-brand yiSerevent neForadil. Isetyenziselwa unyango olumiselweyo ukukhusela iimpawu ezifana:
Nangona i-LABA bronchodilator ayifanele isetyenziselwe iimpawu ze- asthma ezinzima, i-LABA idibene neenzuzo ezilandelayo xa zongezwa kwizigulane ezingalawulwa ngendlela engafanelekanga kwi-corticosteroid engenayo:
- Ukuphucula umphunga umsebenzi
- Impawu ze- asthma ezinciphile
- Inani elongezelelweyo leentsuku ezingenazo iimpawu
- Ukunciphisa inani lokuhlaselwa kwe- asthma
- Ukunciphisa ukuphulukiswa kokusetyenziswa kwezixhobo
Ukongezelela, i-LABA ingasetyenziselwa ukukhusela isifo se-asthma .
I-LABA isebenza njani?
I-LABA iphucula iimpawu zakho ze-asthma ngokunyusa ukuhamba komoya ngemiphunga yakho njengoko kuboniswe kule vidiyo ye-bronchodilator. I-LABA ihoxisa i-muscle ehamba kakuhle ehamba emoyeni womphunga wakho kwaye ibangela ukuba uhambo lwenu luvule. Ngenxa yoko, uqala ukufumana iimpawu ezimbalwa. Imiphumo ye-LABA ingahlala kwiiyure ezingama-5 ukuya kwezi-12 kuxhomekeke kwindlela osebenzisa ngayo le inhaler rhoqo. Kubaluleke kakhulu, i-LABA ayinciphisi naluphi na ukuvutha komzimba okuhambisana nesifo se-asthma.
I-LABA Side Effects
Imiphumo yecala yempilo ye-LABA iyafana kakhulu naleyo echazwe kwi- SABAs . Izigulane ezininzi azifumananga nasiphi na imiphumo echaphazelekayo usebenzisa i- albuterol kunye namanye amaLABA. Ukuba ufumana ezinye zeempembelelo ezincinci, abanye oogqirha bangakuguqula kwiLABA eyahlukileyo.
Ukuba kukho naziphi na ezinye iziphumo zecala, qiniseka ukuqhagamshelana nomboneleli wakho wezempilo.
LABA Ukuphikisana
Kukho ukukhathazeka malunga nokuba unyango lwe-LABA luyakwandisa ubunzima be-asthma exacerations kwaye mhlawumbi ukwandisa umngcipheko we- asthma obulalayo . Ezi nkxalabo ziye zabangela isilumkiso sebhokisi emnyama kwi-FDA.
Nangona i-LABA inokunciphisa ukuphindaphinda kwama-epmodes kunye nokuqina kwempawu, i-LABA ingenza iziqwenga ze-asthma zibe nzima xa zivela. Nangona isilumkiso, ukuba i-steroids yokukhatyathwa ayinakho ukulawula ngokwaneleyo iimpawu zakho ze-asthma, unakho:
- Ukwandisa umthamo we-steroid yakho yokukrazula
- Yongeza i-LABA
Nangona kunjalo, akufanele uthabathe i-LABA ukuba awuthathi i-steroid enganyangekiyo. Kufuneka uxoxe ngale mingcipheko nomboneleli wakho we-asthma ukuba ufumanise ukuba yintoni isicwangciso esihle kakhulu kuwe.
Imizekelo yeMpilo yeMaba
- Serevent® (salmeterol)
- Foradil® (formoterol)
Kukho ukuhlanganiswa kwe-LABA kunye ne-ICS njenge-Advair, Symbicort, kunye neDulera. Zonke ziboniswa ukugcinwa kwonyango lwe-asthma. I-National Institute for Heath kunye ne-Clinic Excellence (NICE) ekuhlaziyweni kwazo kwe-ICS iphetha "ukuba idibaniselwano yesicatshulwa sikhethwa ke isisombululo esincinci esincinci esifanelekileyo kumntu ucetyiswayo /
Isishwankathelo
I-LABAs ingaba yinxalenye ebalulekileyo yesicwangciso senkqubo yesifo sakho se- asthma xa iimpawu zakho zingakhange zilawulwe ngokwaneleyo kwi-steroid engenayo. Kubalulekile ukuqapha iimpawu zakho ukuqinisekisa ukuba awudingi unyango olongezelelweyo. Ukongezelela, kubalulekile ukuba uqonde imiphumo emibi kunye nokuba yintoni oyenzayo ukuba iya kwenzeka.
Imithombo:
1. Intliziyo yeSizwe, iLung, kunye neNgcaciso yeGazi. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma
2. amaZiko eZiko lezeMpilo kunye neCliniki yoBugcisa (iNICE). I-corticosteroids yokukhupha i-corticosteroids yokunyanga i-asthma engapheliyo kubantu abadala kunye nabantwana abaneminyaka engama-12 nangaphezulu. Matshi 2008 https://www.nice.org.uk/guidance/TA138