Oko Kufuneka Ukwazi Nokubukela Ukuba Ungo-Theophylline
I-Theophylline yi-methylxanthine leyo ibini ye- bronchodilator kwaye ingaba nemiphumo echasene ne-anti-inflammatory. Nangona ingasetyenziselwa njengesicatshulwa, unyango olungaphezulu kunye ne- steroid engabonakaliyo, oku akusiyo isicatshulwa esikhethweyo xa isifo se-asthma esiqhubekayo sidinga unyango olongezelelweyo lolawulo lwe-asthma. I-Theophylline ihamba ngokuphindaphindiweyo kwaye ke ingabonakali ngoogqirha belapha isifo se-asthma.
Nangona kunjalo, enye yeenzuzo zayo eziphambili xa kuthelekiswa nazo zonke ezinye izifo zonyango kukuba ayibizi. Oku kwenza ukuba kubonakale kakhulu njengonyango yokongezwa emva kokuba i-steroid enganyangekiyo ingakwazi ukulawula ngokwaneleyo iimpawu ze-asthma kwizigulane ezininzi.
Ngenxa yokuba i-theophylline inokuhlala ifikelele kwiiyure ezingama-24, abanye oogqirha baya kusebenzisa i-theophylline ukuze bafumane ukulawulwa kwempawu ze-asthma zangokuhlwa, ngokukodwa ngokuphefumula okuqhubekayo okulula okanye okuqhubekayo .
Indlela i-Theophylline isebenza ngayo
I-Theophylline yipilisi elawulayo esebenza njenge-bronchodilator kwaye ibuyisela kwakhona izihlunu ezomeleleyo njengenxalenye yesifo sakho se-asthma. I-Theophylline nayo inezixhobo ezichasayo nezikhuhlane ezinokuthi zichaze kakuhle ukukwazi kwayo ukulawula iimpawu ze-asthma kunokuba zizakhiwo zayo zodwa.
Ngenxa yeendlela ezikhuselekileyo ezifana ne-steroids ezifakwe kwi-inhaled (kunye noogqirha ekuqeqesheni namhlanje banamava angaphantsi kweli gciwane njengoko sasiye ngexesha elingazange lithandeke kuluntu lwezonyango), i -agonists ye-beta ende (i-LABAs) kunye ne-leukotriene i-modifiers, i-theophylline ayidla ngokumiselwa njengomgca wokuqala okanye unyango lwe-second asthma ngugqirha wakho.
Isizathu sokuthi i-theophylline ayiphumelekanga kukuba ayibonakali ukuba isebenze kunye nezinye iilmma. Izifundo azange zibonise ukuba i-theophylline ilingana ne-steroids yokunyangwa kwi-asthma. Ngokufanayo, uphando lubonise ukuba i-LABA iphumelele xa idibanisa isicatshulwa sesibini ngaphezu kokufaka i-theophylline.
I-Theophylline idinga amanqanaba athile egazi ukuba aphunyezwe ukuba abe nempembelelo yokwelapha kodwa nayo ingabangela imiphumo emibi xa le nqanaba lidlulileyo. Oogqirha bavame ukuchaza oku njengoluhlu oluncinci lwezonyango.
I-Theophylline ithengiswa phantsi kwegama lamanqaku alandelayo:
- Elixophyllin
- Theo-24
- I-Theo-Bid Duracap
- TheoCap
- Thekyron
- Theo-Dur
- I-Theo-Dur Phula
- Theolair
- Theovent LA
- Slo Bid
- Slo-Phyllin
- Uniphyl
Ukubeka iliso kwiNqanaba leTheophylline
Ukongezelela kwimiphumo emibi, enye into abagulayo abangayithandiyo ngokusebenzisa i-theophylline kukuba kuya kufuneka ukuba igazi litsalwe ukujonga amazinga e-theophylline egazini lakho. Ngokuxhomekeke kwindlela oyenzayo, unokufuna ukukwenza oku kanye kanye ngeenyanga uze ufikelele kwisigaba esomeleleyo, esisebenzayo se-theophylline egazini lakho. Ngokuqhelekileyo, ugqirha uzama ukuthola i-theophylline kwigazi le-5-15 μg / ml. Ukuba izinga lakho le-theophylline lingaphezulu kweli nqanaba, unelungelo elikhulu lokufumana imiphumo emibi.
Ukongezelela, kubalulekile ukuvumela nayiphi na ugqirha oyibonayo ukuba uyawe-theophylline. Ngenxa yokuba i-theophylline idibanisa neentlobo ezininzi zamachiza, nawuphi na ugqirha obonayo kufuneka ukuba wazi ukuba u-theophylline. Ucwaningo luye lwabonisa ngaphezulu kwe-35% yezigulane kwi-theophylline zimiselwe amanye amayeza asebenza kakubi kunye ne-theophylline.
Amanye amayeza asebenzisana ne theophylline aquka:
- I-Allopurinol: Unokunyusa izinga legazi le-theophylline
- Benzodiazepines: Theophylline inganciphisa
- I-Beta-Blockers : Inokunciphisa umonakalo we-bronchodilatation we-theophylline
- I-Carbamazepine: I-Theophylline inokunciphisa amanqanaba egazi kunye nokwandisa ubungozi bokungena
- Ciprofloxacin: Amazinga aseTheophylline akhula kunye nale antibiotic kunye nayo yonke into elwa namachiza kule klasi. Ukuba ufumana i-theophylline ne-IV ciprofloxacin nge-IV line efanayo, i-crystallization iyakwenzeka
- I-Formoterol: Theophylline yandisa umngcipheko we-potassium ephantsi
- I-Zafirlukast: ITheophylline inganciphisa amanqanaba egazi we-zafirlukast
- I-Zileuton: Usenokunyusa ingxube ye-serum ye-theophylline
Kwakhona, ukuba unengxaki ezithile zezonyango okanye iimeko kufuneka uqikelele ukuba uthatha i-theophylline:
- Isifo sesibindi: Ukuba unengxaki yentsholongwane umzimba wakho awuyi kuhlengahlengisa i-theophylline ngokukhawuleza njengomntu oqhelekileyo, kwaye i-dose yakho kufuneka iyancipha.
- Ukungaphumeleli kwentliziyo ye-Congestive: I-Dose idinga ukunciphisa njengesifo sesibindi
- Ukutshaya: Ukuba ubhema, ungadinga umthamo ophezulu we-theophylline. Kwakhona, ukuba unquma ukuyeka ukutshaya ungadinga ukunciphisa i doophylline dose.
Imiqondiso yangoku ITheophylline
Kukho iindidi eziqhelekileyo apho i-theophylline isetyenziswa namhlanje kunyango lwe-asthma:
- Njengoko unyango oluchaseneyo xa i-steroid enganyangekiyo ingakwazi ukulawula iimpawu ze-asthma okanye xa ezinye iizithunywa zongezwa (i- LABAs) okanye (i- leukotriene modifiers) kwaye ayikwazi ukulawula iimpawu.
- Njengononophelo olusisiseko xa isigulane singabambisani (okanye kunzima okanye kunzima) kwi-steroid enganyangekiyo kunye ne-leukotriene modifier ayisebenzi.
- Xa isigulane siseyunithi yonyango enzulu ene-asthma exaceration enkulu kwaye ingaphenduli kwezinye iyeza.
Iimpembelelo zecala laseTheophylline
Esinye sezizathu eziphambili ze-theophylline asisetyenziswanga kwakhona ngenxa yemiphumo emibi. Noko ke, izigulane ezininzi azifumani nayiphi na igalelo kwi-theophylline. Ezinye izigulane nazo zifumana imiphumo emibi kwiveki yokuqala yonyango kunye ne-theophylline. Ukuba unokuyinyamezela okokuqala, umzimba wakho uya kuba nokunyamezela. Iimpawu ukuba umzimba wakho uzakuzisebenzisa, kodwa kufuneka uxoxe nodokotela wakho ukuba ahambe, zibandakanya:
- Ukukhathazeka kwesisu okanye intlungu
- Uhudo
- Intloko
- Ukungabikho
- Ukutshatyalaliswa
- Ukungabi naso
Iziphumo ezibi kakhulu ezifunekayo ukuzazisa ugqirha wakho ngokukhawuleza ziquka:
- Intliziyo engavumelekanga okanye isantya
- Ukuxhamla
- Ukugqithisa isikhumba
- Ukuvutha
Imithombo:
UPasko S, uSimon WR, iSena MM, iStoddard ML. Umlinganiselo wokutshatyalaliswa kwintsebenziswano ye-theophylline. Clin Ther. Ngo-1994 uNgo-Dec; 16 (6): 1068-77.
> UpToDate. I-Theophylline: Ulwazi lweziyobisi ezigulayo
I-Heart Heart, i-Lung, ne-Blood Institute. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma