Magunguna masu magungunan gaggawa don Inganta cututtukan cututtukan fuka
Yayinda masu amfani da suturar hanzari (SABAs) kamar Albuterol su ne magungunan ceto na farko wanda aka yi amfani dasu don jin daɗin murfin kirji, taurrawa, takaicin numfashi, da haɗari masu haɗari da asma, likitanku na iya ƙayyade wasu magunguna don amfani da su a matsayin ɓangaren kula da asibarku shirin ko a ofishin ko ma'aikatar gaggawa.
Za mu tattauna:
- SABAs (misali Albuterol)
- Anticholinergics (misali Atrovent)
- Steroids (misali Prednisone)
SABAs
SABA suna ba da taimako ga ƙwaƙwalwar jiki, ko kuma ƙarfafa tsokoki a cikin kututture, ta hanyar kwantar da tsokoki. A cikin minti kaɗan ta yin amfani da tsokoki mai tsabta sannu a hankali, ƙuƙwalwar ƙuƙwalwa a cikin iska, kullun iska yana ragewa, kuma numfashi yana da sauƙi yayin da iska ta motsa ta wurin sashin jikinka na numfashi.
Amfani da SABA a cikin lokaci kaɗan shine hanyar da za a iya taimakawa wajen taimakawa bayyanar cututtukan fuka da kuma inganta numfashi, amma yayin da yake ba da taimako, saurin SABA amfani da ita alama ce ta rashin kulawar asiri . Idan kana buƙatar yin amfani da SABA fiye da sau biyu a kowane mako ko kuma ta hanyar guda daya SABA inhaler a cikin ƙasa da wata ɗaya, asibarka tana karkashin iko mara kyau. Kuna buƙatar ganin likitanku kuma ku tattauna abubuwan da suka faru kamar farkon ko karuwa da kashi na steroid .
SABA sun fi tasiri idan sun yi amfani da su ta hanyar yin amfani da wani mai yaduwa ko kuma ta hanyar amfani da nebulizer domin magani zai iya aiki a cikin kwayar cutar.
A cikin ƙananan yara, wasu kamfanonin kiwon lafiya suna amfani da SABA na maganganu, amma illa masu lalacewa sun fi yawa kuma nau'i na maganin maganin ba su da tasiri sosai a matsayin mai kwantar da hankali tare da ma'auni. Bugu da ƙari, SABAs da aka haifa suna fĩfĩta saboda bayyanar cututtuka suna inganta saurin sauri kuma rashin rinjaye na ƙasa basu da yawa.
SABA sakamako masu illa sun hada da:
- Rawan hankalin zuciya
- Ƙaruwa
- Ciwon kai
- Muscle tremors
- Low potassium
- Abun barci
Anticholinergics
Magungunan Anticholinergic suna samar da laushi mai tsabta da kuma taimakawa ta katsewa ta hanyar yin aiki a kan daban-daban masu karɓa a cikin huhu. Saboda magungunan gargajiya sunyi aiki a kan wasu masu karɓar sakonni fiye da na bronchodilators, da dama likitoci zasu hada amfani da kwayoyin halitta tare da masararraji don sauƙin farfadowa na jirgin sama a cikin wani harin da aka ba da fuka. Anticholinergics za a iya haɗuwa tare da bronchodilators a cikin wani nebulizer ko tsĩrar da su a matsayin raba masu haɗi tare da spacer. Har ila yau, akwai masu haɗari masu yawa waɗanda suka hada da kayan da ake amfani da su da kuma bronchodilators waɗanda za a iya amfani da su a cikin manya.
Yayinda beta-agonists ke aiki a cikin minti kuma suna da magungunan asibiti na tsawon mintoci kaɗan, magunguna sunyi tsayi da yawa don haifar da tasiri kuma sakamako yana da tsawo. Zai iya ɗaukar tsawon minti 30 don 80% na sakamako na bronchodilatory a kan inhalation kuma sakamakon zai iya wuce har zuwa sa'o'i 6. Kamar yadda irin wannan, maganin tayar da hankali ba daidai ba ne ga magungunan ƙwayoyin cututtukan fuka.
An shawo kan kwayoyin halitta marasa lafiya tare da ƙananan sakamako masu illa na zamani idan aka kwatanta da beta-agonists.
Wasu daga cikin alamun da aka ruwaito sun hada da:
- Ciwon kai
- Dry baki
- Girma
- Ƙara
- Dama da hanci da ciwon sinus
- Jiji da kuma ciwon ciki
- Flu-like bayyanar cututtuka
- Binciken tsoro
- Dizziness
Steroids
Bayan awa daya na jiyya, sauƙin bunkasa cikin haɓakar iska yana rage raguwa. Yin amfani da steroid din ta hanyar baki ko ta hanyar layi (iv) zai iya inganta sauri ta hanyar rage yawan ƙumburi a cikin huhu. Sharuɗɗa na yau da kullum suna bada shawarar steroid don kowane mai haƙuri da PEFR na kasa da 70% na annabta.
Gyaran ci gaba bayan kulawar steroid yana daukan akalla 6 hours.
Kullum, likitanku zai tambaye ku idan kuna buƙatar suturar baya a baya ko kuma idan kun bayyana rashin lafiya a kan gabatarwa zasu ɓace a gefen bada steroid. Kwarar ku zai tambayi tambayoyin da za ku yi don tabbatar da cewa ba ku da wani kamuwa da cuta na kwayan cuta. Sakamakon bayar da ciwon sikiyayyi na tsarin jiki zuwa wani da ke dauke da kamuwa da kwayar cutar ta jiki yana kama da abin da ke faruwa lokacin da ka zuga wuta a kan wuta mai tsanani kuma zai iya haifar da damuwa sosai.
Hanyoyi masu dangantaka da gajeren lokaci na steroid sun hada da:
- Ƙara yawan ci
- Nama
- Nervousness ko damuwa
- Dizziness ko lightheadedness
- Flushing fuskar ko cheeks
- Hiccups
- Ƙãra sweating
- Girman glucose mai girma
Bayan lokaci idan kana buƙatar samfuran steroids ka kara yawan haɗari ga cutar hawan jini, cataracts a idanu, rashin lafiya na jini, da kuma matsalolin kashi irin su osteoporosis.
Kwamitin kula da lafiyar ku yana da magunguna daban-daban don taimaka wa maganin fuka. Kila za ku yi amfani da SABA a matsayin ɓangare na shirin kula da asibiti, amma yin amfani da shi alama ce ta kulawar matalauta. Mai ba da sabis na kiwon lafiya na iya amfani da steroids da kuma maganin ƙwayar cuta a wasu lokuttan idan fyad din ya kara ƙaruwa. Fahimtar muhimmancin kowace magungunan nan da magungunan halayen su zai taimaka maka samun iko akan ƙwayar fuka.
Sources:
> FamilyDoctor.org. Tsiraran fuka.
> Zuciya ta Duniya, Lung, da Ciwon Blood. Rukunin Sakamakon Kwararri na 3 (EPR3): Sharuɗɗa don Bincike da Gudanarwa na Tsira
> Asthma. A Cikin Dogon Cutar: Mahimmanci na Pulmonary And Critical Care Medicine . Masu gyara: Ronald B. George, Richard W. Light, Richard A. Matthay, Michael A. Matthay. Mayu 2005, edition 5th.