Tashin fuka da hawan jini (da ake kira hauhawar jini) sune yanayin kiwon lafiyar kowa, saboda haka ba abin mamaki bane idan ka (ko ƙaunataccen) damuwar cewa magani na asma ya shafi jinin jini.
Abin baƙin ciki, amsar ba kamar yadda aka yanke da bushe kamar yadda za ku so. A wasu kalmomi, yana da wani rikici fiye da ko a'a ko a'a.
Bari mu dubi yadda ake aiwatar da aikin a bayan asibitoci, kuma yadda hakan zai iya tasiri ga karfin jini.
Metered Dose masu ƙira a Asthma: Yadda suke aiki
Masu ƙaddamar da ƙwararrun ƙwararru (MDIs) sune maganin asibiti da aka saba da su. A gaskiya ma, idan kana da ciwon fuka, chances kusan kusan kashi 100 ne MDIs sun zama sananne na aikinka na yau da kullum. Wannan shi ne saboda MDIs suna aiki ne da sauri kuma ana nufin amfani da su na jinkiri na gajeren lokaci daga jin dadi na ƙwaƙwalwar kirji da wahalar numfashi da ke haɗuwa da kwatsam, ƙananan hare-haren ƙwaƙwalwa.
Magungunan a cikin MDI yayi aiki ta hanyar ƙaddara kwayoyin, wanda ake kira beta masu karɓa, wannan layin ganuwar sassan respiratory. Lokacin da maganin ya motsa su, wadannan masu karɓa suna haifar da sassan jiki na numfashi, don kawar da bayyanar cututtukan fuka. Saboda yadda yake aiki, wannan magani ana kiransa beta-agonist (yana inganta aikin masu karɓar beta).
Masu karɓar beta ma sun kasance mai kula da jini na jini, inda yayinda aikin su ke aiki don ya rage diamita na jini.
A gaskiya, mai yiwuwa ka ji labarin beta blockers, wani nau'in na yau da kullum irin cutar hawan jini . Beta blockers aiki ta hana yin amfani da masu karɓar beta mai karfin jini. Wannan yana nufin cewa jiragen ruwa sun kasance sun fi ƙarfin (ko sunadage) fiye da al'ada, wanda ya rage karfin jini.
Magungunan ƙwararru: Dama akan Ruwan jini
Yana da mahimmanci don mamaki game da sakamakon magungunan ƙwayoyin ƙwayar ƙwayar cuta na iya zama a kan karfin jini saboda aikin beta-agonist.
A wasu kalmomi, idan magungunan ƙwayar magunguna suna motsa ayyukan mai karɓar beta, da kuma karuwar bita mai karɓar rashawa na ƙara yawan karfin jini, to yana da hankali a tunanin cewa magungunan asibiti ya karu da karfin jini.
Amma gaskiyar ta ta'allaka ne a tsakiyar. Idan kun gabatar da jinin kai tsaye ga maganin ƙwayar cuta na beta-agonist, za ku ga wasu ƙananan ƙimar jirgin ruwa. Duk da haka, wannan baya faruwa a cikin marasa lafiya na asali da ake amfani da MDIs, kuma akwai dalilai da dama don haka:
- MDIs ne miyagun ƙwayoyi, kuma kusan kusan kashi 100 na miyagun ƙwayoyi ya kasance a cikin huhu, kuma daga masu karɓar beta a kan jini.
- Abonist beta da aka yi amfani da shi a MDIs (albuterol) yana zaɓaɓɓen (ko da yake ba cikakke ba) don raguwar mai karɓar beta wanda aka samo a cikin ƙidodi masu yawa a sassa na numfashi, amma a cikin ƙananan lambobi a kan tasoshin jini.
- Albuterol yana da ɗan gajeren lokaci na aiki, saboda haka duk da cewa ƙananan miyagun ƙwayoyi na iya samo hanyarsa zuwa tasoshin jini, kuma karamin rabo daga wannan miyagun ƙwayoyi na iya haifar da tasiri a kan waɗannan jiragen ruwa, saurin ya tafi da sauri.
Tare da miyagun ƙwayoyi masu sauri, albuterol, sauran beta-agonists, tare da tsawon rai, suna amfani dashi a cikin maganin fuka.
Wadannan sun hada da kwayoyi irin su Fenosurol (matsakaicin rai, ba a yi amfani da shi a Amurka) da kuma Severent (Salmeterol) ba, wanda yana da tsawon lokaci.
Ko da yake wadannan kwayoyi sun ci gaba da jikin su fiye da albuterol, har yanzu suna cikin haushi, suna da kasancewa a cikin huhu, kuma basu daina aiki sosai a kan irin masu karɓar beta da aka samu a kan jini.
Kalma Daga
Lamarin ƙasa ita ce yayin da magani na asibiti na iya haifar da hawan jinin ku ta hanyar aikin beta-agonist, wannan ba ainihin abin da ya kamata ku damu ba.
Duk da haka, yana da mahimmanci don ƙirƙirar shirin kula da asibiti tare da likitancin ku, likitan mahaifa, ko likita na farko.
Shirinku ya kamata ya haɗa da shawarwari uku masu zuwa:
- Yadda za a iya guje wa magungunan ƙwayoyin maɗaukaki na musamman.
- Jerin abin da magani ya kamata ka yi don hana bayyanar cututtukan fuka (your inhaled corticosteroid) tare da wace magani kake ɗauka don taimakawa gaggawa wajen kai hari (asibitocin ku).
- Shirin mataki-mataki don taimaka maka ka san lokacin da kake buƙatar neman likita.
A bayanin ƙarshe, don Allah gaya wa likitan ku duk magunguna da kuke shanwa, kamar yadda wasu zasu iya hulɗa da magungunan asibirinku kamar aspirin , anti-inflammatories, ko beta-blockers .
Sources:
Cibiyar Kwalejin Allergy Asthma & Immunology. (2017). Magunguna da tsofaffi.
> Arboe B, > Ulri > CS. Beta-blockers: abokin ko maƙiyi a cikin asma? Int J Gen Med . 2013; 6: 549-55.
> Magungunan Da ke Shafan Tsarin Harsarki. A: Pharmacology, 2nd Ed, Mycek, MJ, Harvey, RA, Champe, PC (Eds), Lippincott, Williams, da Wilkins, Philadelphia, PA 2000. p.217-222.