I-LABA Bronchodilator Ihlanganiswa Ne-Steroids Enganyathelisiwe Ukuze Kuthuthukiswe Izimpawu Ze-Asthma
I-LABA iyinhlobo ye-bronchodilator ephethe imiphumela yamahora angu-12 noma ngaphezulu. I-LABA imele i-agonist ende ye-beta eside futhi ama-brand brand angu-Serevent ne-Foradil. Isetshenziselwa ukwelashwa okulungiselelwe ukuvimbela izimpawu ezifana nalezi:
Nakuba i-LABA bronchodilator akufanele isetshenziselwe izimpawu ezinzima ze- asthma , i-LABA ihlotshaniswa nalezi zinzuzo ezilandelayo uma zengeziwe ezigulini ezingalawulwa ngokungafanele kwi-corticosteroid engatholakali:
- Umsebenzi ophuthumayo wephaphu
- Ukunciphisa izimpawu ze-asthma
- Inombolo eyengeziwe yezinsuku ezingenazo izimpawu
- Ukunciphisa inani lokuhlaselwa yisifuba
- Ukunciphisa ukusetshenziswa kosizo lokusebenzisa inhaler
Ukwengeza, i-LABA ingase isetshenziselwe ukuvimbela ukuphefumula kwesimo somzimba .
I-LABA isebenza kanjani?
I-LABA ithuthukisa izimpawu zakho ze-asthma ngokukhulisa ukugeleza komoya ngamaphaphu akho njengoba kuboniswe kule vidiyo ye-bronchodilator. I-LABA igxilisa ukuxuba okusizimele emigwaqweni yomoya emaphashini akho futhi kubangele ukuthi imimoya yakho ivuleke. Ngenxa yalokho, uqala ukuzwa izimpawu ezimbalwa. Imiphumela ye-LABA ingahlala amahora angu-5 kuya kwangu-12 kuye ngokuthi usebenzise kanjani le inhaler njalo. Okubalulekile, i-LABA ayinciphisi noma yikuphi ukuvuvukala kwangaphakathi okuhambisana nesifo sofuba.
Imiphumela ye-LABA Side Effects
Imiphumela emibi yenyama ye-LABAsifana kakhulu nalabo echazwe kuma- SABAs . Iziguli eziningi azihlangabezi nemiphumela emibi usebenzisa i- albuterol namanye ama-LABA. Uma uhlangabezana neminye imiphumela emibi, abanye odokotela bangakushintsha ku-LABA ehlukile.
Uma ngabe yiyiphi enye imiphumela emibi eyenzekayo, qiniseka ukuthi uxhumane nomhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha.
I-LABA Controversy
Kukhona ukukhathazeka okuphathelene nokuthi ukwelashwa kwe-LABA kwandisa ubuhlungu besifo se-asthma futhi mhlawumbe kwandisa ingozi yokuphefumula kwesifo somzimba . Lokhu okukhathazayo kubangele ukuxwayisa ibhokisi elimnyama kusuka ku-FDA.
Ngisho noma i-LABA inganciphisa ukuvama kweziqephu ze-asthma kanye nobukhulu bezimpawu, i-LABA ingenza iziqephu ze-asthma zibe nzima nakakhulu uma zenzeka. Naphezu kwalesi sixwayiso, uma i-steroids engatholakali ingakwazi ukulawula ngokwanele izimpawu zakho ze-asthma, unga:
- Ukwandisa umthamo we-steroid yakho evaliwe
- Engeza i-LABA
Kodwa-ke, akufanele uthathe i-LABA uma ungathathi i-steroid engatholakali. Udinga ukuxoxa ngalezi zingozi nomhlinzeki wakho we-asthma ukuze uthole ukuthi iyiphi inhle kakhulu kuwe.
Izibonelo zemithi ye-LABA
- I-Serevent® (i-salmeterol)
- I-Foradil® (formoterol)
Kunezinhlanganisela ze-LABAs kanye ne-ICS njenge-Advair, Symbicort, ne-Dulera. Konke kuboniswa ukuphathwa kwe-asthma. I-National Institute for Heath kanye ne-Clinical Excellence (NICE) ekubuyekezweni kwabo kwe-ICS iphetha "uma idivaysi yenhlanganisela ikhethwa ngakho-ke idivaysi engenani elibiza kakhulu elifanele umuntu ngamunye liyaphakanyiswa /
Isifingqo
I-LABA ingaba yingxenye ebalulekile yecebo lakho lohlelo lwe-asthma lapho izimpawu zakho zingalawulwa ngokwanele kwi-steroid engatholakali. Kubalulekile ukuqapha izimpawu zakho ukuqinisekisa ukuthi awudingi ukwelashwa okungeziwe. Ukwengeza, kubalulekile ukuthi uqonde imiphumela emibi kanye nokuthi yini okufanele uyenze uma kwenzeka.
Imithombo:
1. I-National Heart, Lung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma
2. Izikhungo Zikazwelonke Zempilo Nezokwelapha Emphakathini (NICE). I-corticosteroids engenayo yokwelashwa kwe-asthma engapheli kubantu abadala nezingane ezineminyaka engu-12 nangaphezulu. Mashi 2008 https://www.nice.org.uk/guidance/TA138