Chirwere chepfupa uye kuwedzera kweropa (inonzi hypertension) zvose zvinowanzobatwa nehutano hwakanaka, saka hazvishamisi kana iwe (kana mudikanwa) unonetseka kuti mishonga yako yephma inobata ropa rako.
Zvinosuruvarisa, mhinduro haina kufanana uye yakaoma sezvaungada. Mune mamwe mazwi, zvakanyanya kuoma kupfuura kungova hongu kana kwete.
Ngatinyatsoongororai maitiro ekugadzirisa mishonga yemapirma, uye kuti izvi zvingaita sei ropa romunhu.
Inonzi Dose Dose Inhalers muApmma: Maitiro Avanoita
Nhamba inonzi inhalers (MDIs) inowanzozivikanwa uye inowanzonzi yakagadzirirwa chirwere chechirwere. Zvechokwadi, kana iwe uine chirwere chepamu, mikana inenge inenge zana kubva muzana yekuti maMAGI ari chikamu chakanaka chekuita kwako nguva yekurapa. Izvi ndechokuti maMAGS arikurumidza kuita uye anoreva kushandiswa sehupfumi kwenguva pfupi kubva kunonzwa kwechifuva chisimbiso nekufema kunetseka kunobatanidza nekukurumidza, kuora mwoyo kwechirwere ichi.
Mushonga weMDC inoshanda nekutsvaga mamolekemu, anonzi beta receptors, iyo inowedzera masvingo emapfupa ekufema. Kana ichikurudzirwa nemishonga, idzi zvinogadzirisa zvinokonzera kuti mapfupa ekufuridzirwa awedzere, kubvisa zviratidzo zvechirwere. Nemhaka yekuti inoshanda sei, mushonga uyu unonzi beta-agonist (inowedzera basa re beta receptors).
Beta receptors zvakarewo anokosha mutongi webazi mumakamuri, apo kushandiswa kwavo kunoshanda kuderedza masimba emidziyo yeropa.
Zvechokwadi, iwe ungangodaro wakanzwa nezve beta blockers, rudzi rwakakurumbira rwehuwandu hwemishonga eropa . Beta blockers vanoshanda nekudzivirira kushandiswa kweropa mumutambo weBeta receptors. Izvi zvinoreva kuti midziyo inoramba ichiwedzera (kana yakawedzerwa) kudarika inowanzoitika, iyo inoderedza ropa romunhu.
Mishonga yeApmma: Migumisiro Yechirwere cheRopa
Zvinonzwisisika kushamisika pamusoro pemigumisiro yemishonga inonzi asthma inogona kunge ine kuwedzerwa kweropa nekuda kwemabasa avo e-beta-agonist.
Mune mamwe mazwi, kana mishonga yeAsma inokurudzira basa reBeta, uye kuwedzerwa kwebasa rekubata zvinowedzera kukonzera kuwedzerwa kweropa, saka zvinonzwisisika kufungidzira kuti mishonga ye-asthma inowedzera ropa.
Asi chokwadi chiri pane imwe nzvimbo pakati. Kana iwe waizoreurura zvakananga midziyo yeropa kumishonga ye beta-agonist asthma, iwe waizoona zvimwe zviduku zvemugadziri wezvigadzirwa. Zvisinei, izvi hazviiti nguva dzose kuvarwere veAsthma vachishandisa MDIs, uye kune zvikonzero zvakawanda zveizvi:
- Mishonga imishonga inoputika, uye pedo ne100 muzana yemishonga inogara mumapapu, uye kure nemagetsi epa beta mumidziyo yeropa.
- I beta agonist inoshandiswa mu MDIs (albuterol) inosarudza (kunyange isiri yakakwana) nokuda kwechikamu chemuviri we beta inowanikwa mumakungu akawanda pamapfupa ekufema, asi muzvikamu zviduku zvikuru pamidziyo yeropa.
- Albuterol ine nguva shomanana yebasa, naizvozvo kunyange zvazvo chiduku chiduku chechirwere chinogona kuwana nzira yaro kune mishonga yeropa, uye chikamu chiduku chezvinodhaka ichocho chinogona kukonzera kukanganisa pamidziyo iyoyo, zvinoitika zvinokurumidza kuenda.
Pamwe chete nemishonga pfupi-act, albuterol, mamwe mabha-agonists, ane hupenyu hurefu kwenguva refu, anowanzoshandiswa pakurapa kwemafi.
Izvi zvinosanganisira zvinodhaka sezvinonzi fenoterol (miviri yepakati, isina kushandiswa muUnited States) uye Severent (salmeterol), iyo inogara kwenguva refu.
Kunyange zvazvo mishonga iyi ichiramba iri mumuviri kwemarefu akawanda kupfuura albuterol, ivo vachiri kubatika, vanoramba vachigara mumapapu, uye havadi kushanda zvakajeka pamhando yezvinyorwa zvepa beta zvinowanikwa mumidziyo yeropa.
Shoko Rinobva
Chinokosha apa ndechekuti apo mishonga yako yepmma inogona kukurumidza kuwedzera ropa rako rinokonzerwa nebasa rayo beta-agonist, ichi hachisi chinhu chaunofanira kufunganya nezvazvo.
Kunyangwe zvakadaro, zvakakosha zvikuru kuronga chirongwa chekuchengeta asthma pamwe nemapirmonologist yako, allergist, kana chiremba wekugadzirira.
Urongwa hwako hunofanira kuisa mazano matatu anotevera:
- Nzira yakanakisisa yaunogona kudzivisa yako yakasiyana neyemhepo yakashata.
- Urongwa hwemishonga yaunofanira kutora kuti udzivirire zviratidzo zvechirwere (yako inoputika corticosteroid) inopesana nemishonga ipi yaunotora kuti usakurumidza kugadzirisa kurwisa kwepmma (albuterol yako inhaler).
- Nhanho-nhanho chirongwa chekubatsira kuziva apo unoda kutsvaga kurapwa.
Pamashoko ekupedzisira, tapota taurira chiremba wako zvose mishonga iwe uri kutora, sevamwe vanogona kuwirirana nemishonga yako yephma semaspirin , nonsteroidal anti-inflammatories, kana beta-blockers .
Sources:
American Academy of Allergy Chirwere & Immunology. (2017). Mishonga uye Vakwegura Vakuru.
> Arboe B, > Ulri > CS. Beta-blockers: shamwari kana muvengi mune asthma? Int J Gen Med . 2013; 6: 549-55.
> Zvinodhaka Kuita Hurongwa Hwekufuridzira. Mu: Pharmacology, 2nd Ed, Mycek, MJ, Harvey, RA, Champe, PC (Eds), Lippincott, Williams, naWilkins, Philadelphia, PA 2000. p.217-222.