Zvaunoda Kuziva uye Kurinda Kana uri paTheophylline
Theophylline inonzi methylxanthine iyo yose inonzi bronchodilator uye inogona kunge yakanyanyisa kurwisa-kupisa. Kunyange zvazvo inogona kushandiswa sechirevo chekugadzirisa, kushandiswa kwakasiyana-siyana neine steroid inoputika , iyi haisi mishonga inoshandiswa kana chirwere chinoramba chichida chinoda mishonga yekurapa kwemafi. Theophylline periodically inova yakakurumbira uye inobva isingafarirwi navanachiremba vanobata chirwere chemafi.
Zvisinei, chimwe chezvikomborero zvaro chikuru kana ichienzaniswa nemamwe mishonga yemapirma ndeyekuti haina mari. Izvi zvinoita kuti zviwedzere kunakidza sekuwedzera-pane kurapwa mushure mokunge steroid inoputika haina kukwana zvakakwana zviratidzo zvechirwere mumafungiro evarwere vazhinji.
Nemhaka yokuti theophylline inogona kupera kwemaawa makumi maviri nemaviri, vamwe vanachiremba vachashandisa theophylline kuti vawane kudzora kwezviratidzo zveusiku hwemafi, kunyanya kuramba kwakasimba kana kusinganzwisisiki kwenguva refu .
Iyo Theophylline Inoshanda Sei
Theophylline mutungamiriri wemishonga inoshanda sebronchodilator uye inodzokorora mitsipa iyo yakasimbiswa sechikamu chema asthma yako. Theophylline inewo-anti-inflammatory uye bronchoprotective zvinhu zvinogona kunge zviri nani kutsanangura mano ayo ekubatsira kudzora zviratidzo zvechirwere panzvimbo pekutsvaira kwayo mararamiro chete.
Nemhaka yezvimwe nzira dzakachengeteka dzakadai steroid inhared (uye vanachiremba mukurovedza nhasi vane ruzivo rwakawandisa nemishonga sezvatakange takaita munguva iyo yave isisina kufarirwa nevechiremba), kwenguva yakareba beta agonists (LABAs) uye leukotriene modifiers, theophylline haigoni kurondedzerwa semutsara wokutanga kana wechipiri kurapa kwechirwere nechiremba wako.
Chikonzero icho theophylline chakanga chisingafadzi ndeyekuti hachiratidzi sekushanda pamwe chete nemimwe mishonga yekurapa. Zvidzidzo hazvina kuratidza kuti theophylline yakaenzana nesteroid inhaled mukurapa kweAsthma. Saizvozvowo, zvidzidzo zvakaratidza kuti LABAs zvinobudirira paunowedzera mushonga wechipiri pane kuwedzera theophylline.
Theophylline inoda humwe hutano hwehupenyu hunobudirira kuti huve nehutano hwekurapa asi hunogona kukonzera kuipa kwemigumisiro apo iyo yezinga inopfuura. Vanachiremba vanowanzotsanangurira izvi sechinhu chiduku chekurapa.
Theophylline inotengeswa pasi pemazita aya anotevera:
- Elixophyllin
- Theo-24
- Theo-Bid Duracap
- TheoCap
- Theochron
- Theo-Dur
- Theo-Dur Futa
- Theolair
- Theovent LA
- Slo Bid
- Slo-Phyllin
- Uniphyl
Kuongorora Theophylline Nhamba
Mukuwedzera kune migumisiro, chinhu chimwe chete nevarwere havadi nezvekushandisa theophylline ndeyekuti iwe unoda kuva neropa rakaswededzwa kuongorora theophylline mazinga muropa rako. Zvichienderana nezvamunoita, iwe unogona kuita izvi zvakaenzana kamwechete pamwedzi kusvika wapedza kugadzikana, yakagadzirisa theophylline muropa rako. Kazhinji, chiremba wako ari kuedza kuwana theophylline muropa re 5-15 μg / ml. Kana thyophylline yepamusoro iri pamusoro peizvi, iwe une mukana mukuru wekutarisana nemigumisiro.
Uyezve, zvinokosha kurega chero chiremba iwe waunoona uchiziva kuti uri pa theophylline. Nemhaka yokuti theophylline inobatanidza nemhando dzakawanda dzemishonga, chero chiremba waunoona chinoda kuziva kuti uri pane theophylline. Zvidzidzo zvakaratidza zvikamu makumi matatu nezviviri zvevarwere pa theophylline zvinorayirwa mamwe mishonga inonyatsopindirana ne theophylline.
Mamwe mishonga inobatanidza neopoporlline inosanganisira:
- Allopurinol: Inogona kuwedzera mazinga eropa theophylline
- Benzodiazepines: Theophylline inogona kuderera
- Beta-Blockers : Inogona kuderedza bronchodilatation effect ye theophylline
- Carbamazepine: Theophylline inogona kuderedza kuwanda kweropa uye kuwedzera kukunda ngozi
- Ciprofloxacin: Theophylline mazinga anowedzera nemishonga inorwisa mabhakitiriya nemamwe ose maantibayoti mukirasi ino. Kana ukagamuchira IV theophylline uye IV ciprofloxacin kuburikidza nemukato iwoyo IV, kristalllization inogona kuitika
- Formoterol: Theophylline inowedzera ngozi yepasi pasiziyamu
- Zafirlukast: Theophylline inogona kuderedza mazinga eropa zveaffirlukast
- Zileuton: Itai kuti muwedzere sarum mujinga we theophylline
Uyezve, kana une zvimwe zvinetso zvezvehutano kana mamiriro ezvinhu iwe unofanirwa kuchenjerera kana iwe ukatora theophylline:
- Chirwere chepachiropa: Kana uine dambudziko reropa, muviri wako hauna kutengesa theophylline nokukurumidza semunhu anowanzogara, uye chido chako chinoda kuderedzwa.
- Kukanganisa mwoyo kukanganisa: Dose inofanira kuderedzwa sechiropa chechiropa
- Kusvuta: Kana ukasvuta, ungada chirwere chakakura che theophylline. Uyewo, kana ukasarudza kurega kusvuta unogona kudikanwa kuderedza yourophylline dose.
Current Indications For Theophylline
Kune dzimwe nzvimbo dzakasiyana-siyana umo theophylline inoshandiswa mazuva ano mukurapa kweAsthma:
- Sechirongwa chekugadzirisa kana steroid inoputika haikwanise kudzora zviratidzo zve asthma kana apo dzimwe nhengo dzakawedzerwa ( LABAs) kana ( leukotriene modifiers) uye dzisingabatsiri mukudzora zviratidzo.
- Sezvokutanga kugadzirisa kurapwa apo murwere asingateereri (kana kuti zvakaoma kana kuti kuoma) kune steroid inoputika uye leukotriene modifier haisi kubudirira.
- Apo murwere ari muchipatara chekuchengetedza zvakasimba ane chirwere chakanyanya chekushaya chirwere uye kusapindura kune dzimwe mishonga.
Theophylline Side Effects
Chimwe chezvikonzero chikuru nei theophylline isingawanzoshandiswi zvakare nekuda kwemigumisiro. Varwere vakawanda, zvisinei, havakwanisi kuva nemigumisiro yakawanda pa theophylline. Vamwe varwere vanowanikwawo nemigumisiro mukati mevhiki yekutanga yekurapa ne theophylline. Kana iwe uchikwanisa kuzvitsungirira pakutanga, muviri wako unenge uchinge uchinetseka. Zviratidzo izvo muviri wako uchazoshandiswa, asi iwe unoda kutaura nachiremba wako kana vasingabvi, zvinosanganisira:
- Kushungurudza pamuviri kana kurwadziwa
- Diarrhea
- Headache
- Kunyunyuta
- Kusvibiswa
- Kusagadzikana
Mamwe madambudziko akaipa aunoda kuzivisa chiremba wako nokukurumidza anosanganisira:
- Hazvina kuchena mwoyo kurohwa kana kuenzana
- Kugumburwa
- Kushanda kweganda
- Kudzora
Sources:
Pasko S, Simons WR, Sena MM, Stoddard ML. Mubairo wekutarisana nekusanganiswa kweedophylline-zvinodhaka. Clin Ther. 1994 Nov-Dec; 16 (6): 1068-77.
> UpToDate. Theophylline: Patient drug information
National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma