Ðe gbɔgbɔ sesẽna na wò alo ɖe nɔnɔme aɖe abe asrã ene le ŋuwòa? Èlé ŋku ɖe yagbɔgbɔmɔ̃ si nèzãna ƒe ŋkɔ ŋu kpɔa? Ðewohĩ wò ɖɔkta na atike aɖe si woyɔna be "beta-agonist" wò. Nuka tututue esia fia? Ŋkɔa aɖi nya sesẽ vie, gake mègatsi dzi o. Egbea míaƒo nu tso eŋu le mɔ bɔbɔe aɖe ŋutɔ si gɔme nàte ŋu ase nu.
Kpuie ko la, nukae nye beta-agonist sia?
Beta-agonists nye atike ƒomevi aɖe si wozãna koŋ tsɔ daa lãkusi ƒe dɔlélewo. Be nàse alesi wowɔa dɔe gɔme la, ele be nàse "trɔtrɔ" sue siwo le míaƒe ŋutilã me gɔme. Míeyɔa beta-xɔla siawo be . Bu wo be wonye ʋɔtru sue siwo le míaƒe gaxɔwo me. Beta-agonist ye nye safui si ʋua ʋɔtru siawo.
Ne atike sia (safuia) yi ɖabla ɖe xɔla ma (ʋɔtrua) ŋu la, lãmenugbagbevi ma xɔa "dzesi" be wòawɔ nane. Dzesi sia nana lãmeka siwo le ŋutinuwo abe míaƒe lãkusi kple dzi ene me la ɖea dzi ɖi. Ne lãmeka siwo le lãkusia me la ɖe dzi ɖi la, yaƒoƒomɔ̃ siwo xaxa la kekena, si wɔnɛ be gbɔgbɔ nɔa bɔbɔe na wò. Azɔ hã, beta-agonists ƒomevi aɖewo ate ŋu ana míaƒe dzi ƒe tsotso nadzi ɖe edzi eye dzia nawɔ dɔ nyuie wu.
Nukawoe nye beta-agonists ƒomevi veviwo?
Beta-xɔla ƒomevi vevi etɔ̃e le míaƒe ŋutilã me: beta-1, beta-2, kple beta-3. Eyata wotrɔ asi le atike siawo ŋu be woatsɔ aɖo atike mawo siwo xɔa dɔlékuiwo gbɔ.
Beta-1 ƒe dɔlékuiwutikewo
Esiawo tɔa ŋku beta-1-xɔla siwo le míaƒe dzi me koŋ . Ne wona atike siawo la, dzia tea ƒoƒo kabakaba eye wòdzea ʋu sisi gɔme kple ŋusẽ geɖe wu. Zi geɖe la, ɖɔkta siwo le kɔdziwo zãa esiawo le nɔnɔme kpatawo abe dzidɔ ene me.
Beta-2 ƒe dɔlékuiwutikewo
Esiae nye beta-agonist ƒomevi si wozãna wu. Anɔ eme be asrãtike si nèzãna la nye atike siawo ƒomevi dometɔ ɖeka. Esiawo tɔa ŋku beta-2 xɔla siwo le lãkusiwo me . Ne wogbɔ atike siawo to yagbɔgbɔmɔ̃ dzi la, wonaa lãmeka siwo ƒo xlã yaƒoƒomɔ̃ siwo le lãkusiwo me la ɖea dzi ɖi, si wɔnɛ be wokekena. Esia tae wogayɔa wo be aɖuɖɔtoe kekeɖenudɔlékuiwo .
Woma beta-2 agonist sia ƒomevi hã ɖe hatsotso eve me:
- Beta-agonists siwo wɔa dɔ kpuie (SABA): Esiawoe nye esiwo le wò "xɔname yagbɔgbɔwo" me. Tsɔe be asrãdɔ dze dziwò kpata eye gbɔgbɔtsixe tsi ƒowò. Ne èƒo yagbɔgbɔmɔ̃ sia la, ekekea wò yaƒoƒomɔ̃wo ɖe enu kabakaba eye wònana wònɔa bɔbɔe be nàgbɔ ya le aɖabaƒoƒo ʋɛ aɖewo ko me.
- Beta-agonists (LABA) siwo wɔa dɔ ɣeyiɣi didi:Wozãa esiawo gbesiagbe tsɔ ɖua dzesiwo dzi. Ðɔktawo kafu esiawo na amesiwo ŋu dɔlélewo abe COPD (Chronic Obstructive Pulmonary Disease) le alo amesiwo ŋu asrã dzea ame dzi enuenu. Esiawo ƒe ŋusẽkpɔɖeamedzi nɔa anyi gaƒoƒo geɖe.
Beta-3 ƒe dɔlékuiwutikewo
Atike sia ƒomevi nye nu yeye kura. Wozãa beta-3 agonists siwo li xoxo tsɔ naa tsinyegoe ƒe lãmekawo ɖea dzi ɖi . Esia nye be woatsɔ ada nɔnɔme aɖe si woyɔna be "tsinyegoe si wɔa dɔ fũu akpa," si nye ɣeyiɣi si me wòle be nàɖe aɖuɖɔ enuenu. Wodzia tsinyegoe ƒe ŋutete ɖe edzi eye wokpɔa aɖuɖɔ ƒe didi dzi.
Nɔnɔme vevi siwo me wozãa beta-agonists na
Abe alesi míedzro eme va yi ene la, nɔnɔme siwo me wozãa beta-agonists le la toa vovo le beta-agonist ƒomevi si wozãna nu.
- Yagbɔgbɔdɔlélewo: Zi geɖe la, wozãa beta-2 agonists (vevietɔ yagbɔgbɔdɔlékuiwo) tsɔ daa nɔnɔmewo abe asrã kple COPD ene .
- Atikewɔwɔ ƒe nɔnɔme kpatawo: Wozãa beta-1 agonists le kɔdziwo tsɔ naa dzia gawɔa dɔ le nɔnɔmewo abe nulɔdɔ sesẽwo (anaphylaxis) kple dzitodzito ƒe ʋuʋu ene me.
- Dzidɔ: Woate ŋu azã esiawo hã atsɔ ada dzidɔ aɖewo.
- Tsinyegoe me kuxiwo: Wozãa beta-3 agonists tsɔ daa tsinyegoe si wɔa dɔ akpa.
- Potassium ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me (Hyperkalemia): Le go aɖewo me la, wozãa beta-2 agonist hã tsɔ léa potassium ƒe agbɔsɔsɔ si sɔ gbɔ le ʋu me si me afɔku le nu.
Nu vevitɔe nye be mele be nàzã atike siawo dometɔ aɖeke ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o. Wò ɖɔkta koe ate ŋu anya atike, agbɔsɔsɔme, kple mɔnu si sɔ na wò.
| Beta-agonist ƒomevi aɖe | Kpɔɖeŋuwo (atikewo ƒe ŋkɔwo) . | Wozãnɛ koŋ |
|---|---|---|
| Beta-2 agonist (SABA) si wɔa dɔ kpuie . | Albuterol, Salbutamol, Nusiwo wotsɔna ƒoa ƒui | Le gbɔgbɔtsixetsixe kpata si asrã alo COPD hena vɛ ta. |
| Beta-2 agonist (LABA) si wɔa dɔ ɣeyiɣi didi . | Formoterol, Salmeterol, Indakaterol ƒe dɔléle | Be woakpɔ asrã kple COPD ƒe dzesiwo gbɔ gbesiagbe. |
| Beta-1 ƒe atike si nye beta-1 | Dobutamine, Norepinephrine (Noradrenaline) ƒe atike . | Be dzia ƒe dɔwɔwɔ nadzi ɖe edzi le nɔnɔme kpatawo abe dzidɔ ene me. |
| Beta-1 kple beta-2 ƒe dɔlékuiwutikewo | Epinephrine (Adrenaline), Dɔlékuiwutike si woyɔna be Isoproterenol | Le nɔnɔme kpatawo abe nulɔdɔ sesẽwo (anaphylaxis) ene me. |
| Beta-3 ƒe atike si nye beta-3 | Mirabegron ƒe ŋkɔ | Tsinyegoe si wɔa dɔ akpa. |
Aleke atike sia wɔa dɔ le ŋutilãa me?
Esia gɔmesese le bɔbɔe ŋutɔ. Nane le míaƒe ŋutilã me si woyɔna be "autonomic nervous system." Esiae kpɔa ŋusẽ ɖe nusiwo dzi míate ŋu aɖu o dzi (abe gbɔgbɔ, dzi ƒe tsotso ene). Woyɔa esia ƒe akpa aɖe be "veveseseɖeamenu ƒe lãmekawo ƒe dɔwɔwɔ." Esiae ʋãa míaƒe ŋutilã ƒe "avuwɔwɔ alo sisi" ƒe ŋuɖoɖo.
Tsɔe be èle zɔzɔm le mɔa dzi eye kasia avu aɖe ti wò yome. Kasia wò ŋutilã toa tɔtrɔ gã aɖe me, alo?
- Dzia le ƒoƒom sesĩe.
- Gbɔgbɔ le dodom kabakaba.
- Ŋutilãa senɛ le eɖokui me be ŋusẽ gã aɖe le ye ŋu.
Emae nye nusi "veveseseɖeamenu ƒe lãmeka" wɔna. Beta-agonist-tikewo doa ŋusẽ ɖoɖo sia ƒe akpa aɖewo le mɔ si wowɔ nu, eye afɔku aɖeke mele nɔnɔme si me afɔku le alea me o.
- Le lãkusiwo gome: Ekekea yaƒoƒomɔ̃wo ɖe enu, si kpena ɖe ŋutilãa ŋu wòxɔa oxygen geɖe.
- Le dzia gome: Enaa dzi ƒe tsotso dzina ɖe edzi eye wòɖoa ʋu si me ɔksidzin sɔ gbɔ ɖo ɖe lãmekawo kabakaba wu.
- Le tsinyegoea gome la:Enaa tsinyegoea ɖea dzi ɖi, si wɔnɛ be wòte ŋu léa aɖuɖɔ geɖe ɖe asi.
Woyɔa atikewo ƒe hatsotso aɖe si wɔa nusi to vovo na esia tututu be "beta-blockers." Woxea mɔ na beta-xɔla (agbo) mawo siwo ŋu míeƒo nu tsoe. Ekema beta-agonists mate ŋu aʋã wo o.
Nukawoe nye atike siawo ƒe nugbegblẽ le ame ŋu?
Abe atike ɖesiaɖe ene la, beta-agonists ate ŋu ahe nugbegblẽ le ame aɖewo ŋu. Gake ne wozãe abe atike si wogbɔna ene la, atike la yia lãkusiwo me tẽ, eyata zi geɖe la, afɔku si le eme be wòagblẽ nu le ame ŋu la mebɔ o. Gake ame aɖewo ate ŋu ato nusiwo le abe:
- Dzi ƒe tsotso ƒe dzidziɖedzi (Tachycardia) .
- Dzi ƒe tsotso si mesɔ o (Arrhythmia) .
- Ʋusɔgbɔdɔ (Hypertension) .
- Abɔ kple afɔwo ƒe ʋuʋu
- Dzimaɖitsitsi alo dzimaɖitsitsi
- Fifia ƒe ʋuʋu
- Taɖuame
- Lãmetsiwo ƒe ʋuʋu
Ne èkpɔ nugbegblẽ le ame ŋu siawo dometɔ aɖe, alo edze abe wò atikewo mele dɔ wɔm o ene la, ƒo nu kple wò ɖɔkta enumake . Ðewohĩ ate ŋu atrɔ asi le wò agbɔsɔsɔme ŋu alo aŋlɔ atike bubu na wò.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne èle beta-agonist zãm la, kpɔ egbɔ be yeyi ɖɔkta gbɔ le nɔnɔme siawo me.
- Ne èkpɔ nugbegblẽ le ame ŋu si mèle mɔ kpɔm na o alo esi nu sẽ ŋutɔ.
- Ne èse le ɖokuiwò me be yeƒe atikewɔwɔ megale dɔ wɔm o. Le kpɔɖeŋu me, ne tsã la, ète ŋu zãa wò yagbɔgbɔmɔ̃ ƒe yaƒoƒo ɖeka ko, gake fifia ehiã be nàzã yagbɔgbɔ eve alo etɔ̃.
- Ne wò dzesiwo le sesẽm ɖe edzi gbesiagbe.
Ne gbɔgbɔ sesẽ na wò vevie, akɔta le veve sem, alo nuyiwo le blɔ la, yi kɔdzi ƒe xɔ si te ɖe ŋuwò kpata (ETU) enumake. Esiawo ate ŋu anye nɔnɔme sesẽ aɖe ƒe dzesiwo.
Gbedasi si Wotsɔ Yi Aƒeme
- Beta-agonists nye atike ƒomevi aɖe si daa gbɔgbɔmedɔlélewo abe asrã kple COPD ene koŋ.
- Esiawo wɔa dɔ to yaƒoƒomɔ̃ siwo le lãkusiwo me keke ɖe enu eye wonana gbɔgbɔ nɔa bɔbɔe me.
- Wole ƒomevi vevi eve: esi wɔa dɔ kpuie (SABA) kple esi wɔa dɔ ɣeyiɣi didi (LABA). Wozãa SABA le nɔnɔme kpatawo me.
- Ele be woazã atike sia ɣesiaɣi ne ɖɔkta kafui ko, eye le agbɔsɔsɔ si woŋlɔ nɛ me.
- Nugbegblẽ le ame ŋu abe asiʋuʋu kple dzi ƒe tsotso kabakaba ene ate ŋu ado mo ɖa, eye ne esẽ alo ne èse le ɖokuiwò me be atikewɔwɔa mele dɔ wɔm o la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment