Ke paʻakikī nei hoʻi ʻoe i ka hanu ʻana e like me ka hānō? I kēlā mau manawa, ua haʻi aku paha ke kauka iā ʻoe e hoʻohana i kahi inhaler. ʻO nā Beta-agonists kahi ʻano lāʻau lapaʻau kūikawā i loko o kēlā mau inhaler e maʻalahi ai ko mākou hanu ʻana. ʻOiai he paʻakikī iki kēia inoa, he maʻalahi loa ka hana o kēia mau mea. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku, me ka maʻalahi loa.
I ka ʻōlelo maʻalahi, he aha ka beta-agonist?
E noʻonoʻo i nā ʻāpana o ko kākou kino me he mau 'switches' a i ʻole 'buttons' liʻiliʻi. I ka lāʻau lapaʻau, kapa mākou i kēia mau receptors. ʻO kēia ʻano lāʻau lapaʻau, i kapa ʻia ʻo beta-agonist, hoʻohuli i kēia mau 'switches' i kapa ʻia ʻo beta-receptors i loko o ko kākou mau māmā a me nā ʻōpū ʻē aʻe.
Ke hoʻā ʻia kēia kuapo, e hoʻomaha nā ʻiʻo a puni nā ala ea i loko o nā māmā. Wehe kēia i nā ala ea i haiki a maʻalahi iā mākou ke hanu. ʻO ia ke kumu i kapa ʻia ai kēia mau lāʻau lapaʻau he 'bronchodilators'. Eia kekahi, kōkua lākou i ka hoʻonui ʻana i ka helu o ka puʻuwai a hoʻonui i ka hana o ka puʻuwai i kekahi ʻano.
Aia kekahi mau ʻano nui o nā beta-agonists?
ʻAe, ua māhele ʻia kēia mau lāʻau lapaʻau i ʻekolu mau māhele nui, ma muli o nā ʻano o nā beta-receptors i loko o ko mākou kino.
- ʻO nā agonists Beta-1: Hoʻopilikia nui kēia i nā mea loaʻa i loko o ko kākou puʻuwai . Hoʻoikaika kēia ʻano lāʻau i ka puʻuwai e kuʻi wikiwiki a kōkua iā ia e pamu i ke koko me ka ikaika hou aku. ʻO ia ke kumu e hoʻohana ai nā kauka iā lākou i kekahi mau maʻi puʻuwai a me nā pilikia.
- ʻO nā agonists Beta-2: ʻO kēia ke ʻano i hoʻohana pinepine ʻia. Hana kēia mau lāʻau lapaʻau, ʻoiai nā mea i hāʻawi ʻia e ka inhaler, ma ka hoʻopaʻa pololei ʻana i nā mea loaʻa i loko o nā māmā , e hoʻomaha ana i nā ʻiʻo i loko o nā alaloa a e maʻalahi ai ka hanu ʻana. He mea nui lākou i ka mālama ʻana i nā kūlana e like me ka hānō a me ka COPD (Chronic Obstructive Pulmonary Disease).
- Nā agonists Beta-3: He papa lāʻau lapaʻau hou kēia. Hana nui nā lāʻau lapaʻau o kēia papa ma ka hoʻomaha ʻana i nā ʻiʻo o ka ʻōpū mimi , e hōʻemi ana i ka pono e mimi pinepine. ʻO ke ʻano kēia, hoʻohana ʻia lākou e mālama i kahi maʻi i kapa ʻia ʻo ka ʻōpū mimi overactive.
Aia kekahi mau ʻano o nā agonists beta-2.
ʻAe, ua māhele ʻia kēia ʻano beta-2 i hāʻawi ʻia no nā pilikia hanu i ʻelua ʻāpana. He mea nui loa iā ʻoe e ʻike i kēia.
| ʻAno lāʻau lapaʻau | Wehewehena |
|---|---|
| Nā Beta-Agonists Hana Pōkole (SABA) | Ua kapa ʻia kēia mau mea he "rescue inhalers." Hoʻohana ʻia lākou i ka wā e ʻoi koke ai ka maʻi hānō a i ʻole i ka wā e paʻakikī ai ʻoe i ka hanu ʻana. Hana lākou i loko o nā minuke a hāʻawi i ka hōʻoluʻolu wikiwiki. |
| Nā Beta-Agonists Hana Lōʻihi (LABA) | ʻAʻole kēia no ka hōʻoluʻolu wikiwiki. Hoʻohana ʻia lākou i kēlā me kēia lā, i nā manawa maʻamau, e kāohi i nā hōʻailona a pale i nā pilikia hanu. Loaʻa ko lākou hopena no kekahi mau hola. Hāʻawi pinepine ʻia lākou me ka lāʻau steroid (corticosteroid). |
Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?
ʻO ke ala maikaʻi loa e hoʻomaopopo ai i kēia, ʻo ia ka noʻonoʻo ʻana i ka pane "hakakā a holo paha" o ko kākou kino. E noʻonoʻo e kokoke ana ʻoe e kū i kahi pōʻino koke. I kēlā manawa, hoʻomākaukau kou kino e hakakā a holo paha.
I kēia manawa, hele mai nā hōʻailona mai ka lolo mai, e hoʻonui ana i nā ala ea i loko o nā māmā e lawe i ka oxygen hou aku, a e hoʻolalelale ana i ka helu o ka puʻuwai e hoʻouna i kēlā koko momona i ka oxygen i nā ʻiʻo me ka wikiwiki.
ʻO ia ka mea a nā lāʻau lapaʻau beta-agonist e hana ai ma ke ʻano hana. Hoʻā lākou i nā 'switches' kūpono (nā receptors) a hoʻolilo i ke kino e pane me he mea lā e kū nei i kahi pilikia. ʻO ia ke kumu e hoʻomaha ai nā ʻiʻo o loko o nā māmā, e maʻalahi ai ka hanu ʻana.
He aha nā lāʻau lapaʻau beta-agonist i hoʻohana pinepine ʻia?
Aia nā ʻano lāʻau lapaʻau beta-agonist like ʻole a nā kauka e kuhikuhi ai. Eia kekahi mau laʻana:
| Māhele lāʻau lapaʻau | Nā Laʻana (inoa lāʻau lapaʻau) |
|---|---|
| ʻO ka beta-2 hana pōkole (SABA) | ʻO Salbutamol / Albuterol, Levalbuterol |
| ʻO ka beta-2 hana lōʻihi (LABA) | Formoterol, Salmeterol, Indacaterol |
| ʻAgonist Beta-1 | Dobutamine, Norepinephrine |
| ʻAgonist Beta-3 | Mirabegron |
Aia kekahi mau hopena ʻaoʻao i kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i nā beta-agonists ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia nō naʻe, i ka wā e hoʻohana ʻia ai ma ke ʻano he inhaler, hele pololei ka lāʻau lapaʻau i nā māmā, no laila ʻaʻole ʻoi aku ka koʻikoʻi o nā hopena ʻaoʻao. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i:
- Ka wikiwiki o ka puʻuwai (Tachycardia)
- Puʻuwai puʻuwai kūpono ʻole (Arrhythmia)
- Ka haʻalulu
- Hopohopo
- Nā ʻeha poʻo
- ʻEhaʻeha o nā ʻiʻo
- Ka hou ʻana
ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao, a inā paha ʻoe e manaʻo i kekahi mea ʻē ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau, e kamaʻilio koke me kāu kauka. Hiki paha iā ia ke hoʻoponopono i ka nui o ka lāʻau a kuhikuhi paha i kahi lāʻau lapaʻau ʻokoʻa nāu.
Āhea ʻoe e ʻike ai i ke kauka?
Aia kekahi mau kūlana kahi he mea nui loa ke ʻike i kāu kauka.
- Inā loaʻa iā ʻoe nā hopena ʻino a me nā hopena i manaʻo ʻole ʻia .
- Inā manaʻo ʻoe ʻaʻole e hana maikaʻi ana kāu lāʻau lapaʻau e like me ka wā ma mua (no ka laʻana, pono ʻoe e hoʻohana i kāu inhaler ma mua o ka wā ma mua e loaʻa ai ka hōʻoluʻolu).
- Inā manaʻo ʻoe e piʻi aʻe ana ka ʻino o kāu mau hōʻailona a ʻaʻole hiki iā ʻoe ke kaohi iā lākou .
I kēia hihia, hiki i kāu kauka ke nānā i kāu hoʻolālā lapaʻau a hāʻawi iā ʻoe i ka hopena ʻoluʻolu a maikaʻi loa.Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a ke kauka. Inā loaʻa iā ʻoe kekahi mau hopena ʻino, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU).
Leka Lawe-Home
- ʻO nā Beta-agonists kahi ʻano lāʻau lapaʻau e maʻalahi ai ka hanu ʻana, hoʻohana nui ʻia no nā maʻi hanu e like me ka hānō a me ka COPD.
- ʻElua ʻano nui: ka hana pōkole (SABA) e hāʻawi ana i ka hoʻomaha wikiwiki i nā pilikia, a me ka hana lōʻihi (LABA) e hāʻawi ana i ka kaohi lōʻihi o ka maʻi.
- E hoʻohana mau i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, a ma ke ʻano wale nō i kuhikuhi ʻia .
- E makaʻala i nā hopena ʻaoʻao e like me ka puʻuwai wikiwiki a me nā lima haʻalulu. Inā loaʻa iā ʻoe kekahi ʻehaʻeha, e hoʻomaopopo koke i kāu kauka.
- Inā manaʻo ʻoe ʻaʻole e holo pono ana kāu lāʻau lapaʻau a i ʻole e ʻoi aku ka ʻino o kāu mau hōʻailona, mai mālama ponoʻī a e ʻimi i ke kōkua lapaʻau.
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