He uaua anō hoki tō manawa pērā i te mate huango? I ēnei wā, tera pea kua kī atu te tākuta kia whakamahia he inhaler. Ko ngā Beta-agonists he momo rongoā motuhake kei roto i aua inhaler e whakangāwari ake ai tō tātou manawa. Ahakoa he ahua uaua tēnei ingoa, he tino māmā noa iho te mahi a ēnei. Me kōrero tātou mō tēnei me ētahi atu taipitopito, me te tino māmā noa iho.
He aha te tikanga o te beta-agonist?
Whakaarohia ngā pūtau o roto i ō tātou tinana he iti noa iho ā rātou 'pana', he 'pātene' rānei. I roto i te rongoā, ka karangatia ēnei kaiwhakawhiwhi. Ko tēnei momo rongoā, e kiia nei ko te beta-agonist, ka tahuri i ēnei 'pana' e kiia nei ko ngā beta-receptor i roto i ō tātou pukahukahu me ētahi atu okana.
Ina tahurihia tēnei pana, ka whakangāwari ngā uaua e karapoti ana i ngā ara manawa i roto i ngā pukahukahu. Ka huakina ngā ara manawa kua whaiti, ā, ka māmā ake te manawa. Koia te take i huaina ai ēnei rongoā he 'bronchodilators'. Hei tāpiri, ka āwhina i te whakanui ake i te tere o te manawa me te whakanui ake i te mahi a te ngakau ki tētahi taumata.
He momo matua o ngā beta-agonists?
Ae, e toru ngā wāhanga matua o ēnei rongoā, i runga i ngā momo beta-receptors i roto i tō tātou tinana.
- Beta-1 agonists: Ka pā te nuinga o ēnei ki ngā kaiwhakawhiwhi i roto i tō tātou ngākau . Mā tēnei momo rongoā ka tere ake te pao o te ngākau, ka āwhina hoki i te pupuhi toto me te kaha ake. Koia te take e whakamahia ai ēnei e ngā tākuta i roto i ētahi mate ngākau me ngā āhuatanga ohorere.
- Ngā kaiwhakaoho Beta-2: Koinei te momo e whakamahia whānuitia ana. Ko ēnei rongoā, inā koa ko ngā mea e hoatu ana mā te inhaler, ka mahi mā te here tika ki ngā kaiwhakawhiwhi i roto i ngā pukahukahu , ka whakangāwari i ngā uaua o ngā ara manawa, ka māmā ake te manawa. He mea nui ēnei mō te rongoā i ngā mate pēnei i te mate huango me te COPD (Mate Pūkahukahu Ārai Mau).
- Ngā kaiwhakaoho Beta-3: He momo rongoā hou ēnei. Ko te mahi matua a ngā rongoā o nāianei i tēnei momo ko te whakangāwari i ngā uaua o te pūhā , ka whakaiti i te hiahia ki te mimi pinepine. Ko te tikanga o tēnei ka whakamahia hei rongoā i te mate e kiia nei ko te pūhā kaha rawa.
He momo anō hoki ngā agonists beta-2.
Ae, e rua ngā wāhanga o tēnei momo beta-2 e hoatu ana mō ngā uauatanga manawa. He mea tino nui kia mōhio koe ki tēnei.
| Momo rongoā | Whakaahuatanga |
|---|---|
| Ngā Beta-Agonists Mahi Poto (SABA) | Ka kiia ēnei he "whakaora manawa". Ka whakamahia ēnei ina ka kino haere ngā whakaekenga huango, ina uaua rānei te manawa. Ka mahi i roto i ngā meneti, ā, ka tere te whakaora. |
| Ngā Rongoā Beta-Agonists Mahi Roa (LABA) | Ehara ēnei i te mea hei whakaora tere. Ka whakamahia i ia rā, i ngā wā auau, hei whakahaere i ngā tohu me te ārai i ngā uauatanga manawa. Ka roa te pānga mō ētahi haora. I te nuinga o te wā ka hoatu ngātahitia me te rongoā steroid (corticosteroid). |
He pēhea te mahi a tēnei rongoā i roto i te tinana?
Ko te huarahi pai ki te mārama ki tēnei ko te whakaaro ki te urupare "whawhai-rānei-rere" a tō tātou tinana. Whakaarohia kei te tata koe ki te tūtaki ki tētahi tūpono ohorere. I taua wā tonu, ka whakarite tō tinana ki te whawhai, ki te oma atu rānei.
I tēnei wā, ka puta mai ngā tohu i te roro, ka whānui ake ngā ara manawa i roto i ngā pukahukahu kia nui ake te hāora e mimitihia ana, ā, ka tere ake te tere o te manawa kia tere ake te tuku i taua toto whai hāora ki ngā uaua.
Koinei tonu te mahi a ngā rongoā beta-agonist. Ka tahurihia e rātou ngā 'pana' tika (ngā kaiwhakawhiwhi) ka urupare te tinana me te mea kei te tūtaki ki tētahi āhuatanga ohorere. Koia te take e wātea ai ngā uaua o ngā pukahukahu, ka māmā ake te manawa.
Ko ēhea ngā rongoā beta-agonist e whakamahia whānuitia ana?
He rerekē ngā momo rongoā beta-agonist e tohua ana e ngā tākuta. Anei ētahi tauira:
| Kāwai rongoā | Ngā tauira (ingoa rongoā) |
|---|---|
| Beta-2 mahi poto (SABA) | Salbutamol / Albuterol, Levalbuterol |
| Beta-2 roa-mahi (LABA) | Formoterol, Salmeterol, Indacaterol |
| Beta-1 agonist | Dobutamine, Norepinephrine |
| Beta-3 agonist | Mirabegron |
He pānga taha kei tēnei rongoā?
Pērā i ngā rongoā katoa, ka pāngia ētahi tāngata e ngā beta-agonists. Heoi, ina whakamahia hei inhaler, ka haere tika te rongoā ki ngā pukahukahu, nō reira he iti ake te kino o ngā pānga taha. Heoi, ka pāngia ētahi tāngata e:
- Te tere o te manawa (Tachycardia)
- Te pā o te manawa kāore i te tika (Arrhythmia)
- Te wiri
- Manukanuka
- Ngā mamae o te upoko
- Ngā mamae o te uaua
- Te werawera
Ko te mea nui, mēnā ka pāngia koe e tētahi o ēnei pānga taha, ka pāngia rānei koe e tētahi āhuatanga rerekē i muri i te whakamahinga o te rongoā, me kōrero tonu ki tō tākuta. Tērā pea ka taea e ia te whakarerekē i te horopeta, te tohu rānei i tētahi atu rongoā māu.
Āhea koe me toro atu ki te tākuta?
He maha ngā āhuatanga e tino hira ai te toro atu ki tō tākuta.
- Ki te pāngia koe e ngā pānga taha kino, kāore i te tūmanakohia .
- Ki te mea kei te ahua kāore tō rongoā e mahi pai ana pērā i mua (hei tauira, me whakamahi koe i tō inhaler kia maha atu i mua hei whakaora).
- Ki te mea kei te kino haere ō tohumate, ā, kāore e taea e koe te whakahaere i aua tohumate .
I tēnei wā, ka taea e tō tākuta te arotake i tō mahere maimoatanga me te hoatu ki a koe te otinga tino whakamarie me te whai hua.Kaua rawa e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta me te kore he tohutohu a te taote. Mēnā ka pāngia koe e ngā pānga kino kino, haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU) tata.
Karere Tangohia ki te Kāinga
- Ko ngā Beta-agonists he momo rongoā e whakamāmā ake ai te manawa, e whakamahia ana mō ngā mate manawa pēnei i te huango me te COPD.
- E rua ngā momo matua: ko te rongoā poto-mahi (SABA) e tere ai te whakaora i ngā āhuatanga ohorere, me te rongoā roa-mahi (LABA) e roa ai te wā e whakahaere ana i te mate.
- Me whakamahi tonu i tēnei rongoā kia rite ki te horopeta kua tohua e tō tākuta, ā, kia rite ki te horopeta kua tohua anake .
- Kia tūpato ki ngā pānga taha pēnei i te tere o te manawa me te wiri o ngā ringaringa. Mēnā ka pāngia koe e tētahi mamae, whakamōhio atu ki tō tākuta tonu.
- Ki te mea kei te whakaaro koe kāore tō maimoatanga e mahi tika ana, kei te kino haere rānei ō tohumate, kaua e rongoā i a koe anō, engari me rapu tohutohu hauora.
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