So Salmeterol Dry Powder Inhaler (DPI) betumi aboa wɔ wo home mu nsɛnnennen no ho? Momma yɛnkasa!

So wote nka nso sɛ ɛyɛ den kakra sɛ wobɛhome? Anaasɛ ɛtɔ mmere bi a wote nka sɛ wo moma so ayɛ wo den, wo ho yɛ wo yaw, anaasɛ wo ho yɛ wo yaw te sɛ nea wowɔ ayamtu? Afei ebia woate saa aduru a wɔde home powder a wɔfrɛ no Salmeterol , a wɔsan frɛ no Dry Powder Inhaler (DPI) yi ho asɛm. Esiane sɛ nnipa pii de di dwuma nti, momma yɛnka ho asɛm nkɔ akyiri nnɛ. Aduru bɛn na eyi yɛ, ɔkwan bɛn so na ɛboa yɛn nipadua, ne nneɛma bɛn na ɛsɛ sɛ yɛkae bere a yɛde redi dwuma no.

Aduru bɛn na saa Salmeterol yi yɛ?

Sɛ yɛbɛka no tiawa a, Salmeterol yɛ aduru a ɛma mframa nketenkete a ɛwɔ w’ahurututu mu no yɛ kɛse kakra, na ɛma ɛyɛ mmerɛw sɛ wobɛhome. Fa no sɛ mframa kwan a asiw, baabi a ɛyɛ den sɛ wobɛma nsu afi mu, na saa na ɛte bere a wo mframa kwan asiw no. Nea saa aduru yi yɛ ne sɛ ɛboa wo ma wohome yiye na ɛtew akwanside no so.

Wɔtaa de eyi di dwuma kɛse ma nnipa a wɔwɔ ayamtu , ne wɔn a wɔwɔ tebea bi a wɔfrɛ no Chronic Obstructive Pulmonary Disease (COPD) . COPD yɛ ahurututu mu yare a ɛtra hɔ kyɛ a ɛma ɛyɛ den sɛ wɔbɛhome.

Adeɛ a ɛho hia ne sɛ saa Salmeterol inhaler yi yɛ ‘controller inhaler’ . Eyi kyerɛ sɛ wɔmfa nsiw ayamtu ntua anaa COPD a emu yɛ den no ano ntɛm ara. Wɔde di dwuma de boa ma wɔhyɛ sɛnea nneɛma a emu yɛ den a ɛte saa fi ase no so na ɛtew mpɛn dodow a ɛba no so. Ɛte sɛ nea wonom vitamin bi da biara da, na sɛ wokɔ so de di dwuma nkutoo a, nea efi mu ba no. Sɛ wopɛ ntua a emu yɛ den a, ebia wo duruyɛfo ama wo ‘reliever/rescue inhaler’ a ɛyɛ soronko . Ɛno ne nea ɛsɛ sɛ wode di dwuma saa bere no.

Dɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na manom saa aduru yi?

Afei, ansa na wubefi ase de Salmeterol inhaler yi adi dwuma no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa nnuruyɛfo a ɔwɔ nnurutɔnbea a wunya w’aduru no ampa. Esiane sɛ ɛsono obiara nipadua nti, ɛnyɛ aduru biara na ɛyɛ pɛ ma obiara. Enti, ɛho hia paa ma w’ankasa ahobammɔ sɛ wobɛbɔ wɔn amanneɛ wɔ saa nneɛma yi ho:

• So wowɔ komayare bi ? (Sɛ nhwɛso no, koma mu yaw, koma a ɛbɔ a ɛnteɛ, ne nea ɛkeka ho)
• So wowɔ mogya mmoroso ?
• So wowɔ asikreyare ?
• Koma a ɛbɔ anaasɛ ɛbɔ daa , a ɛkyerɛ sɛ nsakrae bi aba ɔkwan a koma no fa so bɔ no mu?
• Wunim sɛ wowɔ mmerɛbo mu yare bi anaa ?
• So tebea bi wɔ hɔ a wɔfrɛ no Pheochromocytoma ? (Eyi yɛ tebea a ɛntaa nsi kakra, akisikuru a ɛba adrenal ntini a ɛwɔ yɛn asaabo atifi no so).
• DadaSo woanya tebea bi a ɛte sɛ akisikuru ?
• So yare anaa nsakrae bi wɔ thyroid ntini no dwumadi mu ?
• So woanya aduru yi, Salmeterol, aduru foforo biara, nufusu mu nneɛma, nnuan bi, nnuan a wɔde yɛ nneɛma, anaa nneɛma a wɔde siw ano pɛn? (e.g., akisikuru, ɛyaw, ɛyɛ den sɛ wobɛhome).
• So woanyinsɛn? Anaasɛ wowɔ anidaso sɛ wubenyinsɛn ntɛm?
• So woyɛ ɛna a ɔma nufu?

Ɛdenam nneɛma yi a wobɛma emu ada hɔ so no, wo duruyɛfo betumi ama wo afotu pɔtee wɔ sɛ ebia aduru yi fata wo anaasɛ ɛnsɛ, anaa sɛnea wode bedi dwuma dwoodwoo ho.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa afiri a wɔde home yi di dwuma?

Okay, afei ma yɛnhwɛ sɛnea yɛde Salmeterol inhaler yi bedi dwuma pɛpɛɛpɛ. Eyi yɛ aduru a wɔhome fa ano kɔ ahurututu mu.

• Ɛyɛ papa sɛ wobɛnom w’aduru no bere koro mu da biara , sɛnea wɔakyerɛ wɔ nnuru a wɔakyerɛw ama wo no krataa so no. Eyi bɛboa ma aduru no atu mpɔn.
• Mfa nni dwuma mpɛn pii nsen sɛnea wo duruyɛfo ka kyerɛ wo no.
• Ɛsɛ sɛ wokɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Ɛnyɛ adwene pa sɛ wubegyae mpofirim.

Sɛ wonya saa aduru yi fi nnurutɔnbea a, wo nsa bɛka akwankyerɛ krataa titiriw bi a wɔfrɛ no ‘MedGuide’ . Ɛsɛ sɛ wokenkan saa ‘MedGuide’ yi yiye bere biara a wobɛnom aduru no, ne bere biara a wobɛsan ahyɛ mu ma. Nsɛm a ɛho hia paa wɔ aduru yi ho, a sɛnea wɔde di dwuma, nea efi mu ba, ne nea ɛkeka ho ka ho.

Saa inhaler yi de AKWANKYERƐ A WƆDE DI DWUMA a ɛkyerɛkyerɛ sɛnea wɔde bedi dwuma mu anammɔn biara ba . Yɛsrɛ sɛ monkenkan no yiye. Ebia ɛbɛyɛ foforo kakra mfiase no, enti sɛ w’adwene mu yɛ wo naa wɔ sɛnea wode bedi dwuma no ho a, nsuro sɛ wobɛbisa wo nnuruyɛfo anaa wo duruyɛfo ma wama wo ho ada hɔ. Sɛ wode di dwuma yiye nkutoo a, wubetumi anya aduru no so mfaso nyinaa.

So ɛsɛ sɛ wɔde aduru yi ma mmofra nkumaa?

Sɛ wode Salmeterol inhaler yi rema mmofra nkumaa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ho. Ɛtɔ mmere bi a, wobetumi akyerɛw ama mmofra a wɔadi mfe 4 pɛ , wɔ ayaresa tebea horow bi mu. Nanso, ɛhwehwɛ sɛ woyɛ ahwɛyiye titiriw na wo duruyɛfo hwɛ no yiye.

Sɛ wonom aduru no boro so a, dɛn na wobɛyɛ?

Sɛ wususuw sɛ woanom aduru yi pii wɔ akwanhyia mu a, kɔ ayaresabea dan a wɔhwɛ ntɛmpɛ a ɛbɛn wo no mu anaa frɛ baabi a wɔhwɛ awuduru so ntɛm ara.Eyi yɛ aduru a wɔakyerɛw ama wo nkutoo, ama wo tebea no. Mfa aduru yi nkyɛ obi foforo biara esiane biribiara nti .

Na sɛ me werɛ fi sɛ mɛnom nnuru dodow bi nso ɛ?

Ɛtɔ da bi a, ebia wo werɛ befi sɛ wobɛnom w’aduru esiane wo da biara da dwumadi nti. Sɛ eyi ba a, fa dodow no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ (sɛ nhwɛso no, wɔ nnɔnhwerew kakraa bi mu) a, twa dodow a woayera no so na fa dodow a edi hɔ no wɔ bere a wɔahyɛ no mu. Mfa nnuru mmɔho abien anaa nea ɛboro so da mfa nsiesie dodow a woayera no.

Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .

Eyi nso yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho. Sɛ wode Salmeterol inhaler yi di dwuma a, ebetumi ne nnuru afoforo bi a worenom no adi nkitaho. Sɛ yɛbɛka no tiawa a, aduru biako betumi aka aduru foforo a etu mpɔn, anaasɛ ɛbɛma nea efi mu ba no ayɛ kɛse.

Nnuruyɛfo tu fo sɛ kwati sɛ wobɛnom nnuru yi ne Salmeterol sɛ worenom a:

• MAOIs - Eyinom yɛ nnuru a wɔde sa adwenemyareɛ bi. Nhwɛso ahorow bi ne nnuru a edin te sɛ Carbex, Eldepryl, Marplan, Nardil, ne Parnate.
• Salmeterol, ne nnuru afoforo a wɔde home anaa nnuru a beta2-agonists a ɛyɛ adwuma bere tenten (LABA) wom .
• Aduru bi a wɔfrɛ no Procarbazine (eyi yɛ aduru a wɔde sa kokoram).

Ɛnyɛ eyi nko, na mmom nnuru afoforo wɔ hɔ a ebetumi ne Salmeterol adi nkitaho. Ɛno nti na ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru a worenom nyinaa ho. Nhwɛso kakraa bi ni:

• Ebinom a ekum ɔyare mmoawa - se nhwɛso no, chloroquine, pentamidine.
• Nnuru a wɔde ko tia HIV anaa AIDS.
• Nnuan a caffeine wom (wobetumi ahu wɔ tii, kɔfe, chocolate, anonne a ɛyɛ dɛ bi, ne nnuru bi a wɔde kum ɛyaw mu).
• Cisapride (aduru a wɔde sa aduan mu nyarewa bi).
• Diuretics - Eyinom yɛ nnuru a eyi nsu ne nkyene a ɛboro so fi nipadua no mu (wɔtaa de ma mogya mmoroso).
• Nnuru bi a ɛsɛ sɛ wɔnom ma atiridiinini.
• Nnuru a wɔde sa adwenemhaw, dadwen, anaa adwene mu haw afoforo.
• Nnuru a wɔde sa fungal yareɛ - s.e. ketoconazole, aduru a wɔde yɛ aduru.
• Nnuru bi a wɔkyerɛw ma obi ma obi mu duru so tew, ne nhabannuru bi nso.
• Methadone a wɔde di dwuma.
• Nnuru bi a ekum ɔyare mmoawa - s.e. clarithromycin, aduru a ɛma mogya tu, levofloxacin, linezolid, telithromycin.
• Nnuru a wɔde sa komayare ahorow bi.
• Steroid hormone ahorow - s.e. dexamethasone, aduru a wɔde yɛ aduru, hydrocortisone.
• Theophylline (aduru foforo a wɔde sa ayamtu).
• Thyroid hormone ahorow a ɛma nipadua no yɛ adwuma.

Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti, hwɛ hu sɛ wobɛka nnuru a wonom nyinaa (a nea wotɔ a wontua hwee ka ho), nhabannuru, vitamin, ne aduannuru a wode di dwuma no ho asɛm akyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo . Ɛtɔ mmere bi a eyinom betumi ne wo nnuru adi nkitaho.

Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode aduru yi redi dwuma no

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye bere a wode Salmeterol inhaler yi redi dwuma no. Sɛ wohwɛ eyinom yiye a, wubetumi anya nnuru no so mfaso kɛse na woakwati ɔhaw ahorow a ɛho nhia.

• Kɔ wo duruyɛfo nkyɛn daa na woakɔhwɛ wo daa. Wo duruyɛfo bɛhwɛ sɛ wo yare no ho sɛnkyerɛnne no reyɛ kɛse anaasɛ ɛresɛe, ne sɛ ebia ɛsɛ sɛ wosesa w’aduru no. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ anyɛ kɛse a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Eyi ne ade a ɛho hia sen biara! Mfa Salmeterol inhaler yi nni dwuma da mma ayamtu a emu yɛ den. Sɛnea madi kan aka no, eyi yɛ controller inhaler. Wɔ tebea a egye ntɛmpɛ a ɛte saa mu no, ɛsɛ sɛ wode ‘afiri a wɔde home bere tiaa bi a wɔde gye nkwa’ a wɔde ama wo no di dwuma. Sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den, anaasɛ ɛsɛ sɛ wode wo aduru a ɛma wohome ntɛmntɛm no di dwuma mpɛn pii (a ɛkyerɛ sɛ wontumi nni wo ayamtu no so) a, wo ne wo duruyɛfo nkasa ntɛm ara.
• Nnipa binom betumi anya ahome a ɛyɛ tiaa anaasɛ wɔn ahomegye kɛse bere a wɔde Salmeterol afiri a wɔde home yi adi dwuma awie no. Eyi nyɛ nea ɛtaa ba. Enti, fa afiri a wɔde home a ɛyɛ adwuma bere tiaa bi ka wo ho bere nyinaa na wode adi dwuma ntɛm ara. Sɛ wote ahome tiaa biara a, gyae Salmeterol a wode di dwuma no ntɛm ara na frɛ wo duruyɛfo ntɛm ara.
• Nhwehwɛmu ahorow bi kyerɛ sɛ saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ obi bewu wɔ ɔhaw ahorow a ɛfa ayamtu ho no ayɛ kɛse kakra. Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ eyi ho a, wo ne wo duruyɛfo nkasa mfa ho. Obetumi akyerɛkyerɛ eyi mu akyerɛ wo kɛse.
• Sɛ wotaa kɔ ɔfe, atiridiinini, anaasɛ wo ho yɛ wo hyew a, nnom nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu a wunni kan nhwehwɛ wo duruyɛfo nkyɛn. Ebia nnuru bi a wɔkyerɛw ma obi ne salmeterol bedi nkitaho.
• Ɛho hia sɛ wo ne wo duruyɛfoɔ bom yɛ adwuma de yɛ ‘Asthma Action Plan’ a ɛfata wo. Eyi yɛ akwankyerɛ a emu da hɔ a ɛfa nea ɛsɛ sɛ woyɛ bere a wo ayamtu no mu ayɛ den kakra (a wɔfrɛ no ‘beae kɔkɔɔ’) anaa nea ɛsɛ sɛ woyɛ sɛ wo ayamtu no mu yɛ den na ɛbɛyɛ aduruyɛ mu ntɛmpɛ (a wɔfrɛ no ‘beae kɔkɔɔ’) a. Ɛsɛ sɛ wuhu nhyehyɛe yi yiye.
• Sɛ worekɔyɛ oprehyɛn biara anaa aduruyɛ foforo biara , te sɛ wo sẽ a woyi a, di kan ka kyerɛ oduruyɛfo no sɛ wode Salmeterol inhaler yi redi dwuma.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ aduru biara no, nnipa binom betumi anya nsunsuanso bɔne bi bere a wɔde Salmeterol afiri a wɔde home yi redi dwuma no. Nanso mma ɛnhaw wo, ɛnyɛ obiara na onya saa nsunsuanso bɔne yi. Wɔn mu binom bɛkɔ nna kakraa bi akyi. Nanso, nsunsuanso bɔne bi yɛ aniberesɛm kɛse, na sɛ ɛba a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara.

Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo ntɛm ara:

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ oduruyɛfo nkyɛn a ɛnkyɛ:

• Allergic reactions – honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon (eyi nso betumi ama ayɛ den sɛ wobɛhome).
• Koma mu nnyigyei sesa – koma no fi ase bɔ ntɛmntɛm mpofirim (koma bɔ ntɛmntɛm), koma no bɔ ntɛmntɛm (koma bɔ ntɛmntɛm), adwenem naayɛ, te nka sɛ obi ayɛ mmerɛw anaasɛ ne ti yɛ hare, koko mu yaw, ɔhaw a ɛba wɔ ɔhome mu.
• Mogya mmoroso a ɛkɔ soro mpofirim.
• Ntini mu yaw anaasɛ ɛyɛ mmerɛw.
• Sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wobɛhome bere a wode wo afiri a wode home no adi dwuma awie sen kan no a.

Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ:

Mpɛn pii no, eyinom kɔ nna kakraa bi akyi, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo sɛ:

• Ɛwa.
• Tipaeɛ.
• Hwene a ɛretu anaasɛ ɛyɛ mmerɛw.
• Menemkuro.
• Wosow anaasɛ wosow.
• Ɔhaw a ɛba wɔ nna mu.

Sɛ wuhu sɛnkyerɛnne foforo anaa soronko biara a wɔankyerɛw wɔ saa nsɛm yi mu a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Wɔ United States no, wubetumi abɔ nea efi mu ba no ho amanneɛ akyerɛ FDA (Food and Drug Administration) wɔ 1-800-FDA-1088. Wɔ Sri Lanka no, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛbɔ wo duruyɛfo amanneɛ.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa afiri a wɔde home yi sie? (Akoraeɛ)

Nnuru a wɔde besie yiye no ho hia yiye na ama wɔakura ne su mu.

• Bere nyinaa ma saa afiri a wɔde home yi nkɔ baabi a mmofra nkumaa ne afieboa ntumi nkɔ hɔ.
• Ɛyɛ papa sɛ wode sie wɔ dan mu hyew mu, a ɛkyerɛ sɛ ɛwɔ baabi a ɛwɔ digrii Celsius 20 kosi 25 (digrii F 68 kosi 77).
• Bɔ ho ban fi owia hann ne nsu a ɛba tẽẽ ho. Ɛno kyerɛ sɛ mfa nsie mmeae a ɛhɔ yɛ nwini te sɛ aguaree.
• Fa inhaler container/cap no to mu denneennen.
• Ma afiri a wɔde home no nkɔ akyirikyiri fi ɔhyew a ano yɛ den, awɔw a ano yɛ den, anaa nsu a ɛyɛ nwini kɛse ho (sɛ nhwɛso no, nnyaw no wɔ kar dashboard so).
• Sɛ woyi inhaler no fi foil kotoku no mu wie a, gyae inhaler no a wode bedi dwuma no na tow gu wɔ adapɛn 6 akyi , anaasɛ bere a dose counter a ɛwɔ inhaler no so kenkan sɛ "0" (a ɛkyerɛ sɛ aduru no ayera), anaasɛ bere a da a wɔatintim wɔ inhaler no so no atwam no , nea edi kan biara

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti ɛfiri deɛ yɛaka ho asɛm nnɛ no, mewɔ anidasoɔ sɛ woanya nteaseɛ pa, pefee wɔ saa powder inhaler (DPI) a wɔfrɛ no Salmeterol yi ho.

Ade a ɛho hia sen biara ne sɛ Salmeterol yɛ aduru a ɛboa ma wodi wo ayamtu ne COPD so, na ɛnyɛ aduru a wɔde sa ntua a emu yɛ den. Fa no sɛnea wo duruyɛfo aka akyerɛ wo no pɛpɛɛpɛ bere nyinaa, wɔ dodow a ɛfata mu, wɔ bere a ɛfata mu.

Sɛ wowɔ nsɛmmisa, dadwen, anaa dadwen bi fa saa aduru yi, ne dwumadie, ne nsunsuansoɔ, anaa biribi foforɔ biara a ɛhaw wo ho a, yɛsrɛ wo ntwentwɛn wo nan ase sɛ wobɛbisa wo duruyɛfoɔ anaa nnuruyɛfoɔ. W’akwahosan ho hia wo paa, enti ɛyɛ w’asɛyɛde sɛ wobɛhwɛ so. Mepɛ sɛ mo akwahosan pa!

` Salmeterol, Dry Powder Inhaler, DPI, Akisikuru, COPD, Inhaler, Ɔhome mu Yare, Ahurututu mu Yare